Izikhonkwane zokuthintela zisetyenziswa ngokubanzi kwiiklinikhi zeklinikhi, ngokukodwa ekulungiseni izipikili ezinde ze-intramedullary.
Eyona nto, imisebenzi yokuthintela izikrini inokushwankathelwa njengento ephindwe kabini: okokuqala, ukunciphisa, kwaye okwesibini, ukwandisa ukuzinza kwangaphakathi kokulungiswa.
Ngokubhekiselele ekunciphiseni, isenzo 'sokuthintela' se-screw sokuthintela sisetyenziselwa ukuguqula isalathiso sokuqala sokulungiswa kwangaphakathi, ukufezekisa ukunciphisa okufunayo kunye nokulungisa ukulungelelaniswa.Kulo mxholo, isikrufu sokuthintela kufuneka sibekwe kwindawo 'yokungahambi', okuthetha indawo apho ukulungiswa kwangaphakathi kungafunwayo.Ukuthatha i-tibia kunye ne-femur njengemizekelo:
Kwi-tibia: Emva kokufaka ucingo lwesikhokelo, lubekwe ngokubhekiselele kwi-cortex yangasemva ye-tibial shaft, iphambuke kumgca ophakathi we-medullary canal.Kwindlela 'engafunwayo', ngokukodwa inkalo yangasemva ye-metaphysis, i-screw blocking ifakwe ukukhokela ucingo phambili kunye nomsele we-medullary."
I-Femur: Kumfanekiso ongezantsi, isikhonkwane se-femoral retrograde sibonisiwe, kunye neziphelo zokwaphuka zibonisa i-angulation yangaphandle.Isikhonkwane se-intramedullary sibekwe kwicala langaphakathi lomjelo we-medullary.Ngoko ke, i-screw blocking ifakwe kwicala langaphakathi ukufezekisa utshintsho kwindawo yesikhonkwane se-intramedullary.
Ngokubhekiselele ekuphuculeni ukuzinza, izikrini zokuthintela ekuqaleni zazisetyenziselwa ukuqinisa ukuzinza kweefractures ezimfutshane ekupheleni kwe-tibial shaft fractures.Ngokuthintela ukuhamba kwezikhonkwane ze-intramedullary ngokusebenzisa isenzo sokuthintela izikhonkwane kumacala angaphakathi nangaphandle, njengoko kuboniswe kumzekelo we-femoral intercondylar kunye ne-supracondylar fracture engezantsi, ukuzinza kweziphelo zokuphuka kunokuqiniswa.Oku kunceda ukuthintela ukushukuma kwesikhonkwane se-intramedullary kunye namaqhekeza amathambo akude.
Ngokufanayo, ekulungiseni i-tibial fractures kunye nezikhonkwane ze-intramedullary, ukusetyenziswa kwe-screws yokuthintela kungaqeshwa ukuphucula ukuzinza kweziphelo zokuphuka.
Ixesha lokuposa: Feb-02-2024
