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World Journal of Emergency Medicine 2015年第3期6卷 217-220页

作者： Muhammad Shahid Khan Shahan Waheed Arif Ali Narjis Mumtaz Asher Feroze Shahryar Noordin Aga Khan University Hospital

BACKGROUND: Pakistan has been hugely struck with massive bomb explosions(car and suicide bombs) resulting in multiple casualties in the past few years. The aim of this study is to present the patterns of skeletal and soft tissue injuries and to review the outcome of the victims who presented to our ***: This is a retrospective chart review from January 2008 to December 2012. The medical record numbers of patients were obtained from the hospital Health Information and Management Sciences(HIMS) as per the ICD-9 ***: During the study period, more than 100 suicide and implanted bomb blast attacks took place in the public proceedings, government offices, residential areas and other places of the city. Altogether 262 patients were enrolled in the study. The mean age of the patients was 31±14 years. The shrapnel inflicted wounds were present on to the upper limb in 24 patients and the lower limb in ***: Long bone fractures were the most common skeletal injuries. The fractures were complicated by penetrating fragments and nails which result in post operative infections and prolonged hospital stay.

关键词： soft tissue injuries Pakistan

Acupuncture Treatment of Superficial Pain by Subcutaneous Needling

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Journal of Traditional Chinese Medicine 2002年第2期22卷 117-118页

作者：邬水兰朱剑文公维军毛树章 TCM Hospital of Xingan County Jiangxi Province 331300 People's Hospital of Daqing City Heiiongiiang Province 163317

　　Subcutaneous needling is an old art of the 'twelve needling methods' in TCM for treating arthralgia due to cold or disorders in the superficial tissues. Some cases are effectively treated as introduced below.……

关键词： Acupuncture Therapy Adult Humans Male Middle Aged soft tissue injuries Tennis Elbow Tenosynovitis

Clinical observation of auricular acupoint therapy for pain in early-stage extremity trauma

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Journal of Acupuncture and Tuina Science 2017年第3期15卷 219-222页

作者：俞洁李青忠洪珏 Tongxiang Hospital of Traditional Chinese Medicine Zhejiang ProvinceTongxiang 314500China 不详

Objective： To observe the efficacy of auricular acupoint sticking based on conventional treatment in treating pain in early-stage extremity trauma. Methods： A hundred eligible patients with acute soft tissue injury or acute closed fracture were randomized into an observation group and a control group by their admission sequence, 50 cases in each group. The two groups both received routine management including routine checking, external fixing, traction, raising up the affected limb, etc., as well as cold compress with Chinese medication （Xiao Zhong Zhi Tong Powder）. In addition to the routine management, the control group was given oral administration of amidopyrine and phenacetin compound tablet, I tablet per dose, twice a day, which was then taken only when necessary or terminated after pain subsided. The observation group was given auricular acupoint sticking in addition to the routine management. The two groups were compared in terms of numerical rating scale （NRS） score, therapeutic efficacy and adverse reactions after pain was relieved. Results： After the intervention, the NRS scores dropped significantly in both groups （P〈0.01）; the NRS score in the observation group was significantly lower than that in the control group （P〈0.05）. The total effective rate in the observation group was superior to that in the control group （P〈0.05）. There were no severe adverse reactions in the two groups. Conclusion： Based on routine management, auricular acupoint sticking can produce a more significant efficacy in treating pain in early-stage extremity trauma compared to amidopyrine and phenacetin compound tablet; it can effectively reduce pain of the affected limb and prevent complications; it＇s easy-to-operate and safe; patients can learn and understand it easily; its efficacy is confirmed; it enhances the satisfaction degree of the inpatients. Therefore, this method is worth promoting in clinic.

