ABSTRACT
Objective:To compare the efficacy of open surgery and arthroscopic assisted surgery in treatment of knee dislocations.Methods:A retrospective case-control study was conducted to analyze the clinical data of 80 patients with knee dislocations admitted to Second Hospital of Lanzhou University from May 2013 to September 2019, including 59 males and 21 females, aged 18-66 years [(42.5±11.6)years]. Open multiple ligament reconstruction was performed in 49 patients (open group) and arthroscopic assisted multiple ligament reconstruction was performed in 31 patients (arthroscopic group). The postoperative hospitalization days, incidence of complications, time needed for recovery of knee range of motion (>0°, >90°, >120°), and time to complete weight-bearing were compared between the two groups. The Lysholm score, international knee documentation committee (IKDC) subjective knee form, Tegner activity level, score of the MOS item short-form health survey (SF-36), patient satisfaction and knee range of motion were compared between the two groups at the last follow-up.Results:All the patients were followed up for 1.2-7.4 years [(3.8±1.5)years]. There was no significant difference in postoperative hospitalization days or incidence of complications between the two groups ( P>0.05). No significant difference was found in time needed for recovery of knee range of motion (>0°, >120°) or time to complete weight-bearing ( P>0.05). The time needed for recovery of knee range of motion (>90°) was 90(60, 90)days in open group and 60(30, 90)days in arthroscopic group ( P<0.05). At the last follow-up, there was no significant difference in Lysholm score, IKDC subjective score, Tegner activity level, SF-36 score, or patient satisfaction between the two groups ( P>0.05). At the last follow-up, the knee range of motion was 120°(90°, 130°) in open group and 135°(120°, 140°) in arthroscopic group ( P<0.05). Conclusion:For treatment of knee dislocations, open surgery and arthroscopic assisted surgery have similar results in the long-term effect, while arthroscopic assisted surgery has benefits in early rehabilitation and ultimately better knee range of motion.
ABSTRACT
To describe the rationale and surgical technique and compare the clinical effect of posterior percutaneous endoscopic cervical discectomy (PPECD) using the Delta system versus that of conventional PPECD (key-hole) surgery for the treatment of symptomatic cervical spondylotic radiculopathy (CSR). A retrospective analysis was performed on 106 single-segment CSR patients between February 2016 and February 2017, 50 of whom underwent conventional PPECD (key-hole), and 56 underwent PPECD using the Delta system. The operative time, intraoperative blood loss, intraoperative complications and postoperative hospital stay were recorded, and the clinical effect was evaluated by the indicators of the Neck Disability Index (NDI), arm-visual analog scale (arm-VAS), neck-VAS, EQ-5D and MacNab classification at the last follow-up. All patients underwent the operation successfully, and 106 patients were followed up. The operative time of the Delta group was 60.47 ± 0.71 min, while the operative time of the key-hole group was 75.46 ± 0.41 min. The difference between the two groups was statistically significant (P < 0.05). However, there was no significant difference between the two groups in terms of blood loss and hospital stay (P > 0.05). The VAS, NDI and EQ-5D scores of the neck and upper limbs in the two groups were significantly better than those before surgery at 1 week after surgery and at the last follow-up (P < 0.05). However, there was no significant difference between the two groups at the last follow-up (P > 0.05). At the last follow-up, there was no significant difference between the two surgical methods when evaluated using the modified MacNab criteria. The imaging results showed that the herniated disc was removed completely and the nerve root was decompressed. The complication rate in the Delta group (3/56, 5.35%) was significantly lower than that in the conventional key-hole group (5/50, 10.0%). PPECD using the Delta system for CSR may be a feasible and promising alternative surgical plan. Compared with the traditional key-hole method, this surgical system can not only provide the surgeon with a larger surgical field of vision but also reduces the operation time and complication rates.
Subject(s)
Diskectomy, Percutaneous/instrumentation , Endoscopy/instrumentation , Intervertebral Disc Displacement/surgery , Radiculopathy/surgery , Spondylosis/surgery , Blood Loss, Surgical/statistics & numerical data , Cervical Vertebrae/diagnostic imaging , Cervical Vertebrae/surgery , Diskectomy, Percutaneous/adverse effects , Diskectomy, Percutaneous/methods , Endoscopy/adverse effects , Endoscopy/methods , Feasibility Studies , Follow-Up Studies , Humans , Intervertebral Disc/diagnostic imaging , Intervertebral Disc/surgery , Intervertebral Disc Displacement/diagnosis , Intervertebral Disc Displacement/etiology , Length of Stay/statistics & numerical data , Magnetic Resonance Imaging , Middle Aged , Operative Time , Pain Measurement , Radiculopathy/diagnosis , Radiculopathy/etiology , Retrospective Studies , Spondylosis/complications , Spondylosis/diagnosis , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
OBJECTIVE:To establish a method for determination of the contents of leucine in ant medical material and its preparation-fengshike wine,so as to provide a basis for controlling the quality of ant medical material and its prepara?tion.METHODS:After thin layer chromatography and colour-development with2%ninhydrin ethyl alcohol solution,the sample was scanned at? S =480nm,? R =650nm.RESULTS:The average recovery of the sample was100.14%,RSD=3.4%.The content of leucine in ant medical material was tentatively fixed at1.0%or more and that in Fengshike wine at0.44mg/ml or more.CONCLUSION:The method may be used for determination of the contents of leucine in Shanxi local medical material-ant(black ant,Formica fusca Laureile)and its preparation-Fengshike wine.
