[Treatment of femoral periprosthetic fracture of Vancouver type B1 and C with bridge combined internal fixation system].

OBJECTIVE: To evaluate the clinical effect of bridge combined internal fixation system in the treatment of periprosthesis fracture of femur after hip replacement. METHODS: From October 2016 to June 2018, 5 patients of periprosthesis fractures of femur classified type B1 and type C in Vancouver were treated by open reduction and bridging combined with internal fixation, including 2 males and 3 females, with ages of 68, 70, 74, 75, 79 years;type B1 fractures in 4 and type C fractures in 1. Causes of injury:1 case of traffic injury, 4 cases of fall. After the operation, the patients were followed up for complications and fracture healing time by clinical and imaging examination, and Parker activity score was performed. RESULTS: The wounds of 5 patients healed without infection. One case of DVT was confirmed by venography. Five patients were followed up, and the durations were 2, 8, 9, 10, 15 months. One patient died of myocardial infarction 2 months after operation. The average healing time was 12.5 weeks. No loss of reduction or failure of internal fixation was found. Two patients could walk without protection and 1 patient needed to rely on single crutch. One case of periprosthetic fracture had to walk with a single crutch before operation and move indoors with two crutches after operation. The average Parker activity score was 51.8% before operation. CONCLUSION: The bridge combined internal fixation system can be used to fix the fracture after hip replacement with stable femoral prosthesis.

Phosphorus loads from different urban storm runoff sources in southern China: a case study in Wenzhou City.

Storm runoff from six types of underlying surface area during five rainfall events in two urban study areas of Wenzhou City, China was investigated to measure phosphorus (P) concentrations and discharge rates. The average event mean concentrations (EMCs) of total phosphorus (TP), total dissolved phosphorus (TDP), and particulate phosphorus (PP) ranged from 0.02 to 2.5 mg · L(-1), 0.01 to 0.48 mg · L(-1), and 0.02 to 2.43 mg · L(-1), respectively. PP was generally the dominant component of TP in storm runoff, while the major form of P varied over time, especially in roof runoff, where TDP made up the largest portion in the latter stages of runoff events. Both TP and PP concentrations were positively correlated with pH, total suspended solids (TSS), and biochemical oxygen demand (BOD)/chemical oxygen demand (COD) concentrations (p<0.01), while TDP was positively correlated with BOD/COD only (p<0.01). In addition, the EMCs of TP and PP were negatively correlated with maximum rainfall intensity (p<0.05), while the EMCs of TDP positively correlated with the antecedent dry weather period (p<0.05). The annual TP emission fluxes from the two study areas were 367.33 and 237.85 kg, respectively. Underlying surface type determined the TP and PP loadings in storm runoff, but regional environmental conditions affected the export of TDP more significantly. Our results indicate that the removal of particles from storm runoff could be an effective measure to attenuate P loadings to receiving water bodies.