ʻIke iki o ka Calcaneal Ankle Locking Plate

Hōʻuluʻulu manaʻo

ʻO nā haki calcaneal nā haki maʻamau o nā iwi tarsal, e helu ana ma kahi o 60% o nā haki tarsal a me 2% o nā haki āpau i ke kino o ke kanaka. Hoʻopili pinepine ʻia lākou ma ke ʻano he ʻāpana o nā haki he nui a pili pinepine ʻia me nā haki o ka iwi kuamoʻo a me nā ʻaoʻao haʻahaʻa proximal. ʻO ka mālama pono ʻole ʻana i nā haki calcaneal hiki ke alakaʻi i ka malunion, e hopena ana i ka laulā ʻana o ke kuʻekuʻe wāwae, ka emi ʻana o ke kiʻekiʻe, ka deformity flatfoot, a me ka varus a i ʻole valgus deformity o ka wāwae. No laila, ʻo ka hoʻihoʻi ʻana i ke anatomy biomechanical maʻamau a me ka hana o ka hindfoot kekahi o nā pahuhopu nui i ka mālama ʻana i nā haki calcaneal.

I kēia lā makemake mākou e hoʻolauna iā ZATHKalakaneal Pā laka kuʻekuʻe wāwae

ZATHanklefʻokiʻokipnā mea lohihāʻawi i nā ʻano hoʻonohonoho pā like ʻole i kahi hoʻolālā haʻahaʻa a hiki ke hoʻohana ʻia ma o kahi ala sinus tarsi no kahi mālama minimally invasive o nā haki calcaneal.

Nā Koho Kūikawā no ka ʻĀpana
ʻO kaʻŌnaehana Plating Calcanealhāʻawi i nā ʻano papa like ʻole e hoʻokipa i nā ʻano haki like ʻole. Inā paha he comminution i loko o ke kaʻina hana mua, ma o ka ʻaoʻao hope, ma ka tuberosity hope, a i ʻole kekahi hui pū ʻana, loaʻa nā papa he nui e mālama i kēia mau ʻano haki.

ʻIke Haʻahaʻa
ʻO kacʻalekanalhoʻopaʻa ʻanaplohiua hoʻolālā ʻia he 1.8 mm ka mānoanoa e hōʻemi i nā pilikia hoʻonāukiuki o nā ʻiʻo palupalu.

Hoʻolālā Kūikawā no ke Ala
ZATHcʻalekanaplohiua hoʻolālā kūikawā ʻia e hoʻokomo ʻia ma o kahi ʻoki sinus tarsi. Hāʻawi kēia ʻoki 5.0 cm i ka ʻike pololei ʻana o ka ʻili articular subtalar e kōkua i ka hōʻemi anatomical o ka haki.

Hihia Lapaʻau

ʻIke Kumu

Inoa o ka mea maʻi: Zhu, Wahine, 50 makahiki, mai Chongqing mai.
Hoʻopiʻi a ka Maʻi: ʻEha mau ka kuʻekuʻe wāwae hema a me ka pehu ʻana ma muli o kahi ʻeha hāʻule. Ua hōʻike ka mea maʻi i ka ʻeha nui mau ma ka kuʻekuʻe wāwae hema, ka mea i hoʻonui ʻia e ka neʻe ʻana o ka wahi i hoʻopilikia ʻia. ʻAʻole hiki iā ia ke kū a hele paha, a no laila ua ʻimi ʻo ia i ke kōkua lapaʻau ma kahi haukapila kūloko.

Hoʻokolohua KōkuaCT scan: Haʻihaʻi ʻāpana o ka calcaneus hema me ka hoʻokaʻawale maopopo ʻana a me ka neʻe ʻana o nā ʻāpana haki, a me ka hoʻonui nui ʻana o ka calcaneus.

Ka Hōʻailona Mua
ʻAʻole hiki i ka mea maʻi ke kū a hele paha. I hui pū ʻia me nā ʻike CT a me nā hōʻike lapaʻau, ua komo ʻo ia i ke keʻena me ka maʻi haki calcaneal hema.

Hoʻolālā Lapaʻau:ʻAʻole maikaʻi ka wānana o ka lāʻau mālama; ua maopopo nā hōʻailona ʻoki kino. ʻO ke ʻoki kino: Hoʻemi hāmama a me ka hoʻopaʻa ʻana i loko + hoʻopili iwi no ka haki ʻana o ka calcaneus hema me ka hoʻohana ʻana i ka papa laka calcaneal minimally invasive Beijing Zhong'an.

Manaʻo Hoʻihoʻi Ma hope o ke ʻoki ʻana:Ua hoʻōla maikaʻi ka mea maʻi ma hope o ke ʻoki ʻana, a ua loaʻa i ke ʻoki ka hopena i manaʻo ʻia. Ua ʻōlelo ke kauka nui he maikaʻi loa ka Beijing Zhong'an minimally invasive calcaneal locking plate a me ke kiko kūpono kiʻekiʻe. He kūpono ia no ka hoʻoponopono intraoperative, me kahi ʻoki liʻiliʻi a me ka emi ʻana o ke kahe ʻana o ke koko, e hoʻomaopopo maoli ana i ka mālama ʻoki minimally invasive no nā haki calcaneal.

Kiʻi Ma mua o ke ʻoki ʻana o ka mea maʻi

Kiʻi Intraoperative

Kiʻi ma hope o ke ʻoki ʻana