Mitek足踝关节产品及手术技巧

《Mitek足踝关节产品及手术技巧》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、足踝解剖,产品&手术谁在做手术?足踝外科专家普通骨科医生足部手术拇外翻踝关节外侧不稳跟腱修复足中部重建足–骨趾骨DistalMiddle(n/a1st&5th)Proximal跖骨距骨跟骨舟骨骰骨楔状骨MedialIntermediateLateral骰骨足底观足背观籽骨拇外翻Bunion/HalluxValgus找到内收肌腱，并从近节指骨基底部切除AdductorHallicusHalluxValgusContinued…在远端跖骨的附着点钻孔植入锚钉(GII,Fastin)重新连接韧带HalluxValgusCont

2、inued…拇囊炎切除术切除拇囊炎隆起CapsuleflapHalluxValgusContinued…钻两个孔植入锚钉用缝线拉紧，重排，关闭关节囊踝关节外侧不稳定a.k.a.ModifiedBrostromATFRepairLateralAnkleInstability–LigamentsAffected距腓前韧带跟腓韧带Mostcommonlyinjured外侧踝关节不稳定–基本修复踝关节外侧不稳定–SecondaryRepair用于慢性不稳定用腓骨短肌腱的前½穿过外踝的孔(腓骨附着)用锚钉固定在距骨的外侧腓骨短肌距

3、骨内侧踝关节不稳定三角韧带TibiotalarTibionavicularTibiocalcaneal跟腱修复Split,Rupture&Haglund’sDeformityTendoCalcaneous(AchillesTendon)跟腱分裂跟腱断裂Haglund’sDeformity(“PumpBump”)跟腱附着点的位置疼痛肿胀20-30岁的年轻女性多见可有滑囊刺激症状切除感染的组织用带线锚钉重新连接跟腱RetrocalcanealExostosisSpurpresentatinsertionofAchillest

4、endonFrequentlyAssociatedwithHaglund’sdeformityPatientsage20-40,usuallyinvolvedinsportsRemoveexostosis(spur)andreattachusingsutureanchorsAndmore…足中部重建扁平足胫骨后肌腱(PTT)主要附着在舟骨的内侧结节上其他分支附着在其他骨上PTT断裂导致后天扁平足TibialisPosterior(PTT)NavicularTurfToeMedialCollateralLigamentRu

5、pturePlantarPlateRuptureNotIndicated:ForInformationalPurposesOnlyAnchorsforFoot&AnkleMiniAnchorAnchorBody:1.8x5.4mmArcRange:5.5mmDrillHoleSize:2.1mmx9.7mmSuture/Needle:#0Ethibond&OS-2ReverseCuttingNeedles2/0Ethibond&V-5TapercutNeedlesAnchorMaterial:Titaniumbodywi

6、thNitinolArcsPulloutlbs.:20lbs.Indications:Hand:Scapholunate,UCL,orothercollateralligamentsFoot:Mid-footandhalluxvalgusFacial:TMJAnchorBody:2.4x8.8mmArcRange:7.8mmDrillHoleSize:2.4x14.2mmSuture:#2Ethibond&CP-2ReverseCutNeedle#2Panacryl&CP-2ReverseCutNeedleAnchorM

7、aterial:TitaniumbodywithNitinolArcsPulloutlbs.:~25lbsIndications:Foot:Lateral&medialankleinstability,Mid-footreconstruction,HalluxValgus&AchilliestendonrepairElbow:TennisElbow,BicepsTendonHand:ThumbUCLandScapholunateGIIAnchorAnchorBody:2.8x11.4mmArcRange:7.8mmDri

8、llHoleSize:2.9x17.8mmSuture:#2Ethibond&CP-2ReverseCutNeedle#2Panacryl&CP-2ReverseCutNeedleAnchorMaterial:TitaniumbodywithNitinolArcsPulloutlbs.:~42lbsIndicatio