干骺端的

Objective To investigate the methods and treatment of internal fixation with Titanium mini-plate in the treatment of metacarpus and phalange fracture in metaphysic.

目的 探讨国产微型钛板钉内固定治疗手部掌骨、指骨干骺端骨折的治疗方法及效果。

Results Metaphysis osteoporosis was observed on X-ray and CT in acute stage, the midsection of infarct of bone was isointensity on T1WI and iso/hyperintensity signal on T2WI, the edge of infarct of bone was ring-shaped hypointensity on T1WI and hyperintensity signal on T2WI. Small worm-eaten change and stippled calcification was observed on X-ray and CT in subacute stage, the infarct of bone was iso/hypointensity on T1WI and iso/hyperintensity signal on T2WI, the edge of infarct of bone was ring-shaped hypointensity on T1WI and hyperintensity signal on T2WI. Irregular and wriggle osteosclerosis was observed on X-ray and CT in chronic stage, was hypointensity on T1WI and T2WI.

结果 骨梗死急性期X线、CT表现为干骺端骨质疏松，MR T1WI骨梗死灶中央部分呈等至高信号，T2WI呈高信号，T1WI骨梗死灶边缘呈环形低信号，T2WI呈环形高信号；亚急性期X线、CT表现为小的虫噬样改变，伴有斑点状钙化，MR T1WI骨梗死灶呈等或低信号，T2WI呈等或稍高信号，T1WI骨梗死灶边缘呈环形低信号，T2WI呈环形高信号；慢性期X线、CT表现为不规则状、蜿蜒状骨质硬化，MR T1WI和T2WI均呈低信号。

Large cancellous and corticocancellous grafts may be obtained from the anterosuperior iliac crest and the posterior iliac crest. Small cancellous grafts may be obtained from the greater trochanter of the femur, femoral condyle, proximal tibial metaphysis, medial malleolus of the tibia, olecranon, and distal radius. At least 2 cm of subchondral bone must remain to avoid collapse of the articular surface.

大块的松质骨或皮质-松质骨复合植骨块，可取自髂前上棘或髂后棘，小块松质骨块可以取自股骨大粗隆、股骨髁、胫骨近侧干骺端、内踝、尺骨鹰嘴及桡骨远端，但至少要保留2cm的软骨下骨以防止关节面的塌陷。

In revision THA for instability, where malalignment of the primary components is an issue, the use of modular systems that allow metaphyseal fit and fill to be reconstructed as an independent variable to stem version can be an advantage.

不稳的全髋翻修中，其初次假体的排列顺序不良是个问题，使用组块模式的系统，可允许干骺端匹配并满足对股骨假体干的版本进行独立可变的重建，是个优势。

This evolution has yielded a better understanding and ability to control fractures of the metaphysis and, in the distal femur, even intra-articular fractures.

这一进展还包括对处理干骺端骨折，股骨远端骨折，甚至是关节内骨折的更好的理解和能力。

Increasing the width of the proximal portion of the stem to better fill the metaphysis increases the torsional stability of the femoral component, especially when it is implanted without cement.

增加股骨柄近端的宽度以更好地填充干骺端可增加股骨假体的抗扭稳定性，特别是无骨水泥固定时。

Result:Altogether uses this method to treat 10 examples patients, completely belongs to the serious open smashing bone fracture, moreover all is outside the bone reveals, as a result of the osteomyelitis, the bone not company, the durable each kind of conventional surgery and the treatment has not attained successfully, the use bulk body emaciated by sickness excision, outside the bracket fixing pressurizes the compression to be fixed, simultaneously is doing the epiphysis end with the needle saw which independently develops to dive the good truncation bone, restores excises the body emaciated by sickness the length.

结果： 共用此方法治疗10例病人，全部是属于目的：探索治疗胫骨骨髓炎、骨不连的新方法。方法：将病灶病骨大块切除，用外固定支架缩短加压固定病骨切除骨的两断端，同时在干骺端用自行研制的针锯潜行截骨，用同一支架进行缓慢延长，恢复肢体长度。

Will get sick the stove body emaciated by sickness bulk excision, will reduce with the outside fixed support pressurizes the fixed body emaciated by sickness to excise the bone two to break the end, simultaneously will be doing the epiphysis end with the needle saw which independently will develop to dive the good truncation bone, will carry on with the identical support slowly lengthens, restores the body length.

将病灶病骨大块切除，用外固定支架缩短加压固定病骨切除骨的两断端，同时在干骺端用自行研制的针锯潜行截骨，用同一支架进行缓慢延长，恢复肢体长度。

Will get sick the stove body emaciated by sickness bulk excision, will reduce with the outside fixed support pressurizes the fixed body emaciated by sickness to excise the bone two to break the end, simultaneously will be doing the epiphysis end with the needle saw which independently will develop to dive the good truncation bone, will carry on with the identical support slowly lengthens, restores the body length.

将病灶病骨大块切除，用外固定支架缩短加压固定病骨切除骨的两断端，同时在干骺端用自行研制的针锯潜行截骨，用同一支架进行缓慢延长，恢复肢体长度。结果：共用此方法治疗10例病人，全部是属于严重

Result:Altogether uses this method to treat 10 examples patients, completely belongs to the serious open smashing bone fracture, moreover all is outside the bone reveals, as a result of the osteomyelitis, the bone not company, the durable each kind of conventional surgery and the treatment has not attained successfully, the use bulk body emaciated by sickness excision, outside the bracket fixing pressurizes the compression to be fixed, simultaneously is doing the epiphysis end with the needle saw which independently develops to dive the good truncation bone, restores excises the body emaciated by sickness the length.

本论文仅供参考，如需转载本文，请务必注明原作者以及转载来源：论文图书馆 www.lwlib.com目的：探索治疗胫骨骨髓炎、骨不连的新方法。方法：将病灶病骨大块切除，用外固定支架缩短加压固定病骨切除骨的两断端，同时在干骺端用自行研制的针锯潜行截骨，用同一支架进行缓慢延长，恢复肢体长度。

And Pharaoh spoke to Joseph, saying, Your father and your brothers have come to you.

47：5 法老对约瑟说，你父亲和你弟兄们到你这里来了。

Additionally, the approximate flattening of surface strip using lines linking midpoints on perpendicular lines between geodesic curves and the unconditional extreme value method are discussed.

提出了用测地线方程、曲面上两点间短程线来计算膜结构曲面测地线的方法，同时，采用测地线间垂线的中点连线和用无约束极值法进行空间条状曲面近似展开的分析。