简介：AbstractPurpose:Combined anterior and posterior ring (APR) fixation is classically performed in Tile B2 and C1 injuries to achieve superior biomechanical stability. However, the posterior ring (PR) is the main weight bearing portion that is responsible for weight transmission from the upper parts of the body to the lower limbs through the sacrum and the linea terminalis. It is hypothesized that isolated PR fixation can achieve comparable radiological and clinical outcomes to APR fixation. Therefore, we conducted this study to compare the two fixation principles in managing Tile B2 and C1 injuries.Methods:Our study included 20 patients with Tile B2 injuries and 20 patients with Tile C1 injuries. This study was a randomized control single-blinded study via computerized random numbers with a 1:1 allocation by using random block method. The study was performed at a level one trauma center. A total of 40 patients with Tile B2 and C1 injuries underwent combined APR or isolated PR fixation (Group A and B, respectively). Matta & Tornetta radiological principles and Majeed pelvic scoring system were used for the assessment of primary outcomes and postoperative complications. Secondary outcomes included operative time, amount of blood loss, intraoperative assessment of reduction, need of another operation, length of hospital stay, ability to weight bear postoperatively and pain control metrics. We used student t-test to compare the difference in means between two groups, and Chi-square test to compare proportions between two qualitative parameters. We set the confidence interval to 95% and the margin of error accepted to 5%. So, p ≤ 0.05 was considered statistically significant.Results:The mean follow-up duration was 18 months. The operative time (mean difference 0.575 h) and the intraoperative blood loss (mean difference 97.5 mL) were lower in Group B. Also, despite the higher frequency of rami displacement before union in the same group, there were no significant differences in terms of radiological outcome (excellent outcome with OR = 2.357), clinical outcome (excellent outcome with OR = 2.852) and postoperative complications assessment (OR = 1.556) at last follow-up.Conclusion:The authors concluded that isolated PR fixation could favorably manage Tile B2 and C1 pelvic ring injuries with Nakatani zone II pubic rami fractures and intact inguinal ligament. Its final radiological and clinical outcomes and postoperative complications were comparable to combined APR fixation, but with less morbidity (shorter operation time, lower amount of blood, and no records of postoperative wound infection).

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简介：客观：为了介绍posteromedial，从胫骨为以后的十字形的系带(打印机控制语言)的多骨的撕裂的减小和附件通过gastrocnemius的中间的头的中间的边阶来临。方法：通过posteromedial的起作用的减小和内部固定从1998年2月在我们的部门gastrocnemius走近到2000年3月的有PCL的胫骨的附件经历了的avulsed的十一个病人。皮切口被颠倒沿着gastrocnemius和以后的囊的中间的头的中间的边阶塑造L被把暴露中间的边阶和侧面的收回，避免腿弯部的神经与血管的结构的损坏。在那以后，以后的囊垂直地有点中间地被把到以后的intercondylarsulcus并且就在手指触诊放的以后的中间的胫骨的著名上。当时，PCL和它的胫骨的附件是容易温和的。在推迟的盒子中，打印机控制语言外设释放是必要的克服系带收回并且为最佳的减小并且多骨的愈合使破裂床清醒。最后，一或二个可被细菌破坏的螺丝钉被用来修理avulsed骨头片断和30°屈曲膝灰浆在创伤被关上以后，演员组固定定期被使用。评估包括了X光检查，以后下垂符号和以后的抽屉与相反地侧面的方面相比测试。因为伴随物损害，对低手足的功能的评价不是可得到的。结果：在PCL的胫骨的附件avulsed损害的修理使用的gastrocnemius的Theposteromedial途径能提供清楚的解剖暴露的利益，很少血损失(20ml平均)，对任何结构的分开或附件的没有需要。病人被跟随在上面为一般水准上的11个月(从6个月到2年)。它证明多骨的愈合在推迟的损害的情况下在新鲜损害和7-9星期的情况下在4-6星期以内被完成。六从8fresh盒子出现了完全否定以后下垂符号或以后的抽屉测试但是为1-2公里的2有的额外的松弛。在3个推迟的盒子中，为3-4公里的额外的松弛与thecontralateral膝相比被介绍。结论；gastrocnemius的pos

