中国修复重建外科杂志最新文献

{"title":"[Effectiveness of lymphaticovenular anastomosis combined with perioperative targeted drainage in treatment of secondary lower limb lymphedema: a prospective randomized trial].","authors":"Xiaoyan Wang, Jing Du, Xiaomao Zhang, Shaoying Lu, Liang Zhao, Hui Cai","doi":"10.7507/1002-1892.202511050","DOIUrl":"10.7507/1002-1892.202511050","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of lymphaticovenular anastomosis (LVA) combined with perioperative targeted multi-layer circular lymphatic drainage in the treatment of secondary lower limb lymphedema using a prospective randomized controlled trial.</p><p><strong>Methods: </strong>In a prospective randomized controlled trial, 80 patients with secondary lower limb lymphedema admitted between January 2023 and September 2025 were initially enrolled and allocated to either the trial group (LVA+targeted lymphatic drainage) or the control group (LVA+conventional lymphatic drainage), 40 in each group. After 2 dropouts in the control group, 78 patients (40 in the trial group, 38 in the control group) were included for analysis. There was no significant difference in the baseline data ( <i>P</i>>0.05), such as age, gender, disease duration, and preoperative lower limb circumference difference, functional scores, and levels of vascular endothelial growth factor C (VEGF-C), transforming growth factor β <sub>1</sub> (TGF-β <sub>1</sub>), and interleukin 6 (IL-6). Both groups underwent LVA. The trial group received perioperative targeted multi-layer circular lymphatic drainage, while the control group received conventional manual lymphatic drainage. Changes in lower limb circumference difference, functional scores, and levels of VEGF-C, TGF-β <sub>1</sub>, and IL-6 were compared between the two groups at various time points before and after operation. Overall effectiveness and safety were also assessed.</p><p><strong>Results: </strong>All patients were followed up 3-12 months (mean, 6.5 months). Postoperatively, the trial group demonstrated significantly better functional recovery and a superior trend in lower limb circumference reduction at all time points compared to the control group ( <i>P</i><0.05). Serological analysis indicated a more pronounced increase in VEGF-C level in the trial group ( <i>P</i><0.05), and a downward trend in TGF-β <sub>1</sub> and IL-6 levels in both groups ( <i>P</i><0.05); no significant difference was observed in TGF-β <sub>1</sub> and IL-6 levels between groups ( <i>P</i>>0.05). At 3 months after operation, indocyanine green fluorescence (ICG) lymphography showed an anastomosis patency rate of 95.0% (38/40) in the trial group, significantly higher than the 68.4% (26/38) in the control group ( <i>P<</i>0.05). The overall effectiveness was rated as significantly effective in 30 cases and effective in 15 cases in the trial group, while as significantly effective in 15 cases, effective in 15 cases, and ineffective in 8 cases in the control group. The difference between groups was significant ( <i>P</i><0.05). The incidence of complications showed no significant difference between trial group and control group (2.5% <i>vs</i> 7.9%， <i>P</i>>0.05).</p><p><strong>Conclusion: </strong>The application of targeted multi-layer circular lymphatic drainage during the perioperative period of LVA is safe and effec","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 4","pages":"637-642"},"PeriodicalIF":0.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13096818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Posterior open approach combined with suture bridge technique for tibial insertion avulsion fractures of posterior cruciate ligament].","authors":"Bowen Zhu, Weijun Wang, Minghao Zhang, Qing Jiang","doi":"10.7507/1002-1892.202511099","DOIUrl":"10.7507/1002-1892.202511099","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effectiveness and technical points of posterior open approach combined with suture bridge technique for the treatment of tibial insertion avulsion fractures of posterior cruciate ligament (PCL).</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 21 patients with PCL tibial insertion avulsion fractures who underwent posterior open approach combined with suture bridge technique between July 2023 and July 2025. There were 14 males and 7 females, aged 11-68 years (mean, 48.3 years). Fracture displacement ranged from 3.9 to 13.7 mm, with an average of 7.9 mm. Preoperative Lysholm score was 46.1±3.9, International Knee Documentation Committee (IKDC) subjective score was 44.8±4.1, and posterior knee laxity was (4.1±0.5) mm. The time from injury to surgery ranged from 1 to 30 days, with an average of 9.4 days. The operation time and intraoperative blood loss were recorded. Knee function was assessed using Lysholm score and IKDC subjective score. Posterior knee laxity was measured bilaterally using a KT-2000 arthrometer, and the results were expressed as the side-to-side difference.