Ukuqhekeka kwe-femoral i-thertochancric phracture yeyona nkululeko ixhaphakileyo kwi-hip eqhelekileyo kwisenzo kwaye yenye yezona zinto zintathu ziqhelekileyo ezinxulunyaniswa ne-osteoporousis kubantu abadala. Unyango lolondolozo lufuna ukuphumla kwebhedi ixesha elide, ukubeka umngcipheko omkhulu woxinzelelo loxinzelelo, usulelo lwe-pulmonary, i-pulmonary embolis, i-venis enzulu, kunye nezinye iingxaki. Ubunzima bobuhle bubalulekile, kwaye ixesha lokubuyisela ekugqibeleni lide, limisela umthwalo onzima kuluntu nakwiintsapho. Ke ngoko, ungenelelo lokutshatyalalela kwasekuqaleni, naphi na xa bekubaluleke, kubalulekile ukuba uphumelele kwimiphumo emihle yokusebenza kwi-fip gwenxa.
Okwangoku, i-PFNA (i-proximal yesipikili se-antirotation ye-antirotation) Ukulungiswa kwangaphakathi kuthathwa njengomgangatho wegolide ukuze unyango lwe-Hip. Ukufezekisa inkxaso elungileyo ngexesha lokuncitshiswa kwe-goraction ye-hip kubalulekile ekuvumeleni ukuzilolonga kwangoko. I-Intraopeative Fluoroscopy ibandakanya i-anterosteriort (AP) kunye neembono ezilandelayo zokuvavanya ukuncitshiswa kwe-cortex ye-fealiager ye-fealiage. Nangona kunjalo, iimbambano zinokuvela phakathi kweembono ezimbini ngexesha lotyando (okt, ofanelekileyo kwimbonakalo ye-oteral kodwa hayi kwi-anterospostoreorutior, okanye ngokuchaseneyo). Kwiimeko ezinjalo, kuvavanya ukuba unciphiso lwamkelekile nokuba kuyafuneka ukuhlengahlengiswa kuyafuneka kubangela ingxaki enzima kwiingcali zekliniki. Abaphengululi kwizibhedlele zekhaya ezinjengesibhedlele saseMpuma kunye neZibhedlele zeZhongshan sele belungisa lo mbandela ngokuvavanywa kwe-anterostocal kunye neembono ezimbi zisebenzisa i-CT e-CT-cessody scals njengomgangatho.
Umzobo chaza inkxaso elungileyo (a), inkxaso engathathi hlangothi (b), kunye nenkxaso engalunganga (c) iipateni zeflip gwenxa.
Umzobo ubonakalisa inkxaso elungileyo (d), inkxaso engathathi hlangothi (e), kunye nenkxaso engalunganga (f) iipateni zeflip gwenxa.
Eli nqaku liquka idatha yetyala ukusuka kwizigulana eziyi-128 ezineflegi ye-hip. I-Interoopeetional Anterosiver kunye nemifanekiso engama-40 yanikezelwa ngokwahlukeneyo koogqirha ababini (enye enamava amancinci kwaye enye enenkxaso engaphezulu) yokuvavanya inkxaso elungileyo okanye engafanelekanga. Emva kovavanyo lokuqala, kuqhutywa ngokutsha emva kweenyanga ezi-2. Imifanekiso ye-CT ye-CT ibonelelwe ngonjingalwazi onamava, oqinisekisile ukuba imeko yayiqinisekile okanye engafanelekanga, esebenza njengomgangatho wokuvavanya ubunyani bovavanyo oluthile olokuqala. Ukuthelekisa okuphambili kwinqaku imi ngolu hlobo lulandelayo:
. Ukongeza, eli nqaku libonisa ukungangqinelani phakathi phakathi kwamaqela amava namava ngakumbi kuvavanyo zombini kuvavanyo kunye nokungqinelana kwentragroup phakathi kovavanyo bobabini.
.
Iziphumo zophando
1. Kumjikelo emibini wovavanyo, nge-CT njengoMgangatho weSixa-mahluko, kungekho mthethweni, ireyithi elungileyo, ireyithi elungileyo, kunye nezinye iiparamitha, kunye neminye imilinganiselo yobuxoki, kunye namanqanaba ahlukeneyo amava.
2.Ngavavanyo lokuncitshiswa komgangatho, ukuthatha uvavanyo lokuqala njengomzekelo:
-Ukuba kukho isivumelwano phakathi kwe-anterosiver kunye neemvavanyo zikaRhulumente (zombini ezingathandekiyo), ukuthembeka kokungqinisisa umgangatho wokunciphisa kwi-CT nge-100%.
-Ukuba kukho ukungavisisani phakathi kwe-anterosiver kunye neemvavanyo zexesha elizayo, ukuthembeka kweekhrayitheriya zovavanyo lwasemva kokuxela umgangatho kwi-CT ephezulu.
Umzobo ubonakalisa inkxaso elungileyo eboniswe kwimbono ye-anterosterior ngelixa ivela ngokungathandabuzekiyo kwimbonakalo yomva. Oku kubonisa ukungangqinelani kwiziphumo zovavanyo phakathi kwe-anterosteriort kunye nembono ka-Latteral.
Ukwakhiwa kwakhona kwe-CT ezintathu ze-CT kubonelela ngemifanekiso yokujonga emininzi, esebenza njengomgangatho wovavanyo lomgangatho wokuncitshiswa.
Kwimigangatho yangaphambili yokuncitshiswa kwe-protracnrictic yokuqhekeka, ngaphandle kwenkxaso elungileyo nengalunganga, kukho imbono "yokungathathi cala", ichaza ukuncitshiswa kwe-anatomical. Nangona kunjalo, ngenxa yemicimbi enxulumene nokusonjululwa kwe-fluoroscopy kunye nokubona kwamehlo "ukunciphisa" kwenyani ", kwaye kuhlala kukho ukuphambuka okuncinci kwe" up "" Iqela elikhokelwa nguZhang Shimp kwi-Yangpu eShangpu epapashiweyo iphepha (isalathiso esithile silityelwe) esinokuphucula inkxaso elungileyo kwi-Interrouds eSebenzayo xa ithelekiswa nokuncitshiswa kwe-anatomical. Ke ngoko, siqwalasele olu phando, kufuneka senziwe ngexesha lotyando ukuze kufezekiswe inkxaso entle kwi-Interrrochanric Fractures, zombini kwiimbono ze-anterosterior.
IXESHA LOKUQALA: UJan-19 ukuya ku-2024
