Tetraphenylethene-based mononuclear aggregation-induced emission (AIE)-active mechanofluorochromism gold(I) complexes with different auxiliary ligands.

In this study, a series of tetraphenylethene-containing gold(I) complexes with different auxiliary ligands have been synthesized. These complexes were characterized using a variety of techniques including nuclear magnetic resonance spectroscopy, mass spectrometry, and single crystal X-ray diffraction. Their aggregation-induced emission (AIE) behaviors were investigated through ultraviolet/visible and photoluminescence spectrum analyses, and dynamic light scattering measurements. Meanwhile, their mechanofluorochromic properties were also studied via solid-state photoluminescence spectroscopy. Intriguingly, all these mononuclear gold(I) molecules functionalized by tetraphenylethene group demonstrated AIE phenomena. Furthermore, five gold(I) complexes possessing diverse auxiliary ligands exhibited distinct fluorescence changes in response to mechanical grinding. For luminogens 2-5, their solids showed reversible mechanofluorochromic behaviors triggered by the mutual transformation of crystalline and amorphous states, while for luminogen 1, blue-green-cyan three-color solid fluorescence conversion was realized by sequential mechanical grinding and solvent fumigation. Based on this stimuli-responsive tricolored fluorescence feature of 1, an information encryption system was successfully constructed.

The Outcomes of Balanced Orbital Decompression for Dysthyroid Optic Neuropathy: Focusing on Choroiretinal Folds with and without Optic Disc Edema.

Purpose: To assess the outcomes of balanced orbital decompression for chorioretinal folds (CRFs) with and without optic disc edema (ODE) in dysthyroid optic neuropathy (DON). Method: A retrospective, interventional study was performed at Sun Yat-sen Memorial Hospital from April 2018 to November 2021. We collected the medical records of 13 patients (24 eyes) with DON and CRFs. Then, we divided them into the ODE group (15 eyes, 62.5%) and the non-ODE group (NODE group, 9 eyes, 37.5%). The valid ophthalmic examination parameters of 8 eyes in each group after balanced orbital decompression were compared at the 6-month follow-up. Results: The mean best corrected visual acuity (BCVA, 0.29 ± 0.27) and visual field-mean deviation (VF-MD, -6.55 ± 3.71 dB) in the ODE group were significantly worse than those in the NODE group (0.06 ± 0.15 and -3.49 ± 1.56 dB; all p < 0.01). Six months after orbital decompression, all parameters were found to have significantly improved in both groups, including BCVA and VF-MD (all p < 0.05). Moreover, the improvement amplitude of BCVA (p = 0.020) in the ODE group was significantly greater than that in the NODE group. There was no difference in BCVA between the ODE group (0.13 ± 0.19) and the NODE group (0.10 ± 0.13). The disc edema of all eyes (8/8 eyes, 100%) in the ODE group was completely mitigated after orbital decompression. The CRF resolution of 2 eyes (2/8 eyes, 25%) in the ODE group and no eyes in the NODE group was mitigated. Conclusions: Balanced orbital decompression can significantly improve visual functions and eliminate optic disc edema in DON patients, whether CRF relieves or not.

[Pollution Characteristics and Health Risk Assessment of Heavy Metals in PM2.5 of Different Air Masses During Heating Season in Tianjin].

In order to explore the pollution characteristics and health risks of heavy metals in PM2.5 in Tianjin, heavy metal samples (Pb, Cd, Cr, As, Zn, Mn, Co, Ni, Cu, and V) in PM2.5 were analyzed from November 2020 to March 2021 using the Xact-625 heavy metal online analyzer. The spatial and temporal distribution characteristics were analyzed using the HYSPLIT model, and the health risks of heavy metals were analyzed using the US EPA risk assessment model. The results indicated that the average total concentration of the 10 heavy metal elements was (261.56±241.74) ng·m-3, among which the concentrations of Cr ï¼»converted Cr(Ⅵ)ï¼½ and As were higher than the annual average limit of the National Ambient Air Quality Standard (GB 3095-2012). According to the back trajectory results, the medium-distance transmissions from northwest areas (NO.1), the long-distance transmissions from northwest areas (NO.2), the transmissions from southwest areas (NO.3), and the transmissions from northeast areas (NO.4) were the major sources in Tianjin City. The heavy metals of different air masses presented different pollution characteristics and health risks; the concentration of PM2.5, the total concentration of the 10 heavy metal elements, and the total carcinogenic risk of the five heavy metal elements of the NO.3 air mass were the highest, whereas the total non-carcinogenic risk of the 10 heavy metal elements of the NO.2 air mass was higher than that of the other two air mass. The health risk assessment showed that Mn posed non-carcinogenic risks to children, and Cr and As presented carcinogenic risk. Meanwhile, Cd of the NO.3 air masses also presented carcinogenic risk.

