ObjectiveTo compare the effect of imagings taken with different angles to observe relationship of wrist joint and distal screws.Methods29 patients with the distal radius fractures were performed operatively with the open reduction and internal fixation. The standard antero-posterior and lateral imagings of the wrist joint were taken during operation, and two different angle imagings of the wrist joint were also taken meantime in all 29 patients.ResultsScrews were found to penetrate into the joint in antero-posterior imagings of 23 cases and standard lateral imagings of 25 cases. However, no screws were found to penetrate into the joint in two different angle imagings.ConclusionTwo different angle imagings can fully show the articular surface of distal radius without screws.

Objective To explore the treatment of repeatable tendo-achilles tenotomy in Ponseti approach for congenital clubfoot. Methods Retrospective analysis of 117 patients (137 feet) with congenital clubfoot treated with serial casting in Ponseti approach from March 2008 to June 2014. A repeatable tendo-achilles tenotomy was performed on 102 pa-tients (116 feet) (84.67%) when less than 15o of ankle dorsiflexion and 70oof foot abduction. The foot-abduction brace was used postoperatively and follow-up termly. Results All of 117 patients were follow-up for 3 to 48 months, averag-ing 26.3 months. The results of 112 (131 feet) (91.97%) were satisfactory. The tendo-achilles tenotomy was performed averaged 1.4 times in the patients taken surgery. The tendon performed tenotomy were all connected and patients walk with normal gait later. Conclusion The results of the treatment of repeatable tendo-achilles tenotomy for congenital clubfoot ware satisfactory. This surgery performed in Ponseti approach will always achieve a successful result.