Kodi ndi mbale ziti zomwe zimagwiritsidwa ntchito kwambiri mu ma trauma orthopedics?

Zida ziwiri zamatsenga za mafupa ovulala, mbale ndi misomali yamkati. Ma mbale ndi zida zomangira mkati zomwe zimagwiritsidwa ntchito kwambiri, koma pali mitundu yambiri ya ma mbale. Ngakhale kuti onse ndi chitsulo, kugwiritsidwa ntchito kwawo kungawonedwe ngati Avalokitesvara yokhala ndi zida chikwi, zomwe sizingadziwike. Kodi mukudziwa zonsezi?

1. Gulu la Tesion Band Gulu la Tesion Band

Kodi mbaleyo ndi gulu lolimba?

Pamene kagwiridwe ka mafupa ena kamasamutsidwira ku malo okhazikika, mbale yachitsulo ndi gulu lolimbitsa thupi, monga femur, ndipo mbale yachitsulo iyenera kuyikidwa kumbali yolimbitsa thupi.

2. Njira Yopanikizika 

Mbale yopanikizika imapangidwa mwa kuyika screw mu slope lock, yomwe ndi mfundo yozungulira yotsetsereka.

Komabe, kupanikizika kumeneku kungapangitse kuti kupanikizika pakati pa mbale ndi fupa kukhale kwakukulu kwambiri, ndipo nthawi zina kumakhudza kuchira kwa fupa. Chifukwa chake, mbale yochepetsera yocheperako yokhala ndi malo olumikizirana imapangidwa, yomwe nthawi zambiri timaitcha LCP.

Ngati mukufuna kupondereza, pobowola, muyenera kusamala kuti kubowola kuyenera kukhala pafupi ndi mbali ya phando la kiyi (pamwamba), ndipo kubowola pakati sikudzakhudza kupondereza kumapeto kosweka (pansi). Zotsatira zake zitha kuwonjezeredwa ndi pafupifupi 1mm.

1. Mbale yotsekera  

Mbale yotsekera, ndiko kuti, screw ndi mbale zimagwirizanitsidwa kale mu mawonekedwe otsekeka. Kawirikawiri dzenje lotsekeka ndi dzenje lopanikizika zimagwirizanitsidwa, koma ntchito za ziwirizi ndizosiyana kwambiri.

Zomangira zomangira zimatha kuwonjezera mphamvu yomangira mkati, ndipo kukana kwawo kukoka kumakhala bwino, makamaka zomangira zomangira zokhazikika pa ngodya, zodziwika kwambiri ndi mbale yomangira ya proximal humeral philos.

1. Njira Yosalowerera 

Mbale yochepetsera kusweka siimapangitsa kuti mbali zosweka zitseke, koma imangolumikiza mbali zosweka. Chifukwa mbali zosweka zimakakamizidwa ndi zomangira zotsalira, koma mphamvu ya zomangira zotsalira motsutsana ndi mphamvu zopindika, kuzungulira, ndi kudula ndi yochepa, kotero mbale yachitsulo imafunika kuti ithandizidwe.

Mu mbale yachitsulo yosasinthika, mphamvu yaikulu ndi screw yotsalira. Pamene mzere wosweka uli waukulu komanso wautali, zomangira ziwiri kapena zitatu zotsalira zingagwiritsidwe ntchito kukoka molunjika ku mzere wosweka, kenako n’kuthandizidwa ndi kukhazikika kwa mbale yotsalira.

Mapepala oletsa kufalikira kwa mafupa amagwiritsidwa ntchito kwambiri pokonza malleolus ndi clavicle.

1. Mbale yokhazikika 

Kodi mungagwiritse ntchito bwanji matako a mafupa? Chofunika kwambiri ndi cha kusweka kwa mafupa motsutsana ndi mphamvu zodula, zomwe zimayikidwa motsatira kayendedwe kake. Chitsulo chothandizira sichiyenera kukhala chokhuthala kwambiri poyerekeza ndi zitsulo wamba zopanikizika, ndipo sichiyenera kudzazidwa ndi zomangira.

Mbale yachitsulo iyenera kupindika kale, kuyika zomangira za cortical mosinthana kuchokera kutali kupita pafupi, ndikugwiritsa ntchito zomangira za cortical kuti zigwirizane ndi mbale yachitsulo. Chifukwa cha kutembenuka kwake kosalala, mbale yachitsuloyo imakhala ndi chizolowezi choyambiranso kupindika, ndipo mphamvu imeneyi imagwiritsidwa ntchito kuchita ntchito ya buttress.

1. Mbale Yoletsa Kutsetsereka  

Pambuyo pokonza mbale yachitsulo, lekani kuti chipikacho chisatuluke ndi mphamvu yayitali. Chimagwiritsidwa ntchito makamaka kumapeto kwa fibula.

1. Kuphimba kwa Span kapena Kuphimba kwa Bridge 

Iyi ndi njira yosinthidwa ya neutralization plate, yomwe cholinga chake ndi kusweka kwa comminuted kwa cadre, kudzera mu fluoroscopy monitoring, plate imadutsa malo osweka ndikukonza malekezero a proximal ndi distal a fracture, ndipo malo oswekawo sakonzedwa.

Ukadaulo wamtunduwu umagogomezera kwambiri kulinganiza, kulinganiza, kutalika, ndi kuzungulira. Kuphwanya pakati kungachitike popanda chithandizo, zomwe zingateteze bwino magazi omwe atuluka kumapeto kwa kusweka. Komabe, ziyenera kudziwika kuti mbale yachitsulo iyenera kukhala ndi kutalika kokwanira, ndipo chiwerengero cha zomangira kumapeto onse awiri chiyeneranso kukhala chokwanira. Pakadali pano, mafupa ena osalumikizana amatha kuchitika, omwe amafunika kuthandizidwa mosamala.