Carbazole-based aggregation-induced phosphorescent emission-active gold(I) complexes with various phosphorescent mechanochromisms.

A series of carbazole-containing gold(I) complexes modified with different substituents were successfully designed and synthesized, and their molecular structures were characterized by nuclear magnetic resonance spectroscopy and mass spectrometry. The aggregation-induced behaviors of these gold(I) complexes were studied by ultraviolet/visible and photoluminescence spectroscopy. Meanwhile, their mechanical force-responsive emissive properties were also investigated via solid-state photoluminescence spectroscopy. Interestingly, all these gold(I)-based luminogenic molecules were capable of exhibiting aggregation-induced phosphorescent emission phenomena. Furthermore, their solids of three gold(I) complexes displayed contrasting mechano-responsive phosphorescence features. More specifically, trifluoromethyl or methoxyl-substituted luminophores 1 and 3 demonstrated mechanochromic behaviors involving blue-shifted phosphorescence changes, and their mechanoluminochromic phenomena were reversible. However, the solid-state phosphorescence of phenyl-substituted luminophor 2 was not sensitive to external mechanical force.

Eye Habits Affect the Prevalence of Asthenopia in Patients with Myopia.

Purpose: This study aims to explore the risk factors of asthenopia in the myopic population. Methods: In this cross-sectional study, myopia patients were inquired about their eye habits and were requested to complete an asthenopia questionnaire and ocular examinations. Age, gender, occupation, anisometropia, eye care education, weekly outdoor activity time, duration of continuous near work, daily screen time, dry eye, near phoria, and binocular accommodative facility were calculated using the Student's test-test, Mann Whitney U test, and Pearson's chi-square test. Spherical equivalents and astigmatism were calculated using a generalized estimating equation. Binary logistic regression was performed on factors with a p-value <0.05. Results: Of the 65 myopic patients, 57% showed asthenopia, 52% experienced blurry vision, 37% felt their eyes hurt or sore, and 28% felt tired when performing close work. Asthenopia patients were older than patients without asthenopia (Z = -2.887, p=0.004). Daily screen time, continuous near-work time, eye care education, and dry eye were positively correlated with asthenopia (χ 2 = 8.64, p=0.003; χ2 = 13.873, p < 0.001, χ2 = 9.643, p=0.002; χ2 = 7.035, p=0.008). After eliminating collinearity, eye care education and continuous near-work time were identified as independent risk factors of asthenopia, with odds ratios of 0.115 and 4.227, respectively. Conclusion: This study shows that receiving eye care education from schools and hospitals and limiting near-work duration to less than 45 minutes per session could reduce the occurrence of asthenopia in myopic patients. This approach may be a more economical and convenient way for myopic people to relieve asthenopia.

[Characteristics and Meteorological Factors of PM2.5-O3 Compound Pollution in Tianjin].

