Zimbini iintlobo zeendlela zoqhaqho, i-screws screws kunye nezikhonkwane ze-intrimlary, eyayisakuba ibandakanya isikrelemnqa seplate jikelele kunye ne-AO ye-AO PROFE CORTARE okanye ivulekile. Ukukhetha kusekwe kwindawo ethile kunye nohlobo lokuqhekeka.
Ukulungiswa kwepine ye-Intramelilary kunezibonelelo zokuvezwa okuncinci, ukugqabhuka okungazinzileyo, akukho mfuneko yokulungiswa ngaphandle, njl. Kwi-1/3 yokuqhekeka, ngenxa ye-cavity enkulu ye-medullary kunye nethambo elininzi elidilizayo, kunzima ukulawula ukujikeleza kwepini ye-intramellary, nangona kulungiswa izikrelemnqa, kodwa kufanelekile kakhulu kwizikrelemnqa.
I-raction evulekileyo yokuqhekeka kwe-fricture ye-femur shaft enezipikili ze-intramellary
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I-STATALY yenziwa emgceni phakathi kwe-rocharte enkulu kunye ne-conforling ye-femur, kwaye i-stortion ye-postal ye-Putters ingenayo i-subtus ye-busts ye-busture ye-bustus. (Fig 3.5.5.2-1.5.2-2).
I-anterollateal action, kwelinye icala, yenziwa ngomgca osuka kwi-ANTAC Sprine Spines Spine kwi-patellar ye-patellaral kunye ne-fumoral fumoral smclery, kwaye ke kunqabile okanye Ayikaze isetyenziswe (Fig 3.5.5.2-3).
. Sika i-periosteum ukuba iveze iziphelo eziphezulu nezisezantsi zefratshi, kwaye ityhile ubungakanani ukuya kuthi ga kangangoko anokubonwa kwaye ibuyiselwe izicubu ezincinci kangangoko kunokwenzeka.
. Ukuba kukho ukuncipha kwe-cavity cavity, i-cavity cavity ye-cavity ingasetyenziselwa ukulungisa ngokufanelekileyo kwaye kwandise i-cavity, ukwenzela ukuthintela inaliti yokufaka kunye nokungakwazi ukukhutshwa. Lungisa isiphelo esiphukileyo ngomnini wethambo, faka inaliti ye-intramellary, ungena kwi-femur kwi-temine enkulu, kwaye xa isiphelo senaliti esiya kuthi ga kwi-Inramellary inaliti de ibe ibonakale ngaphandle kwesikhumba. Inaliti ye-intramellary irhoxisiwe, ihlulwe, idluliselwe kwi-foramen evela kwiRouchar enkulu, emva koko ifakwe kwindiza kwindiza yecandelo lomnqamlezo. Ukuphuculwa kweenaliti eziphuculweyo zineziphelo ezincinci ezijikelezileyo ngemingxunya yokukhupha. Ke akukho sidingo sokukhupha kwaye sitshintshe indlela, kwaye inaliti inokubethwa kwaye iphinde ingene ngexesha elinye. Ngenye indlela, inaliti inokufakwa emva kwakhona ngePIN yesikhokelo kwaye ityhilwe ngaphandle kwendawo enkulu enkulu, kwaye emva koko ipini ye-intramellary inokufakwa kwi-cavity cavellary cavity.
Ukubuyiselwa kwakhona kokuqhekeka. Ulungelelwaniso lwe-Anatomical lunokufezekiswa ngokusebenzisa i-proximal ipini ye-inramellay kwi-bone pry pivoting, itrayi, kunye nokuqhekeza. Ukulungiswa kufezekisiwe ngomnini wethambo, kwaye ipinki ye-intramellary emva koko iqhutywa ukuze umngxunya wokukhupha iPIN kujolise kwipostiortly ukuba ihambelane ne-themoral curvature. Ukuphela kwenaliti kufanele kufikelele kwinxalenye efanelekileyo yokuphela kokuphela kokuqhekeka, kodwa kungekreyiki, kwaye ukuphela kwenaliti kufanele ukuba ishiywe i-2cm ishiywe i-2cm ngaphandle kwe-TRONM ngaphandle kwe-trochanater, ukuze isuswe kamva. (Fig 3.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.5.2-4).
Emva kokulungiswa, zama intshukumo yenkohliso yelungu kwaye ijonge nakuphi na ukungazinzi. Ukuba kuyimfuneko ukutshintsha inaliti ye-intramerlary ye-intramelle, inokususwa kwaye itshintshwe. Ukuba kukho ukukhululeka okuncinci kunye nokungazinzi, isikere songezwa ukomeleza ukulungiswa. (Fig 3.5.5.5.2-4).
Inxeba lalikhutshiwe laza lavalwa kwii-Lawers. I-anti-yangaphandle ye-anti-yangaphandle ye-Plaster Boot ifakwe.
I-II Plates Strew Ukulungiswa kwangaphakathi
Ukulungiswa kwangaphakathi nge-Steeel Plates kunokusetyenziswa kuwo onke amalungu e-stem, kodwa ezantsi kwe-1/3 ilungele olu hlobo lokulungisa ngenxa ye-cavity enkulu. Iplate yensimbi yensimbi okanye i-AO Disteence Steel Steel Sype. Le yokugqibela iqinile kwaye ilungisiwe ngokuqinileyo ngaphandle kokulungiswa kwangaphandle. Nangona kunjalo, akukho namnye kubo unokuphepha indima yokugxininisa ukuba imaski yoxinzelelo kunye nokuvumelana nomgaqo wamandla alinganayo, ekufuneka kuphuculwe.
Le ndlela inamandla amakhulu obukhulu, ukulungiswa kwangaphakathi, kuchaphazela ukuphiliswa, kwaye kuneentsilelo.
Xa kukho ukunqongophala kwe-Inramellary pin, i-facraured quardlary curvatul okanye inxenye enkulu ye-charvallary okanye inxenye enkulu ye-Treyiki kwaye iphantsi 1/3 yokuqhekeka ihambelana ngakumbi .
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. Iplate kufuneka ibekwe kwicala lenkathalo elilandelayo, izikrikhi kufuneka zidlule kwi-cortex kumacala omabini, kwaye ubude beplate kufuneka bube ngamaxesha ama-4-5 ububanzi bethambo kwindawo yokuqhekeka. Ubude beplate bungama-4 ukuya kwi-8 ububanzi bethambo eliqhekezwe. Iipleyiti ezi-6 ukuya kwezi-8 zisetyenziswa rhoqo kwi-femur. Iziqwengana ezinkulu zethambo zinokuchazwa ngezikreqo ezongeziweyo, kwaye inani elikhulu lethambo linokubekwa ngaxeshanye kwicala leMedial ye-Deage. (Fig 3.5.2-5).
Hlamba kwaye usondele kwi-Lawers. Kuxhomekeka kuhlobo lwesikhafu seplate esisetyenzisiweyo, kwagqitywa ukuba ungasebenzi okanye ungasebenzisi ukulungiswa kwangaphandle kunye nodaka.
Ixesha lasemva: Mar-27-2024
