胫的

Historically, isolated FCL injuries have been treated by direct repair,2 augmentation with a strip of the common biceps tendon,3,38 augmentation with a portion of the iliotibial band,3 imbrication and advancement with a bone block,7,13 or reconstruction using allograft tissue at nonanatomic attachment sites.4,6,24,29 However, to our knowledge no anatomic approach to reconstructing nonrepairable isolated FCL injuries has been published.

过去FCL离断伤通过直接修复[2]、股二头肌总腱增强[3，38]、部分髂胫束增强[3]、骨块重叠改良[7，13]或同种异体组织移植在非解剖重建治疗[4，6，24，29]。然而，就我们所知，尚未发现不可修复的FCL离断伤后解剖学重建的报道。

It is not a popular method because, despite utmost care, it is possible to injure the tibial essels and nere. Neertheless, it may be useful for fracture-dislocations of the talus, other traumatic lesions of the ankle joint, and osteochondritis dissecans of the talus.

采用此入路即使极为小心，仍有可能损伤胫后血管及神经，因此该切口并不常用，但可能用于距骨骨折脱位、踝关节的一些其他损伤及距骨的剥脱性骨软骨炎。

MethodsWe chose 20 adult cadavers' lower limbs, dissected the MCNs, observed their original sites, shapes, courses and distribution, and measured the perpendicular distance from original sites of MCNs from tibial nerve, original sites of their branches to the tip of medial malleolus, and the external diameters of their main trunks and branches. ResultsThe frequency of the MCN was 95% in this array.

选择成人尸体标本20个下肢，解剖跟内侧神经，观察其发出部位、形态、走行与分布情况，分别测量并记录跟内侧神经自胫神经发出部位及其属支分支处到内踝尖平面的距离和跟内侧神经主干及其主要分支的外径。

Formation: formed by anterior rami of L1-L3, a part of anterior rami of T12and L4

掌握胫神经的行径、皮支分布区及其所支配的肌群。

Small branches of posterior tibial artery for the distribution: the former industry front tibia, s sector semimembranosus muscle only points to the Achilles tendon mid-point of the connection.

胫后动脉细小分支的分布范围为：前界胫骨前缘， s 界半膜肌肌腱止点到跟腱中点的连线。

The distal tibiofibular syndesmosis is an important structure to keep the stability of the ankle articulation.

下胫腓联合是维持踝关节稳定的重要结构，其损伤是一种比较常见的运动损伤，容易造成踝关节慢性不稳定、长期疼痛和创伤性关节炎等后遗症。

Key words: Ankle joint fracture; Inferior tibiofibular syndesmosis split; Operation

回顾性分析手术治疗的合并下胫腓联合分离的踝关节骨折脱位患者24例。

Objective To summarize the effectiveness of the disruption of tibia?

目的 总结合并下胫腓联合分离的踝关节骨折手术治疗的效果。

MethodThe clinical data of 100 cases with open fracture in middle and distal segment of tibiofibula treated by the author in more than 10 years was analyzed retrospectively, and followed up for 1～10 years.

回顾性分析自己10余年所收治的100例胫腓骨中下段开放性骨折的临床资料，进行总结，并随访1～10年。

The agglutination rate is 100%. Conclusion It is an effective way to cure complicated tibiofibula fracture with the toroid clamp stand which does not affect the disposal of surrounded soft tissues.

环形式外固定支架具有稳定骨折，不影响软组织的外科处理，骨折局部血供恢复快，相邻关节功能恢复好，是治疗复杂胫腓骨骨折的有效方法。

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。