The characteristics, pollutant concentration distribution, and key meteorological factors of PM2.5-O3 compound pollution in Tianjin were analyzed based on the high-resolution online monitoring data of PM2.5, O3,and meteorological data observed in Tianjin from 2013 to 2019. Total PM2.5-O3 compound pollution was 94 days and showed a decreasing trend by year; a significant decreasing trend of PM2.5-O3 compound pollution days were observed in the early stage, with a decline rate of 52.2% from 2013 to 2015. By contrast, in the later period from 2016 to 2019, a fluctuating increasing trend of PM2.5-O3 compound pollution days of 16.7% was observed. PM2.5-O3 compound pollution days mainly occurred from March to September each year with substantial variation by year, mainly occurring in June to August from 2013 to 2016 and in April and September from 2017 to 2019. The peak value of ρ(O3) (301-326 µg·m-3) appeared when ρ(PM2.5) ranged from 75 µg·m-3 to 85 µg·m-3. PM2.5-O3 compound pollution days accounted for 34.4% of total O3 pollution events in Tianjin, which showed a decreasing trend by year. The peak O3 concentration and average O3 concentration during PM2.5-O3 compound pollution were higher than those during simplex O3 pollution, and the number of days with PM2.5 and O3 as the primary pollutant decreased and increased in compound pollution days by year, respectively. The weather situation of PM2.5-O3 compound pollution was categorized into five weather types, namely low pressure, weak high pressure, rear of high pressure, front of cold front, and equalized pressure. The low pressure, front of cold front, and weak high pressure were observed most frequently, accounting for 92.5% of the total weather situation. The occurrence of PM2.5-O3 compound pollution was most probable when the dominant wind direction was the southwest and south, the average wind speed was less than 2 m·s-1, the temperature was between 20-35℃, and the humidity was between 40%-60%.

Highly emissive D-A-π-D type aggregation-induced emission (AIE) or aggregation-induced emission enhancement (AIEE)-active benzothiadiazole derivatives with contrasting mechanofluorochromic features.

Mechanochromic luminophors with strong solid-state emission are promising candidates for high-contrast mechanochromic luminescence materials. Meanwhile, mechanically responsive luminogenic molecules with tricolor switching are highly desirable but are seldom reported. In this work, three anthracene-based donor-acceptor-π-donor (D-A-π-D) type benzothiadiazole derivatives were designed and synthesized. These luminogens showed remarkable aggregation-induced emission (AIE) or aggregation-induced emission enhancement (AIEE) effect. Furthermore, these luminogens exhibited bright and different solid state fluorescence involving yellow-green, yellow and orange colors, and the fluorescence of their solids could be effectively regulated by mechanical grinding. For luminogen 1, its solid displayed reversible two-color mechanofluorochromic property. As for luminogens 2 and 3, their solids displayed fluorescent colors change from yellow to yellow-green upon slight grinding, and the yellow-green light-emitting solids were converted into orange fluorescent solids after heavy grinding, demonstrating interesting three-color mechanofluorochromism features.

[Characteristics and Sources of PM2.5-O3 Compound Pollution in Tianjin].

The characteristics and sources of PM2.5-O3 compound pollution were analyzed based on the high-resolution online monitoring data of PM2.5, O3 and volatile organic compounds(VOCs) observed in Tianjin from 2017 to 2019. The results showed that total PM2.5-O3 compound pollution was 34 days, which only appeared between March and September and slightly increased by year. The peak value of ρ(O3)(301-326 µg·m-3) appeared when ρ(PM2.5) ranged from 75 µg·m-3 to 85 µg·m-3. During PM2.5-O3 compound pollution, the average ρ(VOCs) was 72.59 µg·m-3, and the chemical compositions of VOCs were alkanes, aromatics, alkenes, and alkynes, accounting for 61.51%, 20.38%, 11.54%, and 6.57% of VOCs concentration on average, respectively. The concentration of the top 20 species of VOCs increased, among which the proportion of alkane species such as ethane, n-butane, isobutane, and isopentane increased; the proportion of alkenes and alkynes decreased slightly; and the proportion of benzene and 1,2,3-trimethylbenzene of aromatic hydrocarbons increased slightly. The ozone formation potential(OFP) contribution of alkanes, alkenes, aromatics, and alkynes were 19.68%, 39.99%, 38.08%, and 2.25%, respectively; the contributions of alkanes, alkenes, and aromatics to secondary organic aerosol(SOA) formation potential were 7.94%, 2.17%, and 89.89%, respectively. Compared with that of non-compound pollution, the contribution of alkanes and aromatics to OFP increased 13.8% and 4.3%, and that to SOA formation potential increased 2.3% and 0.2%, respectively. The contribution of alkenes to OFP and SOA formation potential decreased 9.4% and 15.6%, respectively, and the contribution of alkynes to OFP increased 7.7% in compound pollution. The contributions of main species such as 1-pentene, n-butane, methyl cyclopentane, isopentane, 1,2,3-trimethylene, propane, toluene, acetylene, o-xylene, ethylbenzene, m-ethyltoluene, and m/p-xylene to OFP increased, and that of isoprene to OFP decreased. The contribution of benzene, 1,2,3-trimethylbenzene, toluene, and o-xylene to the potential formation of SOA increased during compound pollution. Positive matrix factorization was applied to estimate the contributions of sources to OFP and SOA formation potential in compound pollution, solvent usage, automobile exhaust, petrochemical industrial emission, natural source, liquefied petroleum gas(LPG) evaporation, combustion source, gasoline evaporation, and other industrial process sources were identified as major sources of OFP and SOA formation potential; the contributions of each source to OFP were 21.9%, 16.9%, 16.7%, 12.4%, 8.3%, 7.7%, 2.9%, and 13.2%, respectively, and to SOA formation potentials were 46.8%, 14.4%, 7.1%, 11.9%, 5.9%, 6.6%, 1.6%, and 5.7%, respectively. Solvent usage, automobile exhaust, and petrochemical industrial emissions were main sources for PM2.5-O3 compound pollution.

