Monga chotchinga chamkati, mbale yopukusira imasewera maudindo akuluakulu mu chithandizo chowonongeka. M'zaka zaposachedwa, lingaliro la asteosynthesis okhudzana kwambiri limakhala likumveka bwino ndipo limagwiritsidwa ntchito pang'onopang'ono kuchokera ku zojambula zamakina kuti zitsimikizire kusintha kwa magazi ndi mafayilo amkati.Kutseka Kutseka Kusamba. Dongosolo linayamba kugwiritsidwa ntchito m'cipatala mu Meyi 2000, inali itakwaniritsa zovuta zamankhwala, ndipo malipoti ambiri apereka zofunika kwambiri chifukwa cha izo. Ngakhale pali zabwino zambiri pakukonzekera kwake, zimakhala ndi zofuna zapamwamba paukadaulo ndi luso. Ngati kugwiritsidwa ntchito moyenera, kungakhale kolakwika, ndipo zotsatira zake zimakhala zopanda pake.
1. Mfundo zachuma, kapangidwe ndi zabwino za LCP
Kukhazikika kwa mbale yachitsulo yachitsulo kumadalira mikangano pakati pa mbale ndi fupa. Zomangira zimayenera kulimbikitsidwa. Zomangira zitakhala zotayirira, mikangano pakati pa mbale ndi fupa lidzachepetsedwa, kukhazikikako kumachepa, chifukwa cholephera kwa importator.LCPndi othandizira atsopano mkati mwa minofu yofewa, yomwe imakulitsidwa pophatikiza mbale ndi chithandizo chamakhalidwe. Mfundo zake zosakonzekera sizidalira mikangano pakati pa mbale ndi mafupa a mafupa, koma amadalira kukhazikika kwa ngodya pakati pa zomangira ndi zomangira zokhala ndi mafupa. Ubwino wachindunji umagona pakuchepetsa magazi am'magazi a periosteal. Kukhazikika kwa ngodya pakati pa mbale ndi zomata zasintha kwambiri ndi gulu la zomangira, motero mphamvu yokhazikika ya mbaleyo ndi yokulirapo, yomwe imagwira ntchito m'mafupa osiyanasiyana. [4-7]
Kupanga kwapadera kwa kapangidwe ka lcp ndi "hod", komwe kumaphatikiza mabowo amphamvu (Dcu) ndi mabowo opindika. Dcu amatha kuzindikira mawu okakamira pogwiritsa ntchito zomangira zoyeserera, kapena zokutira zowonongeka zitha kusungidwa ndikukhazikika kudzera palo. Bowo lokhomera lili ndi ulusi, lomwe limatha kutseka screw screw ndi ulusi watch, sinthani zokongoletsera pakati pa screw screw ndi mbale, ndipo nkhawa zazitali zimatha kusamutsidwa kumbali ya kusokonekera. Kuphatikiza apo, kudula komwe kudula kumapangidwira pansi pa mbale, zomwe zimachepetsa malo olumikizana ndi fupa.
Mwachidule, ili ndi zabwino zambiri pazachikhalidwe chachikhalidwe: ① kukhazikikanso mbali: ② Amachepetsa chiopsezo chotaya chotsitsa: Palibe chifukwa chosinthira ma mbale, kuchepetsa zoopsa za kuchepetsa kwa gawo loyamba ndi gawo lachiwiri la kuchepa kwa chakudya; [8] ④ Ali ndi chilengedwe chabwino ⑤ Imalola ntchito yolimbitsa thupi yoyambirira; ⑥ ili ndi ntchito zingapo: mtundu wa mbale ndi kutalika kwake kuli kokwanira, onatomication isanathe, yomwe imatha kuzindikira kukhazikika kwa magawo osiyanasiyana ndi mitundu yosiyanasiyana.
2. Zizindikiro za LCP
LCP ikhoza kugwiritsidwa ntchito ngati mbale yozungulira kapena yothandizira mkati. Dokotalayo amathanso kuphatikiza zonse, kuti achulukitse kwambiri zisonyezo ndikugwiritsa ntchito mitundu yambiri yopanda thupi.
