I-Ankle Fractures yenye yezona ntlobo ziqhelekileyo zefraures kwikhondo leklinikhi. Ngaphandle kwale nqanaba le-I / II Horational Horational kunye ne-Atduction Hold, uninzi lwamafutha aqhelekileyo lubandakanya i-Mancleous. I-Webber A / B Uhlobo lwe-Malleol Malleous Practures ngokwesiphumo se-tibiofible syndesmosis ye-tibiofibal kwaye inokufumana ukuncitshiswa okufanelekileyo kokuboniswa ngokubonakalayo kwe-divimal. Ngokwahlukileyo, uhlobo lwe-C Ukususwa kunye nokudityaniswa kwezi ntlobo zintlanu zokulimala.
Izifundo ezininzi zangaphambili zibonakalise ukuba ukuphakanyiswa / ukwandiswa kunokuvavanywa ngokuvavanya uphawu lwe-DIME, umgca we-stenton, kunye ne-tibial engle, phakathi kwezinye izinto. Ukususwa kwi-cominal kunye ne-sagittal planes kunokuba kuvavanywe kakuhle kusetyenziswa i-Flue FARTAL kunye nembono ye-fluoroscopic ye-fluoroscopic; Nangona kunjalo, ukufuduswa kokujikeleza yeyona nto inzima ukuba ihlolisise ngokungenantlonelo.
Ubunzima bokuvavanya ukufuduswa kokujikeleziswa kubonakala ngakumbi ekunciphiseni i-fibula xa kufakwa isikrelemsi se-dibiofibar. Uninzi loncwadi lubonisa ukuba emva kokufakwa kwe-dibiofibibul ye-dibiofibar, kukho i-25%% -50% yenzeka ngokuncitshiswa kakuhle, okukhokelela kwi -mlm kunye nokulungiswa kwe-fibbus. Abanye abaphengululi baphakamise kusetyenziswa uvavanyo lwe-CT oluPhezulu, kodwa oku kunokuba ngumceli mngeni ekuphumezeni. Ukulungisa lo mbandela, ngo-2019, uNjingalwazi uZhang Shimp Shimp Shitch Poists kwiYunivesithi yaseTongariki epapashiweyo inqaku lejenali ye-MalEol-Ray-Relit * ilungisiwe isebenzisa i-X-ray. Uncwadi luxela ukusebenza kakuhle kweklinikhi yeKlinikhi.
Isiseko sethiyori sale ndlela kukuba kwimbono ye-fluoroscopic ye-ankle, i-Wall Landral Cortex ye-Malleolar ibonisa i-burtical ye-Malleolar ibonisa i-burtical kunye ne-Conseral ye-Malleal kunye ne-Geserals ye-Manc yoor.
Umzekeliso we-Ankle Fluoroscopic ubonakalisa ubudlelwane bendawo yendawo ye-Lateral Malleolar fossa (B-Line) kunye ne-CORTEY NE-CORTAL SLEAL). Ngokwesiqhelo, umgca we-B kuphela ubekwe kumgca wesithathu phakathi kwesithathu phakathi komgca A no-C.
Isikhundla esiqhelekileyo se-Mancural Malleous, ujikelezo lwangaphandle, kunye nokujikeleziswa kwangaphakathi kunokuvelisa imbonakalo yokucinga ye-fluoroscopic:
-I-Malleolus ye-Lateral ijikelezwe kwindawo eqhelekileyo **: I-Mancul Lalleous ye-Malleour ngesithunzi se-Malleolar Forsar Fossa, i-Stericed Rices ye-Mancual Alleolis.
I-Malleolis Malleolus yangaphandle I-Malformation Disformation Special I-Toour ivela "i-Sheal-Flal Fossa inyamalala, i-Shenton Fibiofibibar, i-Shenton Scienes, i-Shenton Scieness kwaye ikhutshiwe.
I-Mancuol -l Malleol Malleol Malformation Disformation Disformation Disformation Disformation Special Adming **
Eli qela laquka izigulana ezingama-56 ngohlobo lwe-C-Chwetheza ama-Malleolar Fractures ezidityaniswe ne-dibiofible ye-tibiofible ye-dibiofible syndesmosis kwaye isebenzise le ndlela ichazwe ngasentla. Iimviwo ze-CPTOpeative PT zibonisa ukuba izigulana ezingama-44 ezifumanekayo ngaphandle kweziphenguvisi ezijikelezayo, ngelixa izigulana ezi-12 zifumana isiphene esijikeleziweyo (ezingaphantsi kwe-5 °), ngamatyala ama-7 okujikeleziswa kwangaphandle. Akukho tyala le-10-10 °) okanye enkulu (inkulu kune-10 °).
Previous studies have indicated that the assessment of lateral malleolar fracture reduction can be based on the three main Weber parameters: parallel equidistance between the tibial and talar joint surfaces, continuity of the Shenton line, and the Dime sign.
Ukuncitshiswa kakubi kwe-Malleolus ye-Lateral ngumbandela oqhelekileyo kwikhondo lonyango. Ngelixa ingqalelo efanelekileyo inikwa ukubuyiselwa kobude, ukubaluleka okulinganayo kufanele kubekwe kulungiso lokujikeleza. Njengomgangatho wokudibana ubunzima, nakuphi na ukungakhathali kwe-ankle kunokuba neempembelelo zentlekele emsebenzini wayo. Kukholelwa ukuba ubuchwephesha be-fluoperasity ye-fluoroscopic iqaliswe nguNjingalwazi Zhang Shimin kunokuncedisa ekufezekiseni ukuncitshiswa kwe-C Obu buchule busebenza njengesalathiso esibalulekileyo kwiiklinikhi zangaphambili.
IXESHA LOKUQALA: I-MAD-06-2024