[Formation and Prevention of Secondary Nitrate in PM2.5 in Tianjin].

To study the formation and approaches to controlling secondary nitrate in PM2.5, the ionic compositions of PM2.5, pH of aerosols, variations in NH3-NH4+ and HNO3-NO3- concentrations, and the joint NH3/HNO3 sensitivity regime map of ammonium nitrate were investigated based on high-resolution online monitoring data for an urban site in central Tianjin from 2018 to 2019. The results showed that the average concentration of PM2.5 was 58µg·m-3, and the main ionic compositions of PM2.5 were nitrate (NO3-), ammonium (NH4+), sulfate (SO42-), Cl-, and K+ with corresponding mass percentages of 18.4%, 11.6%, 10.3%, 3.3%, and 2.6%, respectively. Concentrations of PM2.5 and the main components were relatively high during the heating season and relatively low during the non-heating season. The aerosols were weakly acidity with an average pH of 5.21; pH was higher in spring and winter and lower in summer and autumn, and diurnal variations pH were lower in the morning (00:00-08:00) and slightly higher at other times. The concentrations of NH3(g) (gas NH3) and HNO3(g) (gas HNO3) were 16.7µg·m-3and 1.2µg·m-3, respectively. The concentrations of NH3(g) were relatively higher from April to September and lower from October to February of the following year. HNO3(g) concentrations did not show any clear monthly pattern. Except during the summer, NH3(g) concentrations were higher in the morning and evening, and HNO3(g) concentrations were higher during the day. No clear linear relationships were observed between the concentrations of NH3(g) and NH4+ nor the concentrations of HNO3(g) and NO3- at different pH levels. Higher concentrations of NO3- and NH4+ were observed in the morning and evening, while no linear relationships were observed between the pH and concentrations of NH3(g)-NH4+ and HNO3(g)-NO3-. The joint NH3/HNO3 sensitivity regime map showed that most of the points were located in the HNO3 sensitive region with some in the NH3 & HNO3 sensitive region. In spring, autumn, and winter, most of the points were located in the HNO3 sensitive region while in summer, a significant quantity of the points were located in the NH3 & HNO3 sensitive region. Therefore, the precursors of HNO3 (such as NOx) should be controlled in the spring, autumn, and winter, and attention should be given to the control of the precursors of HNO3 (NOx) and NH3 in the summer to effectively control nitrate and ammonium aerosols in PM2.5 in Tianjin.

[Characterization of Two Heavy Pollution Episodes in Tianjin in 2020].

