Kuvhiya Maitiro | Nzira nhatu dzekuvhiya dzinosvika pakufumura "Posterior Malleolus"

Fractures yeAnkle Joint inokonzerwa neinotenderera kana mauto ekutenderera, akadai saPilon Fraces, kazhinji anosanganisira iyo mallerior. Kuratidzwa kwe "Posterior Malleolus" parizvino kwave kuwanikwa kuburikidza nematatu makuru ekuvhiya kusvika: Iyo yepashure yakatevera nzira, yepashure mehusuru, uye yakagadziridzwa posterior medial maitiro. Zvichienderana nerudzi rwekupwanya uye morphology yezvidimbu zvepafupa, nzira yakakodzera inogona kusarudzwa. Nyanzvi dzekunze dzakatora zvidzidzo zvekufananidza pane kuratidzwa kweiyo Malleolus uye kusawirirana pamasumbu ehuku uye neural cable yakabatana neiyi nzira nhatu idzi.

Fractures yeAnkle Joint inokonzerwa neinotenderera kana mauto ekutenderera, akadai saPilon Fraces, kazhinji anosanganisira iyo mallerior. Kuratidzwa kwe "Posterior Malleolus" parizvino kwave kuwanikwa kuburikidza nematatu makuru ekuvhiya kusvika: Iyo yepashure yakatevera nzira, yepashure mehusuru, uye yakagadziridzwa posterior medial maitiro. Zvichienderana nerudzi rwekupwanya uye morphology yezvidimbu zvepafupa, nzira yakakodzera inogona kusarudzwa. Schokune dzimwe nyika akagadzira zvidzidzo zvekufananidza pane kufumurwa huwandu hweMalleolus uye kusawirirana

Pamasumbu emasumbu uye neural zvishamiso zvehundeji yakabatana neiyi nzira nhatu.

1. Pashure pokutumira maitiro

Iyo nzira yepashure pokupedzisira inosanganisira kupinda pakati penzvimbo refu yekufamba kwezvigunwe uye nemidziyo yepashure maTibial. Iyi nzira inogona kufumura 64% yeiyo mallerior malloolus. Kunetsana pamasumbu uye neural bundu parutivi rweiyi nzira inoyerwa na21,5n (19.7-24.1).

▲ Posterior Medial nzira (yero museve). 1. Posterior tiibial tendon; 2. Yakareba flexor tendon yezvigunwe; 3. Posterior tibial midziyo; 4. Tiial nerve; 5. Achilles tendon; 6. Flexor Hallucis Longasi Tendon. AB = 5.5CM, Posteri Malleolus Exosure Range (AB / AC) ndeye 64%.

2. Posterior Stareral Agency

Iyo nzira yepashure yakatevera inosanganisira kupinda pakati pePeronus Longus uye Brevis Tendons uye iyo Flexor Hallucis Longon Tendon. Iyi nzira inogona kufumura 40% yeiyo yepashure malloutus. Kunetsana pamasumbu uye neural bundu parutivi rweiyi nzira inoyerwa na1.8n (15.0-19.0).

▲ Posterior Stareral Stop (yero museve). 1. Posterior tiibial tendon; 2. Yakareba flexor tendon yezvigunwe; 4. Posterior tibial midziyo; 4. Tiial nerve; 5. Achilles tendon; 6. Flexor Hallucis Longasi Tendon; 7. Peronous Brisvis Tendon; 8. Peroneus Longus Tendon; 9. Sesser Sacapenous vein; 10. Kazhinji fibhalular nerve. AB = 5.0CM, Posterior Malleolus Exosure Range (BC / AB) iri 40%.

3. Yakagadziridzwa posterior medial maitiro

Iyo yakagadziridzwa yepashure medial nzira inosanganisira kupinda pakati peiyo tibial nerve uye iyo flexor hallucis Longon Tendon. Iyi nzira inogona kufumura 91% yeiyo mallerior malloolus. Kunetsana pamasumbu ehuku uye neural bundu parutivi rweiyi nzira inoyerwa na7,0n (6.2-7.9).

▲ Yakagadziriswa posterior medial maitiro (museve wero). 1. Posterior tiibial tendon; 2. Yakareba flexor tendon yezvigunwe; 3. Posterior tibial midziyo; 4. Tiial nerve; 5. Flexor Hallucis Longasi Tendon; 6. Achilles Tendon. AB = 4.7CM, Posteri Malleolus Exosure Range (BC / AB) iri 91%.