I-Tibial Fractures, i-Suprapatellar ye-Intramellary ye-Natia

Indlela yokungena kwi-Intramellary ye-Tibial Fractures: Ngomsondo we-sueriticular, indlela yeTrinticular ene-20-30 ° kunye netyhubhu ethile yokukhusela ukukhusela i-intra.

01.I-tibilial ye-tibiling: Ukufikelela kunye nolungelelwaniso, iintlungu zangaphandle zedolo

Ukufikelela utyando lwe-Intramellary ye-tibial ye-tibial ibalulekile ukuze ifake i-intramellary ye-Intramellary ye-Intra-Artical God, kunye nokungena okufanelekileyo.

Iindlela zeklasikhi ze-tibial stem quares zenza i-infrapatellar ye-Deaden okanye iParapatellar. Nangona ezi ndlela ziboniswe kwicandelo eliphakathi, i-Poltopelotives, engaphandle, okanye i-syndesmocsmolsmoc eqhelekileyo yenzeka rhoqo kwi-proximal quations.

Eyona nto iphambili ye-malafiling kwi-proximal ye-proximal ye-proxice ebangelwa kukudodobala kwe-quadriceps ngexesha le-tendexices ngexesha le-tikiet kunye ne-portex ye-tibial cortex ngexesha lokufakwa kwamaphepha. I-patella iphinda ithintele i-axial yekhonkco kwinqwelomoya ye-sagittal (Fig. 1A, B). Ke ngoko, enye indlela eqhelekileyo yokungenisa le ngongoma kukudibana kwe-Prapathiatellar i-Prapathiatellar, ekhokelela kwi-Pearial-to-demeral ye-Pealial-ukuya kwi-SEAL PREAL SENTAL (amakhiwane. 1c kunye ne-2). Njengoko isikhonkwane singena kwi-Inramellary Canal e-Deal kwi-phraction, isahlulo seproximal sinikezelwe kwi-exostosis (Fig. 2). Okokugqibela, ukuphela koxinzelelo lwamagumbi angaphandle Inegalelo elincinci kwi-ectripion (Fig. 3).

Umzobo 1 A, B usebenzisa i-Inrapatellar ye-infrapatellar, i-patella ithintela ukungena kwe-axial ye-National Soutip Solutions kunye nolungelelwaniso lwe-Ectrafion.c I-Intramellary

I-2 Njengoko isikhonkwane singena kwi-carmlary estal kwi-fasal (a), isahlulo seproximal sinikezelwe kwiflethi (B)

Umzobo 3 uphumle uxinzelelo lwendlela ye-ANTARCE (a) ivelisa ilungiselelo le-lectoppic efihlakeleyo (b)

Ukufaka i-tibia ibe kwindawo eyandisiweyo inceda ekuphepheni iingxaki ezinxulumene nedolo elinamandla .Undlela ichazwe yi-gelbke, iJaakma et al. Ngo-2010 kwaye ifumene ukuthandwa kwiminyaka yakutshanje kuba i-tibia kwisikhundla esithe ngqo esithe ngqo senza lula ukuqhekeka kunye nokubeka kwakhona. I-Fluoroscopy ilula ukuba yenze. Ixesha leFluoroscopcopy kwi-Suprapatellar laising ixeliwe ukuba ibe mfutshane kakhulu kune-infrapatellar saising. Ukongeza, iplate ye-Napion Angle (kwindiza ye-sagittal) ihambelana ngakumbi kwi-axia ye-tibia ye-tibia kunye nale ndlela kune-infrapatellar; Oku kuthintela ukungqubana koomatshini phakathi kwengcebiso ye-Nail kunye ne-porttex ye-portex, ngaloo ndlela ziququzelela ukuncitshiswa kwesaphulelo.

I-Postoperapeative Intlungu yangaphandle yedolo yingxaki efanelekileyo. Intlungu yangaphandle inikwe i-50-70% yezigulana ezinefreyitha, ngama-30% kuphela abaguli abajamelana neentlungu emva kokususwa kwesiphelo. I-passing ehambelana ne-patellar ye-patellar kunye ne-theffa ye-hoffaf iqikelelwa ukuba ibe ngumthombo onokubakho wentlungu yedolo. Ukongeza, indlela ye-Sturepatellar ivumela ukubekwa kwemveli yesebe lesebe le-patellarus ye-safenous nerve, ethi ithintela i-Touser engaphandle kunye nemvakalelo ye-4). Ukudlulisa isikhonkwane kwi-quadriceps thedriceps, ngaloo ndlela sishiya i-patellar tendon i-tendon, ibonakala inciphisa kakhulu inqanaba leentlungu zedolo.

