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Objective: To study a treatment for closed tendo achillis rupture.

目的:研究治疗闭合性跟损伤的方法。

Conclution High frequency ultrasound may be the first choice to diagnose trauma of tendo calcaneus.

结论高频超声可作为跟损伤的首选影像学检查方法。

Divide the tendo calcaneus at its insertion and carry the dissection down to the bone.

于跟止点处将其切断,并向深层解剖直至骨面。

Diide the tendo calcaneus at its insertion and carry the dissection down to the bone.

于跟止点处将其切断,并向深层解剖直至骨面。

Methods:Twenty-three patients with soft tissue defect of the heel or tendo calcaneus induced by trauma were treated by modified grafting of dermal flap of lateral foot.

采用改良足外侧皮瓣转移方法对23例外伤致足跟和跟部皮肤缺损的患者进行治疗。

The major muscle protei , actin and myosin, convert chemical energy to mechanical work, while protei in tendo bind muscles to bones, skin, hairy fingernails, and toenails are pertinacious protective su tance.

重要的肌肉蛋白—肌动蛋白和肌球蛋白把化学能转变成机械能;而中的蛋白质则是将肌肉粘连在骨骼上。皮肤、毛发、指甲是蛋白质类的保护物质。

The line of approach lies midway between the posterior border of the tibia and the medial border of the tendo calcaneus, curves inferior to the medial malleolus to the medial border of the foot, and permits exposure of both medial and posterior malleoli Fig.

切口位于胫骨后缘与跟内侧缘之间的中线,通过内踝下方,弧形延伸至足的内侧缘。该切口可显露内踝及后踝(图1-33C)。

The line of approach lies midway between the posterior border of the tibia and the medial border of the tendo calcaneus, cures inferior to the medial malleolus to the medial border of the foot, and permits exposure of both medial and posterior malleoli Fig.

切口位于胫骨后缘与跟内侧缘之间的中线,通过内踝下方,弧形延伸至足的内侧缘。该切口可显露内踝及后踝(图1-33C)。

Collagen is the most abundant protein in higher vertebrates, accounting for one-third of the total body protein, collagen resists stretching, is the major component of tendo , and contai one-third glycine and one-fourth proline or hydroxyprolinethe rigid r grou , and the lack of hydrogen bonding by peptide linkages involving proline and hydroxyproline, prevents formation of an ∝-helical structure and forces the collagen polypeptide chain into an odd kinked-type helix.

胶原螺旋是高等脊椎动物中最丰富的一种蛋白质,占动物体蛋白总量的1/3。胶原蛋白中含有1\3的甘氨酸和1\4脯氨酸或羟脯氨酸,能抵抗拉伸,是的主要组分。

Line of skin incision. B, Z-plasty division and reflection of tendo calcaneus. C, Exposure of ankle and subtalar joints after retraction of flexor hallucis longus tendon and posterior capsulotomy.

皮肤切口线;B "Z"形切开跟并翻转牵开;C 牵开拇趾长屈肌并切开后关节囊,显露踝关节和距下关节。

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