关节的

The right and left TMJ were removed from the animals, and all the specimens were observed. 3 days later, we could find that all TMJ components showed signs of injury. The synovial membrane was torn up and the cartilage of the condylar process and glenoid fossa was destructed.

伤后3天可出现关节滑膜撕裂、颞骨和髁突骨质破坏、关节腔内积血，关节盘以及关节附着的断裂等改变；7天后，关节积血少见。2周后可见关节内明显的破坏性改变，关节腔内还可有渗出液存在。

After 12 weeks,the result showed the operation area of group A articular surface was smooth,with the surrounding normal cartilage naturally straight flush, transparent form new cartilage tissue;Group B restoration surgery the basic integrity of the cartilage tissue,but the center of many not fully integrated,there is slight depression,surface wear,good subchondral bone formation;control group, depression joint operation areas,non-articular cartilage formation,such as lack of bone joints.

术后12周取材，A组修复区可见部分软骨样组织，关节软骨无磨损，修复的软骨呈白色半透明外观，与周围正常关节软骨有连续性，可见一明显的凹陷，无明显软骨下骨外露；B组修复区也可见部分软骨样组织，关节软骨在修复区可见磨损，软骨呈白色不透明外观，软骨下骨形成较好；空白对照组术区关节凹陷，无关节软骨组织形成，关节下骨缺如。

Infections of 3 cases were controled after treatment with the wound dressing and compression bandaging after local inflammation organic resection, oral Xinhuang Tablets of proprietary Chinese medicines and antibiotics; 9 cases were treated with arthroscopic joint clean-up washing , 2 case of them were treated with incision debridement combined by synovectomy arthroscopic due to inability to complete debridement ; 3 case of them were treated with temporary prosthesis replacement surgery on the infection after total knee debridement due to recurring knee swelling and rupture , filling bone cement containing sensitive antibiotics, convection to wash on the articular cavity, and second phase renovation in stable condition, finally they recoveried postoperatively and discharged.

结果：对22例出现炎症性反应的TKA术后患者，经抗感染、关节腔对流冲洗、清创和Ⅱ期再置换并配合口服中成药新癀片等处理。10例轻微肿痛病人经单纯药物治疗，症状改善。12例患者应用外科干预， 3例行局部炎症组织切除后伤口换药并加压包扎，口服中成药新癀片及抗生素治疗后控制感染；9例在关节镜下行关节清理冲洗，其中2例在行关节镜下手术时因无法彻底清创行切开清创合并滑膜切除； 3例因反复出现膝关节红肿、疼痛、甚至破溃予全膝置换术后感染清创临时假体置换术，用含敏感抗生素骨水泥填充，对关节腔进行对流冲洗，待关节情况稳定后行Ⅱ期翻修，术后痊愈出院。

Abstract］ objective to provide the experience on treatment with the internal fixation to the fractures combined with/without dislocation on peripheral amphiarthrodial joint.methods from january 2000 to january 2005,62 cases were follow-up visited and evaluated on imageology,imaging,joint function and complication,et al.results serveral problems were observed on these cases.first,when the internal fixation were pulled out,some of the patients were observed the disturbance,even loss on joint function,and their quality of life were limmited.second,some internal fixations had been broken before they were pull out.conclusion we should sufficiently allow for not only the stabilization and the union of the fracture,but also degrade the complication to minimum limit and maximally recover the joint function.

目的 通过对微动关节周围骨折和合并关节脱位的内固定治疗后的疗效分析，进而为临床治疗提供经验。方法对2000年1月～2005年1月期间62例患者进行随访，并从影像学及关节功能、并发症等方面进行评估。结果治疗该类创伤病例存在着以下几个问题：（1）部分患者的关节功能在内固定解除术后，存在着不同程度的功能障碍，甚至丧失而影响到患者的生活质量。（2）并发内固定断裂情况时有发生。结论治疗微动关节周围骨折尤其在合并有关节脱位时，应充分考虑到既要修复因创伤引起的骨折使其愈合并使该关节稳定，又应该最大限度地恢复关节功能，并将并发症降低到最小限度。

Methods: Posterior atlanto-occipital transarticular Kirschner wire implantation was performed under visual control on 30 dried bony specimens that contained complete atlanto-occipital articulation ,and cephalocaudal and lateral X-rays were taken, on which the angle and the length of the screw trajectory were measured.

