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ankylosis
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  ankylosis
Mice bearing the ank/ank defect gene develop a bony ankylosis of the spine like that seen in advanced AS and related SpA.
      
Mutations in the ank gene result in decreased extracellular inorganic pyrophosphate in murine progressive ankylosis, and increased extracellular inorganic pyrophosphate in some cases of familial chondrocalcinosis.
      
Syndesmophyte formation and progressive ankylosis are characteristic features of spondyloarthropathies, including psoriatic arthritis and ankylosing spondylitis, and they can be regarded as abnormal bone remodeling.
      
Successful blocking of inflammation in patients with spondyloarthropathy apparently fails to halt progression of ankylosis in cohort studies.
      
Most patients with FOP eventually develop heterotopic ossification of the chewing muscles with resultant ankylosis of the temporom andibular joints.
      
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Eleven cases of TMJ ankylosis were treated with inverted posterior one-third segment of ascending ramus grafting.Ten of them ranged from 7 to 15 years of age.There was no openbitc after operation. Six patients were followed up for more than 14 months.One recurred 10 months postoperatively,and the others got incisal opening from 2.2 to 3.3 centimeters.This method used only one incision and drew on local bone without any other trauma to the body.It is easier than the coronoid process grafting.The original...

Eleven cases of TMJ ankylosis were treated with inverted posterior one-third segment of ascending ramus grafting.Ten of them ranged from 7 to 15 years of age.There was no openbitc after operation. Six patients were followed up for more than 14 months.One recurred 10 months postoperatively,and the others got incisal opening from 2.2 to 3.3 centimeters.This method used only one incision and drew on local bone without any other trauma to the body.It is easier than the coronoid process grafting.The original angle of mandible with a part of masseter and medial pterygoid muscles insertion functions as condyle,which is also similar to the normal anatomy of TMJ.Still more,since the height of ascending ramus was still maintained,it may avoid the openbite.

用升支后1/3骨片倒置移植治疗颞颌关节强直11例(13侧),其中10例7~15岁。6例随访14个月以上,1例复发,5例开口度(切牙间距)达到2.2~3.3m。该法只用一个切口,就近取骨,方法简单。用下颌角取代关节头,保留部分嚼肌和翼内肌附着,保持升支的高度,解剖形态接近正常,还可防止术后复发和开(牙合),具有临床实用价值。

A patient with bilateral temporo-mandibular joint ankylosis was treated with Ti-alloy artifical articular concavity. One year after the treatment it was found that the patient's open mouth width was. 2.5 centimeter, with satisfactory result. This method is easy to operate and to fix, with less damage, and furthermore it's unnecessary to cut autografting materials. At same time,it avoid mandibular deviation or open bite caused by cutting too much bone by other methods and dislocation resulting from bad...

A patient with bilateral temporo-mandibular joint ankylosis was treated with Ti-alloy artifical articular concavity. One year after the treatment it was found that the patient's open mouth width was. 2.5 centimeter, with satisfactory result. This method is easy to operate and to fix, with less damage, and furthermore it's unnecessary to cut autografting materials. At same time,it avoid mandibular deviation or open bite caused by cutting too much bone by other methods and dislocation resulting from bad fixing of interposed foreign material.

作者采用钛合金人工关节凹治疗颞颌关节强直。该方法解决了其它方法所产生的因去骨过多而致下颌偏位、开合、以及填隔物固定不佳而致脱位等缺点,具有手术简单,对机体创伤小,有良好的固定装置,又可免除切取自体移植料而给病人造成痛苦的优点。通过对一例双侧颞颌关节骨性强直病人行钛合金人工关节凹置换治疗,经1.5年的观察随访,开口度为2.5cm,达到理想效果。

Operations for recurrent ankylosis of TMJ were performed on 15 patients who had undergone an arthroplasty between 1978 to 1989. Operative findings were described. On this basis. problems assoeiated with interpositions. Coronoidectomy, mobilization, osteograft and residual cavity were discussed and suggestions were offered.

探讨颞颌关节强直术后复发的影响因素对提高手术质量,降低复发率,有重要意义。作者将15例颞颌关节强直复发手术所见进行了重点描述,并以此为启示,对影响术后复发的因素作了分析。作者认为,在关节成形术中,填隔物不能完全防止复发,对其企望不要过高;喙突应切除;带蒂颊脂垫是填充死腔的好材料,植骨块的固定一定要牢靠;术后不宜进行过度的甚至强力的开口练习。

 
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