髓腔

Aseptic loosening of prosthesis has become the main reason for failure. From the prospect of prosthesis design,increasing the prosthesis and bone adaptation to reduce the initial micromotion and increase long term bone ingrowth is the only way to achieve long term fixation.

而这一密合程度由髓腔形态与假体外形共同决定，因此股骨髓腔形态必须纳入假体设计的考量的中，而研究各种影响髓腔形态的因素就极具价值和意义。

METHODS: The 15 hybrid dogs were randomly divided into 2 groups. In the experimental group (n=9), a hole was drilled at the slope beneath the tibial plateau to reach the medullary cavity. The cavity was enlarged by an appropriate drill to confirm the size of the cavity. The absorbable polyamide intramedullary rods were inserted from the hole in tibial superior extremity, and the fracture was anatomically reduced with the rod passing through the fracture. Two locking nails, which were cylinder polyamide rods, were respectively located 2 cm from the cutting site, in the distal and proximal ends. Auxiliary plaster external fixation was performed for 4 weeks. In the control group (n=6), quincunx intramedullary nails of the same diameter with 4 pre-drilled holes were accordingly inserted into the cutting segment, and 2 screws were locked in the distal and proximal ends, respectively.

15只杂种犬随机分为2组，实验组(n=9)：在距离胫骨平台下斜坡处钻孔入髓腔，用合适钻头扩大髓腔，确认髓腔大小，从胫骨上端开孔插入聚酰胺钉，解剖复位骨折端并使该钉通过骨折处，在距离截骨处2 cm处的远近端分别锁上2枚锁钉，锁钉为圆柱形聚酰胺棒，辅助石膏外固定4周；对照组(n=6)：同样插入相应直径的、已预钻4孔的梅花形髓内钉截段，在骨折端的近端及远端分别锁2枚螺钉，辅助石膏外固定4周。

Methods:Fifty paired embalmed cadaveric humeri (twenty-five pairs:fourteen from male donors and eleven from female donors) were scanned in medial-lateral and anterior-posterior position according to the humeral retroversion by CT. Images of the humeri in the transverse planes at the lowest border of neck,20mm and 40mm distal of LBN(LBN-20、LBN-40), isthmus, head-neck anterior-posteriorwere obtained. Sixty-one extracortical and intracortical parameters were measured exactly by image analytic computer software that included offset, head position, head-shaft angle, head to tuberosity height, head thickness, curvature radius, articular surface arc, neck diameter, isthmus position, proximal and distal border of isthmus, maximum coronal and sagittal diameter of medullary canal and thickness of cortical bone in four planes, including LBN, LBN-20,LBN-40 and isthmus.

50根成对防腐肱骨(男14对，女11对)按肱骨头扭转角置于冠状位和矢状位，行肱骨全长，头颈矢状面，解剖颈下缘及其下20mm、40mm，髓腔狭窄部四平面CT扫描，由CT软件测量冠、矢状位髓腔内外参数共61项，包括头心—干轴距，头位置，头干角，头—结节高度差，头厚度，头半径，关节面张角，解剖颈直径，髓腔狭窄部位置，解剖颈下缘及其下20mm、40mm和狭窄部四个平面髓腔的最大冠、矢状径，皮质骨厚度等。

Results The total length of femur medullary cavity were (33.51±0.63)cm and (33.13±0.64)cm; the length of the narrow point were (5.61±0.49)cm and (5.17±0.46)cm; the narrowest part were located on the proximal end of medullary cavity the distance of them were (3.55±0.15)cm and (3.52±0.27)cm; the sagital diameter were longer than the coronal diameter of the narrow point medullary cavity, the front one were(1.215±0.113)cm and the other one were (1.077±0.116)cm; the arc semidiameter of medullary cavity were(120.608±6.089)cm.

结果 股骨骨髓腔全长为(33.51±0.63)cm和(33.13±0.64)cm；狭窄段长度为(5.61±0.49)cm和(5.17±0.46)cm；髓腔最狭窄点位于髓腔中点近侧，距离为(3.55±0.15)cm和(3.52±0.27)cm，狭窄点髓腔矢状径较冠状径大，分别为(1.215±0.113)cm 和(1.077±0.116)cm，髓腔弧度半径为(120.608±6.089)cm。

Abstract］ objective to improve the diagnosis of non-ossifying fiboma by analysing its x-ray feature.methods plain x-ray films was performed in all patients.x-ray finding in 8 cases with pathologically-confirmed non-ossifying were analyzed.results the clinical symptom was mild,the lesions occurred usually at the metaphysis of the long bones,the affected bones included femur（n=4）,tibia（n=3）,humerus（n=1）.cortical type was seen in 5 cases,presenting as unilocular or multilacular transparent areas with in the cortex or tightly beneath the cortex,the lesion had a sclerotic margin.which was more obvious at the marrow side.medullary type was seen in 2 cases.the lesion was located at the center of the bone and grew centrally.the tumor was manifested as unilocular or multilocular.tramsparent area with sclerotic border and the bone cortex became thinner with slightly expanding on 11 sides.conclusion plain radiography is the elementally means to detect this disease.based on the typical x-ray signs of non-ossifying fibroma combined with clinical data,correct preoperative diagnosis can be made in most cases.

