Kusankhidwa kwa malo olowera kwa Intramedullary of Tibial Fractures ndi imodzi mwa njira zofunika kwambiri pakuchita bwino kwa chithandizo cha opaleshoni. Kulowera kosauka kwa Intramedullary, kaya ndi njira ya suprapatellar kapena infrapatellar, kungayambitse kutayika kwa malo, kuwonongeka kwa angular kwa mapeto a fracture, ndi kuvulala kwa zofunikira za bondo kuzungulira malo olowera.
Magawo a 3 a tibial intramedullary misomali adzafotokozedwa.
Kodi muyezo wa tibial intramedullary msomali wolowera ndi chiyani?
Kodi zotsatira za msomali wopatuka wa tibial intramedullary ndi wotani?
Kodi malo olondola olowera amatsimikiziridwa bwanji mwakuchita opaleshoni?
I. Malo olowa nawo ndi otani?TibialIntramedullary?
Malo a orthotopic ali pamtunda wa makina opangidwa ndi tibia ndi tibia, m'mphepete mwa m'mphepete mwa lateral intercondylar msana wa tibia, ndipo malo ozungulira amakhala pamtunda wa madzi pakati pa tibial plateau ndi tibial stem migration zone.
Kusiyanasiyana kwa zone yachitetezo pamalo olowera
22.9 ± 8.9mm, momwe singano imatha kuyikidwa popanda kuwononga fupa la ACL ndi minofu ya meniscus.
II. Zotsatira zopatuka ndi chiyaniTibialImatenda a tramedullary Nayi?
Malingana ndi kuphulika kwapakati, pakati, ndi Distal Tibial Fractures, kuphulika kwa tibial kwapakatikati kumakhala ndi zotsatira zodziwika kwambiri, pakati pa tibial fracture imakhala ndi zotsatira zochepa, ndipo mapeto a distal amagwirizana kwambiri ndi malo ndi kukhazikitsidwa kwa Distal intramedullary msomali.
# Proximal Tibial Fractures
# Pakati pa Tibial Fractures
Malo olowera ali ndi zotsatira zochepa pa kusamuka, koma ndi bwino kuyika msomali kuchokera kumalo olowera.
# Distal Tibial Fractures
Malo olowera amayenera kukhala ofanana ndi kuphulika kwapakatikati, ndipo malo a distal intramedullary msomali amafunika kuti akhale ortholaterally pakatikati pa distal fornix.
Ⅲ. Hmomwe mungadziwire ngati malo olowera singano ndi olondola?
Timafunikira fluoroscopy kuti tiwone ngati malo olowera singano ndi olondola. Ndikofunikira kwambiri kutenga orthopantomogram ya bondo intraoperatively, ndiye iyenera kutengedwa bwanji?
Standard orthopantomogram-parallel line of the fibular head
Mzere wamakina wa ortho-x-ray umapangidwa mzere wowongoka, ndipo mzere wofanana wa makina opangira makina umapangidwa pamphepete mwa nyanja ya tibial, yomwe iyenera kusokoneza mutu wa fibula pa ortho-x-ray. Ngati x-ray imodzi yotere yapezedwa, imatsimikizira kuti yatengedwa molondola.
Ngati ortho-kagawo si muyezo, mwachitsanzo, ngati msomali kudyetsedwa kuchokera muyezo chakudya mfundo, pamene malo kasinthasintha kunja atengedwa, izo zimasonyeza kuti chakudya mfundo kunja, ndi malo kasinthasintha mkati adzasonyeza kuti chakudya mfundo ndi mkati, zomwe zidzakhudza chigamulo cha opaleshoni.
Pamtundu wokhazikika wa x-ray, ma condyles apakati ndi amtundu wamtundu wamtundu wamtundu wamtundu wamtundu wamtundu wamtundu wapakati ndi wam'mbali amaphatikizana kwambiri ndipo mapiri apakati ndi amtundu wa tibial amaphatikizana kwambiri, ndipo poyang'ana kutsogolo, malo olowera amakhala pamtunda pakati pa mapiri ndi tibial tsinde.
IV. Chidule cha Nkhani
Mulingo wa tibial intramedullary nail entry point umakhala orthogonally pamphepete mwapakati pa lateral intercondylar spine of the tibia komanso pambali pamadzi pakati pa tibial plateau ndi tibial stem migration zone.
Malo otetezera polowera ndi ochepa kwambiri, 22.9 ± 8.9 mm okha, ndipo singano ikhoza kuikidwa m'derali popanda kuwononga mafupa a ACL ndi minofu ya meniscal.
Intraoperative standard orthopantomographs ndi lateral radiographs za bondo ziyenera kutengedwa, zomwe ndizofunikira kudziwa ngati malo olowera singano ndi olondola kapena ayi.
Nthawi yotumiza: Jan-02-2023
