Pankhani ya mutu ndi khosi lopindika, limatengera kapangidwe kaziwiri kwa zomangira za lag ndi zomata. Kugwirizanitsa kophatikizika kwa ma screes 2 kumawonjezera kukana kutembenuka mutu wachisoni.
Pa nthawi yoyika chinsalu cha kuphatikizira, kuyenda kwa axial kwa scress yolumikizidwa ndi chinsalu cha kuphatikizika, ndipo kupsinjika kwamphamvu kumasinthidwa kukhala gawo la anti-chozungulira cha stack. Dulani ntchito. Zomangira ziwirizi zimalumikizidwa mogwirizana kuti mupewe "z".
Mapangidwe a kumapeto kwa msomali waukulu msomali wofanana ndi wa prosthethesis wolumikizana umapangitsa kuti thupi la misomali likhale logwirizana ndi mawonekedwe a sudullah`
Masitepe Opaleshoni
Malo: Wodwalayo amatha kusankha kufalikira kapena gawo la supine. Ndi wodwalayo mu supine malo, patebulo la radiolucent kapena tebulo la orthopdic. Mbali yathanzi ya wodwalayo imakometsedwa ndikukhazikika pa bulaketi, ndipo mbali yomwe yakhudzidwayo imakonda 10 ° -15 ° kuti ithandizire kuyimitsidwa ndi ma medullary patsekeke.
Kukonzanso molondola: Tsimikizani miyendo yomwe yakhudzidwa ndi bedi la magwiridwe antchito, ndikusintha njira yomwe ili pansi pa fluoroscopy kuti dzanja lomwe lili ndi miyendo yocheperako ndi yosinthira. Kuwala kwambiri kumatha kubwezeretsanso bwino. Requopeciative Reset ndiyofunikira kwambiri ndipo mfundo yake ndi, musadule mosavuta ngati palibe kuchepetsa kokwanira. Izi zitha kupulumutsa ntchitoyi ndikuchepetsa zovuta panthawi yogwira ntchito. Ngati kuchepetsedwa ndi kovuta, mutha kupanga pang'ono pochita opareshoni ndikugwiritsa ntchito ndodo yokopa, reporni, kuchepetsa mphamvu, etc. kuthandiza kuchepetsedwa. Mbali zazing'ono zamkati zamkati ndi zakunja zimasiyanitsidwa, ndipo palibe chifukwa chosinthira mobwerezabwereza. Kutha kwa kuwonongeka kumatha kubwezeretsanso zokhazokha pomwe lingaliro la kuphatikizika kwakanidwa mu ntchito.
Kuchepetsa kwa Trochan: Kapangidwe ka msomali wa intradellary sikutanthauza kupitiliza kwa cortex. Nthawi zambiri, palibe chifukwa chochepetsera chidutswa chocheperako, chifukwa kuwongolera kokhazikika kumachitika pang'ono pamayendedwe ofalikira, ndipo kusokonekera ndikosavuta kuchiritsa. Komabe, Coxa Verus iyenera kukonzedwa isanayikidwe, ndipo nthawi yopita kunthaka ndi nthawi yonyamula thupi iyenera kuchepetsedwa moyenerera
Udindo: Chingwe cha 3-5 cm chimapangidwa kumapeto kwa proximal kwambiri kwa Trochan wa Trox Paux pafupifupi msana wa Iliac wamkulu wa Iliac. Waya wa Kirschner akhoza kuyikidwa kunja kwa proximal femur, ndikusintha kuti akhale kosagwirizana ndi axis wautali wa femur pansi pa c-arting fluoroscopy, kotero kuti kukhazikika kwa mawonekedwe ndikolondola.
Dziwani malo olowera: Malo olowera ndikungoganizira pang'ono za Trocharn Brochant, yemwe amafanana ndi 4 ° Pazochitika zofananira, malo openyerera msomali amapezeka paxis yayitali ya medullary patsekeke;
Malo olowera singano
InungGkhalaPin FLuoroscopy
Kwathunthu rohmed
Popeza kumapeto kwa msomali waukulu ndi wandiweyani, msomali umangoyikika pambuyo pokonzanso. Kukonzanso kwa proximal kuyenera kuyimitsidwa pomwe chipangizo choletsa kukonzedwa chimakhudza chida cholowera. Kaya shaple ya femday ya kusokonekera imabwezedwanso zimatengera kukula kwa mawonekedwe a sudullary patsekeke. Ngati chotsogola cha x-ray chimapeza kuti medillary yatseketayi ya proxams yolowera mwachionekere ndi yopapatiza, Revel Shamer Yosayenera kuyenera kugwira ntchito isanachitike. Ngati kuyimilirako sikokwanira, zimapangitsa kuti zikhale zovuta kuyika screw. Pakangolemba, imatha kugwedezeka pang'ono magawo a msomali wa intradellallallal ayenera kupewedwa, koma achiwawa mchira wa msomali uyenera kupewedwa. Kugogoda kotereku kungayambitse kugawanika kwamfupa kwa mafupa kapena kukonzanso kwa thupi mutatha kuchepetsa.
Ikani chimbudzi chofewa cha minofu, kubowola mu waya wowongolera ndi kubowola, ndikuwonjezera njira yolumikizira ya intramillallary peil (pamwambapa); Ngati medullary canch ndi yopapatiza, gwiritsani ntchito kubowola koyambitsidwa kuti muwonjezere sudulory kuyambika mkati mwa mulifupi; Lumikizani chitsogozo Ikani misomali yayikulu yamkati mu sudullary cance (pansipa);
PwoondaLo
LAG SURT YOPHUNZITSIRA
Kuphatikizira Kuphatikizira
Screw mu msomali wotseka
Remu cheteLo
Chikho
Chithandizo cha Postlalative
Maantibayotiki anali okonda kuteteza matenda 48 maola opareshoni; Mapakisi otsika a heparin-molecular-kulemera kwake amagwiritsidwa ntchito popewa ma vein the thrombosis (DVT) m'munsi, komanso matenda oyambira adapitilirabe kuthandizidwa. Ma radiograph omveka bwino a pelvis ndi anipopnorning ndi ma radiograph a m'chiuno omwe atengedwa kuti amvetsetse kuchepa kwa kutentha komanso kukhazikika kwamkati.
Patsiku loyamba atachita opaleshoni, wodwalayo adalimbikitsidwa kuti azipanga chizolowezi cha kuphatikizidwa kwa quadriceps femoris pamalo oyambiranso. Pa tsiku lachiwiri, wodwalayo adalangizidwa kukhala pabedi. Pa tsiku lachitatu, wodwalayo adachita khungu la m'chiuno ndi bondo lochita masewera olimbitsa thupi pakama. Palibe kulemera kolemetsa ku dzanja lomwe lakhudzidwa. Limbikitsani odwala kuti azinyamula zolemera pa miyendo yomwe yakhudzidwayo mkati mwa masabata anayi atatha kugwira ntchito. Pang'onopang'ono yendani ndi woyenda ndi kulemera molingana ndi kutsata kwa X-ray-pa 6 mpaka 8 milungu. Odwala omwe sangathe kuyenda pawokha ndipo amakhala ndi osteoperosis oopsa kwa odwala omwe ali ndi mafupa opitiliza pa X-ray, amatha kuyenda pang'onopang'ono pansi pazomwe zimathandizidwa.
Wolumikizana ndi: Yoyo (manejala)
Tel / whatsapp: +86 15682071283
Post Nthawi: Meyi-08-2023
