骨性的

Methods Twenty-two pieces of temporal bone were taken for this study. The mastoid cavity was opened, scutum removed,"bridge" broken down, posterior wall of external auditory canal abraded and the related anatomic structures were fully exposed. The distance between the origin of facial nerve canal and the anterior border of round window （ OOFNC-ABORW ）, between the highest point of the facial nerve canal and the bottom of posterior mastoid sinus,and between the stapes head and round window niche was measured under operating microscope.

方法取成人颞骨22侧（左右各11侧），用耳科钻磨开乳突腔，去上鼓室盾板、断"桥"，磨低骨性外耳道后壁，充分暴露相关结构，在手术显微镜下测量面神经管垂直段起始部前缘至圆窗龛前缘的距离、面神经管最高点与后鼓室底壁之间的距离、锥隆起的高度（即锥隆起基底到锥隆起顶端的距离）、镫骨头至圆窗龛前缘的距离。

The available operation range in clivus and anterior cranial base by transsphenoidal opproach was also observed during the operation under the help of neuronavigational pointer. Forty-one patients underwent sublabial, transseptal, transsphenoidal approach to the pituitary region guided by Surgical Microscope Navigation was studied. The piriform aperture was 27. 2mm±3. 1 , the origin of inferior nasal concha 30mm±4. 1, the origin of middle nasal concha 27. 9mm±4. 3. These data are important for transsphenoidal approach, because the piriform aperture and the origin of both inferior and middle nasal conchas restricted the opening width of the Hardy specula. If any distance of these bony structures was much less than the mean one, may cause inadequate opening of the specula blade and resulting dissatisfied operative field. Microadenomas or cystic tumors perhaps can be operated even in a narrow exposure, but large or giant solid adenomas may need a proper evaluation including changing the operative approach or performing a bilateral submucous inferior conchotomy or posterior ethmoidectomy firstly.

手术中还利用CT导航系统观察棒研究了经口—鼻蝶窦入路在斜坡区和前颅底能够达到的实际有效操作范围，为扩大经蝶窦入路手术在斜坡区和前颅底的应用奠定基础，在国内外尚未见同类报道。41例垂体瘤患者梨状孔平均宽度27.2mm±3.1，下鼻甲根部附着处间距30mm±4.1，中鼻甲根部附着处间距27.9mm±4.3，这是经口—鼻蝶窦入路手术中，对Hardy双瓣鼻窥器张开限制的主要骨性结构，若患者这些径线值明显小于平均值，则可能因为鼻窥器打开不充分而影响手术暴露，当然对于垂体微腺瘤和以囊变为主的垂体瘤可能影响不大，但对于大和巨大垂体瘤必须要有充分的准备，包括评估是否改用其他入路，或先行鼻甲切除再行经蝶手术。

Results: At the concentrations of 0.1, 1 and 10 μmol/L, berberine dose-dependently suppressed the formation of TRAP-positive multinucleated cells, the TRAP activity and the osteoclastic bone resorption. The strongest inhibitory effect was exhibited at the concentration of 10 μmol/L, with the inhibiting rate of 60.45%, 42.12% and 72.69% respectively.

结果：小檗碱在0.1~10μmol/L范围内，浓度依赖性地抑制TRAP阳性多核破骨细胞的形成和TRAP活性，减少破骨性骨吸收陷窝的面积；在10μmol/L浓度下，对破骨细胞的抑制作用最强，对TRAP阳性多核破骨细胞的形成和TRAP活性的抑制率分别达到了60.45%和42.12%，骨吸收陷窝面积减少72.69%。

［Objective］ To analyze the outcome of internal fixation for occipitalization with atlantoaxial joint dislocation by posterior decompression and occipitocervical fusion ［Method］ From December 2005 to June 2007,8 patients with occipitalization and atlantoaxial joint dislocation received removal of the posterior arcus of atlas and the enlargement of the posterior edge of the foramen magnum after skull traction performing for an average of 135 daysAll patients were operated on by posterior craniocervical fusion using cervifix internal fixation system and autologous ilium graftsThe clinical efficacy after operation was analyzed by Japanese Orthopaedic Associationneural function score ［Result］ All the patients were followed up from 6 months to 2 years, average of 15 monthsNo complication was foundAtlantodental interval was 5~9 mm before and 4~6 mm after skull tractionAtlantoaxial joint dislocation didn't completely reducedThe neurological defects were improved to some extents according to the JOA scoreImageology showed all patients had full decompression and bony fusionThe loosening or broken internal fixation was not found ［Conclusion］ Posterior decompression and fusion is a feasible method for the treatment of occipitalization with atlantoaxial joint dislocation,and the clinical effect is satisfactory

分析后路减压枕颈融合内固定术治疗合并寰枢关节脱位的寰椎枕骨化临床疗效。［方法］2005年12月至2007年6月间，对8例合并寰枢关节脱位的寰椎枕骨化患者在行颅骨牵引治疗一段时间（12~16 d，平均135 d）后采用枕骨大孔后缘扩大，寰椎后弓切除减压取自体髂骨枕颈融合Cervifix系统内固定术，手术后采用日本骨科学会神经功能评分分析临床疗效。［结果］8例患者随访6个月~2年，平均为15个月。8例患者无一例出现术后并发症，术前寰齿前间隙为5~9 mm，经颅骨牵引后为5~7 mm，寰枢关节脱位未能完全复位。手术前后JOA评分示神经症状均有不同程度恢复，影像学检查示枕颈区减压充分植骨区获得骨性融合，无一例出现内固定松动或断裂。［结论］合并寰枢关节脱位的寰椎枕骨化患者术前仔细评估影像学改变，采用颅骨牵引一段时间后行后路减压枕颈融合内固定术的治疗方案是合理可行的，且临床效果满意。

objective to investigate the effect of radiography and method of operation on the surgical indication as well as the operation treatment of lumbar disc herniation and lumbar canal stenosis.methods the data of 300 cases with lumbar disc herniation and lumbar canal stenosis were reviewed from jan 1999 to dec 2004.all cases were treated by the method of minimal invasive open operation.the nucleus was resected through an 3.5～4.5cm in length.the sacrospinalis muscle between laminae was stripped partly and the part of upper lamina and the part of medial facet was resected.

