Efficacy of joint replacement versus closed reduction and internal fixation in treatment of unstable intertrochanteric fractures combined with osteoporosis / 中国组织工程研究

BACKGROUND:Stable intertrochanteric fractures can be treated by closed reduction and internal fixation,but there is no absolute advantage for unstable intertrochanteric fractures with osteoporosis. OBJECTIVE:To investigate the efficacy of arthroplasty in the treatment of unstable intertrochanteric fractures in the elderly with osteoporosis by comparing the indexes related to closed reduction internal fixation and arthroplasty. METHODS:Clinical data of 102 elderly patients with unstable intertrochanteric fractures of the femur treated in Affiliated Hospital of Qingdao University from January 2017 to January 2020 were retrospectively analyzed.Patients were divided into two groups according to the surgical method.In the Gamma3 group,62 cases received Gamma3 internal fixation system.In the joint replacement group,40 cases received an artificial femoral head replacement or total hip replacement.Surgical information,hospitalization,hip function,and postoperative complications were compared between the two groups. RESULTS AND CONCLUSION:(1)There were statistical differences between the Gamma3 group and the joint replacement group in weight-bearing time(P＜0.001),hospital stay(P＜0.05),intraoperative bleeding(P＜0.001),and length of surgery(P＜0.001).The mean weight-bearing time and hospital stay were shorter in the joint replacement group than in the Gamma3 group.Intraoperative bleeding and duration of surgery were better in the Gamma3 group than in the joint replacement group.(2)There was no significant difference in Harris hip score,subitem centesimal hip score,and postoperative complications 12 months after surgery in both groups(P=0.526,0.788,0.228).(3)It is indicated that arthroplasty has achieved better outcomes in the treatment of elderly unstable intertrochanteric fractures combined with osteoporosis,enabling early weight bearing and functional exercise.Careful selection of the appropriate patient and prosthesis type for arthroplasty will result in greater patient benefit.

Kinetic Migration Behaviors of Formaldehyde and Acetaldehyde from Paper Packaging Materials into Food Stimulant Tenax / 分析化学

The migration of two potential contaminants, formaldehyde and acetaldehyde, from two paper materials into food simulant Tenax was studied. A rapid and simple one-step extraction-derivatization method combined with ultra high performance liquid chromatography was established for the determination of formaldehyde and acetaldehyde in paper packaging materials and food stimulants. The linear correlation coefficients (R2) were greater than 0. 9999 in the range of 0. 14-35. 7 mg/m2 for both formaldehyde and 0. 20-49. 1 mg/m2 for acetaldehyde, with detection limits of 0. 03 mg/m2 for formaldehyde and 0. 04 mg/m2 for acetaldehyde. The recoveries were 90. 1%-108. 6% for paper sample and Tenax. The migration behaviors of formaldehyde and acetaldehyde at different temperatures and migration times were investigated. Both for formaldehyde and acetaldehyde, the amount of migration gradually increased with time first, then decreased, finally reached a steady value. The migration rates of formaldehyde and acetaldehyde were differently influenced by temperature. After reaching a steady value, the maximum migration rate for formaldehyde was at 30℃, and for acetaldehyde was at 70℃ and 50℃. The migration rates of formaldehyde and acetaldehyde greatly varied, and the migration rate of acetaldehyde was far more than the migration rate of formaldehyde when reaching a steady value.