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韧带联合

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At 8 weeks postoperatively, the grafts were mostly substituted by new cells, and the artificial ligament was completely parceled by the synovial membrane, but there were still some gaps; The combined tendon exhibited no loose or disfiguration, the infiltrative inflammatory cells disappeared. The cells in grafts were close to normal cells in anterior cruciate ligament, but fibrocytes arranged in disorder and fibers showed a verticality.

移植后第8周,移植物大部分组织被新长入的细胞替代,人工韧带被滑膜完全包裹,浸润的炎症细胞基本消失,部分接触面已融合,但部分面仍有间隙;联合肌腱无变形和松弛,移植物内细胞形态,数量接近正常前交叉韧带,但纤维细胞排列杂乱,纤维有了一定的纵向性。

Results:(1)Distance between two funiculuses on upper edge of pubic symphysis is 65.96±0.42mm, distance between two womb round ligaments on upper edge of pubic symphysis is 64.62 ±0.54mm, two of them have large movement ranges, so firstly finding funiculus or womb round ligament and extending them before operation can protect them.

结果 ①耻骨联合上缘两精索间距为65.96±0.42mm,耻骨联合上缘两子宫圆韧带间距为64.62±0.54mm,两者活动度都很大,手术先找到精索或子宫圆韧带并向两侧牵开,即可保护。

Study Design. A case-control association study was conducted to investigate the genetic etiology for ossification of the ligamentum flavum and ossification of the posterior longitudinal ligament of the spine.

研究设计:设计一组病例对照联合研究来探讨黄韧带骨化和脊椎后纵韧带骨化的遗传学病因。

In selective cases, athletes can return to full activity as early as 6 weeks after internal fixation of grade III syndesmosis sprains.

在选择的病例中,韧带联合Ⅲ级损伤的运动员可以早在内固定术后6周恢复到完全的活动。

Limited information is available on early weightbearing and early return to activity after operative treatment for grade III syndesmosis sprains.

背景:韧带联合的Ⅲ级损伤常用内固定的方法处理,有关术后的早期承重和早期恢复活动的相关报道尚有限。

Methods: We evaluated a consecutive series of intercollegiate athletes treated operatively with 4.5-mm cortical screw fixation for grade III syndesmosis sprains. At 1 week after surgery, patients were allowed to begin range of motion exercises, progressive weightbearing, and gradually return to full activity as tolerated. Outcome measures included time to return to full activity and, at final follow-up, the Sports Ankle Rating System scores.

我们对一系列在大学间对抗赛中韧带联合Ⅲ级损伤并用4.5mm直径皮质骨螺钉固定的运动员进行了评估,术后一周病人开始活动关节并逐步负重,在可以忍受的情况下逐步进行完整的活动,结果的评估包括完全恢复到完整活动的时间和最后随访中踝关节运动等级的评分。

For subjects with anterior cruciate ligament and additional meniscal injury, the prevalence varied between 21% and 48%.

前交叉韧带联合半月板受损的患者其发病率有所不同,介于21%和48%之间。

Seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of PMC and MCL in 4 patients were performed in this phase. Arthroscopic combined reconstruction of ACL and PCL with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of PLC with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of PMC and MCL with femoral fascia in 1 patient were completed simultaneously.

方法]自2001年9月~2005年2月,13例病人(13膝)经关节镜检查证明ACL和PCL均断裂,其中5膝伴后内侧角、内侧副韧带损伤,4膝伴后外侧角损伤,2膝伴外侧半月板破裂,1膝伴内侧半月板损伤,3膝伴动脉损伤,2膝伴腓分神经损伤。7例病人于损伤后急性期入院,2膝于急性期行血管探查修复,4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束ACL和PCL联合重建术,其中4例同期后1/2 股二头肌腱重建后PLC,1例同期阔筋膜PMC、MCL重建。

Seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of PMC and MCL in 4 patients were performed in this phase. Arthroscopic combined reconstruction of ACL and PCL with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of PLC with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of PMC and MCL with femoral fascia in 1 patient were completed simultaneously.

]自2001年9月~2005年2月,13例病人(13膝)经关节镜检查证实ACL和PCL均断裂,其中5膝伴后内侧角、内侧副韧带损伤,4膝伴后外侧角损伤,2膝伴外侧半月板破裂,1膝伴内侧半月板损伤,3膝伴动脉损伤,2膝伴腓总神经损伤。7例病人于损伤后急性期入院,2膝于急性期行血管探查修复,4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束ACL和PCL联合重建术,其中4例同期后1/2 股二头肌腱重建后PLC,1例同期阔筋膜PMC、MCL重建。

Method]from sept 2001 to feb 2005, 13 knees with combined acl and pcl tear in 13 patients were verified with arthroscopy. of them, 5 knee were combined with rupture of the posteromedial coner and medial collateral ligament, 3 combined with disruption of the posterolateral corner, 2 with lateral meniscus tear, 1 with medial meniscus tear, 3 associated with popliteal vascular injury and 2 with peroneal nerve injury. seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of pmc and mcl in 4 patients were performed in this phase. arthroscopic combined reconstruction of acl and pcl with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of plc with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of pmc and mcl with femoral fascia in 1 patient were completed simultaneously.

方法]自2001年9月~2005年2月,13例病人(13膝)经关节镜检查证实acl和pcl均断裂,其中5膝伴后内侧角、内侧副韧带损伤,4膝伴后外侧角损伤,2膝伴外侧半月板破裂,1膝伴内侧半月板损伤,3膝伴动脉损伤,2膝伴腓总神经损伤。7例病人于损伤后急性期入院,2膝于急性期行血管探查修复,4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束acl和pcl联合重建术,其中4例同期后1/2 股二头肌腱重建后plc,1例同期阔筋膜pmc、mcl重建。

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