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Objective To study the effect of treatment of suprapatellar bursitis and inflama- tion of subpatellar fat pad and their correlation.

目的 探讨原发性髌上滑囊炎与髌下脂肪垫炎的治疗及其相关性。

No synarthrophysis, wound infection, implant disrupture, screw loose, patellar fracture or vascular nerve injury was observed in three groups of patients; There were 12 cases presenting anterior knee pain in the B-TP-B autograft group and 5 cases presenting posterior knee pain in the semitendinosus tendon graft group.

半腱肌腱重建组5例有不同程度的膝后痛。3组膝周痛发生率的组间差异有显著性意义(P=0),自体骨-髌腱-骨组最高,半腱肌组次之,异体骨-髌腱-骨最低。3组术后发热时间组间比较发现,异体骨髌腱骨高于自体骨髌腱骨和自体半腱肌组(P=0)。

PTA and FTD at all degrees and FTD at the 18 and 24 degrees of flection can be used to investigate the position of the patellofemoral joint effectively in kinematic MR and we suggest using the PTA, FTD and FTA at the 20 degree of flection in axial plane to study the patellofemoral joint in the future clinic.

动态MRI下的PTA及PTD可以很好的定量评价髌股关节的对合关系,FTD在18及24下也可以用来定量评价髌股关节的对合关系,建议在膝关节屈曲20左右进行MR检查测量PTA、FTD、FTA来定量评价髌股关节。

Afterwards, releases were carried on by the sequences: suprapatellar bursa; medial and lateral channel; medial and lateral patellar retinaculum; patella/femoral joint; condyloid socket; medial and lateral chamber; adhesion between femoral and quadriceps.

方法]釆用膝前内、前外及骸骨内上、外上4个5~10mm切口,先松解、扩张髌上囊创造出进入关节镜的空间,依照髌上囊→内、外侧沟→髌骨内、外侧支持带→髌股关节→髁间窝→膝关节内侧室→外侧室→股骨与股四头肌之间的粘连顺序进行松解。

Objective: Patellofemoral malalignment is commen in clinics, and it will lead to chondromalacia.

研究目的髌股关节对合不良是临床常见疾病,可以导致髌股关节软骨的病变,严重影响人们的生活质量。

Methods 27 cases of patellofemoral pain combined with osteoarthritis of patellofemoral joint, chondromalacia of patella, malalignment of patella, sublimation of patella, or excessive lateral pressure syndrome were treated with modified tibial tubercle advancement procedure combined with removing local inflammatory synovium Results The therapeutic effect was excellent and good in 24 out of 27 cases.

分别患有髌股关节炎、髌骨力线不正、髌骨半脱有软骨软化或髌股外侧间隔压力过高综合征等的髌股间疼痛的患者27例,采用发言奶胫骨结节势高术,结合切除局部炎变的滑膜。结果 27例患者中24例疗效优良。

The animal model of infrapatellar fat injury showed that the data of SP, CGRP, NPY and IL- 1, IL- 6, TNF were higher in injury group than those in control group. Silver needle treated knee joint infrapatellar fat injury gained preferable effect.

基础研究表明,推拿治疗可以促进血液流动,髌下脂肪垫损伤的动物模型表明,关节液内SP、CGRP、NPY和IL~1、IL~6、TNF均升高,应用银质针治疗膝关节髌下脂肪垫损伤效果良好。

Patellofemoral alignment were evaluated through MRI in 12 of them. We followed up 34 Cases (37 knees) and compared patellofemoal score with prcoperation, so that we could evaluate the effects of bipolar radiofrequency in the treatment of patellofemoral malalignment.

其12例12膝手术前后进行了MRI检查,对髌股关节对合的变化进行比较分析。34例37膝手术后获得了随访,采用Kujila髌股关节评分法比较了他们在手术前后的髌股关节得分情况。

Measurement of patellofemoral alignment according to the surface of cartilage was more accurately than that of osseous contour.

通过MRI测量髌股关节软骨面的对合,能使髌股关节紊乱的诊断和治疗得以有效地进行。

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。

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