Umzobo 4 Ubudlelwane phakathi kwe-Safenous nerve kunye nokufikelela okwahlukileyo kwi-tibialis fiquata

Ngenxa yesiphumo esimnandi sezinto ezigwenxa, izibonakaliso kwizenzo zeklinikhi zandisiwe kuzo zonke izinto zokuqhekezwa.

Iingxaki ezinokubakho nge-Intramellary saising kwindlela ye-Suprapatellar:

-Ungashiya i-terric ephindaphindiweyo edolophini. Nangona kunjalo, amava ekliniki nge-failing ye-fetrograde engakhange abonakalise nayiphi na imiphumo emifutshane okanye ende.

-Ukususwa njani emva kokuba kuphiliswe ukwaphuka? Nangona inokwenzeka inyani yokususa isikhonkwane se-Inramellary ngendlela ye-suprapatellar, indlela yendlela ifuna kwaye uninzi logqirha ukhetha ukususa isikhonkwane se-inkgellary ngendlela ye-infrapatellar.

I-02.Bwakufanele ukuba i-Suprafatellar Intramellary Natile?

Izibonelelo

-Isikhundla esine-semi-saller sell siququzelela ukuqhekeka okuqhelekileyo kunye nokuncitshiswa ngamandla okuphumla kunye nokugcinwa ngexesha lokufakwa kwesikhonkwane.

-Umngcipheko osezantsi wendawo yendawo yendawo ye-proximal, ejemential, kunye ne-discal qualis xa kuthelekiswa neendlela zemveli

-Ukuba lula kulula ukwenza

-Izikiphu zinokwenzeka njenge- 'inkqubo ye-gqirhan '.

-Inciphise ixesha le-fluoroscopy

-Ngakho umonakalo kwi-patellar tendon kunye neziganeko ezingaphantsi kwe-Post-National-Nater

-Ukulula ukwenza inkqubo yeqela lamaqela, njengePolytrauma.

Ukungancedi

-Umngcipheko womonakalo kwi-icele ye-idom kunye nezinye izinto ze-intra

-Unyuka umngcipheko wosulelo lwedolo

-Ukususwa kwemveliso kunokufuna indlela eyahlukileyo

Iphawu

-Iingcaciso ezingaphezulu kwe-proximal tibia (uhlobo lwe-AO11)

-Iingqengqelo ezilula ze-tibial diaphysis (uhlobo lwe-AO 32A-c)

-I-Gibial tibial ye-dibial diaphysis

-Umzobo owongezelelekileyo we-intracur ongezelelweyo kunye ne-Intra elula ye-Intra

-Ukukhangela idolo

Ukuphikisana

-I-Gustilo Ibanga 3C ivule ububi be-tibia ngenxa yokwanda komngcipheko wokosuleleka okudibeneyo, nangona umngcipheko owongezelelekileyo wosulelo oludibeneyo aluchazwanga

-Iinyembezi ezithambileyo ezithambileyo, ungcoliseko okanye usulelo kwingingqi ye-Suprapatellar

- I-IPSATAL PROSTOIC (isihlobo esikhoyo)

-I-fusion yedolo

- I-HEE Hyperextaxteres> 20 °

-I-Ipsilate ye-Iptateral Tibial Plateaud ebandakanya indawo yokungena kwezezipikisi sisivumelwano esichasene

-Ukufafaki okuthintelayo kwindawo yokungena

-I-Ipsilateral Patella thaphuli (isihlobo esichasene)

I-03. Iindlela zoNyango

① Indawo yomzimba kunye nembono

Umzobo 5 Isigulana silele ukuba sibe yitafile yeRadiyo evumela indawo yomlenze ophumeleleyo. Ilungu le-limb lishiywe lixhonywe ngokukhululekileyo kwaye i-scroll ibekwe phantsi kwe-jongent yedolo (a) yokufezekisa i-10-30 ° yedolo 

(b). Ingalo ye-C ibekwe kwelinye icala. Umlenze ongancedikiyo wehliswa i-10-30 ° ukusuka ekuqinisekiseni ingcinga efanelekileyo kwisikhundla esilandelayo.

