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objective To compare the therapeutic effects between suturing coracoclavicular ligament and not suturing coracoclavicular ligament after clavicular hook plate fixation in treating acromioclavicular dislocation.

代写医学论文代发医学职称论文电话：13296551955 Q Q：273322232 助医代写论文网：目的比较锁骨钩钢板固定后缝合喙锁韧戴煳不缝合喙锁韧戴两种方法治疗肩锁关节脱位的临床效果。

We believe that resection arthroplasty of the sternoclavicular joint and preservation reconstruction of the costoclavicular joint is essential,and it is a satisfactory and safe way for the treatment of dislocation of the sternoclavicular joint.

我们认为切除性胸锁关节成形术，保留或重建肋锁韧带是治疗胸锁关节脱位疗效可靠的方法。

Suo yang cheng the name of civil society due to the Qing Dynasty, because the city is surrounded by a lot of delicious sweet Cynomorium, people were named bysuo yang cheng .

锁阳城之名缘于清代民间，因城周围有诸多味美甘甜的锁阳，后人因物命名为锁阳城。

The distance from accessory nerve to the great auricular nerve was about 1.24±0.51cm, to clavicular midpoint 10.72±1.67cm, and 12.46±1.19cm to sternoclavicular joint after leaving the posterior edge of sternocleidomastoid muscle.

副神经在胸锁乳突肌后缘穿出点距耳大神经在胸锁乳突肌后缘穿出点上方(l.24±0.51)cm，距锁骨中点(10.72±1.67)cm，距胸锁关节(12.46±1.19)cm。

Collar-bone hook nickelclad utilizes the lever principle and the intensity of nickelclad itself to oppose the traction force of sternomastoid muscle and avoid prolapse.As not damaging the acromioclavicular facet,it can avoid and reduce the traumatic arthritis caused by devices such as Kirschner wire ect.This method characterized by little wound,fixation firmly and moving the joint early is a effective method to cure distal collar bone fracture and acromioclavicular dislocation.

锁骨钩钢板利用杠杆原理和钢板自身的强度对抗胸锁乳突肌的牵引力，可以避免内固定物体的松动脱出，由于术中不损伤肩锁关节面，能够避免或减少克氏针固定等经关节手术所造成的继发性创伤骨关节炎，该方法创伤小、固定牢固，能早期活动肩关节，是治疗锁骨远端骨折和肩锁关节脱位行之有效的方法。

The patients can get painless free-running.Conclusion Collar-bone hook nickelclad utilizes the lever principle and the intensity of nickelclad itself to oppose the traction force of sternomastoid muscle and avoid prolapse.As not damaging the acromioclavicular facet,it can avoid and reduce the traumatic arthritis caused by devices such as Kirschner wire ect.This method characterized by little wound,fixation firmly and moving the joint early is a effective method to cure distal collar bone fracture and acromioclavicular dislocation.

锁骨钩钢板利用杠杆原理和钢板自身的强度对抗胸锁乳突肌的牵引力，可以避免内固定物体的松动脱出，由于术中不损伤肩锁关节面，能够避免或减少克氏针固定等经关节手术所造成的继发性创伤骨关节炎，该方法创伤小、固定牢固，能早期活动肩关节，是治疗锁骨远端骨折和肩锁关节脱位行之有效的方法。

The patients can get painless free-running.Conclusion Collar-bone hook nickelclad utilizes the lever principle and the intensity of nickelclad itself to oppose the traction force of sternomastoid muscle and avoid prolapse.As not damaging the acromioclavicular facet,it can avoid and reduce the traumatic arthritis caused by devices such as Kirschner wire ect.

锁骨钩钢板利用杠杆原理和钢板自身的强度对抗胸锁乳突肌的牵引力，可以避免内固定物体的松动脱出，由于术中不损伤肩锁关节面，能够避免或减少克氏针固定等经关节手术所造成的继发性创伤骨关节炎，该方法创伤小、固定牢固，能早期活动肩关节，是治疗锁骨远端骨折和肩锁关节脱位行之有效的方法。

Part Ⅰ The anatomical study and clinical application of transeyebrow supraorbital approachObjective Intracranial anatomy and microanatomy in supraorbital keyhole approach is researched to provide anatomical basis for clinical keyhole operation.

第一部分经眉眶上锁孔手术入路的解剖学研究及其临床应用目的研究神经外科眶上锁孔手术入路的巨微解剖为眶上锁孔路提供解剖学依据。

Objective:to investigate the treatment outcome of ao/asif clavicular hook plate in the treatment of acromioclavicular joint dislocation (tossy grade ⅲ)and unstable lateral clavicular fractures (neer type 2).methods: from february 2004 to march 2007,23 patients with unstable lateral clavicular fractures (neer type 2),2 patients with no-union lateral clavicular fractures and 5 patients with acromioclavicular joint dislocation (tossy grade ⅲ) were treated with acromioclavicular hook plate.

目的：探讨ao/asif锁骨钩钢板治疗锁骨骨折和肩锁关节脱位的疗效。方法：对2004年2月～2007年3月我科收治的30例得到完整随访资料的锁骨骨折和肩锁关节脱位的患者进行回顾性分析，其中，应用锁骨钩钢板治疗的新鲜锁骨外端不稳定骨折23例，陈旧性锁骨外端骨折骨不连患者2例，tossy grade ⅲ度肩锁关节脱位5例。

Methods Twenty-seven patients suffered from acromioclavicular disclocation （Tossy type Ⅱ 4 cases and type Ⅲ 23 cases）,4 patients with distal clavicular fracture and 7 with acromioclavicular dislocation combined with distal clavicular fracture were adimitted.All the patients were treated with open reduction and internal fixation with clavicular hook plate.

38例肩锁关节脱位和锁骨外侧端骨折，肩锁关节脱位27例，Tossy Ⅱ4例，Tossy Ⅲ23例；锁骨外侧端骨折4例，均为Neer Ⅱ；肩锁关节脱位合并锁骨外侧端骨折7例，均行手术治疗。

Lugalbanda was a god and shepherd king of Uruk where he was worshipped for over a thousand years.

Lugalbanda 是神和被崇拜了一千年多 Uruk古埃及喜克索王朝国王。

I am coming just now,' and went on perfuming himself with Hunut, then he came and sat.

我来只是现在，'歼灭战perfuming自己与胡努特，那麼，他来到和SAT 。