简介：AbstractImportance:Congenital hemivertebra is commonly treated with posterior hemivertebra resection with bilateral transpedicular fixation. However, implant-related complications are common in children younger than 5 years old who undergo this surgical procedure.Objective:To present the preliminary clinical and radiological outcomes of children younger than 5 years old treated by posterior hemivertebra resection and 3-rod fixation technique.Methods:From January 2016 to December 2017, 14 consecutive patients of congenital scoliosis with 16 hemivertebrae were retrospectively reviewed, including 5 girls and 9 boys, aged between 25 and 55 months old (average, 37.6 months). All patients underwent posterior hemivertebra resection with short fixation with bilateral pedicle screws and a convex lamina hook. Surgical complications and corrective outcomes were assessed based on the clinical charts and spinal radiographs with a minimum 24-month follow-up.Results:The mean Cobb angle of the main curve was 38.4° before surgery, 8.5° after surgery, and 8.7° at final follow-up. In the compensatory cranial curve, the preoperative Cobb angle of 16.8° was corrected to 8.1° postoperatively and was 10.3° at final follow-up. In the compensatory caudal curve, the preoperative Cobb angle of 15.9° improved to 5.3° postoperatively and was 7.8° at final follow-up. The segmental kyphosis was corrected from 13.5° to 0.5° and was 1.1° at final follow-up. There were no crankshaft phenomena, no proximal kyphosis, and no complications related to the instrumentation.Interpretation:Posterior hemivertebra resection with instrumentation with bilateral pedicle screws and a convex lamina hook can achieve rigid fixation and deformity correction.

简介：嘹亮的钟声敲向天上的浮云,敲向霜冻的微光送向荒寂高空;旧岁在黑夜中悄悄辞別;嘹亮的钟声在送別旧岁。

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简介：Helenboughtaverynicering(戒指)andsheworeittotheofficethenextday.Nobodysawherring.Shemovedherhandthiswayandthat,butstillnobbdyintheoffieesawtheringonherfinger.Atteatimewhentheyweresitting'round,shesuddenly(突然地)stoodup.“itisveryhothere,”shesaid.“IthinkI'lltakeoffmyring.”

简介：如果你有一个机会得到你想要或想做的承诺时，你会怎么做?让我们一起来看看这位年青的农民是如何对待他的机遇的。

简介：WhenMarywasfourteen,hermothergaveherabeautifulring.ItwasabirthdaypresentandMarywasverypleased.Aweeklatershewaslostherring.Shelookedeverywherebutshecouldnotfindthering.Shelookedinthedustbinoutsidethekitchenbutherringwasnotthere.

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简介：AccordingtoAWPAE11-2006standard,copperfixationratesofseveralcopper-basedformulations,suchasammoniacalcopper,aminecopper,andammoniacal-ethanolaminecopper,aswellasalkalinecopperquaternary(ACQ),weretestedandcomparedinthispaper.Andthefixationratesoftebuconazole(TEB)andpropiconazole(PPZ)inseveralformulations,suchascopperazole,emulsifiedtypeandsolventtype,werealsocompared.Thedeterminationofcoppercontentintheleachatewasanalyzedbyatomicabsorptionspectrom...

简介：ItiswellknownthatsplinesmoothingestimatorrelatestotheBayesianestimateunderpartiallyinformativenormalprior.Inthispaper,wederivetheconditionsfortheproprietyoftheposteriorinthenonparametricmixedefectsmodelunderthisclassofpartiallyinformativenormalpriorforfxedefectwithinversegammapriorsonthevariancecomponentsandhierarchicalpriorsforcovariancematrixofrandomefect,thenweexploretheGibbssamplingprocedure.

简介：Traumatichematomaofposteriorfossa(THPF)isaspecialkindofcraniocerebralinjurywithitsowncharacteristicsinclinicalmanifestations,diagnosisandtreatment.Ingeneral,theprognosisofTHPFispoor.Withoutearlydiagnosisandprompttreatment,theoutcomewouldbeverypoor,withhighoccurrenceofmorbidityandmortality.Sincetheavailabilityofcomputedtomography(CT)in1983,wehavereceivedandsuccessfullytreated44patientswithTHPFuntilNovember2000.

简介：客观：为了调查与外部fixator在处理期间测量主要axials火车的不同方法并且发现，合适的压缩在一个早阶段由外部fixator装载了。方法：十八只健康大耳朵的兔子随机根据不同测量方法被划分成二个组：组织A和组B。在组A，一个紧张计量器与502胶水在外部胫骨的外皮被加，并且在组B，一个骨头cement-coatedstrain计量器在内部胫骨的外皮上被安装。组A和B被划分成二亚群A1，A2和B1，B2，分别地根据一半并且与身体重量一样的压力。Z塑造左中间柄的胫骨的截骨术被externalfixator执行并且修理。结果：组A的sealer曲线在早阶段期间戏剧性地变化了。当后者紧张价值比前者高时，内部、外部的外皮的Thetrendlines在到达稳定的阶段以后一致地去了。到达最稳定的年龄的组B的时间是短的，但是它的绝对紧张价值是不到组A的。在他们被贴在稳定的阶段以前，当亚群B1和B2的结果是一样的时，亚群A1的拒绝的速度比SubgroupA2的慢慢地是更多。在它衰退了以后，当时，组A有一个上升趋势组Bdidn“t。在他们到达了稳定的阶段，两亚群A1和A2had以后一个衰退趋势当亚群A2比亚群A1快速是更多时，当亚群B2波动时，亚群B1在明确的水平被保留。结论：在外部fixatorcan下面的轴的紧张被骨头水泥测量在vivo的涂紧张的计量器。数据可以建议身体重量负担的那一半对外部fixator合适。

