E 46% o ngā whati pona hurihuri e haere tahi ana me ngā whati malleolar o muri. Ko te huarahi posterolateral mō te tirohanga tika me te whakapiri i te malleolus o muri he tikanga pokanga e whakamahia whānuitia ana, he pai ake ngā painga koiora-mekanika ki te whakataurite ki te whakaiti kati me te whakapiri tīwiri anteroposterior. Heoi, mō ngā kongakonga whati malleolar o muri nui ake, ngā whati malleolar o muri rānei e uru ana ki te colliculus o muri o te malleolus medial, ka pai ake te tirohanga pokanga mā te huarahi posteromedial.
Hei whakatairite i te whānuitanga o te whakaaturanga o te malleolus o muri, te taumahatanga o te paihere neurovascular, me te tawhiti i waenga i te tapahi me te paihere neurovascular puta noa i ngā huarahi posteromedial e toru, i whakahaerehia e ngā kairangahau he rangahau tūpāpaku. Nō nā tata nei i whakaputaina ai ngā hua ki te hautaka FAS. Ko ngā kitenga kua whakarāpopototia penei:
I tēnei wā, e toru ngā huarahi matua mō te whakaatu i te malleolus o muri:
1. Huarahi Posteromedial Medial (mePM): Ka tomo tēnei huarahi ki waenganui i te taha o muri o te malleolus medial me te uaua tibialis posterior (E whakaatu ana te Pikitia 1 i te uaua tibialis posterior).
2. Huarahi Posteromedial Kua Whakarerekētia (moPM): Ka tomo tēnei huarahi ki waenganui i te uaua tibialis posterior me te uaua flexor digitorum longus (E whakaatu ana te Pikitia 1 i te uaua tibialis posterior, ā, e whakaatu ana te Pikitia 2 i te uaua flexor digitorum longus).
3. Huarahi Posteromedial (PM): Ka tomo tēnei huarahi ki waenganui i te taha waenga o te uaua Ākīhira me te uaua flexor hallucis longus (E whakaatu ana te Pikitia 3 i te uaua Ākīhira, ā, e whakaatu ana te Pikitia 4 i te uaua flexor hallucis longus).
Mō te taumahatanga o te paihere neurovascular, he iti ake te taumahatanga o te huarahi PM, arā, 6.18N, ki te whakaritea ki ngā huarahi mePM me te moPM, e tohu ana i te iti ake o te tūponotanga o te whara o te paihere neurovascular i te wā o te pokanga.
Mō te whānuitanga o te whakaaturanga o te malleolus o muri, he nui ake te whakaaturanga o te huarahi PM, e 71% te tirohanga o te malleolus o muri. Ki te whakataurite, ko te huarahi mePM me te moPM e 48.5% me te 57% te whakaaturanga o te malleolus o muri.
● E whakaatu ana te hoahoa i te whānuitanga o te whakaaturanga o te malleolus o muri mō ngā huarahi e toru. Ko te AB te whānuitanga whānui o te malleolus o muri, ko te CD te whānuitanga o te whakaaturanga, ā, ko te CD/AB te ōwehenga whakaaturanga. Mai i runga ki raro, ka whakaaturia ngā whānuitanga whakaaturanga mō te mePM, moPM, me te PM. E kitea ana ko te huarahi PM te whānuitanga whakaaturanga nui rawa atu.
Mō te tawhiti i waenganui i te tapahi me te paihere neurovascular, ko te huarahi PM te tawhiti nui rawa atu, 25.5mm te ine. He nui ake tēnei i te 17.25mm o te mePM me te 7.5mm o te moPM. E tohu ana tēnei ko te huarahi PM te iti rawa o te tūponotanga o te whara o te paihere neurovascular i te wā o te pokanga.
● E whakaatu ana te hoahoa i ngā tawhiti i waenga i te tapahi me te paihere neurovascular mō ngā huarahi e toru. Mai i te maui ki te matau, ka whakaaturia ngā tawhiti mō ngā huarahi mePM, moPM, me PM. E kitea ana ko te huarahi PM te tawhiti nui rawa atu i te paihere neurovascular.
Wā tuku: Mei-31-2024



