Njira Yolamulidwa | Ippsilateral femullal Banddle Comdle Centerle Pamuction Kukongoletsa kwa Tibial Plateau Fractures

TSIKU LIBIAL TIBNEAUAUL kugwa kapena kugwa koyambira ndi mtundu wamba wa Tibial Plateau Fratere. Cholinga chachikulu cha opaleshoni ndikubwezeretsa kusalala kwa polumikizana ndikugwirizanitsa nthambi. Kuphatikizika komwe kunakwezedwa, kumapangitsa chilema pansi pa cartilage, nthawi zambiri kumafuna kuyika kwa autoge souc solliac fupa, kapena fupa lamphamvu. Izi zimakwaniritsa zolinga ziwiri: Choyamba, kubwezeretsa bwino kwambiri, ndi yachiwiri, kupitiriza kulimbikitsa machiritso.

Poganizira zowonjezera zowonjezera za fupa la autoge Iliac, zomwe zimayambitsa vuto lalikulu, komanso zoopsa zokhala ndi vuto lililonse pokonzanso. Amati akuwonetsa kuti chotsogola chomwecho nthawi yonseyo ndikugwiritsa ntchito fupa lalikulu kumezani ku Comlor ya femily. Malipoti angapo alembedwa kuti alemba njirayi.

Phunziroli lidaphatikizapo milandu 12 yotsatira zomwe zikuyenda bwino. Odwala onse, tizilombo tosiyanasiyana tofanane ndi njira yotsatira. Atatha kuyika tibial Plateau, mawonekedwewo adakwezedwa m'mwamba kuti aulule za chiwongola dzanja cha femilel. Ecymn Eckiman Ecycy adagwiritsidwa ntchito, ndipo atatha kubowola kudzera mu cortex yakunja ya banyle ya femul, yochokera ku cydler yazomera idakololedwa m'magawo anayi obwereza. Voliyumu idapezeka kuchokera pa 20 mpaka 40CC.

Pambuyo kuthirira kuthirira kwa ngalande yamafupa, hemostatic siponjiyi imayikidwa ngati pakufunika kutero. Fupa lokoka laletsedwa limakhazikitsidwa m'chifuwa pansi pa Tibial Plateau, wotsatiridwa ndi njira yamkati. Zotsatirazi zikuwonetsa:

① Pazithunzi zamkati za Tibial, odwala onse adapeza machiritso ochiritsa.

② Palibe kupweteka kwakukulu kapena zovuta zomwe zimawonedwa pamalo pomwe fupa limakololedwa kuchokera ku conyle.

Kuchiritsa fupa pamalo otuta: Mwa odwala 12 aja, 3 adawonetsa kuchiritsidwa kwathunthu kwa fupa, 8 palibe machiritso, ndipo palibe machiritso apadera.

④ Kupanga fupa Burbeculae pa tsamba lotuta: Mu milandu 9, kunalibe mapangidwe a fupa *

Mavuto a nyamakazi: pakati pa odwala 12, 5 opangidwa mwaluso kwambiri pa bondo. Wodwala m'modzi wolowa m'malo anayi patatha zaka zinayi.

Pomaliza, kukolola fupa lofiirira kuchokera ku Ipsilateral molojekiti kumabweretsa zipatso zabwino za Tibial Plateau Play osachiritsa zovuta. Njirayi ikhoza kulingaliridwa ndi kutchulidwa muchipatala.