Makina a ma inctortheactor a akaunti ya femur ya 50% ya fracractures mu okalamba. Chithandizo cha Conservative chimakhala pamavuto monga vein thrombusis, embolmory embolism, zilonda zovuta, ndi matenda a m'mapapo. Chiwerengero chaimfa mkati mwa chaka chimodzi chimaposa 20%. Chifukwa chake, pakakhala kuti wodwala matendawa amalola, kukonza koyambirira kwa opaleshoni ndi chithandizo chomwe amakonda kwa ma incrochantic fractor fractor.
Intradellallary misomali yamkati pakadali pano ndi muyeso wa golide wothandizira ma incrochantic. Mu kafukufuku pazomwe zimapangitsa kuti pakhale pompopompor pfna, zinthu monga pfna mitambo, varlus ngodya, ndipo kapangidwe kake kananenedwa m'maphunziro apitawa. Komabe, sikodziwikabe ngati makulidwe a msomali waukulu umakhudza zotsatira za ntchito. Kuti athe kuthana ndi izi, akatswiri achilendo agwiritsa ntchito misomali ya intradellary yokhala ndi kutalika kofanana koma makulidwe osiyanasiyana kuti mukonze ma metroctontic fractions (zaka> 50), ndikufanizira kuti musinthe.
Phunziroli lidaphatikizapo milandu ya 191 ya United Staterochantic Fractions, onse omwe amachitiridwa ndi pompo. Pamene wocheperako Trochanter adatopa ndikugwetsedwa, msomali wachidule wa 200mmm adagwiritsidwa ntchito; Pamene wocheperako Trochact anali wokhumudwa kapena wopanda tanthauzo, msomali wachidule wa 170mm adagwiritsidwa ntchito. Miyala ya msomali yayikulu idachokera ku 9-1mm. Kufananiza kwakukulu mu phunziroli ndi mafunso otsatirawa:
1.
2. Chiyanjano pakati pa cortex ya chidutswa cha mutu ndi kachidutswa kakang'ono, kuti awone mtundu wa kuchepetsedwa;
3. Mtunda wa TIP-APEX;
4.nail-to-cartal raio (ncr). NCR ndi chiwerengero cha misomali yayikulu ya misomali mpaka direllary cakatir cameter pa distal pokoma ndege.
Pakati pa odwala 191 omwe akuphatikizidwa, kugawana milandu kutengera kutalika ndi mainchesi chachikulu kumawonetsedwa mu chithunzi chotsatira:
Pafupifupi ncr anali 68.7%. Pogwiritsa ntchito pafupifupi iyi ngati khomo, milandu ndi ncr wamkulu kuposa avareji omwe amadziwika kuti ali ndi mainchesi amkati, pomwe ndi NCR yocheperako kuposa momwe ingafanane ndi miyala yocheperako. Izi zidapangitsa kuti odwala akhale gulu lalikulu la msomali (90 milandu) ndi gulu loonda kwambiri (milandu ya 101).
Zotsatirazi zikuwonetsa kuti palibe kusiyana kwakukulu pakati pa gulu la msomali ndi gulu la msomali la misomali likuluzikulu.
Zofanana ndi kafukufukuyu, nkhani idasindikizidwa mu "kunenera kwa zoopsa za Orthopedic" mu 2021: [mutu wankhani].
Phunziroli lidaphatikizapo odwala okalamba 168 (zaka> 60) okhala ndi ma incrocanticnic fractures, onse omwe amachitiridwa ndi misomali ya ceplomdullary. Kutengera mulifupi wa msomali waukulu, odwala adagawika pagulu la 10mmm ndi gulu lomwe lili ndi mainchesi ambiri kuposa 10mm. Zotsatira zomwe zidawonetsanso kuti kunalibe kusiyana kwakukulu pakubwezeretsanso ndalama (mwina kapena osakhala opatsirana) pakati pa magulu awiriwa. Olemba phunziroli akuwonetsa kuti, okalamba odwala matenda a ma incrochantic, omwe amagwiritsa ntchito msomali ya 10mm amakhala wokwanira, ndipo palibe chifukwa chobwezeretsa kwambiri, chifukwa chitha kukwaniritsa zotsatira zabwino.
Post Nthawi: Feb-23-2024
