[Case control study on T-plate combined with suture anchors for the treatment of Neer â ¡b clavicle fractures].

OBJECTIVE: To compare the clinical efficacy of distal radius T-plate combined with suture anchor and distal clavicle anatomical locking plate combined with suture anchor in the treatment of Neer Ⅱb distal clavicle fracture. METHODS: From June 2014 to June 2018, 42 patients with Neer Ⅱb distal clavicle fractures were retrospectively analyzed. According to different surgical methods, they were divided into the observation group (T-shaped plate combined with suture anchor) and the control group (anatomical locking plate combined with suture anchor). There were 22 patients in the observation group and 20 patients in the control group. In the observation group, there were 13 males and 9 females, aged from 22 to 70 (45.78± 14.44) years old, 12 cases on the left side and 10 cases on the right side, 8 cases of traffic accident injury and 14 cases of fall. In the control group, there were 12 males and 8 females, aged from 24 to 66 (44.17±15.58) years, 13 cases on the left side and 7 cases on the right side, 6 cases of traffic accident injuryand 14 cases of fall. The operation time, intraoperative blood loss and fracture healing time were compared between the two groups, and Constant Murley score was used to evaluate shoulder joint function. RESULTS: The patients in both groups were followed up for 18 to 24 (20.96±2.02) months. The incisions of both groups were healed at stageⅠ. The fracture ends of both groups were bony healed at the last follow up. There was no significant difference in operation time, intraoperative blood loss and fracture healing time between two groups (P>0.05);there was no significant difference in shoulder joint function between two groups at 3 months after operation (P>0.05). CONCLUSION: The two methods can obtain satisfactory results in the treatment of Neer Ⅱb distal clavicle fractures, especially suitable for patients with comminuted distal clavicle fractures or osteoporosis; the clinical effect of the treatment of NeerⅡb distal clavicle fractures with T type distal radius plate combined with suture anchor is satisfactory, which provides another feasible treatment scheme for clinic.

The prevalence and risk factors of acute kidney injury in patients undergoing hip fracture surgery: a meta-analysis.

Acute kidney injury (AKI) was a frequent complication following hip fracture surgery, but recent studies reported inconsistent findings. Our study was aimed at clarifying the prevalence and risk factors of AKI after hip fracture surgery. Pubmed, Embase, and Web of Science were systematically searched from the inception to March 2020 to identify observational studies investigating the prevalence and risk factors of AKI in patients undergoing hip fracture surgery. Pooled prevalence and odds ratios (ORs) with 95% confidence intervals (CIs) were estimated using a random-effects model. Publication bias was evaluated with a funnel plot and statistical test. All the statistical analyses were performed using Stata version 12.0. A total of 11 studies with 16,421 patients was included in the current meta-analysis. The pooled prevalence of AKI in patients undergoing hip fracture surgery was 17% (95%CI, 14%-21%) with substantial heterogeneity (I2 = 95%). Postoperative serum albumin (OR 1.80; 95%CI, 1.38-2.36) was a significant predictor for AKI. Age (OR 1.01; 95%CI, 0.95-1.07) and ACE inhibitors (OR 1.38; 95%CI, 0.92-2.07) were associated with increased the risk of AKI, but the results were not statistically significant. No significant publication bias was identified through statistical tests (Egger's test, p = 0.258 and Begg's test, p = 0.087). In conclusion, our findings indicated that the pooled AKI following hip fracture surgery was approximately 17%. Postoperative serum albumin was a potential significant risk factor for AKI.

Face transformation with harmonic models by the finite-volume method with delaunay triangulation.

To carry out face transformation, this paper presents new numerical algorithms, which consist of two parts, namely, the harmonic models for changes of face characteristics and the splitting techniques for grayness transition. The main method in this paper is a combination of the finite-volume method (FVM) with Delaunay triangulation to solve the Laplace equations in the harmonic transformation of face images. The advantages of the FVM with Delaunay triangulation are given as follows: 1) easy to formulate the linear algebraic equations; 2) good in retaining the pertinent geometric and physical need; and 3) less central processing unit time needed. Numerical and graphical experiments have been conducted for the face transformation from a female (woman) to a male (man), and vice versa. The computed sequential errors are O(N⁻³/²), where N² is the division number of a pixel into subpixels. These computed errors coincide with the analysis on the splitting-shooting method (SSM) with piecewise constant interpolation in the previous paper of Li and Bai. In computation, the average absolute errors of restored pixel grayness can be smaller than 2 out of 256 grayness levels. The FVM is as simple as the finite-difference method (FDM) and as flexible as the finite-element method (FEM). Hence, the FVM is particularly useful when dealing with large face images with a huge number of pixels in shape distortion. The numerical transformation of face images in this paper can be used not only in pattern recognition but also in resampling, image morphing, and computer animation.

Numerical algorithms for image geometric transformations and applications.

To facilitate images under the nonlinear geometric transformation T and its inverse transformation T(-1), we have developed numerical algorithms. A cycle conversion T(-1)T of image transformations is said if an image is distorted by a transformation T and then restored back to itself. The combination (CSIM) of splitting-shooting-integrating methods was first proposed in Li for T(-1)T. In this paper other two combinations, CIIM and C I# I M, of splitting integrating methods for T(-1)T are provided. Combination CSIM has been successfully applied to many topics in image processing and pattern recognition. Since combination CSIM causes large greyness errors, it well suited to a few greyness level images, but needs a huge computation work for 256 greyness level images of enlarged transformations. We may instead choose combination CIIM which involves nonlinear solutions. However, the improved combination C I# I M may bypass the nonlinear solutions completely. Hence, both CIIM and C I# I M can be applied to q(q > or = 256) greyness level images of any enlarged transformations. On the other hand, the combined algorithms, CSIM, CIIM, and C I# I M, are applied to several important topics of image processing and pattern recognition: binary images, multi-greyness level images, image condensing, illumination, affine transformations, prospective and projection, wrapping images, handwriting characters, image concealment, the transformations with arbitrary shapes, and face transformation. This paper may also be regarded as a review of our recent research papers.