BACKGROUND:Single fracture or colapse of the posterolateral tibial plateau fractures is relatively rare in the clinical work. Rational choice of surgical approach and internal fixation for posterolateral plateau fracture is significant to restore the lower limb force line, maintain the joint stability and obtain good biocompatibility.
OBJECTIVE:To compare the stability and biocompatibility of Carlson posterolateral and posterior midline approaches for the treatment of posterolateral tibial plateau fractures with “T” shaped locking plate.
METHODS:From July 2011 to July 2014, 43 patients with posterolateral tibial plateau fractures, who were treated in the Affiliated Hospital of Jining Medical University, were retrospectively analyzed. Al patients were assigned to two groups according to approaches. In the Carlson posterolateral approach group, 22 cases received “T”-shaped plate insertion by Carlson posterolateral approach. In the posterior midline approach group, 21 cases received “T”-shaped plate insertion by posterior midline approach. After repair, perioperative data, fixation effects and knee function score were compared and analyzed between both groups.
RESULTS AND CONCLUSION:(1) 43 cases (43 knees) of posterolateral tibial plateau fractures were folowed up strictly. (2) No significant difference in operation time, fracture healing time, total load time, Hospital for Special Surgery score at 12 months postoperatively, tibial plateau angle and posterior slope angle immediately and 12 months postoperatively was detected between both groups (P > 0.05). (3) Significant differences in fracture exposure, blood loss, and excelent and good rate of Rasmussen at 12 months postoperatively were identified in both groups. Moreover, above indexes were better in the Carlson posterolateral approach group than in the posterior midline approach group (P< 0.05). (4) These findings confirmed that for a single fracture or colapse of the posterolateral tibial plateau fractures, two kinds of surgical approaches can achieve ful and direct exposure. Carlson posterolateral approach has good repair effect, fixation effect and biocompatibility.

Objective To explore the effects of preoperative fun game on the physiological indicators and the degree of cooperation in the treatment of Bianchi in cryptorchidism children. Methods From July 2013 to June 2016, totally 136 cases of cryptorchidism children who were treated with Bianchi method in Affiliated Hospital of Ji'ning Medical University were selected as research objects. The patients were numbered according to the order of admission, and randomly divided into observation group and control group with 68 cases in each by random table method. The control group was given routine psychological education, while the observation group was treated with interest game before operation. The mean arterial pressure (MAP), heart rate (HR), modified Yale preoperative anxiety scale (mYPSA), and the degree of anesthesia coordination were compared between the two groups when entering operation room and during anesthesia induction. Results There was no statistical difference in MAP and HR of the children between the two groups when entering operation room (P>0.05), whereas the MAP and HR of the observation group children were significantly lower than those of the control group during anesthesia induction, and the differences were statistically significant (t=3.012, 2.498;P<0.05). There was no significant difference in anxiety scores between the two groups when entering operation room (P> 0.05). However, during the anesthesia induction the anxiety score of the observation group was significantly lower than that of the control group, and the difference was statistically significant (t=4.021, P<0.01). The score of cooperation level in observation group was significantly lower than that in control group, with statistical difference (Z=3.578,P< 0.01). Conclusions The application of preoperative fun game in the Bianchi treatment of cryptorchidism children can improve patients' cooperation degree and reduce preoperative anxiety.

Objective:To explore the effects of holistic nursing management model in aerosol inhalation for children with mycoplasma pneumonia.Methods:From June 2018 to April 2019, this study selected 150 mycoplasma pneumonia children with aerosol inhalation in the Affiliated Hospital of Jining Medical University as subjects by convenience sampling. All of children were divided into observation group and control group with the method of random number table, 75 cases in each group. Control group carried out routine nursing, while observation group implemented nursing care with the holistic nursing management model. This study compared the compliance of aerosol inhalation among children between two groups. Perceived society support of children parents and quality of life of children between two groups were evaluated with the Perceived Social Support Scale (PSSS) and the Pediatric Quality of Life Inventory Measurement Models (PedsQL 4.0) respectively before and after intervention.Results:The compliance rates of aerosol inhalation among children were 94.67% (71/75) in observation group and 82.67% (62/75) in control group with a statistical difference ( P<0.05) . A total of 5 days after intervention, the scores of PSSS of children parents in observation group and control group were (73.25±10.08) and (66.36±9.96) respectively with a statistical difference ( P<0.05) . There were also statistical differences in the scores of PedsQL 4.0 between observation group (74.14±10.77) and control group (65.64±9.55) 5 days after intervention ( P<0.05) . Conclusions:The holistic nursing management model is conducive to improving the aerosol inhalation compliance and quality of life among children with pneumonia as well as social support among children parents which has high application effects.

TSCI have dyskinesia and sensory disturbance that can cause various life-threaten complications. The patients with traumatic spinal cord injury (TSCI), seriously affecting the quality of life of patients. Based on the epidemiology of TSCI and domestic and foreign literatures as well as expert investigations, this expert consensus reviews the definition, injury classification, rehabilitation assessment, rehabilitation strategies and rehabilitation measures of TSCI so as to provide early standardized rehabilitation treatment methods for TSCI.