目的 探讨影像学检查和手术方法对腰椎间盘突出症和椎管狭窄症手术方式和适应证的影响。方法自1999年1月～2004年12月，为300例腰椎间盘突出症和椎管狭窄症患者实施微创开放式手术，做3.5～4.5cm长的皮肤切口，剥离椎间的部分骶棘肌，咬除部分椎板上缘及小关节内侧缘后，摘除髓核，并根据需要做半椎板或全椎板手术或扩大神经根管和切除肥厚的黄韧带及神经管内的骨性增生。

BACKGROUND: This is a systematic review of studies on the prevalence of osteoarthritis in the tibiofemoral joint more than 10 years after an anterior cruciate ligament injury, the radiologic classification methods used, and risk factors for development of knee osteoarthritis.

舒芬太尼在关节镜前交叉韧带重建的出院病人关节内镇痛作用的前瞻性，随机，双盲研究背景：这是一项关于前交叉韧带损伤后10年以上胫股关节骨关节炎的发病率，所用的X线分类方法以及发展为膝骨性关节炎的危险因素这三者研究的系统评价。

power hip bolt Canada bundles Ties upbelt treats the II~IV thighbone ExtensionSub bone fracture, through bundles Ties upbelt fixed which is apart from to the small rotor and the thighbone, coordinates DHC to thighbone ExtensionSub bone fracture fixed, can form a stable portal frame construction, after restores in the thick prosperous area the side BoneNature the strut and the bone structure integrity, is advantageous after the coxa technique the function restoration

动力型髋螺钉加捆绑带治疗II～IV型股骨转子间骨折，通过捆绑带对小转子及股骨距的固定，配合DHC对股骨转子间骨折的固定，能形成一稳定的框架结构，恢复粗隆区内后侧的骨性支撑及骨结构的完整性，有利于髋关节的术后功能恢复

Treatment of spinal tuberculosis1methods between february 1998 and august 2000 , 12 patients with spinal tuberculosis were operated with anterior vertebrectomy , bone grafting and plating1 evaluation including bone fusionrate , correction of deformity and status of spinal lesion was carried out1results in an average of ten months ,spinal tuberculosis was completely cured and solid bone fusion had taken place in all 12 patients1 the time for bone fusion averaged 518 months and the average angle of correction of kyphosis was 16°1conclusions anterior plating following vertebrectomy and bone grafting offers a complete removal of lesion and decompression of the spinal canal as well as reconstruction of spinal stability1 early rehabilitation and an increased curative rate can be expected through this procedure1

目的 探讨经脊柱前路结核病灶清除的同时植骨内固定的可行性和必要性，以及对脊柱结核的治疗效果。方法1998 年2月~2000 年8 月采用脊柱前路病椎切除加植骨，并采用orion或z-plate 钢板进行椎体固定。共治疗12 例脊柱结核，观察植骨融合及矫正畸形情况和结核病灶愈合情况。结果经平均10 个月的随访，12 例患者脊柱结核均治愈，植骨与受骨区全部骨性融合，融合时间平均为518 个月，后凸矫正角度平均16°。全组病例切口均一期愈合。无手术并发症。结论本方法可经脊柱前路作较彻底的病灶清除，并较好地进行脊柱矫形和椎管减压，完成脊柱稳定性重建，有利于患者早期离床活动和脊柱结核治愈率的提高。

Methods Twenty-two pieces of temporal bone were taken for this study. The mastoid cavity was opened, scutum removed,"bridge" broken down, posterior wall of external auditory canal abraded and the related anatomic structures were fully exposed. The distance between the origin of facial nerve canal and the anterior border of round window （ OOFNC-ABORW ）, between the highest point of the facial nerve canal and the bottom of posterior mastoid sinus,and between the stapes head and round window niche was measured under operating microscope.

方法取成人颞骨22侧（左右各11侧），用耳科钻磨开乳突腔，去上鼓室盾板、断&桥&，磨低骨性外耳道后壁，充分暴露相关结构，在手术显微镜下测量面神经管垂直段起始部前缘至圆窗龛前缘的距离、面神经管最高点与后鼓室底壁之间的距离、锥隆起的高度（即锥隆起基底到锥隆起顶端的距离）、镫骨头至圆窗龛前缘的距离。

Metallic radial head arthroplasty for the treatment of posttraumatic elbow disorders appears to be a safe and durable procedure that can provide a functional range of motion and pain relief for at least five to ten years. However, longer follow-up is needed to evaluate progression of lucencies adjacent to stems and osteoarthritis.

金属挠骨头关节成形术对于治疗慢性创伤后肘关节紊乱是安全有效的，它在至少5-10年内能有效的缓解疼痛和保持功能性的活动范围，但需要更长期的随访来评估进行性的临近挠骨干的透明样变和骨性关节炎。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。