Izinhlobo Ezihlukahlukene Ze-Calcaneal Locking Plate
Izici ze-calcaneal fractures
I-Calcaneal fractures yizona ezivame kakhulu ukuphuka kwe-tarsal, okubalelwa cishe ku-2% wakho konke ukuphuka.Ukwelashwa okungalungile kwe-calcaneal fractures kungabangela i-malunion ye-calcaneal fractures, okuholela ezinguqukweni ezifana nokwandisa isithende, ukunciphisa ukuphakama, ukukhubazeka kwezinyawo eziyisicaba, kanye ne-varus noma izinyawo ze-valgus.Ngakho-ke, ukubuyisela i-anatomy evamile ye-biomechanical kanye nomsebenzi we-hindfoot kuye kwaba enye yezinhloso eziyinhloko zokwelashwa kwe-calcaneal fractures.
Okuvame kakhulu ukuphuka kwe-tarsal, ukubala 6I-0% ye-tarsal fractures, i-akhawunti ye-2% ye-systemic fractures, mayelana ne-75% ye-intra-articular fractures, i-20% kuya ku-45% ehambisana nokulimala okuhlangene kwe-calcaneocuboid.
Ngenxa yokwakheka kwe-anatomical eyinkimbinkimbi ye-calcaneus nezindawo ezizungezile, ikhwalithi yokumbozwa kwezicubu ezithambile zendawo iphansi, futhi kunezimpendulo eziningi kanye nokubikezela okubi.
Uhlelo lokwelapha luhluke kakhulu, futhi izindlela azifani.
ipuleti yokukhiya i-calcaneal ehlanganisiwe
Ipuleti lokukhiya le-posterior calcaneal tuberosity
Inombolo yepholisi: 251516XXX
Usayizi weScrew: HC3.5
Inombolo yepholisi: 251517XXX
Usayizi weScrew: HC3.5
Calcaneus protrusion locking plate
Inombolo yepholisi: 251518XXX
Usayizi weScrew: HC3.5
Ukuhlukaniswa kwe-calcaneal fracture
●Thayipha I: ukuphuka kwe-intra-articular okungekho endaweni;
●Uhlobo II: Ingaphezulu le-articular elingemuva le-calcaneus liwukuphuka okuyizingxenye ezimbili ngokususwa> 2mm.Ngokwesikhundla somugqa oyinhloko wokuphuka, uhlukaniswe ngo-Type IIA, IIB, kanye ne-IIC;
●Uhlobo lwe-III: Kunemigqa emibili yokuphuka endaweni engemuva ye-articular ye-calcaneus, okuyingxenye yezingxenye ezintathu zokuhlukana, okuphinde kuhlukaniswe ngohlobo lwe-IIIAB, IIIBC, ne-IIIAC;
●Uhlobo IV: Ukuphuka okugudlukile okunezingxenye ezine noma ngaphezulu endaweni ye-articular engemuva ye-calcaneus, okuhlanganisa ukuphuka okunciphile.
Izinkomba:
Ukuphuka kwe-calcaneus kufaka phakathi, kodwa kungagcini lapho, i-extraarticular, intraarticular, ukucindezeleka kwamalunga, uhlobo lolimi, kanye nokuphuka kwe-multifragmentary.
