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中华创伤杂志（英文版）
中华创伤杂志（英文版）

王正国

双月刊

1008-1275

cjtrauma@163.com

023-68757483

400042

重庆市渝中区大坪长江支路10号

中华创伤杂志（英文版）/Journal Chinese Journal of TraumatologyCSCDCSTPCD北大核心
查看更多>>中华医学会主办，中华医学会创伤学分会承办。本刊是全英文高级学术刊物，是中华医学会系列杂志之一。主要对外报道我国创伤学及相关学科的成果与进展，全面反映我国创伤医学的成就与水平，促进和指导我国创伤学研究的发展，提高临床救治水平；同时将国外相应领域进展及动态介绍给中国读者。它使中国的创伤医学走向世界，使外国读者了解中国，促使国内外创伤医学的交流与合作。
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    Arthroscopic treatment of ankle impingement syndrome

    Xin ChenHe-Qin HuangXiao-Jun Duan
    311-316页
    查看更多>>摘要：Arthroscopic treatment of ankle impingement syndrome(AIS)is a minimally invasive surgical procedure used to address symptoms caused by impingement in the ankle joint.This syndrome occurs when there is abnormal contact between certain bones or soft tissues in the ankle,leading to pain,swelling,or limited range of motion.Traditionally,open surgery was the standard approach for treating AIS.How-ever,with advancements in technology and surgical techniques,arthroscopic treatment has become a preferred method for many patients and surgeons.With improved visualization and precise treatment of the arthroscopy,patients can experience reduced pain and improved functionality,allowing them to return to their daily activities sooner.In this paper,we reviewed the application and clinical efficacy the of arthroscopic approach for treating AIS,hoping to provide a reference for its future promotion.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    A new method of anterior talofibular ligament reconstruction:Arthroscopically artificial ligament reconstruction with tensional remnant-repair

    Qiu HuangXiao-Xi JiWen-Hui ZhuYe-Hua Cai...
    317-322页
    查看更多>>摘要：Purpose:To investigate the clinical effects of arthroscopically artificial ligament reconstruction with tensional remnant-repair in patients who are obese,and/or with demand for highly intensive sports,and/or with poor-quality ligament remnants.Methods:A retrospective case series study was performed on patients treated by arthroscopically anterior talofibular ligament(ATFL)reconstruction with tensional remnant repair technique from January 2019 to August 2021.General data,including demographics,surgical time,and postoperative adverse events,were recorded.The American Orthopaedic Foot and Ankle Society score(AOFAS),foot and ankle ability measure(FAAM),visual analog scale(VAS),and anterior talar translation were measured preoperatively and at 6 weeks,3 months,and 2 years postoperatively.Ultrasonography ex-amination was performed preoperatively and 2 years postoperatively to evaluate the ATFL Data were analyzed using SPSS 19.0.F test was used to analyze the pre-and postoperative VAS,FAAM,and AOFAS scores.The significance was set at p＜0.05.Results:There were 20 males and 10 females among the patients with a mean age of(30.71±5.81)years.The average surgical time was(40.21±8.59)min.No adverse events were observed after surgery.At 2 years postoperatively,the anterior talar translation test showed grade 0 laxity in all patients.VAS score significantly decreased from preoperatively to 6 weeks,3 months,and 2 years postoperatively(p＜0.001).Improvement of FAAM score and the AOFAS score from preoperatively to 6 weeks,3 months,and 2 years postoperatively was statistically significant(p＜0.001).At 3 months postoperatively,most pa-tients(23/30)could return to their pre-injured activities of daily living status.At 2 years postoperatively,all patients were able to return to their pre-injured activities of daily living status,and almost every patient(18/19)who expected highly intensive sports returned to sports with only 1 obese patient failing to achieve the goal.The ultrasonography examination at 2 years postoperatively showed that there was a linear band structure of soft tissue on the tension-rich fiber tape image from the fibular to the talar attachment sits of ATFL.Conclusion:The novel arthroscopically artificial ligament reconstruction with tensional remnant-repair technique for ATFL achieved satisfactory clinical outcomes in the short and medium term after opera-tion,and allowed early return to pre-injured activities,which could be a reliable option for patients with chronic lateral ankle instability.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    Achilles tendon thickening does not affect elasticity and functional outcome after surgical repair of Achilles rupture:A retrospective study

