Use of a semitendinosus myocutaneous flap for soft-tissue reconstruction of a grade IIIB open tibial fracture in a dog

OBJECTIVE: To describe the clinical use of a semitendinosus myocutaneous flap for soft-tissue reconstruction of a grade IIIB open tibial fracture. STUDY DESIGN: Case report. ANIMALS: A 5-year-old castrated male Labrador retriever with a grade IIIB open tibial fracture. METHODS: A myocutaneous flap was created by elevating the origin of the semitendinosus muscle and the associated overlying skin. The flap was rotated distally based on the distal vascular pedicle into a soft-tissue defect overlying the central and distal third of the tibia. RESULTS: The flap allowed one-stage reconstruction of a severe soft-tissue defect overlying denuded bone in a grade IIIB open tibial fracture. The muscular portion of the flap survived; however, there was necrosis of 3 cm of skin extending distally beyond the muscular portion of the flap. CONCLUSION: Distal rotation of the semitendinosus muscle and overlying skin can be used in the treatment of severe soft-tissue defects of the canine crus. CLINICAL RELEVANCE: Complex soft-tissue injuries to the canine crus can be treated with a myocutaneous flap as a reasonable alternative to other reconstructive techniques.     

Magnetic resonance imaging findings of bone marrow lesions in the equine distal tarsus

Three horses with sudden onset severe lameness were admitted for further diagnostic investigation. All horses had variable changes on radiographs in the distal tarsal region. Because of the sudden onset and severe degree of lameness, a magnetic resonance imaging (MRI) examination was performed. All horses showed areas of increased signal intensity in short tau inversion recovery (STIR) images involving the central and/or third tarsal bones. These lesions involved both the subchondral bone and bone marrow and are currently defined as bone marrow lesions (BML). Two horses were treated with shockwave therapy, one received intra‐articular medication. Two of the horses returned to previous athletic level and one is still in rehabilitation.     

骨折对大鼠凝血指标的影响

Wistar大鼠160只,随机分为8组,正常对照组、6h组、12h组、24 h组、3d组、5d组、7d组、14d组,每组各20只,除对照组外其他各组大鼠均手术使其一侧后肢股骨粉碎性骨折,各时段组大鼠采血测凝血指标:凝血酶原时间(PT)、凝血活酶时间(TT)、纤维蛋白原(FBG)后取患肢血管做病理学检查.两项检查结果表明,大鼠粉碎性骨折后,12 h至3d内的时间段是肢体深静脉血栓(DVT)形成的关键期,此后进入静脉血栓脱落导致肺栓塞的危险期,在骨折前或骨折后的前3d采取积极措施预防DVT可取得较理想的效果.动态监测创伤骨折大鼠凝血指标的变化,对早期预防创伤后深静脉血栓形成具有诊断价值.     

表面半位错环能量修正系数的计算

从弹性位错理论出发,介绍了表面半位错环的弹性自能,通过位错环产生的应力场,给出了表面半位错环的能量修正系数及计算结果.认为所给出的其弹性自能的精确表达式是分析位错从材料表面生成的理论基础.     

Effect of glucocorticoids on cows suspected of subclinical infection with M. paratuberculosis

Summary

Glucocorticoids were administered to 10 heifers suspected of subclinical infection with Mycobacterium paratuberculosis. Three animals remained untreated.

M. paratuberculosis was isolated from the internal organs of 2 animals after this treatment but not from any of the control group. Delayed type hypersensitivity and lymphocyte reactivity towards Johnin and purified protein derivates of M. avium and M. bovis were depressed. A sharp increase in total leucocyte count, due loan increase in neutrophil numbers, occurred. In the three untreated animals these parameters did not change during the experiment.

A decrease of specific immunological reactivity towards M. paratuberculosis occurred, but not to such an extent that clinical disease developed.     

