Intshukumo ye-femolral i-feral yinto eqhelekileyo kwaye inokwenzeka yokwenzakala koogqirha bamathambo, ngenxa yokunikezelwa kwegazi, kwaye uninzi lwabaphengululi lungaphezulu kweminyaka engama-65 ubudala beminyaka engama-65 ubudala inokukhethwa ukuba ilungiswe ngaphakathi Utyando, kwaye eyona mpembelelo ibaluleke kakhulu ekuhambeni kwegazi ibangelwa luhlobo lwe-subcarbander racture yentshukumo yentomoral. I-SubCaCapital i-SubCapital i-submoral intamo inefuthe elibi le-haenxing, kunye nokuncitshiswa okhoyo kunye nokulungiswa kwangaphakathi kusendleleni yonyango lwendlela ye-submoral. Ukucuthwa okuhle kulungele ukuzinzisa iqhekeza, ukukhuthaza ukuphilisa ukuphiliswa kunye nokuthintela intloko yentloko ye-themoral.
Oku kulandelayo yinto eqhelekileyo ye-submolral yentamo ye-subcapital yokuxoxa ngendlela yokwenza i-surch-subcentration ilungiswe ngaphakathi kunye nesikrini esingekelweyo.
Ulwazi olusisiseko lwemeko yetyala
Ulwazi lwesigulana: Iminyaka engama-45
Isikhalazo: I-Whip ye-HIP ye-hip kunye nokudalwa kwemisebenzi yeeyure ezi-6.
UBOMI BANGAPHAMBILI: Isigulana sawa phantsi ngelixa sihlambe, sibangela iintlungu kwindawo yasekhohlo kunye nokuncitshiswa komsebenzi we-femur eshiyekileyo kunye nokuncitshiswa kwe-hip engazange itye i-hip, kwaye yayingazange ifune ngokwakhe yentshukumo yakhe yesibini yamathumbu emva kokwenzakala.
Ⅱ Uvavanyo lomzimba
I-36.8 ° C P87 ibetha / i-RIn R20 ibetha / imizuzu ye-BP135 / 85mmhg
Uphuhliso oluqhelekileyo, isondlo esiqhelekileyo, isikhundla esisebenzayo, isimo esicacileyo, intsebenziswano kwimviwo. Umbala wolusu yinto eqhelekileyo, i-elastic, i-edema okanye i-rash, akukho mkhuhlane we-lymph qudede emzimbeni okanye kwindawo yendawo. Ubungakanani bentloko, i-morphology eqhelekileyo, akukho ntlungu yengcinezelo, ubunzima, iinwele ezikhanyayo. Bobabini abafundi balingana ngobukhulu kwaye bajikeleze, kunye ne-Ectuex ekhanyayo. Intamo yayithambile, i-trachea yayigxile, i-fiyroid gland yayingaqhelekanga, isifuba sasingaqhelekanga, i-Debrical yayiqhelekile, isisu sentliziyo sasiyiintlungu okanye sithambile, kwakungekho ntlungu. Isibindi kunye nefleni bezingafunyanwanga, kwaye kwakungekho thando kwizintso. I-ANTARTRAGMS kunye ne-PAIPHRAGMS ayivavanywanga, kwaye kwakungekho zilahleko zomqolo, imilenze ephezulu kunye nempahla esezantsi, kunye nokuhamba okuqhelekileyo. I-Expressogical Exprexs yayikhona kuviwo lwe-neurological kunye ne-pathoical procex ayizange ivulwe.
Kwakungekho mfuneko yokuba i-hip yasekhohlo, ifuthe elibonakalayo kwi-roin ye-groin, i-hip yangaphandle ye-axis, i-hip kunye ne-hip eshiyekileyo ye-Axis ye-Axis ye-Axis, kwaye i-Dorsal Subsation yonyawo yayiqhelekile.
Ⅲ Iimviwo ezincedisayo
Ifilimu ye-X-ray yabonisa: Intshukumo yendoda yaseSubmolral iqhekeza lemfesane, ukusasaza isiphelo esaphukileyo.
UVIWO LWE-biOCOCHEMIC, isifuba se-X-ray, eBen Densitettry, kunye ne-ulfrasoomet ye-tins enzulu yamalungu asezantsi engabonisi nakuphi na ukungaqhelekanga.
