腓

To reconstruct the extensor mechanism, an extended medial gastrocnemius flap including a tendinous portion of the Achilles was used.

为了重建伸肌结构，运用了包括跟腱腱部分在内的扩大内侧腓肠肌皮瓣。

Seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of PMC and MCL in 4 patients were performed in this phase. Arthroscopic combined reconstruction of ACL and PCL with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of PLC with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of PMC and MCL with femoral fascia in 1 patient were completed simultaneously.

方法］自2001年9月~2005年2月，13例病人（13膝）经关节镜检查证明ACL和PCL均断裂，其中5膝伴后内侧角、内侧副韧带损伤，4膝伴后外侧角损伤，2膝伴外侧半月板破裂，1膝伴内侧半月板损伤，3膝伴动脉损伤，2膝伴腓分神经损伤。7例病人于损伤后急性期入院，2膝于急性期行血管探查修复，4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束ACL和PCL联合重建术，其中4例同期后1/2 股二头肌腱重建后PLC，1例同期阔筋膜PMC、MCL重建。

Seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of PMC and MCL in 4 patients were performed in this phase. Arthroscopic combined reconstruction of ACL and PCL with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of PLC with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of PMC and MCL with femoral fascia in 1 patient were completed simultaneously.

］自2001年9月~2005年2月，13例病人（13膝）经关节镜检查证实ACL和PCL均断裂，其中5膝伴后内侧角、内侧副韧带损伤，4膝伴后外侧角损伤，2膝伴外侧半月板破裂，1膝伴内侧半月板损伤，3膝伴动脉损伤，2膝伴腓总神经损伤。7例病人于损伤后急性期入院，2膝于急性期行血管探查修复，4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束ACL和PCL联合重建术，其中4例同期后1/2 股二头肌腱重建后PLC，1例同期阔筋膜PMC、MCL重建。

Method］from sept 2001 to feb 2005, 13 knees with combined acl and pcl tear in 13 patients were verified with arthroscopy. of them, 5 knee were combined with rupture of the posteromedial coner and medial collateral ligament, 3 combined with disruption of the posterolateral corner, 2 with lateral meniscus tear, 1 with medial meniscus tear, 3 associated with popliteal vascular injury and 2 with peroneal nerve injury. seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of pmc and mcl in 4 patients were performed in this phase. arthroscopic combined reconstruction of acl and pcl with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of plc with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of pmc and mcl with femoral fascia in 1 patient were completed simultaneously.

方法］自2001年9月~2005年2月，13例病人（13膝）经关节镜检查证实acl和pcl均断裂，其中5膝伴后内侧角、内侧副韧带损伤，4膝伴后外侧角损伤，2膝伴外侧半月板破裂，1膝伴内侧半月板损伤，3膝伴动脉损伤，2膝伴腓总神经损伤。7例病人于损伤后急性期入院，2膝于急性期行血管探查修复，4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束acl和pcl联合重建术，其中4例同期后1/2 股二头肌腱重建后plc，1例同期阔筋膜pmc、mcl重建。

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。

Objective To explore the treatment of ankle joint fracture combined with inferior tibiofibular joint split.

目的 探讨踝关了骨折伴下胫腓关节分离的治疗方法。

Objective To explore the treatment of ankle joint fracture combined with inferior tibiofibular joint split.

目的 探讨踝关节骨折伴下胫腓关节分离的治疗方法。

Methods:34 cases of tibiofibular fracture complicated with soft-tissue failure were treated with three-dimensional external fixator.

应用三维外固定器治疗开放性骨折、多段骨折、近关节部位骨折等复杂的胫腓骨折共34例。

Methods: During intravenous anesthesia, twenty male SD rats received single transcranical magnetic and electric stimulation with Mag 2 stimulator and Cantada electromyograph. The characteristics of MEP recorded epidurally or in the bilateral forelimbs′ extensor muscles and hindlimbs′ gastrocnemius muscles under different stimulation intensities were observed.

20只雄性SD大鼠经静脉麻醉后采用 Mag 2型磁刺激仪和Cantada型肌电图仪分别进行单次经颅磁及电刺激，观察不同刺激强度下，在T12硬膜外和双侧前肢伸肌和后肢腓肠肌记录的MEP变化特征。

It takes us on a journey through time, from the 《golden era》 of Pericles in classical Athens, to the grave of Phillip in Vergina and Alexander the Great's legendary capital, Pella, in Northern Greece, the infamous base of the Greek civilisation, in its ventures towards the East.

在时间的长河中徜徉而下，我们看到从伯里克里斯古雅典的黄金时代，到希腊北部的腓力普的弗吉纳陵寝，再到亚历山大大帝传奇的都城佩拉；希腊，在逐渐形成着她朝向东方的冒险历史，而那正构成着希腊古国泥沙俱下、波澜壮阔的文明根基。

Plunder melds and run with this jewel!

掠夺melds和运行与此宝石！

My dream is to be a crazy growing tree and extend at the edge between the city and the forest.

此刻，也许正是在通往天国的路上，我体验着这白色的晕旋。