High-resolution online monitoring data from January to February in 2020 was used to study the characterization of two heavy pollution episodes in Tianjin in 2020; the heavy pollution episode that lasted from January 16 to 18, 2020 (referred to as episode Ⅰ) and that from February 9 to 10, 2020 (referred to as episode Ⅱ) were analyzed. The results showed that two heavy pollution episodes were influenced by regional transportation in the early stage and local adverse meteorological conditions in the later stage. During these episodes, the average wind speed was low, the average relative humidity was close to 70%, and relative humidity approached the saturated, the boundary layer heights were below 300 m, and the horizontal and vertical diffusion conditions were poor. Compared to episode Ⅰ, the concentration of pollutants decreased during episode Ⅱ, especially for the concentration of NO2. During the episode Ⅱ, the concentrations of PM2.5 and CO were higher in the north of Tianjin. The chemical component concentrations and their mass ratios to PM2.5 changed significantly in both episodes; the concentrations of secondary inorganic ions (NO3-, SO42-, and NH4+), elemental carbon (EC) and Ca2+were higher in episode Ⅰ, the concentrations of organic carbon (OC) and Cl- slightly increased in episode Ⅱ; and the concentrations of K+were higher in episode Ⅱ. Compared to episode Ⅰ, because of the increase in the combustion sources and significant reductions in the number of vehicles, the mass ratios of SO42-, OC, and K+ to PM2.5 increased while the mass ratios of NO3- and EC to PM2.5 decreased in episode Ⅱ; the mass ratios of NH4+ and Cl- to PM2.5 were relatively higher due to the continuity of the industrial production processes; the mass ratios of Ca2+ to PM2.5 were lower in two heavy pollution episodes because construction activities were halted. Source apportionment of PM2.5 was performed using the positive matrix factorization (PMF) model. In episode Ⅰ, the major sources of PM2.5 in Tianjin were secondary sources, industrial and coal combustion, vehicle exhaust, crustal dust, fireworks and biomass burning, with contributions of 53.8%, 20.2%, 18.6%, 6.3%, and 1.1%, respectively. In episode Ⅱ, the same sources were identified in the PMF analysis with contributions of 48.3%, 28.2%, 8.7%, 2.6%, and 12.2%, respectively. Compared to episode Ⅰ, the contributions of industrial and coal combustion, fireworks and biomass burning increased, and the contributions of secondary sources, vehicle exhaust, and crustal dust decreased in episode Ⅱ; contributions of vehicle exhaust and crustal dust decreased by 53.2% and 58.7%, respectively.

[Characteristics of Secondary Organic Particles and the Potential Formation of SOA from VOCs During Wintertime Heavy Pollution Episodes in Tianjin].

The characteristics of secondary organic reactions were studied based on supersite monitoring data from January to March, 2019, in Tianjin. During heavy pollution episodes, SOC (secondary organic carbon) accounted for between 3.1% and 3.8% of PM2.5, and the growth rate of SOC was obviously higher than that of PM2.5, thus indicating that secondary organic reactions had a considerable effect on PM2.5. The growth rate of VOCs (volatile organic compounds) was lower than that of PM2.5, which was probably due to the fact that VOCs were consumed as precursors to secondary particles. The ratio of ethane to acetylene was higher than 2.0 during heavy pollution episodes indicating that air masses were old, and the ratio was lower than clean air days showing that the reaction activities were higher than before. During the heavy pollution episodes, the potential formation of SOA (secondary organic aerosol) from VOCs ranged from 0.49 to 1.21 µg·m-3. Among the species, aromatic hydrocarbons contributed the most, whereby the highest contribution exceeded 90%, and their growth rates were also the highest; hence, aromatic hydrocarbons were the VOCs species that had the greatest effect on SOA.

[Secondary Inorganic Pollution Characteristics During Heavy Pollution Episodes of 2017 in Tianjin].

Based on monitoring data collected at the supersite of Tianjin in 2017, seven typical heavy pollution episodes were investigated. The concentrations of air pollutants and secondary inorganic transformation products were analyzed to study the secondary inorganic pollution characteristics during the heavy pollution episodes. Compared to clean weather, concentrations of NO3- and SO42- during the heavy pollution episodes increased at rapid growth rates. These rates were obviously higher than the rate for PM2.5 increases, which indicates that the secondary inorganic reactions had an important influence on PM2.5 pollution during the episodes. The concentrations of PM2.5 and SO2 during the episodes in the latter half of the year were lower than those in the first half of the year probably because a substantial amount of coal use had been controlled. During the heavy pollution episodes, the NO2/SO2 values were 1.5 to 19.6, with higher values in the latter half of the year than the first half of the year suggestive of a greater influence from mobile sources. During most episodes, NO3- concentrations were higher than SO42- concentrations, and SOR values were higher than NOR values, which shows that the secondary transformation of nitrate and sulfate both played important roles during the heavy pollution episodes. When SO2 concentrations decreased significantly, SO42- concentrations did not decrease obviously, thus indicating that besides the secondary inorganic reactions, other factors also had a large impact on the generation of sulfate.

