资源描述：
《距骨颈骨折闭合复位后路螺钉固定的应用解剖学分析》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、心的连线的中点为体表进针点，以垂直此连线进入距骨后，在外踝平面上，向内打钉的角度和足的矢状面成角不能超过35.68±0.79度，向外打钉和足的矢状面成角不能超过15.14±1.01度。3.在踝关节屈曲90°时，可取外踝的平面，外踝和跟腱中心连线的中点为体表进针点，以垂直此连线进入距骨后，在足的矢状面上，向上打钉和外踝平面成角不能超过15.96±0.79度,向下打钉和外踝平面成角不能超过15.14±1.01度。【关键词】距骨颈骨折；闭合打钉；体表定位；角度2AppliedanatomicstudyofT
2、alarneckfractureclosedreductionoftheposteriorscrewfixationAbstractObjective:Baseontheclinicalanatomy,WeSystematicobservecharacteristicsoftalusandsurroundingtissue,andmeasureanatomicaldataofitandrelevantorganizations,tofindsurfacepositionoffractureofthet
3、alarneckclosedreductionandscrewfixationbyposteriorclosureofthenail,theangleoftheneedleforFixingthetalarneck,toprovideanatomicaldataforminimallyinvasivetreatmenttopreventcomplicationsafterneckfractureofthetalar.Methods:Thisstudyused12adultfreshspecimens,
4、removedtheskin,fascia,exposedStructureofreartalar.intheanklebuckling90°,observedthebloodvessels,nerves,tendonsamongAchillestendon,Lateralmalleolus,andmedialanteriormalleolusandmeasuredtheanatomicaldata,andusedstatisticalanalysistofindtherelationbetweent
5、hem.AndfoundoutsurfacelocationforclosureofthenailforscrewfixationneckofthetalarfromSpacebetweentheAchillestendonandLateralmalleolus（InthelateralmalleolusPlane,takethemidpointofConnectionofthelateralmalleolusandtheAchillestendonforsurfacelocationtoneedle
6、)。Inanklebucklinginthe90°,fromthesurfacelocationforclosureofthenail,weneedledVerticallyformthemidpointofConnectionofthelateralmalleolusandtheAchillestendon,andtouchedthetalaronce,undertheguidanceoftheC-armmachinetoneedle,Adequatetothelevelandthesagittal
7、planeasthesurface.WeneedledaKirschnerwireLofparalleltothelongaxisofthefootformGpointandneedledotherKirschnerstofixtheTalarneckfrombelowtoabove,Insideandoutside.andMeasuredtheanglebetweenitandL.ThisisthelargestangleoffixationTalarneckfrombelowtoabove,Ins
8、ideandoutside.Finally,wegettheexperimentaldataforstatisticalanalysis。Results:1.InAnklebuckling90°,theverticaldistanceofcalcanealtuberclecentertothelateralmalleolusandthecenterpointGisrespectively35.64±2.50mm,35.86±31.43mm,Through
