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Because the ideal "rigid joint" and "hinged joint" are inexistent, the stiffness of any connection types is between ideal rigid joint and hinged joint.

因为理想的刚节点和铰接点是不存在的,任何连接形式的刚度都是介于理想刚接和完全铰接之间的。

Results: By a followed-up of 4 to 16 months,averaged 8 months,23 cases with turn-backward disfunctions,8 cases with turn-forward disfunctions,9 cases with elbow joint extension and flexion disfunctions,6 cases with wrist joint,metacarpophalangeal joint and interphalangeal joint disfunctions.

结果:随访时间4~16个月,平均8个月,旋后功能障碍者23例,旋前功能障碍者8例,合并肘关节屈伸受限者9例,合并腕、掌指及指间关节活动受限6例。

Methods The damaged second metacarpophalangeal joint,distal part of the second metacarpal and proximal part of the proximal phalanx were dissected.The metatarsophalangeal joint was transferred to the region of metacarpophalangeal joint of hand.The dorsal pedis artery Was anastomosed to the radial artery ,and the great saphenous vein Was anastomosed to the cephalic vein at anatomical snuf-box. The dissected bones of the hand removed of the cartilage of joint and soft tissue were grafted back to the donor site of the foot.

手术切除破坏的第二掌指关节及部分第二掌骨和近节指骨,将第二跖趾关节转移至手部第二掌指关节处,在鼻烟窝处将足背动脉与桡动脉吻合、大隐静脉与头静脉吻合,将切除的第二掌指关节的软骨关节面和骨骼的软组织剔除后回植到足部第二跖趾关节供区。

Make a curved incision 5 cm long on the medial aspect of the joint (Fig. 1-24, A). Begin it just proximal to the interphalangeal joint, curve it over the dorsum of the metatarsophalangeal joint medial to the extensor hallucis longus tendon, and end it on the medial aspect of the first metatarsal 2.5 cm proximal to the joint.

于关节内侧做一5cm弧形切口(图1-24,A),切口起自趾间关节近端,弧形延伸至拇趾跖趾关节的背侧,拇长伸肌腱内侧,终止于跖趾关节近侧2.5 cm处的第一跖骨内侧面。

Make a cured incision 5 cm long on the medial aspect of the joint (Fig. 1-24, A). Begin it just proximal to the interphalangeal joint, cure it oer the dorsum of the metatarsophalangeal joint medial to the extensor hallucis longus tendon, and end it on the medial aspect of the first metatarsal 2.5 cm proximal to the joint.

于关节内侧做一5cm弧形切口(图1-24,A),切口起自趾间关节近端,弧形延伸至拇趾跖趾关节的背侧,拇长伸肌腱内侧,终止于跖趾关节近侧2.5 cm处的第一跖骨内侧面。

Dissect the fascia from the dorsum down to the bursa over the medial aspect of the metatarsal head. Then make a curved incision through the bursa and capsule of the joint Fig. 1-24,; begin the incision over the dorsomedial aspect of the joint, continue it proximally dorsal to the metatarsal head and then plantarward and distalward around the joint, and end it distally on the medioplantar aspect of the metatarsophalangeal joint.

然后弧形切开滑囊及跖趾关节囊图1-24,,切口起自关节背内侧,自跖骨头背侧向近端延长,然后转向跖侧,再转向远瑞,环绕关节而行,最后在远端终止于跖趾关节的跖内侧面,此切口形成一椭圆形网球拍状组织瓣,连接于近节趾骨的基底部

As true synovial joints,each facet joint contains a distinct joint space capable of accommodating between 1 and 1.5 ml of fluid, a synovial membrane, hyaline cartilage surfaces, and a fibrous capsule.21 The fibrous capsule of the lumbar facet joint is approximately 1 mm thick and composed mostly of collagenous tissue arranged in a more or less transversefashion to provide maximum resistance to flexion.22,23The joint capsule is thick posteriorly, supported by fibers arising from the multifidus muscle.

