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Belite sulfoaluminate cement is attracting increasing attention and being considered as a potential alternative to ordinary Portland cement owing to lower preparation temperature and carbon dioxide (CO2) emission. However, it still has disadvantages of poor workability and low early strength. This study investigated the effects of compound polycarboxylate superplasticiser (PCE) and early strength agent, calcium nitrite (Ca(NO2)2), on flowability and early strength of belite calcium sulfoaluminate (BCSA) cement. Variation patterns of setting time, fluidity, strength and polycarboxylate superplasticiser (PCE) adsorption of the paste were measured; the hydration products and microscopic morphology were also analysed by the heat of hydration, X-ray diffraction and scanning electron microscopy. Results showed that calcium nitrite effectively enhanced adsorption of PCE onto the surface of BCSA cement particles, leading to notable improvement in the fluidity of the paste (reaching up to 275 mm). In the initial hydration stage, 0.7% PCE compounded with 1.2% calcium nitrite inhibited the formation of ettringite (AFt), resulting in prolonged setting time. However, it deepened the degree of hydration of BCSA for 3 days and refined the hydration product, AFt crystals. Consequently, the compressive strength was increased to 95.75 MPa and 107.13 MPa for BCSA cement at 3 days and 28 days, respectively. [ABSTRACT FROM AUTHOR]

Dexmedetomidine has been demonstrated to be effective in the management of pain in total knee replacement (TKA). Nevertheless, a combination of a local anaesthetic and a dose of dexmedetomidine might be a better choice for post‐operative pain management of TKA. The aim of this research is to determine if the combination of a local anaesthetic with dexmedetomidine during a knee replacement operation can decrease the post‐operation pain. Furthermore, the effectiveness and security of dexmedetomidine combined with topical anaesthetic were evaluated for the management of post‐operative TKA. Based on the research results, the author made a research on the basis of four big databases. The Cochrane Handbook on Intervention Systems Evaluation has also evaluated the quality of the literature. Seven randomized controlled trials have been established from this. It was found that the combination of local anaesthesia and dexmedetomidine had a greater effect on postoperative pain in 4 h (mean difference [MD], −0.9; 95% CI, −1.71, −0.09; p = 0.03), 8 h (MD, −0.52; 95% CI, −0.66, −0.38; p < 0.0001), 12 h (MD, −0.72; 95% CI, −1.04, −0.40; p < 0.0001), 24 h (MD, −0.49; 95% CI, −0.83, −0.14; p = 0.006), 48 h (MD, −0.51; 95% CI, −0.92, −0.11; p = 0.01). Nevertheless, because of the limited number of randomized controlled trials covered by this meta‐analysis, caution should be exercised with regard to data treatment. More high quality research will be required to confirm the results. [ABSTRACT FROM AUTHOR]

Distal tibial fracture is the most commonly seen type of fracture of the lower extremities. Both intramedullary nail fixation (INF) and plate fixation (PF) have been used to treat distal tibial fractures, but the best way to treat them is still in dispute. The purpose of this meta‐analysis is to compare INF versus PF fixation with respect to the incidence of injury. For studies that have been published between inception and June 2023, a systematic review has been carried out on PubMed, Embase, Cochrane Library and Web of Scientific databases. All of the trials that looked at INF and PF‐related complications were enrolled. Data from the 13 primary results were analysed with RevMan 5.3. The meta‐analyses comprised 13 randomized controlled trials (RCTs). INF indicates that there is a tendency for patients with distal tibia fractures to reduce the risk of operative site infection (odds ratio [OR], 2.09; 95% confidence interval [CI], 1.40, 3.13; p = 0.0003) after surgery compared with PF. INF resulted in a reduction in total wound complications (OR, 14.20; 95% CI, 1.81, 111.57; p = 0.01) but shortened operation time (mean difference, 13.03; 95% CI, 2.08, 23.99; p = 0.02). In view of these findings, INF seems to be a preferred method of surgery for the treatment of distal tibial fractures with respect to the reduction of post‐operative wound complications. [ABSTRACT FROM AUTHOR]