Tibial shaft frateure ndi kuvulala kofala kwamankhwala. Kukhazikika kwamkati kwamkati mwa intradellal kuli ndi maubwino a biomechannastical a kusinthasintha kopanda malire ndi axi, kumapangitsa kuti ikhale yankho la opaleshoni. Pali njira ziwiri zokhotakhotakhota kwa ti intramial intramullary ndi infrapater mitaing, komanso njira yomwe a Parapatellar imagwiritsidwa ntchito ndi akatswiri ena.
Kwa zojambula za proximal 1/3 ya tibia, chifukwa njira yofikira ku Tibra imafuna kusinthasintha kwa bondo, ndikosavuta kuyambitsa kunyanyala ntchito. Chifukwa chake, njira ya suprapethelar imayankhidwa kuti ilandire chithandizo.
Lembani kuyika komwe kwakhudzidwa ndi njira ya poprapatellar
Komabe, ngati pali contraindication njira ya suprapathellar, monga chithokomiro chofewa cham'deralo, njira yofiyira iyenera kugwiritsidwa ntchito. Momwe mungapewere kukwiya kwa kutha kwa matendawa ndi vuto lomwe liyenera kuchitika. Akatswiri ena amagwiritsa ntchito mbale zazing'onoting'ono zokhala ndi zitsulo zosakhalitsa kanthawi kochepa, kapena kugwiritsa ntchito misomali kuti musinthe malingaliro.
- Chithunzithunzi chikuwonetsa kugwiritsa ntchito misomali yoletsa kukonza ngodya.
Kuti athane ndi vutoli, akatswiri akunja adatengera njira yopitilira. Nkhaniyo idasindikizidwa mu Magazini "Ann R Collg Endg Engl":
Sankhani zomata zamiyala ya 3.5mm
Pambitsani mphamvu kuchepetsa kuti muchepetse, kenako ikani msomali wa intramullal malinga ndi njira zachilendo. Pambuyo pa msomali wa intradedollary adayikidwa, chotsani screw.
Njira yaukadaulo iyi ndiyoyenera milandu yomwe Suprapathellar kapena njira sizingagwiritsidwe ntchito, ndipo sizikulimbikitsidwa. Kuyika kwa mawu awa kungakhudze kukhazikitsidwa kwa msomali waukulu, kapena kungakhale chiopsezo cha kuwonongeka kwa screw. Itha kugwiritsidwa ntchito ngati mawu apadera.
Post Nthawi: Meyi-21-2024
