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Internal fixation and bone grafting for intraarticular nonunion of tibial plateau： a report of four cases

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Chinese Journal of Traumatology 2011年第6期14卷 371-375页

作者： Ramesh K Sen Ashwani Soni Uttam Chand Saini daljit singh Department of Orthopedics Post Graduate Institute of Medical Education and Research Chandigarh 160012 India

Intraarticular nonunion of tibial plateau is rare. In the literature, only 9 patients were found to be treated for intraarticular tibial plateau nonunion and they got varying results. Internal fixation along with bone grafting was done as a standard treatment in all cases. We treated 4 different profile cases of intraarticular tibial plateau nonunion in our institution by 4 different methods. We treated these cases with plaster of paris cast, internal fixation along with bone graft, arthrodesis with K-nail and total knee replacement. Case 1 was treated with plaster of paris （POP） cast as the patient refused surgery. The fracture was united and the patient was fully satisfied with full range of motion despite valgus malalignment. Case 2 was managed with open reduction internal fixation along with bone grafting. Thepatient had a good union and got full range of motion at the knee joint. Case 3 was treated with total knee arthroplasty due to her old age and got satisfactory result. Case 4 was an infected nonunion. Arthrodesis was done and the patient could walk with full weight bearing independently. We conclude that internal fixation along with bone grafting may not be suitable in all cases of intraarticular nonunion of tibial plateau. Causes of nonunion, present condition and range of motion of the knee joint, as well as the age of patient should be all considered and the treatment should be individualised according to each patient＇s situation.

关键词： Intra-articular fractures Arthrodesis Fracture fixation, internal

Use of gentamicin-loaded collagen sponge in internal fixation of open fractures

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Chinese Journal of Traumatology 2011年第4期14卷 209-214页

作者： Chaudhary Susheel Sen Ramesh Saini Uttam Chand Soni Ashwani Gahlot Nitesh singh daljit Department of Orthopedics Post Graduate Institute ofMedical Education and Research Chandigarh 160012India

Objective： To assess the outcome of immediate plate osteosynthesis via application of antibiotic impregnated collagen fleeces （gentamicin-collagen and an- tibiotic sponge） which gradually release antibiotic locally in the surgical treatment of open fractures presented to us 6 hours after injury. Methods： All cases were treated in our tertiary level trauma center and teaching hospital including 35 patients with open fractures who were treated by immediate open reduction and plate fixation from January 2008 to August 2010. Among them, 31 patients were available for adequate follow-up and assessment. All fractures were treated by irri- gation and debridement, immediate open reduction and plate fixation along with placement of antibiotic-releasing collagen fleeces around the plate just before closure of wound. Pa- tients were assessed to determine postoperative infection, delayed union or nonunion and development of other post- operative complications. It was hypothesized that immedi- ate plate osteosynthesis after thorough debridement and local antibiotics would give safe and acceptable clinical results in treatment of open fractures. Results： The 31 patients with adequate final follow-up were assessed at a mean time of 40 weeks （15-160 weeks）.Most fractures united primarily in an acceptable time period according to area of involvement. Local wound complica- tions （superficial infection and skin loss） were found in 3 patients （9.67%）. Deep infection was noted in 2 patients （6.45%）. None of these patients needed implant removal and both fractures united in due time. Delayed union was noted in 5 patients （16.13%）. No patient progressed to non- union or implant failure in long term follow-up. Excessive scarring was developed in 2 patients （6.45%）. Conclusions： Immediate plate osteosynthesis after adequate debridement and placement of collagen film eluting antibiotics locally produces excellent results regarding bone union and absence of deep infections and is a safe te

关键词： Fractures, open Debridement Fracture fixation, internal Collagen

Axillary artery thrombosis with anteroinferior shoulder dislocation： a rare case report and review of literature

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Chinese Journal of Traumatology 2012年第4期15卷 244-248页

作者： Sushil S Rangdal Shashidhar B Kantharajanna daljit singh Vikas Bachhal Nirmal Raj Vibhu Krishnan Vijay Goni Mandeep singh Dhillon Department of Orthopaedics Postgraduate Institute of Medical Education and ResearchChandigarh 160012India

A very rare and serious complication of shoulder dislocation is a lesion to the axillary artery in the elderly population, whose vascular structures have become less flexible. Axillary artery injury secondary to anteroinferior shoulder dislocation is much rarer, especially in the young people. Proper recognition and treatment of this entity of- fers a full recovery to the patient. Present report highlights the possibility of axillary artery injury with anteroinferior shoulder dislocation. A few case reports and small case se- ries of this injury have been reviewed. And recommenda- tions for management have been brought up to date, in line with current thinking.

