Ukulungiswa ngaphakathi neplate yethambo
I-Ankle Fusion ngeepleyiti kunye neekreyi yinkqubo eqhelekileyo yonyango okwangoku. Ukulungiswa kokutshixa kweplate yangaphakathi kusetyenziswe ngokubanzi kwi-ankle fusion. Okwangoku, i-ankle ye-ankle ikakhulu ibandakanya ipleyiti yangaphandle kunye neplastiki ye-Ankle.
Lo mfanekiso ungasentla ubonisa iifilimu ze-X-ray ngaphambi nasemva kokuhlinzwa kwi-Ankle ye-Ankle Osteoarthritis eneplate yokutshixa i-ANKLE
I-1. Inkqubo yangaphandle
Inkqubo ye-ANTARE yezokwenza i-ANTAITAL I-ANTALINAL I-ANTALY SIDS SPAH INDAWO YOKUGQIBELA, UKUSETYENZISWA KOKUSETYENZISWA KOKUSETYENZISWA KOKUGQIBELA; Sika i-capsule edibeneyo, chaza i-tibiotalar geent, susa i-cartilage kunye nethambo le-subchollral, kwaye ubeke iplate yangaphandle kwi-ankle.
I-2. Inkqubo yangaphambi kwexesha
Inkqubo yendlela yokusika i-osteotomy malunga ne-10 cm ngaphezulu kwencam yefibula kwaye isuse isiphuli ngokupheleleyo. I-sump yokuphelisa ithambo ikhutshiwe ukuba ithambo lethambo. Umgangatho we-fusiotomy ugqityiwe kwaye uhlanjwa, kwaye ipleyiti ibekwe ngaphandle kwe-ankle idibeneyo.
Inzuzo kukuba amandla okulungisa aphezulu kwaye ulungiso luqinile. Ingasetyenziselwa ukulungisa kunye nokwakhiwa kwakhona kweVerus enkulu okanye i-qualms yokuphumelela kwe-Ankle Joint kunye neziphene ezininzi emva kokucoca. Ipleyiti ye-anatomion eyenzelwe i-fusion fusion inceda ukubuyisela i-anatomy eqhelekileyo ye-ankle. Indawo.
Ukungancedi kakuhle kukuba i-periosteum engaphezulu kunye nezicubu ezithambileyo kwindawo yotyando kufuneka ihluthwe, kwaye ipleyiti yentsimbi inkulu, ekulula ukuyicaphukisa imithangano. Iplate yentsimbi ibekwe ngaphambili kulula ukuchukumisa phantsi kolusu, kwaye kukho umngcipheko othile.
Ukulungiswa kwe-Intramellary Nail
Kwiminyaka yakutshanje, ukusetyenziswa kwe-Intramedlay ye-Intramellary Natile Ankle Arthrodes kunyango lwenqanaba lokuphelelwa kwesithuba esikwinqanaba eliphezulu lisetyenziswe ngokuthe ngcembe.
Okwangoku, ubuchwephesha bokuphazamiseka kwe-intramellary busebenzisa i-Antertion ye-Anerian ye-ANKLE ye-ankle okanye i-anteroinferion of fibulation ye-fibula yokucoca i-articular okanye ithambo lethambo. Isikhonkwane se-Intramellary sifakwe kwi-calcaneus kwi-tibility cavity cavity cavity kwaye ikhuthaza ukuphakamisa ithambo.
I-Ankle Osteoarthritis idityaniswa ne-Arthritis. Iifilimu ze-Anteropostoright Premosterior kunye neefilimu ze-X-ray ze-X-ray ibonise ukonakala kakhulu kwi-tibiotalar edibeneyo kunye ne-subtallar edibeneyo, ukuwa kwenxalenye ye-tatus, kunye ne-Osteophyte 2)
I-fuiverget fusion ye-fuvion angle ye-angle ye-furifoot fusfoot i-fusmomelland ilungiso lweenqwelomoya, elinokuyilungisa ngokunyanzelwa, kwaye ukunqunyulwa, kunye nokukhupha ingozi yokurhoxa kwesikroba.
I-tibiotalar edibeneyo kunye ne-subtalar edibeneyo ityhilwe kwaye igqitywe ngendlela edluliselwa kuyo, kunye nobude bendawo ekumnyango ye-Tastar I-3 cm
Isikhonkwane se-intramerary sisetyenziswa njengolungiso oluphambili, kwaye uxinzelelo lwayo lusasazeke kakhulu, olunokuphepha uxinzelelo olukhuselekileyo kwaye luhambelana nemigaqo-siseko ye-biomechanics.
I-anterosteriort kunye nefilimu ye-X-ray ye-X-ray inyanga enye emva kokusebenza ibonisa ukuba umgca onyawo lwasemva ulunge kakhulu kwaye i-Intramellary ilungiswe ngokuthembekileyo
Ukufaka isicelo sezikhonkwane ze-itramerade kwi-Ankle ngokunciphisa umonatha othambileyo, ukunciphisa isifo sosulelo, usulelo kunye nezinye iindlela, kwaye zinokubonelela ngokulandelwa kwe-auxilishetion emva koqhaqho.
