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1、安徽医科大学硕士学位论文StudiesofTalusandItsAdjacentStructuresontheAnatomyandClinicalApplicationAbstractObjective:Basedontheanatomystudyofthetalusanditsadjacentstructures,itexplainsthemechanismoftalusinjury.Surgicalapproachoftalusneckfractureandthewayofinternalfixation,arecarefullydiscusse
2、d.Provideanatomicalbasisforthepreventionandtreatmentoftalusavascularnecrosisafterfracture.Methods:Theexperimentspecimensare25freshadultcadaversprovidedbyDepartmentofAnatomyofBengbuMedicalCollege,including16malecadaversattheaverageageof43.1yearsoldandaverageheightof174.2cmandoth
3、er9femaleattheageof37.5yearsoldandheightof160.6cm.Allspecimensareprovedtohavenofootmalformation,tumorandbonelesions.①Withcoloredlatex,ammoniaandbariumsulfatemixedperfusionspecimensafterdigitalgastrointestinalmachineX-ray,spiralCTscanningand3Dreconstructionoftalus,peripheralvasc
4、ularimagingobservation.Andthentheanatomicaldissectionwasperformedtoobserveitsadjacentstructures.②DSAisoperatedon10adultvolunteers’anklesDSAandfurtherobservationontheperipheralvascularimagingoftalushasbeenconducted.③Talusareanatomizedtomeasurethelength,width,heightoftalus,thewid
5、thbeforeandafterthetrochleaoftalus,andtheheightoftrochleawithprecisionverniercalipertoonlytwodecimalplaces.④In21patients’operationcasesoftalarneckfracture,thetreatmentofopenreductionandtwocannulatedscrewfixationareadoptedbasedontheanatomicalresults.Results:①Thebloodsupplyofthet
6、alus:vascularanastomosisisfoundbetweentheanteriortibialartery,posteriortibialarteryandtheperonealartery,whichforms5安徽医科大学硕士学位论文correspondingregiontoprovidenutritionforthetalus.②Theadjacentstructuresofthetalus:medialmalleolus,lateralmalleolus,andthesubtalarcalcanealtubercleformt
7、heirregularquadrilateralaroundtalus.Surroundingvitalstructuresare:theposteriortibialartery,nervebehindthetalus,tibialnerve.Tibialnervesgofromthelegofthemenbehindthedarklineinthemedialmalleolusandthemedialcalcanealtubercleintothemidpointofsuddenfoot,thelateralnerves.Achillestend
8、onandalateralgroovebetweentheexperimentallymeasuredten
