"10% ya zonunkhira za ankle zimayenderana ndi kuwonongeka kwa Tibiofirmmal syndesmosis. Kafukufuku wawonetsa kuti kuchepa kwa syndesmosis Tibiofalar screw 2 cm kapena masentimita 3.5 pamwamba pa malo osokoneza bongo a ubichial arsic pamtunda, pagawo la 20-30 ° kupita pa ndege yopingasa, kuchokera ku fibula ku Tibra.
Kuyika kwamatumbo a Tibiofal Tibiofalar nthawi zambiri kumabweretsa kupatuka komwe kumalowera ndikuwongolera, ndipo pakadali pano, palibe njira yeniyeni yodziwira njira yolumikizira zomangira izi. Kuti tithene ndi vutoli, ofufuza ena amatenga njira yatsopano - njira ya 'ngodya ya ".
Kugwiritsa ntchito deta yoyerekeza kuchokera ku mafupa 16, mitundu 16 3-3-3 adapangidwa. Pamtunda wa 2 masentimita 10,5 cm pamwamba pa ubichi wa tibial njerwa, awiri a mm matchner wofanana ndi olumikizanawo adayikidwa pafupi ndi m'mbali mwa Tibia ndi Fibula, motero. Kutalika pakati pa ma waya awiri a kanjezani adayesedwa pogwiritsa ntchito proturtor, ndi 2.7 mm Kubowola pang'ono kunagwiritsidwa ntchito kubowola dzenje panjira ya ngodya, kutsatiridwa ndi kuyika mbola ya 3.5 mm. Pambuyo poyambitsa kuyika, screwyo idadulidwa kutalika kwake pogwiritsa ntchito njira yopezera ubale womwe uli pakati pa chitsogozo cha Sthup ndi Axis wa ku Tibia ndi Fibula.
Kuyesa kwatsatanetsatane kumawonetsa kuti pali kusasinthika kwapakatikati pakati pa axia ndi fibula ndi chingwe cha angukulu, komanso pakati pa axis chapakati ndi njira yolowera.
Mooretically, njirayi imatha kuyika bwino malowo pakati pa axis ndi fibula. Komabe, pakuchita opaleshoni, kuyikira ma waya a Kirschner pafupi ndi m'mbali mwa tibia ndi fibula kumabweretsa chiopsezo chowononga mitsempha ndi mitsempha. Kuphatikiza apo, njira iyi siyi kuthetsa vuto la iTitrogenic, popeza kuchuluka kwa tibilofibular sikuyenera kuyesedwa moyenera pamaso pa kulowerera.
Post Nthawi: Jul-30-2024
