Isishwankathelo
Ukuqhekeka kwe-calcaneal zezona ziqhelo zixhaphakileyo zamathambo e-tarsal, ezimalunga nama-60% okuqhekeka kwe-tarsal kunye ne-2% yazo zonke iiqhelo emzimbeni womntu. Zihlala zenzeka njengenxalenye yeeqhelo ezininzi kwaye zihlala zinxulunyaniswa nokuqhekeka komqolo kunye nemilenze esezantsi ekufutshane. Ukulawulwa okungafanelekanga kweeqhelo ze-calcaneal kunokukhokelela kwi-malunion, okubangela ukwanda kwesithende, ukwehla kobude, ukukhubazeka kweenyawo ezisicaba, kunye nokukhubazeka kwe-varus okanye i-valgus yonyawo. Ke ngoko, ukubuyisela i-anatomy eqhelekileyo ye-biomechanical kunye nomsebenzi weenyawo zangasemva yenye yeenjongo eziphambili kunyango lweeqhelo ze-calcaneal.
Namhlanje sithanda ukwazisa i-ZATHI-Calcaneal Ipleyiti yokutshixa iqatha
I-ZATHanklefi-racturepamaxesha asemva kwexeshaZibonelela ngeendlela ezahlukeneyo zokumisela iipleyiti ngendlela engabonakaliyo kwaye zingasetyenziswa ngendlela ye-sinus tarsi kunyango olungenakungenelela kakhulu kwiimfanta ze-calcaneal.
Iinketho Ezithile Kwiziqwenga
IInkqubo yokuPlata iCalcanealIbonelela ngeendidi ngeendidi zeepleyiti zokulungiselela iintlobo ezahlukeneyo zokuqhekeka. Nokuba kukho i-comminution kwinkqubo yangaphambili, nge-posterior facet, kwi-posterior tuberosity, okanye nayiphi na indibaniselwano, iipleyiti ezininzi ziyafumaneka ukunyanga ezi patheni zokuqhekeka.
Iprofayile esenzantsi
Ici-alcaneallukugobapemva kwexeshaubukhulu bayo buyi-1.8 mm zenzelwe ukunciphisa iingxaki zokurhawuzelelwa kwezicubu ezithambileyo.
Uyilo oluKhethekileyo kwindlela ethile
I-ZATHci-alcanealpemva kwexeshaZenzelwe ngokukodwa ukufakwa nge-sinus tarsi incision. Olu qhekeko lwe-5.0 cm lubonelela ngokubonakala ngqo komphezulu we-subtalar articular ukunceda ekunciphiseni ukwaphuka kwe-anatomical.
| Inkqubo yePlate yeCalcanealUbubanzi | 10.00mm |
| Ipleyiti yeCalcaneus yamathamboUbukhulu | 1.8mm |
| Ipleyiti yeCalcaneal yeTitaniumInkcazo | I-S-56.5mm (L)M-58.5mm (L) I-L-68.5mm (L) I-S-56.5mm (R) M-58.5mm (R) I-L-68.5mm (R) |
| Isikrufu Esifanayo | Isikrufu sokutshixa esiyi-3.5mm |
Ityala lezonyango
Ulwazi oluSisiseko
Igama lesigulana: Zhu, Ibhinqa, lineminyaka engama-50 ubudala, livela eChongqing.
Isikhalazo sesigulana: Intlungu yesithende sasekhohlo engapheliyo kunye nokudumba ngenxa yokwenzakala kokuwa. Isigulana sixele ukuba sihlala sinentlungu ebukhali kakhulu kwisithende sasekhohlo, eyaba mandundu kukunyakaza okusebenzayo nokungashukumiyo kwendawo echaphazelekayo. Sasingakwazi ukuma okanye ukuhamba, ngoko ke safuna unyango kwisibhedlele sasekuhlaleni.
Uvavanyo oluNcedisayoI-CT scan: Ukwaphuka okuqhekekileyo kwe-calcaneus yasekhohlo kunye nokwahlukana okucacileyo kunye nokufuduka kweziqwenga zokwaphuka, kunye nokwanda okubonakalayo kwe-calcaneus.
Uxilongo oluPhambili
Isigulana sasingakwazi ukuma okanye ukuhamba. Zidibene neziphumo ze-CT kunye neempawu zonyango, sangeniswa kwisibhedlele saza safumanisa ukuba saphukile kwi-calcaneal yasekhohlo.
Isicwangciso soNyango:Unyango oluhlala lusempilweni alunaso isiphumo esibi; iimpawu zotyando zichanekile. Utyando: Ukunciphisa okuvulekileyo kunye nokufakelwa kwangaphakathi + ukufakelwa kwamathambo ukuze kuphuke i-calcaneus yasekhohlo kusetyenziswa ipleyiti yokutshixa i-calcaneal engaphantsi kakhulu eBeijing Zhong'an.
Ingxelo emva kotyando:Isigulana saphila kakuhle emva kotyando, kwaye utyando lwafikelela kwisiphumo esilindelekileyo. Ugqirha oyintloko wathi ipleyiti yokukhiya i-calcaneal engaphantsi kwe-Beijing Zhong'an ine-anatomical contour egqwesileyo kunye nokuchaneka okuphezulu kokufakwa kwayo. Ilungele ukuphathwa ngexesha lotyando, ngokusikwa okuncinci kunye nokopha okuncinci, okwenza unyango lotyando olungaphantsi kwe-calcaneal lube lolona lungenamsebenzi.
Ukuthathwa Kwemifanekiso Yesigulana Ngaphambi Kotyando
Ukwenziwa kwemifanekiso ngexesha lotyando
Imifanekiso emva kotyando
Ixesha leposi: Epreli-09-2026