ʻO ka laulā hōʻike a me ka pilikia o ka hōʻeha ʻana o ka pūpū neurovascular i ʻekolu mau ʻano o nā ala posteromedial i ka hui kuʻekuʻe wāwae.

46% o nā haki kuʻekuʻe wāwae rotational e hele pū ʻia me nā haki malleolar posterior. ʻO ke ʻano posterolateral no ka ʻike pololei ʻana a me ka hoʻopaʻa ʻana o ka malleolus posterior he ʻano hana ʻoki maʻamau i hoʻohana ʻia, e hāʻawi ana i nā pono biomechanical maikaʻi aʻe i hoʻohālikelike ʻia me ka hoʻemi pani ʻia a me ka hoʻopaʻa ʻana o ka wili anteroposterior. Eia nō naʻe, no nā ʻāpana haki malleolar posterior nui aʻe a i ʻole nā ​​haki malleolar posterior e pili ana i ka posterior colliculus o ka medial malleolus, hāʻawi ke ʻano posteromedial i kahi hiʻohiʻona ʻoki maikaʻi aʻe.

No ka hoʻohālikelike ʻana i ka laulā o ka hōʻike ʻana o ka malleolus hope, ke koʻikoʻi ma ka pūʻolo neurovascular, a me ka mamao ma waena o ka ʻoki a me ka pūʻolo neurovascular ma waena o ʻekolu mau ʻano posteromedial like ʻole, ua hana nā mea noiʻi i kahi noiʻi cadaveric. Ua paʻi ʻia nā hopena i ka puke pai FAS. Ua hōʻuluʻulu ʻia nā mea i loaʻa penei:

I kēia manawa, aia ʻekolu mau ala posteromedial nui no ka hōʻike ʻana i ka malleolus posterior:

1. Medial Posteromedial Approach (mePM): Komo kēia ala ma waena o ka lihi hope o ka medial malleolus a me ke tendon tibialis posterior (Hōʻike ke Kiʻi 1 i ke tendon tibialis posterior).