I-10% ye-ankle ihamba kunye ne-dibiofible ye-tibiofible ye-tibesmos ye-tibiofigul ibalulekile ekuphepheni i-iatrogesic. Ngokwe-AO ye-AO, kuyacetyiswa ukufaka i-distal I-tibiofibit screw 2 cm okanye i-3.5 cm ngaphezulu komphezulu we-dibial tibiacular, kwi-angle ye-20-30 ° ukuya kwindiza ethe tye, ukusuka kwi-fibula kwi-tibia, kunye ne-ankle kwindawo engathathi cala. "
Ukufakwa kwezandla ze-tibiofibar screws kuhlala kuphumela ekutyesheni kwindawo yokungena kunye nolwalathiso, kwaye okwangoku, akukho ndlela ichanekileyo yokumisela isikhokelo sezikreyithi. Ukulungisa lo mbandela, abaphandi bamanye amazwe baye bamkele indlela entsha - indlela ye-Angle ye-Angle.
Sebenzisa idatha yokucinga ukusuka kwi-16 ye-Ankle eqhelekileyo ye-Ankle, iimodeli ezili-16 eziprintiweyo zadalwa. Kumgama oziimitha ezi-2 ze-2 cm kunye ne-3.5 cm ngaphezulu komphezulu we-tibial cingo, i-1.6 i-1.6 mm kirschner i-wiimes ehambelana ne-tibia kunye ne-figula, ngokulandelelana. I-Angle phakathi kweengcingo zeKirschner ezimbini zalinganiswa ngokusebenzisa iprocractor, kwaye i-2.7 mm idrill isetyenziselwe ukuqhuba umngxunya we-bisector, elandelwa kukufakelwa kwe-3.5 mm screw. Emva kokufakelwa kwesikhuseli, isikere sasinqunyulwe ubude bayo usebenzisa i-saw ukuvavanya ubudlelwane phakathi kwendlela ephakathi kwendlela ye-screw kunye ne-fibula.
Iimvavanyo ezikhankanyiweyo zibonisa ukuba kukho ukungangqinelani okulungileyo phakathi kwe-Axia ye-tibia kunye ne-fibula kunye nomgca we-bibula womgangatho we-Angle, ngokunjalo phakathi kwe-axis ephakathi kunye nendlela yesikhuseli.
Ewe, le ndlela inokubeka ngokufanelekileyo isikere ecaleni kwe-axia kunye ne-fibula. Nangona kunjalo, ngexesha lotyando, ukubeka iingcingo zeKirschner kufutshane nezakhiwo ezingasemva ze-tibia kunye ne-fibula zibeka emngciphekweni wemithambo yegazi kunye nerves. Ukongeza, le ndlela ayisombululi umba we-iatrogenic Altiction, njengoko ukulungelelaniswa kwe-tibiofigul ye-dibiofigul akunakuvavanywa ngokufanelekileyo ngaphambi kokubekwa kwindawo yokubekwa kwindawo yokubekwa kwindawo yokubekwa kwindawo yokubekwa kwindawo yokubekwa kwindawo yokubekwa kwindawo yokubekwa kwindawo yokubekwa kwendawo.
IXESHA LOKUQALA: UJUL-30 ukuya ku-2024
