Kupanga kwa fensiloral kolola nthawi zambiri kumawoneka kuvulala kwamankhwala komwe kumachitika chifukwa cha zovuta zapamwamba. Chifukwa cha ma anmatomical mawonekedwe a proximal femur, mzere wowuluka nthawi zambiri umagona pafupi ndi mawonekedwe a arturer ndipo amatha kulowa cholowa, ndikupangitsa kuti ikhale yoyenera kukhazikika kwa intravedollary. Zotsatira zake, gawo lalikulu la milandu limadalirabe pakusintha pogwiritsa ntchito makina ndi screw. Komabe, mawonekedwe a ma biomezacal a culscently okhazikika amayambitsa zovuta zambiri monga kulephera kwa platetion ya placestetion, chotupa chamkati, ndi screwkeke kutulutsa. Kugwiritsa ntchito njira yothandizira pa intaneti pakukonzekera, ngakhale kulimbana, kumabwera ndi zovuta za kuchuluka kwa zoopsa, nthawi yayitali youkadaulo, chiopsezo chowonjezereka kwa matenda a postoperative odwala.
Popeza kukwaniritsa izi, kuti mukwaniritse bwino zovuta za biobonal, zomwe zimakhudzana ndi mitengo iwiri yowonjezera komanso yofananira. Njira imeneyi yawonetsa zotsatira zabwino zamalonda.
Pambuyo pa opaleshoni, wodwalayo amayikidwa mu gawo la supine.
Gawo 1: Kuchepetsa. Ikani singano ya 2.0mm kochar mu chidwi cha Thic, kuti mubwezeretse miyendo kutalika, ndikugwiritsa ntchito mabondo kuti mukonzetse ndege za sagittal.
Gawo 2: Kuyika kwa mbale yachitsulo. Pambuyo kuchepetsedwa kwakukulu ndi thirakitala ya femual, sankhani mbale yotseguka yoyenera kuti muchepetse, ndikuyika zomata zam'madzi za kuwonongeka kwa kuwonongeka. Pakadali pano, ndikofunikira kudziwa kuti zomata ziwirizi ziyenera kuyikidwa pafupi ndi kutsogolo momwe mungathere kuti mupewe kuyika zomata zamadiko.
Gawo 3: Kuyika kwa zomata za mendulo. Pambuyo kukhazikika kuthyoka ndi mbale yachitsulo, gwiritsani ntchito katembeza 2.8mm yotsogozedwa ndi chipinda cham'madzi, ndi singano yakunja yomwe ili pakatikati kapena pompopompo kunja ndi kumtunda, kulowetsa fupa lapakatikati. Pambuyo pakuchepetsa kwaulere kwa fluoroscopy, gwiritsani ntchito bomba 5.0mm kuti mupange dzenje ndikuyika chithunzi cha mafupa 7.3mmm.
Chithunzi chosonyeza kuchepa kwa kuchepetsedwa ndi kukhazikika. Mkazi wazaka 74 yemwe ali ndi vuto lalikulu la intra-articular (AO3C1). . . (D) Chithunzi cha fluoroscopy chikuwonetsa malo okwanira a waya wa waya; .
Panthawi yochepetsera, ndikofunikira kuganizira mfundo zotsatirazi:
(1) Gwiritsani ntchito waya wowongolera ndi screw. Kulowetsa mapangidwe am'madzi kumakhala kochulukirapo, ndikugwiritsa ntchito waya wowongolera popanda cholembera kungayambitse mbali yayikulu pakukumba mgulu la medyle, ndikupangitsa kuti azingoyenda.
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. Ngati chotchinga chikukumana ndi vuto la zilembo zapansi, lingalirani kukonza kapena kukonza zomata za mbale yofananira, ndikuyang'ana patsogolo malowo opukusira.
Mlandu wachiwiri. Wodwala wamkazi, wazaka 76, wokhala ndi vuto lowonjezerapo. . . .
Mlandu 3. Wodwala wachikazi, wazaka 70, wokhala ndi vuto lozungulira kuzungulira zoseweretsa. . . .
Post Nthawi: Jan-10-2024
