Ubuchule boNyango

I-ABSTATE: Injongo: Ukuphanda ngezinto ezidibeneyo zefuthe lokusebenza lokusebenzisa i-Steel Plate yangaphakathi ukubuyisela iI-Tibial platesteud. Indlela: 34 Izigulana ezine-tibial plates zenziwe ngokusebenzisa i-Steet Plate yaNganiso lwangaphakathi okanye i-TAIRE PREATION, kwaye ilungisiwe ngokuqinileyo, kwaye yathatha umsebenzi emva kwexesha lokusebenza. Isiphumo: Zonke izigulana zaye zalandelwa iinyanga ezi-4 ukuya kwezi-6, iinyanga ezili-15, ngokutsho kwe-rasmussen yamanqaku, ezi-21 zazingalunganga, ezi-2 zihlwempuzekileyo. Umyinge ogqibeleleyo yayingama-85.3%. Ukuqukumbela: Gikelela amathuba afanelekileyo okusebenza, sebenzisa iindlela ezichanekileyo kwaye uthathe imithambo yomsebenzi, usinika ifuthe lentsebenziswano ekuhambenii-tibialIthayile yethayile.

1.1 Ingcaciso ngokubanzi: Eli qela lalinezigulana ezingama-3 ezinamadoda angama-26 kunye ne-8 amabhinqa. Abaguli babeneminyaka engama-27 ukuya kwi-72 ngeminyaka engama-39.6. Kwakukho amatyala angama-20 eengozi zengozi, amatyala ali-11 okulimala kunye namatyala ama-3 okuzityhoboza. Onke amatyala ayevaliwe ngaphandle kokulimala kwe-vascular. Kwakukho iimeko ezi-3 zokulimala i-Ligament weigament, iimeko ezi-4 zokulimala kwe-LIGAGE ze-LIGAGE kunye namatyala ama-4 okulimala kweMentiscus. Amaqhekeza ahlelwa ngokungqinelana neSpatzer: Iimeko ezi-8 ze-II, amatyala ama-12 ee-II yohlobo lwe-III, amatyala ama-2 ngohlobo lwe-IV, amatyala ama-4 ohlobo lwe-VI. Zonke izigulana zavavanywa yi-X-ray, iskena se-CT yethafa le-tibial kunye nokwakhiwa ngokutsha kwezinto ezintathu, kwaye ezinye izigulana zavavanywa nguMnu. Ngaphandle koko, ixesha lokusebenza laliyi-7 ~ 21D emva kokwenzakala, i-10d. Kule nto, bekukho izigulana ezingama-30 ezamkela unyango lwethambo, izigulana ezi-3 zamkela ukulungiswa kweplagi kabini, kunye nabaguli bakwamkelayo ukulungiswa kwangaphakathi.

1.2 Indlela ye-sugo: iqhutywaispinalI-Anesthesia okanye i-Inteubiation Anesthesia, isigulana sasisendaweni yerine, kwaye isebenza phantsi kwe-pneumatic tortataet. Utyando lusebenzise idolo ye-anterolates, i-tibial engaphandle okanye i-waterlyi-doloprong yedoloI-posterition possance. I-Ligamente yeCoronary I-LIGAM ingenziwa ecaleni kwento ethile ecaleni komda we Meaniscus, kwaye ityhilwe kumhlaba wobugcisa wethafa le-tibial. Ukunciphisa i-platesteau thaphuliki phantsi kombono othe ngqo. Amanye amathambo aqala ukulungiswa nge-kirschner pins, aze amiselwe ziipleyiti ezifanelekileyo (iplate-iplate, iipleyiti ze-gelf, ipleyiti, okanye i-T-plati, okanye idityaniswe neplate ye-buttreal bytres. Iziphene zethambo zazizaliswe yithambo le-Allognic (kwangoko) kunye ne-Alobloptrift yethambo. Ukusebenza, ugqirha ohlelayo waqonda ukuncitshiswa kwe-anatomical kunye nokudityaniswa kwe-proximal, igcinwe i-tibial tibial axis eqinileyo, ukulungiswa kwangaphakathi okuqinileyo, ubumba ohlanganisiweyo we-bone kunye nenkxaso echanekileyo. I-I-Ligament ye-idolo kunye ne-meiscus ye-reopeloudes yokuqhelanisa okanye i-intratity yamatyala, kwaye yenza inkqubo efanelekileyo yokulungisa.

1.3 Unyango lwePosi I-AnAlGeapeation Poaltopeated Alalgesia. Izigulana zithathe imithambo yemisipha ye-Wib emva kwe-24h, kwaye yathatha iinkqubo zokuzilolonga ze-CPM emva kokususa ityhubhu ye-crainage ukuze iqhekeza elilula. Idityaniswe i-Ligamente ye-Ligament, Possauser Provetive Pruvery Ligantat iimeko zokulimala, ngenkuthalo kwaye zishukunyiswe idolo emva kokulungisa i-Plaster okanye i-brace inyanga enye. Ngokweziphumo ze-X-ray ray, izigulana ezikhokelwa ngabaguli ukuba bathathe imithambo-nkqubo yokuyilolonga ubunzima bomzimba, kunye nokulayisha ubunzima ngokupheleleyo kufuneka kwenziwe ubuncinci kwiinyanga ezine ubuncinci kamva.