Tibial plateau fracture,one of the most common fractures,includes simple and complicated fractures.Inappropriate treatment could result in pain and deformity,which has a bad effect on patient life.With the development of the surgical technique,a lot of methods could be selected when an orthopedist deals with these fractures.X-ray,one of the most common assistant examination,is the preferred method for tibial plateau fracture and could diagnose most of these fractures.Due to high resolution,CT scan could find these micro-fractures which X-ray cannot find and it could supplement the Schatzker type.MRI could find ligament,meniscus and arthrodial cartilage injury.Surgical approach includes anterolateral approach,medial approach,posteromedial approach,post approach,anterior approach.Anterolateral approach could be used for most of tibial plateau fractures.Posteromedial approach is used for medial plateau fracture involving post plateau fracture or post plateau fracture alone.Common plate,locking plate,dual plate and external fixation are commonly used fixation method.Dual plate is often used for complicated tibial plateau fracture.However,how to make accurate diagnosis and choose appropriate fixation is crucial for patients.We will summarize the application of X-ray,CT scan and MRI in diagnosis of tibial plateau fracture.Commonly used approaches to the proximal tibia,which together allow for the treatment of any proximal tibia fracture,will be described in this article.

Objective To discuss the individual method and its feasibility and security of balloon kyphoplasty for the treatment of osteoporotic vertebral fractures with vertebral body wall incompetence. Methods Thirty-nine vertebral bodies were performed for kyphoplasty in 35 osteoporotic patients with vertebral compression fractures with incompetence of vertebral body wall. During operation, the cement was injected twice to avoid anterior leaking in the patients with anterior wall incompetence, while in the patients with posterior or lateral wall incompetence, the cement was injected with continuously X-ray monitoring by C-arm to prevent lateral or posterior leaking. The symptoms improvement, vertebral height restoration and complications were observed. Results All patients tolerated the procedure well with immediate relief of back pain after kyphoplasty. No symptomatic complications were found in all patients. The vertebral height had a recovery rate of 68.46%, and the mean Cobb angle was improved 8.6?. There was significant difference in Cobb angles between preoperation and postoperation (P

Objective: In order to observe the clinical effect of acupuncture plus moxibustion for insomnia. Methods: Seventy-six patients with insomnia were randomly divided into 38 cases in the treatment group and 38 cases into the control group. The main acupoints for the treatment group were Baihui (GV 20), Shenmen (HT 7), and Sanyinjiao (SP 6). The additional acupoints were Yintang (Ex-HN 3), Anmian (Ex-HN 22), Shenmai (BL 62), Zhaohai (KI 6), Neiguan (PC 6), Jueyinshu (BL 14), Xinshu (BL 15), Pishu (BL 20), Weishu (BL 21), Danshu (BL 19). The treatment was given by acupuncture plus moxibustion. Suspending moxibustion by moxa stick was used over the main acupoints. And the additional acupoints were punctured routinely. The main acupoints for the control group were Baihui (GV 20), Shenmen (HT 7), and Sanyinjiao (SP 6), Yintang (Ex-HN 3), Anmian (Ex-HN 22), Shenmai (BL 62), and Zhaohai (KI 6). The additional acupoints were Jueyinshu (BL 14), Xinshu (BL 15), Pishu (BL 20), Weishu (BL 21),Danshu (BL 19). The treatment was given by acupuncture routinely. The therapeutic effects were compared in the change of Pittsburgh Sleep Quality Index (PSQI), therapeutic effect and therapeutic courses. Results: The treatment group was better than the control group in PSQI change, therapeutic effect and therapeutic course (P＜0.05). There was no adverse reaction.Conclusion: Acupuncture plus moxibustion has a better therapeutic effect for insomnia.

In 40 cases of headache treated by hydroacupuncture plus Tuina, in comparison with 35 cases treated with medications plus Tuina, the results showed that the therapeutic effect was better in the treatment group than in the control group.

In order to observe the therapeutic effect of acupuncture plus facial paralysis rehabilitative exercise in the treatment of facial paralysis, 49 cases were treated by acupuncture plus facial paralysis rehabilitative exercise, and 45 cases were treated by single acupuncture for comparison. The total effective rate was 91.8% in the former and 62.2% in the latter. There is a significant difference (P ＜ 0.01) in the effective rate between the two groups.

