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半月板

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Observing the tibia and femoral subchondral and trabecular with electronic microscopy. 5 Simulating knee joint movement.

五、模拟状态下观察半月板在外力作用的受力状态,半月板的存在与否对力线的影响。

Seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of PMC and MCL in 4 patients were performed in this phase. Arthroscopic combined reconstruction of ACL and PCL with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of PLC with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of PMC and MCL with femoral fascia in 1 patient were completed simultaneously.

方法]自2001年9月~2005年2月,13例病人(13膝)经关节镜检查证明ACL和PCL均断裂,其中5膝伴后内侧角、内侧副韧带损伤,4膝伴后外侧角损伤,2膝伴外侧半月板破裂,1膝伴内侧半月板损伤,3膝伴动脉损伤,2膝伴腓分神经损伤。7例病人于损伤后急性期入院,2膝于急性期行血管探查修复,4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束ACL和PCL联合重建术,其中4例同期后1/2 股二头肌腱重建后PLC,1例同期阔筋膜PMC、MCL重建。

Seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of PMC and MCL in 4 patients were performed in this phase. Arthroscopic combined reconstruction of ACL and PCL with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of PLC with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of PMC and MCL with femoral fascia in 1 patient were completed simultaneously.

]自2001年9月~2005年2月,13例病人(13膝)经关节镜检查证实ACL和PCL均断裂,其中5膝伴后内侧角、内侧副韧带损伤,4膝伴后外侧角损伤,2膝伴外侧半月板破裂,1膝伴内侧半月板损伤,3膝伴动脉损伤,2膝伴腓总神经损伤。7例病人于损伤后急性期入院,2膝于急性期行血管探查修复,4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束ACL和PCL联合重建术,其中4例同期后1/2 股二头肌腱重建后PLC,1例同期阔筋膜PMC、MCL重建。

Method]from sept 2001 to feb 2005, 13 knees with combined acl and pcl tear in 13 patients were verified with arthroscopy. of them, 5 knee were combined with rupture of the posteromedial coner and medial collateral ligament, 3 combined with disruption of the posterolateral corner, 2 with lateral meniscus tear, 1 with medial meniscus tear, 3 associated with popliteal vascular injury and 2 with peroneal nerve injury. seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of pmc and mcl in 4 patients were performed in this phase. arthroscopic combined reconstruction of acl and pcl with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of plc with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of pmc and mcl with femoral fascia in 1 patient were completed simultaneously.

方法]自2001年9月~2005年2月,13例病人(13膝)经关节镜检查证实acl和pcl均断裂,其中5膝伴后内侧角、内侧副韧带损伤,4膝伴后外侧角损伤,2膝伴外侧半月板破裂,1膝伴内侧半月板损伤,3膝伴动脉损伤,2膝伴腓总神经损伤。7例病人于损伤后急性期入院,2膝于急性期行血管探查修复,4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束acl和pcl联合重建术,其中4例同期后1/2 股二头肌腱重建后plc,1例同期阔筋膜pmc、mcl重建。

Method]The allograft menisci from the plentiful donors of the tissue bank were achieved and preserved with the deepfrozen technique.

方法]作者利用组织库供体来源的优势,结合低温冷冻技术保存半月板,初步建立了异体半月板库。

Clinical use of allograft menisci should be based on practical requirement of patients and the data recorded in the Menisci Bank.

临床进行半月板移植时,根据患者的需要和半月板库的记录资料合理选择,并注名有关操作规程。

OBJECTIVE: Through assessment of menisci injuries of the knee using magnetic resonance imaging and arthroscopy, to investigate MRI manifestation in different types of meniscal injuries.

目的:通过半月板损伤的MRI检查及关节镜,探讨半月板不同损伤类型的不同MRI表现。

Asymptomatic discoid menisci should be observed, whereas symptomatic discoid menisci are best treated with saucerization and repair.

无症状的盘状半月板需要观察,而有症状的盘状半月板最好进行蝶形手术及修复。

Objective To investigate the proliferation of porcine meniscus fibrochondrocytes and the expression of collagen under the condition of monolayer culture to fabricate autologous tissue-engineered menisci.

目的 研究体外单层培养条件下猪半月板纤维软骨细胞增殖和胶原的表达,为构建自体组织工程化半月板奠定基础。

[Objective]To investigate the establishment of the Allograft Menisci Bank so as to provide suitable allograft meniscus for clinical study of allograft meniscus transplantation.

[目的]建立同种异体半月板库,为半月板移植的临床应用研究打下基础。

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