    Chen-Xi WuChang-Yue XiongLu BaiSu-Meng Chen...
    323-328页
    查看更多>>摘要：Purpose:Previous studies have confirmed that Achilles tendon occurs Achilles thickening after repair surgery of the rupture.Although this mechanism has been elucidated in the laboratory,there are few reports on its impact on clinical function.We designed a retrospective study to investigate the Achilles thickening after Achilles tendon rupture repair and its correlation between the elasticity and post-operative function.Methods:In this retrospective analysis,patients who underwent surgical treatment for acute Achilles tendon rupture from April 2016 to April 2020 were included.All the patients were regularly followed up at 3 months,1 year,and 2 years after surgery.American Orthopaedic Foot Ankle Surgeon(AOFAS)scale and Leppilahti score were used to evaluate functional outcomes.Achilles elasticity was measured by ultrasound shear wave of elasticity.Achilles thickening was calculated as maximal transverse and lon-gitudinal diameter in cross-sectional plane of magnetic resonance scan.Sample t-tests was used for different follow-up periods.Correlation between Achilles thickening and other factors were analyzed using Pearson's method.p＜0.05 indicates a statistically significant difference.Results:AOFAS scale and Leppilahti score at 1 year were significantly higher than at 3 months post-operatively(both p＜0.001).These functional scales were also improved at 2-year follow-up significantly(both p＜0.001).The dorsiflexion difference showed gradually recovery in each follow-up period(t=-17.907,p＜0.001).The elasticity of the Achilles appeared to continuously decreases during the postoperative follow-up period in all position sets(p＜0.001).In thickening evaluation,the cross-sectional area of the thickest plane of Achilles was significantly higher at 1 year postoperatively(310.5±25.2)mm2 than that at 3 months postoperatively((278.0±26.2)mm2,t=-8.219,p＜0.001)and became thinner in 2-year magnetic resonance scan((256.1±15.1)mm2,t=16.769,p＜0.001).The correlations between Achilles thickening,elasticity,and functional outcome did not show statistical significance(p＞0.05)in every follow-up period.Conclusion:Achilles tendon thickens after surgery in the 1st year,but begins to gradually return to thinning about 2 years after surgery.There was no significant correlation between the increase and decrease of thickening and the patients'clinical function scores,Achilles elasticity,and bilateral ankle dorsiflexion difference.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    A foot structure study of new arch flexibility grading system based on three-dimensional arch volume

