Inkqubo ye-LEFFAL SATRALL l ndlela yindlela yeklasikhi yendlela yokuhlinzwa ye-calcaneal ye-calcaneal. Nangona ukubonakaliswa okugqibeleleyo, ukuveliswa kudala kwaye izicubu ezithambileyo zihluthwe ngaphezulu, ezikhokelela ngokulula kwiingxaki ezinjenge-Informaon ethambileyo ye-Tishule, iNecrosis, kunye nosulelo. Ukudityaniswa nokusukelwa kombutho wangoku ngokuhlaselwa kancinci, kunyango oluhlaselayo oluhlaselweyo lwe-calcaneal tyhali kuncomeke kakhulu. Eli nqaku lihlanganisene iingcebiso ezisi-8.
Ngendlela eyahlukileyo eyahlukileyo, icandelo elithe nkqo le-veloment iqala ngokutsha kwincam yefibula kunye ne-ANTER kwi-Achilles tendon. Inqanaba le-veloction lenziwa nje isikhumba esiqhekezwe sisikhuhla seCalcaneal Calcane kwaye ifake kwisiseko sesihlanu seMetataral. Ezi ndawo zimbini ziqhagamshelwe kwisithende ukwenza i-angle egodweyo. Umthombo: Utyando weCampbell Orthoric.
PUkuncitshiswa kwe-ERCTHANAOOOUR
Ngeminyaka yee-1920, i-böhler yaqulunqa indlela yonyango oluhlaselweyo yokunciphisa i-calcaneus phantsi kwengqungquthela, kwaye ixesha elide emva koko, ukuncitshiswa kwe-Pecutaneous Proction Proction Fratures.
Ifanelekile ukuba iqhekezwe ngokususwa kancinci kweziqwengana ze-intrastar kwi-caricarar edibeneyo, njenge-Saleeer chwether II kunye nezinye i-Savees III.
I-Sanders Cheades kunye ne-Handes Cheaders Tect Iv Fractures enomgangatho oqingqiweyo we-Articlar Wiresse, ukuncitshiswa kwenkumbi ekunzima kwaye kunzima ukufikelela kumhlaba ongaphandle we-carteratus.
Kunzima ukubuyisela ububanzi be-calcaneus, kwaye ukungcungcuthekiswa akunakulungiswa kakuhle. Ihlala ishiya udonga lwasemva kwe-calcaneus kwidigri eyahlukeneyo, ekhokelela kwifuthe le-Mancul Latercal Alleneus ye-Callcaus, i-Deroneuse Tendon, kunye nokubeka i-tendon ye-peroneal. I-Syndrome, i-Calcaneal Intlungu yokungena eCalcane, kunye ne-peroneus ye-tendonitis.
Indlela ye-WestHies / ye-Essal-Loptorique. A. I-Latal Fluoroscoppy iqinisekisile isiqwenga esithathiweyo ulwimi; B. I-the the the the the the the the the hla i-ct ibonise i-Insassies yohlobo lwe-ICIC. Inxalenye yangaphandle ye-calcaneus iconjululwe kwimifanekiso. S. Ukuthwala umgama ngequbuliso.
C. I-Adeptual Action ayikwazanga ukusetyenziswa ngenxa ye-tissies ethambileyo ethambileyo kwaye ifihlakele; D. I-Lateral Fluoroscopy ibonisa umphezulu wobugcisa
E kunye f. ezimbini ze-Nail I-Wiires i-wiires zabekwa ngokuhambelana nenxalenye engezantsi yesiqwengana solwimi, kwaye umgca onamachaphaza ngumgca odibeneyo.
G. Flex edibeneyo edibeneyo, qhekeza iPIN yesikhokelo, kwaye kwangaxeshanye umzili wangena kwithambo le-fuboid ukunciphisa ukuncitshiswa kwe-subsple: Umthombo: Unyawo lwe-mann kunye ne-ankle utyando.
SI-Inus Tarsi i-Intersi
I-vemos yenziwa i-1 cm i-ficlate iye kwincam yefibula kwisiseko se-metatarsal yesine. Ngo-1948, uPalmer waqala waxela intsingiselo encinci kwi-sinus tarsi.
