Itekhnoloji yokuhamba nge-Intrameli Imbali yayo inokutsalwa emva kwi-1940s. Isetyenziswe ngokubanzi kunyango lwethambo elide lokuqhekeza, ezingezizo, njl njl. Lungisa indawo yokuqhekeka. Kule micimbi, siya kwazisa umxholo ofanelekileyo kuwe ujikeleze iinzipho ze-intramellary.
Ngamafutshane, isikhonkwane se-intramellary sisakhiwo eside sinemingxunya yokutshixa emininzi kwiziphelo zombini ukulungisa i-proximal kunye ne-disters yokuqhekeka. Ngokwezakhiwo ezahlukeneyo, banokwahlulwa bangamacandelo aqinileyo, be-tubimar, icandelo, njl njl., Ezilungele izigulana ezahlukeneyo. Umzekelo, izikhonkwane eziqinisekileyo ze-intramellary zinokunyangeka kusulelo ngenxa yokuba zingenandawo yangaphakathi efileyo. Ubuchule obungcono.
Ukuthatha i-tibia njengomzekelo, ububanzi be-medullary cavity buhluka kakhulu kwizigulana ezahlukeneyo. Ngokwezinokuba ngaba kufuneka kwakhona, kuyafuneka, izikhonkwane ze-Intramellary zinokwahlulwa zangaphambi kokubeleka. Umahluko ulele ekubeni i-reamers ifanele isetyenziselwe ukusasazwa kwengqondo, kubandakanya incwadana yemigaqo okanye i-bits yombane, njl njl. Njl.
Nangona kunjalo, inkqubo yokwandiswa komongo Nangona kunjalo, kuhambelana nezifundo zeklinikhi ziyakhanyela ukuba kukho umahluko omkhulu. Kukho izimvo eziqinisekisa ukubaluleka kwexabiso le-medullaring. Kwelinye icala, izikhonkwane ze-intramellary ezineedayamitha ezinkulu zinokusetyenziselwa ukusasazwa kwengqondo. Amandla kunye nokuqina kwandiswa ngokunyuka kobubanzi, kunye nendawo yoqhakamshelwano kunye ne-cavellary cavity inyuka. Kukho umbono wokuba i-chips encinci yethambo eliveliswe ngexesha lokwandiswa komongo likwadlala indima ethile kwi-Autologous Bone.
Eyona ngxoxo iphambili ixhasa indlela engasangcolisi kukuba inokunciphisa umngcipheko wokosuleleka kunye nokungahoywa ngu-emforis, kodwa into engenakutyeshelwa kukuba ubuchwephesha bayo buthathaka buzisa i-Points ekhuselweyo. Okwangoku, uninzi lwezipikili ze-tibility zithanda ukusebenzisa izipikili ezandisiweyo, kodwa ezona zibalulekileyo kwaye zifuna ukuba zixinezeleke ngokusekwe kubungakanani be-capullity caltity caltity cald kunye neemeko zokuqhekeza. Imfuneko ye-remer kukunciphisa ukuxabana ngexesha lokusika kwaye ube neflethi enzulu kunye ne-shaft encinci, ngaloo ndlela kuncitshiswa koxinzelelo kwi-cavity cavity cavity cavity cavity cavity cares kunye nezicubu ezithambileyo ezibangelwa kukuntywila. I-Necrosis.
Emva kokuba isikhonkwane se-intramellary sifakwe, ukulungiswa kwesikhafu kuyafuneka. Ukulungiswa kwesikhundla semveli kubizwa ngokuba kukuvalelwa i-static, kwaye abanye abantu bakholelwa ukuba kunokubangela ukuphiliswa. Njengokuphuculwa, imingxunya ethile yokutshixa yenzelwe ukuba ibe yimilo ye-oval, ebizwa ngokuba kukhethwe ngamandla.
Ezi zinto zilapha ngasentla yintshayelelo kumacandelo okubanjwa kwe-intramellary. Kwinkupho elandelayo, siya kwabelana nawe ngenkqubo emfutshane ye-intramellary yotyando.
IXESHA LOKUQALA: USep-16 ukuya ku-523