2.1 Zosavuta za diaphysis kapena metaphysis: Ngati kuwonongeka kwa minofu yofewa sikovuta, kusokonekera kosavuta kwa mafupa akuluakulu, ndipo LCP ikugwiritsidwa ntchito ngati mbale yopukutira ndi mbale.
2.2 Kuyimba Kumata kwa Diaphyys kapena fanizo: LCP itha kugwiritsidwa ntchito ngati mbale ya Bridge, yomwe imasunga kuchepetsedwa. Sizitengera kuchepetsa kwa anatomical, koma kumangotsegula miyendo, kuzungulira ndi mzere wamphamvu. Kuwonongeka kwa radius ndi ulna ndikoyenera, chifukwa ntchito yosinthira ya miyambi imatengera makamaka pamatayala ndi ulna, zomwe zimafanana ndi zojambula za ma intra. Kuphatikiza apo, kuchepa kwa anatomication kuyenera kuchitika, ndipo kukhazikika modekha ndi mbale ..
2.3 Mafuta a intra-articular ndi zojambulajambula: Mu intra-articular frauker, sitifunikira kungoyendetsa mafupa kuti athetse mawonekedwe a arsic, ndipo amafunikira zolimbitsa thupi zoyambirira, ndikulola kuchita masewera olimbitsa thupi koyambirira. Ngati zojambulajambula zakhumudwitsa zimakhudza mafupa, LCP ikhoza kukonzakugwiranapakati pa kuchepetsedwa ndi diaphyysys. Ndipo palibe chifukwa chopangira mbaleyo mu opareshoni, yomwe yachepetsa opaleshoni.
2.4 Kuchedwa kulumikizana kapena kusagwirizana.
2.5 Wotseka kapena kutsegula Ostetotomy.
2.6 Sikugwira ntchito kuloweraintradellallary miyalaKuwonongeka, ndipo LCP ndi njira yabwino kwambiri. Mwachitsanzo, LCP ndiyosavuta kuwonongeka kwa ana kapena achinyamata, anthu omwe amakwapula omwe amapaka mpweya ndi wopapatiza kwambiri kapena wokulirapo kapena wolakwika.
2.7 Odwala Osteoporosis: Popeza kuti cortex ndi yochepa kwambiri, ndizovuta kuti mbale yachikhalidwe ikhale yokhazikika, yomwe yachulukitsa kuvuta kokhazikika, ndikupangitsa kuti pakhale kusinthika chifukwa cha kumasula kosavuta komanso kutuluka kwa kusintha kwa postoperative. LCP yotseka scress ndi anchir anchor amapanga banga la ngodya, ndipo misomali ya mbale ikuphatikizidwa. Kuphatikiza apo, mainchero a MandLel otseka ndi akulu, kukulitsa mphamvu ya fupa. Chifukwa chake, kuchuluka kwa kumasula kokongoletsa kumachepetsedwa. Ntchito zolimbitsa thupi zoyambilira zimaloledwa kuntchito. Osteoporosis ndi chisonyezo champhamvu cha LCP, ndipo malipoti ambiri apereka chizindikiritso chachikulu.
