Kumanganso Kumanganso

Ntchito Zopangira Zogulitsa Kanema

Kumanganso kwa Czmeditech

Bololla ya Femallar idapangidwa kuti ithandizire kuchitira zinthu zambiri za femur. Misomali yosiyanasiyana imapezeka kuti iyikidwe pamsonkhano wa Tromanter. Zomangira zimayikidwa kudzera m'misomali kuti ziteteze malo okhala ndikusunga kutalika ndikugwirizanitsa pomwe machiritso amapezeka. Misomali imakhala ndi mabowo angapo mu thupi lolowera lolowera kuti lilole ma opaleshoni kuti athe kuthana ndi mitundu yosiyanasiyana ya fecrature. Proximal ndi kuyika kwa malo osokoneza bongo amalola kukakamizidwa kapena kusinthika kudutsa kusokonekera.

Kukhazikitsa kwa mbewa

Dongosolo lanyumba yamisala limapereka mfundo zowonjezera za opaleshoni ndi zosankha zotsekera kuti mukwaniritse zosowa za opaleshoni zambiri za ma opaleshoni ometa.

Zopangidwira kwa anatomical

Misomali idapangidwa kuti ikhale yolimbana ndi wodwala ndikuwathandiza kuti apewe kutsatsa cortex poyerekeza ndi misomali yokhala ndi radius yayikulu kwambiri.

Kuchepetsedwa kwa proced-

Chida cha akazi chimaphatikizapo mawonekedwe opangidwa kuti achepetse zovuta zohgtlp imayikidwa pamtundu wa mutu wa mitu, ndipo zomangira zimayikidwa mu mbale. Mbaleyo imapereka mawonekedwe okhazikika, omwe amalola kulimbikitsa koyambirira ndi kukonzanso.

Zosankha zotsekemera

Kusankha kokhoma ndi komwe kumabweretsanso mitundu yobwezeretsanso mitundu kumalola chithandizo cha mitundu yosiyanasiyana ya femar ya femure ya femuly.

Zosankha Zosokera

Okonzeka ndi zosankha zinayi zakukhosi, kuphatikizaponso dzenje lakuthwa kuti mupange fupa labwino kwambiri ndi dzenje lomwe limapereka mfundo yogula.

Kusankha Kusankha

Great Corochants ndi Priformis fossa kulowa polowera misomali misomali kuti igwirizane ndi abwana omwe amasankha komanso ochita opaleshoni.

Kapangidwe ka misomali

Kukonzanso misomali kumapereka kusinthasintha kwakukulu

Misomali yosiyanasiyana ya kumanzere ndi kumeta

Anatomic pindani pakuchepetsa kuyika ndi kuchotsa

Kukongoletsa misomali yonse yotsogozedwa munjira yobwereketsa ndi njira yopanda tanthauzo

Ma Portfolio akuluakulu okhala ndi diameers misomali kuyambira pa dia 9 mpaka 11 mm ndi kutalika koyambira kuyambira 320 mpaka 420 mm

Kusintha kokhazikika kwa static, mphamvu ndi kokhazikika

Misomali yolumikizira imapezeka ku Titanium ndi SS 316L

Zosankha zapadera zowoneka bwino

Malo ophatikizidwa apadera akusowa amathandizira kutseka koyenera kwa mtundu uliwonse wa anatomical. Dokotalayo amatha kugwiritsa ntchito malo otsetsereka (ndi zomangira ziwiri zotsekemera). Chipewa chomaliza chimalola kutseka kokhazikika kwa malo otsetsereka kwambiri.

Malekezero omaliza

Kudzisunga nokha kuwongolera kwa osasamala komanso otetezeka a cap-up ndi kulowetsa

Kuthekera kuti muletse chikhomo cholowera kwambiri chokha cha kukhazikika kwathunthu

Kuthetsa Cap kumalepheretsa kuyika minofu ya minofu ndikuthandizira kuchotsedwa kwa misomali

Kutseka zomangira

Zingwe za 6.4 mm zokhala ndi ma lag okhala nazo zimakhala ndi mawonekedwe apadera omwe amagwira bwino kwambiri. Zithunzi zodulira kutsogolo zimalola kuti zing'onozing'ono zimachepetsa chiwindi chocheperako komanso chowonda chocheperako chakuchotsa fupa.

Kuyika kotetezedwa kwa zomangira za makosi mkati mwa makosi

Kusintha kwa malo otsetsereka kumachitika mozungulira ndi dzenje lolowera kuti lizilola malo okhazikika komanso / kapena chopindika.

5 Zithunzi Zomangira, zofala misomali yachikazi, zakonzedwa kuti zitheke pochita opaleshoni ndikulimbikitsa njira yochepetsera.

Woyendetsa foni yodziletsa yopanda pake komanso yoterera kutseka yokhotakhota.

Ulusi wowirikiza zolumikizira zolumikizira zotsogola

Gawo lalikulu la gawo losintha makina

Ulusi pafupi ndi mutu wa funda logula fupa labwino ndikusintha

Woyendetsa foni yodziletsa yopanda pake komanso yotetezeka kutsekera

Kubwezeretsanso magwiridwe antchito magwiridwe antchito

Mafuta a femur, omwe ndi fupa lalitali kwambiri komanso lamphamvu kwambiri m'thupi la munthu, chitha kukhala chovuta komanso kufooketsa. Kuchiza kwa zonunkhira nthawi zambiri kumafuna kulowererapo kwa opaleshoni, ndipo intradellary mitaing yakhala njira yodziwika bwino yokhazikika. Kubwezeretsanso magwiridwe antchito ma indradellallallary msomali ndi mtundu wa intravedillary msomali amapangira zojambulajambula. Nkhaniyi ifotokozanso zolimbitsa thupi.

