Developmental history of extremity injury and construction as viewed from origin and evolution of biological skeleton / 中国矫形外科杂志

[Objective]To explore developmental history of extremity in jury and reconstruction,and to reflect the relationship of modern orthopaedic medical treatment modes to the lire nature and natural law.[Method] The author reviewed the history of organic evolution and 'human evolution,and rank the historical era of life origin,birth of cell and bone architecture,formation and development of bone and joint in living nature and final shape construction of vertebrate and human,and summarized the development of extremity injury and reconstruction after foundation of society via evolutive law.[Result]A scientific and order evolutived series that was not created at natureg please can be seen from origin of life,generation of bone and joint,evolution from high-mammal to human boing.The reason of extremity injury,idea and methods of medical treatment are correlated with the development of seciety civilization,the progress of scientific technique,and change of life style.With the great change of science and technique,life style and idea of human,reasons of extremity injury and orthopaedic diseases have also changed,but the life nature of human being is not changed with them.[Conclusion]Various kinds of techniques and methods that are used to treat trauma and bone disease only accustomize the natural process,rather than excessive intervention.The culture idea of human being,requirement of material and spirit should be developed,and the scientific research of non-protoplasm may break some rules,but the study of life science and medical idea should not disobey natural law and human nature.Suitable techniqus of integrated observation,consolation,nursing and modern techniques are still basic principles of orthopaedic treatment.Nature is forever teacher and origin of medical science.

Situation of extremity injury caused by traffic accident in Viet Duc hospital from 2000 to 2004

Background: Situation of extremity injury caused by traffic accidents and occupational accidents are increasing in Vietnam. Therefore, the prevention and fight against these accidents are one of the key objectives to reduce the burden on the families of victims as well as for society. Objectives: To outline situation of extremity injury patients caused by traffic accident, treated in Viet Duc hospital from 2000-2004. Subjects and method: A retrospective study was conducted on 19.845 patients (14.562 males, 5.283 females, aged from 1-97 years old). The subjects were divided into 3 main groups: alone upper extremity injury, alone lower extremity injury and multiple fractures. Results: Extremity injury was common seen in people of working age (78.1%), men more than women (2.76/1 ratio), left foot more than right foot and it was common been in multiple fracture situation due to complex mechanisms of injury (50.3%), alone extremity injury (49.7%). The lower extremity injury was more common seen than upper extremity injury. Open fracture injury (27.3%), in which open fractures in lower extremity were more common seen. Open fractures in both 2 leg bones was the most common seen, accounted for 57.4% among total of open fractures. Amputation accounted for 8.3% among all case of open fractures and 2.3% among all case of extremity injuries. Conclusion: Extremity injury (lower extremity and upper extremity) caused by traffic accidents is common seen. The average, there are 3 emergency surgeries due to open fracture injury were performed daily in Viet Duc hospital per a total of about 11 traumatic emergency surgeries.

Microsurgical Reconstruction of Extremities by Cutaneous or Myocutaneous Free Flaps / 대한정형외과학회잡지

The authors performed microsurgical reconstruction by free cutaneous or myocutaneous flaps transfer in 104 cases, who were sustained of extensive soft tissue injuries on their extremities by accident. These 104 cases were operated in 6 years from 1980 to 1986 and were consisted of 47 cases of latissimus dorsimyocutaneous free flaps, 36 cases of scapular free flaps, 18 cases of dorsalis pedis sensible free flaps, and 3 cases of groin flaps. Most of them were males(80 cases) and were in third decade(28 cases). The youngest case was 2-year-old baby and the oldest one was 76-year-old woman. The traffic accident was the most frequent cause of injuries(55 cases), and the others were burn, industrial injuries, and cultivator accidents. Most of the microsurgical reconstruction were performed in lower extremity injuries(81 cases), especially below the ankle joints(65 cases). The average dimension(width and length) of free flaps were 7.3×14.3cm in latissimus dorsi free flaps, 5.6×8.2cm in scapular free flaps, and 4.5×5.9cm in dorsalis pedis free flaps. The dorsalis pedis free flaps were successful in 100%, the scapular free flaps were in 83.3%, the latissimus dorsi myocutaneous free flaps were in 89.4%, and the groin free flaps were in 33.3%, And the overall viability of 104 free flaps was 87.5%.