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Interlocking intramedullary fastening because comminuted rupture of tibia and fibula multilevel
28. Received date: 2004 A O1-15 Author: Hu Dingan (1946 a), male. He graduated from Zhejiang Medical University in 1970, deputy main surgeon. 22 cases of surgical manipulation of pilon fractures Guo Sheng-yuan (People's Hospital of Pingyao County, Shanxi Province, Pingyao, Shanxi O3l1O0) of 1995 to 2000 a absolute of 22 cases of surgical treatment of pilon fractures, the effect namely satisfactory, the report namely It’s about time. 1 1.1 General Information The clinical data set of 22 cases,tory burch flats, 20 males and 2 females. Aged 20 to 56 years, reasons of injury: road chance in 9 cases, 13 cases fall injury. Fracture category according to Ruedi and Allgouer. I type:-arm joints crack no fracture displacement; I type: non-articular comminuted fracture transmission; I type: compression and distal tibial fractures. I-6 cases, I type in 5 cases, I type in 11 cases, both fresh fractures, of which 6 cases of open fractures. 1.2 The treatment results were used to open decrement and internal fixation of fractures and arthrodesis of two surgical methods. Line fracture open decrement and interior fixation in 19 cases, 12 cases in which action within 12h, including 6 cases of open fractures; 12h ~ 7d afterward harm, surgery in 10 cases, 11 cases of bone bribe surgery and postoperative actors immobilization above the feature u-bit. After 4 weeks, relying on the degree of removal of stiff fixation and outer fixation and joint functional discipline, weight-bearing bone healing later wading with crutches. Ankle Fusion 3-line (I type), 1 case of 6 weeks after internal fixation of the movie shows regional bone resorption fracture,air max 97 black, tibial articular surface is not flat from the shift extra than 2cm,cheap nike air max 90, passive ankle mutual pain, in 3 months after surgery underwent ankle fusion. Line fracture open reduction and internal fixation, the criterion reference Bturne l_1], excellent: no embarrassment or mild ankle pain, walking is not affected, ankle mutual range of motion than the normal 80, xray showed anatomical reduction, normal ankle points. Can be: mild pain while,0 wading above uneven sidewalk additional pain, walking slightly affected the ankle joint scope of film for the normal 75, X-ray showed fracture of mid malleolus along or downward shift is fewer than 2mm, transmission of less than 1mm,fivefingers kso women's, 4mm lateral fracture displacement within the margin of tibial fractures films ahead and after the shift in the 2mm or fewer. Bad: pain, hardship walking, joint activities, less than the normal 50, X-ray showed fracture displacement greater. Fixation team 19 cases were emulated up. Results: I type in 6 cases were peerless. I-5 cases peerless. I-11 cases excellent E6 cases, 4 cases and needy in 1 circumstance, 22 cases had no infection. 2 to consult the choice of 2.1 surgical treatment of pilon fractures of the conservative rate of merely 42 to 53 good, merely with AO technology development, with open anatomic reduction and tight fixation and functional rehabilitation, agreeable rate to 74 ~ 90_2]. Open reduction and internal fixation in this group agreeable rate of 77, or by open reduction and bone grafting to be so fractures along anatomic reduction of articular surface to be rebuilt, provided the conditions for the functional recovery, and since,0 of stiff internal fixation, and early functional exercise build the conditions for the functional recovery. 2.2 The timing of surgery in this group advocate early surgical treatment, surgery within 12h after injury, ahead the dermal edema, early surgical treatment of fractures can not merely mushroom the precision and depress the degree of bone defects, and early fracture reduction may be reduced bleeding between the bone and reduce limb bulging, blister formation and prevent infection. Intraoperative surgical considerations 2.3 AO in agreement with the steps suggested at the mouth of the typical 4. a) restoration of fibular width, the best selection of curved steel. b) the reconstruction of tibial articular surface. c) reset the remaining bone flaw. d) assist fixed tibia. We trust that particular consideration ought be, a) the precision of tibial reduction and fixation, reduction and fixation of the tibia not only aids to reset the tibia, tibia length can be regained like,0 a reference, but too amplify the permanence of the tibia after a reset. Lateral hole is chapter of the ankle, the reset should cost,0 consideration to the 10. 20. Valgus angle, the normal length of the hole to assure namely the ankle. b) the reconstruction of tibial articular surface during action as distant as feasible restore the articular surface of the formation, breakdown of the articular surface for the petition of bone chisel lever, articular surface should be free of small bones cleared, reset should be left loose bone defects bone graft, which can increase the permanence of fractures after, and subserve fracture healing. 2.4 For the prevention of infection in open fractures, debridement thoroughly, after adequate drainage. Closed fractures of the swelling, blisters when surgery is not completely healed, after application of regional small incision decompression and drainage network, a mesh of small incision deep to the deep fascia should be, both to reduce the stress during wound closure, but also can be adequate drainage, while alleviating the pressure on the small leg apartment fascia, effectively discourage the incidence of compartment syndrome.
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We often see the computer hard disk or flash lights are often mad Always, already busy hard disk should have a break in the normal time is still hard work. Here, I will introduce several icech to the server to protect against hard drive useless tips.
1, disable Windows7 Defender

Windows Defender is included with a Windows anti-spyware, when it will open automatically. Use anti-spyware software can help protect your computer from spyware and other potentially unwanted software. When connected to the Internet, spyware may be the case that you do not know is installed on your computer, and when you use the CD, DVD or other removable media when you install certain programs, spyware can infect your computer. Spyware is not just to run after installation, it will be programmed to run at unexpected time.
fact, we usually have to install a lot of anti-virus software and security tools,moncler online, this is unnecessary, you can disable.
2, disable the file indexing

in Windows7, there is a own decisions about the hard disk will be retrieved, so hard disk does not have a good rest. Disable is simple, stand-alone system drive right mouse button, select
3, Disable Volume Shadow Copy

Volume Shadow Copy is to manage and perform backup and other purposes for the shadow copy. Is not useful,moncler doudoune vente, usually can be disabled. However, if this service is terminated, there will be no shadow copy backup and the backup will fail. If this service is disabled, any services that depend on it will fail to start. Win + R to open services.msc, find the Volume Shadow Copy, set to disabled or manual will do.
4, disable SuperFetch

SuperFetch in Vista to begin with,moncler femme, its main function is: When the system is not busy, SuperFetch process will allocate more memory to the most frequently used process as the cache, used to improve the speed of operation. When the system is busy, the cache memory will be reserved for the corresponding decrease. The SuperFetch Windows 7 is the main reason for high memory usage. However, he is disabled to use some software may make some sense of stagnation,doudoune pas cher, but can indeed reduce the rotation to the hard disk, to rest and cooling purposes. Is a matter of personal preference.
5, close the program Disk Defragmenter

all partitions off the disk clean-up scheduled tasks in the letter on the point of property, find Disk Defragmenter, the removed. That we should all know.
6, turn off or uninstall Windows Search

Windows Search 4.0 can use the computer to perform a quick search. Windows Search 4.0 helps you find and preview documents, e-mail,moncler homme, music files,doudoune moncler, photos and other items. By default, Windows 7 comes with some of the procedures and functions are open, including the Windows Search. If you do not use Windows Search, you can turn it off. Off

Windows Search will be closed to remove it from Windows, but will not reduce the amount of disk space occupied by Windows. Windows Search will still be stored on the hard disk, so you can re-open it as needed.