Ngo-2000, i-Ebmheim et al. isebenzise indlela ye-Tars sinus kwi-Clistical yonyango lwe-calcaneal gwenxa.
o Unokuyibonisa ngokupheleleyo i-generaquar edibeneyo, i-postericar engaphakathi ye-postar kunye nebhloko ye-anterolated;
o uphephe ngokwayo imithambo yegazi lamva;
Akukho mfuneko yokusika i-Ligafoofigul LIGAClum, kwaye indawo edibeneyo inokunyuswa ngokuphendulwa ngokufanelekileyo ngexesha lokusebenza, eneengenelo zokubanzi.
Ukungancedi kakuhle kukuba ukubonakaliswa kucacile, ukuba yeyiphi na imida kwaye ichaphazela ukuncitshiswa kwesandiso kunye nokubekwa kwangaphakathi. Ilungele kuphela uhlobo lwe-sanders kuphela kwaye ndichwetheza i-II Calcaneal.
OI-Blique incinci
Ukuguqulwa kwe-Inus Tars Tars, malunga ne-4 cm ubude, kugxile kwi-2 cm ngaphantsi kwe-Malleolus ye-Lateral kwaye iparallel kumhlaba ongaphandle we-postar.
Ukuba ukulungiswa okuthengisiweyo kwanele kwaye iimeko zemvume, zinokuba nefuthe elihle kunye nefuthe le-IICER II kunye ne-III I-ITRA-Calra-Articture Calra-Calra-Artictal Calra-Articture Calra-Calra-Artictal Calra-Artictuar Translary; Ukuba i-subtalar edibeneyo iyafuneka kwixesha elide, i-vemoon efanayo inokusetyenziswa.
I-Pt Peroneal tendon. I-PF Posteriyor engasemva kwe-calcaneus. I-SINUS TOSI. I-calcaneal protrusion. .
I-posteritudial i-Imerical
Ukuqala ukusuka kwi-Midgegent yelayini phakathi kwe-Achilles Tendon kunye nencam ye-Mancural Mancul Malleous, iphela ngokuthe nkqo kwi-healar heage, ngobude obuyi-3.5 cm.
I-vemoon engaphantsi yenziwa kwizicubu ezithambileyo kakhulu, ngaphandle kokwenzakalisa izakhiwo ezibalulekileyo, kwaye umphezulu we-postericular ufikelelo ubonakale kakuhle. Emva kokuncitshiswa kwe-percutaneal kunye nokuncitshiswa, ibhodi ye-anatomical yafakwa phantsi kwesikhokelo sembono yentsusa, kwaye i-percutaneus screw yafakwa kwaye ilungisiwe phantsi koxinzelelo.
Le ndlela inokusetyenziselwa uhlobo lwe-Sanders I, II, ne-III, ngakumbi ekususweni kwe-postarior yasemva kwexesha okanye i-tuberosity.
I-Herringbone inqunyulwe
Ukulungiswa kwe-sinus tarsi ivesion. Ukusuka kwi-3 cm ngaphezulu kwencam ye-Mancural Malleous, ecaleni komda ongasemva we-fibula kwincam ye-Mancural Mancloous, emva koko uye kwisiseko sesine seTatatanal. Ivumela ukuncitshiswa okuhle kunye nokulungiswa kobuchwephesha be-II kunye neei calcaneal tyhali, kwaye kungandiswa ukuba kuyimfuneko ukubhengeza i-Transfibhoula, i-tatus, okanye ikholamu ye-TATUS.
I-LM Lankle. I-MT Metatatal Joint. Spr supra fibeula retinaculum.
AUkuncitshiswa ngokwendalo
Ngo-1997, iRamelt icekise ukuba i-artitale ye-Arthroscopy ingasetyenziselwa ukunciphisa umphezulu we-postarior ye-calcaneus phantsi kombono othe ngqo. Ngo-2002, i-rameltlt yokuqala eyenziwa nge-ArthroscoproPorpopic encediswa nge-percutaneal screen kunye nokulungiswa kwe-screw kuchwetheza weSanders
I-Arthtalelar Arthroscopy idlala iliso kwindima yokubeka iliso kunye ne-aurilive. Ingakujonga imeko yomphezulu weqonga lamachaphaza aphantsi kombono ocacileyo, kwaye uncede ukubeka esweni ukuncitshiswa kunye nokulungiswa kwangaphakathi. Ukuhlaselwa okuncinci okudibeneyo kunye nokuhlaselwa kwe-osteophyte kunokwenziwa.