[Vertical Distribution and Transport of PM2.5 During Heavy Pollution Events in the Jing-Jin-Ji Region].

Based on vehicle-borne tethered balloon measurements, the vertical distribution of particulate matter (PM) concentrations were observed in Gaocun in the Wuqing District of Tianjin from December 17 to 19, 2016, during a period of heavy pollution. Using observational data, the transport flux of PM2.5 in the Jing-Jin-Ji region was calculated. The results showed that the mixed layer was low at only 200 m during the heavy pollution period. The vertical distribution of PM2.5 concentrations was closely associated with the heights of mixed layer whereby, below the mixed layer, PM2.5 concentrations were higher. Vertical variation was insignificant, forming a district pollution layer. Above the mixed layer, PM2.5 concentrations rapidly decreased and stabilized at low levels. During the observation period, higher concentrations of PM were found with particle sizes of less than 1.0 µm, and lower concentrations were observed for particle sizes larger than 2.2 µm. The size profiles of PM tallied with relative humidity and the height of the mixed layer. The size distribution was wider during periods of high humidity and with a lower mixed layer height. The greatest PM2.5 transport flux was from the southwest, accounting for 63.3% of the total flux; the highest fluxes occurred at the heights of 46-156 m and 156-296 m. The dominant transport direction was southwest below 300 m, while the dominant transport direction was dispersed over 300 m.

Protosappanin a inhibits osteoclastogenesis via reducing oxidative stress in RAW264.7 cells.

Protosappanin A (PrA), obtained from the traditional Chinese herbal medicine, Caesalpinia sappan L. (Lignum Sappan), possesses a lot of pharmaceutical activities. Typically, it is a potent antioxidant. This study makes an effort to test its protective effects against osteoporosis by partially reducing oxidative stress in RAW264.7 cells and a mouse ovariectomized (OVX) osteoporosis model. The influence that PrA affected on osteoclastic proliferation and differentiation under oxidative status was investigated. Our results revealed that PrA significantly inhibited the proliferation of RAW264.7 cells in oxidative stress conditions. Moreover, it suppressed some osteoclastic markers by TRAP staining, bone section assay and quantitative real-time PCR. PrA decreased reactive oxygen species (ROS) generation in RAW264.7 cells. In vivo, our results demonstrated that PrA supplementation improved some serum oxidative markers, including malondialdehyde (MDA) and reduced glutathione (GSH), and inhibited some osteoclastic markers, such as CTX-1 and TRAP. Importantly, it ameliorated the micro-architecture of trabecular bones by micro-CT assay. In summary, these findings showed that protection by PrA against osteoporosis is associated with a reduction in oxidative stress, suggesting that PrA may be useful in bone resorption related diseases, especially osteoporosis.

[Arthroscopic treatment of tibial intercondylar eminence fractures in children with single Kirschner wire and suture avoiding epiphyseal line fixation technique].

OBJECTIVE: To discuss arthroscopic technique of single Kirschner wire and suture avoiding epiphyseal line fixation for tibial intercondylar eminence fracture and its clinical results. METHODS: From May 2008 to December 2012, 21 patients (13 males, 8 females, ranging in age from 6 to 14 years old) with tibial intercondylar eminence fracture were treated arthroscopically with single Kirschner wire and suture avoiding epiphyseal line fixation technique. According to Meyers and McKeever classification, 7 patients were type II, 10 patients were type III, and 4 patients were type IV. Active rehabilitation began at one week after operation. The patients were followed up for 10 to 30 months. X-ray films were taken to evaluate fracture healing at 1, 3, 6 months after operation; range of motion, the anterior drawer test, the lachman test and the Lysholm knee score were used to evaluate clinical effects. RESULTS: All fractures were healed without displacement at 6 weeks after operation. Anterior drawer test and the lachman test were both negative in all patients at 3 months after operation. Lysholm knee score was 95.5 ±2.5 at 6 months after operation, and postoperative X-ray film did not find epiphyseal line broadening or narrowing. CONCLUSION: Arthroscopic treatment for tibial eminence intercondylar fracture with single Kirschner wire and 8-shaped suture avoiding epiphyseal line fixation technique has many advantages, such as firm fixation,early mobilization, less invasive, less injury of physis and satisfactory effect.