</p><p><strong>Results: </strong>All surgeries were successfully completed. The operation time ranged from 40 to 130 minutes (mean, 80.2 minutes), and intraoperative blood loss ranged from 7 to 20 mL (mean, 10.4 mL). All incisions healed by first intention without early complication such as surgery-related infection or neurovascular injury. All 21 patients were followed up 12-20 months, with a mean of 18.3 months. Radiographic examination showed anatomical reduction and bony union in all fractures, with healing time ranging from 8 to 14 weeks (mean, 11.5 weeks). During follow-up, no reduction loss, implant loosening or breakage was observed. At last follow-up, the Lysholm score was 90.3±3.1, IKDC subjective score was 91.0±3.1, and posterior knee laxity was (1.6±0.4) mm, all showing significant differences compared with preoperative values ( <i>P</i><0.05).</p><p><strong>Conclusion: </strong>The posterior open approach combined with suture bridge technique for PCL tibial insertion avulsion fractures offers the dual advantages of reliable reduction under direct vision and robust fixation with suture bridge, demonstrating safety and efficacy. It is particularly suitable for complex cases such as comminuted fractures, old fractures, or those complicated by posterior neurovascular injury.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 4","pages":"557-562"},"PeriodicalIF":0.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13096842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Study on influence of tooth-supported osteotomy guide plates on the accuracy of mandibular segmental resection and its surgical outcome].","authors":"Haodong Ma, Kun Liang, Ruolan Qiu, Liang Liu","doi":"10.7507/1002-1892.202512025","DOIUrl":"10.7507/1002-1892.202512025","url":null,"abstract":"<p><strong>Objective: </strong>To explore and validate the effect of a tooth-supported osteotomy guide plates in assisting mandibular segmental resection, and to evaluate its impact on surgical precision.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on the clinical data of 22 patients who underwent mandibular segmental resection with preoperative digital guide design between January 2023 and June 2025. Patients were divided into two groups according to the placement method of the auxiliary plate: the tooth-supported group and the control group using the traditional guide plate, with 11 patients in each group. There was no significant difference in baseline data between the two groups ( <i>P</i>>0.05), including gender, age, postoperative pathological type, tumor stage, or disease duration. The operation time and intraoperative blood loss were compared between the two groups. At 3 months postoperatively, cone-beam CT scanning were used to measure deviations in the mandibular menton, condylar, and gonion points between pre- and post-operative measurements. Additionally, the number of occlusal contact points before and after operation was recorded for both groups, and occlusal contact deviations were compared.</p><p><strong>Results: </strong>All surgeries were successfully completed, and there was no significant difference in operation time and intraoperative blood loss between the two groups ( <i>P</i>>0.05). The surgical incisions in both groups healed by first intention, and the skin flaps survived without complications such as vascular crises, infections, or fluid accumulation. All donor site wounds healed by first intention without wound dehiscence or infection. The patients were followed up 3-6 months, with a mean of 4.5 months. The tooth-supported group showed smaller deviations at the menton, condylar, and gonion points compared to the control group, and the number of occlusal contact deviations in both the sagittal and lateral occlusion were fewer in the tooth-supported group, with significant differences ( <i>P</i><0.05). During the follow-up, the facial appearance recovered well, and the flaps were not bloated. Due to the influence of osteotomy and scar, all the 22 patients had mild limitation of mouth opening.</p><p><strong>Conclusion: </strong>Tooth-supported osteotomy guide plate can significantly improve the accuracy of guide plate placement, which has important clinical significance for improving the accuracy of mandibular tumor resection and the accuracy of mandibular reconstruction.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 4","pages":"597-603"},"PeriodicalIF":0.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13096848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A study of burden of gout disease in adults attributable to high body mass index and impaired kidney function in China from 1990 to 2023].","authors":"Qingsong Liu, Lin Hu, Yunan Hu, Qianjiang Xiong, Jian Li, Chunxia Yang, Weili Fu","doi":"10.7507/1002-1892.202601049","DOIUrl":"10.7507/1002-1892.202601049","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the changing trends in the burden of gout disease attributable to high body mass index (BMI) and impaired kidney function in China from 1990 to 2023, and predict the burden of gout disease attributable to high BMI and impaired kidney function in China from 2024 to 2035, to provide a scientific basis for gout prevention and control.