{"title":"Partial resuscitative endovascular balloon occlusion of the aorta as a resuscitative strategy in traumatic hemorrhagic shock: A retrospective analysis of a Chinese single-center cohort.","authors":"Haojian Deng, Xianxin Gan, Junrui Li, Rui Wang, Liuliang Zhang, Keke Ding, Xiaogang Li, Tao Gan, Qian Liu, Linhua Wei","doi":"10.1016/j.cjtee.2025.10.007","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.10.007","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the clinical outcomes of partial resuscitative endovascular balloon occlusion of the aorta (p-REBOA) in trauma patients with hemorrhagic shock.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on traumatic hemorrhagic shock patients managed with p-REBOA (using a blood pressure-guided strategy to maintain 90-100/60-70 mmHg) in the emergency department of a Class A Tertiary Hospital from January 2020 to December 2024. The primary outcome was 90 day survival. Key secondary variables included hemodynamic parameters, REBOA procedural details, and complications. Continuous data are presented as mean ± standard deviation or median (Q<sub>1</sub>, Q<sub>3</sub>) depending on distribution; categorical data as n (%). Group comparisons were performed using χ<sup>2</sup> or Fisher's exact tests for categorical variables and t-tests or Mann-Whitney U tests for continuous variables.</p><p><strong>Results: </strong>Fifty-two patients with traumatic hemorrhagic shock were enrolled, among whom 21 died, and 31 survived. All patients were critically injured, with an injury severity score of 26 (16, 35) and the median Glasgow coma scale of 8 (3, 15). All patients presented with shock-related syndromes, and the median p-REBOA operation time was 14 (10, 20) min. After p-REBOA, blood pressure increased from 74 ± 18/44 ± 11 mmHg on admission to 100 ± 21/58 ± 14 mmHg. Shock-induced effects on pH and lactate levels resolved 24 h after p-REBOA; 48 people underwent damage control surgery after p-REBOA. Trauma-induced coagulopathy, pulmonary infection, and shock-related liver/kidney injuries were the most common complications. Patients with concomitant injuries (brain and thoracic) had a significantly lower survival rate than those with isolated injuries.</p><p><strong>Conclusion: </strong>With blood pressure maintained at 90 - 100/60 - 70 mmHg as a guideline, the use of non-compliant balloon catheters for p-REBOA in trauma patients suffering hemorrhagic shock offers enhanced hemodynamic stability, fewer p-REBOA-associated complications, and higher survival rates. However, implementing p-REBOA in polytrauma patients with concomitant craniocerebral and thoracic injuries warrants cautious evaluation.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jun Li, Ya Cheng, Zhen Zhang, Hong Wang, Jianhui Fan, Yanlun Li, Shulin Zheng, Xianming Huang, Qin He
{"title":"Trans-fracture approach of intra-body supporter implantation for thoracolumbar vertebral compression fractures: A technical note and 18 cases with 2-year follow-up.","authors":"Jun Li, Ya Cheng, Zhen Zhang, Hong Wang, Jianhui Fan, Yanlun Li, Shulin Zheng, Xianming Huang, Qin He","doi":"10.1016/j.cjtee.2026.01.003","DOIUrl":"https://doi.org/10.1016/j.cjtee.2026.01.003","url":null,"abstract":"<p><strong>Purpose: </strong>Vertebral body height loss happens after restoration due to insufficient support. This note described a novel technique for the restoration of vertebral compression fracture (VCF). The feasibility and safety of the proposed surgical technique were proved.</p><p><strong>Methods: </strong>This is a prospective study including patients from May 2022 to May 2023. Non-osteoporotic VCF patients were treated with trans-fracture intra-vertebral body fusion (TFIF) surgery. Patients who met the following criteria were included: (1) age < 55 years; (2) single-level VCF with or without neurologic symptoms; (3) reduced anterior vertebral body height > 20% measured from lateral X-ray radiography; (4) A1 and A3 VCF of AO type; (5) written informed consent. Cases with fractures caused by infection and tumor, and a history of inter-body fusion procedure were excluded, as well as patients with a follow-up period of less than 1 year. The anterior vertebral height proportion (AVBH), median vertebral height proportion (MVBH), posterior vertebral height proportion (PVBH), Cobb angle, wedge angle, and visual analogue scale (VAS) were measured at any follow-up time point. Differences between pre- and post-operation, and post-operation and final follow-up time points were compared through a paired Wilcoxon test (non-normal distribution data) or a paired t-test (normal distribution data).