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相关概念视频

Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Knee Joint01:23

Knee Joint

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Muscles that Move the Leg01:23

Muscles that Move the Leg

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The movement of the legs is facilitated by numerous muscles located within the anterior, medial, and posterior compartments of the thigh.
Anterior Compartment
The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed...
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相关实验视频

Updated: Jun 23, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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创伤性近道骨骨折和脱位.

Bo Li1, Xuan Tian2, Han Fei3

  • 1Department of Orthopaedics & Traumatology, Beijing Jishuitan Hospital, Capital Medical University, No. 31, Xinjiekou East Street, Xicheng District, Beijing, China. drlibo_jst@163.com.

BMC musculoskeletal disorders
|June 15, 2024
PubMed
概括

靠近骨骨折和脱位 (PTFD) 是严重的膝盖创伤与血管损伤的常见指标. 这种常常被忽视的情况,具有很高的截肢风险,强调了创伤病例中迅速诊断的必要性.

关键词:
截肢是一种截肢.紧急情况 紧急情况膝盖受伤的情况.创伤性近端支柱骨折和脱位 (PTFD)血管损伤是因为血管损伤.

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科学领域:

  • 整形外科手术 整形外科手术
  • 创伤外科 手术 创伤外科
  • 血管外科 血管外科

背景情况:

  • 创伤性近端骨骨折和脱位 (PTFD) 是一个研究不足的损伤,在临床环境中经常被忽视.
  • PTFD意味着严重的膝盖创伤,通常与血管损害有关.
  • 了解PTFD在血管受伤膝盖中的发生率和影响对于患者的治疗结果至关重要.

研究的目的:

  • 追溯确定患有创伤性膝盖伤害和相关血管损伤的患者中PTFD的发病率.
  • 评估PTFD在这个患者队列中的临床影响和结果.

主要方法:

  • 从2022年1月到2023年10月,对膝盖创伤和血管损伤的患者进行了回顾性分析.
  • 放射 (X射线) 和CT扫描审查以确定PTFD.
  • 患有PTFD和没有PTFD的患者之间的比较分析.

主要成果:

  • 在创伤性膝盖和血管损伤中,PTFD的发生率为39.3% (11/28个四肢).
  • 与非PTFD组 (7/17) 相比,PTFD组的开放伤害率 (10/11) 显著更高.
  • 在PTFD组的截肢率为40% (四分之一的四肢),而非PTFD组的截肢率为23.5% (四分之一的十七个四肢),尽管在统计学上并不显著.

结论:

  • 在创伤的膝盖和血管损伤中,PTFD经常被忽视,尽管它的发病率很高.
  • PTFD的存在可能表明更严重的伤害模式,包括更高的开口骨折的可能性.
  • 虽然在本研究中没有统计学意义,但PTFD组中40%的截肢率突显了其潜在的严重程度和需要谨慎管理的需要.