2.8 Wosakamwa la femualrol: Zojambula zowoneka bwino nthawi zambiri zimakhala limodzi ndi mafupa okalamba, matenda okalamba komanso matenda owopsa. Mbale zachikhalidwe zimakhudzidwa kwambiri, zomwe zimapangitsa kuti ziwonongeke pamagazi. Kuphatikiza apo, zomangira wamba zimafuna kusintha kwa ma bicortication, kuwononga ma fu mafupa, ndipo mphamvu yokoka nyama ilinso yosauka. Mapulogalamu a LCP ndi Liss amathetsa mavuto ngati amenewa m'njira yabwino. Ndiye kuti, atengera ukadaulo wa Mombo kuti achepetse zolumikizira, kuchepetsa zowonongeka za magazi, kenako chopindika chimodzi cha curdical chitha kukhazikika, chomwe sichingayambitse zowonongeka ndi mafupa. Njira iyi imawonetsedwa ndi kuphweka, nthawi yochepa kwambiri, yopanda magazi, mitundu yaying'ono yovula ndikuwongolera machiritso ochiritsa. Chifukwa chake, ma fremipros achinyengo amakhalanso amodzi mwamphamvu za LCP. (1, 10, 11]
3.. Maluso opaleshoni yokhudzana ndi kugwiritsa ntchito LCP
3.1 Technology yopaka mwachikhalidwe: Ngakhale lingaliro la AO wamkati la AO wamkati lasintha ndi kupezeka kwa magazi osakanidwa chifukwa cha kukhazikika kwa makina osinthika, monga mawonekedwe a intra-a intsterams kapena omasulira afupi. Njira zokakamira ndi: ① LCP imagwiritsidwa ntchito ngati phazi lopanga, pogwiritsa ntchito zomangira ziwiri zachuma kuti mukonzekere malo opindika kapena kugwiritsa ntchito chida chosokoneza. ② Monga mbale yotetezera, LCP imagwiritsa ntchito zomangira za lag kuti zikonzere zojambula zazitali; ③ Pakutengera mtundu wa band, mbaleyo amayikidwa pamphepete mwa fupa, idzayikiridwa pansi pamavuto, ndipo fupa lamphamvu limatha kusokonezedwa; - Monga mbale yopumira, LCP imagwiritsidwa ntchito molumikizana ndi zomangira za lag pokonza zojambula zamisinkhuli.
3.2 Tekinoloje ya Bridge Bridge: Poyamba, khalani ndi njira yochepetsera yotsitsimutsa, kakhonde katatu pa bractore v meseni ndikukonza mbali zonse ziwiri za kuwonongeka. Kuchepetsa kwa pakati sikukufunika, koma kumangofuna kubwezeretsa kwa diaphysis kutalika, kuzungulira ndi kukakamiza mzere. Pakadali pano, kusewera kwamafupa kumatha kuchitidwa kuti akweze mapangidwe a Callus ndikulimbikitsa kuchiritsa kowonongeka. Komabe, kukhazikika kwa mlatho kumatha kungopeza kukhazikika kwa chitsimikizo, komabe machiritso a kuwonongeka amatheka kudzera mu ma call awiri mwa lingaliro lachiwiri, kotero ndikungogwira ntchito zolumikizidwa.
3.3 Maukadaulo owononga kwambiri (mipo) ukadaulo (Mipo): Kuyambira m'ma 1970s, AO Gulu, AO Mfundozi zadziwika kwambiri padziko lonse lapansi, ndipo zotsatira zamankhwala zili bwino kuposa njira zomwe zimathandizidwa. Komabe, kuti mupeze kuchepetsedwa kwa carcoct ndi catsototor mkati, nthawi zambiri kumafuna kuwuma kwakukulu, zomwe zimapangitsa kuti ochepetsedwa mafupa, kuwonda magazi am'magazi owonongeka ndikuwonjezera matenda opatsirana. M'zaka zaposachedwa, akatswiri ophunzirira nyumba ndi anzawo komanso akunja amamveranso mwachangu zaukadaulo wopitilira, osateteza minofu yofewa, osakakamiza kuchepetsedwa kwa zidutswa zakuthwa. Chifukwa chake, imateteza chilengedwe chopanda tanthauzo, ndife osteolosynthesis a zilengedwe (Bo). Mu 1990s, Krettek adaganiza zaukadaulo wa MoPo, womwe ndi kupita patsogolo kwatsopano kukhazikika kwa zaka zaposachedwa. Zimafuna kuteteza magazi opereka chitetezero mafupa ndi minofu yofewa yomwe ili ndi zowonongeka zochepa mpaka pamlingo waukulu kwambiri. Njira ndikupanga msewu wopumira kudzera mu mawonekedwe ang'onoang'ono, ikani ma mbale, ndikutengera njira zochepetsera zomwe sizikuchepetsa. Kutalika pakati pa tirigu wa LCP ndi khola. Ngakhale kuti mbale sizimazindikira zakuchepetsa kwa anatero, kuchepetsa kuthyolako kumatha kusungidwa, motero zabwino zamipilo.
