Ukuqhekezwa kwe-Ankle engaphakathi kuhlala kufuna ukuncitshiswa kwe-veloction kunye nokulungiswa kwangaphakathi, nokuba kulungiswe isikhafu sodwa okanye ngokudibeneyo kweepleyiti kunye nezikrelemnqa.
Ngokwesiqhelo, ukwaphuka kwenziwe okwethutyana ngePIN yeKirschner kwaye emva koko kulungiswe ngesikrelemnqa esinesiqingatha sentambo enesiqingatha sombane, enokudityaniswa nebhendi yentengo. Abanye abaphengululi basebenzise isikrelemnqa esigcweleyo ukuze baphathe i-adkle ye-adkle, kwaye ukusebenza kwawo kungcono kuneso sikreyithi se-terances enesiqingatha se-teast. Nangona kunjalo, ubude bekrelemnqa epheleleyo yi-45 mm, kwaye baxhonywa kwi-metaphysis, kwaye uninzi lwezigulana luya kuba nentlungu kwi-ankle ye-odiage ngenxa yokulungiswa kwangaphakathi.
UGqr Barnes, ovela kwiSebe le-Orthostic Mouriga kwiSibhedlele saseSt Louis e-USA, ukholelwa ukuba isikhangeli sokucinezelwa kwentloko sinokulungisa umphezulu wethambo, ukunciphisa ukungqubana kwethambo ngaphakathi, kunye nokukhuthaza ukuphiliswa kwangaphakathi. Ngenxa yoko, uGqr barnes waqhuba isifundo ngokusebenza ngempumelelo kwisikabisi sokucinezelwa kwentloko kunyango lwe-Ankle yangaphakathi, eya kupapashwa ngokulima.
Olu phononongo lubandakanya izigulana ezingama-44 (kuthetha ukuba zikwiminyaka yobudala engama-45, 18-80) ezanyangwa ii-ankle zangaphakathi zesibhedlele kwi-scressivels kwi-2005 kunye ne-castoped desbus ubungqina bokuphiliswa kobunzima obuqhelekileyo.
Uninzi lweqhekeza bekukho ngenxa yokuba luyekwe kwindawo eqinileyo kwaye ezinye bezingezongozi zemoto yezithuthuthu okanye ezemidlalo njl.njl (itheyibhile 1). Amashumi amabini anesithathu kubo ayeneziqwengana ze-ankle kabini, i-14 yayinamagqabi ka-Ankle kunye ne-7 eshiyekileyo ye-ANKLE DRATRAT (Umzobo 1A). Intramo, izigulana ezili-10 zanyangwa ngesikhafu esingenasisango esingenantloko se-Adkhal Andkhal, ngelixa izigulana ezisele zinentloko zineentloko ezimbini zokucinezelwa (umzobo 1b).
Itheyibhile 1: Indlela yokulimala
Umzobo 1A: Ukuqhekeka kwe-ankle enye; Umzobo 1B: I-Ankle Sheat Praction ephathwe ngentloko 2 yentloko yokucinezelwa kwentloko.
Ukulandelwa kwentsingiselo yeeveki ezingama-35 (iiveki ezili-12 ukuya kwengama-20), ukucinga ubungqina bokuba ukuphiliswa komoya kwafunyanwa kuzo zonke izigulana. Akukho sigulana esifunekileyo esikhutshelweyo ngenxa ye-screw protrusion, kwaye kuphela isigulana kuphela esifunwayo ngenxa yosulelo lwe-mrsa olona lungelo lokuphelisa kunye ne-pollulitis esezantsi. Ukongeza, izigulana ezili-10 zazinobulali ngokugangazwa kukungasebenzi kwe-ankle engaphakathi.
Ke ngoko, ababhali bagqiba kwelokuba unyango lwe-ankle lwangaphakathi lwe-quations zinezinga lokuphilisa, zilulame ngakumbi umsebenzi we-ankle, kunye nentlungu engaphakathi.
IXESHA LOKUQALA: APR-15 ukuya ku-2424
