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Objective To evaluate treatment results of open reduction and internal fixation for intra-articular fractures of the calcaneus.

目的:分析跟骨关节内骨折切开复位内固定治疗的临床疗效及并发症。

The effect of open reduction and internal fixation for treatment of intraarticulus calcaneus fracture is satisfactory.

跟骨关节内骨折的类型多、情况复杂、处理方法多样,手术治疗是重要的方法。

Open reduction and internal fixation is a good treatment method for calcaneus fracture.

手术治疗跟骨关节内骨折是较好的方法。

Objective To conclude the clinical curative effect of calcaneal plate internal fixation treatment on 46 patients with 62 calcaneus fractures.

目的总结46例62侧跟骨碎折采用跟骨接骨板内固定治疗的临床疗效。

Methods 24 cases with calcaneal fracture received the treatment of open reduction of calcaneus and internal fixation with titanium plates.

目的 研究和评估切开复位治疗跟骨骨折及跟骨钛板在跟骨骨折治疗中的作用。方法对24例跟骨骨折患者行切开复位跟骨钛板内固定。

The results show that: the input of the internal fixation implant should be in accordance with the compressive trabeculae and be clingy with the femoral calcar; the stress distribution of the femur under external violence explained why the old people are easy to get the middle and low part fractures of the femoral neck and intertrochanteric fractures.

分析结果表明:股骨颈处的压力骨小梁和股骨距是重要的承载结构,临床医学治疗股骨颈骨折时,内固定物的放置应循压力骨小梁方向并尽量紧贴股骨距钻入;暴力作用时股骨上端的应力分布特点从生物力学的角度说明了老年人易于发生股骨颈中下段骨折和转子间骨折的原因。

Femoral neck fracture calcar femoral fracture fixation , internal CEPS

股骨颈骨折,股骨距,骨折固定术,内

(1) The input of the internal fixation implant should be in accordance with the compressive trabeculae and be clingy with the femoral calcar, Abduction in small degree (10-30°) will improve the stress in femoral neck region. The stress distribution of the femur under extemal violence explained why the old people are easy to get the middle and low part fractures of the femoral neck and intertrochanteric fractures.(2) The finite element model of femoral neck fracture is good in orrowing various fixation methods for femoral neck fracture.

(1)三维有限元方法用于研究不规则物体是一种有效、准确的数值方法,不仅能考虑到所研究物体的几何形状,而且也考虑到物体的内部结构特性;股骨颈处的压力骨小梁和股骨距是重要的承载结构,内固定物的放置应循压力骨小梁方向尽量紧贴股骨距钻入;载荷主要通过压力骨小梁和股骨距传导至股骨干的中下1/3处;一定角度的下肢外展(10-30°)会较明显的增加股骨颈区的应力,而下肢的内收反而会减小此区的应力;暴力作用时股骨上端应力分布特点从生物力学角度说明老年人易于发生股骨颈中下段骨折和转子间骨折的原因。

The rate of excellent and good functional recovery of hip was 94.0%. Postoperative internal-fixation-related complications occurred in 31 cases, including hip varus in 14 cases who had posterior intertrochanteric fragments, delayed union of fracture in 12 cases who had fractured calcar and lesser trochanter and massive dissection of soft tissues, and cutting-out of lag screws in five cases, three of whom had to receive prosthetic replacement.

术后髋关节功能恢复良好率达94.0%。215例患者中31例出现内固定相关术后并发症,其中髋内翻14例,主要发生于股骨转子内后方存在明显骨折碎裂的患者;骨折延迟愈合12例,为骨折累及股骨距及小转子,术中做软组织广泛剥离、骨折复位固定的患者;内固定物股骨头颈内切割并螺钉穿入髋关节腔5例,其中3例再行人工关节置换,关节功能Harris评分为82分。

Abigor, Abyssos, Aeternus, Alastis,All Shall Perish, Amon Amarth, Amorphis, Anathema,Ancient, Angelcorpse, Antichrisis, Apostasy,Arcturus, Ashes You Leave, Atheist, At The Gates,Bal-Sagoth, Borknagar, Burzum, Caliban,Cannibal Corpse, Carcass, Carnal Forge, Cemetary,Children of Bodom, Cradle Of Filth, Criminal, Cryptopsy,Darkseed, Dark Tranquillity, Darkthrone, Death,Deicide, Destroyer 666, Dimmu Borgir, Dismal Euphony,Dismember, Dissection, Dreams of Damnation, Einherjer,Emperor, Enslaved, Enthroned, Entombed,Evereve, the Gathering, Graveworm, Hypocrisy,Immolation, In Flames, Internal Suffering, Kamelot,Katatonia, Krabathor, Labyrinth,Lamb of God,Marduk, Mayhem, Moonspell, Morbid Angel,My Dying Bride,Napalm Death, Nasum, Nile,Obituary, Old Man's Child, Opeth, Otep,Paradise Lost, Penumbra, Samael, Saturnus,Sentenced, Sepultura, Shadows Fall, Siebenburgen,Sigh, the Sins Of Thy Beloved, Six Feet Under, Skinless,Suffocation, Summoning, Therion, Thyrfing,Tiamat, Tristania, Ulver, Venom,Vintersorg, Virgin Black, Windir, Witchery,Within Temptation.

以邪恶、异教崇拜以及撒旦思想为其主要诉求,通常在歌词含有反基督、反宗教的倾向即被归为黑金属,除了传统重金属固定乐器之外,经常会使用其他乐器如钢琴、小提琴,或歌剧的女高音,在歌曲中营造出一股诡异又吓人的恐怖气氛。"黑金属"以来自北欧的重金属团体最具代表性。1、启蒙黑金属:在八十年代初,英国的地下重金属乐队Venom,在音乐中明确宣扬了对撒旦的崇拜、对战争的渴望,并且是由他们第一次将"Black Metal"这个名词带到金属圈内,为日后的黑金属乐队指明了音乐方向;瑞典同样出现了两支启蒙型的黑金属乐队,Bathory和Celtic Frost,他们的音乐已经基本上具备了原始黑金属的特点:粗糙、暴虐、邪恶!而Bathory的第一张专辑也被誉为是第一张黑金属唱片。不能不提的是丹麦的Mercyful Fate,他们虽然对日后的原始黑金属没有什么过多的影响,但是却对歌特黑金属、交响黑金属、歌特金属有着榜样的作用。

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