Isalathiso simxinwa: Kuphela ngohlobo lwe-Savers kuphela ⅱ ngokuthathwa komthamo womphezulu we-articular umphezulu kunye nohlobo lwe-AO / OTE CEBISO 83-C2; Ngequbuliso ii-Sanders ⅲ, ⅳ kunye ne-AO / Uhlobo lwe-ATA / OT3 Fratures kunye ne-Artures enama-83-C4 kunye ne-83-C4 kunye ne-83-C4 kunzima ukusebenza ngakumbi.
isikhundla somzimba
b. I-Postestan Ankle Arthroscopy. c. Ukufikelela ekuqhekezweni kunye ne-ratical edibeneyo.
I-Schantz Screws ibekwe.
e. Setha kwakhona kunye nokulungiswa okwethutyana. f. Emva kokuseta kwakhona.
g. Ukulungisa okwethutyana ibhloko yethambo lethambo. H. Lungisa ngezikali.
i. I-Postoperative Sagittal CT Scan. j. Imeko ye-axial
Ukongeza, indawo edibeneyo yecawa yendawo edibeneyo incinci, kwaye itrasti kufuneka ixhase indawo edibeneyo yokuqhuba ukubekwa kweArthroscope; Isithuba se-Intra-Artimiction I-Intracur incinci, kwaye ukungakhathali kunokubangela lula ukonakala kwe-iAtrogenic cartilage. Iindlela zokungaziphathi kakuhle ezingenamali zithambekele kulawulo lwasekhaya.
PI-Ercutanaous Balloon Angioplasy
Ngo-2009, u-Bano waqala wacebisa ubuchule bokukhulisa iBaluni ukuze kuncitshiswe i-calcaneal quatures. I-Sanders Cheares II Fractures, uninzi loncwadi luthatha ifuthe eliyimfuneko. Kodwa ezinye iintlobo zefratshi zinzima ngakumbi.
Nje ukuba isamente yethambo lingafikeleli kwi-subtar joyinti ngexesha lokusebenza, iya kubangela ukunxibiswa komgangatho wobugcisa kunye nokuncitshiswa kwentshukumo edibeneyo, kunye nokwandiswa kwebhasondini, kwaye ukwanda kweBalloon akuyi kulungelelaniswa kokuphunyezwa kokuqhekeka.
Ukubekwa kwe-cannula kunye nesikhokelo kwi-wire phantsi kweFluoroscopy
Imifanekiso ephambi nasemva kokunyuka kwamaxabiso e-withu
I-X-ray kunye ne-CT yemifanekiso kwiminyaka emibini emva kotyando.
Okwangoku, iisampulu zophando zetekhnoloji ye-balloon zihlala zincinci, kwaye uninzi lwezinto ezixhaphakileyo ngeziphumo ezilungileyo zibangelwa lugonyamelo lwamandla asezantsi. Olunye uphando lusafuneka ukuze i-calcaneal ityhutywe ngokutyibilika okunzima. Iqhutywa ixesha elifutshane, kwaye ukusebenza kwexesha elide kunye neengxaki akusacaci.
CI-Alcaneal Inramellary Nail
Ngo-2010, i-calcaneal ye-Inramerary Nail yaphuma. Ngo-2012, m.goldzak kuhlaselwa kancinci kwe-calcaneal typesty enobungozi. Kuya kugxininiswa ukuba ukuncitshiswa akunakuphunyezwa ngokubethelwa kwe-intramellary.
Faka iPIN yeSikhokelo, iFluoroscopy
Ukuphinda usebenze kwakhona
Beka isakhelo sokubeka, qhuba isikhonkwane se-intramellary, kwaye uyilungise kwi-5 mm ye-screen
Umbono emva kokubekwa kwe-intramellary.
I-Intramellary saising iboniswe ukuba iphumelele kunyango lwe-Saleeer Chwethe kwaye i-III iqhekeza i-calcaneus. Nangona abanye oogqirha bazama ukuyisebenzisa kwi-Landers IV Fictures, umsebenzi wokuncitshiswa yayinzima kwaye ukunciphisa okufanelekileyo akunakufumaneka.
Umntu oqhakamshelwano: Yyo
I-WE / TEL: +8615682071233
Ixesha leposi: May-31-2023
