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The decision to transpose the ulnar nerve may be based in part on the injury type and be done when implants are applied to the medial epicondyle and medial side of the trochlea.

转位尺神经的决定在一定程度上可以基于损伤类型,当有植入物用于内上髁和滑车的内侧边时应当进行。

The results indicate that the fixation methods for supracondylar fractureshould b that:(1) The fixation with the flexion angle of 9O°in the pronator position is adopted if the medial side presents displacement and the lateral periosteum is broken and the "hinge"of the medial periosteum remained unbroken.

表明肱骨髁上骨折的固定方法宜采用:①若内侧移位,外侧骨膜破裂,内侧骨膜"铰链"完整,则采用屈曲90°旋前位固定;②若外侧移位,内侧骨膜破裂,外侧骨膜"铰链"完整,则采用屈90°旋后位固定;③若内外侧骨膜完全破裂,不论是内侧移位,还是外侧移位,宜采用旋后位固定。

It incorporates several different hereditary conditions of the elbow, including osteochondritis of the medial condyle of the humerus, fragmentation of the medial coronoid process of the ulna, and ununited anconeal process of the ulna.

它包括几个不同的肘关节遗传病症:内侧的肱骨髁软骨炎,内侧冠状突尺骨裂,尺骨愈合不全。

[Objective]It is extensively conceived that the anteromedial osteoarthritis of knee is suitable for unicompartmental knee replacement.

[目的]认为膝关节前内侧骨关节炎适合于单髁置换治疗,传统是用应力位摄片帮助诊断前内侧骨关节炎。

METHODS: A total of 50 white rabbits were randomly divided into anterior cruciate ligament transection group, medial collateral ligament transection + meniscectomy group and normal control group. The specimens were harvested at weeks 1, 2, 3, 4, and 5 after operation. The osteocartilaginous section of the medial femur condyles were observed by gross observation, histological examination, and Markin scores. The contents of proteoglycan and collagen fiber were also measured.

取大耳白兔50只,随机分为3组前交叉韧带切除组、内侧副韧带+半月板切除组分别切除右后肢前交叉韧带、右后肢内侧副韧带和半月板,正常对照组不干预,分别在建模1,2,3,4和5周后分批于膝股骨内髁软骨取材,进行软骨组织大体和组织学观察、软骨损伤程度Markin评分;测定软骨组织蛋白多糖及软骨基质中胶原纤维含量。

Objective\ To study the anatomy of reversed femoral osteoperiosteal flap.

目的探讨股骨内侧髁骨瓣逆行转位的解剖学基础。

Fifty six female rabbits were randomly divided into four groups: 8 rabbits as control, 16 rabbits' knee fixed as an OA model, 16 rabbits with ovariectomy and 16 rabbits ovariectomy with estrogen. HA in serum and joint synovia were measured by radio-immunity technique at the 2nd, 4th, 6th, 8th week after ovariectomization, partial cartilage on internal condyle of right femur were observed by light and electron-microscopy.

56只雌兔随机分为4组,A组正常对照,B组关节固定,为OA模型组,C组切除卵巢后不补充雌激素,D组切除卵巢后补充雌激素,分别于第2、4、6、8周抽血和关节液,测定HA水平,并取右股骨内侧髁软骨组织进行光镜和电镜观察。

The fixed tibiae were tested by using a materials testing machine with the axial load on the medial condyle.

固定胫骨,利用材料测试装置(Instron, Canton, MA)对胫骨内侧髁施加轴向应力进行研究。

Results The anterior bundle of ulnar collateral ligament originates from the inferior aspect of the medial epicondyle and inserts immediately adjacent to the joint surface on the ulna near the sublimis tubercle. The posterior bundle originates from the medial epicondyle slightly posterior to its most inferior portion and inserts broadly on the olecranon process. The lateral collateral ligament arises from the inferior aspect of the lateral epicondyle. Two types of conjoined lateral collateral and annular ligamentous insertions on the ulna were observed. Type Ⅰ(61.2%) was bilobate and type Ⅱ(38.8%) was a single broad conjoined type with insertion on the ulna. The anterior band of anterior bundle was more tighten than the posterior band as the elbow flexed less than 60°. When the elbow flexed over 60°, the two parts of anterior bundle were equally tightened. The posterior bundle was tightened as the elbow was flexed more than 90°. The lateral collateral ligament was tightened gradually as the elbow moved in flexion.

结果(1)尺侧副韧带前束起于肱骨内上髁的前下方,止于尺骨冠突内侧的小结节;后束起于肱骨内上髁的内下方,止于尺骨鹰嘴内侧的骨面;(2)桡侧副韧带起于肱骨外上髁的外下方,其纤维部分止于环状韧带,部分止于尺骨冠突的外下方;桡侧副韧带和桡骨环状韧带在尺骨上的止点有两种类型:Ⅰ型占61.2%,桡侧副韧带的部分纤维汇于环状韧带的尺骨止点,另一部分纤维单独止于稍远的尺骨上;Ⅱ型占38.8%,桡侧副韧带和环状韧带形成一宽的纤维止于尺骨上;(3)在肘关节屈曲60°以前,尺侧副韧带前束的外侧部紧张而内侧部较松弛,肘关节屈曲超过60°后,前束内外侧处于同程度的紧张状态;尺侧副韧带的后束在肘关节屈曲超过90°后才被拉紧;(4)桡侧副韧带在肘关节不同屈曲状态时其紧张度逐渐增加,当肘关节屈曲超过90°时,桡侧副韧带被明显拉长。

The entire femoral condyles of the knees at 4 weeks after surgery were used to develop the tissue section technique.

在兔一侧膝关节的股骨内侧髁关节面制造直径3 mm深度4 mm的全层关节软骨缺损。

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