Ho robeha ha manonyeletso a maqaqailana a bakoang ke matla a ho potoloha kapa a emeng, a kang Pilon fractures, hangata a kenyelletsa malleolus a ka morao. Ho pepeseha ha "posterior malleolus" hona joale ho finyelloa ka mekhoa e meraro e ka sehloohong ea ho buuoa: mokhoa oa morao-rao oa morao, mokhoa oa morao-rao oa morao-rao, le mokhoa o fetotsoeng oa morao-rao. Ho itšetlehile ka mofuta oa fracture le morpholoji ea likhechana tsa masapo, mokhoa o loketseng o ka khethoa. Litsebi tse tsoang linaheng tse ling li entse lipatlisiso tsa ho bapisa ka mefuta e mengata ea ho pepeseha ha malleolus e ka morao le tsitsipano ea methapo ea methapo ea methapo ea methapo ea maqaqailana e amanang le mekhoa ena e meraro.
Ho robeha ha manonyeletso a maqaqailana a bakoang ke matla a ho potoloha kapa a emeng, a kang Pilon fractures, hangata a kenyelletsa malleolus a ka morao. Ho pepeseha ha "posterior malleolus" hona joale ho finyelloa ka mekhoa e meraro e ka sehloohong ea ho buuoa: mokhoa oa morao-rao oa morao, mokhoa oa morao-rao oa morao-rao, le mokhoa o fetotsoeng oa morao-rao. Ho itšetlehile ka mofuta oa fracture le morpholoji ea likhechana tsa masapo, mokhoa o loketseng o ka khethoa. Litsebi tsa kantle ho naha li entse liphuputso tsa papiso mabapi le mefuta e mengata ea ho pepeseha ha posterior malleolus le tsitsipano.
lithabeng tsa methapo ea kutlo le methapo ea maqaqailaneng e amanang le mekhoa ena e meraro.
1. Mokhoa o ka morao oa Bohareng
Mokhoa oa morao-rao o kenyelletsa ho kena pakeng tsa ho feto-fetoha ha nako e telele ea menoana le likepe tse ka morao tsa tibial. Mokhoa ona o ka pepesa 64% ea posterior malleolus. Khatello ea methapo ea methapo le methapo ea methapo ka lehlakoreng la mokhoa ona e lekantsoe ho 21.5N (19.7-24.1).
▲ Mokhoa o ka morao oa Bohareng (Motsu o mosehla). 1. Teko e ka morao ea tibial; 2. Nako e telele ea flexor tendon ea menoana; 3. Lijana tsa posterior tibial; 4. Mothapo oa Tibial; 5. Mothapo oa Achilles; 6. Flexor hallucis longus tendon. AB=5.5CM, posterior malleolus exposure range (AB/AC) ke 64%.
2. Mokhoa o ka morao oa morao
Mokhoa o ka morao oa lateral o kenyelletsa ho kena pakeng tsa peroneus longus le brevis tendon le flexor hallucis longus tendon. Mokhoa ona o ka pepesa 40% ea posterior malleolus. Khatello ea methapo ea methapo le methapo ea methapo ka lehlakoreng la mokhoa ona e lekantsoe ho 16.8N (15.0-19.0).
▲ Mokhoa o ka morao oa ka morao (motsu o mosehla). 1. Teko e ka morao ea tibial; 2. Nako e telele ea flexor tendon ea menoana; 4. Lijana tsa posterior tibial; 4. Mothapo oa Tibial; 5. Mothapo oa Achilles; 6. Flexor hallucis longus tendon; 7. Peoneus brevis tendon; 8. Peoneus longus tendon; 9. Mothapo o fokolang oa saphenous; 10. Methapo e tloaelehileng ea fibula. AB=5.0CM, posterior malleolus exposure range (BC/AB) ke 40%.
3. Mokhoa o Fetotsoeng oa Posterior Medial
Mokhoa o fetotsoeng oa morao-rao o kenyelletsa ho kena pakeng tsa methapo ea tibial le flexor hallucis longus tendon. Mokhoa ona o ka pepesa 91% ea posterior malleolus. Khatello ea methapo ea methapo le methapo ea methapo ka lehlakoreng la mokhoa ona e lekantsoe ho 7.0N (6.2-7.9).
▲ Mokhoa o Fetotsoeng oa Ka morao (Motsu o mosehla). 1. Teko e ka morao ea tibial; 2. Nako e telele ea flexor tendon ea menoana; 3. Lijana tsa posterior tibial; 4. Mothapo oa Tibial; 5. Flexor hallucis longus tendon; 6. Tloaelo ea Achilles. AB=4.7CM, posterior malleolus exposure range (BC/AB) ke 91%.
Nako ea poso: Dec-27-2023
