Ngokwentloko kunye neNtloko yeNtloko, yamkela uyilo oluphindwe kabini lwezikrelem zesikrelemnqa kunye nezikrelemnqa. Ukudibana okuhlanganisiweyo kwezi-2 ze-strews kuphucula ukuchasana nokujikeleza intloko yenyama.
Ngexesha lenkqubo yokufaka isikhafu sokucinezelwa, intshukumo ye-axial ye-Lag Screw iqhutywa yintambo ye-consal kunye nokujikeleza kwe-racker, kwaye ke yoxinzelelo lwe-LAG iguqulwe kakhulu. Sika intsebenzo. Izikrikhi ezi-2 zikhangele ngokudibeneyo ukuthintela "z".
Uyilo lwesiphelo se-proximal yesikhonkwane esiphambili esifanayo neyokuphucula i-prosthesis esenza ukuba isibini sezipikili sihambelana ngakumbi ne-cavity cavity, nangaphezulu kwimpawu ze-biomeyal ye-femul.
Amanyathelo oThuthi
Isikhundla: Isigulana sinokukhetha indawo yangaphambi okanye ye-supine. Kunye nesigulana kwisikhundla esisesiseko, kwitheyibhile yokusebenza kwe-radiolostucent okanye itheyibhile ye-oridhed. Icala elisempilweni lenziwa kwaye lilungisiwe kwi-bracket, kwaye icala elichaphazelekayo lifakwe i-10 ° -15 ° Ukuququzelela ulungelelwaniso kunye ne-cavity cavity.
Ukuseta ngokuchanekileyo: Ukulandelwa komzimba ochaphazelekayo ngomlenze wokulala ngaphambi kokusebenza, kwaye ulungelelanise indlela yokuhambisa umkhondo phantsi kwe-Fluooroscopy ukuze ilungu elingaphakathi likujikelezile kwaye i-adduction. Uninzi lwamanzi lunokulungiswa kakuhle. Ukuseta kwakhona kwakhona kubaluleke kakhulu kwaye inqaku lelokuba, musa ukunqamla ngokulula ukuba akukho lunciphiso lwaneleyo. Oku kungasindisa ixesha lokusebenza kwaye kunciphise ubunzima ngexesha lokusebenza. Ukuba ukuncitshiswa kunzima, unokwenza i-itiment encinci ngexesha lokusebenza kwaye usebenzise i-rod rod, iRecractor, i-Procles, njl. Ukuncedisa ukuncitshiswa. Amanqanaba amancinci amanqanaba angaphakathi kunye nangaphandle ayahlukaniswa, kwaye akukho sidingo sokutshintsha okuphindaphindiweyo. Isiphelo sokuqhekeka sinokuseta kwakhona ngokuzenzekelayo xa isikrini sokucinezelwa sisikreqo ngexesha lokusebenza.
Ukuncitshiswa kwe-trounter encinci: Uyilo lwezipikili ze-intramellary ayifuni ukuqhubeka kwe-cortex ye-medial cortex. Ngokubanzi, akukho sidingo sokunciphisa isiqwengana se-racharter se-trounter, kuba umsebenzi wokuncitshiswa okuncinci unefuthe kwigazi lokuphela kwegazi, kwaye ukwaphuka kulula ukuphilisa. Nangona kunjalo, i-COXA Versus kufuneka ilungiswe ngaphambi kokuba i-screw ibekwe, kwaye ixesha lokuya emhlabeni kunye nexesha lokuhlala linethuba lokuziphathwa komzimba kufuneka likhululwe ngokufanelekileyo
Isikhundla: I-3-5 cm i-3-5 cm i-dedeudinal yenziwa kwisiphelo se-proximal ye-apex engaphezulu kwe-trothen engaphezulu kwinqanaba lomqolo ophezulu we-Iliac. I-wirchner ucingo lwangaphandle lwe-femur ye-proximal, kwaye ihlengahlengiswe ukuba ihambelane ne-axis ende ye-femur phantsi kwe-C-Fluoroscopy, ukuze ukuma kwe-Evel kuchanekile ngakumbi.
