[Endobutton and cortical screw fixation for the treatment of distal tibiofibular syndesmosis separated].

OBJECTIVE: To analyze the treatment effect of Endobutton plate cable system for the treatment of the distal tibiofibular syndesmosis injury. METHODS: Total 38 patients with tibiofibular syndesmosis separation treated by surgical operation from October 2011 to October 2013 were analyzed retrospectively. According to internal fixation, 38 cases were divided into two groups involving group A (cortical screw fixation) and group B (Endobutton plate cable system fixation). In group A, there were 26 patients including 16 males and 10 females with an average age of (37.90±4.67) years old ranging from 19 to 63 years old; 14 cases were on the left and 12 on the right;involving 8 cases of Weber-Denis type B, 18 cases of Weber-Denis type C; according to Lauge-Hanson typing, 9 cases of supination external rotation (SER), 10 cases of pronation abduction (PAB), 7 cases of pronation external rotation (PER). In group B, there were 12 cases including 7 males and 5 females, with an average age of (38.70±6.03) years old ranging from 20 to 55 years old;6 cases were on the left and 6 cases on the right;involving 4 cases of Weber-Denis type B and 8 cases of Weber-Denis; involving 7 cases of PER, 3 cases of SER, 2 cases of PAB. The operative time, intraoperative blood loss, surgery cost, hospital stay time, the wound healing, pain score at 1 month after operation, and the load time were recorded and evaluated. According to reviewing of X rays regulary, the healing of fracture were assessed, the function outcomes of ankle was evaluated according to the Ankle Hind Foot Scale of American Orthopaedic Foot and Ankle Society. RESULTS: All patients were followed up for 8 to 18 months with an average of 13.5 months. There were no statistical significance in intraoperative blood loss, hospital stay time, average load time and postoperative pain score at 1 month after operation between two groups (P>0.05). Duration of operation, the operative time were significantly shorter in cortical screw group;however, the average cost of hospitalization was significantly higher in Endobutton group. No significant differences were found between two groups in outcome of radiographic measurement. The X rays of 36 patients showed well healing of fracture, normal mortise and no distal tibiofibular syndesmosis separation. AOFAS score at the final follow up in group A was (87.50±8.67) scores, 18 cases got excellent result, 4 cases were good, and 4 cases were fair. AOFAS score at the final follow up in group B was (86.23±7.42) scores, 7 cases obtained excellent result, 4 cases were good and 1 case was fair; AOFAS score between two groups were no significant difference (P>0.05). CONCLUSIONS: Endobutton plate cable system is a dynamic capital equipment in treating the tibiofibular syndesmosis separation, it has a similar outcome compared with the screw, but without screw fractured and do not regular remove after operation. The patients could take the functional exercises earlier.

[Comparison of different diameter hollow screw for the treatment of femoral neck fractures].

OBJECTIVE: To evaluate and compare the outcome of two kinds of diameter hollow screws for the treatment of femoral neck fractures. METHODS: From June 2008 to June 2013, 117 patients with femoral neck fractures were treated by closed reduction and hollow screws fixation. Among them,48 patients were fixed by 6.5 mm screw including 30 males and 18 females with an average age of (45.61 ± 11.99) years old ranging from 19 to 60 years old, involving 17 cases in Garden I/II and 31 cases in Garden III/IV; 69 patients were fixed by 8.0 mm screw including 40 males and 29 females with an average age of (45.17 ± 9.95) years old ranging from 18 to 60 years old, involving 31 cases in Garden I/II and 38 cases in Garden III/IV. The general information, operative time, hospital stay time, reduction quality, diameter of femoral head and neck, fracture healing time, the rate of fracture healing, postoperative complications were recorded and evaluated. Harris scoring was used to evaluate the hip joint function. RESULTS: All patients were followed up for 19.6 months (18 to 24 months). The difference of operative time, duration of hospitalization, quality of reduction were not statistically significant (P > 0.05). There was no difference between two groups about the average diameter of the femoral head and neck, the fracture healing time, the rate of healing and the postoperative complications (P > 0.05). There were no difference between two groups about Harris scale. There were significant difference between Garden III/IV and I /II (P > 0.05). CONCLUSION: Closed reduction and internal fixation with hollow screw in treating the young adult patients with femoral neck fracture is the first choice, both different diameters hollow screws could meet the requirements of fixation of femoral neck fracture, and not affect on fracture healing time and postoperative complications.

Parasitism and Suitability of Different Egg Ages of the Leguminivora glycinivorella (Lepidoptera: Tortricidae) for Three Indigenous Trichogramma Species.

Pod borers are economically important soybean pests in temperate and tropical regions. However, the biological control of these pests using their natural insect enemies has been poorly studied to date. Indigenous natural populations of three Trichogramma (Hymenoptera: Trichogrammatidae) species, Trichogramma chilonis Ishii, Trichogramma ostriniae Pang & Chen, and Trichogramma leucaniae Pang & Chen, were collected from Leguminivora glycinivorella (Matsumura) (Lepidoptera: Tortricidae) eggs in soybean fields in China. In this study, we compare the parasitic capacities and suitabilities of three indigenous Trichogramma species on L. glycinivorella eggs at various ages. Host eggs of all ages were accepted by T. chilonis, T. ostriniae, and T. leucaniae. T. chilonis tended to parasitize 0-2-d-old eggs more than 3-4-d-old eggs. There were no significant differences in parasitism between the 0-2-d-old eggs and the 1-4-d-old eggs for T. ostriniae and T. leucaniae. For eggs at various ages, T. chilonis parasitized the smallest number of eggs, while T. leucaniae and T. ostriniae exhibited similar parasitic capacities. With 0-d-old host eggs, T. ostriniae developed over the longest time period (8.7 d), and T. leucaniae produced the most female progeny (87.9%). Both T. leucaniae and T. ostriniae had similar developmental times, survival rates and percentages of female progeny with 1-3-d-old eggs. These results show that T. leucaniae can parasitize host eggs at varying ages with the best development and suggest that it may be a valuable biological control agent for soybean pod borers.