</p><p><strong>Methods: </strong>Based on the 2023 Global Burden of Disease (GBD) study data, this study analysed the characteristics of the burden of gout attributable to high BMI and impaired kidney function by gender and age group. It employed the Joinpoint regression model to examine trends in the age-standardized disability-adjusted life years (DALYs) rate and utilized the autoregressive integrated moving average (ARIMA) model to predict the disease burden trend from 2024 to 2035.</p><p><strong>Results: </strong>From 1990 to 2023, the age-standardized DALYs rate for gout attributable to high BMI in China increased (1990: 3.79 per 100 000, 95% <i>UI</i>: 2.15 per 100 000-6.24 per 100 000; 2023: 7.34 per 100 000, 95% <i>UI</i>: 4.22 per 100 000-11.39 per 100 000). Joinpoint analysis results showed that from 1990 to 2023, the age-standardized DALYs rate for gout attributable to high BMI in China exhibited an overall upward trend [average annual percent change (AAPC) for males=2.12%, 95% <i>CI</i>: 2.02%-2.22%; AAPC for females=1.92%, 95% <i>CI</i>: 1.79%-2.04%, both <i>P</i><0.05]. For gout attributable to impaired kidney function, the age-standardized DALYs rate showed a slow overall increase in males, while the change in females was not significant (AAPC for males=0.36%, 95% <i>CI</i>: 0.27%-0.45%, <i>P</i><0.05; AAPC for females=0.11%, 95% <i>CI</i>: -0.11%-0.33%). According to the ARIMA model predictions, by 2035, the age-standardized DALYs rates of gout attributable to high BMI in males and females and attributable to impaired kidney function in females were projected to stabilize at 10.85 per 100 000, 3.48 per 100 000, and 1.75 per 100 000, respectively. In contrast, the age-standardized DALYs rate of gout attributable to impaired kidney function in males was predicted to continue rising until 2035, reaching an estimated 5.98 per 100 000.</p><p><strong>Conclusion: </strong>The disease burden of gout associated with high BMI and impaired kidney function continues to worsen in China. The age-standardized DALYs rate for gout attributable to impaired kidney function in males is projected to continue rising until 2035. Therefore, there is an urgent need to improve population-wide BMI management strategies and enhance medical support for patients with kidney diseases, with targeted interventions prioritized among specific groups such as middle-aged obese individuals and middle-aged and elderly patients with kidney diseases.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 3","pages":"430-437"},"PeriodicalIF":0.0,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147468385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Rehabilitation guidelines and specifications for traumatic spinal cord injury (2025 edition)].","authors":"Professional Committee Of Spine And Spinal Cord Injury Rehabilitation China Association Of Rehabilitation Of Disabled Persons, Professional Committee Of Spine Chinese Association Of Rehabilitation Medicine, The Second Medical-Rehabilitation Integration Working Committee Chinese Association Of Rehabilitation Medicine, Spine And Spinal Cord Injury Repair Study Group The Third Professional Committee Of Neurorestoratology Chinese Medical Doctor Association","doi":"10.7507/1002-1892.202601061","DOIUrl":"10.7507/1002-1892.202601061","url":null,"abstract":"<p><strong>Objective: </strong>To address the lack of unified group standards, inconsistent rehabilitation service processes, and waste of rehabilitation resources in the field of traumatic spinal cord injury (TSCI) rehabilitation in China, a standardized rehabilitation specifications for TSCI was established based on the 2017 expert consensus, the latest evidence-based medical evidence, and the International Classification of Functioning, Disability and Health (ICF) framework.</p><p><strong>Methods: </strong>Led by the China Rehabilitation Research Center and funded by the National Key Research and Development Program of China and the Capital Health Research and Development of Special Funds, this guideline was developed by experts from multiple renowned domestic institutions, drawing on international experience and combining it with clinical practice in China.</p><p><strong>Results: </strong>Rehabilitation Guidelines and Specifications for Traumatic Spinal Cord Injury (2025 Edition) clarifies the terminology and definitions of TSCI and specifies standards for the entire process, including pre-hospital first aid, emergency management, clinical diagnosis, acute phase clinical treatment, rehabilitation assessment, and rehabilitation therapy. It details rehabilitation protocols such as physical therapy (motor therapy), occupational therapy, vocational rehabilitation, social rehabilitation, and psychological rehabilitation. Furthermore, it provides specific rehabilitation management strategies for common complications involving the respiratory system, bowel, bladder, cardiovascular system, as well as pain, spasticity, and pressure injuries.</p><p><strong>Conclusion: </strong>This guideline is applicable to medical and health institutions at all levels involved in the diagnosis and treatment of TSCI. Early, accurate, and standardized rehabilitation treatment can effectively reduce disability rates, restore limb function, and improve patients' quality of life. The formulation of this guideline provides a significant basis for the standardized treatment and rehabilitation of TSCI patients in China.