Kukhazikika kwamkati ndi mbale
Chotupa chopondera ndi ma scrats ndi opaleshoni wamba wopaleshoni pakalipano. Kutseka ma mbale apakati mwamphamvu kumagwiritsidwa ntchito kwambiri pakusintha kwa phete. Pakadali pano, mbale ya mbale imaphatikizika makamaka imaphatikizapo mbale yopanda pansi komanso yofananira yofananira.
Chithunzicho pamwambapa chikuwonetsa mafilimu a X-ray kale ndi atachita opaleshoni ya owopsa a istearthritis ndi chopondera chopondera cholowera mkati
1. Njira yoyambira
Njira yoyambira ndikupanga mawonekedwe a mtsogolo pa malo olumikizirana ndi ankle malo ophatikizika, kudula wosanjikiza, ndikulowa m'malo mwake tendoko; Dulani kapisozi, yeretsani cholowa cha TiBiotealar, chotsani cartilage ndi pfuontral fupa, ndikuyika mbale yopanda pansi pa chidendene.
2. Njira yotsatira
Njira yofananira ndikudula osteotomy pafupifupi 10 cm pamwamba pa nsonga ya fibula ndikuchotsa chitsa. Chitsa cha mafupa chimathamangitsidwa. Kununkhira kwa osteotomy kumatsirizidwa ndikutsukidwa, ndipo mbaleyo imayikidwa kunja kwa phengu.
Ubwino ndikuti mphamvu ya kusintha ndi yayitali ndipo kukonzanso ndikolimba. Itha kugwiritsidwa ntchito pokonza ndi kuyambitsanso kwa varus yolimba kapena kuwonongeka kwa valgus kwa phewa limodzi ndi mafupa ambiri mutatsuka. Mfuti yopangidwa mwaluso kwambiri imathandizira kubwezeretsa matupi a phewa. Malo.
Zovuta ndizochulukirapo periosteum ndi minofu yofewa yomwe imafunikira kuvulazidwa, ndipo mbale yachitsulo ndiyabwino, yomwe ndi yosavuta kukhumudwitsa zisudzo zozungulira. Pulogalamu yachitsulo yoyikidwa kutsogolo ndikosavuta kukhudza pakhungu, ndipo pali chiwopsezo china.
intradellallary mitail
Posachedwa, kugwiritsa ntchito retrograde intramullary msomali a Ankle Arthrodes pochiza matenda a masewera olimbitsa thupi agwiritsidwa ntchito pang'onopang'ono kuchipatala.
Pakadali pano, njira yolumikizira intradomuslary imagwiritsa ntchito mawonekedwe a pakati pa ankle kapena anteinferogral ofanana ndi kutsuka kwa articular yoyeretsa kapena kukoma kwa mafupa. Msana wa intradellary umayikidwa kuchokera ku calcanus kupita ku caldial medullary cantle, yomwe imapindulitsa kuwongolera ndikulimbikitsa fupa.
Ankle Ostearmitis amaphatikizidwa ndi matenda am'madzi am'madzi. Preminal anteroprong ndi mafilimu ofananira a X-ray adawonongeka kolumikizidwa kwa tibiotialar yolumikizidwa ndi kugwa, kugwa pang'ono kwa Talus, ndi mapangidwe a osteophyte kuzungulira (kuchokera pa 2)
Kusungunuka kosasunthika komwe kumapangitsa kuti ngolo ya kutsekera kumbuyo kwa intradellary nail, yomwe imatha kuyika molunjika, zomwe zimatha kutsutsana ndi chiopsezo cha screwrawal.
Kulumikizana kolumikizira tibiotar ndi zolumikizirana ndi kukonzedwa ndikukonzedwa kudzera mu njira yachikumbutso yam'maso, ndipo kutalika kwa chimbudzi ku khomo la lorbar indradellallary nail anali 3 cm
Msana wa intradellawerlary amagwiritsidwa ntchito ngati mawonekedwe apakati, ndipo kupsinjika kwake kumabalalika, komwe kungapewe kupsinjika kwamphamvu ndipo kumagwirizana ndi mfundo za bimonasnananics.
Anteropropyomba komanso wofananira ndi X-ray film 1 mwezi atawonetsa kuti mzere wakumbuyo unali wabwino ndipo mutu wa intradomullary unakonzedwa modalirika
Kugwiritsa ntchito retrode introdellary misomali kuti agwirizane ndikuchepetsa khungu lofewa, kuchepetsa matenda ena, ndipo amatha kupereka mawonekedwe okhazikika osakhazikika popanga opaleshoni.