②Find inqaku lokungena kwenaliti elungileyo

Umzobo 6 Le ndlela iphawulwa ngumngxunya wePatella, i-tibial tuberosity, kunye ne-tibial tibial cortex. Isikhumba esi-2 se-cm sexesha elide senziwe i-1-1.5 cm i-proximal yesiseko esiphezulu sePatella. I-tedriceps tendon ivezwe kwaye i-quadline ye-LoustItudinal yenziwa kwicala leentsinga ze-tendon. I-Supraplatellar Refks ivuliwe kwaye iminwe kagqirha ingena kwidolo elijongiweyo ukusuka ngezantsi kwi-patella ukuvavanya ukufikeleleka. Ukongezwa kancinci kwelungu kunokuququzelela ukufikelela kwidolo. Ukufakwa kwe-langenbeck redractor yokuphakanyiswa okuncinci kwe-patella kunokuphucula ukufikelela. Ukuba indawo edibeneyo inqabile kwaye isixhobo sinzima, i-medial okanye ibhendi yenkxaso ye-Presial okanye i-Lateral Act inokuthi ifumaneke kuyo ukuze ikhuphe i-patella ukuya kwicala elinye.

③protetion ye-cartilage

Umzobo o-7 we-patelloferal Cholage ukusuka kwi-suge-the mores Ke ngoko, imikhono ekukhuselayo kufuneka isetyenziswe ngexesha lesixhobo kunye nokufakwa kwezipikili.a izixhobo zokufaka, kunye ne-rocar wiires, kunye ne-wirocar wiires, i-gorocar wine (i-trocar) isikhokelo se-wirous wire. Inaliti ye-trocar ihlanganisene ne-Sleeve ye-Sheelve Deeve kunye nePhakathi yokufaka I-knob ngaphezulu kwesiphithi sokufakela kuthintela ukuyeka ngengozi yeNdibano

④ Faka iSikhokelo kunye nokuLungisa isikhundla

Umzobo 8A Indibano yesihloko ifakwe ngaphantsi kwePatella ngokudibeneyo kwi-patelloferal edibeneyo kwindawo yokungena enqwenelekayo kwi-tibia (umzobo 9). Kwiimeko ezininzi, i-patella iya kushukuma kancinci okanye kamva ngexesha lokufakwa kwesixhobo. I-Groove kwi-patelloferal Joint ihlala ikhokela inaliti ye-trocular kwindawo efanelekileyo.

Umzobo we-8b we-8b waqinisekiswa kuzo zombini iinqwelomoya usebenzisa i-fluoroscopy kwaye ilungiswe apho kufanelekileyo. Inaliti ye-trocar ithathelwe indawo yi-polous yesikhokelo, isikhokelo esigqitha kwimingxunya yeziko leSikhokelo kwaye iphuli ifakwe kwi-proximal ye-proxial tibial tibial timis ukuqinisekisa isikhundla esichanekileyo.

Umzobo we-8C xa umsikisi kwisikhundla se-Suboptimal, isikhokelo sesibini sinokusetyenziselwa ukwenza uhlengahlengiso oluncinci kwindawo yesikhokelo esiphambili, kunokuba lula ukuqala ngenqaku lesikhokelo kwaye libekwe kwindawo efanelekileyo yokungena. Isixhobo sokufakela kunye nesikhokelo seSikhokelo sisinyibilikisi ngaphezulu kwesikhokelo.

Ukwanda kweMedulla oblongata

Umzobo 9Avula i-cavity cavity evela kwindawo yokungena yenyathelo elibalulekileyo kwinkqubo yoqhaqho. Kwindiza ye-anterostetior khupha, le yimeko yeMedial ye-tibial ye-tibial. Kwindiza esemva kwexesha, indawo yokungena echanekileyo ibekwe kwinguqu phakathi komgangatho wobugcisa kunye ne-cortex engaphandle.

Umzobo 9B Isikhundla esichanekileyo somsikhokelo sihambelana ne-tibial axis inqwelomoya kwaye isondele kakhulu kwi-cortex engasemva kwexesha. Isikhokelo seSikhokelo sithanda ukuhambisa umva.

