Many techniques of the internal fixation have resulted in these years from the new concept of biomechanical osteosynthesis (BO). LISS (less invasive stabilization system) is a typical representative of BO in minimally invasive surgery. The clinical results have been greatly improved by LISS in the operative treatment of distal humerus fractures, the proximal tibia fractures, periprosthetic supracondylar fractures and osteoporotic fracture, but skills of using LISS should be improved, indications of using LISS explored, and the mechanism that LISS improves the healing of fracture studied further.

ObjectiveTo analyze complications following the treatment of peri-knee fracture or nonunion by locking plates.Methods From January 2005 to May 2009, we used internal fixation with a locking plate to treat 106 closed peri-knee fractures in 97 patients (46 distal femoral fractures and 60 proximal tibia fractures). There were 85 cases of fresh fracture and 21 cases of nonunion. They were 62 males and 35 females, with an average of 34.8 years (from 18 to 54 years). The patients were followed up monthly for The Hospital for Special Surgery (HSS) scores and complications. Analyses were done to find associations between complications and gender,injury cause,injury type,facture type and operation time. ResultsThe follow-ups averaged 23.8 months (from 10 to 32 months ). The 46 distal femoral fractures obtained an average HSS score of 83.4 points one year after operation and had a complication rate of 32.6 ％ ( 15 cases); the 60 proximal tibia fractures obtained an average HSS score of 86. 4 points one year after operation and had a complication rate of 16.7 ％ (10 cases). There were no significant associations between complication rate and gender, injury cause, injury type and fracture type ( P ＞ 0. 05). There was a significant association between complication rate and operation time(x2 = 5.440, P = 0. 015).Conclusions Although locking plates are a new and effective treatment for peri-knee fracture or nonunion, they still have drawbacks. Indications should be strictly followed and care should be taken to avoid postoperative complications as much as possible.

BACKGROUND:So far there is not an ideal animal model for clinical research of osteonecrosis of the femoral head, which hinders its development. OBJECTIVE:To compare the merits and characteristics of different methods and various animal models, and to provide a reference for selection of models of osteonecrosis of the femoral head. METHODS:Literature search was performed in databases of PubMed, EMBASE, Wanfang, and China National Knowledge Infrastructure, published from 2006 to 2014 by computers. The key words were“Osteonecrosis of the Femoral Head, Animal model, Vivo Experiment, Legg Calve Perthes disease, Osteoarthritis, Col apse of the Femoral Head, Trauma, Corticosteroid, Alcohol, Liquid Nitrogen”in English and Chinese, respectively. Final y, 48 articles were included. RESULTS AND CONCLUSION:Traumatic osteonecrosis of the femoral head models simulates the most common clinical type, which is more effective in Legg Calve Perthes disease. Glucocorticoid-induced osteonecrosis of the femoral head models is more suitable for etiology, pathology and comprehensive research. Physical osteonecrosis of the femoral head models could be used for evaluating treatment methods, such as surgery. The ideal animal models should be similar with human in anatomy, histology and biomechanics;pathology, pathophysiology, and radiographic progression of osteonecrosis of the femoral head can simulate the whole process of human osteonecrosis of the femoral head, and it is easy to be obtained, cost-effective and good repeatable.

Objective To investigate the effect of absorbable membrane on prevention of tendon adhesion after the ruptured tendon is repaired. Methods In our experiment, 30 12-weeks-old Leghorn cocks were divided into 2 groups randomly. Group A was the blank group, and Group B was the absorbable membrane group. Each group had 15 cocks. The flexor tendon of third phalanx was made ruptured. After repairing, histological observation, failure mode test and functional recovery test were performed regularly. Results In Group B, there was little adhesion between tendon and normal tissue under gross observation. There was no significant tissue necrosis or scar tissue under microscope. There was no difference in the failure mode test between the 2 groups 6 weeks after repairing. The functions of movement of interphalangeal and metacarpophalangeal joints in group B were better than those in group A. Conclusion The absorbable membrane can be a kind of material or method used to prevent tendon adhesion.

Calcium sensing receptors (CaSR) is a member of super-family of G-protein coupling receptors. This review first introduced the concept, construction features, distribution, functions, decision methods, moderators, genetic locus of CaSR and its relationship with some diseases concisely. Then this article described the investigation progress of CaSR in cardiovascular system intensively, including the expression pattern, role and signal pathways of CaSR in rat myocardium in normal, ischemia-reperfusion injury, apoptosis and cardiac hypertrophy;the role and mechanism of CaSR in calcium homostasis regulation of rat myocardium, endoplasmic reticulum (ER) stress and cardiac ischemic preconditioning and postconditioning. The metabolism rule, physiological significance and pathological action of polyamine in cardiac cells;the increase of CaSR expression in cardiac tissue of artherosclerosic rat and its effect on sensitivity to acute myocardial infarction are also discussed. In the end, the research perspective of CaSR in cardiovascular system was anticipated.

