髌

Objective To compare the therapeutic effects on the fracture between nitinol patellar redactor and improved tension steel wire.

目的 比较镍钛聚髌器与改良张力带钢丝治疗髌骨骨折的临床疗效。

OBJECTIVE:: To discuss the effect of treatment in patella fracture between by strain belts and by memory alloy.

目的 ：探讨聚髌器与钢丝张力带在治疗髌骨骨折中的效果并进行相关比较。

Objective To increase the level of clinical diagnosis of mediopatellar plica syndrome.

目的 提高髌内侧滑膜皱襞综合征的临床诊断水平。

5 Patellar fractures are the second commonest periprosthetic fracture of the knee, with a reported incidence of patello-femoral complications (fracture, loosening, radiolucency) from

髌骨骨折是第二常见的膝部假体周围骨折，报道髌股并发症的发生率自0.15%－12%。

Identify the inferior edge of the vastus medialis and bluntly dissect it off the periosteum and intermuscular septum for a distance of 10 cm proximal to the adductor tubercle. Identify the tendinous insertion of the muscle on the medial patellar retinaculum Fig.

先确认股内侧肌下缘，将其从骨膜和肌间隔表面钝性分离直至收肌结节近端10cm处；再确认肌肉在髌内侧支持带上的腱性附着点(图1-41C)。

Identify the inferior edge of the astus medialis and bluntly dissect it off the periosteum and intermuscular septum for a distance of 10 cm proximal to the adductor tubercle. Identify the tendinous insertion of the muscle on the medial patellar retinaculum Fig.

先确认股内侧肌下缘，将其从骨膜和肌间隔表面钝性分离直至收肌结节近端10cm处；再确认肌肉在髌内侧支持带上的腱性附着点(图1-41C)。

Then the joint capsule, patella, patellar tendon and retinaculum, quadriceps tendon, popliteus tendon, posterior cruciate ligament, menisci, and medial and lateral collateral ligaments were removed, and distal femur, proximal tibia, ACL and its complete attachment points were retained. The specimens were scanned by using a Cyberware 3030 3-D laser scanner to obtain point cloud data.

然后去除关节囊，髌骨、髌腱及支持带，股四头肌腱、腘肌腱、后交叉韧带、半月板、内外侧副韧带等软组织，只保留股骨远端、胫骨近端、ACL及其完整附着点，用Cyberware3030三维激光扫描仪对标本进行扫描，获得点云数据。

C. Lift the vastus medialis muscle anteriorly and perform an L-shaped arthrotomy beginning medially through the vastus insertion on the medial patellar retinaculum and carrying it along the medial edge of the patella.

将股内侧肌向前方牵起，在关节囊上作L形切口，先从内侧经髌内侧支持带上股肌附着点，再沿髌骨内线向下。

C. Lift the astus medialis muscle anteriorly and perform an L-shaped arthrotomy beginning medially through the astus insertion on the medial patellar retinaculum and carrying it along the medial edge of the patella.

将股内侧肌向前方牵起，在关节囊上作L形切口，先从内侧经髌内侧支持带上股肌附着点，再沿髌骨内线向下。

It had advantages of less injury, quick recovery and no influence on knee function. 7 cases had positive floating patella test after extensive synovectomy, one case had a small area of empyrosis and all cases were healing well soon.

术后住院期间观察显示，1868膝中有7例滑膜广泛切除患者存在浮髌试验阳性，治疗后消失；1例胫骨结节旁皮肤浅Ⅱ°烫伤，换药后痊愈；切口均甲级愈合，无肢体感觉障碍和下肢深静脉血栓形成等并发症。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失