Ukukhethwa kwendawo yokungena ye-Intramellary ye-Tibial Fractures yelinye lawona manyathelo aphambili kwimpumelelo yonyango. Indawo yokungena engentle yokungena kwi-Intramellary, nokuba ikwindlela ye-Suprapatellar okanye i-Infrapatellar, ingaphumela ekulahlekelweni, ukungcungcutheka kwe-angular yokuphela kwesakhiwo sedolo ngendawo yokungena.
Iimpawu ezi-3 ze-tibilimerlary inqaku lokufakelwa kwe-itial ziya kuchazwa.
Yeyiphi indawo esemgangathweni ye-gaibial tibial
Zithini iziphumo zesikhonkwane se-tibility seli
Injani inqaku elichanekileyo lokungena ngokuzimisela?
I. Yeyiphi indawo yokungena kwiTibIntramimerlary?
Indawo ye-orthotothic ikwindawo yokuhlangana kwe-axia ye-tibia kunye ne-tibial plates, umda we-cibial ye-tibia, kunye nendawo ye-tibial ye-tibial yendawo kunye nendawo yokufuduka kwe-tibial stem.
Uluhlu lwendawo yokhuseleko kwindawo yokungena
22.9 ± I-8.9mm, apho inaliti inokufakwa ngaphandle kokwenzakalisa i-BYNAY I-ACL kunye nezicubu ze-menuscus.
II. Zithini iziphumo zomphambukeliTibIi-nuramedullary NI-AIL?
Kuxhomekeka kwi-proximal, ephakathi, kunye ne-dibitial ye-tibial, i-proximal yokuqhekeka kunento ebizelweyo, ukwaphuka kwe-tibial ephakathi kunezikhundla kunye nokubeka endaweni ye-dialimerlary ye-disramellary.
# I-proximal ye-tibility
# I-tibial tibial gwenxa
Inqaku lokungenela linempembelelo encinci ekususweni, kodwa kungcono ukufaka isikhonkwane ukusuka kwindawo yokungena.
# I-dibial tibial factures
Inqaku lokungena kufuneka lilingane nokuqhekeka kwe-proximal, kwaye isikhundla se-disramellary ye-disramellary kuya kufuneka ukuba kubekho i-orting kwi-ortial ye-disnix ye-divix ye-divix ye-dist.
Ⅲ. HOw ukufumanisa ukuba ingaba inqaku lokungena kwinaliti lichanekile?
Sidinga i-fluoroscopy ukufumanisa ukuba inqaku lokungena kwinaliti lichanekile. Kubaluleke kakhulu ukuthatha i-orthopantom ye-orthopantom yedolo, ke kufuneka ithathwe njani?
Umgangatho oqhelekileyo we-Orthopantogram-Parallel yentloko ye-fibbul
I-Axis ye-Axis ye-ortho-ray yenziwa umgca othe tye, kwaye umgca ofanayo we-Axis ye-Axis yenziwa kumda we-tibial plates kwi-ortho-ray. Ukuba kufunyenwe i-x-ray enjalo, iqinisekisa ukuba ithathiwe ngokuchanekileyo.
Ukuba i-ortho-slice ayisiyo ikhula, umzekelo, ukuba isikhonkwane sivela kwindawo esemgangathweni, xa kuthathwa indawo yokujikeleza engaphandle, kwaye kuya kubonisa ukuba indawo yokujikeleza iyodwa iya kuchaphazela isigwebo somhlaba.
Kwi-X-ray esemgangathweni ye-X-ray, i-Medial kunye ne-Pemelial kunye ne-Teetial kunye ne-tibial kunye ne-tibial kunye ne-tibial ye-tibial kunye nexesha elizayo, inqaku lokungena kwindawo enamanzi phakathi kwethafa kunye ne-tibial stem.
Iv. Isishwankathelo somxholo
Inqaku le-Teramerial Leicial Teramellary Nail I-Beap Storegon ngokuthe ngqo kumda we-Pealial Spine ye-Pibia ye-Tibia kwaye kamva kwi-tibial plates kunye nendawo yokufuduka kwe-tibial stem.
Indawo yokhuseleko kwindawo yokungena incinci kakhulu, kuphela i-22.9 ± 8.9 mm, kwaye inaliti inokufakwa kule ndawo ingonakalisi i-ACL ye-ACL kunye nezicubu ze-acl kunye nezicubu ze-meniscal.
I-intraopeanmography esemgangathweni ye-orthopantomographs kunye ne-radiographs ye-Oteral ye-Oteral ye-ETTE kufuneka ithathwe, nto leyo ephambili ukufumanisa ukuba ingaba i-Inaliti yokuNgena ichanekile okanye ayilunganga.
IXESHA LOKUQALA: UJan-02-2023