4. Zifukwa ndi zojambulazo pakulephera kwa LCP
4.1 kulephera kwa catsototor mkati
Zinga zake zonse zimamasula, kusamuka, kusokonekera ndi zovuta zina za zolephera, mbale zotsekera ndi LCP sizosiyana. Malinga ndi malipoti, kulephera kwa fileyator mkati sikuchitika makamaka chifukwa cha khwete, koma chifukwa mfundo zoyambirira za matenda owonongeka zimaphwanyidwa chifukwa cha kumvetsetsa kosakwanira ndi chidziwitso cha LCP.
4.1.1. Mbale zosankhidwa ndi zazifupi. Kutalika kwa mbale ndi kugawa kwa screc ndi mfundo zazikulu zomwe zimakhudza kukhazikika kwa kukonza. Asanatulutse ukadaulo wa IMIPO, mbale zazifupi zimatha kuchepetsa kutalika ndi kupatukana kwa minofu yofewa. Mapulasitiki apamwamba kwambiri amachepetsa mphamvu ya axial ndi mphamvu yopanga kapangidwe kake, zomwe zimapangitsa kulephera kwa itator. Ndi chitukuko chaukadaulo kuchepetsa ukadaulo wochepetsetsa komanso ukadaulo wopsa mtima pang'ono, mbale zochulukirapo sizikuwonjezera minofu yofewa. Opaleshoniyo ayenera kusankha kutalika kwa mbale molingana ndi biomenics yokhazikika. Pamagulu osavuta, kuchuluka kwa malo abwino kwambiri ndi kutalika kwa malo owoneka owoneka bwino kuyenera kukhala okwera kuposa nthawi 8-10, pomwe kusokonekera kwamphamvu, kuchuluka kwake kuyenera kukhala kwakukulu kuposa katatu. . Malinga ndi zotsatira za kuwunika kwa LCP Finmes, pomwe pali kusiyana pakatikati pa 1mm, mbali ya kuwonongeka imasiyira dzenje lopanga 10%, komanso kupsinjika pazinthu 63%; Mbali zowoneka bwino zikasiya mabowo awiri, kupsinjika pamafuta osokoneza bongo amachepetsa 45% kuchepetsa, komanso kupsinjika pa zomangira kumachepetsa 78%. Chifukwa chake, kupewa kupsinjika, chifukwa cha kununkhira kosavuta, mabowo 1-2 pafupi ndi mbali zonse zokhala ndi zonunkhira, zomangira zitatu zimalimbikitsidwa kuti zigwiritsidwe ntchito mbali iliyonse.
4.1.2 Kusiyana pakati pa mbale ndi mafupa kumalizidwa kwambiri. LCP ikatengera ukadaulo wa BRIGHT AMENGET, mbale siziyenera kulumikizana ndi periosteum kuti muteteze magazi kudera lakuthwa. Ndi wa gulu la zotanuka, zolimbitsa thupi lachiwiri kukula kwa callus. Pophunzira baonancharcial, ahmad m, nanda r [16] et al [Chithunzithunzi) Pakakhala kusiyana ndi zochepa kuposa 2mm, palibe kuchepa kwakukulu. Chifukwa chake, kusiyana kumalimbikitsidwa kukhala ochepera 2mmm.
4.1.3 Mbaleyo imasokera kuchokera ku diaphysis axis, ndipo zomangirazo ndizowoneka bwino. Pamene LCP imaphatikizidwa ndi ma mopory a MoPO, mbale zimafunikira pa peristaneous, ndipo nthawi zina zimakhala zovuta kuwongolera malo. Ngati mafupa a mafupa ndi ma axis, mbale yodutsa imatha kupatuka mphete za mafupa, zomwe zimapangitsa kukhazikika kwa ecomntcection ya zomangira ndikufooka. [9,15]. Ndikulimbikitsidwa kuti muchepetse mawonekedwe oyenera, ndipo mayeso a X-ray adzapangidwa pambuyo pa gawo lotsogolera lala ndi mawonekedwe oyenera komanso okhazikika.