</p><p><strong>Results: </strong>A total of 18 patients, aged (47.9 ± 7.8) years, were finally included in the study with an average follow-up period of (24.8 ± 5.4) months. The TFIF surgery restored AVBH, MVBH, and PVBH from 0.594 ± 0.090 to 0.927 ± 0.052, 0.626 ± 0.114 to 0.910 ± 0.077, and 0.899 ± 0.067 to 0.970 ± 0.034, respectively (all p < 0.001). Meanwhile, the AVBH, MVBH, and PVBH were maintained well from immediate post-operation to final follow-up: 0.927 ± 0.052 vs. 0.927 ± 0.039, 0.910 ± 0.077 vs. 0.921 ± 0.047, and 0.970 ± 0.034 vs. 0.978 ± 0.031, respectively. Cobb angle and wedge angle lost slightly from immediate post-operation to final follow-up: 4.21° ± 4.02° vs. 6.41° ± 3.83°, and 5.49° ± 9.61° vs. 7.99° ± 12.51°, respectively. The TFIF surgery relieved pain efficiently (7.94 ± 0.54 vs. 4.89 ± 0.58, p < 0.001).</p><p><strong>Conclusion: </strong>The TFIF surgery restored the vertebral height almost completely. The cage supported and maintained vertebral height in the long-term with a slight loss. Thus, the TFIF surgery is a safe and feasible approach.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating the efficacy of intra-articular human amniotic suspension allografts for knee osteoarthritis management: A systematic review and meta-analysis.","authors":"Ibrahim Serag, Mohamed Abouzid","doi":"10.1016/j.cjtee.2025.05.005","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.05.005","url":null,"abstract":"<p><strong>Purpose: </strong>Osteoarthritis (OA) is a degenerative joint disease characterized by chronic pain and impaired motor function, posing a significant global health burden. Despite the availability of various treatments to alleviate symptoms, effective long-term management of OA remains a challenge. Recent studies have highlighted the potential role of human amniotic suspension allografts (ASA) in treating knee OA. This study aims to evaluate the efficacy of intra-articular ASA injections for managing knee OA.</p><p><strong>Methods: </strong>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Cochrane handbook, we conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) and case series examining the efficacy of ASA on knee OA outcomes. We searched the following electronic medical databases: Embase, PubMed, Web of Science, SCOPUS, and Cochrane Library from inception till March 2024. Studies were included if they involved patients with knee OA, used ASA as the intervention, compared pre- and post-treatment outcomes, and reported knee OA outcome score as the primary outcome with visual analog scale, international knee documentation committee, single assessment numeric evaluation score, and quality of life as secondary outcomes. Data were reported as mean differences (MD) and 95% confidence interval (CI). A p value less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Our analysis included 5 studies with a total of 262 patients. ASA injections significantly improved knee OA outcome scores, with an MD of 10.90 points (95% CI: 6.78 to 15.03, p < 0.001). We assessed pain using the visual analog scale and showed a significant reduction with an MD of -35.54 (95% CI: -37.73 to -33.35, p < 0.001). Quality of life showed improvement with an MD of 19.23 (95% CI: 15.03 to 23.42, p < 0.001). The international knee documentation committee sore demonstrated significant improvement with an MD of 28.60 (95% CI: 21.18 to 36.02, p < 0.001). The single assessment numeric evaluation scores also increased significantly, with an MD of 23.84 (95% CI: 18.39 to 29.29, p < 0.001). Lastly, regarding the studies' quality, the 3 RCTs ranged from high quality, with some concerns, to low risk of bias. Additionally, some concerns were identified in 1 non-RCT. The single case series included was assessed as high quality.</p><p><strong>Conclusion: </strong>ASA intra-articular injections represent a promising treatment for knee OA, offering significant pain relief and functional benefits. Despite these positive outcomes, further large-scale RCTs with diverse populations are needed to prove the evidence.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peiyuan Wang, Chengsi Li, Zihang Zhao, Yiran Li, Shuo Yang, Lin Liu, Kuo Zhao, Zhiang Zhang, Lin Jin, Wei Chen, Zhiyong Hou
