Yemukati Kugadziriswa nePlate Plate
Ankle Fusion nemahwendefa uye zviyero ndezvekuvhiya zvakajairika pakuvhiya parizvino. Kuvhara ndiro yemukati yekugadziriswa kwakashandiswa zvakanyanya muAnkile Fusion. Parizvino, ndiro jekiseni rekunyepedzera rinonyanya kusanganisira anterior ndiro uye yakazotevera ndiro dzinoputika.
Mufananidzo uri pamusoro unoratidza mafirimu x-ray zvisati zvaitika uye mushure mekuvhiyiwa kwekushungurudza ankle osteoarthritis ine anterior kuvhara plate gadziriso yemukati
1. Anterior nzira
Iyo nzira yeAntherior ndeyekuita anterior Longitudinal incision yakanangana neyekucheka nzvimbo, akacheka danda nejira, uye pinda pamwe neTogon nzvimbo; Cheka iyo kapu yemukati, inofumura iyo Tibiotalar yakabatanidzwa, bvisa cartilage uye chidimbu pfupa, uye isa ndiro yeanterior pane iyo enterior yenyunle.
2. Yakatevera nzira
Maitiro ekare ndewekucheka iyo osteotomy anenge gumi cm pamusoro pemupendero weiyo fibula uye bvisa chigunwe zvachose. Iyo inodzima pfupa rinobuda kunze kwebwe. Iyo Fusion Survon Osteotomy inopedzwa uye yakashambidzwa, uye ndiro inoiswa kunze kweiyo jecha.
Kubatsira ndekwekuti simba rekusimbisa rakakwira uye kugadziriswa kwacho kwakasimba. Inogona kushandiswa kugadziriswa uye kuvakwazve kwekushushikana zvakanyanya Iyo yemukati yakagadzirirwa fusion fiusion plate inobatsira kudzorera yakajairika anatomy yeiyo jecha mubatanidzwa. Nzvimbo.
Iko kushushikana ndeyekuti zvakanyanya perido uye zvinyoro-nyoro munzvimbo yekuvhiya inoda kubviswa, uye ndiro yesimbi yakakwana, iri nyore kutsamwisa tendons. Iyo ndiro yesimbi yakaiswa pamberi ndeye nyore kubata pasi peganda, uye pane imwe njodzi.
Intramedullary zvipikiri zvechisimba
Mumakore achangopfuura, kushandiswa kweRetrograde Intramedullary zvipikiri zvechisimba-mhando ankle Artherdes mukurapa kwekupedzisira-stage ankle arthritis zvishoma nezvishoma.
Parizvino, iyo Intrameduuty Nailing Technique zvakanyanya inoshandisa anterior median incision yeiyo abvumirano kana anteeroinferior yakazotevera yeiyo fibula yekuchenesa nzvimbo yekuchenesa kana pfupa. Chikamambo chakapindirwa chakaiswa kubva kuCalcaneus kuTibial medullary Cavity, iyo inobatsira kukurashika kururamisa uye inosimudzira pfupa.
Ankle Osteoarthritis yakasanganiswa ne subtalar arthritis. Preoperative anteroposter uye yakazotevera maFilm Films yakaratidza kukuvadza kwakanyanya kuTibiotalar yakabatanidzwa uye subtarlar yakabatanidzwa, kuputika kweiyo talus, uye osteophyte kuumbwa (kubva kuRefation 2)
Iyo Divergent Fuusion Screw kusimbisa kona yekuvhara handfoot hindonuter
Iyo Tibiotalar Joint uye Subtarlar yakabatanidzwa uye yakagadziriswa kuburikidza neyekupedzisira nzira yekuwedzera, uye kureba kwekupinda mumusuwo wekudyara musi wechidhori yaive 3 cm
Chikamambo chakapindurwa chinoshandiswa senzira yepakati, uye kushushikana kwayo kwakapararira, uko kunogona kudzivirira kusagadzikana kwekudzivirira uye kuri kutevedzera nheyo dze biomechanics.
Anteroposter
Kunyorera Retrograde Intramedullary zvipikiri zveAnbvu kuAnkle Fusion inogona kuderedza ganda rekunyepedzera, hutachiona uye zvimwe zvinhu zvakaringana pasina auxiliary plaster yekunze yekugadziriswa mushure mekuvhiyiwa.
