Sikuluu ndi chipangizo chomwe chimasintha kayendedwe kozungulira kukhala kayendedwe kolunjika. Chimakhala ndi zinthu monga nati, ulusi, ndi ndodo yokulungira.

Njira zogawira zomangira m'magulu ndi zambiri. Zingagawidwe m'magulu awiri:zomangira za mafupa a corticalndizomangira mafupa zoletsamalinga ndi momwe amagwiritsidwira ntchito,zomangira zopanda ulusindizomangira zokhala ndi ulusi wokwaniramalinga ndi mitundu yawo ya ulusi, ndizomangira zokhomandi Choponderezedwazomangiramalinga ndi mapangidwe awo. Cholinga chachikulu ndikupeza njira yokhazikika bwino. Kuyambira kubwera kwa zomangira zodzitsekera zokha, zomangira zonse zosatseka zimatchedwa "zomangira wamba."

 Commonzomangira ndi zomangira zokhoma

 Mitundu yosiyanasiyana ya zomangira: a. screw ya fupa la cortical yokhala ndi ulusi wonse; b. screw ya fupa la cortical yokhala ndi ulusi pang'ono; c. screw ya fupa yotsekedwa bwino yokhala ndi ulusi wonse; d. screw ya fupa yotsekedwa bwino yokhala ndi ulusi pang'ono; e. screw yotseka; f. screw yodzitsekera yokha.

Chokulungira chopangidwa ndi kansulo

Ntchito ya screws

1.chokulungira mbale

Amamangirira mbaleyo ku fupa, zomwe zimapangitsa kuti pakhale kupanikizika kapena kukangana.

2. Kuchedwascrew

Amapanga kupsinjika pakati pa zidutswa za kusweka pogwiritsa ntchito mabowo otsetsereka, zomwe zimapangitsa kuti pakhale bata lokhazikika.

3.Chokulungira cha malo

Imasunga malo a zidutswa za fracture popanda kukanikiza. Zitsanzo zikuphatikizapo zomangira za tibiofibular, zomangira za Lisfranc, ndi zina zotero.

4.Chotsekera chotchinga

Ulusi womwe uli pa chivundikiro cha screw ukhoza kufanana ndi ulusi wotsutsana ndi dzenje la mbale yachitsulo kuti utseke

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5.Chokulungira cholumikizirana

Amagwiritsidwa ntchito limodzi ndi misomali yamkati mwa medullary kuti mafupa azikhala olimba, azitha kuyenda bwino, komanso kuti azizungulira bwino.

6.Chokulungira cha nangula

Amagwiritsidwa ntchito ngati malo omangira waya wachitsulo kapena suture.

7.Chokulungira ndi kukoka

Imagwira ntchito ngati malo okhazikika kwakanthawi pokonzanso kusweka kwa mafupa pogwiritsa ntchito njira yokoka/kupanikizika.

8. bwezeretsaniscrew

Sikulu yodziwika bwino yomwe imayikidwa kudzera mu dzenje la mbale yachitsulo ndipo imagwiritsidwa ntchito kukoka zidutswa za fracture pafupi ndi mbaleyo kuti zichepetsedwe. Itha kusinthidwa kapena kuchotsedwa fracture ikachepa.

9.Cholepheretsa choboola

Amagwiritsidwa ntchito ngati chothandizira misomali yamkati mwa medullary kuti isinthe momwe imayendera.