关键词： Shoulder dislocation Axillary artery Thrombosis

香港助产士完成的中孕期胎儿结构畸形超声筛查——回顾及评价

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中国产前诊断杂志（电子版） 2010年第2期2卷 12-18页

作者：陈敏陈立斌梁德杨 sahota daljit singh 冯德源陈连伟罗丽华周慕贞劳子禧刘子建香港中文大学威尔斯亲王医院妇产科学系胎儿医学中心中山大学附属第二医院妇产科系广东广州510120

目的确定由经过训练的助产士执行的针对低危人群的中孕期胎儿结构畸形超声筛查的效能。方法回顾1所大学附属医院妇产科中由助产士执行的常规中孕期超声筛查结果,共13882例单胎孕妇,分析需转介至母胎医学专家进一步确诊的病例的原因。结... 详细信息

目的确定由经过训练的助产士执行的针对低危人群的中孕期胎儿结构畸形超声筛查的效能。方法回顾1所大学附属医院妇产科中由助产士执行的常规中孕期超声筛查结果,共13882例单胎孕妇,分析需转介至母胎医学专家进一步确诊的病例的原因。结果最终分析前排除了189例未知妊娠结局的孕妇。总共有617例(4.51%)转介到母胎医学专家进行进一步确诊,其中470例(70.2%)是因超声软标志,147例(23.8%)是因可疑的胎儿畸形。在这13693个已知妊娠结局的胎儿中,畸形胎儿有185个,发生率1.35%。其中115个在中孕期筛查中被检出,2个在晚孕期检查中被检出。剩下的68例畸形胎儿,大多数是生后发现的微小畸形。中孕期检查畸形胎儿的检出率为62.2%(115/185)(95%CI55.2～69.2)。有4例假阳性,33例误报。结论经过适当训练的有经验的助产士可以检出大多数的胎儿结构畸形。持续的审核及质量控制对优化胎儿结构畸形的检查有明显的作用。

关键词：超声筛查胎儿结构畸形助产士中孕期

贮藏期间相对湿度和温度对两个一代高梁杂交种及其亲本的萌发效应

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种子 1985年第4期 67-68页

作者： P.K.Agrawal ,R.B.Patil ,M.Dadlani ,daljit singh ,黄智玉

两个高粱bicolor（L.）MoenchF1杂交种及其亲本的种子,均贮藏在相对湿度20.45和80%以及温度20℃和33℃的条件下432天,生活力的丧失不是随相对湿度（20—80%）增加而增加,就是随温度（20℃—33℃）增加而增加。杂交种CSH—5及其亲本种子... 详细信息

两个高粱bicolor（L.）MoenchF1杂交种及其亲本的种子,均贮藏在相对湿度20.45和80%以及温度20℃和33℃的条件下432天,生活力的丧失不是随相对湿度（20—80%）增加而增加,就是随温度（20℃—33℃）增加而增加。杂交种CSH—5及其亲本种子,并不与杂交种CSH—1及其亲本种子的贮藏一样好。关于母本亲本品系（杂交种CSH一1的CK一60A,杂交种CSH一5的2077A）的耐藏力,在遗传学上看来象是要比父本亲本品系好。杂交种CSH一1的种子维持其生活力跟其母本CK一的A耐藏是显性的种子一样好。然而,杂交种CSH一5父本CS一3541不耐藏花粉是显性。因此,这两个杂交种中反应出的生活力丧失,可能是不同的

关键词：杂交种 CSH 杂交品种亲本种子繁殖器官高梁