ʻO nā haʻihaʻi o ka hui kuʻekuʻe wāwae i hana ʻia e nā ikaika rotational a kūpaʻa paha, e like me Pilon fractures, pili pinepine i ka malleolus hope.Loaʻa ka hōʻike ʻana o ka "malleolus posterior" i kēia manawa ma o ʻekolu mau hana ʻokiʻoki nui: ke ala hope hope, ka ʻaoʻao medial hope, a me ke ʻano medial hope i hoʻololi ʻia.Ma muli o ke ʻano o ka haʻihaʻi a me ka morphology o nā ʻāpana iwi, hiki ke koho ʻia kahi ala kūpono.Ua alakaʻi nā haumāna haole i nā haʻawina hoʻohālikelike e pili ana i ka hōʻike ʻana o ka malleolus hope a me ka ʻāʻī ʻana ma nā puʻupuʻu vascular a me nā neural o ka hui kuʻekuʻe wāwae e pili ana i kēia mau ala ʻekolu.
ʻO nā haʻihaʻi o ka hui kuʻekuʻe wāwae i hana ʻia e nā ikaika rotational a kūpaʻa paha, e like me Pilon fractures, pili pinepine i ka malleolus hope.Loaʻa ka hōʻike ʻana o ka "malleolus posterior" i kēia manawa ma o ʻekolu mau hana ʻokiʻoki nui: ke ala hope hope, ka ʻaoʻao medial hope, a me ke ʻano medial hope i hoʻololi ʻia.Ma muli o ke ʻano o ka haʻihaʻi a me ka morphology o nā ʻāpana iwi, hiki ke koho ʻia kahi ala kūpono.Ua alakaʻi nā haumāna ʻē aʻe i nā haʻawina hoʻohālikelike e pili ana i ka laulā o ka malleolus hope a me ka haʻalulu
ma nā puʻupuʻu vascular a me neural o ka hui kuʻekuʻe wāwae e pili ana i kēia mau ala ʻekolu.
1. ʻO ke ala waena o hope
ʻO ke ala hope medial e komo i waena o ka flexor lōʻihi o nā manamana wāwae a me nā moku tibial hope.Hiki i kēia ala ke hōʻike i ka 64% o ka malleolus hope.ʻO ka ʻāʻī ʻana ma nā puʻupuʻu vascular a me nā neural pūpū ma ka ʻaoʻao o kēia ala e ana ʻia ma 21.5N (19.7-24.1).
▲ ʻO ka ʻaoʻao waena o hope (Yellow Arrow).1. ʻAiʻi o ka tibial hope;2. ʻO ke aʻa lōʻihi lōʻihi o nā manamana wāwae;3. Na moku tibia hope;4. ʻO ke aʻalolo kuʻi;5. Achille tendon;6. Flexor hallucis longus tendon.AB=5.5CM, hope malleolus hōʻike laulā (AB/AC) he 64%.
2. ʻO ke ala hope ma hope
ʻO ke ala hope hope e komo ana ma waena o ka peroneus longus a me ka brevis tendon a me ka flexor hallucis longus tendon.Hiki i kēia ala ke hōʻike i ka 40% o ka malleolus hope.ʻO ka hoʻopaʻapaʻa ʻana ma nā puʻupuʻu vascular a me neural ma ka ʻaoʻao o kēia ala e ana ʻia ma 16.8N (15.0-19.0).
▲ ʻO ka ʻaoʻao ʻaoʻao hope (Puʻa Melemele).1. ʻAiʻi o ka tibial hope;2. ʻO ke aʻa lōʻihi lōʻihi o nā manamana wāwae;4. Na moku tibia hope;4. ʻO ke aʻalolo kuʻi;5. Achille tendon;6. Flexor hallucis longus tendon;7. ʻAiʻo Peroneus brevis;8. Peroneus longus tendon;9. Liʻiliʻi saphenous vein;10. Aʻalolo fibular maʻamau.AB=5.0CM, hope malleolus hōʻike laulā (BC/AB) he 40%.
3. Hoʻololi ʻia ʻo Posterior Medial Approach
ʻO ke ala hope medial i hoʻololi ʻia e komo i waena o ke aʻalolo tibial a me ka flexor hallucis longus tendon.Hiki i kēia ala ke hōʻike i ka 91% o ka malleolus hope.ʻO ka ʻāʻī ʻana ma nā puʻupuʻu vascular a me neural ma ka ʻaoʻao o kēia ala e ana ʻia ma 7.0N (6.2-7.9).
▲ Hoʻololi ʻia ʻo Posterior Medial Approach (Yellow Arrow).1. ʻAiʻi o ka tibial hope;2. ʻO ke aʻa lōʻihi lōʻihi o nā manamana wāwae;3. Na moku tibia hope;4. ʻO ke aʻalolo kuʻi;5. Flexor hallucis longus tendon;6. Achille tendon.AB=4.7CM, hope malleolus hōʻike laulā (BC/AB) he 91%.
Ka manawa hoʻouna: Dec-27-2023