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 3","pages":"343-357"},"PeriodicalIF":0.0,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Research advances on subchondral insufficiency fracture and osteonecrosis of the knee].","authors":"Zhenwei Zou, Yirong Zeng, Jianchun Zeng","doi":"10.7507/1002-1892.202510036","DOIUrl":"10.7507/1002-1892.202510036","url":null,"abstract":"<p><strong>Objective: </strong>To clarify the clinical application of the disease terms \"subchondral insufficiency fracture of the knee (SIFK)\" and \"osteonecrosis of the knee (ONK)\", and to review the research progress on this pathological condition.</p><p><strong>Methods: </strong>The research literature in the field of SIFK and ONK both domestically and internationally in recent years was widely reviewed, and the research progress of SIFK and ONK was summarized from the aspects of the current conceptual frameworks, etiological factors and pathogenic mechanisms, clinical and imaging manifestations, therapeutic approaches, and prognostic outcomes.</p><p><strong>Results: </strong>The exact etiology of SIFK remains controversial, and its specific pathogenesis has not been fully elucidated. Subchondral fracture has been identified as the primary pathological feature of this disease entity. SIFK predominantly affects the females over 65 years old, presenting with sudden onset of severe and persistent pain. MRI serves as the gold standard for diagnosis of early-stage SIFK. The characteristic MRI findings include bone marrow edema-like signals and a subchondral low-signal line in the affected femoral condyle. Generally, if bone morphology is preserved without subchondral bone collapse, conservative management is typically the first-line treatment approach. Surgical intervention should be considered if there is no clinical or radiographic improvement after 3 to 4 months of conservative therapy.</p><p><strong>Conclusion: </strong>Considering the pathological features of bone specimens, adopting the SIFK for ONK demonstrates greater appropriateness in diagnosis and management of these disorders. Early diagnosis and management are important for improving the prognosis of SIFK patients.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 3","pages":"482-486"},"PeriodicalIF":0.0,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Research progress of tibial tunnel positioning techniques in posterior cruciate ligament reconstruction].","authors":"Runze Li, Yatong Liao, Fengyuan Guo, Qianzeng Chen, Song Li, Chuan He","doi":"10.7507/1002-1892.202510050","DOIUrl":"10.7507/1002-1892.202510050","url":null,"abstract":"<p><strong>Objective: </strong>To review the research on tibial tunnel positioning techniques in posterior cruciate ligament (PCL) reconstruction to provide references for clinical practice.</p><p><strong>Methods: </strong>Relevant literature on tibial tunnel positioning techniques in PCL reconstruction was extensively reviewed, and summarized. Their advantages, disadvantages, and clinical outcomes were compared.</p><p><strong>Results: </strong>The position of the tibial tunnel is crucial to the prognosis of PCL reconstruction. The commonly used tibial tunnel positioning techniques include transtibial anteromedial anatomical reconstruction, transtibial anterolateral anatomical reconstruction, Inlay technique, and modified tibial low tunnel reconstruction. Recent studies have shown that there is no significant difference in clinical function scores between anterolateral and anteromedial reconstructions, but the former is associated with greater postoperative posterior tibial translation, which may lead to poor knee joint stability in the long-term follow-up. Compared with other techniques, the Inlay technique is more invasive and is generally not the first clinical choice. In contrast to anteromedial reconstruction, modified tibial low tunnel reconstruction can reduce graft wear. But, studies have demonstrated no significant difference in clinical outcomes between the two techniques. In addition, the modified tibial low tunnel reconstruction is a non-anatomical reconstruction method. Studies have indicated that the degree of posterior tibial translation after non-anatomical reconstructions is greater than that after anatomical reconstruction. Whether the knee joint stability can be guaranteed after non-anatomical reconstruction remains unclear, so the advantages of this technique need to be further investigated.</p><p><strong>Conclusion: </strong>Different tibial positioning techniques have their own merits and demerits. At present, there is no clear evidence that any technique has absolute advantages. Surgeons should make a choice based on their own specific conditions and the patient's specific situation.