Okwangoku, eyona ndlela isetyenziswayo esetyenziswayo ye-calcaneal quats ibandakanya ukulungiswa kwangaphakathi ngeplate kunye nesikhafu ngendlela yokungena kwe-sinus tarsi. Indlela eyandisiweyo "l" yendlela eyandisiweyo ayisakhethwanga kwikhondo leklinikhi ngenxa yeengxaki eziphezulu ezinxulumene nenxeba. Iplate kunye nokulungiswa kwenkqubo ye-screw, ngenxa yeempawu zayo ze-bicentric zokulungiswa kwe-eccentric, ithwala umngcipheko omkhulu we-VUSS, kunye nolunye uhlolisiso olubonisa ukubakho kwendawo yendawo ye-34%.
Ngenxa yoko, abaphandi sele beqalise ukufunda iindlela zokulungisa iingxaki zeCalcaneal kwi-Fratures enxulumene nenxeba kunye nombandela we-valus yomgaqo we-VAUS.
01 NIndlela ye-AIL Central
Obu buchule bunokunceda ekunciphiseni kwendlela yokungena kwe-sinus tarsi okanye nge-arthroscopic isikhokelo, sifuna izicubu ezithambileyo ze-tissule kwaye zinciphisa ixesha lokulinganisa. Le ndlela isebenza ngokukhethekileyo ukuba i-Chwetheza i-II-III iqhekeza, kunye ne-calcaneal ye-calcaneal ye-calcaneal, isenokunganikezeli ukulungiswa okuqinileyo, isenokunganikezeli ukulungiswa okuqinileyo kwaye inokufuna ukulungiswa okukodwa.
02 SI-Ingle-i-Intramelimer
Isikhonkwane se-Intramenti enye ye-Intramellary ibonisa isikhafu sesibini kwindawo ye-proximal kunye ne-dives, ngesikhonkwane esinezipikili esivumela ukuba ithambo lezipikili.
03 MI-Ulti-I-Intramellary
Yenzelwe ngokusekwe kwi-morpholor yemozulu emithathu ye-calcaneus, le nkqubo yokulungisa yangaphakathi ibandakanya isikhafu esiphambili esifana nokukrazula umthwalo kunye ne-screen protrust screws kunye nenkqubo yenkqubo yangasemva. Emva kokuncitshiswa kwendlela yokungena ye-sinus Tars, ezi zikreyi zinokubekwa phantsi kwe-cartilage yenkxaso.
Kukho impikiswano ezininzi malunga nokusetyenziswa kwezipikili ze-intramellary kwi-calcaneal gwenxa:
1. Ukulungele ngokusekelwe kubunzima obuqhelekileyo: kuyaphikisana nokuba i-quares elula ayifuni zikhonkwane ze-iremedullary kunye nokuqhekeka okuntsonkothileyo akuchaphazeli. Ngohlobo lwe-Sanders II / III Pratures, indlela yokuncitshiswa kunye nokulungiswa kwe-screw ngendlela yokungena kwe-sinus tarsi, kwaye ukubaluleka kwesipikili se-Intramellary esiphambili sibuzwa. Ngezenzo ezintsonkothileyo, izibonelelo zendlela eyandisiweyo "l" ihlala ingenakufikelwa, njengoko inika ukubonakaliswa okwaneleyo.
2. Imfuneko ye-Callal ye-callarial Casel: i-calcaneus ngokwemvelo ingenamncinci. Sebenzisa isikhonkwane esikhulu se-intramellary kunokukhokelela kwi-haguating eninzi okanye ilahleko yethambo.
3. Ubunzima ekususweni: Kwiimeko ezininzi eTshayina, izigulana zisekhona ukususwa kwezixhobo emva kokuphilisa. Umdibaniso wezipikili kunye nokukhula kwethambo kunye nokungeniswa kwezikrelemnqa zamandulo phantsi kwethambo le-cortical kunokukhokelela kubunzima ekususweni, oluluqwalaselelweyo kwizicelo zeklinikhi.
IXESHA LOKUQALA: Aug-23 ukuya kwi-2023