Chiyambi

• Kufotokozera kwa zoyenda zamanyazi komanso kuuma kwawo

• Kufotokozera kwa opaleshoni yoyeserera kwa ma fractor

• Mwachidule mwachidule za intradellary mitaing

Zisonyezo za zomangamanga zomangamanga intradedlallary msomali

• Kufotokozera kwa mtundu wa zojambula zamanjenje zomwe zitha kuthandizidwa ndi magwiridwe antchito a femuction

• Kufotokozera kwa contraindication njirayi

Njira yoyendetsa opaleshoni yomanganso katundu indramillallary msomali

• Kuganizira

• Zosankha za opaleshoni

• Kuyika wodwalayo

• Kuwongolera Zochita

• Ikani msomali

• Kutsekeka Kwambiri

• Kutseka kwa mabala

Ubwino womanganso undradeddullallary msomali

• Kuchulukana kochepa

• Kusungidwa kwa magazi mpaka fupa

• Kulemera Koyambirira

• Kupambana Kwambiri

• Kuchepetsedwa pachiwopsezo cha zovuta poyerekeza ndi njira zina zopangira opaleshoni

Zovuta zomwe zingachitike zomangamanga zomangamanga

• Kupasilana

• Osagwirizana kapena kuchedwa mgwirizano

• Kulephera

• Kukwiya kwa Hardware

• Masewera am'madzi kapena kuvulala kwa mitsempha

Kubwezeretsa ndi Kukonzanso

• Kufotokozera kwa chisamaliro cha postoperative

• Nthawi zochira ndikubwerera ku zochitika wamba

• Kukonzanso masewera olimbitsa thupi komanso chithandizo chamankhwala

Mapeto

Kubwezedwanso Kumanganso kwa Intramillallary Nail ndi njira yovomerezeka komanso yogwira ntchito yopalamula kuti igwiritse ntchito mankhwalawa. Imapereka zabwino zambiri pamaluso ena opangira opaleshoni ndipo imachita bwino kwambiri. Komabe, zovuta zomwe zingakhalepo ndipo ziyenera kukambirana ndi wodwalayo asanachite. Ndi njira yofunikira kwambiri yokonzekera, opaleshoni yochitira opaleshoni, komanso chisamaliro chogwira ntchito, odwala amatha kuchita bwino ndikubwerera ku zochitika zawo zabwinobwino.

Nyama

1. Kodi opaleshoni imatenga nthawi yayitali bwanji?

2. Kodi ndifunika chithandizo chakuthupi mukachita opareshoni?

3. Kodi ndingathe bwanji kuyenda pa opaleshoni?

4. Kodi Kukhazikitsanso Zowawa Kukhazikitsanso Intramidellary Memed achotsedwa?

5. Kodi njira yopambana ya njirayi ndi yotani?

1. Kodi opaleshoni imatenga nthawi yayitali bwanji? Opaleshoniyo nthawi zambiri amatenga pafupifupi maola 1-2.

2. Kodi ndifunika chithandizo chakuthupi mukachita opareshoni? Inde, mankhwalawa ndi gawo lofunikira pakuchira ndikuthandizira kuwonetsetsa kuti zotsatira zake zimakhala bwino.

3. Ndingatani kuti ndiyambe kuyenda pa opaleshoni? Odwala ambiri amatha kuyamba kuyenda mothandizidwa ndi ziweto kapena woyenda mkati mwa masiku ochepa atachitidwa opaleshoni.

4.

5. Kodi kuchita bwino kwa njirayi kumabweretsa chiyani? Kupambana kwa kukonzanso kwamasewera ma indradedlary msomali kumakhala kokwera, ndi kupambana kwapamwamba kwa 90%.

Misomali ya akazi imagwiritsa ntchito

Dongosolo la misomali lachikopa lomwe limapangidwa kuti lizichiritsa maluwa mwa akuluakulu mwa akuluakulu omwe akukula ayamba. Makamaka, dongosololi likuwonetsedwa:

1. Blixochantic flucrate

2. Ypsiteral khosi / shaft fractions

3. Zovala za femat

4. Makonda am'matumbo akubwera

5. Zowopsa ndi Nthumwi

Zovuta Zamachent

Maphunziro a dokotala, maphunziro ndi akatswiri azingoyenera kudaliridwa kusankha chida ndi chithandizo choyenera.

Zikhalidwe zomwe zimapangitsa kuti zikhale zolephera zolephera kuphatikiza:

1. Iliyonse yogwira kapena yoganiza zosemphana kapena yotupa kapena yotupa kwambiri.

2. Kusokoneza mawu omwe angalepheretse magazi okwanira kuwonongeka kapena malo ogwiritsira ntchito.

3. Mafupa a mafupa adasokonekera ndi matenda, matenda kapena kusokonekera musanayambe kugwiritsa ntchito bwino komanso / kapena kukhazikitsa zida.

4. Kuzindikira zakuthupi, zolembedwa kapena zimaganiziridwa.

5. Kunenepa kwambiri. Wodwala kwambiri kapena wonenepa kwambiri amatha kutulutsa katundu pazakuyatsa zomwe zingayambitse kulephera kwa chipangizocho kapena kulephera kwa chipangizocho.

6. Odwala omwe amakhala ndi minofu yokwanira pa tsamba.

7. Kugwiritsa ntchito kutanthauza komwe kumasokoneza magulu a anatomical kapena zinthu zathupi.

8. Kusokonezeka kulikonse kapena matenda amitsempha omwe angapangitse chiopsezo chosavomerezeka cha kulephera kapena zovuta pakusintha.

9. Mankhwala ena azachipatala kapena opaleshoni zomwe zingalepheretse kuchitidwa opareshoni.