With the rapid development of competitive sports, the incidence of anterior cruciate ligament (ACL) injury is on the rise. Such injuries may shorten athletes′ career and lead to other long-term adverse consequences. Although athletes generally recover well after ACL reconstruction, many still struggle to return to their pre-injury performance levels. Advances in the understanding of ACL anatomy and injury mechanisms, along with the evolution of surgical techniques and rehabilitation methods, have provided more individualized and tailored options for athletes following ACL injuries. However, there is currently no consensus in China regarding surgical and rehabilitation strategies for competitive athletes aiming to return to sports after ACL injuries. To this end, the Sports Medicine Committee of the Chinese Research Hospital Association and the Editorial Board of the Chinese Journal of Trauma jointly formulated the Expert consensus on surgical treatment and rehabilitation for competitive sports athletes returning to sports after anterior cruciate ligament injury ( version 2025), and presented 14 recommendations covering surgical indications, preoperative rehabilitation, surgical timing, surgical strategies and postoperative rehabilitation strategies, aiming to improve the surgical treatment and rehabilitation system for ACL injuries in competitive athletes and facilitate their return to high-level sports performance after injury.

Objective:To systematically integrate qualitative research on the real-life experiences of dietary management in post-bariatric surgery patients.Methods:A comprehensive search was conducted in China National Knowledge Infrastructure, Wanfang data, VIP, China Biology Medicine disc, Web of Science, PubMed, Cochrane Library, Scopus, and Embase for qualitative studies on dietary management experiences after bariatric surgery. The search covered all available literature up to May 31, 2024. The Joanna Briggs Institute critical appraisal tool for qualitative research was used for quality assessment. The aggregative Meta-synthesis method was applied to integrate the results.Results:A total of 18 studies were included, yielding 69 core findings, which were categorized into nine subcategories and further synthesized into four overarching themes: current understanding of dietary management; impact of dietary management on patients; dietary management strategies; negative experiences related to dietary management follow-up.Conclusions:Healthcare professionals should enhance education on dietary management for post-bariatric surgery patients, optimize dietary strategies, introduce positive reinforcement mechanisms, and establish a diversified social support system. These efforts can improve patient engagement in dietary self-management and promote comprehensive postoperative recovery.

Objective:To systematically integrate qualitative research on the real-life experiences of dietary management in post-bariatric surgery patients.Methods:A comprehensive search was conducted in China National Knowledge Infrastructure, Wanfang data, VIP, China Biology Medicine disc, Web of Science, PubMed, Cochrane Library, Scopus, and Embase for qualitative studies on dietary management experiences after bariatric surgery. The search covered all available literature up to May 31, 2024. The Joanna Briggs Institute critical appraisal tool for qualitative research was used for quality assessment. The aggregative Meta-synthesis method was applied to integrate the results.Results:A total of 18 studies were included, yielding 69 core findings, which were categorized into nine subcategories and further synthesized into four overarching themes: current understanding of dietary management; impact of dietary management on patients; dietary management strategies; negative experiences related to dietary management follow-up.Conclusions:Healthcare professionals should enhance education on dietary management for post-bariatric surgery patients, optimize dietary strategies, introduce positive reinforcement mechanisms, and establish a diversified social support system. These efforts can improve patient engagement in dietary self-management and promote comprehensive postoperative recovery.

With the rapid development of competitive sports, the incidence of anterior cruciate ligament (ACL) injury is on the rise. Such injuries may shorten athletes′ career and lead to other long-term adverse consequences. Although athletes generally recover well after ACL reconstruction, many still struggle to return to their pre-injury performance levels. Advances in the understanding of ACL anatomy and injury mechanisms, along with the evolution of surgical techniques and rehabilitation methods, have provided more individualized and tailored options for athletes following ACL injuries. However, there is currently no consensus in China regarding surgical and rehabilitation strategies for competitive athletes aiming to return to sports after ACL injuries. To this end, the Sports Medicine Committee of the Chinese Research Hospital Association and the Editorial Board of the Chinese Journal of Trauma jointly formulated the Expert consensus on surgical treatment and rehabilitation for competitive sports athletes returning to sports after anterior cruciate ligament injury ( version 2025), and presented 14 recommendations covering surgical indications, preoperative rehabilitation, surgical timing, surgical strategies and postoperative rehabilitation strategies, aiming to improve the surgical treatment and rehabilitation system for ACL injuries in competitive athletes and facilitate their return to high-level sports performance after injury.

Objective To analyze MRI manifestations of huge tumors in ovary and adnexal,to improve qualitative diagnosis and differential diagnosis ability.Methods Thirty-one female patients with huge tumor in pelvic cavity confirmed by surgical pathology underwent preoperative MRI plain scan,DWI and enhancement scan.MRI features were retrospective analysis and compared with pathological results.MRI manifestations included the tumor size,signal intensity,ADC value of the cystic component,ADC value of the solid component and enhanced index.Then,statistical analysis was carried out.Results The mean size of the benign ovary and adnexal tumors was (103.04±32.75)mm,and that of the malignant was (139.29 ±49.20)mm.There was no statistical difference between the two groups (P＞0.05).The number of cystic lesions in the benign group was significantly higher than in the malignant group,while the number of the cystic-solid and solid lesions in the benign groups were obviously lower than in the malignant group.The signal intensity of the lesions was statistically different between the two groups (P＜0.05).The enhanced index in the malignant group (53.15±13.78)was significantly higher than in the benign group (3 5.3 9 ±8.1 2)(P＜0.05).Moreover,the AUC was 0.8 6 1 ,indicating that the diagnostic effect was good.There were no statistical differences in the tumor size,ADC value of the solid component and the cystic component (P＞0.05).Conclusion Benign ovary and adnexal tumors are mostly cystic,while malignance are mostly solid-cystic and solid.Enhanced index is helpful for identifying benign and malignant ovary and adnexal tumors.ADC value of cystic and solid component are not useful to identifying benign and malignant tumors.MRI is powerful in diagnosing huge tumor in female genital system and help to qualitative diagnosis.

Objective To discuss correlation of hemodynamic changes and portal vein diameter with multi-slice spiral CT peffusion imaging in liver cirrhosis. Method 31 cases liver cirrhosis were enrolled in this study. The first porta hepatis were selected for target lay of CT perfusion scan. Liver perfusion parameters were obtained by color perfusion map method. Right to left diameter and occipitofrontal diame-ter of portal vein were measured. 30 cases of normal persons were used as control group. Result Hepatic arterial perfusion (HAP) in liver 0.05). Hepatic perfusion index (HPI) were (19.13±3.33)% and (20.61±8.56)%, which had no statistically significant difference with the other two groups (P>0.05). Conclusion Multi-spiral CT perfnsion imaging is an effectively noninvasive method to evaluate the hemodynamic changes of liver cirrhosis. Occipitofrontal diameter of portal vein with liver cirrhosis can reflect the state of liver hemodynamics.

Objective To evaluate the T lymphocyte functions in elderly patients following major orthopedic operation. Methods From May 1998 to Feb 1999, 39 elderly patients (65 95 years old) hospitalized for orthopedic operation were studied. The patients' peripheral blood samples in the experimental group were obtained on days 1, 3, 7 and 14 postoperation, respectively. At the same days, blood samples were taken from 15 elder patients without trauma and operation (65 80 years old) within 6 months as controls. T lymphocyte subpopulations were differentiated by means of quantitative assay with autocounting method of FCM. Results CD3 T cell count was significantly decreased on day 1(54 4?11 3)% and day 14(58 5?12 6)%, compared with controls (63 9?8 3)% ( P