4.1.4 Kulephera kutsatira mfundo zoyambirira za chithandizo chamankhwala ndikusankha ukadaulo wolakwika ndi ukadaulo wosinthika. Kwa ma a intra-a intral fractures, mawonekedwe osavuta a diaphys osinthika, LCP itha kugwiritsidwa ntchito ngati mbale yopukutira kuti ikonzekere kukhazikika kwamitima yapamwamba kudzera muukadaulo wopaka, ndikulimbikitsa kuchiritsa koyambirira; Kwa mapangidwe a metaphyseal kapena oyimbidwa, ukadaulo wa BRID BRED iyenera kugwiritsidwa ntchito, samalani ndi magazi otetezedwa ndi minofu yofewa, vomerezani kukhazikika kwa ma fractures, kumalimbikitsa kukula kwa ma fractures kuti mukwaniritse nambala yachiwiri. M'malo mwake, kugwiritsa ntchito ukadaulo wa Bridge Kukhazikika kuchitira zakumwa zophweka kungayambitse kugwedezeka kosakhazikika, chifukwa chachedwa kuchiritsa kuchedwa; [17] Kuchita Zosintha Kwambiri 'Kutsatira Kwambiri Kuchepetsa kwa Anatomical Kuchepetsa ndi Kukakamizika kumbali zowonongeka kumatha kuwononga mafupa a magazi, chifukwa chochedwa mgwirizano kapena kusagwirizana.
4.1.5 Sankhani mitundu yosayenera. Kuphatikizika kwa LCP kungakhale kokhazikika m'mitundu inayi: zomata zomangira, zomangira zokhazikika, zodzitchinjiriza / zomangira zodzikongoletsera komanso zomangira zodzikongoletsera. Zomangira zongoboweka / zodzikongoletsera nthawi zambiri zimagwiritsidwa ntchito ngati zomangira zosagwirizana kuti mukonze ma diaphysesseal cctives a maluwa. Malangizo a msomali ali ndi kapangidwe kake kameneka, komwe kumakhala kosavuta kudutsa kortex nthawi zambiri popanda kufuna kuzama. Ngati makutu aku Diapsesseal ali ndi chopapatiza kwambiri, screw mtedza mwina silingathetsere screex, ndiye kuti kuwonongeka kwa cortex, ndiye kuti kuwonongeka kwa cortex kumakhudzanso ntchito yomwe ili pakati pa nthawi ino. Zomangira zoyera zopanda umboni zimakhala ndi mphamvu zabwino zokoka mafupa abwinobwino, koma fupa la nyama ya mafupa nthawi zambiri limakhala lofooka. Popeza nthawi yochita opaleshoni imachepetsa, mkono wam'mapuwo kukana kuchepa kuchepa, zomwe zimapangitsa kuti muchepetse kudula mafupa, kuloza ndi kwachiwiri. [18] Popeza zomangira za mabichi zitachulukitsa kugwira ntchito ya zomangira, gulu lankhondo la mafupa limakweranso. Koposa zonse, fupa labwinobwino limatha kugwiritsa ntchito zomangira zosagwirizana kuti mukonze, komabe fupa la osteoporosis tikulimbikitsidwa kugwiritsa ntchito zomata za bicortical. Kuphatikiza apo, a Humerus fupa la Humerus ndi woonda, mosavuta amayambitsa, motero zomangira za ma bictortication zimafunikira kuti zikonzere pakuchiritsa maliro a Huarral.
4.1.6 Kugawa kwa screw ndikwabwino kwambiri kapena pang'ono. Kukonzekera kwa screc kumafunikira kuti mutsatire ndi ma biometunanics. Kugawa kotsimikizika kwambiri kumabweretsa nkhawa zakomweko ndi kuwonongeka kwa carkitator amkati; Zomangira zochepera kwambiri komanso mphamvu zosakwanira zosintha zidzapangitsanso kulephera kwa importator. Ukadaulo wa Bridget ukagwiritsidwa ntchito kukhazikika, kachulukidwe kolimbikitsidwa kuyenera kukhala pansi pa 40% -50% kapena kuchepera. Chifukwa chake, mbalezo zimakhala zazitali, kuti kuwonjezera ndalama; Mabowo 2-3 ayenera kusiyidwa kumbali ya fecraure, kuti alolere kugaya glatte wamkulu, kupewa kupsinjika kwa nkhawa komanso kuchepetsa kuchuluka kwa chophwanya mkati [19]. Gautier ndi Benmer [15] ANAONETEZA KUTI ZINSINSI ZONSE ZONSE ZOSAVUTA ZONSE ZA FRORTE Osachepera 3-4 zomangira zimafunikira mbali zonse za humerus ndi kutsogolo kwa Frand, katundu wovuta kwambiri amayenera kunyamulidwa.