Ukukhutshwa kwesifo kunye nokuqonda ukwahluka
Ngokwembali yesigulana ekhathazekileyo, i-hip ye-hip eshiyekileyo, ukusikelwa kwemisebenzi, uvavanyo lwe-Light of Welb lube yintlungu yangaphandle, i-Groin Green Axition, edibene ne-X-hip ye-X-ray i-X-ray inokuthi ifunyaniswe ngokucacileyo. Ukuqhekeka kweRochanaster kunokufumana iintlungu ze-hip kunye nokusikelwa komda, kodwa ngesiqhelo inkolelo yendawo icacile, indawo yoxinzelelo isekwe kwi-Trochanation, kwaye i-engle yoColopt yangaphandle inkulu, yazaliswa kuyo.
Ⅴ Unyango
Ukuncitshiswa okuvaliweyo kunye nokulungiswa kwendlela yangaphakathi kwenziwa emva koviwo olupheleleyo.
Ifilimu yokukhetha imi ngolu hlobo lulandelayo
I-Maneuver yokujikeleza ngaphakathi kunye nokugqabhuka komlenze ochaphazelekayo ngokuthinjwa kancinci kwelungu elichaphazelekayo emva kokubuyiselwa kunye nokubuyiselwa kunye nokubuyiselwa kwe-fluoroscopy kubonakalise ukubuyiselwa okuhle
I-pin ye-kirchner ifakwe kumphezulu womzimba kwindlela ye-theororalcopy, kwaye isikhumba esincinci senziwe ngokwendawo yokuphela kwePIN.
I-pin yesikhokelo ifakwe kwintamo yesimo esifanayo kumgangatho womzimba kwindlela ye-kirchner ngelixa igcina i-progrees engaphandle kunye ne-fluoroscopy yenziwa
IPIN yesikhokelo yesikhokelo ifakwe kwi-spurral stur usebenzisa isikhokelo esifanayo kwicala elingaphantsi kwesikhokelo sePIN.
Inaliti yesithathu ifakwe iparallel ngasemva kwenaliti yokuqala ngesikhokelo.
Sebenzisa i-fluoroscopic umfanekiso we-Fluoroscopic umfanekiso we-Fluople, zonke izikhonkwane ezintathu zeKirschner zabonwa zingena kwintamo yento entle
I-Drill Holes kwicala lePIN yesikhokelo, ukulinganisa ubunzulu kwaye ukhetha ubude obufanelekileyo besikhonkwane sezipini zesikhokelo, kucetyiswa ukuba kufike ilahleko yokuqala.
Isikhafu kwenye i-screw esinqeni enye emva kwenye kwaye ubone i
Imeko yengozi yekhusi
Ifilimu yokuphonononga i-Postoperapeate
Zidityaniswe nobudala bobudala, uhlobo lokuqhekeka, kunye nomgangatho wethambo, ukunciphisa ukuncitshiswa kwesipikili sangaphakathi kukhethwe, i-proces eqinisekileyo yefuthe eliphantsi, kwaye i-Hoble Sciection i-Speection, kunye nenqanaba lokuphilisa i-phraction liphezulu.
Isishwankathelo
1 Ukubekwa kwenaliti zikaKirschner emphezulu womzimba nge-fluoroscopy kuqhuba ukumisela inqaku kunye nendlela yokufakelwa kwenaliti kunye noluhlu lwento yesikhumba;
Izikhonkwane ezintathu zeKirschner kufuneka zilingane, zingene kwi-zigzag, kwaye zisondele emaphethelweni njengoko kunokwenzeka, ezilungele ukulungelelaniswa kwesaphulelo kwaye kamva kunyanzelekile
I-3 indawo yokungena kwe-Kirschner yeKirschner kufuneka ikhethwe kwezona zidumo zibalaseleyo zokuqinisekisa ukuba iPIN iphakathi entanyeni yenyama, ngelixa iingcebiso eziphezulu zinokuhamba phambili kwaye zibuyele phambili kwi-Crest ebalaseleyo ekulungiseleleni ukubambelela kunyango;
4 Musa ukuqhuba iPIN ye-KirsChner ingene kakhulu ngaxeshanye ukuthintela ukungena kumphezulu wobugcisa, i-Drill incinci inganxitywanga kumgca wokuqhekeka, enye ifanele ukuthintela ukuntywila kwe-theil;
I-5 i-strews evuthayo ikhutshelwe phantse kwaye emva koko incinci, igwebe ubude be-screw screw ichanekile, ukuba ubude be-screws, buza kutshintshela isifo se-screws, xa ubude be-screws, buza kutshintshwa nje kubude be-screws Ingcono kakhulu!
IXESHA LOKUQALA: UJan-15 ukuya ku-2424