目的 探讨非骨化性纤维瘤的x线表现以提高诊断水平。方法所有病例均摄有x线平片，分析经病理证实的8例非骨化性纤维瘤。结果临床症状轻，好发于下肢长骨干骺端或骨干，股骨4例，胫骨3例，肱骨1例。皮质型5例，表现为皮质内或紧贴皮质下的单层或多层透亮区，病变向骨内发展进入髓腔，周围有致密硬化带环绕，以髓腔侧明显；髓质型2例，病灶在骨内中央发展，显示为单房或多房透亮区，边缘有硬化，骨皮质菲薄，轻微向周围膨隆。结论 x线为最基本的检查方法，典型病例x线平片结合临床症状即可明确诊断。

RESULTS: At 16 weeks after operation, the defects were perfectly healed in the composite group, which was better than heterogenic deproteinized cancellous bone and control group with regard to the levels of bone formation, quantity of bone regeneration and reconstruction of marrow cavity.

结果：植入后16周，复合材料组骨缺损完全修复，成骨活跃程度、骨再生量和重建髓腔结构等方面均显著优于异种脱蛋白松质骨组和空白组；异种脱蛋白松质骨组，形成骨性愈合，但无髓腔再通；空白组未愈合。

Methods: The distal 1/3 of eighty humeri was scanned by 16 layer spiral CT. The morphologic features of the intramedullary bony prominence above the olecranon fossa were observed and described on coronal, sagittal and transverse section after three-dimensional reconstruction. Then the distal 1/3 of twenty humeri was splitted vertically along the coronal midline for observing the intramedullary bony crista.

应用16层CT对80根肱骨远段1/3进行扫描，三维重建成像后，从冠状面、矢状面和横截面观察并描述鹰嘴窝上髓腔内骨性突起的形态特点，然后将20根肱骨远段1/3在冠状面上从中线纵行剖开，对髓腔内骨嵴行直观的观察。

The femoral canal is prepared with a series of broaches that create an envelope for the implant.

采用髓腔锉由小到大依次打入对髓腔塑形。

If an unreamed nail is to be inserted, ignore the following section on reaming, and

如果是植入非扩髓髓内钉，忽略下述的扩髓部分，进入不扩髓腔髓内钉植入部分。

In addition, many studies of patients with AVN showed plenty of special characteristics,such as age distribution and bone quality.Objective:To study the geometric features of proximal femur for the Chinese AVN population,in order to prove the existence of special characteristic of proximal femur for the disease and then develop an AVN-specialized stem evaluated by a validated finite element analysis.Methods:1.The author investigated the standard X-ray data of 127 cases(179 hips) with definite diagnosis of AVN to provide anatomical references for this disease.At the same time,we conducted a meta-analysis of anatomical studies of normal proximal femur data,including the section of LT+20,LT,LT-20 and CFI to identify the potential difference between AVN and normal population.

方法1、通过研究AVN患者标准X线正、侧位片127例(179髋)，获得股骨近端的解剖学数据，利用荟萃分析的方法比较AVN患者股骨近段髓腔特征平面(LT+20，LT，LT-20)及CFI的改变与以往研究数据的差异，并利用创伤性FNF患者资料代替正常人股骨数据进一步比较髓腔前、后、内、外四条曲线段上的差异。2、通过结合现代CAD技术，将内、外、前、后曲线拟合到AVN柄的外形上，选用短柄假体设计，近段设计利用AVN患者骨髓腔CT相对应位置的断面进行修正，设计AVN人工股骨柄。3、计算机三维有限元分析：①使用CAD软件SolidWorks和有限元软件Ansys所建立的髋关节股骨侧假体置换后的三维有限元模型。

Finally, according to market conditions and market products this article paper analyzes the trends in the development of camera technology, and designs a color night vision camera.

最后根据市场情况和市面上产品的情况分析了摄像机技术的发展趋势，并设计了一款彩色夜视摄像机。

Only person height weeds and the fierce looks stone idles were there.

只有半人深的荒草和龇牙咧嘴的神像。