Masamba a 4.1.7 amagwiritsidwa ntchito molakwika molakwika, zomwe zimapangitsa kulephera kwa itator mkati. Sommer C [9] adapita kwa odwala 127 omwe agwiritsa ntchito LCP kwa chaka chimodzi, zotsatira zake zikuwonetsa kuti pakati pa zomangira zokhoma 700, zomangira zochepa za 3.5mm amasulidwa. Cholinga chake ndi kugwiritsa ntchito zomata zomata zida zowonekera. M'malo mwake, malo otsetsereka ndi mbale sikuti ndi ofukula kwathunthu, koma onetsani madigiri 50 a ngodya. Kapangidwe kameneka kamakhala kothetsa nkhawa zotsekemera. Kugwiritsa ntchito kuzindikirika kwa chipangizocho kumatha kusintha vesi la misomali kenako ndikuwononga mphamvu yakukonzanso. Kää [20] Tinapeza kafukufuku woyesera, adapeza ngodya pakati pa zomata ndi mbale za LCP ndizokulirapo, ndipo motero gulu lazomangira limachepa kwambiri.
4.1.8 Limbob amayamba kutsegula molawirira. Malipoti abwino kwambiri amatsogolera madokotala ambiri kuti akhulupirire kwambiri mphamvu zakutchinga ndi zomata komanso molakwika kuti mphamvu zotsekemera zimatha kukhala ndi ma protec kapena screction. Pogwiritsa ntchito zojambula za mlatho, LCP imakhala yokhazikika, ndipo imayenera kupanga caltus kuti azindikire machiritso ndi chiwiri. Ngati odwala amatuluka molawirira kwambiri ndikuyika kulemera kwambiri, mbale ndi scroc ithe kuthyoledwa kapena kusanja. Kutseka kwa mbale kumalimbikitsa zochitika zoyambirira, koma kutayira pang'onopang'ono patapita milungu isanu ndi umodzi pambuyo pake, mafilimu a X-ray akuwonetsa kuti mbali ya kusokonekera imapereka caltus. [Chithunzi patsamba 9]
4.2 temon ndi ma neurovascularcular:
Tepinoloji ya Mombo imafuna kuyika pansi ndikuyikidwa pansi pa minofu, kotero kuti maopaleshoni agalasi amaikidwa, madokotala a ma opaleshoni sakanatha kuwona mawonekedwe a subcuptor, ndipo ma tendovascular ndi ma tendovascy amawonjezeka. Van Hensbroek PB [21] adanenanso za kugwiritsa ntchito ukadaulo wa Lisss kuti agwiritse ntchito LCP, yomwe idapangitsa kuti ma Tibial artery asyelorysms. Ai-Rashid M. 22] Et Al adanenedwa kuti achiritsidwe ma ruptor a cuplor cerekor seanur sekondale kuyika ma craw a phompho. Zifukwa zazikulu zowonongeka ndizo Iatrogenic. Choyamba ndi kuwonongeka mwachindunji komwe kumabweretsedwa kapena pini ya Kirchner. Wachiwiri ndiye kuwonongeka komwe kumachitika chifukwa cha manja. Ndipo lachitatu ndi zowonongeka zamatenthedwe zomwe zimapangidwa ndi zomangira zodzigunda. [9] Chifukwa chake, madokotala a madokotala amafunikira kuti adziwe zokongoletsera zozungulira, samalani kuteteza marvas vascularis ndi zida zina zofunika, kupewa kukakamiza kapena kusakanikirana. Kuphatikiza apo, mukamabowola zomangira zodzigulira, gwiritsani ntchito madzi kuti muchepetse kupanga kutentha ndikuchepetsa kutentha.