Umzobo we-9C kwiimeko apho ipini okanye isikhonkwane ayinakufakwa ngokuchanekileyo, ivimba isikhonkwane okanye iphini inceda ukukhokela isikhonkwane kwindawo efanelekileyo. 

I-Blocks isetyenziswa kwindawo ebanzi yeMetaphyseal xa umsipha okanye isikhonkwane akunakubakho kwi-axis ye-bone yethambo okanye i-mpungqwazi lokungasebenzi kakuhle kwi-Naption.

Umzobo 10 okwangoku, kucetyiswa ukuba indibano yesihloko ikhuselwe kwi-conmoral ye-femoral isebenzisa i-wire yesikhokelo se-3.2 mm. Oku kuthintela indibano ekuphumeni kweTibia.

Umzobo 11 I-12.0 mm ye-Drill Drill ifakwe kumkhono okhuselayo ngaphakathi nangaphantsi kwi-boudewire ukuya kwithambo. I-canal ye-callary ivulwa ngokuqhuba kubunzulu obuyi-8-10 cm kunye nesikhokelo esiphelelwe yibhola sifakwe kwi-proximal tibia.

⑥ Ukuncitshiswa kweFratity

Umzobo 12a okwangoku, siphinda senze ububi.

Umzobo we-12b kuxhomekeke kwindawo yokuqhekeka kunye ne-morphology yayo, izixhobo ezahlukeneyo ezifana neziqwengana ze-cycutaneus, iipetrodi, iipleyiti ezincinci, kunye nokuvimba isikrini sinokusetyenziswa ukufezekisa ulungelelwaniso olufanelekileyo. Kwindawo yokuncitshiswa kwe-proximal ye-proxital, ngamanye amaxesha kunye noncedo lokufakwa okwenziweyo, ngaphambi kokuvula i-canal ye-carllary ngokuqhuba. Intonga ephindaphindiweyo ihambisekile kwaye ifakwe embindini we-tibial tibial tibial tifial. Emva kokubeka kwakhona, ubude nobubanzi bezipini zimiselwe. Ukuba kukho imfuneko, yandisa i-tibial canal kwidayitha enqwenelekayo ngokuzenzekelayo ngokuzenzekelayo ngokuzenzekelayo kwi-0.5 mm yokunyusa izinto. Ukuvulwa komthwalo wokugqibela okhuselayo kuvumela ukuqhuma kunye nokuzimisela ubunkunkqele ukusuka ekuhlaleni ngexesha lokuhlaziya. Ukuba kunokwenzeka, kuyacetyiswa ukuba isikhonkwane esinobuncinci be-10 mm sisetyenzisiwe. I-5.0 mm yokutshixa kolu hlobo lwesipikili yinto enganyangekiyo yokungaphumeleli kune-4.0 mm itshixa i-bolt esetyenziselwa izipikili ezihlaziyiweyo. Ubude bezikhonkwane ze-intramellary zihlala zimiselwa ngomlawuli we-fluoroscopic.

⑦insetsert ye-Inramellary Nail

Umzobo Qaphela ukuba isiphatho sokufakela kwisipikili se-Suprapatellar lixesha elide kunoko isipikili se-infrapatellar kuba umgama ovela kwi-invenity yendawo yokungena kwi-Tibial National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National National Senver.

Umzobo 13b Nceda uqaphele ukuba i-cund (i-herzog ijika) kwindawo yokuphela kwe-proximal yesipikili se-intramellary ayinakufakwa kwimikhono yangaphakathi yokukhusela. Ke ngoko, umkhono okhuselayo wangaphakathi kufuneka ususwe kwindibano yesiphatho ngaphambi kokufakwa kwezipikili (B; bona icandelo 'Iimpazamo, ingozi kunye neengxaki '). Jonga isikhundla sokugqibela sezipikili ze-intramellary kwindawo engaphandle-posteriory kunye nembono yendlela yokujonga. Susa intonga ephindaphindiweyo. Ukuba isikhonkwane kufuneka sitshintshwe, seka i-rod ephindaphindwayo endaweni kwaye ifake isikhonkwane esitsha kwintonga. Iimpawu ezi-5 mm kwisiphatho sentente zibonisa ubunzulu bokufakelwa kwemveliso ye-proximal tibia (Fig. 14). (Umzobo 14)

