Mukamasankha dongosolo la mankhwala osokoneza bongo a Tibraal, kukonza kwakunja kumatha kugwiritsidwa ntchito ngati mawonekedwe osakhalitsa a fractures otsika minofu yofewa.
Indications:
"Kuwonongeka Kwakanthawi" Kukhazikika Kwakanthawi kwa Zovala Zakuthupi Zofunikira Kwambiri Minofu, monga zotchinga zotseguka kapena zotsekeka zowoneka bwino ndi kutupa kokwanira.
Chithandizo chotsimikizika cha zodetsedwa, zotupa zodwala, kapena zowonongeka ndi kuvulala kofewa kwa minofu.
EXamine:
Minofu yofewa: bala la ①OPEN; ②②vere minofu yofewa, kutupa kofewa. Chekeni kwa maulamuliro a neurovascular ndikujambulitsa mosamala.
Kulingalira: Anteropparter dy-rays x-ray of the tibia, ndi aniportemba, wofananira ndi ankle acupoints a phetu. Ngati incralar fracturer imaganiziridwa, kuwunika kwa ct ya tibial vault kuyenera kuchitidwa.
Awamita:·
The Anatomical "otetezeka" kuti muwone pini yakunja ya Putfict yofotokozedwayo idafotokozedwa molingana ndi magawo osiyanasiyana a gawo lodutsa.
Mafanizo a proximal a TiBA amapereka 220 ° anternior, malo okhala ndi zikhomo zakunja zomwe zingayikidwe.
Madera ena a Tibia amapereka malo otetezedwa ndi antelemative mumitundu 120 ° ~ 140 °.
SNjira yolimbikitsa
Udindo: Wodwalayo samakhala patebulo loyenda pa X-ray loyendayenda, ndi zinthu zina monga khunyu kapena alumali amayikidwa pansi pa dzanja lomwe lakhudzidwa kuti lithandizire kukhalabe. Kuyika padyo pansi pa chiuno cha ippilateral kumazungulira miyendo mkati popanda kuzungulira kwakunja.
Achithokoma
Nthawi zambiri, zingwe zazing'ono zimapangidwa ku Tibia, calcanuus, ndi metatal to metatal kuti ikhazikike mapisi akunja.
Fibula fratives imakhazikika mosavuta kuchokera kumalire ofananira ndi malire a subpeus.
Mafuta a tibial vault yokhudza kulumikizidwa kumatha kukhazikika. Ngati minofu yofewa ya minofu, ndipo ngati kuli kotheka, njira yokhazikika yanthenti kapena njira yomwe ingagwiritsidwe ntchito pokonzekera. Ngati kusintha kwa kunja kumangogwiritsidwa ntchito ngati muyeso wakanthawi kochepa, kulowera kwa singano komwe kumakonzedwa kuti ayikidwe kuyenera kukhala kutali ndi malo omaliza a msomali kuti apewe kuipitsidwa minofu. Kukonzekera koyambirira kwa fibula ndi zidutswa za intra-articular zimathandizira kukonza kotsimikizika.
Kusamalitsa
Khalani osamala ndi pini yakunja ya Pincy kuti mukonzekere kotsimikizika kwa gawo la opaleshoni, monga minofu yoyipitsidwa idzayambitsa zovuta zina postoperative. Njira zokhazikika kapena njira zingapo zotupa zofewa zimatha kuyambitsanso zovuta pakuchiritsa mabala.
Kuchepetsa ndi Kukhazikika kwa Matenda a Fibula:
Nthawi iliyonse minofu yofewa ya minofu, Fibula imathandizidwa kaye. Kusaka kwa mitsuko kumachepetsedwa ndikukhazikika pogwiritsa ntchito starm yakumapeto, nthawi zambiri ndi 3.5mm lag screps ndi 3.5mm l / 3m chubu mbale, kapena 3.5mm lcdc mbale ndi zomata. Pambuyo pa fibula yochepetsedwa ndikukhazikika, itha kugwiritsidwa ntchito ngati muyezo wobwezeretsa kutalika kwa tibia ndikuwongolera kusokonekera kwa tibial.
Kusamalitsa
Kutupa kofewa kwa minofu kapena bala lalikulu kwambiri kumatha kupewa kukonzanso kwa fibula. Samalani kuti musakonze zojambula za proximal ndikusamala kuti muvulaze proximial propeal snevel.
Tibial Fractures: Kuchepetsa ndi kusintha kwamkati
Intra-articular fraculage ya tibial valt iyenera kuchepetsedwa pansi pa mawonekedwe a anteronce kapena medial a TIBIA SIBAl, kapena kudzera mu kuchepetsa kwamphamvu kwa huluoroscopy.
