胫

Objective To study the clinical application of medial supramalleolar perforator-based flap of posterior tibial artery in repairing foot and ankle soft tissue coloboma.

目的 探讨胫后动脉内跟上穿支筋膜蒂皮瓣在足踝部软组织缺损修复中的应用价值。

Methods From May 2007 to Oct 2007, 13 cases of soft foot and ankle tissue coloboma were repaired or reconstructed with this flap. The perforator branch was detected and earmarked by Doppler ultrasound. The flap axis was designed as the connection of internal condyle of tibia and the middle point between inner malleolus and achilles tendon based on anatomy. The pivot was designed in the point which perforator branch perforate the deep fascia. The flap dissociation was performed upon the deep fascia and the flap thickness can be modified during the operation.

2007年5月－2008年10月应用胫后动脉内跺上穿支筋膜蒂皮瓣修复足踝部软组织缺损13例，术前彩色超声多普勒行内深上穿支探测并体表标记，在解剖学基础上，皮瓣轴线在胫骨内侧裸后与内踝、跟腱间中点的连线，旋转点设计在穿支穿深筋膜处，深筋膜上游离皮瓣，术中可根据受区情况适当修整皮瓣厚度。

Fresh cadaveric experiment:fixation of the medial side alone can not controll the syndesmotic diastasis on the artificial Maisonneuve fracture model made on cadaveric specimen.

3尸体标本实验：在人工MFF损伤模型中单独固定内踝并不能控制下胫腓分离。

According to the classification, there were single-tube in 25 and double-tube in 96 patients. One hundred and two patients with diastematomyelia were treated by operation and ninteen by conservative treatment. The clinical results were retrospectively analyzed according to scoring neural function and monitoring the peak P40 of posterior trivial nerve cortical somatosensory evoked potential before and after treatment.

方法］对1978年5月～2006年1月收治的有完整资料的121例单管型及双管型脊髓纵裂手术及非手术治疗的病例进行回顾性分析，并通过临床神经功能评分及胫后神经皮层体感诱发电位P40波峰监测，评价其手术治疗的疗效。

One hundred and two patients with diastematomyelia were treated by operation and ninteen by conservative treatment. The clinical results were retrospectively analyzed according to scoring neural function and monitoring the peak P40 of posterior trivial nerve cortical somatosensory evoked potential before and after treatment.

方法］对1978年5月～2006年1月收治的有完整资料的121例单管型及双管型脊髓纵裂手术及非手术治疗的病例进行回顾性分析，并通过临床神经功能评分及胫后神经皮层体感诱发电位P40波峰监测，评价其手术治疗的疗效。

As the superficial medial collateral ligament courses distally, it has two tibial attachments.

内侧副韧带浅层，通常称为胫侧副韧带，是膝关节内侧最大的结构（图1-A）。

The loss of dorsiflexion in the right ankle that resulted from excision of the anterior tibialis muscle.

第二是右下肢胫前肌因感染切除导致踝关节无法背屈，造成不正常步态。

For tibiotalar rotation, no statistical differences were detected for either plantarflexion or dorsiflexion when compared to baseline, except with axial load.

对于胫距旋转，除了给予轴性负荷外，踝关节跖屈位或背伸位无统计学差异。

Methods This type of plate was applied to 10 cases of tibiofibular fracture and 6 cases of tibial shaft fracture for extraperiosteal fixation.

方法胫腓骨骨干双骨折10例，胫骨骨干骨折6例，不作骨膜切开及剥离，采用该钢板骨膜外固定骨折。

Objective To investigate the influence and clinical significance of knee lateral thrust gait to femorotibial angle and lateral joint space in the patients with knee varus deformity.

目的 探讨膝外摆步态对膝内翻患者股骨一胫骨角及胫股关节外侧间隙的影响及其临床意义。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。