Chaka chimodzi nditagwira ntchito, makanema okwanira a X-ray olemera a X-ray, adawonetsa maulendo ophatikizika a cholumikizira cha Tibalar, ndipo kusinthika kwamtunda kunali kwabwino.
Wodwala amatha kudzuka pakama ndipo amakhala ndi kulemera msanga, zomwe zimathandizanso kulekerera kwa wodwalayo komanso moyo wabwino. Komabe, chifukwa cholumikizira choperewera choperechedwa chizikhala chokhazikika nthawi yomweyo, sichikulimbikitsidwa kwa odwala omwe ali ndi vuto lalikulu. Kusungidwa kwa cholumikizira chachitsulo ndi chinthu chofunikira kwambiri chobwezera ntchito ya phewa lolumikizira odwala omwe ali ndi mafungo ophatikizika.
scre scritation
Kukhazikika kwa Percuquous Stem ndi njira yodziwika bwino mu ankle arthrodesis. Ili ndi maundundi ochita opaleshoni yochulukirapo monga mawonekedwe ang'onoang'ono komanso kutayika pang'ono magazi, ndipo imatha kuchepetsa kuwonongeka kwa minofu yofewa.
Anteropropyorcond ndi Fayilo ya X-ray ya mafilimu olumikizira akhungu musanawonetsere zotupa za Tyteous
Kafukufuku wawonetsa kuti kusintha kosavuta ndi 2 mpaka 4 mafoni kumatha kukhazikika kukhazikika komanso kukakamizidwa, ndipo ntchitoyi ndi yosavuta ndipo mtengo wake ndi wotsika mtengo. Ndisankho loyamba la ophunzira ambiri pano. Kuphatikiza apo, kuyeretsa kwa kamodzimodzi kumatha kuchitidwa mu Arthroscopy, ndipo zomangira zimatha kuyikidwapo. Zovuta zoyipa ndizochepa ndipo zotupa ndizokhutiritsa.
Pansi pa Arthroscopy, dera lalikulu la cartilage costerilage imawoneka; Pansi pa Arthroscopy, chipangizo chowonetsera chowoneka bwino chimagwiritsidwa ntchito pochiza mawonekedwe a artular
Olemba ena amakhulupirira kuti njira zitatu zokomera zikasinthike ku malo osakhala pachiwopsezo cha postoperative, ndipo kuchuluka kwa kusokonekera kumatha kukhala kokhudzana ndi kukhazikika kwamphamvu kwa 3.
Wotsatira X-ray filimuyo patatha milungu 15 pambuyo pa opaleshoniyo idawonetsa kuti zimachitika. Aofas Score anali ma 47 oyang'anira asanagwire ntchito ndi 74 mfundo 1 chaka atachita opareshoni.
Ngati zomangira zitatu zimagwiritsidwa ntchito pokonzekera, malo ophatikizira ndikuti zomangira ziwiri zoyambirira zimayikidwa bwino kuchokera ku arteromedial ndi mawonekedwe am'mimba kumbali ya talari kupita kumbali ya talus.
Njira yakunja yakunja
Zochita zakunja zinali zida zoyambirira zomwe zimagwiritsidwa ntchito ku Ankle Arthrodesis ndipo tachitapo kanthu kuyambira m'ma 1950s kupita ku Illizarov, Hoffman, wosakanizidwa ndi taylor space (TSF).
Chotupa chotsegukira chodwala kwa zaka zitatu, anke arthrodes 6 miyezi ingapo itatha kuwongolera matenda
Kwa milandu yovuta ya ankle ndi matenda osinthika, ntchito mobwerezabwereza, khungu lobwerezabwereza, khungu lofewa, mapangidwe ang'onoawo, otupa am'mimba, otupa a iltizarov amagwiritsidwa ntchito ngati cholumikizira.
Wokondedwa wakunja wa mphete amakhazikika pa ndege ya coronal ndi ndege ya sagittal, ndipo imatha kuyikanso tanthauzo lokhazikika. M'mayendedwe oyambilira, idzalimbikitsa mathero a kuwonongeka, kulimbikitsa mapangidwe a callus, ndikusinthasintha. Kwa odwala omwe ali ndi vuto lalikulu, oyang'anira kunja amatha kukonza zolakwika. Zachidziwikire, cholembera chakunja chakunja chimakhala ndi mavuto monga kusokonekera kwa odwala kuti azivala komanso chiopsezo cha matenda opatsirana.
Lumikizanani:
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Email:liuyaoyao@medtechcah.com
Post Nthawi: Jul-08-2023
