距

The talus should be dievided into head、neck、body、cauda four parts. To the fracture of the talar cauda,operation is a better way of treatment.

认为距骨应分为头、颈、体、尾四部分，对距骨尾部骨折手术切除是治疗的关键。

METHODS: From April 1996 to March 2001, 9 talar neck fractures were treated by internal fixation of absorbable lag screw with a medial approach and cut of medial malleolus to expose the fractures.

1996年 4月～ 2 0 0 1年 3月，采用足内侧途径加内踝截骨显露距骨颈骨折，利用可吸收螺钉对骨折行内固定治疗 9例移位的距骨颈骨折。

Dome after fracture of talar neck.

示距骨颈骨折后有异常信号的距骨顶部病灶。

RSA beads were inserted into each talar fragment. The talus was anatomically reduced and stabilized with a pair of 3.5-mm cortical screws.

将RSA标记物植于距骨骨折块，距骨解剖复位后用两枚3.5mm皮质骨螺钉固定。

In coronal section through medial part of corpus tali, interosseous talocalcaneal ligament can be displayed most distinctly and it is 13.1mm long,14.1mm wide in transverse diameter.

过距骨体中部的冠状位断面距跟骨间韧带显示最清晰，平均长13.1mm，横径平均宽14.1mm。

In the sagittal section through medial part of corpus tail, interosseous talocalcaneal ligament can be displayed most distinctly and it is 17.2mm long,11.9mm wide in sagittal diameter.

在过距骨体中部的矢状位断面距跟骨间韧带显示最清晰，平均长17.2mm，矢状径平均宽11.9mm。

After dividing the talofibular ligaments, dislocate the ankle by medial traction if access to its entire articular surface is desired.

在切口远端与距舟关节相同水平处可以显露跟骰关节，如果需要显露全部踝关节面，可在切断距腓韧带后，向内侧牵引使踝关节脱位。

During the operation, a drill, 4.5 mm diameter, was used to drill a hole on the lateral ankle; one anchor was drilled into the talus at the end of anterior talofibular ligament, another one was threaded on the calcaneus; the allogeneic tendon was permeated through the hole on the lateral ankle, maintaining ankle neutral and moderate valgus position.

术中应用4.5 mm直径的钻头在外踝处打孔，在距腓韧带的距骨止点处拧入锚钉一枚，在跟骨跟腓韧带止点处拧入锚钉一枚，然后将异体肌腱在外踝骨孔处穿过，维持踝关节于伸曲中立位和中度外翻位，将肌腱的两端分别用锚钉的尾线缝合固定，术后石膏托固定踝关节于伸曲中立位和轻度外翻位。

Injuries to the anterior talofibular andtibiofibular ligaments and an accessory fascicle of the anteriortalofibular ligament have been implicated as causes of anterolateralimpingement syndrome. Repetitive synovial inflammation secondaryto chronic lateral ankle instability produces a soft-tissue"mass" consisting of hypertrophic synovial tissue and fibrosiswithin the lateral gutter.

前距腓韧带、胫腓韧带和前距腓韧带的副束的损伤被认为对前外侧碰撞综合症相关，继发于慢性外侧踝不稳定的反复滑膜炎在外侧沟形成软组织&肿块&，主要是肥大的滑膜组织和纤维化。

Fig. 3-5 Fixation with one tibiotalar screw and one talotibial screw.

253：212， 1990。图 3-5 使用一根胫距螺丝钉和一根距胫螺丝钉的融合术

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。