{"title":"A nomogram for assessing the risk of deep vein thrombosis following surgery for pilon fractures.","authors":"Peiyuan Wang, Chengsi Li, Zihang Zhao, Yiran Li, Shuo Yang, Lin Liu, Kuo Zhao, Zhiang Zhang, Lin Jin, Wei Chen, Zhiyong Hou","doi":"10.1016/j.cjtee.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.04.006","url":null,"abstract":"<p><strong>Purpose: </strong>Deep vein thrombosis (DVT) can occur following fractures of the lower extremities. This study investigated DVT incidence following pilon fractures and analyzed the related risk factors. A nomogram was developed and validated for predicting the likelihood of postoperative DVT.</p><p><strong>Methods: </strong>From January 2017 to January 2023, data on 1689 patients with pilon fractures at Hebei Medical University's Third Hospital was obtained for this study. The DVT group consisted of DVT cases, while members of the non-DVT group did not have DVT. In order to collect information on demographics, comorbidities, injuries, and laboratory biomarkers, the inpatient medical record system was consulted. The multivariate logistic regression analysis incorporated factors found to be significant (p < 0.05) in the univariate analysis. Independent factors predictive of DVT were identified with a backward stepwise regression approach. Predictors were analyzed in R with the construction of a nomogram.</p><p><strong>Results: </strong>The DVT rate (166 of 1238) in the current study was 13.4%. Using univariate analysis, several DVT predictors were identified, including smoking history (p < 0.001), open fracture (p = 0.001), fracture blister (p < 0.001), body mass index (BMI) (p < 0.001), and Elixhauser comorbidity index (ECI) (p < 0.001). Furthermore, globulin levels were considerably greater in the DVT group relative to the non-DVT group (p = 0.001), while platelets counts were lower (p < 0.001). Higher BMI (p < 0.001, odds ratio (OR) = 0.837, 95% confidence interval (CI) (0.763 - 0.919)), open fracture (p < 0.01, odd ratio (OR) = 0.431, 95% confidence interval (CI) (0.286 - 0.649)), fracture blister (p = 0.018, OR = 0.589, 95% CI (0.380 - 0.912)), smoking history (p = 0.011, OR = 0.561, 95% CI (0.360 - 0.874)), and a higher ECI (p < 0.001, OR = 0.776, 95% CI (0.681 - 0.884)) were all strongly associated with DVT, as per the stepwise logistic regression analysis. Five variables independently linked to DVT were the basis for developing the nomogram.</p><p><strong>Conclusions: </strong>The present research indicates that pilon fractures are more susceptible to DVT than typical ankle fractures, attributed to their high-energy injury characteristics. It was found that BMI, the existence of an open fracture, the lack of blisters, a smoking history, and ECI are independently predictive of DVT following surgery in pilon fracture cases. Consequently, the current study developed a nomogram based on these discovered indicators to facilitate early targeted interventions.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wenpei Yang, Xiaoyu Shi, Lizheng Xie, Hao Zhang, Lina Shen, Li Pan, Shi Feng, Xiang Mao, Xiao Wu
{"title":"The brain-lung axis: bridging neurological and respiratory disorders via neural-immune-microbial dialogue.","authors":"Wenpei Yang, Xiaoyu Shi, Lizheng Xie, Hao Zhang, Lina Shen, Li Pan, Shi Feng, Xiang Mao, Xiao Wu","doi":"10.1016/j.cjtee.2025.10.006","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.10.006","url":null,"abstract":"<p><p>The human brain maintains intricate interconnections with various peripheral organs. Recent scientific inquiry has substantiated the existence of the gut-brain axis; nevertheless, emerging evidence suggests that the brain and lungs engage in bidirectional communication through multiple pathways, thereby giving rise to the conceptualization of a brain-lung axis. Studies indicate the presence of crosstalk between the central nervous system and the lungs, mediated by the lung microbiome, neural pathways, metabolite signaling, and immune pathways. This bidirectional communication between the brain and lungs is further implicated in the pathogenesis of several diseases: traumatic brain injury, stroke, and other cerebral disorders can precipitate pulmonary injury; conversely, severe pulmonary conditions, such as acute respiratory distress syndrome and chronic obstructive pulmonary disease, can exacerbate neuroinflammation, intensify brain damage, impair neurological function, and contribute to adverse prognoses. Exploring the brain-lung axis not only facilitates a multifaceted understanding of disease progression, but also unveils critical targets for therapeutic intervention. Research into the brain-lung axis provides novel perspectives for deciphering underlying pathological mechanisms, developing diagnostic methodologies, and formulating treatment strategies. It further establishes a theoretical foundation for cross-organ targeted therapies, holding promise for ameliorating patient outcomes and promoting the advancement of integrated diagnostic and therapeutic approaches for respiratory and neurological disorders.