关节成形术

The treatments of combine the bone block procedure and posterior capsulorrhaphy were carried out according to the pathological factors of bone and soft tissue.

对5例创伤性肩关节后不稳定患者采用气碘双重造影检查，明确导致肩关节后不稳定的病理因素，针对其骨和软组织结构异常，采用骨性手术和软组织手术联合的方法（骨阻滞联合关节囊紧缩成形术）治疗。

After the operation of bone block procedure and posterior capsulorrhaphy, there were not patients complained shoulder instability in period of 5~38 months followed-up.

采用骨阻滞联合关节囊紧缩成形术治疗后，在随访5~38个月（平均19个月）期间无1例主诉肩关节不稳定症状。

So that, we tried to find more effective method to diagnosis patellofemoral malalignment and chondral abnormalities.

关节镜下软骨成形术是治疗关节软骨退变的一种常用方法。

METHODS: From April 1998 to February 2002, 12 patients with micromandibular deformity associated with OSAS (aged 14-36 years, 7 females and 5 males) were treated. Invert "L" shape ramus osteotomy and inverted replantation of posterior segment of ramus were performed to reconstruct the TMJ with the jaw advancement and genioplasty at the same time in 7 cases; mandibular angle osteotomy, bone grafts and genioplasty in 3 cases; and the jaw advancement by ramus sagittal osteotomy and genioplasty in 2 cases of the first branchial arch syndrome. RESULTS: The follow-up period was 6 months to 4 years.

1998年4月～2002年2月，对12例(女7例，男5例，年龄14～36岁)伴有严重OSAS症状及张口度0～3.0 cm的小下颌畸形患者，7例采取下颌升支倒&L&形截骨、升支倒置颞下颌关节重建术的同时施行下颌体部前徙和颏成形术；3例在颞下颌关节重建术后进行下颌角部截骨、植骨下颌骨前徙术；2例施行下颌升支矢状劈开、下颌骨前徙术。

Key words: tempromandibular joint ankylosis; arthroplasty; micrognathia; sagittal split ramus osteotomy; genioplasty

颞颌关节强直；关节成型术；小颌畸形；下颌升支矢状劈开截骨术；颏成形术

Improving and routine intraoral sagittal split ramus osteotomy and advancement genioplasty were the reliable method to patient with micrognathia after arthroplasty of tempromandibular joint ankylosis.

改良下颌升支矢状劈开截骨术和常规下颌升支矢状劈开截骨术及颏水平前徙成形术，是颞颌关节强直关节成型术后小颌畸形可靠的术式。

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。

Trapeziometacarpal distraction arthroplasty is a surgical technique for the treatment of trapeziometacarpal arthrosis. It consists of distracting the first metacarpal and then anchoring it in suspension to the second metacarpal by means of a tendon graft.

大多角骨掌骨关节牵伸成形术是治疗大多角骨掌骨关节病的一种外科技术，它包括对第一掌骨的牵伸和用腱移植物将其悬吊固定于第二掌骨。

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。

BACKGROUND: To reduce the morbidity of traditional quadricepsplasty for the treatment of severe arthrofibrosis of the knee, we instituted a treatment regimen consisting of an initial extra-articular mini-invasive quadricepsplasty and subsequent intra-articular arthroscopic lysis of adhesions during the same anesthesia session.

背景：为了减轻传统股四头肌成形术治疗严重膝关节粘连带来的不利影响，我们创立了一种新的治疗方式，包括在同一个麻醉期间，最初的关节外微创股四头肌成形术和随后的关节内关节镜下粘连松解。

However, as the name（read－only memory）implies, CD disks cannot be written onorchanged in any way.

然而，正如其名字所指出的那样，CD盘不能写，也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口，替代木托盘，免薰蒸，符合欧盟、北美各国对出口货物包装材料的法令要求；喷涂钢托盘适用于重载上货架之用，托盘表面根据需要制作成平板状、波纹状及间隔形式，满足不同的使用要求。