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All patients had low back pain and/or leg pain, and 27 of them suffered from intermittent claudication.

目的观察腰椎后外侧融合和椎管减压治疗腰椎管狭窄症的疗效。

The presence of early CT signs has been reported to be a predictive sign of hemorrhagic complications after reperfusion therapies[4, 5, 13 18]. Our study has also demonstrated that the rate of symptomatic hemorrhagic complications showed a tendency to increase as the grade of early CT signs increased, although a statically significant difference was not proved. A grade III CT sign may be a predictive sign for hemorrhagic complications after reperfusion therapy. In contrast, the presence of a grade I CT sign may not contraindicate reperfusion therapy.

本研究也显示:尽管彼此间均无统计学显著差异,但血管内再通治疗后症状性出血并发症的发生率,在深部大脑中动脉分布区未出现早期CT征象的患者、出现I级早期CT征象(细微低密度区局限于岛叶,基底节区正常)的患者、出现II级早期CT征象(部分壳核后外侧区出现低密度)的患者、出现III级早期CT征象(整个豆状核区均出现低密度)的患者中,呈逐渐增加的趋势。

The main components were a lateral expansion to the oblique popliteal ligament; a direct arm, which attached to the tibia; and an anterior arm. The oblique popliteal ligament, the largest posterior knee structure, formed a broad fascial sheath over the posterior aspect of the knee and measured 48.0 mm in length and 9.5 mm wide at its medial origin and 16.4 mm wide at its lateral attachment. It had two lateral attachments, one to the meniscofemoral portion of the posterolateral joint capsule and one to the tibia, along the lateral border of the posterior cruciate ligament facet. The semimembranosus also had a distal tibial expansion, which formed a posterior fascial layer over the popliteus muscle.

主要的部分是一个可以侧方扩展的腘斜韧带,最大的膝关节后方的组织结构,形成了一个较大的筋膜外皮位于膝关节的后方,测量结果显示长度为48mm,边缘宽度为9.5mm,侧方附件的宽度为16.4mm,它具有两个方面的附件,一个位于半月板股骨间部分的后外侧关节囊和一个在胫骨端的后叉韧带边缘,半膜肌同时也存在一个远处的胫骨扩展,形成了一个后方的筋膜附着腘肌。

The branch to the medial head of the triceps and anconeus muscle descended along the lateral side of the posterior midline of the arm.

肱三头肌内侧头—肘肌支走行于臂后中线的稍外侧,于臂后中线的稍内侧切开肱三头肌内侧头可避免损伤该神经。

The principles of the operative technique are to (1) restore coronoid stability throughfracture fixation (type-II or III fractures7) or through anterior capsular repair (a type-I fracture),(2) restore radial head stability through fracture fixation or replacement with a metal prosthesis,(3) restore lateral stability through repair of the lateral collateral ligament complex and associated so-called secondary constraints such as the common extensor origin and/or the posterolateral capsule,(4) repair the medial collateral ligament in patients with residual posterior instability, and (5) apply a hinged external fixator when conventional repair does not establish sufficient joint stability to allow early motion.

外科手术的原则是:①通过骨折固定(2型骨折或3型骨折)或者经前方关节囊修复(1型骨折)恢复冠状突的稳定。②通过骨折固定或假体置换恢复桡骨头的稳定性③通过修复侧副韧带以及相关的所谓的次要限制如伸肌群起点和后外侧关节囊。④残余的后侧不稳,修复内侧副韧带⑤当传统的修复方法不能建立有效的关节稳定以便允许早期活动时,可以应用外固定器。

On the basis of vertebral pedicle screw fixation, using intervertebral bone grafting could increase the rate of fusion, and using isthmic and posterolateral bone grafting could add spine stability, with good efficacy.

