关节内的

［Objective］To explore the technique of arthroscopy plus radiotherapy in the treatment of pigmented villonodular synovitis of the knee and to evaluate its clinical value［Method］A total of 14 cases of pigmented villonodular synovitis of the knee were treated from January 2000 to July 2003Intraarticular excision under arthroscope with a combined application of routine intrusments and Bipolar radiofrequency was performed on all these 14 cases,and postoperative radiotherapy for diffused pigmented villonodular synovitis of the knee,13 patients were followed up for 10~45 months,and were evaluated for range of motion,pain,swelling effusion［Result］Thirteen cases according to the International Knee Documentation Committeecriteria,subjective knee score was (587+64) and (865 ±57) respectively before surgery and at the last followup［Conclusion］In case of pigmented villonodular synovitis of the knee joint,arthroscopical synovectomy can make good surgical results,and postoperative radiotherapy is an effective treatment for diffused pigmented vilionoclular synovitis of the knee

作者：王晓旭，廖瑛，黄华扬，席雅文，李朝旭，韩志关节镜；放射治疗；膝关节；滑膜炎；色素绒毛结节性摘要：［目的］探讨采用关节镜结合放射治疗膝关节色素沉着绒毛结节性滑膜炎的方法及其临床应用价值。［方法］2000年1月～2003年7月，共收治14例膝关节色素沉着绒毛结节性滑膜炎患者，采用关节镜下常规器械加双极射频进行关节内病变切除，术后弥漫性色素沉着绒毛结节性滑膜炎辅以放疗，13例通过10~45个月的随访，了解患膝活动度、疼痛、肿胀情况。［结果］13例随访患者，术前国际膝关节评分委员会膝关节功能主观评分为（587±64）分，最后随访时，IKDC膝关节功能主观评分为（865±57）分。［结论］通过关节镜能完成膝关节色素沉着绒毛结节性滑膜炎滑膜较彻底切除，对弥漫性膝关节色素沉着绒毛结节性滑膜炎辅以术后放疗是一种有效方法。

Besides, contact stress in tibia component-polyethylene insert interface of three component design arise 31% to 34% only in dorsiflexion 40 degree and plantar flexion 40 degree due to flat smooth surface design.

二件式人工踝关节的接触压力平均为7.8 MPa，三件式人工踝关节胫骨元件-关节内衬接触面的接触压力平均为4.4 MPa最小；三件式人工踝关节关节内衬-距骨元件接触面的接触压力平均为5.7 MPa居中。

Many papers about intra-articular pressure within joints such as knee joint, glenohumeral joint and others in body could be found in the literature, but less about tempromandibular joint .

关节内压力在膝、肩等身体大关节有比较多的开展和深入研究，但是在颞下颌关节较少。

Methods:Twelve patients with fresh transverse fracture of patella were reviewed in the study.The hemarthrosis,blood clot,fracture fragments and soft tissues between them were cleared with arthroscopy.With the help of C-arm X-ray,the fracture was reduced with manipulation method.After the articular facet reached anatomical reduction,two Kirschners were inserted percutaneously from proximal end to distal end of fracture to fix the fragments,Two hollow screw were put along the approach of Kirschners,and tension band fixation was performed with the shape of "8".Results:All the patients were followed up averagely 12.4 months.

12例新鲜髌骨横骨折患者通过关节镜清理关节腔内的血凝块、碎骨块和骨折块之间嵌顿的软组织，直视下观察骨折复位情况以指导骨折复位固定，在C形臂X线透视下帮助骨折复位，关节镜观察关节面解剖复位后，经皮从近折端向远折端平行打入2枚克氏针固定骨折块，顺克氏针拧入2枚中空螺钉，拔除克氏针，顺螺钉空心导入钢丝，行张力带&8&字固定。

Objectives Using bBMP／Fibrin composite to treat 6 cases interarticular fracture,Methods In Feb 1995 to Feb 1997,Among those patients,male 5 femalevl average age 34,5years,All operations have been done only one time by intrafixation of fracture and local bBMP／FS composite application,Afteroperation,the CPM have been applied,Results To compare with general operation method,This operation is a short－time and simple method,The recoveries of bone and joint cartilage are satisfied,Conclusions Fibrin sealant can be used as a carrier of bBMP

目的 应用bBMP/纤维蛋白复合物早期治疗关节内骨折。方法采用内固定与局部bBMP/纤维蛋白复合物植入，1995～1997年共治疗6例，其中男性5例，女性1例，平均年龄34，5岁。全部病例一次完成手术，术后辅助CPM治疗。结果使用方法简单，较传统疗法骨和骨软骨愈合时间缩短，关节功能恢复较满意。结论纤维蛋白可以作为BMP的一种载体，具有临床应用价值。

One option for managing open periarticular fractures is proisional spanning external fixation (with the addition of limited internal fixation with screws to restore articular congru- ency in intra-articular fractures) with plate fixation performed later.

治疗开放性关节周围骨折一种选择是先用临时性的跨关节的外固定架（关节内骨折时联合有限切开螺钉固定以恢复关节面平滑），然后换钢板固定。

One option for managing open periarticular fractures is provisional spanning external fixation (with the addition of limited internal fixation with screws to restore articular congru- ency in intra-articular fractures) with plate fixation performed later.

治疗开放性关节周围骨折一种选择是先用临时性的跨关节的外固定架（关节内骨折时联合有限切开螺钉固定以恢复关节面平滑），然后换钢板固定。

Internal fixation of absorbable screws in the therapy for fracture of the scaphoid was effective measure which can avoid the pain of taking out internal fixation of second operation.

可吸收内固定钉治疗关节内及关节周围骨折，免除了患者二次手术取出内固定物的痛苦，是一种有效和较为理想的方法。

Abstractive】 objective to investigate the diagnostic superiorty and therapeutic efficiancy of arthroscopic debridement for the osteoarthritis of the knee.methods 65 cases（74 knee） of senile osteoarthritis of the knee were debrided under arthroscopy with local anesthesia.the procedures included removal of hyperplastic membrance and raw surface of degenerated cartilage,repairing the meniscus,and reshaping of the intercondylar fossa.results 55 cases（67 knee） were followed up for 20 months in average.the pain was relieved and the function of the knee joint was restored in most patients.

目的 探讨关节镜下清理术治疗骨性关节炎的诊断价值及治疗效果。方法对65例（74膝）膝关节骨性关节炎患者采用局麻下行关节清理术，手术清理增生炎性滑膜，清理退变剥脱的软骨及打磨软骨创面，修整损伤半月板，取出关节内游离体、碎骨屑及炎性介质，髁间窝成形术解除撞击及磨损前交叉韧带。结果随诊55例（67膝），随访时间6～42个月，平均20个月，多数患者临床症状消失或者疼痛症状减轻，关节功能明显改善。

Fifty patients had extra-articular fractures, 4 had simple intra-articular fractures AO Class and 33 had complete intra-articular fractures (AO Class C.

关节外骨折50例，简单的关节内骨折4例，完全的关节内骨折。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。