46% yeTortational ankle fractures inoperekedzwa neyekupedzisira malleolar fractures. Iyo posterrolateral nzira yekuona zvakananga uye kugadziriswa kweiyo Malleolus iyo inowanzo shandiswa svutugadzike yekuvhiya, kupa zvirinani biomechanical biliss Nekudaro, kune yakakura yepashure malleolar zvidimbu zvidimbu kana posterior malleolar fracts inosanganisira iyo yepashure pekodhi yeMolleolus, iyo nzira yepashure inopa maonero ari nani ekuvhiya.
Kuti uenzanise kuratidzwa kwehuwandu hweMalleolus, kushushikana pane iyo neurovascular Bundle, uye kureba pakati peiyo Incision uye neiyo neurovasCular Bundle Offeres of the Trosedodes nzira, vatsvagiri vakaitisa chidzidzo cheCadiveric. Mhedzisiro yacho yakangoburwa muFAS YEMAHARA. Zviwanikwa zvinopfupikiswa zvinotevera:
Parizvino, pane matatu makuru epostadesial nzira dzekufumura iyo Malleolus:
1. Medial postegedial nzira (mepm): Iyi nzira inopinda pakati pepashure peyeMukati meMalleolus uye tibialis posterior (Mufananidzo 1 unoratidza tibialis posterior).
2.
3. Pashure pePostoromeni
Nezve kusawirirana pane iyo neurovascular bundle, iyo pm yekushushikana yakaderera pa6.18n ichienzanisa neyeMpm uye mickity yekunyepedzera yekukuvara kwekunyepedzera kune neurovascular bundle.
Panyaya yekufumurwa huwandu hweMalleolus, iyo pm yekuswededza zvakare inopa kuratidzwa kukuru, kubvumira kuoneka kwe71% yeiyo mallerior. Mukuenzanisa, iyo mepm uye mopm nzira dzinobvumidza 48.5% uye 57% kuratidzwa kweiyo malleolus, zvichiteerana.
● Dhivhiti inoratidza kufumurwa huwandu hweMalleolus yematare matatu. AB inomiririra huwandu hwakazara hweMalleorus, CD inomiririra iyo yakafumurwa huwandu, uye CD / AB ndiyo yekufumurwa ratio. Kubva kumusoro kusvika pasi, kuratidzwa kwacho kweMEPM, MOPM, uye PM inoratidzwa. Zviri pachena kuti iyo pm yekuswedera kune huwandu hukuru hwekubuda.
Nezve chinhambwe pakati pekunzwa uye neurovascular bundle, iyo pm yekuswededza zvakare ine chinhambwe chakareba, kuyera 25.5mm. Izvi zvakakura kupfuura zveMEPM 17.25mm uye iyo MOPM's 7.5mm. Izvi zvinoratidza kuti iyo pm yekuswedera kune mukana wakaderera weeurovascular bundle kukuvara panguva yekuvhiya.
● Iyo dhizaini inoratidza madaro pakati pekunzwa uye neiyo neurovascular bundle yeiyo nhambo nhatu. Kubva kuruboshwe kurudyi, madaro eiyo mepm, mopm, uye pm inoswedera kunoratidzwa. Zviripachena kuti pm yekuswedera kune iyo huru kure kubva kune neurovascular bundle.
Kutumira Nguva: May-31-2024
