Objective To compare the clinical outcomes of retrograde pubic ramus intramedullary nail(RPRIN)and percutaneous cannulated screw(PCS)in the treatment of anterior pelvic ring fractures(APRFs).Methods This retrospective...Objective To compare the clinical outcomes of retrograde pubic ramus intramedullary nail(RPRIN)and percutaneous cannulated screw(PCS)in the treatment of anterior pelvic ring fractures(APRFs).Methods This retrospective cohort study included 45 patients with APRFs treated between February 2019 and October 2022 in our trauma center.Patients were divided into two groups based on the surgical method:20 received RPRIN fixation,and 25 received PCS fixation.Key variables including operation time,fluoroscopic time,blood loss,and postoperative complications were analyzed.Fracture reduction quality was assessed using the Matta score system,and pelvic functional recovery was evaluated using the Majeed score system at the final follow-up.Quantitative variables were compared using the independent sample t test,while categorical variables were analyzed using Chisquare and Fisher’s exact tests.Results The RPRIN group had significantly shorter operation time(36.3±5.6 min vs.49.5±6.9 min,P<0.01),fluoroscopic time(32.0±2.8 s vs.48.4±3.6 s,P<0.01),and less blood loss(20.4±7.6 mL vs.34.0±5.7 mL,P<0.01)than the PCS group.Fracture reduction quality(Matta outcome)and pelvic functional recovery(Majeed outcome)were comparable between the two groups(P>0.05).No significant complications were reported in either group.Conclusions Both RPRIN and PCS are effective for treating APRFs.However,RPRIN offers distinct advantages by reducing operation time,fluoroscopic time,and blood loss,making it a more efficient and less invasive option.Further multicenter studies and biomechanical analyses are warranted to confirm these findings.展开更多
By establishing the numerical model in the vertical plane and the similar model in the horizontal plane of gas flow in goaf, the influence of high drainage roadway or drilling on the gas seepage field was analyzed, an...By establishing the numerical model in the vertical plane and the similar model in the horizontal plane of gas flow in goaf, the influence of high drainage roadway or drilling on the gas seepage field was analyzed, and the extraction mechanism was clarified. On this basis, the academic thought of directional long drilling group instead of high drainage roadway was put forward. And then using complex function theory, the permeation mechanical model of drilling group with circle distribution in the mining-induced fracture zone was established to explore the coupling relationship between the drilling quantity, extraction volume and the equivalent extraction rate of single drilling. Finally, combined with the concrete geological production conditions, the main parameters of directional long drilling group were determined. The distance between the drilling group center and the air-return roadway is 24 m, the height is 18 m, and the three drillings are in an approximate equilateral triangle distribution with a space of 8 m. The equivalent extraction square is 4.15 m2. It is shown that the effect of directional long drilling group is evident. The gas content in the upper comer is controlled below 0.95%, the content in the tail roadway is kept below the alarm value, and the content is over 50% in the drill, realizing the secure and effective extraction of coal and gas.展开更多
Traumatic diaphragmatic hernia （TDH） is an uncommon injury and a marker of severe trauma.This injury is rarely associated with pelvic ring fracture,although TDH is one of the most dangerous comorbidities of such fra...Traumatic diaphragmatic hernia （TDH） is an uncommon injury and a marker of severe trauma.This injury is rarely associated with pelvic ring fracture,although TDH is one of the most dangerous comorbidities of such fractures.Since this condition is easily misdiagnosed in emergency cases,we reported two cases and analyzed the clinical symptoms,diagnosis,treatment,and outcome of this comorbidity.Based on these results,we recommended an appropriate method for diagnosis and treatment and proposed a contraindication in treating TDH associated with pelvic fracture.展开更多
基金supported by Clinical Application-oriented Medical Innovation Foundation from National Clinical Research Center for Orthopedics,Sports Medicine&Rehabilitation and Jiangsu China-Israel Industrial Technical Research Institute Foundation(No.2021-NCRC-CXJJ-ZH-24)National Key R&D Plan of the 14th Five-Year Plan(No.2022YFC2504303).
文摘Objective To compare the clinical outcomes of retrograde pubic ramus intramedullary nail(RPRIN)and percutaneous cannulated screw(PCS)in the treatment of anterior pelvic ring fractures(APRFs).Methods This retrospective cohort study included 45 patients with APRFs treated between February 2019 and October 2022 in our trauma center.Patients were divided into two groups based on the surgical method:20 received RPRIN fixation,and 25 received PCS fixation.Key variables including operation time,fluoroscopic time,blood loss,and postoperative complications were analyzed.Fracture reduction quality was assessed using the Matta score system,and pelvic functional recovery was evaluated using the Majeed score system at the final follow-up.Quantitative variables were compared using the independent sample t test,while categorical variables were analyzed using Chisquare and Fisher’s exact tests.Results The RPRIN group had significantly shorter operation time(36.3±5.6 min vs.49.5±6.9 min,P<0.01),fluoroscopic time(32.0±2.8 s vs.48.4±3.6 s,P<0.01),and less blood loss(20.4±7.6 mL vs.34.0±5.7 mL,P<0.01)than the PCS group.Fracture reduction quality(Matta outcome)and pelvic functional recovery(Majeed outcome)were comparable between the two groups(P>0.05).No significant complications were reported in either group.Conclusions Both RPRIN and PCS are effective for treating APRFs.However,RPRIN offers distinct advantages by reducing operation time,fluoroscopic time,and blood loss,making it a more efficient and less invasive option.Further multicenter studies and biomechanical analyses are warranted to confirm these findings.
基金Project(50834005) supported by the National Natural Science Foundation of ChinaProject(2010QZ06) supported by the Fundamental Research Funds for the Central Universities of China
文摘By establishing the numerical model in the vertical plane and the similar model in the horizontal plane of gas flow in goaf, the influence of high drainage roadway or drilling on the gas seepage field was analyzed, and the extraction mechanism was clarified. On this basis, the academic thought of directional long drilling group instead of high drainage roadway was put forward. And then using complex function theory, the permeation mechanical model of drilling group with circle distribution in the mining-induced fracture zone was established to explore the coupling relationship between the drilling quantity, extraction volume and the equivalent extraction rate of single drilling. Finally, combined with the concrete geological production conditions, the main parameters of directional long drilling group were determined. The distance between the drilling group center and the air-return roadway is 24 m, the height is 18 m, and the three drillings are in an approximate equilateral triangle distribution with a space of 8 m. The equivalent extraction square is 4.15 m2. It is shown that the effect of directional long drilling group is evident. The gas content in the upper comer is controlled below 0.95%, the content in the tail roadway is kept below the alarm value, and the content is over 50% in the drill, realizing the secure and effective extraction of coal and gas.
文摘Traumatic diaphragmatic hernia （TDH） is an uncommon injury and a marker of severe trauma.This injury is rarely associated with pelvic ring fracture,although TDH is one of the most dangerous comorbidities of such fractures.Since this condition is easily misdiagnosed in emergency cases,we reported two cases and analyzed the clinical symptoms,diagnosis,treatment,and outcome of this comorbidity.Based on these results,we recommended an appropriate method for diagnosis and treatment and proposed a contraindication in treating TDH associated with pelvic fracture.
