Suma matatu intramedullary fixation masisitimu eCalcaneal Fractures.

Parizvino, iyo inowanzo shandiswa nzira yekuvhiya yekuvhiringidza kweCalcaneal Fracures inosanganisira kugadziriswa kwemukati neplate uye screw kuburikidza neSinus Tars nzira yekupinda. Iyo yakazotevera "l" yakaumbwa nzira yakawedzerwa haina kusarudzika muClinical tsika nekuda kwekunetseka kwakasimba. Iyo ndiro uye screw system gadziriso, nekuda kweiyo biomechancal maitiro eEccentric Kugadziriswa, kune imwe njodzi yakakwirira yealignment, nedzimwe zvidzidzo zvinoratidza mukana wekushandiswa kwechipiri kweanenge 34%.

Nekuda kweizvozvo, vatsvagiri vakatanga kudzidza intramedyry nzira dzekugadziriswa kwemaitiro eCalcaneal mafungidziro ekugadzirisa zvese zvakarwadziwa matambudziko uye nenyaya yekondari yakasarudzika.

01 NAil Central Nailing Technique

Iyi nzira inogona kubatsira mukudzikiswa kuburikidza neSinus tarsi yekupinda nzira kana pasi peAnthroscopic kutungamira, inoda kuderera zvinyoro nyoro zvibodzwa zvinodikanwa uye zvinogona kuderedza kupaza muchipatara muchipatara. Iyi nzira inosarudza inoshanda kune Type II-III Fracts, uye yeComplex Commined Fraces, inogona kunge isingagadzirise yakasimba yekudzikiswa uye ingangoda kuwedzera screw kugadzirisa.

02 SIngle-ndege intramedullary mbambo

Iyo imwe-ndege intrameduutery yechipikiso chezvikamu zviviri pane iyo proximal uye distal inopera, nehombodo hombe hombe iyo inobvumira kuba pfupa kuburikidza nepakati.

03 MUlti-ndege intramedullary mbambo

Yakagadzirirwa kubva pane matatu-mativi morphology yemari yeCalcaneus, iyi yemukati gadziriso system inosanganisira kiyi screws yakadai sekutakura mutoro madhiri uye posterior procrews. Mushure mekudzikiswa kuburikidza neSinus Tarsi yekupinda nzira, aya masaiti anogona kuiswa pasi pe cartilage yekutsigira.

Kune akati wandei kukakavara pamusoro pekushandiswa kweiyo intramedullary zvipikiri zveCalcaneal Fractures:

1. Kukodzera kwakavakirwa kuomarara kuoma: Kwakapokana kuti zvakareruka fungidziro hadzidi zvipikiri zvemukati uye zvakashata zvakakwanira hazvina kukodzera ivo. Kune Sanders Type II / III Fractures, maitiro ekudzikisira uye screw gadziriso kuburikidza neSinus Tars nzira iri kukura, uye kukosha kweiyo huru intramelalalary inogona kubvunzwa. Zvemakanganiso akaomarara, zvakanakira "l" zvakaumbwa nzira yakawedzera kuramba isiriyo, sezvinoita kuratidzwa kwakaringana.

2. Zvinodiwa zveMubatanidzwa Mudiki Canal: Iyo Calcaneus Chaizvoizvo Inoshuwisa Canal Canal. Uchishandisa chikwasiri chikuru chemukati chinogona kuitika mukunyanyisa kushungurudzika kana kurasikirwa kwepfupa.

3. Kuoma mukubviswa: Mune zviitiko zvakawanda kuChina, varwere vachiri kubvisa hardware kubviswa mushure mekupora kupora. Kubatanidzwa kwechipikiri nekukura kwepfupa uye emabheti ezvikamu zvekare pasi pepfupa rezvekutungamira kunogona kutungamira mukureba kwekubviswa, iko kunoshanda kunoshanda muClinical application.