Njengamanje, indlela yokuhlinza esetshenziswa kakhulu ye-calcaneal fractures ifaka ukulungiswa kwangaphakathi ngePhatete ne-Screw nge-Sinus Tarsi Entry Route. Indlela eyandisiwe "ye-lateral" l "ebiyelwe yandisiwe ayisakhethwa emtholampilo ngenxa yezinkinga ezihlobene nezilonda eziphakeme. Iplate kanye nokulungisa uhlelo lwe-screw, ngenxa yezimpawu zayo ze-biomechanical zokulungiswa kwe-eccentric, zibeka engcupheni ephezulu yokuvuma komzimba, ngezifundo ezithile ezibonisa amathuba okuba yi-postoperative of matus acishe abe ngu-34%.
Ngenxa yalokhu, abacwaningi sebeqalile ukufunda izindlela zokulungiswa kwamaphakathi kwama-calcaneal fractures ukubhekana nezinkinga ezihlobene nokulimala kanye nodaba lwe-varus magalignment yesibili.
01 NIndlela ye-Ail Central Kiling Technique
Le ndlela ingasiza ekunciphiseni ngomzila wokungena kwe-sinus tarsi noma ngaphansi kwemihlahlandlela ye-arthroscopic, edinga izimfuno ezithambile ezithambile kanye nokunciphisa isikhathi sokulanywa esibhedlela. Le ndlela isebenza ngokukhethekile ku-Type II-III Fractures, kanye nokuqhekeka okuyinkimbinkimbi kwama-calcaneal, kungenzeka kunganikezi ukulungiswa okuqinile kokuncishiswa futhi kungadinga ukulungiswa okwengeziwe kwesikulufa.
02 SIngle-Plane intramendulrary nail
Indiza eyodwa-yendiza engenayo ifaka izikulufo ezimbili ezindaweni zokuphelisa kanye nasekude, ngesipikili esikhulu esiyingqayizivele esivumela ithambo ngokuxhunyelelwa ngokusebenzisa izipikili eziphambili.
03 MUlti-Plane intramulrary nail
Idizayinelwe ngokusekelwe kwi-morphology enezici ezintathu ze-calcaneus, lolu hlelo lokulungiswa kwangaphakathi luhlanganisa izikulufo ezibalulekile njengezikulungisa zokukhishwa komthwalo kanye nezikulufo zenqubo ezingemuva. Ngemuva kokuncishiswa ngokusebenzisa umzila wokungena we-sinus tarsi, lezi zikulufo zingafakwa ngaphansi kwe-cartilage ukuze zisekele.
Kunezimpikiswano eziningana eziphathelene nokusetshenziswa kwezipikili ezihlanganayo ze-calcaneal fractures:
1. Ukufaneleka okusekelwe ekubumbeni kwe-Fracture: Kuyaphikiswa ukuthi ngabe ama-fractures alula awadingi izinzipho ezihlekisayo futhi ama-fractures ayinkimbinkimbi awakufanelekeli. Okwe-SterERS hlobo II / III Fractures, inqubo yokunciphisa kanye nokulungisa isikulufu nge-Sinus Tarsi Ukungena Indlela iyavuthwa, futhi ukubaluleka kwezipikili eziphambili ze-intrametundary kungahle kubuzwe. Okokuphazamiseka okuyinkimbinkimbi, izinzuzo zendlela eyandisiwe eyenziwe ngo-L "
2 Kusetshenziswa isipikili esikhulu se-intrametundary kungahle kube nomphumela wokuhlukumezeka ngokweqile noma ukulahleka kwesisindo sethambo.
I-3. Ubunzima ekususweni: Ezimweni eziningi eChina, iziguli zisaqhubeka nokususwa kwehadiwe ngemuva kokuphulukiswa kokuqhekeka. Ukuhlanganiswa kwe-nail nokukhula kwamathambo nokushukumisa ama-lateral screws ngaphansi kwethambo le-cortical kungaholela ebunzimeni ekususweni, okuwukucatshangelwa okusebenzayo ezinhlelweni zemitholampilo.
Isikhathi sePosi: Aug-23-2023
