Xa ukhetha isicwangciso sonyango se-tibial tibial ractures, ukulungiswa kwangaphandle kunokusetyenziswa njengolungiso lwethutyana lwe-suctures enezicubu ezithambileyo ezithambileyo.
Isalathiso:
"Ukulawulwa komonakalo" Ukulungiswa okwethutyana kwe-quissures enesisu esibonakalayo esinezicubu, njengokuqhekeka okuvulekileyo okanye ukwaphuka kwe-quissure ethambileyo.
Unyango oluchazayo lwezinto ezingcolisekileyo, ezosulelo, okanye i-factures ngengozi enkulu yokutya.
EI-Xamine:
Imeko yezicubu ezithambileyo: ①open yenxeba; I-thession ethambileyo ye-tission ethambileyo, i-tissue ethambileyo yokudumba. Jonga imeko ye-neurovascular kunye nerekhodi ngononophelo.
Ukucinga: i-anterosiver kunye ne-X-rays ye-X-rays ye-tibia, kunye ne-anterosterior, i-anteroposte, kamva kunye ne-ankle cusupints ze-ankle. Ukuba i-intra-fricture irhabaxa, ukrokrela i-ct ye-tibial valt.
AI-Natomy:·
Indawo ekhuselekileyo "yendawo ekhuselekileyo" yokubekwa kwePIN yangaphandle yokulungiswa kwePIN yachazwa ngokwamanqanaba ahlukeneyo ecandelo.
I-proximal metaphysis ye-tibia ibonelela ngendawo yokhuseleko ye-ARC engama-220 apho i-pins yangaphakathi inokubekwa khona.
Ezinye iindawo ze-tibia zibonelela ngendawo yokufakwa kwenaliti ekhuselekileyo kwi-120 ° I-140 ° 140 °.
Subuchule bobuchule
Isikhundla: Isigulana silele wokonyuka itafile ye-X-ray ebonakalayo, kunye nezinye izinto ezinje nge-cushion okanye ishelufa ibekwe phantsi komzimba ochaphazelekayo ukunceda ukugcina isikhundla. Ukubeka i-pad phantsi kwe-hip ye-IPSEtal ijikeleza umlenze ochaphazelekayo ngaphakathi ngaphandle kokujikeleza kwangaphandle.
Ai-pproch
Kwiimeko ezininzi, izithuba ezincinci zenziwa kwi-tibia, i-calleneus, kunye ne-metatarsal yokuqala ukubeka imiba yendlela yangaphandle.
I-fibeula goccures ilungiswe ngokulula kumda we-palcutaneous kamva.
I-Practures ye-tibilial vault ebandakanya ukudibana nayo inokulungiswa ngemvume. Ukuba iimeko ze-tishu ezithambileyo zemvume, kwaye ukuba kukho imfuneko, indlela ye-anterolated eqhelekileyo okanye indlela yeMedial inokusetyenziselwa ukulungiswa. Ukuba ulungiso lwangaphandle lusetyenziswa kuphela njengenyathelo lokulungisa okwethutyana, indawo yokungena yenaliti apho inaliti yangaphandle icetywe ukuba ibekwe kude kwindawo yokulungisa i-tissure ye-tiscume yokuthintela ungcoliseko lwe-tiscus yokugqibela. Ukulungiswa kwangoko kweefreyimu ze-pigula kunye ne-intra ze-intra ezisebenza kakuhle.
Ukulumkela
Lumkela i-pin ye-pip yangaphandle yokulungisa ukulungiswa okulandelayo kwentsimi, njengoko izicubu ezingcolisekileyo ziya kukhokelela kwiingxaki zokungena. Ukuhamba rhoqo kwe-anterollal okanye iindlela ze-medial kunye nokudumba okuthe tyaba okuthambileyo kunokukhokelela kwiingxaki ezinzulu kwinyanga.
Ukuncitshiswa kunye nokulungiswa kwe-fibula gwenxa:
Nanini na xa kuphathwa iimeko ze-tishu ezithambileyo, i-fibeula iqhekeza kuqala. Ukuqhekeka kwe-fibbunt kuncitshiswa kwaye kulungiswe kusetyenziswa i-fitm ye-fitland i-scews, idla ngokuba zizikali ze-3.5mm ze-3.5mm ze-3.5mm l / 3mm iplate, okanye i-Tube. Emva kokuba i-figula incitshisiwe kwaye ilungisiwe, inokusetyenziswa njengomgangatho wokubuyisela ubude be-tibia kunye nokulungisa ukungcungcutheka kwe-tibial phraction.
Ukulumkela
Ukudumba okuthambileyo okuthambileyo okanye inxeba elivulekileyo elivulekileyo linokuthintela ukulungiswa kwe-fibula. Lumka ungayilungisi i-proximal fracial kwaye ulumke ukwenzakalisa i-proximal nerve ye-peroneal ye-peroneal.
I-Tibial Fractures: Ukuncitshiswa kunye nokulungiswa kwangaphakathi
I-Intra-Arcraunt Fractures ye-Tibial vault kufuneka incitshiswe phantsi kombono ocacileyo nge-anterolates okanye indlela ye-theal tibia, okanye ngokunciphisa ukuthengiswa ngokungathanga ngqo phantsi kwe-fluoroscopy.