Placement of bone screws in a standing horse for treatment of a fracture of the greater tubercle of the humerus

A mature Thoroughbred gelding that was used as a high level jumper presented for evaluation of a nonweightbearing forelimb lameness following a fall. Radiographs revealed a complete, noncomminuted, minimally displaced sagittal fracture of the greater tubercle. Supporting limb laminitis was a major concern in the short term based on the severe lameness at presentation. Open reduction with internal fixation was chosen over stall rest in an attempt to more rapidly return the weightbearing function to the limb. The procedure was performed standing and 3 bone screws were placed standing in an attempt to avoid implant or catastrophic bone failure that can accompany recovery from general anaesthesia. The day following surgery the lameness was significantly improved as the horse was able to bear some weight on the heel. The gelding was discharged 5 days following surgery and was fully weightbearing at the walk. Six months following surgery the horse was free of lameness and resumed training. This report describes our experience and rationale in placing bone screws in a standing horse for treatment of a greater tubercle fracture.     

农用水泵轴断裂故障分析与工艺改进

农用水泵轴在使用过程中部分出现早期断裂,为了找出水泵轴早期断裂的原因,采用直读光谱仪、扫描电镜、金相显微镜、布氏硬度计和冲击试验机等仪器对断轴的化学成分、宏观断口、显微组织、硬度及冲击功进行了综合分析。分析结果认为,结构设计不合理,表面氧化脱碳以及水泵断轴显微组织存在呈魏氏组织形态的铁素体是导致水泵轴在服役时早期疲劳断裂的主要原因。按照分析的结论,通过增大轴肩处预留圆角尺寸,采用水泵轴热处理炉内气氛保护及提高水泵轴淬火加热温度与冷却速度等改进和优化生产工艺的方法,解决了水泵轴在使用过程中出现早期断裂的问题。该文对提高农业机械产品质量控制和水泵关键零件设计与加工具有重要的参考价值。     

加速康复外科护理对老年股骨颈骨折患者术后恢复及认知功能的影响

目的 观察加速康复外科护理对老年股骨颈骨折患者术后恢复及认知功能的影响。方法 选取本院接受股骨颈骨折手术的老年患者60例,随机分为加速康复外科（enhanced recovery after surgery,ERAS）组和对照组,每组30例。ERAS组采用加速康复外科护理措施,对照组采用传统围手术期护理措施,比较两组住院时间、术后疼痛评分、术后并发症发生情况以及术前1天和术后第7天的简明精神状态量表评分。结果 与对照组比较,ERAS组术后住院时间缩短,术后疼痛评分降低,切口感染、肺部感染、恶心呕吐等并发症发生率降低,差异均有统计学意义（P<0.05或P<0.01）;ERAS组术后髋关节功能Harris得分评级优于对照组（P=0.021）;ERAS组POCD发生率低于对照组,差异具有统计学意义（P=0.046）。结论 加速康复外科护理可安全应用于老年患者股骨颈骨折术围手术期管理,可以促进术后恢复、缩短住院天数、减少并发症的发生,降低POCD发生率,值得临床推广。     

水轮机顶盖部分螺栓断裂后剩余螺栓的强度分析

针对水轮发电机组由于顶盖连接螺栓断裂而导致水淹厂房等严重事故的问题,建立了某电站实际顶盖及螺栓的模型并进行有限元分析.基于Ansys,采用有限单元法求解静力学基本方程,计算得到各种工况下螺栓的应力分布;研究了某混流式水轮机顶盖全部螺栓正常工作时的强度,对部分螺栓断裂后剩余螺栓的强度进行了分析,对比了螺栓在断裂数量为1,2,4,8根以及断裂位置为90°对称分布、邻近分布、180°分布时的应力情况.计算结果表明:部分螺栓断裂后,由于偏载和突变,其余螺栓的最大应力值都会升高;螺栓断裂个数越多,断裂螺栓的分布位置越邻近,则其余螺栓强度越不足.当断裂螺栓数量为4根且处于邻近分布位置时,剩余螺栓的最大应力为744.03 MPa,十分接近螺栓材料的极限容许应力744 MPa;当断裂螺栓处于邻近分布位置且数量达到8根时,剩余螺栓的最大应力达776.21 MPa,增幅达19.69%,已远远超过材料极限容许应力,威胁电站安全运行.