Ngomnye unyaka emva kokusebenza, iifilimu ze-X-ray ezithandekayo ze-X-ray zibonisa ukuba i-bony ibonakalisa i-bony ye-tibiotalar ye-tibiotalar ye-tibiotalar ye-tibiotalar ye-tibiotalar ye-tibiotalar ye-tibiotalar kunye nendlela yokudibanisa ngasemva, kwaye ulungelelwaniso lonyawo lwamva lwalulungile.
Isigulana sinokuphuma ebhedini size sibe nobunzima bokuqala, nto leyo ephucula unyamezelo kunye nomgangatho wobomi. Nangona kunjalo, ngenxa yokuba umntu odibeneyo odibeneyo kufuneka alungiswe kwangaxeshanye, akucetyiswa izigulana ezinomdibaniso olungileyo. Ukulondolozwa komgangatho webhatala ye-subtalar sisiseko esibalulekileyo sokubuyisa umsebenzi we-ankle edibeneyo kwizigulana ezine-ankle fusion fusion.
Isikreqo sokulungiswa kwangaphakathi
Ukulungiswa kwe-Percutaneal Ukulungiswa kwangaphakathi yindlela eqhelekileyo yokulungisa kwi-ankle arthrodes. Inezibonelelo zokuhlinzwa okuncinci ezingahlaseli njengokuncitshiswa okuncinci kunye nokulahleka kwegazi ngaphantsi, kwaye kunganciphisa ngokufanelekileyo umonakalo kwizicubu ezithambileyo.
I-Anterosiver kunye ne-Lateral Vifight Fills ye-Ankle edibeneyo ngaphambi kokusebenza ibonakalise i-osteoarthritis efanelekileyo ye-ankle ye-anks, kunye ne-angle phakathi kwe-° ° Versus
Izifundo zibonakalise ukuba ukulungiswa okulula kunye ne-2 ukuya kwezi-4 izikali ezinokufumana ulungiso oluzinzileyo kunye nokunyanzelwa, kwaye umsebenzi ulula kwaye indleko iphantsi. Luhlobo lokuqala lwabaphengululi okwangoku. Ukongeza, ukucoceka okungahambi kakuhle kwe-Ankle kungaphantsi kwe-arthroscopy, kwaye isikali sinokufakwa ngemvume. I-sumical orgacal incinci kwaye impembelelo yothulolo iyanelisa.
Phantsi kwe-arthroscopy, indawo enkulu ye-Artiage Surilage ibonwa; phantsi kwe-arthroscopy, isixhobo esihonjisiweyo se-microfractiotion sisetyenziselwa ukuphatha umphezulu wobugcisa
Abanye ababhali bakholelwa ukuba ulungiso lwe-3 lukukunciphisa isimo somngcipheko ongenamngcipheko wempangelo, kwaye ukwanda komgangatho we-fusion kunokuhambelana nokuzinza okuqinileyo kwe-3 ye-screw ficeration.
Ifilimu elandelayo ye-X-ray iiveki ezili-15 emva koqoqosho ibonakalise i-bony fusion. Inqaku le-AOFAAS yayingamanqaku angama-47 ngaphambi kokusebenza kunye namanqaku angama-74 omzuzu emva kokusebenza.
Ukuba i-screws ezintathu zisetyenziselwa ukulungiswa, indawo yokulungisa imeko kukuba isikhafu sokuqala sifakwe kumacala e-Antermagial kunye ne-anterollals ye-tibia, kwaye isikere sesithathu sifakwe kwi-Posteriali esecaleni kwe-tibial yecala.
Indlela yokulungisa yangaphandle
Abalungisi bangaphandle zezona zixhobo zokuqala ezisetyenziswa e-Ankle Arthrodes kwaye ziye zavela ukusuka kwi-1950s kwi-Ilelarov yangoku, iHoffman, indawo ye-Tayblor Space (TSF).
I-Ankle ichaphazele kakubi sisifo seminyaka emi-3, uAnkle Arthrodes kwiinyanga ezi-6 emva koLawulo losulelo
Kwizizathu ezithile ezinzima ze-anklestiris ezinokuphinda-phinda izifo eziphindaphindiweyo, imisebenzi ephindaphindiweyo, isikhumba esingathathi ntweni kunye nezixhobo ezithambileyo, isiphene sethambo, i-Osteoporousis, i-Osteov kunye ne-Ilizarov isetyenziselwa ukujoyina i-ankle.
I-fatotor engaphandle yeringi igcinwe kwindiza ye-Coronal kunye nenqwelomoya, kwaye inokubonelela ngefuthe lokulungisa okuzinzileyo. Kwinkqubo yokuthwala umthwalo kwangoko, iya kucinezelwa sisiphelo sokuqhekeka, ukukhuthaza ukwenziwa kwe-cangus, kunye nokuphucula inqanaba le-fusion. Kwizigulana ezinesiphene esikhulu, umlo wangaphandle unokulungisa ngokuthe ngcembe. Ewe, i-Ackle yangaphandle i-Akle Fusion iya kuba neengxaki ezinjengezinto eziphazamisayo kwizigulana zokunxiba kunye nomngcipheko wosulelo lwenaliti.
Nxibelelana:
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Email:liuyaoyao@medtechcah.com
IXESHA LOKUQALA: UJUL-08-2023
