Cire rauni na idon shine ɗayan nau'ikan karaya a cikin aikin asibiti. Ban da wasu raunin da suka faru na I / II da raunin da ya sace, yawancin fashewar gwiwa yawanci sun haɗa da Mallolus na Melleolus. Weber A / B THE BIN THEGRURS RAYUWAR MERLAOLUS yawanci ana samun sakamako cikin tsoratarwa na tibifismosis kuma zai iya samun kyakkyawan raguwa tare da hangen nesa kai tsaye daga Distal zuwa wakili. A bambanta, C-nau'in karkara na Karatun Mallalus Candable ya ƙunshi rashin ƙarfi a cikin gatari guda uku saboda raunin Tibiwiblular, da tsawan iska mai tsayi a cikin jirgin ruwa mai zurfi, mai juyawa a cikin jirgin ruwa mai zurfi, mai jujjuyawa gudun hijira, da haɗuwa da waɗannan nau'ikan raunin guda biyar.
Karatun da suka gabata sun nuna cewa gajarta / tsawan tsawan za a iya kimanta alamar dime, Stenton layin, da kuma kusurwar-tibial-gift, a tsakanin wasu. Ana iya tantance hijira a cikin gandun daji da sagittal jiragen sama ta amfani da gaban da ra'ayoyi masu hankali; Koyaya, jujjuyawar juyawa shine mafi ƙalubalan ƙalubalen tantancewa.
Matsalar a cikin ƙididdigar juyawa yana bayyana musamman a cikin rage fibula lokacin shigar da dunƙule Tibiwibular. Yawancin wallafe-wallafen suna nuna cewa bayan shigar da dunƙulewar tube tibiwibular, akwai abin da ya faru na 25%% na raguwa mara kyau, wanda ya haifar da daidaituwar ɗabi'a. Wasu malamai sun gabatar amfani da kimantawa na yau da kullun CT, amma wannan na iya zama kalubale don aiwatar da aiki. Don magance wannan batun, a cikin 2019, Farfesa Zhang Shimin ya hada kai tare da Jami'ar Ortjipu wacce aka buga don tantance ko an gyara wani juyi na Merhoolus ta amfani da intraso. Littattafan sun ba da rahoton mahimmancin asibiti na wannan hanyar.
Asalin asalin wannan hanyar shine a cikin yanayin haske na idon kafa, kuma a gefe guda na ƙasa da na marilolus, kuma a gefe guda na layin da ke haɗa melleolus na baya.
Misali na hangen nesa mai zurfi wanda ke nuna alaƙar da ke tsakanin bangon bango na Mallalle Malin Foreol (B-line) da kuma a gefe da kuma a gefe da kuma a gefe da kuma a ƙarshen cootces na gefe Meralus (a da kuma c layi). Yawanci, B-line yana kan layi na waje-uku tsakanin layin A da C.
Matsayin al'ada na Mallelus, juyawa na waje, da kuma juyawa ciki na iya samar da bayyanar daban-daban na bayyanar:
- Malleolus na baya ya juya a cikin yanayin al'ada **: Wani inuwa Mallolus Contour tare da layin cortalus a kan layi-uku na medialus na medial Mallalle.
-Ara da nakasa na kasa da Mallleolus na waje **: A ƙarshen Mallleolus yana nuna cewa "kaifi-ganye," inuwar macizai ta zama mai lalacewa da kuma tarwatsa.
-Ara da nakasar marleolus na cikin gida na cikin gida **: A ƙarshen zamani Mallleolus yana bayyana "cokali-mai siffa," inuwa mai ban mamaki, da mata masu ban dariya na Dibifibabular.
Kungiyar ta hada da marasa lafiya 56 tare da C-typecarsarsar Merleollar haduwa tare da raunin Tibiwibular kuma sun yi amfani da hanyar kimantawa. Masu binciken CT da ke gabatarwa sun nuna cewa marasa lafiya na 44 sun sami raguwar nakasar tsallakewa ba tare da nakasar nakasar marasa ruwa ba, yayin da mutane 12 na juyayi na ciki da 5 na juyawa na waje. Babu lokuta na matsakaici (5-10 °) ko mai tsanani (mafi girma (mafi girma 10 °) nakasa na waje sun faru.
Karatun da ya gabata ya nuna cewa kimanta karar ragewar mariollar karaya na iya zama a saman mahimman sigogin uku: Lauyacin tsarin haɗin kai tsakanin tentoon da Tagar.
Rashin rage ƙarancin Mallalle Malinleolus wani lamari ne na gama gari a cikin aikin asibiti. Duk da yake ana bayar da kulawa mai kyau ga maido da tsawon, yakamata a sanya muhimmiyar mahimmanci a kan gyaran juyawa. A matsayin hadari mai nauyi-mai ɗaukar nauyi, wani muggan gwiwa na gwiwa yana iya haifar da tasirin bala'i a aikinsa. An yi imani da cewa m frioroscopic da aka gabatar da aka gabatar da su ta hanyar rage rage rage rage rage raguwar C-ty late late late late late latear karar. Wannan dabarar tana aiki a matsayin mai mahimmanci game da ma'aikatan aikin Haikali.
Lokaci: Mayu-06-2024
