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The screw entry point was located at the tip of transverse process. The average inclination angle should be 10°-20° headward and 30°-40° toward neutral line respectively. The screw was inserted and entered into the vertebral body along the external cortex of pedicle. The integrity of cortical bone around screws, the distance to segmental blood vessels and the penetration of cortex were observed after operation to evaluate the accuracy and safety of screw placement. Among 160 thoracic pedicle screws that were implanted in 34 cases, 148 screws (92.5%) were accurately inserted inside the costotransverse unit, and 12 screws (7.5%) were misplaced according to the image of X-ray and CT thin-slice scan.

应用椎弓根外内固定技术2004/2007年在中山大学附属第三医院骨科治疗34例患者,固定前采用CT加密扫描测量进钉点、进钉点至椎体前缘的深度、进钉角度和直径,固定中椎弓根钉入点为横突尖,进钉方向为平均向头侧倾斜10°~ 20°、与中线成角30°~40°,顺椎弓根外侧皮质进入椎体,固定后CT加密扫描观察螺钉周围的皮质骨是否完整、是否靠近节段血管、是否穿透皮质骨,评价置入钉的准确性和安全性。34例患者共置入160枚胸椎椎弓根螺钉,固定后CT加密扫描和X射线片观察到148枚(92.5%)螺钉置入准确,12枚(7.5%)螺钉发生错置。

From 2004 to 2007, 34 cases were treated with extrapedicular screw fixation in Department of Orthopaedics, Third Affiliated Hospital of Sun Yat-sen University. The screw entry point, angle, depth and diameter were measured and defined on the thoracic vertebrae pedicle by CT thin-slice scan in standard prone for all cases before operation. The screw entry point was located at the tip of transverse process. The average inclination angle should be 10°-20° headward and 30°-40° toward neutral line respectively. The screw was inserted and entered into the vertebral body along the external cortex of pedicle. The integrity of cortical bone around screws, the distance to segmental blood vessels and the penetration of cortex were observed after operation to evaluate the accuracy and safety of screw placement.

应用椎弓根外内固定技术2004/2007年在中山大学附属第三医院骨科治疗34例患者,固定前采用CT加密扫描测量进钉点、进钉点至椎体前缘的深度、进钉角度和直径,固定中椎弓根钉入点为横突尖,进钉方向为平均向头侧倾斜10°~20°、与中线成角30°~40°,顺椎弓根外侧皮质进入椎体,固定后CT加密扫描观察螺钉周围的皮质骨是否完整、是否靠近节段血管、是否穿透皮质骨,评价置入钉的准确性和安全性。34例患者共置入160枚胸椎椎弓根螺钉,固定后CT加密扫描和X射线片观察到148枚(92.5%)螺钉置入准确,12枚(7.5%)螺钉发生错置。

Methods Homolateral bone flap with deep iliac circunmflex vessel was transplanted into the defect after clearing up cysts and sequestra of femoral head.

清除坏死股骨头囊肿、死骨后,采用显微外科技术切取同侧带旋髂深血管骨瓣植入股骨头内。

Results: Immunohistochemical staining revealed that expression of RANKL protein was detected in periodontal ligament cells and osteoclasts which mostly located in resorption lacunae.

结果:正畸牙移动压力侧组化结果显示,RANKL阳性表达位于牙周膜细胞和位于骨陷窝内的破骨细胞中,在正畸牙移动第3、5和7天时呈强阳性表达。

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。

Results With compression plate fixation,the amount of bone morphogenic proteinin the wounded region was more than that with mini-plate at every stage.

结果 在不同时间内,加压侧骨形成蛋白阳性着色比不加压侧强,分布广。

The straight portion of the meridian from the heart system goes upward to the lung, then it runs out from the axilla, it goes along the posterior border of the medial aspect of the upper arm behind the Lung Meridian and Pericardium Meridian, it runs downward the medial aspect ot the elblow and descends along the posterior border of the medial aspect of the forearm to the pisiform region proximal to the palm and enters the palm, it follows the medial aspect of the little finger to its tip.

它的直行脉:从心系(即心与它脏相联系的系带)上行至肺,向下出于腑下,沿上臂内侧后缘,走手太阴,手厥阴经之后,下向肘内,沿前臂内侧后缘(灵道、通里、阴郄、神门),到掌后豌豆骨部进入掌内后边,沿小指的桡侧出于末端,接手太阳小肠经。《灵枢·经脉》:是动则病:嗌(1)干,心痛,渴而欲饮,是为臂厥(2)。是主心所生病者:目黄、胁痛,臑臂内后廉痛、厥,掌中热。

Methods: Bilateral humeral diaphyses of 30 adult rabbits were osteotomized in the middle and then 1 humerus was randomly chosen for internal fixation with SMC and the contralateral side was fixed with 4-hole dynamic compression plate.

30只新西兰兔双侧肱骨干横断截骨,随机选一侧以天鹅记忆接骨器内固定作为实验组,对侧以4孔加压钢板固定作为对照组。

Methods Through the intro-oral approach,we used grinding bit to excise the sclerotin of the mandible angle.

口腔内入路行双侧下颌角突出磨骨整复,磨除双侧突出下颌角以及下颌平台骨质。

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