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Traumatic brain injury impact on normal hearing.","authors":"Fazle Kibria, Sudip Kumar Das","doi":"10.1016/j.cjtee.2025.05.006","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.05.006","url":null,"abstract":"<p><p>Traumatic brain injury (TBI) incidents bring drastic health adversities in multiple systems of the body. The immediate impact on the head and central nervous system is promptly accelerated to the autonomous and peripheral nervous system. It causes an instant variability in intracranial pressure, heart rate, blood pressure, normal function of chemo/baro receptors, and sudden failure in normal communication. These effects promote long-term secondary health adversity, such as nerve schwannoma, gliosis, Wallerian degeneration, mitochondrial dysfunction, change in blood-brain barrier pathology, and impaired drainage of cerebrospinal fluid. The focal and diffuse character of TBI has a primary effect on the auditory system in terms of outer, middle, and inner ear damage. Auditory nerve dysfunction, central auditory miscommunication with the brain, intracanalicular vestibular schwannomas, lesions in cortical regions, hair cell damage, and spiral ganglion injury cause long-term secondary consequences on normal hearing function associated with TBI. In this present work, normal hearing impairment due to TBI-induced nerve damage, central-peripheral auditory dysfunction, long-term hearing loss, and associated other health impacts are highlighted.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"HIMAP POCUS protocol for early evaluation of undifferentiated shocked patients at the emergency department: A prospective study of diagnostic accuracy and time efficiency.","authors":"Mohamed Fawzy Tantawy, Samah Saad Zekr Allah, Abdulaziz Abaas Taalab, Magdy Ahmed Lolah, Shaimaa Abdelhamid Hassanein","doi":"10.1016/j.cjtee.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.06.002","url":null,"abstract":"<p><strong>Purpose: </strong>Rapid and accurate diagnosis of shock etiology is essential for appropriate management in critically ill patients. The heart, inferior vena cava (IVC), Morrison's pouch/focused assessment with sonography for trauma, aorta, pulmonary (HIMAP) protocol utilizes point-of-care ultrasound (POCUS) to evaluate undifferentiated shock. Our study aims to assess the diagnostic performance and feasibility of early application of the HIMAP POCUS protocol during the initial assessment of undifferentiated shocked patients at the emergency department.</p><p><strong>Methods: </strong>This prospective study included 51 adult patients presenting with undifferentiated shock. Providers performed the HIMAP protocol, and provisional shock diagnoses based on primary assessment and the HIMAP protocol were recorded. These were compared to the final diagnosis based on investigations and consultant opinion. Accuracy, sensitivity, specificity, and positive/negative predictive values were calculated.</p><p><strong>Results: </strong>Among the included 51 patients, 29 (56.9%) were male, 11 (21.6%) were smokers, and 23 (45.1%) had a history of hypertension. For hypovolemic shock, the main HIMAP findings were a small IVC diameter <1.7 cm in 14 (56.0%), a high IVC collapsibility index >50% in 23 (92.0%), and no pleural effusion in 23 (92.0%). Septic shock correlated with LV hyperdynamics in 15 (48.4%), and IVC diameter <1.7 cm in 14 (45.2%). Cardiogenic shock is associated with impaired left ventricle contractility in 10 (90.9%), IVC diameter >2.1 cm in 10 (90.9%), and pleural effusion in 6 (54.5%). The HIMAP protocol demonstrated high diagnostic accuracy of 92.2%-100% and predictive values of 85.7%-100% for hypovolemic, septic, obstructive, cardiogenic, and mixed shock types against the final diagnosis.</p><p><strong>Conclusion: </strong>The HIMAP POCUS technique served as an early quick evaluation tool for emergency and acute care clinicians and showed a remarkable diagnostic performance for patients presenting with undifferentiated shock in the emergency department.