Platelet-rich plasma(PRP) is a highly-concentrated plasma enriched in platelets and various growth factors. These growth factors will be released abundantly by platelets when PRP is activated by thrombin, which plays a key role in accelerating wound healing, bone repair, and meanwhile, in controlling of inflammatory process. Biocompatibility and versatility of PRP have been confirmed in clinical studies as well as its excellent effects on tissue reparation. These have lead to the extensive use of PRP in many medical fields as a therapeutic alternative. Mechanism of PRP in bone and tissue repair the application of PRP in the field of orthopedics is reviewed in this article. In addition, attempt is made to discuss about some problems still existing in the clinical application of PRP.

Bioglass is one of the most important inorganic biomedical materials and is widely used in clinic. Orthopedists and researchers pay more and more attentions to bioglass due to its excellent biocompatibility and bioactivity. This paper introduces the current research status and development of bioglass in bone repairing,bone tissue engineering, anti-infection drug delivery material and interventional therapy. Brief review is given to the potential application of bioglass in orthopaedics.

Objective To explore diagnosis of nonunion following intramedullary nailing of femoral and tibial fractures and the treatment of nonunion of femoral and tibial fractures with Less Invasive Stabilization System (LISS) or locking compression plate (LCP). Methods From February 2003 to December 2004, 7 cases of nonunion after intramedullary nailing of femoral and tibial fractures were diagnosed by X-ray or CT scanning or CT-3D. LISS or LCP fixation and bone grafting were employed to treat the 7 cases of nonunion in the femur and tibia. Their case histories ranged from 10 to 49 (mean 23.3) months. Results All the 7 patients were followed up for a mean of 9.1 (4 to 16) months. The bone union time for all the fractures averaged 4.7 months (ranging from 4 to 6 months). No loosening or breakage of the implants occurred in this series. Conclusions The operation should be done for the patients who feel pain in the lower extremities or the fracture line still exists at the fracture ends long time after intramedullary nailing. In order to improve the healing of bone fractures, micromovement and bone defects at the fracture site should be eliminated. Because of its merits in design, the LISS can be used to effectively treat nonunion at the distal femur or the proximal tibia.

Objective: The study was to analyze hemodynamic changes of blood flow of left internal mammary artery (LIMA) in off-pump coronary bypass surgery (OPCAB). Methods: From January 2002 to August 2002, a total of 65 patients received intraoperative hemodynamic assessment of their bypass grafts by transit-time flowmeter(TTFM) during OPCAB. All operations and flow measurements were performed by the same surgeon (GCQ). The mean age of patients was (64.3?0.94) years(range 47 to 75 years), There were 50 men and 15 women. One-vessel disease was in 7 patients, two-vessel disease in 26, three-vessel disease in 32, and left main stem disease (isolated or associated) in 22. Left anterior descending artery (LAD) was routinely bypassed with LIMA. The blood flow of LIMA was measured immediately after completion of the anastomosis to LAD (early phase) and before sternum closure (late phase) using transit-time flowmeter. Results: The mean flow significantly decreased from (29.91?3.32) ml/min in early phase to (25.12?2.56) ml/min, P

Objective To design and construct a new bionic scaffold of nucleus pulposus tissue engineering. Methods The collagen-hyaluronic acid (HyA) matrices were prepared, and mixed with Collagen type Ⅱ (pH 1-2) and lyophilized. 6-chondroitin sulfate (CS) was covalently attached to collagen using 1-ethyl-3-(3-dimethyl aminopropyl) carbodiimide (EDC) and N-hydroxysuccinimide (NHS). Afterwards the initial structure of bionic scaffolds was evaluated. Results The bionic scaffolds were porous structure, of which the pore size was 89-132 ?m, the porosity was 94.8%. Water-binding capacity of resulting matrices was 79.2%, and the denaturation temperature was 74.6 ℃. Glycosaminoglycan (GAG) content was 224 mg/g, and the elastic modulus was 0.673 MPa. Conclusion Composition and tissue structure between the scaffolds are similar to the extracellular matrices of nucleus pulposus. The bionic scaffold is an ideal scaffold material of nucleus pulposus tissue engineering in structure. Further experiment is required on the biocompatibility of the novel scaffolds.