关键词： Auricular Acupoint Sticking Extremities Pain Pain Measurement soft tissue injuries Fractures, Bone

Microsurgical repair at early stage for soft tissue defect of limbs wounded by modern firearm

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Chinese Journal of Traumatology 2002年第3期5卷 142-145页

作者：刘晋才彭学良刘荫秋赖西南李曙光王民刚黄海洋杜全印孙红振 Department of Orthopedics Institute of Surgery Research Daping Hospital Third Military Medical University Chongqing.400042 China

Objective: To explore an early stage repair method for soft tissue defect of limbs of modern firearm wound, and to improve treating result. Methods: Defects of the hind limbs of dogs were repaired with skin, muscle and myocutaneous flaps. Results: Wounds healed within 2 weeks in the experimental group except one that healed in 3 weeks because of infection. Limb function was close to normal. The treatment result was better in the experimental group than the control. Conclusions: Skin, muscle and myocutaneous flaps can cover soft tissue defect at an early stage, prevent and reduce infection, promote the healing and recovery of combined injury, reduce the time of treatment and disability rate.

关键词： Firearm wounds soft tissue injuries Surgical flaps

Repair of a soft tissue defect of medial malleolus with cross-leg bridge free transfer of anterolateral thigh muscle flap： a case report

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Chinese Journal of Traumatology 2012年第5期15卷 306-308页

作者： ZHANG Gong-lin CHEN Ke-ming ZHANG Jun-hua WANG Shi-yong Institute of Orthopedics General Hospital of Lanzhou Military Command of PLALanzhou 730050China

A 38-year-old man sustained a traffic accident injury to his right medial malleolus and leg. It was an open fracture of the right tibia and fibula accompanied by a large soft tissue defect of the right medial malleolus sized 12 cmx4 cm. Doppler examination revealed that the tibialis posterior vessel was occluded due to thrombosis. The anterior tibial artery was patent. Three weeks after injury, the left anterolateral thigh muscle flap was harvested and transplanted to the right medial malleolus defect area for repair of the soft tissue defect, and an end-to-side anastomosis was performed between the posterior tibial vessel of the contralateral leg and the muscle flap＇s vascular pedicle.A split thickness free skin graft was used to cover the muscle flap and around the flap＇s vascular pedicle. The vascular pedicle was cut off after 28 days and the muscle flap survived completely. After 3-year follow-up postoperatively, the right tibia and fibula fractures were confirmed healing radiologically. The posterior tibial artery of contralateral leg was patent by clinical and Doppler examinations. This technique can be used to preserve the flow and patency of recipient arteries.

关键词： Surgical flaps soft tissue injuries Leginjuries Wound healing

Nervus cutaneus femoris posterior pedicle flap for repairing large soft tissue defects at the heel or inferior segment of the shank

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Chinese Journal of Traumatology 2009年第5期12卷 -页

作者： WANG Rui-ying HU Jun-zu XIN Lin-wei TANG Ji-cun GAO Yan Department of Orthopaedics Affiliated Hospital of Guilin Medical College GuilJn 541001 China

Objective: To investigate the clinical effect of the nervus cutaneus femoris posterior pedicle flap on repairing large soft tissue defects at the heel or inferior segment of the ***: Totally 14 cases were followed up for 8-22 months (mean 15.5 months) to observe the clinical effects of nervus cutaneus femoris posterior pedicle flap on repairing large soft tissue defects of the heel or inferior segment of the shank. Among them, there were 3 patients afflicted with infection and cutaneous defects in the middle and inferior segment of the shank after internal fixation of open fracture, 4 patients with soft tissue defects of the ankle and uncovered tendo calcaneus, and 7 patients with soft tissue defects of the heel and exposed ***: The flaps survived well in 13 cases and partial necrosis occurred in 1 case that was thereafter cured with changing dressing. Various extents of pain and stiffness of the knee joints were present in all cases and disappeared through 1-8 weeks' (mean 3.2 weeks) functional exercises. The last follow-up showed that all the flaps kept good texture and satisfactory ***: The nervus cutaneus femoris posterior pedicle flap, having the advantages of simple surgical procedures, anastomosing the nerves and restoring the sensation of recipient site, can be used for recovering large soft tissue defects of the shank and ankle.

关键词： Surgical flaps soft tissue injuries Heel