30例含完整寰枕关节干燥骨性标本，直视下行后路寰枕关节经关节克氏针植入后行X线摄片，在X线片上测量寰枕关节经关节螺钉固定的钉道角度和长度。

Results: Arthroscopic examination showed that there were synovitis, debris and fibrillation in the joints of ADD with reduction; synovitis, synovial hyperplasia, debris, fibrillation, chondromalacia,fibrocartilage rupture and adhision in the joints of ADD without reduction.

结果：可复性关节盘前移位的病例出现滑膜炎，关节腔内有絮状物，关节结节表面有纤维形成。不可复性关节结节表面纤维形成，关节软骨软化，软骨剥脱，同时伴有纤维粘连。

The shoulder is a complex joint which consists of sternoclavicular joint, clavicle , acromioclavicular joint, scapula, glenohumeral joint, proximal humerus and scapulothoracic joint.

肩关节是由胸锁关节、骨、锁关节、胛骨、肱关节、骨近端以及肩胛胸壁关节共同组成的复杂结构。

Whatever methods you chose, the destruction of the TMJ was also found. At 3 days posttrauma hemarthrosis could be seen in most of the joints of both groups. Fibrous effusion was seen in a joint of surgery treatment group at 1 month posttrauma. 3 months later, fibrous ankylosis was found in the conservative treatment group.

不管采用哪种治疗方法，关节结构的破坏性改变自始至终都存在，早期都出现关节积血及关节结构的破坏；2周后可有关节盘不规则破坏，甚至完全崩解，关节腔内出现渗出液。1月时，可见固定组动物的关节腔内有纤维性渗出。3月时绝大多数关节结构基本存在，但可见有许多裂隙或囊样变，不固定组内有一动物的关节内出现了纤维性关节强直的表现。

Hemarthrosis and laceration of the disc and the attachment were also observed. 7 days later, the hemarthrosis was seldomly seen. Effusion was seen in some joints at 2 weeks. At 1 month posttrauma, the severely damaged structure of the two joints in one animal was found. We could find the loss of the disc and the cartilage of the condyle. Effusion also existed.

伤后1月，可见有一侧关节盘完全破坏，髁突软骨层消失，关节腔内渗出；对侧关节结构紊乱，关节盘及髁突明显变形、不规则等变化。3月后，多数关节结构基本正常，但关节内的破坏性改变仍然存在，关节内可见较明显的裂隙或囊状改变，软骨组织变薄，关节盘松解，关节腔扩张等变化。

Methods selective and limited minimally invasive debridement under arthroscope was applied to 54 patients with osteoarthritis of knee joint; hyperplasia of inflammatory synovial membrane and abrasion of anterior cruciate ligament were chipped or vaporized with radiofrequency, the corpus liberum were taken out, cartilage was scoured into certain shape; excision or partial excision were performed to hyperplastic intercondyloid spine, osteophyma and menisci; intercondyloid fossa was formed.results 45 cases were followed up for an average of 18 months (from 6 months to 24 months); the clinical symptoms of most cases released obviously and the joint function improved.conclusions minimally invasive debridement under arthroscope can effectively release oa symptoms, improve joint function and raise the quality of life.

对54例膝关节骨性关节炎患者进行关节镜下选择性、有限化微创清理术。手术内容包括刨削或射频汽化增生的炎性滑膜组织和前交叉韧带磨损、游离体取出、软骨打磨成形、增生髁间棘切除、部分骨赘切除、半月板部分切除、髁间窝成形。结果随诊45例，平均18个月（6～24月），大多数患者临床症状明显缓解，关节功能改善。结论关节镜微创清理术可有效缓解oa症状，改善关节功能，提高生活质量。骨关节炎；膝关节；关节镜检查

Lugalbanda was a god and shepherd king of Uruk where he was worshipped for over a thousand years.

Lugalbanda 是神和被崇拜了一千年多 Uruk古埃及喜克索王朝国王。

I am coming just now,' and went on perfuming himself with Hunut, then he came and sat.

我来只是现在，'歼灭战perfuming自己与胡努特，那麼，他来到和SAT 。