髌下的

Objective To discuss a new method of curing the damnification at infrapatellar structure (patellar ligament and the structure around it).

目的 探讨髌下结构损伤的新的治疗方法。

Material and MethodsRA Rabbit Model group: 15 early RA rabbits of the same weight and variety Control group:10 normal rabbits of the same weight and varietyMethods of making RA rabbit model:elect 15 normal rabbits of the same weight and variety, dissolve Ovalbumin in 0.9% sodium chloride solution, to make the solution of 20mg/ml concengtration, blend the same quantity of complete Freund′s Adjuvant equably ,inject the mixed solution into endermic tissue of the rabbit′s scapular section, making the rabbits allergic, inject 1 ml of the mixed solution to one rabbit every time, inject 1 ml of the mixed solution in 5 different places of the rabbit′s scapular section, inject the rabbit one time every week,inject 3 weeks continuously,it turned out to be that the rabbits will be allergic, inject Ovalbumin blent with the 0.9% sodium chloride solution into the knee joint cavity of the rabbits in the fourth week, 5 mg Ovalbumin every knee joint cavity,two knees of every rabbit of the 15 rabbits are both injected,the arthrosis diameter and the exterior temperature of the knees will be added obviously in 24 hours,and they will drop gradually,at the time of the 14th or 21th day, the arthrosis diameter and the exterior temperature of the knees will get to the balance time,the incidence rate of RA is 100%.after the RA model succeeds,it is the early time of RA from the first week to the fourth week,after the fourth week,it is the late time of RA, the cartilage of the femoral condyle and the subchondral bone cortices will be changed unrecoverily.

资料与方法RA模型组：早期RA家兔模型15只，品种及体重接近。对照组：正常家兔10只，品种及体重接近。RA家兔模型制作方法：选取15只成年家兔，体重、品种接近，将卵蛋白溶解于生理盐水，配成浓度为20mg/ml的溶液，与等量完全弗氏佐剂混匀，注入家兔肩胛区皮下致敏，每只家兔每次注射1ml，于肩胛区5个不同区域注射，每周一次，连续注射3周而致敏，第4周向膝关节腔注射卵蛋白生理盐水溶液，每只关节腔注射5mg卵蛋白，15只家兔膝关节全部注射，24h内此关节直径和表面温度大幅度上升，以后缓慢下降，至14～21d达到平台期，发病率达100%。造模成功后第1～4周为早期改变，第4周以后出现不可逆的关节软骨及骨破坏。采用高频超声对RA模型组与对照组的膝关节髌上囊液体厚度、滑膜及股骨髁软骨厚度及软骨下骨皮质的回声情况进行对比观察。结果RA组模型组膝关节髌上囊积液及滑膜的厚度明显厚于对照组，其股骨髁软骨的厚度与对照组相比无明显差异，其软骨下骨皮质与对照组相比无明显改变。

Methods: The parameters of patellofemoral joints (normal group: 30; abnormal group: 20) were studied at the 0, 6, 12, 18, 24, 30 and 36 degrees of flection with MR in axial plane and MPW, LPA, FTA, PTA, FTD were measured, then, compared in the normal and abnormal ups.

对两组（正常组30个，病例组20个）膝关节分别在被动屈曲0，6，12，18，24，30，36下进行轴位动态MRI检查，测量髌骨最大径，外侧髌股角，股骨滑车沟角，髌骨倾斜角，股骨滑车沟深度，分别比较正常组及病例组在七个不同屈曲角度下各测量参数的差异性。

Usually the anterolateral approach is not as satisfactory as the anteromedial one, primarily because it is more difficult to displace the patella medially than laterally.

通常，膝关节的前外侧入路不如前内侧人路效果满意，主要是由于髌骨更难向内侧脱位、另外，此法需要更长的皮肤切口，而且髌韧带经常要做骨膜下或皮质下部分游离。

Failure test and displacement evaluation were used to study the biomechanics of reconstruction of ACL by hamstring tendon knot implant fixation in 13, simple tendon knots, and hamstring tendon knot with bone bolt press fit technique in 5 porcine knees.

本研究采用绳肌腱结嵌压固定法和髌腱骨界面螺钉固定法重建交叉韧带，从生物力学的角度来探讨不同材料与固定方法对固定强度的影响。1 材料与方法1.1 实验材料深低温冷冻保存的猪膝关节 35个模拟交叉韧带重建，常温下解冻，取其胫骨、股骨和髌腱骨复合材料和绳肌腱。

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)。

Methods The X-ray films of knee joint from lateral view of 30 normal individuals and of 116 patients with synovitis were compared for the features of synovialis.

对30例膝关节侧位X线平片的滑膜及髌下脂肪垫的正常X线表现与116例滑膜炎的X线表现进行了对比分析。

The goal of this study was to compare the efficacy of supervised exercise therapy vs usual care for 131 patients with patellofemoral pain syndrome, in recovery, pain, and function.

这项研究的目的在於比较监督下的运动治疗与常规照护，对於131位有髌股关节疼痛症候群病患，在恢复、疼痛与功能上的疗效。

METHODS: A retrospective analysis was performed in 76 patients underwent arthroscopic PCL reconstruction, with the use of B-TP-B autograft in 21 patients, B-TP-B allograft in 27 patients, semitendinosus tendon autograft in 28 patients.

回顾分析21例膝关节镜下自体骨-髌腱-骨移植、28例自体半腱肌腱移植和27例异体骨-髌腱-骨移植重建后交叉韧带的情况。

Then we discussed the valuation of MRI in detecting cartilage abnormalities. 3. Creation and evaluation to the patellofemoral and tibiofemoral catilage degeneration modle Sixteen goats were used in this experiment.

关节镜下的按照Outerbridge软骨分级标准进行诊断，分析MRI分级和关节镜分级的相关性和SPIR/3D T1-FFE诊断软骨病变的敏感性及特异性，讨论MRI对髌股关节软骨病变诊断的价值。

What would he tell Judith and the children?

他将怎样告诉朱迪丝和孩子们呢？

I this is at that time, the opinion with peacockish true girl is full of in a heart.

这就是当时的我，一个心中布满虚荣的女孩子真实的想法。