⑧ I-distal kunye ne-proximal lokutshixa

Umzobo we-14a i-proximal kunye ne-distal yokutshixa kuxhomekeka kwiimpawu ezithile zokuqhekeka. Ukutshixwa kwe-proximal kunokufezekiswa ngengalo ejolise kuyo. Ukutshixwa okukhulu kuyafezekiswa ngokukhululekileyo okanye ngokusetyenziswa kwesikhokelo se-radiolopae. Ngokukhethekileyo, isiphelo sentloko sinokusetyenziswa, ethintela ithambo ekukhuleni kwisiphelo se-proximal yesipikili se-intramellary kwaye siqhubekise ukususwa kwempahla. Ngokukodwa, iinziba ezifakwe ngaphezulu, kulula ukususa xa kupheliswa ii-CAPs ezifanelekileyo. Ubude obufunayo be-cap yokuphela kwesiphelo bulinganiswe ngokufaka uphawu kwisiphatho okanye ngokufaka isikhokelo ngentambo kwingalo ejolise kuyo.

Umzobo we-14B yencam yeSikhokelo ibonisa imeko ye-proximal yesikhonkwane se-intramellary. I-screw edibanisa ingalo ejolise kuyo kwisikhonkwane kufuneka isuswe ukufaka isiphelo sentloko. Isiphelo sentloko sidlula kwi-boarl yesiphatho sokufakela. Isiphatho sokufakwa sihlala sikhona. Oku kulungelelane isiphelo se-SIP kunye ne-top ye-intramellary napile kwaye uthintele ekulahlekeni edolweni. Ukufaka i-Coundwire nge-cap ye-barrel kwisiphelo se-proximal yokuphelisa isikhonkwane kwisiphelo esifanelekileyo kwisiphelo se-proximall. Ekupheleni kwenkqubo, isisombululo se-saline saline kufuneka siphumele ukuhlamba nawaphi na amasuntswana emityalo.

04. Izilumkiso

Amanyathelo okhuseleko kwimisebenzi yoNyango

-Iimeko ze-osteoarthritis, i-patellar ethintelweyo inokuthintela ukufikelela ngokudibeneyo. I-Proximal yenxalenye ye-proximal ye-medial okanye ibhendi yenkxaso ka-Adelial esuka kwicala leMedial iququzelela ukufakelwa kwePight ye-trocar.

-I-IPOSCHEARCRAL PROSTEIS ayisiyongxaki ingqongqo kwi-suprapatellar ipin. Qaphela, nangona kunjalo, ukuba isenokungakwazi ukufikelela kwindawo yokuqala yokuqalisa yenkqubo yokwangqa kwe-proxial.

-Ukuqhekezwa kolwandiso lwe-articture, iikati ezongeziweyo zinokufakwa ekunciphiseni kwecandelo lobugcisa. Kucetyiswa ukuba ezi zikrikhi zibekwe ngaphambi kokufakwa kwezipikili ukuthintela ukufuduswa kwenqanaba le-articular.

I-proximal tibia procares

I-proxial tibial tibial fibial zezona ntlobo zinzima ze-tibial ze-tibial kwaye zifuna iindawo zokungena ezichanekileyo (njengoko kuchaziwe apha ngasentla). Ezi qhekeza kufuneka zincitshiswe ngaphambi kokubethelela ukulwa naziphi na izifo ezisebenzayo kunye nokwandisa impumelelo. Ngamanye amaxesha, ukubeka ngokuchanekileyo ilungu elichaphazelekayo kwindawo engaphezulu kunye nokufumana indawo yokungena echanekileyo kunye nokubeka isikhonkwane nge-candel kunye ne-axes ye-comal kunye ne-axetal ye-conagial kunye ne-sagittal ikhokelela ekubeni.

Nangona kunjalo, kwiimeko ezininzi, ezinye iindlela zokuncitshiswa ziyafuneka ukuze zifumane kwaye zigcine ukulungiswa okwanelisayo kwezi phuculo. Ukuba umgca wokuqhekeka ulula kwaye unesikhalazo, elula ocacileyo eqhotyoshelweyo okanye i-comptions enamaqhwa, ibekwe nge-pencuteaneneals, inokusetyenziselwa ukufumana kunye nokugcina kwakhona ngexesha lokumisa. Ukuba i-clomp ingonelanga okanye inqwelo moya ayibolekisi ekuqokeleleni, umungu okanye isikrweqe sinokunceda ukukhusela ukufuduswa kunye nokubekwa (umzobo 15). Ezi zikreyi zifakwe endaweni yokubuyiselwa kwezapikili ezinqwenelekayo kwimbono ye-Wateral kwaye iphinde ibuyele kwisipikili esinqwenelekayo kwimbonakalo yangaphandle. Ukubekwa ngokufanelekileyo kwezi zikrelemnqa ukuseta kwakhona kunokuba ngumceli mngeni.

