髌骨

AIM: To find a reliable treatment for patellar fracture in anteroposterior axes, a kind of rare fracture.

目的：矢状位髌骨骨折是一种少见的髌骨骨折类型，通过本组病例的治疗，探求一种可靠的治疗方法。

Cases obtained excellent and 1 patient poor results. Conclusion Clinical dignosis of traumatic patella metachoresis is based on trauma and knee joint arthrocele and patella metachoresis.

外伤性滑动髌骨诊断要注意外伤、膝部肿胀青紫史，屈膝髌骨向外移位。

Chondromalacia Patellae is a commonly seen disease in Chinese Orthopaedics, and is one of the main causes of Patellae pains.

髌骨软化症(Chondromalacia Patellae， CP)，髌骨软骨炎，是在骨科常见病，膝前痛的主要原因之一。

Clinical research: Objective: To observe the clinical effect of manipulation (the empirical method ShuJinYanMoDianXuefa) to deal with chondromalacia patellae and probe its mechanism.

自2004年3月至2005年2月在东直门医院骨科门诊对髌骨软化症患者40例随机分成治疗组和对照组进行治疗，治疗组采用导师在临床常用的疏筋研磨点穴手法治疗，对照组采用目前治疗髌骨软化症常用的药物——氨糖美辛治疗，2周为一疗程，通过临床疗效评分进行疗效比较。

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。

Chondromalacia of patella or condyle of femur

髌骨软骨软化症或髌骨末端病

Methods Seventy-two knees in patients with chondromalacia patellae or osteoarthrosis of the patellofemoraljoint were measured using Insall - Salvati and Merchat methods on radiographs of the lateral and axial views in 0of flexion.

方法收集临床诊断为髌骨软骨软化或髌股关节骨性关节病的成年患者例，共计7侧膝关节。摄屈膝 0侧位片和髌骨轴位片，进行Insall－Salvati和Merchat测量，并与对照组进行比较。

Women account for 75% of patellofemoral arthroplasty patients in most reported series.3-10 This fact likely is related to patellofemoral malalignment and dysplasia which are more common in women than in men.

在一系列报道3-10中，女性髌骨股骨关节炎患者高达75%。事实可能与髌骨股骨排列不好和发育不良有关，而这些情况在女性中更常见。

Objective To explore a classification method and its clinical efficacy of treatment for patellar fractures.

目的探讨髌骨骨折分型及治疗的临床效果，寻找治疗髌骨骨折的规范化术式。

Because long-term failure as a result of tibiofemoral degeneration may occur in approximately 25% of patients patellofemoral arthroplasty may be considered an intermediate procedure for select patients with patellofemoral arthritis.

由于长期故障导致胫骨股骨退化可能发生在大概25%的病人，对于那些挑选的有髌骨股骨关节炎的病人，髌骨股骨关节成形术可能被看成一种中间步骤。

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。