Chonga indawo yokungena: Indawo yokungena imbizene kwi-apex ye-rochax enkulu, ehambelana ne-4 ° kuphambuka kwe-4 ° ehambelana ne-axis ende ye-axis ye-caxillary cavity kwimbonakalo yangaphambili. Kwimbonakalo yophando emva kwexesha, indawo yokungena epikikhi ibekwe kwi-axis ende ye-caxillary cavity;
Indawo yokungena yenaliti
InsendGUIDePin FLuoroscopy
R ngokupheleleyo ri-ead
Ukusukela ukuphela kwe-proximal ye-intertan ye-intertan ephambili kuxhomekeke, isikhonkwane kungafakwa emva kokuphinda kusebenze ngokupheleleyo ngexesha lokusebenza. Ukuphinda kwenziwe i-proximal kufuneka kumiswe xa isixhobo sokuthintela i-Dring Drill ichukumisa isixhobo sokungena. Nokuba ngaba ishali ye-distal ye-dismoral ibuyiselwe kuxhomekeka kubungakanani be-cavity cavity igqityiwe. Ukuba i-X-ray Prooperaperal ifumanisa ukuba i-cavity cavity ye-proximal shaft inciphile, isharal Shoft yam ilungiselelwe ngaphambi kotyando. Ukuba i-reaying ayonelanga, iya kwenza ukuba kube nzima ukufaka isikhafu. Ngexesha lenkqubo yokukrola, inokunyikima kuluhlu oluncinci amacandelo amva kwexesha lesipikili se-Intramellary kufuneka kuthintelwe, kodwa enkqonkqozwa emgqomeni wesipikili kufuneka kuthintelwe. Inkqonkqonkqonkqoza enjalo inokubangela ngokulula ithambo elahliweyo ngexesha lokusebenza okanye indawo yokuhlala yokuqhekeka emva kokuncitshiswa.
Faka i-tiseve yokhuselo lweziculi ezithambileyo, i-Drill kwi-wire yesikhokelo nge-drill, kwaye yandise ijelo le-proximal yesipikili se-Intramellary (engentla); Ukuba i-cavity ye-medullary inqabile, sebenzisa idrill ethambileyo yokwandisa i-cavity yomgangatho wobubanzi; qhagamshela isikhokelo sokufaka isikhonkwane esiphambili kwi-Intertan kwi-cavellary cavity (ngezantsi);
ProximalLi-ock
Indawo yokubekwa kweLag
Ukubekwa kwesikhafu sokucinezelwa
Isikhafu kwi-distal yokutshixa
RimoteLi-ock
Ukuphela kwendebe
Unyango lwePosi
Amayeza okubulala iintsholongwane ayedla ngokuthintela ukosuleleka kwiiyure ezingama-48 emva kotyando; I-heparin ye-molecular ye-sumpcum kunye neempompo zomoya zasetyenziswa ukukhusela i-vein vein tinmbossis (i-DVT) kwiziphelo ezisezantsi, kwaye izifo ezisisiseko zonyango zaqhubeka zinyangwa. I-radired eveleni ye-pelvis kunye ne-anterosiver kunye ne-radiographs yomva ye-hip echaphazelekayo ithathelwa ingqalelo ukuba inciphise ukuncitshiswa kwe-chality kunye nokulungiswa kwangaphakathi.
Ngosuku lokuqala emva kotyando, isigulana sikhuthazwe ukuba senze into echasene ne-quadriceps femoris kwisikhundla se-semine. Ngosuku lwesibini, isigulana sasiyalelwa ukuba sihlale ebhedini. Ngosuku lwesithathu, isigulana sasisenziwa ngenkuthalo i-hip kunye nedolo yedolo ebhedini. Akukho sisindo esinobunzima kwilungu elichaphazelekayo. Khuthaza abaguli abanokuba nako ukuba baphathe ubunzima kumlenze ochaphazelekayo ngaphakathi kweeveki ezi-4 zokusebenza emva kosetyenziso. Ngokuthe ngcembe uhambe nge-walker enobunzima obunengxaki ye-X-ray-ray-up kwiveki ezi-6 ukuya kwezi-8. Izigulana ezingakwaziyo ukuhamba ngokuzimeleyo kwaye zinemisitho enkulu yezigulana eziqhubeka nokukhula kwethambo le-bone eqhubekayo kwi-X-ray, ngokuthe ngcembe bahamba benenkxaso.
Umntu onxibelelana naye: I-YOYO (UMlawuli weMveliso)
I-Tel / whatsapp: +86 15682071233
Ixesha lokuposa: I-08-2023
