Isifinyezo
Ukuphuka kwe-calcaneal yikona okuvame kakhulu ukuphuka kwamathambo e-tarsal, okubalwa cishe u-60% wokuphuka kwe-tarsal kanye no-2% wabo bonke ukuphuka emzimbeni womuntu. Ngokuvamile kwenzeka njengengxenye yokuphuka okuningi futhi kuvame ukuhlotshaniswa nokuphuka komgogodla kanye nemilenze engezansi eseduze. Ukuphathwa okungalungile kokuphuka kwe-calcaneal kungaholela ku-malunion, okuholela ekwandeni kwesithende, ukwehla kokuphakama, ukukhubazeka kwezinyawo ezisicaba, kanye nokukhubazeka kwe-varus noma i-valgus yonyawo. Ngakho-ke, ukubuyisela i-anatomy evamile ye-biomechanical kanye nomsebenzi we-hindfoot kungenye yezinhloso eziyinhloko ekwelapheni ukuphuka kwe-calcaneal.
Namuhla sithanda ukwethula i-ZATHI-Calcaneal Ipuleti Lokukhiya Iqakala
I-ZATHanklefi-racturepama-lateinikeza izinhlobo ezahlukene zezilungiselelo zamapuleti ngendlela ephansi futhi ingasetshenziswa ngendlela ye-sinus tarsi yokwelapha ukuphuka kwe-calcaneal okungangenisi kakhulu.
Izinketho Eziqondene Nezingcezu
IUhlelo Lokufaka I-Calcanealinikeza amapuleti ahlukahlukene ukuze ahambisane nezinhlobo ezahlukene zokuphuka. Kungakhathaliseki ukuthi kukhona ukuhlangana enkambisweni engaphambili, ngokusebenzisa uhlangothi olungemuva, ku-tuberosity engemuva, noma kunoma iyiphi inhlanganisela, amapuleti amaningi ayatholakala ukwelapha la maphethini okuphuka.
Hlala ungabonakali
Ici-alcaneallukugoqapsekwephuzilezinobukhulu obungu-1.8 mm zenzelwe ukunciphisa ukukhathazeka ngokucasuka kwezicubu ezithambile.
Umklamo Oqondene Nendlela
I-ZATHci-alcanealpsekwephuzilezenzelwe ngqo ukufakwa nge-sinus tarsi incision. Lokhu kusikwa okungu-5.0 cm kunikeza ukubonakala okuqondile kwendawo engaphansi kwe-articular ukusiza ekunciphiseni ukuqhekeka kwezicubu zomzimba.
| Uhlelo Lwepuleti Le-CalcanealUbubanzi | 10.00mm |
| Ipuleti leCalcaneus lamathamboUbukhulu | 1.8mm |
| Ipuleti le-Titanium CalcanealImininingwane | 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) |
| Isikulufu Esihambisanayo | Isikulufu Sokukhiya esingu-3.5mm |
Icala Lomtholampilo
Ulwazi Oluyisisekelo
Igama Lesiguli: Zhu, Owesifazane, oneminyaka engu-50 ubudala, waseChongqing.
Isikhalazo Sesiguli: Ubuhlungu obuqhubekayo esithendeni sesobunxele kanye nokuvuvukala ngenxa yokulimala kokuwa. Isiguli sibike ubuhlungu obubukhali obuqhubekayo esithendeni sesobunxele, obabukhuliswa ukunyakaza okusebenzayo nokungashukumi kwendawo ethintekile. Sasingakwazi ukuma noma ukuhamba, ngakho-ke safuna usizo lwezokwelapha esibhedlela sendawo.
Ukuhlolwa OkusizayoI-CT scan: Ukuphuka kwe-calcaneus yesobunxele okuqhekekile ngokuhlukana okusobala kanye nokufuduka kwezingcezu zokuphuka, kanye nokwanda okuphawulekayo kwe-calcaneus.
Ukuxilongwa Okuyinhloko
Isiguli sasingakwazi ukuma noma ukuhamba. Kuhlanganiswe nokutholakele kwe-CT kanye nezimpawu zezokwelapha, sangeniswa esibhedlela sitholakale sinesifo sokuphuka kwe-calcaneal kwesobunxele.
Uhlelo Lokwelapha:Ukwelashwa okulondolozayo kunesimo esibi sokubikezela; izinkomba zokuhlinzwa ziqinisekile. Ukuhlinzwa: Ukunciphisa okuvulekile kanye nokufakwa kwangaphakathi + ukufakelwa kwamathambo ukuze kuphuke i-calcaneus yesobunxele kusetshenziswa ipuleti lokukhiya i-calcaneal elingangenisi kakhulu laseBeijing Zhong'an.
Impendulo Ngemva Kokuhlinzwa:Isiguli salulama kahle ngemva kokuhlinzwa, futhi ukuhlinzwa kwafinyelela umphumela olindelekile. Udokotela oyinhloko uphawule ukuthi ipuleti lokukhiya i-calcaneal eliyi-Beijing Zhong'an elincane kakhulu elinokwakheka okuhle kakhulu kanye nokunemba okuphezulu kokufakwa. Lilungele ukuphathwa ngesikhathi sokuhlinzwa, ngokusika okuncane kanye nokopha okuncane, okwenza ngempela ukwelashwa kokuhlinzwa okuncane kakhulu kokuphuka kwe-calcaneal.
Ukuthwebula Izithombe Zesiguli Ngaphambi Kokuhlinzwa
Izithombe Zangaphakathi Kokuhlinzwa
Izithombe Zangemva Kokuhlinzwa
Isikhathi sokuthunyelwe: Ephreli-09-2026