    Jun LiuMiao DengWei WangXiang-Dong Liu...
    329-333页
    查看更多>>摘要：Purpose:Different arch structures may cause different foot function injuries.In the past,the arch structure and flexibility of the foot were often defined by the height of the arch,and there was no three-dimensional(3D)structure classification method.In order to form a more complete 3D description,we propose a new classification system of arch volume flexibility(AVF),and then use this new classification system to investigate the relationship between the AVF and arch index(AI),and the arch height flexibility(AHF)and AI,respectively.Methods:It is proposed to recruit 180 young male adults for the test.We obtained arch volume and AI through 3D scanning and obtained the navicular height through manual measurement.Based on these data,we calculated the AHF and the AVF.Using the quintile method,these arches are divided into very stiff,stiff,neutral,flexible,and very flexible.According to AI value,all arches were divided into cavus,rectus,and planus.The distribution of AVF was compared using x2 goodness of fit test.The spearman correlation test was used to compare the AHF and AVF.A p＜0.05 indicates that the difference is sta-tistically significant.Results:All participants'plantar data was obtained through 3D scanning,but only 159 of them were complete,so only 318 feet had valid data.The left AHF is(21.23±12.91)mm/kN,and the right AHF is(21.71±12.69)mm/kN.The AVF of the left foot arch is(207.35±118.28)mm3/kg,while the right one is(203.00±117.92)mm3/kg,and the total AVF of the arch was(205.17±117.94)mm3/kg.There was no statistical difference in the AVF between the left and right feet for the same participant(n=159,p=0.654).In cavus,the percentage of arch with AVF is 21.4％(very stiff),21.4％(stiff),14.3％(neutral),7.1％(flexible),and 35.7％(very flexible).In rectus,the percentage of arch with AVF is 23.9％(very stiff),19.6％(stiff),14.7％(neutral),24.5％(flexible),and 17.2％(very flexible).In planus,the percentage of arch with AVF is 14.9％(very stiff),20.6％(stiff),27.0％(neutral),16.3％(flexible),and 21.3％(very flexible).Moreover,the correlation between AHF and AVF is not significant(p=0.060).Conclusion:In caws,rectus,and planus,different AVF accounts different percentage,but the difference is not statistically significant.AVF is evenly distributed in the arches of the feet at different heights.We further found the relationship between AHF and AVF is not significant.As a 3D index,AVF may be able to describe the flexibility of the arch more comprehensively than AHF.
      原文链接:
    • NETL
    • NSTL
    • 万方数据

    Electric scooter injuries:Incidence and injury patterns at a level I trauma center

    Nina D.FisherEkenedilichukwu NwakobyHunter HernandezToni M.McLaurin...
    334-338页
    查看更多>>摘要：Purpose:Electric scooters(e-scooters)have become an increasingly popular mode of public trans-portation in recent years.As the incidence of related injuries rises,it is important to understand specific fracture patterns unique to e-scooters and electric bikes(e-bikes)to help guide management.The pur-pose of this study was to review the prevalence and describe specific fracture patterns of e-scooter and e-bike related injuries at the busiest level 1 trauma center in the borough of Manhattan.Methods:Chart review to determine mechanism of injury was performed on all patients for whom an orthopedic consult was requested from 1/1/2021 to 12/31/2021.All patients whose injuries were sus-tained due to an e-scooter or e-bike were further reviewed for demographics,injury characteristics including fracture pattern,and definitive injury management.Any patients who had an orthopedic consult placed for a reason other than an acute injury were excluded.Descriptive statistics are reported as frequency(percentage)for categorical variables and means for continuous variables.Results:Of the 1815 orthopedic consults requested,1357(74.8％)were for acute injury management.Of those with acute injuries,119(8.8％)sustained 136 e-scooter or e-bike related injuries.There were 92(77.3％)males at an average age of(33.8±15.7)years.Approximately one-fifth of all patients presented in June 2021(26,21.8％).There was a 9.2％rate of open fractures.The 136 injuries were evenly split between the upper and lower extremities,with 57(47.9％)upper extremity,57(47.9％)lower extremity injuries,and 5(4.2％)concomitant upper and lower extremity injuries.The most common fracture patterns were ankle fractures(16,11.7％),followed by tibial shaft(14,10.2％),tibial plateau(13,9.5％),and radial head fractures(11,8.0％).There was a 33.3％incidence of associated posterior malleolar fractures in the spiral tibial shaft fractures,31.0％of posterior malleolar involvement and 18.8％of isolated vertical medial malleolar fractures in the ankle fractures,and 61.5％of posterior comminution in the tibial plateau fractures.Conclusion:E-scooter and e-bike related injuries have a high incidence of tibial shaft fractures,ankle fractures,tibial plateau fractures,and radial head fractures.There should be a high index of suspicion for posterior and medial involvement in lower extremity fractures sustained due to e-scooter or e-bikes.Identifying specific fracture patterns seen in e-scooter and e-bike related mechanisms will help guide management of these injuries.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    Tibiocalcaneal fusion using Ilizarov external fixator in total talar extrusion:A case report