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global burden, trends, and projections of tetanus for 2050: Based on the 2021 Global Burden of Disease Study.","authors":"Tongying Liu, Menglong Liu, Guosheng Yang, Qingqing Ye, Tianjing Sun, Xiaojun Zhang, Anping Liu, Renjie Song, Can Luo, Xiaofei Huang, Anyong Yu, Haizhen Duan","doi":"10.1016/j.cjtee.2026.01.001","DOIUrl":"https://doi.org/10.1016/j.cjtee.2026.01.001","url":null,"abstract":"<p><strong>Purpose: </strong>This study explores long-term trends and epidemiological characteristics of the global burden of tetanus over the past 3 decades and projects its disease burden up to 2050, providing a comprehensive assessment of the global impact of tetanus.</p><p><strong>Methods: </strong>The data of this study covers the period from 1990 to 2021, with projections made for 2050. Drawing on methodologies and findings of the Global Burden of Disease and Risk Factors Study 2021, employing key indicators such as prevalence, incidence, mortality, disability-adjusted life years, years lived with disability, and years of life lost provides a detailed account of the global burden of tetanus. By utilizing the socio-demographic index (SDI) values across different global regions, along with decomposition analysis and the Bayesian Age-Period-Cohort model, this study further elucidated the epidemiological patterns of tetanus and projected its global disease burden up to 2050. Integrating sample data and prior knowledge of unknown parameters yields posterior distributions for further parameter inference. This study uses the Bayesian Age-Period-Cohort and Integrated Nested Laplace Approximations packages in R for prediction and employs decomposition analysis to identify key factors influencing tetanus burden.</p><p><strong>Results: </strong>From 1990 to 2021, the global burden of tetanus showed a declining trend. In 2021, the disease burden was mainly concentrated among males and newborns. Specifically, the global incidence rate among males was 20,490 (95% uncertainty interval: 15,059-26,547), and among newborns was 14,263 (95% uncertainty interval: 5767-25,942). Within regions with different SDI levels, high-SDI regions had a lower disease burden, while low-SDI regions faced a heavier burden. Decomposition analysis indicated that epidemiological factors were the key determinants of the global burden of tetanus. The Bayesian Age-Period-Cohort projections suggested that by 2050, the global burden of tetanus would continue to decline, but the uncertainty interval would widen.</p><p><strong>Conclusion: </strong>The reduction in the global disease burden of tetanus reflects the success of global prevention and control efforts. Future prevention strategies should, building on existing immunization foundations, focus on newborns and men as key target groups, strengthen tetanus immunization for pregnant women, and intensify public awareness campaigns on tetanus prevention to maintain the disease burden at a low level.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wen-Long Liu, Yu Nie, Lei Dong, Zheng-Zheng Xiao, Da-Shuai Liu
{"title":"First exploration of three-dimensional-printed guide plate in balloon tibioplasty: A case report.","authors":"Wen-Long Liu, Yu Nie, Lei Dong, Zheng-Zheng Xiao, Da-Shuai Liu","doi":"10.1016/j.cjtee.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.03.006","url":null,"abstract":"<p><p>To overcome the drawbacks of traditional balloon tibioplasty (BT), this study designed a complete scheme for applying 3-dimensional (3D)-printed guide plate to BT, and preliminarily verified the feasibility. The authors report a patient with tibial plateau fracture. 3D models were constructed using CT data of patient. Guided K-wires and reduction fragments were generated using the Mimics/Geomagic software. A 3D model of the quasi-platform part was subsequently generated using the outer platform surface profile. Extension arms and Kirschner pinholes were generated by sketching, wrapping, shearing, and performing Boolean and other operations. The guide plate was created using 3D printing and surgically verified. The verification results showed that the quasi-platform part was placed smoothly, fitted the physiological curvature of the articular surface, and maintained stable reduction, demonstrating the feasibility of the guide plate. Compared with traditional BT, 3D-printed guide plate-assisted BT has the theoretical advantages of accurate reduction, prevention of bone cement leakage, short operation time, and low surgical difficulty, thus providing a new method for the treatment of Schatzker type II/III tibial plateau fractures.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}