Sixty cases of pseudobulbar palsy were treated by puncturing Shuigou (GV 26), Lianquan (GV 23), Fengchi (GB 20), Wangu (GB12), Yifeng (TE 17),Tongli (HT 5), Neiguan (PC 6) and Fenglong (ST 40)with the needling technique to refresh mind and open orifice, and by puncturing the retropharyngeal wall and palatine arch, plus training of swallowing function, the total effective rate reached 95.0%.

OBJECTIVE: To study the changes of serum vascular endothelial growth factor (VEGF) and beta 2-microglobulin levels before and after radiotherapy in 58 patients with nasopharyngeal carcinoma (NPC), and to elucidate the clinical significance of VEGF and beta 2-microglobulin test before radiotherapy. METHODS: Serum VEGF level was measured by sandwich ELISA in 58 patients with NPC and 24 healthy individuals, and the serum beta 2-microglobulin was assayed with time-resolved fluoroimmunoassay. RESULTS: The serum VEGF level in patients with NPC was (174.0+/-130.0) ng/L, higher than (134.1+/-66.6) ng/L of the healthy subjects, but the difference was not significant (P>0.05). The serum VEGF level was higher in T4 and IV a patients with NPC. No significant differences in the levels of serum VEGF were found among various N classifications in the patients with NPC. Patients with the serum VEGF level higher than 267.3 ng/L (mean+2 s of the serum VEGF level in the healthy individuals) had a shorter metastasis-free survival time (P<0.05). Although the patients with high beta 2-microglobulin level had a shorter survival time, the difference was not significant. CONCLUSION: The NPC patients with high serum VEGF level have a poor prognosis.

[Objective]To explore the complications of tibial fracture treated with interlocking intramedullary nail.[Method]The full data of 785 cases of tibial fiacture treated with interlocking intramedullary nail were studied retrospectively.[Result]Mean follow-up period was 27 months (8~40months).There were some complications as follows: infection rate was 2.7% (21 cases),fracture nonunion 1.5% (12 cases),fracture delayed union 6.8% (53 cases),fracture malunion 0.9% (7 cases),knee pain 6.8% (53 cases),nail broken 1.4% (ll cases),locking screw broken or drop out 2.2% (17 cases).[Conclusion]Proper manipulations,strict indications,and postoperative treatment are vital to prevent the complications.

Objective: To observe the influence of mild moxibustion by different intervals on the therapeutic effect of the patients with primary hyperlipidemia. Methods: 63 cases of patients were randomly divided into Group A (32 cases) and Group B (31 cases). In both groups, mild moxibustion was applied bilaterally to Zusanli (ST 36). The treatment was given once a day for group A and once every other day for group B. The therapeutic effects of the two groups were summarized after twelve weeks. Results: The two groups are remarkably significant in reducing total cholesterol (TC)(P＜0.001), and also remarkably significant in reducing triglyceride (TG), low density lipoprotein cholesterin (LDL-C) and in elevating high density lipoprotein cholesterin (HDL-C) (P＜0.05); and not evident in improving apolipotroten (ApoAI), apoliporotein B (ApoB), and lipoprotein a[Lp (a)];however ApoAI showed an obvious tendency to rise, and ApoB and Lp (a) showed an tendency to decrease. There is no statistic significance in comparison between the groups. Conclusion: Mild moxibustion for primary hyperlipidemia can be applied by a plan of one treatment every other day.

Objective: To observe the clinical effect of tuina plus medications on infantile diarrhea induced by rotavirus infection. Methods: After 55 cases of confirmed sick infants were divided into two groups by the order of their visits, 30 cases in the medication group were treated by intravenous infusion of Ribavirin and oral administration of Smecta; 25 cases in the tuina plus medication group were treated by the manual techniques of tonifying Pijing(脾经) and clarifying Dachangjing (大肠经), rubbing the abdomen and kneading the navel clockwise, pushing Shangqijiegu (上七节骨), kneading Guiwei (龟尾), and pinching the skin of the spine, in combination with same medications used as in the medication group. Results: The total effective rate was 96% in the tuina plus medication group, P < 0.01, in comparison with the medication group. Conclusion: tuina has a good therapeutic effect in the treatment of infantile diarrhea induced by rotavirus infection and is importantly significant for shortening the course, enhancing the therapeutic effect and lowering down the medical cost.