Magawo omwe amafala kwambiri poyesa kuwunika Ma Ractual Fracly Fracraction nthawi zambiri amaphatikizapo ngolo ya Volar yokhazikika (vta), ulnar kusiyanasiyana, ndi kukwera kwa radia. Monga kumvetsetsa kwathu kwa matupi a shopul osokoneza, magawo owonjezera ngati antetete, Teard
Zojambulajambula zofananira zopepuka poyesa kuwunika zida za radius zimaphatikizapo: vta; b: apd; d: khadi.
Magawo oganiza bwino kwambiri ndioyenera kuwunikira zowonjezera zamitundu yowonjezera, monga kutalika kwa radio ndi ulnar kusiyanasiyana. Komabe, kwa maluso ena a intra-aluso, monga zovala za Barton, zolingalira zachikhalidwe zimatha kusowa pakutha kutanthauza kuwonetsa zowunikira ndikupereka chitsogozo. Nthawi zambiri amakhulupirira kuti kuwongolera kwa opaleshoni ku ma entral fracular kumagwirizana kwambiri ndi gawo lolumikizana. Pofuna kuwunika kuchuluka kwa zinthu zamkati, akatswiri akunja afunsira gawo lina latsopano: tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad (tad)
Pakutha kwa tibia, pakakhala posterior Malleolus fractolonation ya talus, arc 1 ndi gawo lolumikizana ndi talulus. Pakakhala kuti pali chidutswa cha Proterior Mtengo wamtengo wapatali.
Cholinga cha opaleshoni ndikukwaniritsa add (otetezedwa pambuyo pochotsa) mtengo wa 0, kuwonetsa kuchepetsa kwa anatomical.
Momwemonso, pankhani ya kuwonongeka kwa CORARD:
Zidutswa zazikulu zoyesedwa pang'ono za Arc 1.
Maso a Lunate amakhala ngati Arc 2.
Mbali yotsika ya radius (fupa labwinobwino popanda kuwonongeka) likuyimira Arc 3.
Iliyonse mwa ma arcs atatu awa atha kuonedwa ngati ozungulira. Popeza nkhope ya Loutete ndi chidutswa cha fupa limasanjidwa limodzi, kuzungulira 1 (mwachitsanzo) kumagawana pakati pa 2 (oyera). ACD amaimira mtunda kuchokera pakatikati pa malo ogulitsidwawo kupita ku Center of Crust 3. Cholinga cha opaleshoni ndikubwezeretsa ACD mpaka 0, kuwonetsa kuchepa kwa anatomical.
Muchizolowezi chakale, chimalandiridwa kwambiri kotero kuti cholumikizira cholumikizira cha <2mm ndiye muyezo wochepetsa. Komabe, mu phunziroli, omwe amalandira omwe amalandila magawo osiyanasiyana a zigawo zomwe zimawonetsa kuti ACD anali ndi dera lalikulu kwambiri pansi pa curve (auc). Pogwiritsa ntchito mtengo wa 1.02mm for Acd, idawonetsa 100% yokhuza ndi 80.95%. Izi zikusonyeza kuti pakuchepetsa kuwonongeka, kuchepetsa acd mpaka 1.02mm ikhoza kukhala njira yotsimikizika
kuposa muyezo wachikhalidwe wa <2mm yolumikizira pansi.
ACD akuwoneka kuti ali ndi tanthauzo lofunika kwambiri pakuwunika digiri yazosamukira ku intra-articular yophatikizira mafure ogwirira ntchito. Kuphatikiza pa ntchito yake pakuwunika tibial profictures komanso kuwunika kwa ma radius omwe tamutchula kale, acd amathanso kugwira ntchito poyesa kuwunika kwa ebow. Izi zimapangitsa akatswiri azachipatala ndi chida chothandiza posankha chithandizo chamankhwala chimayandikira ndikuwunika kutsika kotsika.
Post Nthawi: Sep-18-2023
