Kuvunika inyuma ya metatarsal ya gatanu

Kuvura bidakwiye kuvura metatarsal Fotratires birashobora gutuma tuvunika ubusa cyangwa gucika intege cyangwa gutinda gutinda, kandi ibibazo bikomeye bishobora gutera rubagimpande ubuzima bwa buri munsi.

AnaomicalSTructure

Metatartal ya gatanu nigice cyingenzi cyinkingi yikirenge cyikirenge cyikirenge, kandi kigira uruhare runini muremererwa no gutuza ikirenge. Ihuriro rya kane na gatanu na gatanu hamwe na cuboid ikora umurongo wa metatarsal cuboid.

Hano hari amato atatu yometse kuri metatarsal ya gatanu, Peroneus Brevis Trevis yinjiza ku ruhande rwa Dorsolate ya Torsolat ya Torsolatity ya Tubetariste ya gatanu; Imitsi ya gatatu ya peroneal, idakomeye nka peroneus Brevis, shyira kuri difyusi itandukanya igana kuri metatantal metatantal igana; Igicapo cya Falear Pascicle yinjiza kuruhande rwibimera byigihingwa cya metanal metatarsal.

Gutondeka

Kuvunika byisi ya Metatarsal ya gatanu yashyizwe ahagaragara na Dameron na Lawrence,

Zone I Gucikamo nivura ivurungano ya metatarsal igana;

Zone II iherereye kuri diaphysis hamwe na metaphysis ya proximis, harimo ingingo ziri hagati yamagufwa ya 4 na 5;

Zone III III iravuza guhangayikishwa na metatantal diphysis diphysis ya eaphysis ya 4/5 ya 5/5 yita kuringaniza.

Mu 1902, Robert Jones yabanje gusobanura bwa mbere ubwoko bwa Zone II kuvunika ishingiro rya metatarsal ya gatanu, bityo kuvunika ka zone II bita Jones kuvugurura.

Kuvunika avodure ya metatarsal tubetarity muri zone Ndi ubwoko rusange bwa metatarsal basertire, ibaruramira 93% yibice byose, kandi biterwa no guhiga ibihingwa na varum.

Kuvunika muri konte ya Zone II hafi 4% yo kuvunika hejuru ya metatarsal ya gatanu, kandi biterwa nikirenge cyamaguru no kurwanya ihohoterwa rishingiye ku birenge. Kuberako ziherereye ahantu h'amazi yo gutanga amaraso munsi ya metatarsal ya gatanu, kuvunika aha hantu bikunda kuba notine cyangwa gutinda kuvugurura.

Zone III ivunika kuri 3% ya metatarissal fatizo.

Kuvura ibihakanyi

Ibimenyetso nyamukuru byo kuvura ibihakanyi harimo kuvunika hasi munsi ya mm 2 cyangwa kuvunika buhamye. Ibipimo rusange birimo imishusu hamwe na bande elastike, inkweto zikomeye, zidashidikanywaho na plaster, ibishushanyo mbonera, cyangwa inkweto.

Ibyiza byo kuvura ibihakanyi birimo igiciro gito, nta kahaha, no kwemerwa no kwiyemerera abarwayi; Ibibi birimo ibintu byinshi byo kuvunika ubusa cyangwa gutinda ibibazo, kandi byoroshye guhuriza hamwe.

KubagaTkwigomeka

Ibimenyetso byo kubaga byo kubaga byo kuvura metatarissal fatizo zishingiye kuri:

1. Kuvuka kwimurwa kurenza mm 2;

1. Uruhare rwa> 30% yubuso bwa Articular bwa Cuboid itandukanya na Metatarsal ya gatanu;

1. Kuvunika;

1. Gucika intege byatinze cyangwa kuba nonnion nyuma yo kutavunika;

1. Abarwayi bakiri bato cyangwa abakinnyi ba siporo.

Kugeza ubu, uburyo bwo kubaga busanzwe bwo kuvunika inyuma yinyuma ya metatarsal ya gatanu harimo gukosora byimbere, inanga yo gukosora imbere, anchor suture ikosorwa, ikosora imbere, hamwe nisahani yo gukosora imbere.

1.. KINGChner Wire Tension BAND Gukosora

Kirschner Wire tension band ikosora nuburyo bwo kubaga gakondo. Ibyiza byubu buryo buvura birimo uburyo bworoshye bwo kubona ibikoresho byo gukosora imbere, ikiguzi gito, nibihe byiza byo kwikuramo. Ibibi birimo kurakara h'uruhu no guhura na konchner wire irekura.

2. Kureshya icuruzwa hamwe na anchors

Anchor suture hamwe nurudodo arakwiriye abarwayi bavunika ahictile kumurongo wa metatarsal ya gatanu cyangwa hamwe nibice bito. Ibyiza birimo gucika intege, imikorere yoroshye, kandi nta mpamvu yo gukuraho kabiri. Ibibi birimo ibyago byo gukurura inanga kubarwayi bafite Osteoporose. .

3. Gukosora imisumari

Umugozi wa Lowrewe ni uzwi ku rwego mpuzamahanga kuvugurura urufatiro rw'imiterere ya metatarsal ya gatanu, kandi ibyiza byayo birimo gukosora no gutura neza.

Calcike, kubice bito munsi ya metatarsal ya gatanu, niba hakoreshejwe imigozi ibiri yo gukosora, hari ibyago byo gutunganya. Iyo umugozi umwe ukoreshwa mugukosora, imbaraga zo kurwanya kuzunguruka ziracika intege, kandi zidasubirwaho zirashoboka.

4. Isahani ifata

Ibipapuro byo gushinga amalate bifite ibimenyetso byinshi byerekana ibimenyetso byinshi, cyane cyane abarwayi bavunika atulsion cyangwa kuvuza osteorotic. Imiterere yacyo ihuye nigumya amagufwa ya gatanu ya metatantal, kandi imbaraga zo gutunganya ni hejuru. Ibibi bya plaque bikosora birimo amafaranga menshi kandi ugereranije nihungabana rinini.

SUm Fot

Iyo uvura ivunika munsi ya metatartal ya gatanu, birakenewe guhitamo witonze ukurikije buri kintu cyihariye cyumuntu, uburambe bwumuganga hamwe nurwego rwa tekiniki, kandi usuzume byimazeyo ibyifuzo byumurwayi.