Tam sim no, feem ntau siv cov pob txha kev hloov kho rau cov pob txha consolves cuam tshuam nrog phaj sab hauv nrog phaj thiab ntsia hlau los ntawm lub Sinus Tarsi nkag mus. Cov kab ke "L" yog qhov txuas tau nthuav dav tsis yog nyiam nyob rau hauv kev xyaum kuaj mob vim yog cov tshuaj ntsuab zoo dua. Cov phaj thiab ntsia hlau kho vajtse, vim nws cov yam ntxwv ntawm cov khoom siv eccentric, nqa tau cov kev tshawb fawb ntau dua ntawm kev sib txawv ntawm cov varus thib ob ntawm li 34%.
Raws li qhov tshwm sim, cov neeg tshawb nrhiav tau pib kawm intramed classullary txhim kho txoj kev kho kom haum rau ob qho txiaj ntsig kev sib cuam tshuam thiab qhov teeb meem ntawm theem nrab cov khoom siv tsis zoo.
01 Necal central ntsia hlau ntsia hlau
Cov txheej txheem no tuaj yeem pab txo qis ntawm lub Sinus tarsi kev taw qhia, xav tau cov nqaij mos qis dua thiab txo lub sijhawm pw hauv tsev kho mob. Txoj hauv kev no yog xaiv tau los ntaus II-III pob zeb, thiab rau cov pob txha ua kom pom tseeb
02 SIngle-dav hlau intramedullary ntsia hlau
Lub-dav hlau intramedullary ntsia thawv ntsia ob lub screws ntawm cov neeg sawv cev thiab distal xaus, nrog rau cov pob txha grafting los ntawm cov ntsia hlau loj.
03 MUlk-dav hlau intramedullary ntsia hlau
Tsim raws li peb-seem cov txheej txheem morphology ntawm cov pej xeem sab hauv xws li cov cim hluav taws xob muaj nqis ntawm cov screws thiab cov txheej txheem sab nrauv. Tom qab txo qis ntawm lub Sinus Tarsi nkag mus, cov screws nkag no tuaj yeem muab tso rau hauv qab pob txha mos rau kev txhawb nqa.
Muaj ob peb qhov kev sib cav hais txog kev siv ntsia hlau rau Calcaneal
1. Haum raws li kev sib cav sib ceg: nws yog kev sib cav seb puas yooj yim tawg tsis tas yuav muaj kev sib tw yooj yim thiab cov pob txha sib luag tsis haum rau lawv. Rau Sanders Hom II / III Kev txo qis, cov txheej txheem ntawm kev txo qis dua thiab ntsia hlau kho kom loj heev, thiab qhov tseem ceeb ntawm lub ntsiab intramedullly ntsia tej zaum yuav raug nug. Rau cov pob txha nyuaj, qhov zoo ntawm "L" cov qauv nthuav dav tseem ceeb nyob hauv IRSplaceable, raws li nws muab cov khoom txaus.
2. Qhov tsim nyog ntawm cov khoom siv dag zog tsim kho me me: Cegraneus ib txwm tsis muaj Canvullary Canal. Siv cov ntsia hlau loj tshaj plaws tuaj yeem ua rau muaj kev ntxhov siab ntau dhau los lossis tsis muaj pob txha.
3. Teeb meem hauv kev tshem tawm: Feem ntau hauv Suav teb, cov neeg mob tseem tuaj kho vaj kho mob tom qab kev kho kom zoo. Cov ntsia hlau kev sib koom ua ke nrog cov pob txha kev loj hlob thiab embedding ntawm ib sab ntawm cov pob txha cortical tuaj yeem ua rau raug tshem tawm, uas yog qhov kev txiav txim siab hauv cov ntawv thov kev kho mob.
Lub sij hawm Post: Aug-23-2023
