Intradellallary miyalaNjira yogwiritsidwa ntchito kwambiri yogwiritsidwa ntchito porthopdic yamkati yomwe imayambiranso ku 1940s. Amagwiritsidwa ntchito kwambiri pochiza mafupa a mafupa a mafupa, osakhala mabungwe, komanso kuvulala kwina. Njira yokhudza kuyika misomali ya intravellallary kulowa mkati mwa fupa kuti ikhazikitse malo omenyera. Pazosavuta, msomali wa intradellary ndi gawo lalitaliKutseka ChotsekaMabowo pamalekezero onse awiri, omwe amagwiritsidwa ntchito kukonza malekezero a kuwonongeka kwa kuwonongeka. Kutengera kapangidwe kawo, misomali ya intravedollary imatha kugawidwa ngati gawo lolimba, la tubular, kapena lotseguka, ndipo limagwiritsidwa ntchito pochiza mitundu yosiyanasiyana ya odwala. Mwachitsanzo, misomali yolimba intravedollary imakhala ndi kukana kwabwino chifukwa chosowa kwawo.
Ndi mitundu yanji ya zonunkhira za misomali ya intraveladillary?
Intradellallary msomalindi njira yabwino yochizira matenda owoneka bwino, makamaka mu femur ndi Tibia. Mwa njira zowonongera, intradellary msomali amatha kupereka bata wabwino pochepetsa kuwonongeka kofewa kwa malo osokoneza bongo.
Kuchepetsa kotsekeka ndi intravedollary kusanthula kwa makonda kumakhala ndi mapindu awa:
Kuchepetsa kotsekeka ndi intravedollary miyala (CRIN) ali ndi zabwino zopeweka malo osokoneza bongo ndikuchepetsa chiopsezo cha matenda. Ndi kusokonekera pang'ono, kumapepesa zofewa zofewa ndi kuwonongeka kwa magazi pamalo osokoneza bongo, motero kumasinthiratu zochiritsa. Mitundu yapadera yaProximal Mafupa, Crisn amatha kupereka kokhazikika kokwanira, kulola odwala kuyamba kuyenda koyambirira; Ndiwopindulitsa kwambiri malinga ndi kupsinjika kwa axial kupsinjika poyerekeza ndi njira zina za ecomentric potengera biomenasnananics. Itha kukhala bwino kumasula mawonekedwe amkati atachitidwa opaleshoni powonjezera gawo pakati pa kuwoneka ndi fupa, ndikupangitsa kukhala koyenera kwa odwala omwe ali ndi mafupaso.
Amagwiritsidwa ntchito ku TiBA:
Monga momwe chithunzicho, opangira opaleshoni amaphatikizapo kupanga 3-5 cm kokha pamwamba pa tibial tubercle, ndikuyika zomangira ziwiri zopitilira 1 cm. Poyerekeza ndi njira yachikhalidwe yotseguka ndi kukhazikitsidwa kwamkati ndi mbale yachitsulo, izi zitha kutchedwa njira yodziwika bwino kwambiri.
Imagwiritsidwa ntchito ku femur:
Ntchito 1.
Amatanthauza kuthekera kwake kukana kuzungulira kudzera mu kachitidwe kotseka kwa msomali wa intravedillallarylarylarylarylarylarylarylary.
2.Clation of the Loved Intravellary Nail:
Pankhani ya Ntchito: Muyeso unatsekedwa urravelallary misomali ndikumanganso misomali ya intramululullary; Makamaka kufalitsa nkhawa kuchokera ku chiuno cholumikizira cha bondo, komanso ngati mbali zapamwamba ndi zotsika pakati pa ozungulira (mkati mwa 5cm) ndi khola. Ngati sizingatheke, kumanganso kufalikira kwa m'chiuno kumafunikira.
Pafupifupi kutalika: Mwachidule, pofikira, komanso mitundu yotalikirana, makamaka osankhidwa pamalo a kuthyolako posankha kutalika kwa msomali wa intravedullary.
2.1 muyezo wolowera mkati
Ntchito yayikulu: Kukhazikika kwa nkhawa.
Zizindikiro: Zovala za shaft ya femsolulu la femlachantic
2.2 Kubwezeretsanso Kumanganso Intravedillary msomali
Ntchito yayikulu: Kutumiza kopsinjika kuchokera m'chiuno kupita ku shava shaft ndi yosakhazikika, komanso kukhazikika kwa kufalitsa nkhawa mu gawo ili kuyenera kumanganso.
1.. 2. Ma fracratures a khosi loyenda bwino lophatikizidwa ndi zotupa za femal kumbali yomweyo (zotchinga zowoneka bwino mbali yomweyo).
PFNA ndiyonso mtundu wa mtundu wa intramillallary msomali!
2.3 Kuma makina otsetsereka a intravedullary msomali
Makina otsetsereka a intradellary misomali imakhala yosiyanasiyana kutengera wopanga. Nthawi zambiri, cholumikizira chimodzi chotseka chimagwiritsidwa ntchito ngati misomali ya intramullal, koma yosangalatsa misomali ya intramullal, awiri kapena atatu opindika omwe ali ndi zotchingira madontho nthawi zambiri amagwiritsidwa ntchito pokonza zosewerera. Zonse ziwiri za akazi komanso tibial zolimbikitsidwa misomali ya intradullal imakhazikika ndi zomangira ziwiri zotseka.
Post Nthawi: Mar-29-2023