Umzobo 15 Ukutshixa isikrini ebekwe ngaphandle kwe-National Pop Piail Piep kwi-Wails ngaphambili nangasemva kombono (a) nangasemva kwe-Natule ye-Biect

Enye indlela esebenzayo kakhulu kukulungiswa okwethutyana kokuqhekeka kwindawo ye-anatomic (Fig. 16). Ngokwesiqhelo ipleyiti encinci ye-tubular enesitayile esine-screws ezimbini okanye ezintathu ezitshixwayo ziya kubamba i-phraction encitshisiweyo ngexesha lokulungiselela iingcambu kunye nokufakwa kwesipikili. Iplate iyalawula zombini izisulu. Iplate kufuneka ishiywe endaweni engaphelelanga ukuba akukho nqanaba lisigxina lokuthintela ukuphulukana nokuncitshiswa okuqhelekileyo kwenzeka emva kokususwa kweplate. Esi siqwenga sesikrelemqe esinye asifihlisi kwaye ayiyi kuchaphazela ukuzinza kwesihlobo sezipikili. Ubuchule be-reset yeplanethi bunokusetyenziswa kuzo zombini iziqwenga ezivulekileyo nezivaliweyo.

Umzobo 16 Iplate encinci yokutshixa nge-screw eyodwa inokufumaneka kwaye igcinwe kwindawo ye-anatomic. Kwiimeko ezininzi, ipleyiti kufuneka ishiywe yindawo emva kokubethwa. Isiphoso sokuqala se-gesictus ye-proxial tibility. b Iplate ye-friety encinci ene-screw enye ye-cortical ifakwe ngokwane-ufumana kwaye igcine i-fecture yokwahlula-hlulwa ngexesha lokufaka. C Iplate ayisuswanga emva kokuba ibonelela ngokuzinza okongezelelekileyo

Ukungasebenzi kakuhle, iingozi kunye neengxaki

-Ukusasazwa intramotive ye-veleeve yokukhusela kunokubangela ukonakala kwi-cartilage kunye ne-Intra-Articular idolo (umzobo 17). Umkhono okhuselayo kufuneka uhlaziywe ngokupheleleyo.

-Ukulatha kancinci komkhono okhuselayo unokwenza umkhosi wentloko. I-Fluoroscopy inceda ekuchongeni ingxaki. Uhlengahlengiso kwakhona lwendawo yokukhusela iya kusombulula ingxaki (Fig. 18)

-I-Napikithi ye-Napile Ukufakwa kwesikhonkwane sokugqibela, ityhubhu yentsimbi kufuneka isuswe, ishiya kuphela iplastiki ethambileyo yeplastiki. Xa isipikili sinamathele, kufuneka sisuswe ngokupheleleyo kwaye ifakwe ifakiwe iphinde isuswe emva kokususa i-cannula yentsimbi kuphela.

Umzobo we-17 yokukhusela ukurhoxisa ukurhoxisa ngaphandle kokubonwa kwe-fluoroscopic kungakhokelela ekulimaleni kwedolo

Umzobo we-18 yokutsala okanye ukugcwala ngengozi ukhuseleko kunokuphazamisa ukususwa kwe-reamer, njengoko intloko yeRemamer inokuthi i-jam. B Ukuhlolwa kwe-fluoroscopic ngokulungiswa komdibaniso kuyavumela ukususwa kwentloko ye-remer. C Intloko yeRemamer inokushenxiswa ukuba intloko yeReamer ayikho endaweni. d Intloko yeRemer inokususwa ukuba intloko yeReamer ayikho endaweni.

Izalathiso

Hessmann Mh, i-Buhl m, finkemeier C, i-Khourheme A, Moskiff R, Blauth M. Suuth M. Suriatellarllar sailing ze-tibia. I-orthop ye-orthop ye-orper. 2020 Oct; 32 (5): 440-454.