Kodi ndi mbale ziti zomwe zimagwiritsidwa ntchito kwambiri mu zowawa za orthopedics?

Zida ziwiri zamatsenga za orthopedics, mbale ndi intravedillary msomali. Mapulogalamu amagwiritsidwanso ntchito zida zodziwika bwino zamkati, koma pali mitundu yambiri ya mbale. Ngakhale onse ndi chidutswa cha zitsulo, kugwiritsa ntchito kwawo kutchuka kwa anthu chikwi, komwe sikudatsimikizike. Kodi mukudziwa zonsezi?

1. Gulu la tesion band

Kodi mbale ndi gulu losokoneza bongo?

Pamene chimango cha mafupa ena chimasamutsidwa ku eccentric pokhazikika, mbale yachitsulo ndi gulu la m'mimba, monga femur, ndipo mbale yachitsulo iyenera kuyikidwa pamavuto.

2. Mawonekedwe ophatikizika 

Mbale yolimbikitsidwa imachitika ndi kutulutsa chopindika pamalo otsetsereka, omwe ndi a mfundo za slorical.

Komabe, kukakamizidwa kumapangitsa kupsinjika pakati pa mbale ndi mafupa akulu kwambiri, ndipo nthawi zina zimakhudza kuchiritsidwa kwa fupa. Chifukwa chake, phala laling'ono lopanga masitepe ndi kulumikizana limapangidwa, zomwe ndi zomwe timakonda kuyitanitsa LCP.

Ngati mukufuna kukanikiza, mukamakumba, muyenera kumvera mfundo yoti kubowola kwapafunika kumbali ya keyhole (pamwamba), ndikubowola pakati sikungakhale ndi mphamvu yolimba (pansi). Zotsatira zake zitha kuwonjezeka ndi 1mm.

1. Kutseka mbale  

Kutseka mbale, ndiye kuti, screw ndi mbale imaphatikizidwa kale mu mawonekedwe otsekedwa. Nthawi zambiri dzenje lotseka komanso dzenje lazolowerera limaphatikizidwa, koma ntchito ziwirizi ndizosiyana kwathunthu.

Zojambula zotsekemera zimatha kuwonjezera mphamvu yamkati, ndipo kukana kwawo kumakhala bwino, makamaka kukhazikika kotsekera, makamaka kokhazikika kokhazikika, chinthu chowoneka bwino kwambiri cha procelial geessing.

1. Mtundu woloza 

Pulogalamu yosalowerera sizimatulutsa masinthidwe a Fracrature, koma zolumikizira zokha pazomwe zimatha. Chifukwa kutha kwa kuwonongeka kumayang'aniridwa ndi zomangira za lag, koma mphamvu ya zomangira zotsutsana ndi kuwerama, kutembenuka, komanso kunyamula zigawo ndizochepa, kotero mbale yachitsulo ndiyofunikira kuti muthandizidwe.

M'mafupa osalowerera, mphamvu yayikulu ndi lingaliro lag. Mzere wa kuthyolako ndi wokulirapo komanso motalikirana, zomangira 2-3 zitha kugwiritsidwa ntchito kukoka mwapadera, kenako ndikuthandizira polota.

Mbale zolosera zakale zimagwiritsidwa ntchito kwambiri pokonzanso za Malleololus ndi clavicle.

1. Pulogalamu ya buttress 

Momwe mungagwiritsire ntchito boti ku Orthopedics? Makamaka ntchito ndi ya maluwa okhudza magulu ankhondo, oyikidwa munjira yoyenda. Pulogalamu yachitsulo yothandizira siziyenera kukhala zokulirapo poyerekeza ndi mbale zachitsulo wamba, ndipo siziyenera kudzazidwa ndi zomata.

Mbale yachitsulo imayenera kukhala yosafunikira, yofuula mu zomangira zomangira kupita kutali, ndikugwiritsa ntchito zomangira zomangira kuti muphatikize mbale yachitsulo. Chifukwa cha zotakasuka, mbale yachitsulo imakhala ndi chizolowezi choyambiranso, ndipo mphamvuyi imagwiritsidwa ntchito pochita boti.

1. Mbale ya antiglide  

Pambuyo pazachitsulo chopondera, pewani chotchinga cha kuwonongeka kuchokera kumayendedwe otalika. Amagwiritsidwa ntchito kwambiri kumapeto kwa fibula.

1. Kupanga kwa Span kapena kusindikizidwa mlatho 

Ili ndi mtundu wosinthika wa mbale yosalowerera, yomwe imayang'aniridwa ndi kuwongolera kwa kadambo, kudzera mu fluoroscopy kuwunikira, mbaleyo imadutsa malo omwe akuwonongeka ndikukonzanso malekezero a kusokonekera, ndipo malo a kuthyola sanakhazikike.

Tekinoloji yamtunduwu makamaka imagogomezera ulemu, kuphatikizika, kutalika, ndi kuzungulira. Kuwonongeka pakati kumatha kuchitika popanda chithandizo, chomwe chimatha kuteteza magazi mosamalitsa kutha kwa kusokonekera. Komabe, ziyenera kudziwika kuti mbale yachitsulo iyenera kukhala ndi kutalika kokwanira, ndipo kuchuluka kwa zomangira kumalekezero onse kuyeneranso kukhala kokwanira. . Pakadali pano, kuchuluka kwa mafupa ena amakonda kuchitika, zomwe zikufunika kuthandizidwa mosamala