Mukamayendetsa chikwangwani, chidutswa cha kusokonekera chiyenera kukhazikika ndi waya wa Kirschner kaye.
Kuchepetsa koyambirira ndi kukhazikika kwa maluso a intra-articalar kumalola njira zowonongera komanso kusinthasintha kwakukulu pakusintha kwachiwiri. Mikhalidwe yosavuta yofewa monga kutupa kapena kuwonongeka kwakukulu kwa minofu ingalepheretse kukhazikika kwa intra-artilar.
Tibial Fractures: Kukonzanso kunja
Choyimira cholumikizira chakunja chitha kugwiritsidwa ntchito.
Malinga ndi zofunikira za njira yachiwiri yosinthira, zikhomo ziwiri za 5MM-top-top-to sporded zidayikidwapo mwanjira inayake kapena kudzera muzovuta pazakudya za ku Tibra yomwe ili kumapeto kwa thupi.
Choyamba osagwirizana ndi mafupa, kenako pewani minofu yozungulira ndi manja oteteza minofu, kenako kubowola, pitani, ndikuyendetsa chofewa kudzera m'manja.
Zikhomo zodzikongoletsera zakunja zomwe zikuchitika kumapeto kwa chiwopsezo cha kuwonongekaku kutha kuyikidwa pachidutswa cha tizilombo tating'onoting'ono, calcanis ndi khosi la Talutal, kapena khosi la Taluta.
Transcalcane yakunja yakukaziyi iyenera kuyikidwa pachifuwa cha calcleal kuchokera ku medial kukwirira kuti tisawonongeke pamagulu a neurovascular.
Pini yakunja ya metataal yoyamba iyenera kuyikika panthembolidial pamwamba pa maziko a metatastal.
Nthawi zina pini yokhazikika yakunja imatha kuyikidwa pansi kudzera mu tarsol sinus.
Kenako, Tibia yofalitsira ijanso idasinthidwanso ndipo mzere wamphamvu udasinthidwa kudzera mu nthochiyabwino fluoroscopy, ndipo wokonza wakunja adasonkhana.
Mukamasintha cholembera chakunja, kumasula clip yolumikizira, itachita chiletso, ndikuchepetsa pang'ono pamanja pa fluoroscopy kuti musinthe mawonekedwe a Fracraure. Wogwiritsa ntchitoyo amasunga udindo pomwe wothandizira amalimbitsa.
MMFUNDO
Ngati kukonzekera kwakunja si chithandizo chotsimikizika, njira yopanda tanthauzo yakunja iyenera kusungidwa kudera lotsimikizika pakukonzanso ntchito, kuti musadetse gawo lamtsogolo. Kukhazikika kwa kusanthula kwakunja kumatha kuwonjezeredwa ndikuwonjezera ma pinsponge malo osinthira kulikonse, ndikuwonjezera kuchuluka kwa zikhomo, ndikuwonjezera mapulani ophatikizira a phewa. Kuchita bwino kokwanira kuyenera kutsimikiziridwa kudzera mu gawo lakumbuyo-poster ndi lotsatira.
Tibial fraclues: kusakhazikika kwa span
Nthawi zina ndi njira yogwiritsira ntchito yoyang'ana kunja komwe sikunatenge cholumikizira. Ngati chidutswa cha Tibral Tibraal ndi lalikulu lokwanira kuti akhale ndi zikhomo zosanja za theka, chosavuta chakunja chitha kugwiritsidwa ntchito. Kwa odwala omwe ali ndi zidutswa za fanizo la fanizo la metaphyseal, ophatikizana kunja kwa proximal yolumikizidwa ndi Proximal Sereation Sperict PIN ndi Shower Billy Billner Way ndi waya wosakhalitsa kapena kotsimikizika. Chenjezo liyenera kugwiritsidwa ntchito pogwiritsa ntchito okonda zakunja kwa Span-articular wakunja kwa zotupa ndi zodetsa minofu. Kuchotsa minofu iyi yoyipitsidwa, kusokonekera kwa singano yama singano, komanso kusakhazikika kwa malekezero ataponyedwa mpaka kuchira bwino kwa bala ndi kofunikira musanayambe kusinthika.
Sichuan Chenanhui Technology Co., LTD
Lumikizanani: Yoyo
Whatsapp: +8615682071283
Email: liuyaoyao@medtechcah.com
Post Nthawi: Feb-10-2023
