髌骨

In our review of reports on circumferential wiring of patellar fractures, we did not find any cases similar to the one described here.

我们对环形钢丝治疗髌骨骨折的报道进行回顾时，没有发现任何1例病例像我们这里描述的一样。

There have been several supports for the lateral incision of whirbone in the TKA of valgus deformity, which is not accepted universally. And some scholars raise the scheme of articular capsule Z-shape discission or the shifting of fat pad before capsule.

膝外翻全膝关节置换术中髌骨外侧切口得到一部分人的支持，但是还不被普遍接受，有人提出可以通过做关节囊Z形切开或将关节囊前外侧的脂肪垫外移来解决这个问题。

According to Hofmann[2] et al., this approach preserves the vascularity of the patella by sparing the intramuscular articular branch of the descending genicular artery and preserves the quadriceps tendon, providing more stability to the patellofemoral joint in total knee arthroplasty.

Hofmann等人认为此法不但保留了膝降动脉的肌内关节支从而保存了髌骨的血运，而且保存了股四头肌腱从而使全膝关节置换术中髌股关节获得了更大的稳定性。

Methods:Twelve patients with fresh transverse fracture of patella were reviewed in the study.The hemarthrosis,blood clot,fracture fragments and soft tissues between them were cleared with arthroscopy.With the help of C-arm X-ray,the fracture was reduced with manipulation method.After the articular facet reached anatomical reduction,two Kirschners were inserted percutaneously from proximal end to distal end of fracture to fix the fragments,Two hollow screw were put along the approach of Kirschners,and tension band fixation was performed with the shape of "8".Results:All the patients were followed up averagely 12.4 months.

12例新鲜髌骨横骨折患者通过关节镜清理关节腔内的血凝块、碎骨块和骨折块之间嵌顿的软组织，直视下观察骨折复位情况以指导骨折复位固定，在C形臂X线透视下帮助骨折复位，关节镜观察关节面解剖复位后，经皮从近折端向远折端平行打入2枚克氏针固定骨折块，顺克氏针拧入2枚中空螺钉，拔除克氏针，顺螺钉空心导入钢丝，行张力带&8&字固定。

The radiographic and histologic findings suggested infrapatellar bursal osteochondromatosis associated with a large, unresoled Osgood-Schlatter lesion.

影像学和组织学发现提示髌骨下粘液囊骨软骨瘤与一个大的未缓解的Osgood-Schlatter损伤灶相关。

There hae been a few reported cases of bursal osteochondromatosis inoling the retrocalcaneal, subacromial, and subcoracoid bursae2,10,11; howeer, infrapatellar bursal osteochondromatosis has neer been reported in the English-language literature, to our knowledge.

已报道的粘液囊骨软骨瘤病病例包括跟骨后、肩峰下及喙突下粘液囊的骨软骨瘤病；然而，据我们所知，髌骨下粘液囊骨软骨瘤病的报道却从未在英文文献中见到过。

Purpose: To investigate the efficacy ofmassotherapy plus warming acupuncture for treatment of patellar malacia.

目的：观察推拿结合温针等治疗方法对髌骨软化症的疗效。

To observe the cure effect of needle-knife together with oral taking traditional Chinese drug and functional exercise on patella malacia.

［目的］观察针刀中药内服配合功能锻炼治疗髌骨软化症疗效。

Needle-knife, oral taking TCD and exercise has definite cure effect on patella malacia.

结论］针刀结合中药内服配合股四头肌功能锻炼治疗髌骨软化症临床疗效确切。

In the absence of patellar malalignment results are optimized when an implant with sound geometric features is used the prosthesis is appropriately aligned and the soft tissues are balanced.

不存在髌骨排列错乱时，使用一个带有声音几何学特征的植入物能够让结果最好，代替物很适当的排列，并且软组织也会均衡。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。