简介：AIM:Toinvestigatetheeffectsofanewopeningpatterninneodymium:yttrium-aluminum-garnet(Nd:YAG)laserposteriorcapsulotomyonvisualfunction.METHODS:Thistechniquewasconductedalongacircularpattern.Theenergyrangedbetween0.8and1.2mJ/pulsewasconsumedandmeantotalenergylevelswere74±21mJ(mean±standarddeviation:SD,from40to167)andlasershotsaimedat150μmawaybehindadatumpointandwentalonganimaginarylinewhichextends0.5mminsidefromopticmarginandintothecircularenblocpattern.Vitreousstandswereattachedwithfragmentandthentheywerecutoffbythelaseraftercircularapplication.Thecircularfragmentwascompletelyseparatedfromvitreous,andthenthisfragmentwasquicklysunkinintravitrealspace.RESULTS:Thefollow-upperiodrangesfromatleastaweekto40mo,making15.8moonaverage.Theproceduraloutcomeshowed96%(74eyesoutofthe77eyes)enhancementinpatients’visualacuity.Cystoidmacularedemaorretinaldetachmentwasnotobservedinanyofthepatientsduringfollow-upperiods.CONCLUSION:Thisnewtechniqueisexpectedtoimprovetheweaknessesthattheconventionalprocedureshavebyaddingtheprocesstocutoffvitreousstandsattachedwiththefragmentbythelasertothecircularapplication.

简介：Ringinversionofeightsubstituted2-phenyl-4,4-dimethyloxazolidinesino-dichloro-benzene-d4wasstudiedbyHDNMR.Veryhighinversionbarriers(/nGc/n=86.7—93.4kJ·mol-1)werefoundfortheseoxazolidinerings.Themagnitudeoftheinversionbarrierisdependentonthepolarityofthesubstituentonthephenylgroup.Alinearcorrelationispresentbetweenthe/nGc/noftheinversionandthesubstituentconstant,σ+,ofthesubstituent.

简介：Thebindingenergyofexcitonsconfinedtoaquantumringundertheinfluenceofperpendicularhomogeneousmagneticfieldiscalculatedasafunctionoftheringradius.Calculationsaremadebyusingthemethodofexactdiagonalizationwithintheeffective-massapproximation.Thefeatureofbindingenergyofthegroundstateasafunctionoftheringradiusforseveralvaluesofthemagneticfieldhasbeenrevealed.Theinterestingfeatureofourstudyisthat,inaquantumring,thegeometricstructureofexcitonsmayrevealtransition.

简介：Coldringrollingisanadvancedbutcomplexmetalformingprocessundercoupledeffectswithmulti-factors,suchasgeometrysizesofrollsandringblank,material,formingprocessparametersandfriction,etc.Amongthesefactors,frictionbetweenrollsandringblankplaysanimportantroleinkeepingthestableformingofcoldringrolling.Ananalyticalmethodwasfirstlypresentedforproximatelydeterminingthecriticalfrictioncoefficientofstableformingandthenamethodwasproposedtodeterminethecriticalfrictioncoefficientbycombininganalyticalmethodwithnumericalsimulation.Andtheinfluenceoffrictioncoefficientonthequalityofend-planeandsidespreadofring,rollingforce,rollingmomentandmetalflowcharacteristicinthecoldringrollingprocesshavebeenexploredusingthethreedimensional(3D)numericalsimulationbasedontheelastic-plasticdynamicfiniteelementmethod(FEM)undertheABAQUSsoftwareenvironment,andtheresultsshowthatincreasingthefrictiononthecontactsurfacesbetweenrollsandringblankisusefulnotonlyforimprovingthestabilityofcoldringrollingbutalsoforimprovingthegeometryanddimensionprecisionofdeformedring.

简介：Oncetherelivedtwobirds.Theywereneighbours.Theyhadknowneachothersincetheywereborn.Theyplayedtogetherandhelpeachotherwhentheywereyoung.Thegirlfellinlovewiththeboyandtheboylovedthegirlverymuchwhentheygrewup.

简介：TheauthorgivessimplecharacterizationoftheHenselizationofanexcellentregularlocalring.