4.3 Matenda a Opaleshoni ndi Kuonekera Kwapakati:
LCP ndi dongosolo lamkati la intuntator zidachitika mothandizidwa ndi lingaliro lowononga, likufuna kuchepetsa zowonongeka, kuchepetsa matenda, osamvana ndi zovuta zina. Pochita opaleshoni, tiyenera kuganizira kwambiri chitetezo chofewa, makamaka ziwalo zofooka za minofu yofewa. Poyerekeza ndi DCP, LCP ili ndi mulifupi kwambiri komanso makulidwe ambiri. Mukamagwiritsa ntchito ukadaulo wa Mipo wa Percutaneous incutaneous, itha kuyambitsa minofu yofewa kapena kuwonongeka kwa minofu ndikuyambitsa matenda. Phinit P [23] adauza kuti lisssic adachiritsa 37 milandu ya proximal tibia, ndipo matenda opatsirana matenda opatsirana mpaka 22%. Namazi H [24] adanenetsa kuti LCP idachita milandu 34 ya tibial shaft mita ya tibia, ndipo ma actividis a matenda a postoperative matenda opatsirana ndi kupezeka kwa plate unali ndi 23,5%. Chifukwa chake, isanayambe kugwira ntchito, mwayi ndi mawonekedwe amkati atengedwa modabwitsa malinga ndi kuwonongeka kwa minofu yofewa komanso kuchuluka kwa zotupa.
4.4 Ma Herel Syndrome Syndroome a minofu yofewa:
Phinit P [23] adanenetsa kuti lizinga la Liss lidachitapo milandu 37 ya Proximal Tibia Stoction Miction Misteuntation (Zowawa 3) pomwe pali 10mm kutali ndi mafupa. Hasenboehler.e [17] et al adanena kuti LCP idamuchitira milandu 32 ya Milandu ya Tibral, kuphatikizapo milandu ya 29 ya Medial Mallelus Dissolis. Cholinga chake ndikuti voliyumu ya mbale ndi yayikulu kwambiri kapena mbale zimayikidwa molakwika komanso minofu yofewa imakhala yovuta pa mankhwala a Medial, momwemonso odwalawo sangakhale omasuka pamene odwala avala khungu lalikulu ndikumapanikiza khungu. Nkhani yabwino ndiyakuti mbale yomwe imalima imakhazikika ndi masinthesi ndi ochepa thupi komanso lomatira ku mafupa okhala ndi mafupa osalala, omwe wathetsa vutoli.
4.5 Vuto loletsa kuchotsa zomangira zokhoma:
Zinthu za LCP ndi mphamvu yayikulu Titanium, imakhala ndi kusiyana kwakukulu ndi thupi la munthu, lomwe ndi losavuta kunyamula ndi caltus. Pochotsa, kuchotsa koyamba kuyitanitsa kumabweretsa zovuta zambiri. Chifukwa china chopezera zovuta mabodza opindika kapena kuwonongeka kwa nati nthawi zambiri kumayambitsa chida chotseka chosiyidwa ndi chida chodziwona. Chifukwa chake, chida chowonetsera chidzagwiritsidwa ntchito pokhazikitsa zomangira zotsekemera, kuti zingwe zikuluzikulu zitha kuzimiririka ndi zingwe za mbale. [9] RENRY WOSANGALALA KUGWIRITSITSA NTCHITO NTCHITO YOPHUNZITSIRA, Kuti muchepetse kukula.
Koposa zonse, monga mbale yazosakanitsirana ya kukula kwa ao yaposachedwa, LCP yapereka njira yatsopano yochitira opaleshoni yamakono ya zojambulajambula. Kuphatikizidwa ndi ukadaulo wa MoPo, LCP Colines yosungira Magazi pa mbali zowonongeka kwa machiritso ku fractures, amalimbikitsa kukhazikika kwa matenda ndikusinthanso, motero kumakhalanso kukhazikika kwa mankhwalawa. Kuyambira pomwe ntchito, LCP yapeza zotsatira zabwino kwambiri zamankhwala, komabe mavuto ena amapezekanso. Opaleshoni imafuna kukonzekera mwatsatanetsatane komanso luso lochulukirapo, limasankha zokongoletsera zamagetsi zamagetsi zamagetsi, amatsatira mfundo zoyambira mankhwala, kuti ateteze zolondola.
Post Nthawi: Jun-02-2022