作为真正的滑膜关节,每个小关节包含明显的关节间隙,容纳1到1.5ml关节液。小关节由滑膜,透明软骨表面,和纤维囊组成。纤维囊厚约1mm,大部分有白色纤维组成,横向排列,以在屈曲时提供最大的张力。囊的后部很厚,纤维来源与多裂肌。

[Objective] To analyze the outcome of internal fixation for occipitalization with atlantoaxial joint dislocation by posterior decompression and occipitocervical fusion [Method] From December 2005 to June 2007,8 patients with occipitalization and atlantoaxial joint dislocation received removal of the posterior arcus of atlas and the enlargement of the posterior edge of the foramen magnum after skull traction performing for an average of 135 daysAll patients were operated on by posterior craniocervical fusion using cervifix internal fixation system and autologous ilium graftsThe clinical efficacy after operation was analyzed by Japanese Orthopaedic Associationneural function score [Result] All the patients were followed up from 6 months to 2 years, average of 15 monthsNo complication was foundAtlantodental interval was 5~9 mm before and 4~6 mm after skull tractionAtlantoaxial joint dislocation didn't completely reducedThe neurological defects were improved to some extents according to the JOA scoreImageology showed all patients had full decompression and bony fusionThe loosening or broken internal fixation was not found [Conclusion] Posterior decompression and fusion is a feasible method for the treatment of occipitalization with atlantoaxial joint dislocation,and the clinical effect is satisfactory

分析后路减压枕颈融合内固定术治疗合并寰枢关节脱位的寰椎枕骨化临床疗效。[方法]2005年12月至2007年6月间,对8例合并寰枢关节脱位的寰椎枕骨化患者在行颅骨牵引治疗一段时间(12~16 d,平均135 d)后采用枕骨大孔后缘扩大,寰椎后弓切除减压取自体髂骨枕颈融合Cervifix系统内固定术,手术后采用日本骨科学会神经功能评分分析临床疗效。[结果]8例患者随访6个月~2年,平均为15个月。8例患者无一例出现术后并发症,术前寰齿前间隙为5~9 mm,经颅骨牵引后为5~7 mm,寰枢关节脱位未能完全复位。手术前后JOA评分示神经症状均有不同程度恢复,影像学检查示枕颈区减压充分植骨区获得骨性融合,无一例出现内固定松动或断裂。[结论]合并寰枢关节脱位的寰椎枕骨化患者术前仔细评估影像学改变,采用颅骨牵引一段时间后行后路减压枕颈融合内固定术的治疗方案是合理可行的,且临床效果满意。

If a joint is in the cable, the temperature of the tinning welding joint is mot more than 120℃,compressing joint mot more than 150℃ and electro-welding or gas-welding joint not more than 250℃.

2.2.2 短路时(最长持续时间不超过5秒),导体最高温度不超过250℃,电缆线路中间有接头时,锡焊接头不超过120℃,压接接头不超过150℃,电焊或气焊接头不超过250℃。

The results show that mechanical heterogeneity has great influence on the J-integral of welded joint containing transverse crack. The J-integral on the path cross the interface between welded joint and base metal is higher than the J-integral on the paths in the weld metal for undermatched joint,while the J-integral on the path cross the interface between weld metal and base metal is lower than the J-integral on the paths in the weld metal for overmatched joint. Moreover,the difference of J-integral values increases with the increasing of the load and strength mismatching difference and the path-enclosed length of interface between weld metal and base metal.

计算结果表明:力学不均匀性对含横向裂纹焊接接头的J积分有重要影响,低匹配焊接接头中积分路径穿越焊缝与母材界面的J积分值高于积分路径在焊缝内的J积分值,高匹配焊接接头中积分路径穿越焊缝与母材界面的J积分值低于积分路径在焊缝内的J积分值;载荷越大,焊缝与母材的强度差别越大;积分路径中包含的焊缝与母材界面长度越大,J积分的差值越大。

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