Xa uqhuba isikhafu seleg, isiqwenga sokuqhekeka kufuneka silungiswe nge-wirchner wire kuqala.
Ukuncitshiswa kwangoko kunye nokulungiswa kwe-Intra-Fractures ivumela ubuchwephesha obuncitshisiweyo obuncitshisiweyo kunye nokuguquguquka okukhulu kulungiso oluqinisekileyo lwesekondari. Iimeko ezingathandekiyo ezingathandekiyo ezinjengokudumba okanye ukonakala kwe-tissies ethambileyo kakhulu kunokuthintela ukulungiswa kwangoko kweziqwenga ze-intra.
I-Tibial Fractures: Ukulungiswa kweTranslaricular
Umnqamlezo odibeneyo odibeneyo unokusetyenziswa.
Ngokweemfuno zendlela yesibini yenqanaba lesibini, i-5mm ye-5mm ye-5mm ye-5mm ye-pins ifakwe ngokuxinana okanye ngokuvalwa kwe-tibial okanye kwi-anterolates ye-tibias kwi-proximal yokuphela kwe-proximal yokuphela kwe-proximall.
Okokuqala phawula ithambo lethambo, ukhusela izicubu ezijikelezileyo kunye ne-tisse yokhuselo oluthambileyo, kwaye emva koko idrill, icofe, kwaye iqhube i-screw kwi-screw.
Izikhonkwane zokulungisa zangaphandle kwisiphelo se-distal zinokubekwa kwisiqwengana se-tifial tifatial, i-calcaneus kunye ne-metatarsis yokuqala, okanye intamo ye-tatus.
Izikhonkwane ze-transcalcaalscanage zangaphandle kufuneka zibekwe kwi-calcaneal tuberosity ukusuka kwi-medial ukuya ku-Latelity ukunqanda ukonakaliswa kwezakhiwo ze-neurovascular.
IPIN yokulungisa yangaphandle ye-metatarsal yokuqala kufuneka ibekwe kumphezulu we-anteromedial wesiseko se-metatarsal yokuqala.
Ngamanye amaxesha i-pin yangaphandle yokulungiswa inokuthi ibekwe ngokulandelelana kwe-trsal ye-tissus.
Emva koko, i-Dibia yase-Deal yayisetwe kwakhona kwaye umgca wokunyanzelwa uhlengahlengiswe kwi-Ilraoperation Fluoroscopy, kwaye i-fall yangaphandle yayihlanganisene.
Xa uhlengahlengisa i-fall yangaphandle, ukhulule iklip yokudibanisa, yenza itreyini yexesha elide, kwaye wenze ukuncitshiswa kwezandla ezinde ngaphantsi kwe-Fluoroscopy ukuhlengahlengisa isikhundla sokuqhekeka. Umqhubi emva koko ugcina isikhundla ngelixa umncedisi ekuqiniseni iziqwengana zokudibanisa.
MInqaku le-AIN
Ukuba ulungiso lwangaphandle alulonyango oluqinisekileyo, umkhondo wangaphandle we-nearney kufuneka ugcinwe kude kwindawo yokulungisa ngokuqinisekileyo ngexesha lokucwangciswa, ukuze kungangcolise intsimi yokusebenza yexesha elizayo. Uzinzo lolungiso lwangaphandle lungandiswa ngokwandisa isithuba sezikhonkwane zokulungiswa kwindawo nganye yokuqhekeka, ukongeza inani leekhonkwane, ukongeza inqwelomoya, kunye nokufaka i-fator yangaphandle. Ulungelelwaniso olululo olufanelekileyo kufuneka luqinisekiswe ngokusebenzisa engaphandle-iposti kunye nezigaba zangasemva.
I-Tibial Fractures: Ukulungiswa okungafunekiyo
Ngamanye amaxesha kuyinketho yokufaka i-facebotor yangaphandle engagungqiyo. Ukuba isiqwenga se-tifial se-dibial sikhulu ngokwaneleyo ukuba sihlale isiqingatha se-tens ye-tens ye-tens, i-faceboure elula ingasetyenziswa. Kwizigulana ezinamaqhekeza amancinci e-metaphyseal ye-tetaphyseal, i-hybrid yangaphandle equka i-proximal ye-proximal ye-proximal ye-proximal kunye ne-wirchner ye-wirschner enesidima iluncedo njengendlela yethutyana okanye ecacileyo yonyango. Isilumkiso kufuneka sisetyenziswe xa sisebenzisa i-chall-statericule ye-non-test-stander yefratshi nge-quissure ethambileyo. Ukususwa kwezi zicubu ezingcolisekileyo, ukubumbana kwendlela yenaliti, kunye nokungasebenzi kwesiphelo kwisipho de kufike ukuphiliswa kwenxeba okulungileyo kudla ngokufunekayo ngaphambi kokuba kwenziwe i-incofility eqinisekisiweyo.
ITekhnoloji yeSichuan Chenanhui Counanhui Co., Ltd
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Email: liuyaoyao@medtechcah.com
IXESHA LOKUQALA: NgoFebwe-10-2023
