Ukulungiswa okuthe qengqelekayo kunye nesikhundla njengoko bekuchaziwe kwangaphambili kwesakhelo sesakhelo sangaphandle.
Ukuqhekeka kwe-intra:
Ukuncitshiswa okulinganiselweyo kunye nokulungiswa kuyasetyenziswa. Ukuqhekeka komgangatho ophantsi wobugcisa kunokubekwa ngqo kwi-Antermial Caremial kunye ne-Anterlateal Stations kunye neNkulumbuso yeCapsule ye-Capsule engezantsi kwiMentiscus.
Ukugqalwa komzimba ochaphazelekayo kunye nokusetyenziswa kwe-ligaments ukulungisa iziqwengana zethambo, kunye nokunyanzelwa okuphakathi kunokusetwa ngokutsha ngokukrokra kunye nokukrazula.
Nika ingqalelo ukubuyisela ububanzi bethafa le-tibial plati, kwaye xa kukho ithambo elincinci ngaphantsi komphezulu wobugcisa, yenza ukulungiswa kwethambo ukuxhasa umphezulu wobugcisa emva kokuseta kwakhona umphezulu wobugcisa.
Nika ingqalelo ukuphakama kwamaqonga eMedial kunye neqonga, ukuze kungabikho nyathelo lomphezulu lobugcisa.
Ukulungiswa okwethutyana kunye ne-creamp ye-creamp okanye i-kirschner isetyenziselwa ukugcina kwakhona i-reset.
Ukubekwa kwezikrelemnqa, isikhafu kufuneka sihambelane nomgangatho wobugcisa kwaye sikwithambo le-subchotral, ukuze kwandise amandla okulungisa. I-Intraoperapeative X-Ray Fluoroscopy kufuneka yenziwe ukukhangela izikrelemnqa kwaye ungaze uqhube izikrelem ezidibeneyo.
Ukuqhekeka kwe-epiphyseal:
Isalathiso ibuyisela ubude kunye ne-axis ye-axis yomlenze ochaphazelekayo.
Inkathalo ithathwa ukuba ilungiswe ukulungiswa kokungasebenzi kwelungu elichaphazelekayo ngokuguqula i-tuberosity ye-tibial tuberosity kunye nokuqhelanisa phakathi kweenzwane zokuqala nezesibini.
Ukubekwa kweringi
Uluhlu lweeNdawo eziKhuselekileyo zeTibial Plate,:
I-Popliimaal Artery, i-Popliiteal Vein kunye ne-Tibial nerve iqhube i-tibia, kunye ne-nerve ye-peroneal ye-peroneal ihamba i-posterint kwintloko. Ke ngoko, ukungena kunye nokuphuma kwenaliti kufanele kwenziwe i-Teetial Plate, inaliti kufuneka ingene kwaye iphume kwinaliti yentsimbi ye-tibia kunye ne-ANTER kumda we-fibula.
Kwicala elisemva, inaliti inokufakwa kumda we-pibula kwaye uphumelele kwicala le-anteromial okanye kwicala leMedial; Indawo yokungena kwezendlela ihlala ikwindawo ye-Medial yethafa le-tibial kunye necala langaphandle, ukuthintela ucingo lwengqumbo lokudlula kwizicubu zemisipha.
Kuxelwe kuncwadi oluyindawo yokungena yecingo lokungena kwe-wires kufuneka ubuncinci ibe yi-14 mm ukusuka kumhlaba wobugcisa ukuthintela i-wire ye-wires ukuya kuthintela i-wipsule edibeneyo kwaye ibangele i-arthritis yosulelo.
Beka ucingo lokuqala lweembambano:
Iphini yomnquma inokusetyenziswa, edluliselwe kwiPIN yeTyala kumnini weringi, eshiya intloko yomnquma ngaphandle kwePIN ye-PIN.
Umncedisi ugcina isikhundla somnini weringi ukuze sihambelane nomphezulu wobugcisa.
I-Drill iPIN ye-olive nge-tishu ezithambileyo kwaye ngethafa le-tibial platial, ethathela ingqalelo ukulawula indlela yayo yokuqinisekisa ukuba indawo yokungena kunye neendawo eziphumayo zikwindiza enye.
