Ama-Fractures of the ankle ahlanganiswe amabutho ajikelezayo noma amile, anjenge-Pilon Fractures, kuvame ukubandakanya i-malleolus ngemuva. Ukuvezwa kwe- "Malleolus" ngemuva njengamanje kutholakala ngezindlela ezintathu eziphambili zokuhlinza: Indlela yokungemuva yangemuva, indlela eyandulelayo yokuzikhandla, kanye nendlela yokuhamba ngezindlela zokuhlala ezishintshiwe. Ngokuya ngohlobo lokuqhekeka kanye ne-morphology yezingcezwana zamathambo, kungakhethwa indlela efanelekile. Izazi zakwamanye amazwe ziye zaqhuba izifundo zokuqhathanisa kuhlu lokuvezwa kwe-malleolus yangemuva kanye nokungezwani ezinyangeni zemithambo yegazi neze-nearal of the ankle ehlanganisiwe ezihambisana nalezi zindlela ezintathu.
Ama-Fractures of the ankle ahlanganiswe amabutho ajikelezayo noma amile, anjenge-Pilon Fractures, kuvame ukubandakanya i-malleolus ngemuva. Ukuvezwa kwe- "Malleolus" ngemuva njengamanje kutholakala ngezindlela ezintathu eziphambili zokuhlinza: Indlela yokungemuva yangemuva, indlela eyandulelayo yokuzikhandla, kanye nendlela yokuhamba ngezindlela zokuhlala ezishintshiwe. Ngokuya ngohlobo lokuqhekeka kanye ne-morphology yezingcezwana zamathambo, kungakhethwa indlela efanelekile. Izazi zakwamanye amazwe ziye zaqhuba izifundo zokuqhathanisa kuhlu lokuvezwa kwe-malleolus yangemuva kanye nokungezwani
ezinyangeni zemithambo neze-nearal of the ankle ehlanganisiwe ezihambisana nalezi zindlela ezintathu.
1. Indlela yangaphambili yendlela
Indlela yangaphandle ye-Medial ifaka ukungena phakathi kwezinyawo ezinde zezinzwane nemikhumbi yangemuva yeTibial. Le ndlela ingadalula ama-64% we-malleolus ngemuva. Ukungezwani ezinyangeni zemithambo kanye ne-neaural ohlangothini lwale ndlela kulinganiswa ngo-21.5n (19.7-24.1).
▲ Indlela Yezindlela Ezingemuva Medial (umcibisholo ophuzi). 1. I-tendon yangemuva yangemuva; 2. I-Tendor ende ye-texton yezinzwane; 3. Imikhumbi yaseTeterior Tibial; 4. I-Tibial nerve; 5. I-Achilles Tendon; 6. I-Flexor Hallucis Longus Tendon. I-AB = 5.5cm, i-Poseterior Exposed Range (AB / AC) ingama-64%.
2. Indlela eyalandela ye-Lateral
Indlela yokulandela eyangemuva ifaka ukungena phakathi kwePeloneus Longus kanye ne-Brevis Terrons kanye ne-flexor Hallucis Longus Tendon. Le ndlela ingadalula ama-40% e-malleolus ngemuva. Ukungezwani ezinhlakeni zemithambo kanye ne-neaural ohlangothini lwale ndlela kulinganiswa ngo-16.8n (15.0-19.0).
▲ Indlela ye-Lateral Everior (umcibisholo ophuzi). 1. I-tendon yangemuva yangemuva; 2. I-Tendor ende ye-texton yezinzwane; 4. Imikhumbi yaseTeterior Tibial; 4. I-Tibial nerve; 5. I-Achilles Tendon; 6. I-Flexor Hallucis Longus Tendon; 7. I-Peroneus Brevis tandon; 8. I-Peroneus Longus Tendon; 9. umthambo ophansi ongaphansi; 10. I-AB = 5.0CM, i-Poseterior Exposed Range (BC / AB) ingama-40%.
I-3. I-Modified Posterior Preterial Preterial
Indlela ye-Medial eguquliwe ye-Preteriory ifaka ukungena phakathi kwe-tibial nerve kanye ne-flexor hallucis longuus tendon. Le ndlela ingadalula ama-91% e-malleolus ngemuva. Ukungezwani ezinhlakeni zemithambo ne-neaural ohlangothini lwale ndlela kulinganiswa ngo-7.0n (6.2-7.9).
▲ Indlela ye-Preterified Posterior Preterial (umcibisholo ophuzi). 1. I-tendon yangemuva yangemuva; 2. I-Tendor ende ye-texton yezinzwane; 3. Imikhumbi yaseTeterior Tibial; 4. I-Tibial nerve; 5. I-Flexor Hallucis Longus Tendon; 6. I-Achilles Tendon. I-AB = 4.7CM, i-Poseterior Exposed Range (BC / AB) ingama-91%.
Isikhathi sePosi: Dec-27-2023