    Shukriah Aqilah ZakariaMohd Saiful Adzuwan Mat Rodi
    339-343页
    查看更多>>摘要：Talar extrusions are the rare extreme case of talar fractures and dislocations which are associated with high-energy trauma.Given the rarity of talar extrusion,no proper treatment protocol has been estab-lished.The earlier treatment outcomes have been poor due to the high rate of infection and avascular necrosis.However,more recent literature advised reimplanting the talus whenever practical,and providing with meticulous cleaning of the talus.In the presence of infection and severe trauma,tibio-calcaneal fusion achieved by the Ilizarov external fixator can be an effective salvage method.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    Complicated Bosworth fracture-dislocation:A case report and review of the literature

    Dong-Peng TuLi-Jun CaiHong-Yong ZhaoLi-Gang Huang...
    344-350页
    查看更多>>摘要：Bosworth fracture and dislocation is relatively rare,accounting for about 1％of ankle fractures.It is characterized by the proximal fibula fracture embedded in the posterolateral distal tibia.Due to an insufficient understanding of this fracture,it is easy to cause missed diagnosis and misdiagnosis in clinical practice.Due to the insertion of the fracture,it is challenging to perform closed reduction,and improper treatment is easy to cause complications.Surgical treatment is recommended for this type of fracture.In order to improve the understanding of orthopedic surgeons about Bosworth fracture and dislocation,this paper reports the diagnosis and treatment of 2 cases of Bosworth fracture and dislo-cation,and reviews the literature on Bosworth fracture's mechanism,diagnosis,classification,compli-cations,and treatment options in recent years.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    A quantitative study of airway ultrasound in predicting difficult laryngoscopy:A prospective study

    Lin NingXing ZhuHong-Chao LiShi-Jie Zhou...
    351-356页
    查看更多>>摘要：Purpose:As common clinical screening tests cannot effectively predict a difficult airway,and unantici-pated difficult laryngoscopy remains a challenge for physicians.We herein used ultrasound to develop some point-of-care predictors for difficult laryngoscopy.Methods:This prospective observational study included 502 patients who underwent laryngoscopy and a detailed sonographic assessment.Patients under 18 years old,or with maxillofacial deformities or fractures,limited mouth opening,limited neck movement or history of neck surgery were excluded from the study.Laryngoscopic views of all patients were scored and grouping using the modified Cormack-Lehane(CL)scoring system.The measurements acquired comprised tongue width,the longitudinal cross-sectional area of the tongue,tongue volume,the mandible-hyoid bone distance,the hyoid bone-glottis distance,the mandible-hyoid bone-glottis angle,the skin-thyrohyoid membrane distance,the glottis-superior edge of the thyroid cartilage distance(DGTC),the skin-hyoid bone distance,and the epiglottis midway-skin distance.ANOVA and Chi-square were used to compare differences between groups.Logistic regression was used to identify risk factors for difficult laryngoscopy and it was visu-alized by receiver operating characteristic curves and nomogram.R version 3.6.3 and SPSS version 26.0 were used for statistical analyses.Results:Difficult laryngoscopy was indicated in 49 patients(CL grade Ⅲ-Ⅳ)and easy laryngoscopy in 453 patients(CL grade Ⅰ-Ⅱ).The ultrasound-measured mandible-hyoid bone-glottis angle and DGTC significantly differed between the 2 groups(p＜0.001).Difficult laryngoscopy was predicted by an area under the curve(AUC)of 0.930 with a threshold mandible-hyoid bone-glottis angle of 125.5° and by an AUC of 0.722 with a threshold DGTC of 1.22 cm.The longitudinal cross-sectional area of the tongue,tongue width,tongue volume,the mandible-hyoid distance,and the hyoid-glottis distance did not significantly differ between the groups.Conclusion:Difficult laryngoscopy may be anticipated in patients in whom the mandible-hyoid bone-glottis angle is smaller than 125.5° or DGTC is larger than 1.22 cm.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    Comparison of the predictive value of the Helsinki,Rotterdam,and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries

