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Methods: femur plate fixation of femoral condyle and 22 cases of supracondylar and intercondylar fractures of the clinical data of patients were retrospectively analyzed.

对股骨髁支持钢板内固定治疗股骨髁上和髁间骨折22例病例的临床资料进行回顾性分析。

Methods Femoral intercondylar fossae were anatomized and measured in 42 dry samples and 73 undried ones for breadth,height and relative other values of it.

测量 42侧和 73侧正常干、湿性股骨髁间窝标本的横径、纵径及其相关值;通过对湿性膝关节标本股骨髁间窝与前交叉韧带和重建韧带解剖关系的观测,确定膝关节伸展时髁间窝与韧带发生撞击的部位。

To investigate the stantant changes of Ⅰ、Ⅱ、Ⅲ and PG expression of mandibular condylar chondrocytes stimulated by the different static compressive stresses, so that to make a primary understanding of the relationship between the differentiation and dedifferentiation of condylar chondrocytes and different compressive stresses; to investigate the stantant changes of the content of DNA of mandibular condylar chondrocytes stimulated by the different static compressive stresses, so that to make a primary understanding of the relationship between proliferentiation and apothesis of MCCs and different static compressive stresses.

观察单层培养的髁状突软骨细胞加载不同静压力后,Ⅰ、Ⅱ、Ⅲ型胶原以及蛋白多糖表达的变化,探讨不同静压力对髁状突软骨细胞的分化及去分化的即时效应;观察单层培养的髁状突软骨细胞加载不同静压力后,其增殖、凋亡及细胞周期的变化,探讨不同静压力对髁状突软骨细胞增殖及凋亡的即时效应。

If the condylar fracture is treated inappropriate, it may cause some complications, eg: limitation of mouth opening, pain in TMJs, occlusion disorder, arthrocleisis and so on. The fractural condylar can't rebuild well without treatment. For any kind of condylar fracture, treatment should strive for anatomic replacement and avoid removing the fractural residual.

研究结论:髁状突骨折如治疗不当,容易出现一些后遗症或并发症,如张口受限、关节区疼痛、咬合错乱以及关节强直等;成人髁状突骨折如不作处理,并不能自行改建形成新的功能完好的关节;所有类型的髁状突骨折,治疗时都应争取达到解剖复位,不应轻易摘除骨折残端。

Hemarthrosis and destruction of the disc played an important role in the pathogenesis of traumatic diseases in TMJs. Part 3 A comparative study of the histological changes in the TMJ after different treatment of unilateral fractures in the lambs The histological changes were recorded in the TMJ after different treatment of unilateral fractures.

实验三 创伤后应用不同方法治疗单侧髁状突骨折后TMJ组织病理学改变的比较研究本实验采用颏部撞击法造成幼年山羊的双侧TMJ损伤后,在左侧髁颈部切断髁状突,模拟单侧髁状突骨折,并应用不同的治疗方法进行处理,观察其关节结构的变化情况。

RESULTS:①There was higher tensile stress at the ingual side of symphysis, inside of molar and outside of condyle under the impact of chin.②There was higher tensile stress at the lingual side of symphysis, inside of contralateral molar, outside of contralateral angle, outside of homolateral angle and inside of homolateral body under the impact of body.③There was higher tensile stress at the inside of angle, inside of homolateral condyle, lingual side of symphysis, outside of contralateral condyle and inside of homolateral molar under the impact of angle.

结果:①撞击颏部,其舌侧区,磨牙后区内侧面、髁状突颈外表面以及下颌角外表面具有较高的张应力;②撞击下颌体部,颏部舌侧区,对侧磨牙后区内侧面、对侧下颌角外表面、撞击侧下颌角外侧面、撞击侧体部内侧面具有较高的张应力;③撞击下颌角,其内侧面、撞击侧髁状突颈内侧面、颏部舌侧面、对侧髁状突颈外表面以及撞击侧磨牙后区内侧面具有较高的张应力。

objective: to introduce the use of our hospital to support the plate for the treatment of femoral condyle femoral condyle and intercondylar fracture of their experience.

目的:介绍我院采用股骨髁支持钢板治疗股骨髁上及髁间骨折的经验和体会。

In this study, we use the Computer Aided Axiography recorded condyle movement of 39 normal occlusion, during mandible open and close, protrusion and retrusion, and medio-free movement, in order to find out the normal condyle movement style and range.

本研究选用髁突轴图描记仪(Computer Aided Diagnosis Axiography)对39名正常〓的髁突运动予以记录,记录下颌在开闭口,前伸后退和侧方运动时的髁突运动情况,确立正常功能状态下双侧颞下颌关节运动形式及范围。

And then, nine elastic coefficients and all of the technical constants of orthotropic condyles were calculated.

结果:获得了山羊髁突的体积密度、声波在髁突不同方向上的传播速度、羊髁突作为正交各向异性体的9个弹性系数即c11为4.19±0.12,c22为4.60±0.21,c33为3.25±0.18,c44为0.95±0.05,c55为0.68±0.04,c66为0.86±0.03,c12为1.99±0.05,c13为1.12±0.05,c23为1.39±0.02,及全部技术常数。

For supracondylar fracture of humerus with obvious displacement,it is easy to make reduction,but the fixation and the maintenance of reduction is not easy; manual reduction with plaster or splint immobilization,though as the first-chosen method,has such shortcomings as infirm or loosening fixation of plaster or splint which may cause injury to blood vessels or nerves; open reduction may lead to further trauma to soft tissues and tissue adhesion,and to joint stiffness; the closed reduction with cross Kirschners wires under C-arm X-ray can avoid the above mentioned shortcomings and it is easy in operation.

移位明显的肱骨髁上骨折,复位容易,但固定及维持复位困难,手法复位石膏或夹板外固定虽是首选治疗方法,但石膏或夹板固定不牢固,易出现松动甚至可造成血管及神经损伤,而切开复位更易进一步造成软组织创伤,组织粘连,最终导致关节僵直功能障碍。本组C臂下闭合复位交叉克氏针治疗移位明显的肱骨髁上骨折避免了上述缺点,而且方法简单。肱骨髁上骨折;经皮克氏针固定;儿童;闭合复位

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