关节复位

According to the criteria of Matta radiographicgrade,there were 18 cases with anatomic reduction, 9 with satisfactory reduction,3 with unsatisfactory reduction and 4 with joint contour reduction.

根据Matta 影像学评分，解剖复位18例，复位满意9例，复位不满意3例，4例关节轮廓复位。

Methods 18 patients with sacroiliac fracture-dislocation were treated with the combined use of Galveston technique and pedicle screw system.

对18例骶髂关节骨折脱位患者应用Galveston技术联合椎弓根钉系统进行骶髂关节复位内固定。

Outcome for coracoclavicular ligament reconstructions using augmented semitendinosus tendon grafts was excellent with full recovery of strength, minimal range of motion loss, and no clinical or radiographic loss of reduction of the acromioclavicular joint.

用半腱肌移植重建喙锁韧带有着良好的临床效果。术后无肌力、肩关节活动范围、肩锁关节复位丢失等现象。

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。

Ten patients with temporal bone fracture and trauma of ear,whose CT scan of temporal bone showed that Malleoincudal joint irregular shape in the axial view and incudostapedial joint dislocation in the coronal view,were included in this study,Virtual endoscopy showed Malleoincudal joint separation,incudostapedial joint dislocation and interruption,ossicular chain disruptio...

虚拟耳镜示锤砧关节分离，砧镫关节脱位，听骨链中断。手术经颞线下开放上鼓室，保留完整的外耳道后上壁，充分暴露上、后鼓室和听骨链，检查并行听骨链成形术。结果：砧骨长脚骨折1耳，将砧骨改型后行锤-镫连接术；锤砧和砧镫关节脱位6耳，砧骨完全脱落3耳，行砧骨复位双关节固定术。10耳均行上鼓室进路鼓室探查术，术后语频听力平均提高25~50dB。结论：完壁式上鼓室进路鼓室探查术治疗外伤性听骨链中断疗效满意。

It is well known, malreduction of interarticular fracturecan change the contact stresses distribution of the joint ,thusresults in increased wear on the articular cartilage andsubsequent posttraumatic arthritis.

众所周知，关节内骨折如复位不良可改变负重关节的应力分布，增加关节软骨的负重，加速关节软骨的破坏，易产生创伤性关节炎。

Methods Fractures of tibial plateau in 42 cases were treated with open reduction.In addition,the stripped and lifted parts of articular cartilage were reposited and fixed with silk thread or thin wire,and the cartilage-uncovered articular surface due to defect of cartilage was covered with the bone morphogenetic protein-fibrin sealant or repaired with the pediculated periosteum flap,respectively.

对42例胫骨平台骨折除重视骨折复位外，对部分剥脱、掀起的关节软骨予以复位并采用丝线或细钢丝抽出缝合修复，对缺如软骨裸露关节面，根据其大小、深浅分别用骨形成蛋白-纤维蛋白粘合剂复合片或附以带蒂骨膜瓣翻转修复。

All the patients returned to normal daily life after a mean time of 5.3 months (3 to 11 months) Conclusions Tarsometatarsal joint injuries can be treated well by close reduction and percutaneous screw fixation with less operative lesion and lower incidence of soft tissue complications. Reduction of the middle column with screw insertion along the direction of the Lisfranc ligament is the key to reestablishment of the stability of the tarsometatarsal joint complex.

闭合复位经皮螺钉内固定手术创伤小，软组织并发症低，能有效治疗跖跗关节复合体损伤；中间柱复位并沿Lisfranc韧带方向插入螺钉内固定是重建跖跗关节复合体稳定性的关键。

Miracle-working doctor!. Guang-Hai Li later told people, large joints reset, avoid psychological stress of patients, local muscle contractions, stiffness, such as patients with pain reduction more difficult.

神医！。李广海事后对人说，大关节复位，切忌使病人心理紧张，局部肌肉收缩、僵直，如病人痛苦，复位就更难。

For supracondylar fracture of humerus with obvious displacement,it is easy to make reduction,but the fixation and the maintenance of reduction is not easy; manual reduction with plaster or splint immobilization,though as the first-chosen method,has such shortcomings as infirm or loosening fixation of plaster or splint which may cause injury to blood vessels or nerves; open reduction may lead to further trauma to soft tissues and tissue adhesion,and to joint stiffness; the closed reduction with cross Kirschners wires under C-arm X-ray can avoid the above mentioned shortcomings and it is easy in operation.

移位明显的肱骨髁上骨折，复位容易，但固定及维持复位困难，手法复位石膏或夹板外固定虽是首选治疗方法，但石膏或夹板固定不牢固，易出现松动甚至可造成血管及神经损伤，而切开复位更易进一步造成软组织创伤，组织粘连，最终导致关节僵直功能障碍。本组C臂下闭合复位交叉克氏针治疗移位明显的肱骨髁上骨折避免了上述缺点，而且方法简单。肱骨髁上骨折；经皮克氏针固定；儿童；闭合复位

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。