Pfupiso
Kutyoka kwemapfupa eCalcaneal ndiko kutyoka kwakajairika kwemapfupa etarsal, zvichikonzera 60% yekutyoka kwemapfupa etarsal uye 2% yekutyoka kwemapfupa mumuviri wemunhu. Kunowanzoitika sechikamu chekutyoka kwemapfupa akawanda uye kunowanzobatanidzwa nekutyoka kwemusana nemakumbo epazasi eproximal. Kusatarisirwa zvakanaka kwemapfupa ecalcaneal kunogona kutungamira ku malunion, zvichikonzera kuwedzera kwechitsitsinho, kudzikira kwehurefu, kuremara kwetsoka dzakatsetseka, pamwe nekuremara kwetsoka ye varus kana valgus. Nokudaro, kudzoreredza hunhu hwemuviri uye mashandiro etsoka yeshure ndechimwe chezvinangwa zvikuru mukurapa kutyoka kwemapfupa ecalcaneal.
Nhasi tinoda kusuma ZATHCalcaneal Ndiro Yekukiya Mabvi
ZATHanklefracturepnguva dzekupedzisirainopa marongerwo akasiyana-siyana emaplate muchimiro chisina kunyatsojeka uye inogona kushandiswa kuburikidza nenzira ye sinus tarsi pakurapa kutyoka kwecalcaneal kusinganyanyi kukuvadza.
Sarudzo Dzakanangana Nechidimbu
IyoSisitimu yeCalcaneal Platinginopa maplate akasiyana-siyana ekugadzirisa mhando dzakasiyana dzekutyoka. Kunyangwe paine comminution mukuita kwepamberi, kuburikidza neparutivi rwekumashure, muposterior tuberosity, kana chero musanganiswa, maplate akawanda anowanikwa ekurapa maitiro aya ekutyoka.
Mbiri Yakaderera
Iyocalcaneallkukwenyapkunonokadzakakora 1.8 mm dzakagadzirirwa kuderedza kunetseka kwekutsamwiswa kwenyama yakapfava.
Dhizaini Yakanangana Nemaitiro Ako
ZATHcalcanealpkunonokaZvakagadzirwa kuti zviiswe kuburikidza ne sinus tarsi incision. Kuchekwa uku kwe 5.0 cm kunoita kuti pave nekuonekwa zvakananga kwe subtalar articular surface kubatsira mukuderedza kutyoka kwemuviri.
| Sisitimu yeCalcaneal PlateUpamhi | 10.00mm |
| Plate yeCalcaneus yeMasapfupaUkobvu | 1.8mm |
| Ndiro yeTitanium CalcanealTsanangudzo | S-56.5mm (L)M-58.5mm (L) L-68.5mm (L) S-56.5mm (R) M-58.5mm (R) L-68.5mm (R) |
| Kufananidza Screw | 3.5mm Kukiya Screw |
Nyaya yekiriniki
Ruzivo Rwekutanga
Zita reMurwere: Zhu, Mukadzi, ane makore makumi mashanu ekuberekwa, anobva kuChongqing.
Chichemo cheMurwere: Kurwadziwa kwechitsitsinho chekuruboshwe kwenguva refu uye kuzvimba nekuda kwekukuvara kwekudonha. Murwere akataura nezvekurwadziwa kwakanyanya kwechitsitsinho chekuruboshwe, uko kwakawedzerwa nekufamba-famba kwenzvimbo yakakanganiswa. Akanga asingakwanise kumira kana kufamba, saka akatsvaga rubatsiro rwechiremba kuchipatara chemunzvimbo iyoyo.
Kuongorora KwekubatsiraCT scan: Kutyoka kwe calcaneus yekuruboshwe kwakapwanyika nekuparadzaniswa kuri pachena uye kusuduruka kwezvidimbu zvakatyoka, uye kukura kwakakosha kwe calcaneus.
Kuongorora Chirwere Chekutanga
Murwere wacho aisakwanisa kumira kana kufamba. Pamwe chete nezvakawanikwa paCT uye zviratidzo zvekiriniki, akaendeswa kuchipatara aine chirwere chekutyoka kwetsinga yekuruboshwe.
Chirongwa Chekurapwa:Kurapa kwekuchengetedza tsinga hakuna fungidziro yakanaka; zviratidzo zvekuvhiya hazvina mubvunzo. Kuvhiya: Kudzikiswa kwakavhurika uye kugadzika kwemukati + kuisirwa mapfupa pakutyoka kwe calcaneus yekuruboshwe uchishandisa Beijing Zhong'an minimally invasive calcaneal locking plate.
Mhinduro yePostoperative:Murwere akapora zvakanaka mushure mekuvhiyiwa, uye kuvhiyiwa kwacho kwakawana mhedzisiro yaitarisirwa. Chiremba mukuru akataura kuti Beijing Zhong'an minimally invasive calcaneal locking plate ine chimiro chakanaka uye yakanyatsogadzirwa zvakanaka. Yakanakira kugadziriswa panguva yekuvhiyiwa, ine kucheka kudiki uye kubuda ropa kushoma, zvichiita kuti kurapwa kwekuvhiyiwa kushoma zvakanyanya kune calcaneal breakdowns.
Kutorwa Mifananidzo yeMurwere Asati Avhiyiwa
Mifananidzo yePanguva yeKuvhiyiwa
Mifananidzo yePostoperative
Nguva yekutumira: Kubvumbi-09-2026