Ankle Fractures ndeimwe yemhando dzakajairika dzekutarisa mumakirini maitiro. Kunze kweimwe giredhi i / II rinotenderera okukuvara uye kushungurudzwa kukuvara, zvizhinji zvehunyoro zvinowanzoitika zvinowanzo kusanganisira ratanalus. Weber a / Mukupesana, C-Type Litterallus Fractures inosanganisira kusagadzikana mumatanho matatu ekutenderera Kubviswa, uye kusanganiswa kwemhando idzi shanu dzekukuvara.
Zvidzidzo zvakawanda zvepamberi zvakaratidza kuti kupfupikisa / kureba kunogona kuongororwa kuburikidza nekuongorora chiratidzo chakazara, stenton mutsara, uye tibi-grle kona, pakati pevamwe. Kubviswa muCoronal uye Sagittal Planes kunogona kuongororwa zvakanaka uchishandisa kumberi uye yakatevera fluoroscopic maonero; Nekudaro, kutenderera kwekutenderera ndiko kunetsa kwakanyanya kuongorora zvinyadzo.
Iko kuoma mukuongorora kutenderera kwekutenderera kunonyanya kuoneka mukudzikiswa kweiyo fibula kana uchiisa iyo distal tibiofular screw. Mabhuku mazhinji anoratidza kuti mushure mekuiswa kweiyo distal Tibiofular screw, pane 25% -50% chiitiko chekudzikisira kwemaronda, zvichikonzera kuwanda uye kugadziriswa kwezvinhu zvisina kujairika. Vamwe vadzidzi vakarangarira vachishandisa nzira yekunyanyisa introperative, asi izvi zvinogona kuve zvakaoma kuita mukuita. Kuti ugadzirise nyaya iyi, muna 2019, purofesa Zhang Shinm Mabhuku anoshuma akakosha ekiriniki yekubudirira kwenzira iyi.
Iyo yeiyo abatanidzwa yeiyi nzira ndeyekuti mune iyo fluoroscopic maonero eiyo madziro, madziro ezvekutungamira kweyekupedzisira.
Mufananidzo weAnkle Fluoroscopic View inoratidza hukama hwepasi pevhu pakati peiyo Literal Wall Cortex yeiyo Loteral Maruva Fosses Kazhinji, iyo B-Line iri pane iyo yekunze-yechitatu mutsara pakati pemitsetse a uye c.
Nzvimbo yakajairwa yeiyo Larderallus Mallleolus, kutenderera kwekunze, uye kutenderera kwemukati kunogona kuburitsa kufungidzira kwakasiyana kwekufungidzira mune iyo fluoroscopic maonero.
- Lalteral Mallusort inzvimbo yakajairwa
-Lateral Mallus Kunze Kwekunze Kutenderera Defformity **
-Lateral marleolus yemukati kutenderera deformity deformity **: Iyo yakazotevera Mallleolus inopindirana "Spoon-yakaumbwa," mumvuri wezvekutungamira pane imwe nguva yeiyo fossa fossa inonyangarika, uye iyo distal tibiofular nzvimbo yakawedzera.
Chikwata chakasanganisira varwere vane makumi mashanu nemashanu vane c-trustral lallolar frallures vakasanganiswa ne distal tibiofular syndesmosis kukuvara uye vakashandisa nzira yambotaurwa. Postoperative ct Rebinations yakaratidza kuti varwere 4 4 Hapana zviitiko zvekuenzanisa (5-10 °) kana zvakakura (chikuru pane 10 °) Kunze kwekutenderera deform deformities zvakaitika.
Zvidzidzo zvepamberi zvakaratidza kuti kuongorora kweRunyoro Malleolar Fralalar kuderedzwa kunogona kuve pamusoro peiyo nhatu maPuber Paramita.
Kuderedzwa kwehurombo kweiyo Galleral Hallleolus inyaya yakajairika mune clinical tsika. Nepo kutariswa kwakakodzera kunopihwa kudzoreredzwa kwehurefu, kukosha kwakaenzana kunofanirwa kuiswa pakururamisa kwekutenderera. Semibatanidzwa inorema, chero kushungurudzwa kwengarava kunogona kuve nemano matambudziko pane basa rayo. Zvinotendwa kuti iyo intriyaoperative fluormic maitiro neProfesa Zhang Shimin inogona kubatsira mukuzadzisa kuderedzwa kweC-TRESLELE MELLELAR Fractures. Iyi nzira inoshanda seyakakosha referenti yekiriniki.
Kutumira Nguva: May-06-2024
