Iindaba-I-rogical ubuchule | Isikhafu sekholamu yeMedical sincedise ukulungiswa kwe-proximal fectures

I-proximal ficuls idla ngokubona iKlinikhi yeklinikhi ibangelwa kukungasebenzi kakuhle kwamandla. Ngenxa yeempawu ze-anatomical ze-festilemal femur, umgca oqhekekileyo uhlala usondele kumphezulu wobugcisa kwaye unokwandisa kwiNtlawulo, esenza ukuba ilungelelene i-Inramellary yokulungiswa kwe-intramellary. Ngenxa yoko, icandelo elikhulu lamatyala lisenexhomekeka kulungiso lokusebenzisa ipleyiti kunye nenkqubo yesikrelem. Nangona kunjalo, iimpawu ze-biomechachachacal zeplate eziqingqiweyo ze-eccerricpicepperricpie ibeka umngcipheko ophezulu wezinto ezinokubangela iplastiki, ukulungisa kwangaphakathi, kunye nokuphuma kwesikhafu. Ukusetyenziswa koNcedo lwePleti yeMedial Ukulungiswa, nangona kusebenza, kuza neengxaki zokunyuka koxinzelelo, ixesha elide lonyango, kunye nokuphakamisa usulelo losulelo lwendawo, kunye nokongezwa komthwalo wezemali kwizigulana.

Ngenxa yezi ngqwalaselo, ukuze kufezekiswe ibhalansi efanelekileyo phakathi kweepleyiti ze-biomechanalical kunye ne-sugalical hards, abaphengululi bamanye amazwe bamkele i-ofisi yokuxhasa iplagi ye-Peecutaneaus kwicala le-percutaneant kwicala lokucamngca. Le ndlela ibonakalise iziphumo ezifanelekileyo zeklinikhi.

Emva kwe-anesthesia, isigulana sibekwe kwindawo yesibini.

Inyathelo loku-1: Ukuncitshiswa kwesandla. Faka inaliti ye-2.0mm ye-Bibial tuberosity, itrasti yokuseta ubude belungu lomlenze, kwaye usebenzise idolo yedolo ukuze ulungise ukufuduka kwenqwelomoya ye-sagittal.

Inyathelo 2: Ukubekwa kweplati yentsimbi ye-Lateral. Emva kokuncitshiswa kwesisiseko, ukusondela ngqo kwi-femur ye-femur ye-distar, khetha ubude beplate yokutshixa ukuze uchitheke, kwaye ufake isiphelo sesibini kwindawo yokuqhekeka. Okwangoku, kubalulekile ukuba uqaphele ukuba izikrikhi ezimbini ezi-distang kufuneka zibekwe kufutshane nendawo enokuthintela ukubekwa kwindawo yezikrelemnqa.

Inyathelo lesi-3: Ukubekwa kweekholamu zekholamu zeMedial. Emva kokuzinzisa ukuqhekeka kwipleyiti yentsimbi ye-STEAL, sebenzisa i-2.8mm ye-2.8mm ye-2.8mm Screw ukuba ingene kwi-overal conces, inaliti ye-Inaliti ibekwe kwibhloko ye-distal, ingaphandle nangaphezulu, ingena kwithambo elichaseneyo le-distal. Emva kokuncitshiswa okwanelisayo

Umzobo obonisa inkqubo yokuqhekezwa kwefrafti kunye nokulungiswa. Ibhinqa elineminyaka engama-74 eneminyaka eli-74 kunye ne-dismoral ye-feraral ye-feralic (AO 33c1). . . (D) Umfanekiso we-fluoroscopy ubonakalisa isikhundla esonelisayo se-wire yesikhokelo se-medial wire; .

Ngexesha lokuncitshiswa, kubalulekile ukuqwalasela la manqaku alandelayo:

(1) Sebenzisa intambo yesikhokelo ngesikere. Ukufakwa kweekholamu ze-Adial Screen kuhluthwa, kwaye ukusebenzisa iwire yesikhokelo ngaphandle kwesikroli kunokukhokelela kwi-angle ephezulu ngexesha lokuqhuba kwezemodial, iyenza ukuba ityekelwe kukutyibilika.

. Ukuba isikhafu sidibene ngexesha lokufakwa kwekholamu yeMedial, cinga ukurhoxisa okanye ukuphindisa isikroba esijikelezayo seplate yomva kwexesha, ukubeka kwindawo yokuqala yekholamu yekholamu.