膝

Using the following methods to treat one patient of congenital absence of the tibia with fork-shaped lower femur, the caput fibulae forming unstable knee joint, and concomitant knee flexion 95 degree.

方法1例先天性右胫骨完全缺如，股骨下端呈叉状，腓骨头与股骨下端形成不稳定的膝关节，伴屈膝畸形95 ，于1岁半实施股骨下端修整术，5岁和8岁时分两期安装Ilizarov膝关节牵伸器，牵拉矫正屈膝畸形达到伸膝0 位，使腓骨头与股骨下端成膝关节，拆牵伸器后装配能稳定膝关节的下肢补高矫形器行走。

As it happens, Madonna did risky at Cannes, too - spray-on over-the-knee boots and black leather fingerless gloves - the kind of hard-edged, rebels-only stuff women over 35 are meant to avoid, along with miniskirts, short shorts and strapless vests.

碰巧，麦当娜在 Cannes 也冒了次险。——过膝靴，黑色无指手套（那种年过35岁的妇女极力避免的锋芒毕露的，反叛的服饰），以及超短裙，宽松运动短裤，无肩带的背心。

But the bitter " of " difficult character of the man is not an isolated symptom absolutely, actually, the around of the bitter " in difficult character of occurrence male ", tired of the lumbar genu aching and limp that brings about by kidney empty, mind exhausted body, dazed tinnitus, bosom is fuggy short, insomnia make water of forgetful, frequent micturition tine of drop of drop of urgent, make water, deal with an offender shakes, limb cold Wei is cold wait for all sorts of symptoms to be able to appear in succession, must solve these anguish at the same time.

但男人的%26ldquo；难言之苦%26rdquo；绝不是一个孤立的症状，实际上，在出现男性%26ldquo；难言之苦%26rdquo；的前后，由肾虚而导致的腰膝酸软、神疲体倦、头昏耳鸣、胸闷气短、失眠健忘、尿频尿急、尿滴沥、发落齿摇、肢寒畏冷等各种症状便会相继出现%26mdash；%26mdash；%26mdash；解决男性的%26ldquo；难言之苦%26rdquo；，必须同时解决这些痛苦。

Investigation shows, in 300 million grown man of Chinese, 15% above differ degree gets tired of exhausted body of lumbar genu aching and limp, mind, dazed tinnitus, bosom is fuggy short, insomnia tine of drop of drop of urgent make water of make water of forgetful, frequent micturition, deal with an offender shakes, limb cold Wei obstacle of function of of no use of cold, energy, male, and, because the working rhythm of modern city insecurity reachs life pressure, this one crowd still is expanding and show young turn a tide.

不是！调查显示，中国3亿成年男性中，15%以上不同程度受到腰膝酸软、神疲体倦、头昏耳鸣、胸闷气短、失眠健忘、尿频尿急尿滴沥、发落齿摇、肢寒畏冷、精力不济、男性功能障碍等%26ldquo；肾虚综合征%26rdquo；的困扰，并且，由于现代都市紧张的工作节奏及生活压力，这一人群还在扩大并呈年轻化趋势。

This flap is supplied by the retrograde flow of the saphenous artery via communication mainly with the medial inferior genicular artery.

这个皮瓣的血流功能是隐动脉的逆行性血流－主要来自与内下膝动脉的交通。

Objective:To provide anatomy basis for the repair of leg defect by great adductor muscle tendon bone flap with descending genicular artery.

目的：为带膝降动脉大收肌腱骨皮瓣修复小腿及跟骨的创伤提供应用解剖学基础。

Methods:The origin,course,branches and distribution of the lateral superior genicular artery and blood supply of iliotibial band were observed on 40 sides adult lower limbs perfused with red latax.

在40侧经动脉灌注红色乳胶的成人下肢标本上，对膝上外侧动脉的起源、走行、分支、分布、吻合以及髂胫束的血供来源等进行解剖观测。

Results:The main stem of descending genicular artery was 1.2±0.5 cm in length and with an external diameter of 2.6±0.6 mm at its origin.

结果：①膝降动脉的主干长1.2±0.5cm，起点外径为2.6±0.6mm，主要分支有股内侧肌支、关节支、隐支。

Methods:The origin,course,branches and distribution of the descending genicular artery and morphology and blood supply of great adductor muscle tendon were observed on 40 sides adult lower limbs perfused with red latax.

在40侧经动脉灌注红色乳胶成人尸体下肢标本上，对膝降动脉的起始、走行、分支和分布，以及大收肌腱的形态、血供等解剖观察。

According to Hofmann[2] et al., this approach preserves the vascularity of the patella by sparing the intramuscular articular branch of the descending genicular artery and preserves the quadriceps tendon, providing more stability to the patellofemoral joint in total knee arthroplasty.

Hofmann等人认为此法不但保留了膝降动脉的肌内关节支从而保存了髌骨的血运，而且保存了股四头肌腱从而使全膝关节置换术中髌股关节获得了更大的稳定性。

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。