检索结果-南通市图书馆

Open reduction of a total talar dislocation: A case report and review of the literature

World Journal of Clinical Cases 2019年第14期7卷 1850-1856页

作者： Furkan Yapici Mehmet Coskun Muhammet Coskun Arslan Erman Ulu Yunus Emre Akman Department of Orthopedics and Traumatology Metin Sabancl Baltalimanl Bone and Joint Diseases Education and Research HospitalIstanbul 34470Turkey Department of Orthopedics and Traumatology Demiroglu Bilim University Faculty of MedicineIstanbul 34387Turkey

BACKGROUND Total talar dislocation (TTD) is very uncommon for many orthopedic surgeons and emergency/trauma specialists. Scarce cases of TTD have been reported, mainly in the form of open fracture-dislocation injury. CASE SUMMARY We report a very rare injury of closed TTD with a follow-up period of 36 mo. Initial closed reduction was not successful because of a fractured highly unstable medial malleolus displaced into the ankle mortise, blocking the relocation of the talus. The patient was able to walk pain-free after the 3rd month of surgery. At the 36-mo follow-up, there were 10 degrees of flexion loss and 10 degrees of extension loss in the tibiotalar joint. Furthermore, 5 degrees of subtalar joint inversion-eversion loss was present. CONCLUSION Open reduction should be performed for closed TTDs unless closed reduction is successful.

关键词： Total talar dislocation Pan-talar dislocation Talus Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Spatial distribution and source identification of heavy metals (As, Cr, Cu and Ni) at sub-watershed scale using geographically weighted regression

引用

International Soil and Water Conservation Research 2019年第3期7卷 308-315页

作者： Maziar Mohammadi Abdulvahed Khaledi Darvishan Nader Bahramifar Department of Watershed Managerment Engineering Faculty of Natural ResourcesTarbiat Modares University***Mazandaran Provincelran Department of Environmental Science Faculty of Natural ResourcesTarbiat Modares University***Mazandaran ProvinceIran

Heavy metals are among the most important sources of water and soil *** elements accumulate in the agricultural soil through using contaminated water for irrigation,fertilizers,pesticide and enter to the river systems by water ***,land use plays a serious role in water and sediment *** this regards,geographically weighted regression was used to investigate the spatial correlation between sediment heavy metals and land uses in a highland *** landuse map was used to calculate the area percentage of landuse types in sub-watersheds,followed by geographically weighted regression method to investigate the spatial correlation of As,Cr,Cu and Ni versus three types of land *** highest correlation was observed for irrigated plots versus As and Ni in upstream and for rainfed plots versus AS,Ni and Cr in the *** relationship between heavy metals and developed lands was more complicated and the highest correlation was found for Ni and As at outlet (R2 =0.52-0.89),for Cr in the upstream (R2 =0.50-0.76),and for Cu in the upstream and downstream (R2 =0.36-0.60).The results indicated that there is a positive correlation between heavy metals and land uses which varies with the level of agricultural and urbanization development at *** on the findings,appropriate policies and decisions should be taken on agricultural land to prevent the transfer of heavy metals by sediment to aquatic environments.

关键词： Land use Sediment pollution GWR talar watershed

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Scaffolds based therapy for osteochondral lesions of the talus:A systematic review

引用

World Journal of Orthopedics 2017年第10期8卷 798-808页

作者： Yoshiharu Shimozono Youichi Yasui Andrew W Ross Wataru Miyamoto John G Kennedy Hospital for Special Surgery New York Department of Orthopaedic Surgery Teikyo University School of Medicine Department of Orthopaedic Surgery Kyoto University Graduate School of Medicine

AIM To clarify the effectiveness of scaffold-based therapy for osteochondral lesions of the talus(OLT). METHODS A systematic search of MEDLINE and EMBASE databases was performed during August 2016 and updated in January 2017. Included studies were evaluated with regard to the level of evidence(LOE) and quality of evidence(QOE) using the Modified Coleman Methodology Score. Variable reporting outcome data, clinical outcomes, and the percentage of patients who returned to sport at previous level were also evaluated. RESULTS Twenty-eight studies for a total of 897 ankles were included; 96% were either LOE Ⅲ or Ⅳ. Studies were designated as either of poor or fair quality. There were 30 treatment groups reporting six different scaffold repair techniques: 13 matrix-induced autologous chondrocyte transplantation(MACT), nine bone marrow derived cell transplantation(BMDCT), four autologous matrixinduced chondrogeneis(AMIC), and four studies of other techniques. The categories of general demographics(93%) and patient-reported outcome data(85%) were well reported. Study design(73%), imaging data(73%), clinical variables(49%), and patient history(30%) were also included. The weighted mean American Orthopaedic Foot and Ankle Society(AOFAS) score at final follow-up was: 86.7 in MACT, 88.2 in BMDCT, and 82.3 in AMIC. Eight studies reported that a weighted mean of 68.3% ofpatients returned to a previous level of sport activity. CONCLUSION Scaffold-based therapy for OLT may produce favorable clinical outcomes, but low LOE, poor QOE, and variability of the data have confounded the effectiveness of this treatment.

关键词： Scaffold Ankle talar osteochondral lesion Systematic review Cartilage

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：