    Nushin Moussavi BiukiHamid Reza TalariMohammad Hossein TabatabaeiMasoumeh Abedzadeh-Kalahroudi...
    357-362页
    查看更多>>摘要：Purpose:Despite advances in modem medicine,traumatic brain injuries(TBIs)are still a major medical problem.Early diagnosis of TBI is crucial for clinical decision-making and prognosis.This study aims to compare the predictive value of Helsinki,Rotterdam,and Stockholm CT scores in predicting the 6-month outcomes in blunt TBI patients.Methods:This cohort study was conducted on blunt TBI patients of 15 years or older.All of them were admitted to the surgical emergency department of Shahid Beheshti Hospital in Kashan,Iran from 2020 to 2021 and had abnormal trauma-related findings on brain CT images.The patients'demographic data such as age,gender,history of comorbid conditions,mechanism of trauma,Glasgow coma scale,CT images,length of hospital stay,and surgical procedures were recorded.The Helsinki,Rotterdam,and Stockholm CT scores were simultaneously determined according to the existing guidelines.The included patients'6-month outcome was determined using the Glasgow outcome scale extended.M Data were analyzed by SPSS software version 16.0.Sensitivity,specificity,negative/positive predictive value and the area under the receiver operating characteristic curve were calculated for each test.The Kappa agree-ment coefficient and Kuder Richardson-20 were used to compare the scoring systems.Results:Altogether 171 TBI patients met the inclusion and exclusion criteria,with the mean age of(44.9±20.2)years.Most patients were male(80.7％),had traffic related injuries(83.1％)and mild TBIs(64.3％).Patients with lower Glasgow coma scale had higher Helsinki,Rotterdam,and Stockholm CT scores and lower Glasgow outcome scale extended scores.Among all the scoring systems,the Helsinki and Stockholm scores showed the highest agreement in predicting patients'outcomes(kappa=0.657,p＜0.001).The Rotterdam scoring system had the highest sensitivity(90.1％)in predicting death of TBI patients,whereas the Helsinki scoring system had the highest sensitivity(89.8％)in predicting the 6-month outcome in TBI patients.Conclusion:The Rotterdam scoring system was superior in predicting death in TBI patients,whereas the Helsinki scoring system was more sensitive in predicting the 6-month outcome.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    Excess mortality in elderly hip fracture patients:An Indian experience

    Jaiben GeorgeVijay SharmaKamran FarooqueVivek Trikha...
    363-368页
    查看更多>>摘要：Purpose:Hip fractures in elderly have a high mortality.However,there is limited literature on the excess mortality seen in hip fractures compared to the normal population.The purpose of this study was to compare the mortality of hip fractures with that of age and gender matched Indian population.Methods:There are 283 patients with hip fractures aged above 50 years admitted at single centre pro-spectively enrolled in this study.Patients were followed up for 1 year and the follow-up record was available for 279 patients.Mortality was assessed during the follow-up from chart review and/or by telephonic interview.One-year mortality of Indian population was obtained from public databases.Standardized mortality ratio(SMR)(observed mortality divided by expected mortality)was calculated.Kaplan-Meir analysis was used.Results:The overall 1-year mortality was 19.0％(53/279).Mortality increased with age(p＜0.001)and the highest mortality was seen in those above 80 years(aged 50-59 years:5.0％,aged 60-69 years:19.7％,aged 70-79 years:15.8％,and aged over 80 years:33.3％).Expected mortality of Indian population of similar age and gender profile was 3.7％,giving a SMR of 5.5.SMR for different age quintiles were:3.9(aged 50-59 years),6.6(aged 60-69 years),2.2(aged 70-79 years);and 2.0(aged over 80 years).SMR in males and females were 5.7 and 5.3,respectively.Conclusions:Indian patients sustaining hip fractures were about 5 times more likely to die than the general population.Although mortality rates increased with age,the highest excess mortality was seen in relatively younger patients.Hip fracture mortality was even higher than that of myocardial infarction,breast cancer,and cervical cancer.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据