Ukuvinjwa izikrelemswa kusetyenziswa ngokubanzi kwikhondo leklinikhi, ngakumbi ekunikezelweni kwezipikili ezinde.
Eyona nto ibalulekileyo, imisebenzi yokutyibila izikrelemnqa inokushwankathelwa njengezibini: Okokuqala, zokuncitshiswa, kunye neyesibini, ukonyusa ukulungiswa kwangaphakathi.
Ngokwenyathelo lokunciphisa, 'i-'clang' isenzo sesikrelemnqa siqeshwa ukutshintsha umkhombandlela wangaphakathi wokulungiswa ngaphakathi, ukufezekisa ukuncitshiswa okufunekayo kunye nokulungelelaniswa kokulungiswa okufunekayo. Kule meko, isikroba sokuvimba kufuneka sibekwe 'ukuba singahambi' indawo, kuthetha indawo apho ulungiso lwangaphakathi olungafunwanga khona. Ukuthatha iTibia kunye ne-femur njengemizekelo:
Kwi-tibia: emva kokufaka i-wire yesikhokelo, ibekwe kwi-portex cortex ye-tibial shaft, ekuphambukele kwi-midline ye-Calmlary eshal. Kwindlela ethi 'I-Hostridy', ngokuthe ngqo inqaku elingasemva le-metaphysis, isikere sokuphanga sifakwe ukukhokela intambo ngaphambili kwi-canal yedumba. "
I-femur: Kumzekeliso ongezantsi, isipikili seferal ye-retroral siyaboniswa, ngokuqhekeka kuphele ukuphela kwenguquko. Isikhonkwane se-intramellary sibekwe kwinkalo engaphakathi ye-canel ye-can. Ke ngoko, isikrini esiyibhloka sifakwe ecaleni elingaphakathi ukufezekisa utshintsho kwindawo ye-intramelimullary.
Ngokuphathelele ukwandisa uzinzo, ukuvimba isikere kwakuqala kusetyenziswa ukuqinisa uzinzo lwefratshi ezimfutshane kwiziphelo ze-tibial faft. Ngokuthintela ukuhamba kwezikhonkwane ze-intramellary ngesenzo sokuvimba isikrelemnqa kunye namacala angenasiphelo, njengoko kubonisiwe kumzekelo we-thercondylar kunye nozinzo lwenyama yokuqhekeka kunokomelela. Oku kunceda ukukhusela intshukumo yokutshingqwa kwe-intramellary kunye neziqwengana zethambo ekude.
Ngokufanayo, ekucwangcisweni kwe-tibial quares kunye nezikhonkwane ze-intramellary, ukusetyenziswa kwezikrelemnqa kunokuqeshwa ukonyusa uzinzo lokuphela kwesandla.
IXESHA LOKUQALA: FEB-02-2024
