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The proximal and distal nerve stumps were sutured l cm apart, in an end-to-side fashion like "π", to the epneurium windows, opened by removing the epineural sheath on the intact tibial nerve trunk with 1 mm long.

方法将大鼠右侧腓总神经在胭窝处剪除约5mm后,将断裂的腓总神经近端和远端分别就近与同侧胫神经上的外膜窗施行端侧吻合,吻合口间距约10mm;动物存活24个月后,将手术侧近端吻合口以上胫神经剪断,再将辣根过氧化物酶注入远段腓总神经干内,72h后取材并经四甲基联苯胺显色显示脊髓L3-6节段神经元和L4、L5脊神经节细胞,同时取腓总神经远段行电镜观察神经纤维再生状态。

The good effect of operated treatment is available on the disruption of tibia?fibular joint malleolar fracture.

结论手术复位是治疗合并下胫腓联合分离的踝关节骨折的必要选择,正确的复位顺序、合适的手术入路及固定方法是取得良好复位的关键。

The limited external rotation of the fibula during injury by the superior tibio-fibular syndesmosis comprise to the high level fibular fracture.

上胫腓联合对腓骨外旋的限制及膝关节在损伤时所处的屈曲角度共同参与了高位腓骨骨折的产生。

The good effect of operated treatment is available on the disruption of tibiafibular joint malleolar fracture.

手术复位是治疗合并下胫腓联合分离的踝关节骨折的必要选择,正确的复位顺序、合适的手术入路及固定方法是取得良好复位的关键。

Key words:disruption of tibia fibular joint;malleolar fracture;surgical treatment

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。

Key words:disruption of tibiafibular joint;malleolar fracture;surgical treatment

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。

Surgical Treatment on the Disruption of Tibia??fibular Joint Combined with Malleolar Fracture

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。

Up outcomes were determined using Olerud′s criteria,which revealed that 36 patients were excellent,13 good,3 fair.Conclusion The good effect of operated treatment is available on the disruption of tibia??fibular joint malleolar fracture.

手术复位是治疗合并下胫腓联合分离的踝关节骨折的必要选择,正确的复位顺序、合适的手术入路及固定方法是取得良好复位的关键。

For statistical analyses, A mixed model ANOVA was used to compare the differences of the changes of bilateral malleoli distance from quiet stance to deep squat among three different conditions.

本研究之研究对象为健康成年人,或许是无法达到统计差异的主因,未来将进行胫腓联合关节伤害者的限制效应。

Methods 6 sets of data were measured on the 166 radiograms of normal ankle joint. There were length of lateral malleolus (L1), length of tibiofibular overlapping (L2), adds of L1 and L2, three angles of difference point of medial malleolus.

测量166例正常成人踝穴位X线片上外踝长度(L1)、下胫腓重叠影的长度(L2)以及两者之和(L3)和内踝远端内下骨皮质表面不同的3点在胫骨远端骨质范围内投影的夹角,分析其相互间特点。

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