"10% byo kuvunika amaguru biherekejwe n'ibikomere bya dibiofibular. Ubushakashatsi bwerekanye ko 52% bya Stal Crew Kuramo tibiofibular screw scmu cyangwa cm 3.5 hejuru yuburinganire bwimiterere ya kure, ku inguni ya 20-30 ° mu ndege itambitse, uhereye kuri firinal indege, uhereye kuri fibula kugera muri Tibia, "
Kwinjiza intoki za kure za tibiofibular tibiofibular thial akenshi bivamo gutandukana muburyo bwinjira no mu cyerekezo, kandi kuri ubu, nta buryo nyabwo hariho uburyo bwiza bwo kumenya icyerekezo cyinjiza kuri iyi migozi. Kugira ngo iki kibazo gikemuke, abashakashatsi b'abanyamahanga bafashe uburyo bushya - uburyo bwa 'angle bisector.
Gukoresha amashusho yatanzwe kuva 16 ingingo zisanzwe zihuriweho, 16 zacapwe zashyizweho. Ku ntera ya cm 2 hamwe na cm 3.5 hejuru yuburinganire bwa tibial, insinga ebyiri zingana zibangikanye hejuru yubuso bwashyizwe hejuru kandi inyuma ya tibia na fibula. Inguni hagati yinsinga zombi ebyiri zapimwe hakoreshejwe urubura, na Mm 2,7 yakoreshejwe muguhindura umwobo umurongo wa angle bisector, hakurikiraho gushiramo Mm 3.5. Nyuma yo kwinjizamo, umugozi waciwe uburebure bwawo ukoresheje habonetse kubona isano iri hagati yubuyobozi bwakubiswe hamwe na axis nkuru ya tibia na fibula.
Ubushakashatsi bwimbitse bwerekana ko hari ubukana bwiza hagati ya axis nkuru ya tibia na fibula hamwe numurongo wa bisector numurongo wa angle bisector, kimwe no hagati ya axis yo hagati hamwe nubuyobozi bwo hagati.
Ubusanzwe, ubu buryo burashobora gushira neza screw kumurongo wo hagati wa Tibia na Fibula. Ariko, mugihe cyo kubaga, gushyira insinga za Kirchner hafi yimbere hamwe nimpande nkuru za tibia na fibula zitera ibyago byo kwangiza imiyoboro y'amaraso. Byongeye kandi, ubu buryo ntabwo ikemura ikibazo cya midroduction ya iatrogenic, nkuko guhuza ibihangano bya kureda bidashobora gusuzumwa bihagije imbere mbere yo gushira.
Igihe cya nyuma: Jul-30-2024