Gore rimwe mushure mekushanda, iyo yakanaka uye yakazotevera-inobereka mafirimu eX-ray airatidza bonusion yeTibomiatalar yakabatanidzwa uye subtarlar yakabatanidzwa, uye tsoka yekumashure yakanga yakanaka.
Murwere anogona kubuda pamubhedha uye otakura uremu mangwanani, izvo zvinovandudza kushivirira kwemurwere uye kunaka kwehupenyu. Nekudaro, nekuti subtarlar yakabatanidzwa inoda kugadziriswa panguva imwe chete, haina kukurudzirwa kune varwere vane subtarlar yakanaka. Iko kuchengetedzwa kweiyo subtarlar yakabatanidzwa chiratidzo chakakosha chekuriratidza basa renzou mubatanidzwa muvarwere vane ashle Joint Fusion.
screw yemukati yekugadzirisa
Percutaneous Screw Yemukati Kugadziriswa ndiyo yakajairika nzira yekugadzirisa muAnkle Artherdes. Iyo ine zvakanakira zvishoma kusapindirana nekuvhiyiwa kwakadai shoma yekuvhiringidzika uye kushoma kweropa, uye kunogona kuderedza zvinobudirira kukuvadza kune zvinyoro nyoro.
Anteroposter
Zvidzidzo zvakaratidza kuti zviri nyore gadziriro ne2 kusvika ku4 lag screws inogona kuwana yakagadzikana kugadziriswa uye kumanikidzwa, uye kuvhiya kwacho kuri nyore uye mutengo wakachipa. Ndiko kusarudzwa kwekutanga kwevadzidzi vazhinji panguva ino. Uye zvakare, zvishoma zvisingabvumirwe ankle yekushambadzira yekuchenesa inogona kuitwa pasi pearthroscopy, uye zviyero zvinogona kuiswa patsva. Iyo yekuvhiya trauma idiki uye iyo caketive maitiro anogutsa.
Pasi peArthroscopy, nzvimbo yakakura yehunyanzvi carferr urtilage uremara; pasi peArthroscopy, iyo yakanongedzerwa Cone microfracture mudziyo unoshandiswa kurapa iyo yekunyora pasi
Vamwe vanyori vanotenda kuti 3 screw kugadzirisa inogona kuderedza chiitiko chekusimudzira kusiri-kwekufungidzira njodzi, uye kuwedzera kwechiyero chekufungidzira kunogona kuve kwakanangana nekugadzikana kwakasimba kwe3 screw kugadzirisa.
Iyo yekutevera X-ray firimu mavhiki gumi neshanu mushure mekuvhiya kwaratidza bony fusion. Iyo Aofas Score yaive 47 mapoinzi usati wasvika uye 74 mapoinzi 1 gore mushure mekushanda.
Kana matanho matatu anoshandiswa kugadzirisa, chinzvimbo chekutanga ndechekuti zvidimbu zviviri zvinowiswa mumativi eTibhari, uye screw yechitatu yakaiswa kubva parutivi rweTibia kuenda kuTibia kune yeTibia kune yemidhudhi parutivi rweTalus.
Kunze kwekugadzirisa nzira
Offerators yekunze yaive zvishandiso zvekutanga zvinoshandiswa muAnkle Artherdesis uye zvakavapo kubva kuma1950s kuenda kuAlizarov, Hobrdman, Halbrd uye Taylor Space Frame (tsf).
Ankle yakavhurika kukuvara neutachiona kwemakore matatu, ankle Arthradesis 6 mwedzi mushure mekudzivirira kwehutachiona
Kune vamwe vakaomarara anenge arthritis mhosva dzakadzokororwa, dzakadzokororwa, ganda revarombo, mipfuma, mipfuma okusavimbika.
Iyo mhete-yakaumbwa yekunze fixator yakagadziriswa pane iyo coronal ndege uye sagittal ndege, uye inogona kupa imwe yakagadzikana maitiro ekugadzirisa. Mukutanga kwekutakura mutoro, kuchamanikidza kupunzika kupera, kusimudzira kuumbwa kwe callus, uye nekuvandudza iyo fiusion rate. Kune varwere vane simba rakakura, iyo yekunze fixator inogona kuderedza zvishoma nezvishoma kuremara. Ehezve, ficha yekunze fananidzo inofukura ichave nematambudziko akadai sekusagadzikana kwevarwere kupfeka uye nengozi yemasanda turakiti.
Bata:
WhatsApp: +86 15682071283
Email:liuyaoyao@medtechcah.com
Kutumira Nguva: Jul-08-2023
