Objective:To explore the efficacy of Ortho-Bridger System (OBS) for the treatment of complex tibial fractures.Methods:A retrospective study was conducted of the 64 patients with complex tibial fracture who had been treated at Department of Orthopaedics, Tongling People's Hospital from June 2014 to June 2018 using OBS. They were 46 males and 18 females, aged from 22 to 65 years (average, 44.3 years). There were 38 close comminuted or multi-segmental fractures complicated with skin and soft tissue defects and 26 cases of tibial exposure. The interval from injury to surgery ranged from 3 to 20 days (average, 13.6 days). The therapeutic outcomes were evaluated in terms of fracture union time, healing of skin and soft tissue defects and postoperative functional recovery.Results:The 64 patients were followed up for 12 to 50 months (average, 26.3 months). Obvious callus formation started at 3 to 8 months after operation and bony union was achieved at 9 to 18 months after operation. No obvious limitation was observed in the range of motion of the ankle and knee joints. Skin defects healed and completely covered the bone at 3 to 6 weeks after operation.Conclusion:OBS can lead to fine clinical efficacy in the treatment of complex tibial fractures, like open and comminuted multi-segmental ones complicated with soft tissue defects.

"The Expert Group on Tumor Ablation Therapy of Chinese Medical Doctor Association, The Tumor Ablation Committee of Chinese College of Interventionalists, The Society of Tumor Ablation Therapy of Chinese Anti-Cancer Association and The Ablation Expert Committee of the Chinese Society of Clinical Oncology" have organized multidisciplinary experts to formulate the consensus for thermal ablation of pulmonary subsolid nodules or ground-glass nodule (GGN). The expert consensus reviews current literatures and provides clinical practices for thermal ablation of GGN. The main contents include: (1) clinical evaluation of GGN, (2) procedures, indications, contraindications, outcomes evaluation and related complications of thermal ablation for GGN and (3) future development directions.
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