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Objective: To provide anatomic basis for screw internal fixation of anterior process of calcaneus to treat calcaneal fractures.

目的:为跟骨骨折的手术内固定跟骨前突处的螺钉植入提供解剖学依据。

To scan the calcaneum screw CT of normal person , simulate the boundary conditions accurately and establish the model of calcaneus by the SAP-93 software.

通过扫描正常人跟骨螺旋CT并运用SAP-93计算软件,精确模拟边界条件,在计算机上建立完整的跟骨三维有限元模型。

Objective To conclude the clinical curative effect of calcaneal plate internal fixation treatment on 46 patients with 62 calcaneus fractures.

目的总结46例62侧跟骨碎折采用跟骨接骨板内固定治疗的临床疗效。

Ultrasound parameters of calcaneus was measured by ultrasound bone densitometer following investigation exercise modes and durations.

采用超声骨密度仪测试跟骨超声参数,即反映骨密度的超声波衰减系数和反映骨强度的跟骨骨质量指数。

Xia Zhigu including the hip (by the ilium, the buttock, ischium a), the femur, patella, tibia and fibula, seven tarsal bone (talus, calcaneus, scaphoid, the first, second and third wedge of bone, bone dice), Metatarsal 5 and toe bones, they were composed of hip, knee and ankle joints, plantar tarsal joints, metatarsophalangeal joint and toe joints.

下肢骨包括髋骨(由髂骨、耻骨、坐骨构成)、股骨、髌、胫骨、腓骨、跗骨七块(距骨、跟骨、舟骨、第一、二、三楔骨、骰骨)、跖骨五块和趾骨,它们分别组成髋关节、膝关节、踝关节、跗跖关节、跖趾关节和趾关节。

Extensive soft tissue release enable talus, calcaneus, navicular and cuboids to move en masse and restore the normal anatomy.

广泛的软组织松解,能使距骨、跟骨、舟骨、骰骨作为一个整体移动,可恢复足各骨的正常解剖关系,矫正静力畸形。

The length of the screw is selected according to the transverse diameter of the calcaneocuboid articular surface, and the direction of the screw is determined according to the inner tilt angle.

跟骨骰骨关节面下方的骨量丰富,骨小梁致密,是螺钉植入的理想位置;应根据跟骨骰骨关节面的横径选择螺钉的长度,根据该关节面的内倾角决定螺钉的进钉方向。

Results showed that during heel strike, calcaneal stress distribution was transferred gradually from calcaneocuboid joint nearby to posterior calcaneus. Thus, the mean von Mises stress was around 30 ~ 180 KPa.

分析结果显示,跟骨於足跟著地期之应力分布由跟骰关节附近逐渐往跟骨后端传递, von Mises应力分布值约为30 ~ 180 KPa。

The line passed by outboard articular facet of talocalcaneal joint when the a- nkle joint was in neutral position , and the stress distribution was maximal at calcaneus from internal post to forward outside .

跟骨在踝关节中立位时通过跟距外侧的关节面,并且由内后斜向前外方向的跟骨处遭受应力最大。

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。

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