Emva kokuphuma kwesikhumba ukusuka kwicala le-charailates kuyaqhubeka nokuphuma kwinaliti de intloko yomnquma iqhagamshelana nePIN yePIN.
Faka i-Wire Clamp Shiy kwicala le-challailatels kwaye ugqithise iPIN yomnquma ngokusebenzisa i-wire slide.
Thatha ingqalelo ukugcina i-tibial platestote embindini wesakhelo seringi ngamaxesha onke ngexesha lokusebenza.
Ngesikhokelo, ucingo lwesibini lweembango lubekwe kwindawo efanayo, kwelinye icala le-wire clamp slide.
Beka ucingo lwesithathu lweembaleki, kufuneka lube kuluhlu olukhuselekileyo kangangoko kunokwenzeka kwiseti yangaphambili ye-wire ye-wires enqamleze kwi-angle enkulu kwi-angle enkulu, ihlala i-angle i-50 ° 70 ° 7 70 ° 7 70 ° 70 ° 7 70 ° 7 70 ° I-70.
Ukulayisha kwangaphambili kusetyenziswa i-wire ye-cared: uxinzelelo ngokupheleleyo, dlulisele inyibilikisi ye-wires, cofa isiphatho, faka isitshixo se-windows.
Ukufaka isicelo sendlela efanayo yokulungiswa kwangaphandle ngaphesheya njengoko kuchaziwe ngaphambili, bebeka izikrelem zangaphandle ezingaphandle, kwaye ziyiqhagamshele i-fatotor yangaphandle engaphandle, kwaye iphinde idibane ne-mexis kunye ne-tibial stemical mexiotions ngaphambi kokugcwalisa ulungiso.
Ukuba uzinzo oluthe kratya luyadingeka, isakhelo se-ring sinokuqhotyoshelwa kwingalo yokulungisa yangaphandle enentonga yokudibanisa.
Ukuvala i-veloction
Isimo sokuhlinzwa sivaliwe ngumaleko ngomaleko.
Iphecana lenaliti likhuselwe nge-cull ye-guy.
Ulawulo lwePosi
I-syndrome yoBumoyisi kunye nokulimala kwe-nerve
Ngaphakathi kwi-48H emva kokonzakala, kuya kufuneka kuthathelwe ingqalelo ukugcina nokumisela ubukho be-syndrome yezilwanyana ezibonakalayo.
Qwalasela ngononophelo imithambo ye-vascular yelungu elichaphazelekayo. Ukubonelelwa kwegazi okanye ilahleko ye-neurologing eqhubekayo kufuneka ilawulwe ngokufanelekileyo njengemeko yongxamiseko.
Ukuvuselela ukusebenza
Imithambo yokusebenza inokuqaliswa ngosuku lokuqala lweposti ukuba akukho ndlela yokwenzakala okanye i-cortorbidies. Umzekelo, i-isometric quation ye-quadriceps kunye nentshukumo yokuhamba idolo kunye nentshukumo esebenzayo ye-ankle.
Injongo yemisebenzi yokuqala esebenzayo kwaye ingenayo yokufumana uluhlu oluphezulu lwentshukumo ye-idolo kangangexesha elifutshane kangangoko kunokwenzeka emva kotyando, okt, ukufumana uluhlu olupheleleyo lwe-4 ~. Ngokubanzi, utyando luyakwazi ukufezekisa injongo yozinzo lwedolo kwakhona, ukuvumela kwangethuba
Umsebenzi. Ukuba imithambo yokusebenza esebenzayo iyalibaziseka ngenxa yokulinda ukudumba ukuba inciphise, oku akuyi kuba lula ukubuyela kwimeko yesiqhelo.
Ukuzalane Ubunzima: Ingqungquthela yobunzima ngokubanzi ayizange ixhaswe, kodwa ubuncinci iiveki ezili-10 ukuya kwi-12 okanye kamva ngenxa yokuqhekeka kwe-intra.
Ukuphilisa inxeba: jonga ngokusondeleyo ukuphiliswa kweeveki ezimbini emva kotyando. Ukuba usulelo lwenxeba okanye ukulibaziseka kokunyanyelwa kwenzeka, ungenelelo lotyando kufuneka lwenziwe ngokukhawuleza.
IXESHA LOKUQALA: AUG-16 ukuya ku-2024