在椎弓根钉内固定系统复位固定的基础上进行椎间植骨椎等制定间融合率高,峡部植骨及后外侧植骨融合后可增加脊柱的稳定性,疗效好,值得临床推广。

The periostea of both experimental and control side of the mandibular ramus were taken and prepared, 2 of each 5 rabbits in a group were prepared for HE stain detection and 3 for proliferating cell nuclear antigen immunohistochemical detection.Results:1, The newly formed bone was detected on the lateral aspect of mandibular ramus after periosteal distraction. The bone was shaped like a hill. It looked very low and was full of holes at postoperative day 28. With the time of consolidation period lengthened, the newly formed bone matured gradually. X-ray examination showed the new bone shaped like a hill. The average values of new bone height at postoperative days 28,35,42 and 56 were 1.86 + 0.15mm, 2.29 + 0.29mm,3.19 + 0.13mm and 4.70 + 0.45mm. Histological examination of both HE stain and picricacid-fuchsin stain showed the increase in the number of osteoblasts and the change in the orientation of collagen fibers and bone trabecula. There were no significant differences between newly formed bone and original bone on the lateral aspect of mandibular ramus at postoperative day 56 histologically.2 Compared with the control side, the distracted periostea proliferated obviously under the microscope, and the number of periostealcells increased with satiation of cellular nuclear per unit area. The images of PCNA immunohistochemical stain of periosteum showed that the experimental periosteum proliferated obviously after distraction compared with the control side.

结果:骨膜牵张成骨的实验研究南京医科大学硕{学位论文l、骨膜牵张后,可见下领升支外侧的骨皮质上有新骨形成,新骨呈山峰状凸起,术后第28天的新生骨较低平,多孔隙,随着固定时间的延长,新骨逐渐成熟;下领升支前后向切线位X线投照显示新骨呈山峰样隆起;经测量,术后第28、35、42和56天组平均新生骨厚度分别为x.86士0.15mm、2.29士0.29mm、3.19士0.13mm和4.70 土0.45mm;脱钙骨组织的HE染色和不脱钙骨组织的苦味酸一品红染色的组织学观察均显示了新生骨在成骨细胞数量上的增长,以及胶原纤维和骨小梁排列方向上的变化,术后第56天的新生骨在组织学上与原升支骨组织已无明显区别。2、HE染色显示,与对照组相比较,实验侧骨膜增生明显,细胞间排列紧密,单位面积内骨膜细胞数增多,细胞核饱满;骨膜PCNA 免疫组化染色显示,与对照侧相比较,实验侧骨膜在牵张后出现了明显的增生迹象,PCNA阳性细胞分布紧密,单位面积内阳性细胞数较对照组多,靠近骨表面的骨膜中的阳性细胞数更多而且分布更为紧密。

Our hypothesis was that Grade-3 posterior drawer laxity is an indicator of a concomitant injury of the posterolateral corner.

研究假设为:后抽屉试验的3度松弛,提示存在合并的后外侧角损伤。

It has been well documented that the fibular collateral ligament is the primary varus stabilizer of the knee.8,10 Consequently, isolated FCL injuries can elicit abnormal varus knee instability that can lead to functional limitations, a varus thrust gait pattern, and the potential development of medial meniscal tears or medial compartment arthritis over time due to the increased compressive forces at the medial tibiofemoral compartment.16,23,30 In addition, it has been demonstrated that varus instability, primarily due to a deficient FCL from an untreated posterolateral knee injury, causes a significant increase in force on both anterior cruciate and posterior cruciate ligament reconstruction grafts.11,21,22 Therefore, a reconstruction technique to address nonrepairable acute or chronic isolated FCL tears is important to address these pathologic abnormalities.

已经证实腓侧副韧带是防止膝关节内翻的主要稳定结构[8,10]。因此,FCL离断伤可以引起异常的膝关节内翻不稳定,从而导致功能受限、膝内摆步态和潜在发展为内侧半月板撕裂或由于在增加胫股关节间隙的压力会随时间推移发生内侧间室关节炎[16, 23, 30]。此外,已经证实了主要由膝关节后外侧损伤后未经治疗导致FCL功能缺陷引起的膝内翻不稳可以引起前交叉韧带和后交叉韧带重建移植物受力明显[11,21,22]。因此,认为不可修复的急性或慢性FCL离断撕裂伤的重建技术对这些病理异常非常重要。

Diagram D, JDBC Walk the defender down to the block, plant the inside foot and quickly make the V-cut back out. This time the defender is ready and is in front you, over-playing the pass. So now plant the outside foot, and make a quick back-cut.

与防守者一起游走至阻区,停住后立刻做一个V字切出来,此时防守者已经做好准备,在你前方绕前阻绝,此时你应将外侧的那只脚停住,并作一个迅速的后切。

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