[Case-control study on the modified ilioinguinal incision of anterior approach for the treatment of pelvic and acetabular fractures].

OBJECTIVE: To study modified ilioinguinal approach through the retrospective analysis on the surgical treatment of 63 patients with pelvic and acetabular fractures through anterior approach. METHODS: From January 2006 to January 2013, 63 patients with pelvic and acetabular fractures were treated with the ilioinguinal anterior approach, including 45 males and 18 females, ranging in age from 12 to 68 years old, with an average of (37.71 +/- 13.41) years old. All the patients were divided into two groups: standard ilioinguinal anterior approach group (group A) and modified ilioinguinal anterior approach group(group B). In group A, there were 26 males and 11 females, with an average age of (38.49 +/- 13.64) years old. In group B, there were 19 males and 7 females, with an average age of (36.62 +/- 13.29) years old. Intraoperative and postoperative indicators in group A and B were observed and compared, including operation incision exposure time (from skin incision to complete the ilioinguinal in front of three "windows"), the blood loss, incision close time and treatment effect of Majeed function score. RESULTS: Compared to group A, the incision exposure time of patients in group B was shorter, the blood loss (bleeding during exposure process) was less, and the close incision time was shorter, but the treatment effect of Majeed function score had no significant differences between two groups. All the patients were followed up, and the during ranged from 3 to 36 months, with an average of (18.6 +/- 9.2) months. According to Matta standard assessment reduction of pelvic and acetabular fracture, there were 28 patients got an excellent result, 8 good, and 1 fair in the group A; and 20 patients got an excellent result, 5 good, and 1 fair in the group B. According to Majeed function score for hip function, 20 patients got a satisfactory result, 12 good,4 fair and 1 poor in group A, and the mean score was 82.51 +/- 9.72; and 13 patients got an satisfactory result, 10 good, 3 fair and 0 poor in group B, and the mean score was 80.54 +/- 10.79. CONCLUSION: The modified approach has several advantages as follows: providing a good surgical exposure; preventing from the injury of femoral nerve, femoral artery and vein under the inguinal ligament; not needing to open the inguinal canal, which can avoid the occurrence of inguinal hernia, reduce operation prodedures and shorten operation time.

[Characteristics of treating dislocation and fracture of sacroiliac joint through anterior and posterior approches].

OBJECTIVE: To investigate characteristics of treating dislocation and fracture of sacroiliac joint through anterior and posterior approaches. METHODS: Between January 2006 and September 2012, 39 patients with dislocations and fractures of sacroiliac joint were treated with operation. There were 28 males and 11 females, aged 12 to 64 (mean, 41.3) years old. Seventeen cases were chosen through anterior approach, 13 cases through posterior and 9 cases were combined with anterior and posterior approaches. The anterior approach were made with supine position, performed open reduction, and two plates with 4 holes were used as internal fixation for arthrodesis of sacroiliac joint after reduction; while posterior approach prone position, close or open reduction was performed, and one or two partial thread lag screws, which with 7.3 mm in diameter and 60 to 75 mm in length, were penetrated via sacroiliac joint for fixation under X-ray. Postoperative complications were observed, Matta and Majeed scoring were used to evaluated currative effects. RESULTS: All patients were followed up from 6 to 36 months. The patient could sit on the bed 2 to 4 weeks after surgery and walk with a crane 6 weeks' later. No breakage or loosening of screw occurred during follow-up. In all but one case with old sacral iliac fractures reducted poor, others obtained good opposition. According to Matta's criteria, 30 cases got excellent results, 8 good and 1 fair. According to Majeed's funtional standard, 14 patients got excellent results, 20 good 4 fair and 1 poor. CONCLUSION: Treating dislocation and fracture of sacroiliac joint through anterior and posterior approaches can obtain good effects. However, anatomic location, fracture types, degree of displacement, the rate of preoperational reduction, vulnerability assessment of operation and fixation strength should be considered.