Iingcebiso ezi-5 zokulungiswa kwe-Inramellary

Imigca emibini yombongo esithi "Sika kwaye useta ulungiso lwangaphakathi, ivaliwe i-Intramellay yandise" ngokufanelekileyo zibonisa isimo soogqirha bamathambo malunga nonyango lwe-tibia. Ukuza kuthi ga ngoku, kusengumbandela wezimvo ukuba i-plate screws okanye izikhonkwane ze-intramellary zingcono. Nokuba yeyiphi na eyona nto ilunge kakhulu emehlweni kaThixo, namhlanje siza kwenza isishwankathelo seengcebiso zoqhaqho nge-Inramellary.

Phambili

Ngelixa amalungiselelo ondlela oqhuba kakuhle akanyanzelekanga, kuyacetyiswa ukuba ube neseti ye-scews kunye neepleyiti kwimeko engalindelekanga (umz.

Iziseko ezi-4 zokuphendula ngokuphumelelayo

Ngenxa ye-anatomy ye-oblique ye-tibial tibial metaphysis, umkhwa olula awunakuhlala unokubangela ukuncitshiswa ngempumelelo. La manqaku alandelayo aya kunceda ukuphucula izinga lempumelelo lokumisela kwakhona:

I-1. Thatha i-orthopantom ye-orthopantom ye-orthopantoms yelungu elinempilo ukuthelekisa kunye nokumisela ubungakanani bokuncitshiswa kwesandiso kwicala elichaphazelekayo.

2.Ukuhlala isikhundla sedolo sedolo ukuze senziwe kube senziweyo kunye ne-fluoroscopy

3.Uyilondolozi ukugcina umlenze kwindawo kunye nobude

4. Izikrweqe zeSurhanz kwi-distal kunye ne-proximal tibia ukunceda ukuncitshiswa kweflicare.

Iinkcukacha ezi-7 zokuncitshiswa okuncedisiweyo kunye nokungena

1. Beka iPIN yesikhokelo ngokuchanekileyo kwi-dibia e-dibia ngokusebenzisa isixhobo esifanelekileyo sokunceda okanye ngokubeka inqaku lePIN yePIN ngaphambi kokubekwa.

2. Sebenzisa i-propping ye-harping ye-skicked ukubeka izipikili ze-Intramellary kwi-spiral kunye ne-ticquiquive

3. Sebenzisa ipleyiti engqongqo kunye nokulungiswa kwe-monocorid (i-tabuster okanye ipleyiti) ekunciphiseni okuvulekileyo ukugcina ukuncitshiswa de kufakwe isikhonkwane se-intramellary

I-4. Ukuncipha kwesikhonkwane se-Intramellary Neec Seck Prick Screws ukulungisa i-angral kunye nejelo lokuphucula impumelelo yokufakwa kwe-Intramelilary (umfanekiso 2)

5. Kuxhomekeka kuhlobo lokuqhekeka, thatha isigqibo sokuba usenze i-screws yokulungisa kunye nokulungiswa kwe-scloe yethutyana kunye ne-schnee okanye i-kirschner.

6. Thintela ukwaphuka okutsha xa usebenzisa i-screws kwizigulana ze-osteoporotic

7. Ukulungisa i-fibula kuqala kwaye ke i-tibia kwimeko ye-fibeula yokuqhekeka ekuqhubeni ukwenziwa kwe-tibili

Umzobo 1 I-Percutaneous Weber Wibique Revie Veection Revie (A kunye b) ibonisa ukuba i-tibia ye-tibia inesidima esine-bibscopic enobuncinci

Umzobo 2 Ukusetyenziswa kwe-screck scress ficker ye-tibial metaphysis elandelwa sisiphene se-posteration, kunye nokulungiswa kwe-screen postel postel. B) (Amakhiwane kwaye kwaye c), kunye ne-Cemplating Delatation emva kokubeka izikhonkwane zesikhokelo ukuze zilungelelanise i-comilmibliblibribriblibribribribribel (e)
Amanqaku ama-6 okulungisa kwe-intramellary

1. Ukuba ithambo le-distal ye-phraction line-bony ngokwaneleyo, isikhonkwane se-Inramellary sinokulungiswa ngokufaka ii-tcres ezi-4 kwi-axes ezininzi (ukuphucula imeko ye-axes ezininzi), ukuze kuphuculwe ubungqola abaninzi.
2. Sebenzisa izikhonkwane ze-intramelimerary ezivumela isikrelem ezifakiweyo ukuba sidlule kwaye senze ubume obutshintsho lokuzinza nge-athur.
3. Sebenzisa isikrelemnqa, izikrelem ezininzi, kunye neenqwelomoya ezininzi zokubekwa kwesikhafu ukusasaza izikrelem eziphakathi kunye neziphelo ze-proximal yokuqinisa isiphumo sezipikili ze-intramellary.
4. Ukuba isikhonkwane se-Intramellary sibekwe kude kangangokuba isikhokelo sangaphambi kwe-Bent sithintela ulwandiso lwe-tifilic onqindi, emva koko isikhokelo esingaphambi kokubhaliweyo okanye ukungaphumeleli kunokusetyenziswa.
5. Gcina isikhonkwane sokuthintela ipleyiti kwaye iplate de iqhekeza incitshisiwe, ngaphandle kokuba i-bive incitshise isikhonkwane se-intramellary ekusasazeni ithambo okanye iplate enesitayile esithambileyo.
6. Ukuba izipikili ze-intramellary kunye nezikrelemnqa aziboneleli ukuncitshiswa okwaneleyo kunye nokulungiswa, iplate ye-percutaneal okanye isikere sinokongezwa ukwandisa uzinzo lwezipikili ze-intramellary.

Izikhumbuzo

Ngaphezulu kwe-1/3 ye-tibia tibia gwenxa ibandakanya ukudibana. Ngokukodwa, ukwaphuka kwe-tibial tibial stem, i-tibial tibial tibres, okanye i-spibral fibral fibbunt kufuneka iphandwe nge-intra-quations. Ukuba kunjalo, ukwaphulwa kwe-intra kufuneka kulawulwe ngokwahlukeneyo ngaphambi kokubekwa kwesamente ye-intramellary.