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 3","pages":"476-481"},"PeriodicalIF":0.0,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[2024 American Academy of Orthopaedic Surgeons (AAOS) Clinical Practice Guideline: An interpretation of the diagnosis and management of acute isolated meniscal injury].","authors":"Qianjiang Xiong, Yunan Hu, Lei Fan, Jian Li, Weili Fu","doi":"10.7507/1002-1892.202601059","DOIUrl":"10.7507/1002-1892.202601059","url":null,"abstract":"<p><p>Acute isolated meniscal injury is a common sports-related knee injury in clinical practice. In June 2024, the American Academy of Orthopaedic Surgeons (AAOS) released the latest Clinical Practice Guideline for the Management of Acute Isolated Meniscal Pathology. Based on rigorous evidence-based methodology, the guideline provides systematic recommendations regarding physical examination, imaging evaluation, and both non-operative and operative management strategies, classifying these recommendations according to the strength of evidence. This article aims to interpret the key points in the diagnosis and management of acute isolated meniscal injury, to inform clinical practice and guide future research.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 3","pages":"358-363"},"PeriodicalIF":0.0,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Research on tissue regeneration and engineered scaffold materials in prevention and treatment of lymphedema].","authors":"Shaoxiang Yuan, Chengliang Deng","doi":"10.7507/1002-1892.202509027","DOIUrl":"10.7507/1002-1892.202509027","url":null,"abstract":"<p><strong>Objective: </strong>To summarize the research in tissue regeneration and engineered scaffold materials for the prevention and treatment of lymphedema.</p><p><strong>Methods: </strong>The recent domestic and international literature about lymphangiogenesis-related factors, stem cells, and tissue engineered scaffold materials for the prevention and treatment of lymphedema was extensively reviewed and summarized, and the progress of tissue engineered scaffold materials in prevention and treatment of lymphedema was emphatically introduced.</p><p><strong>Results: </strong>Lymphangiogenesis-related factors, stem cells, and tissue engineered scaffold materials utilize two main strategies to prevent and treat lymphedema: promoting lymphatic network regeneration <i>in vivo</i> and constructing functional lymphatic tissues for transplantation <i>in vitro</i>.</p><p><strong>Conclusion: </strong>Tissue regeneration and engineered scaffold materials provide new approaches for the prevention and treatment of lymphedema. Although innovative developments have been made, most are still at the basic research stage, and clinical translation remains a challenge.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 3","pages":"511-518"},"PeriodicalIF":0.0,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Analysis of current status and trends of disease burden of neck pain in China from 1990 to 2023].","authors":"Zhiyi Lu, Jiahao Li, Jianhua Hu, Yu Zhao","doi":"10.7507/1002-1892.202601124","DOIUrl":"10.7507/1002-1892.202601124","url":null,"abstract":"<p><strong>Objective: </strong>Based on the data from the 2023 Global Burden of Disease (GBD) study, the changing trends of the disease burden of neck pain and its demographic characteristics in China from 1990 to 2023 was systematically evaluated, in order to provide evidence for the formulation of neck pain prevention and control strategies.</p><p><strong>Methods: </strong>Data on the incidence, prevalence, years lived with disability (YLDs), and their age-standardized rates of neck pain in China were extracted from the GBD 2023 database. A descriptive analysis was conducted by stratifying data by gender and age. The Joinpoint regression model was used to analyze the temporal trends of age-standardized incidence, prevalence, and YLDs rates, and the average annual percentage change (AAPC) was calculated.</p><p><strong>Results: </strong>From 1990 to 2023, the number of incident cases, prevalent cases, and YLDs of neck pain in China increased by 66.08%, 83.06%, and 80.49%, respectively, while the age-standardized rates showed relatively small fluctuations overall (rate of change<1.2%). The incidence, prevalence, and YLDs rates in females were higher than those in males, and the age-standardized YLDs rate in females showed a continuous upward trend (AAPC=0.067%, <i>P</i><0.05). The disease burden of neck pain gradually increased with age, being most concentrated in middle-aged, elderly, and advanced-age populations. Joinpoint regression analysis revealed that the age-standardized incidence, prevalence, and YLDs rates exhibited multi-stage changes, with a common upward phase from 2005 to 2009 and a slight decline after 2021.</p><p><strong>Conclusion: </strong>The increase in the absolute burden of neck pain in China is mainly driven by population aging. Priority should be given to focusing on female, middle-aged, and elderly populations, and early intervention should be strengthened to reduce long-term disability burden.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 3","pages":"405-413"},"PeriodicalIF":0.0,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147468660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}