Misomali 10 yapamwamba kwambiri (DTN) ku North America kwa Januware 2025

Kutseka mbale

Kuwonongeka kwakukulu kwa minofu yofewa, kuchuluka kwa matenda owirikiza, kuchira kwa nthawi yayitali

Misomali misomali

Chiopsezo cha kuvulala kwa bondo, kusanthula kosakwanira, kumakonda kuwongolera

Dtn yankho

Njira yochepetsera ndikuyika mapangidwe a retrogrode

1Mafuta a Tibraal Tibial ndiofala, ndipo chithandizo chachikhalidwe chimakhala ndi malire

Mafuta a Tibral Tibial ndi mtundu wamba wamalire a miyendo. Mankhwala achikhalidwe monga mbale zotsekera ndi attegrade misomali aliyense ali ndi zovuta zawo. Mbale zokhotakhota zitha kuyambitsa matenda opatsirana kapena minofu yofewa ya necrosis, kuchira; Ngakhale misomali ya Anterrade ndi yopanda pake pang'ono, atha kuwononga khomo lolumikizira, kupweteketsa, ndikunyamula zoopsa zosakwanira kapena zokopa, zomwe zimalepheretsa kuchira.

2Njira yatsopano: msomali wampikisano (DTN)

Njira yothandizirana ndi ibial msomali (dtn) -Fen

Mkuyu. 1: DTN Bretrog

1Kupirira Kukhazikika ndi Kuchepetsa Kukonzekera

Wodwalayo amayikidwa mu gawo lapadera. Ma fractures othawa amayenera kusinthidwanso pamanja; Ngati ndi kotheka, gwiritsani ntchito mphamvu zochepetsera kuti muthandizire musanayike dtn. Ngati pali kusokonekera kwamphamvu kwamphamvu, kusinthika koyenera kumatha kuthandiza Tibial.

2Njira Yoyika DTN

Litala la 2-3 litalikilo limapangidwa kumapeto kwa Melealus kuti iulule miyambo ya Deltoid ya Deltoid. Pini yowongolera imayikidwa kapena mkati pang'ono mpaka kumapeto kwa malleolus, 4-5 mm kuchokera ku urningilar.

Mkuyu. 2A: Chitsogozo chowongolera

Mkuyu. 2B: Chotsatira

Mkuyu. 2C: Kukonzanso njira

Pulogalamu ya Rehabul

• Ntchito yolumikizirana yolumikizana itayamba opaleshoni

• Pewani Kulemera Kwambiri kwa Masabata 4-6

• Kusintha kwapang'onopang'ono kufesa kulemera kwathunthu patatha milungu 8-12

• Kuwunika kwa radiographic kokhazikika panthawi yobwezeretsa

1Zotsatira zamankhwala za odwala 10

Phunziro lidatsatira odwala 10. Podzafika miyezi itatu Post-op, 7 milandu adachira; Odwala onse adapeza machiritso mkati mwa miyezi 6. Mlandu umodzi uliwonse wa virus ndi ziphuphu za reirvatum zinachitika. Palibe chosiya kuchepetsedwa, matenda, zovuta zokhudzana ndi zovuta, kapena kuti kuvulaza kwa iitrogenic kudawonedwa.

1Biomechanical

Kubweza misomali kumakhala ndiukali kwambiri komanso kufota pakati poyang'ana ma mbale wamba ndi misomali ya Anterrade. Greenfififield et al. Kuyesedwa koyesedwa kosonyeza kuti kugwiritsa ntchito zomata ziwiri mu DTn kukwaniritsa 60-70% ya kuuma kwa mitundu ndi 90% ya kuuma kwamiyala poyerekeza ndi zomata zitatu poyerekeza ndi zomata zitatu.

2Zabwino za dtn

Poyerekeza ndi misomali ya intravelallary imayambitsa kuwonongeka kochepa kwa minofu, makamaka koyenera kwa odwala okalamba ndi omwe ali ndi zofewa zofewa zamphamvu kwambiri. Njira sizitanthauza kusinthasintha kwa bondo, kuchepetsa ngozi yochepetsa ndikupanga kukhala yoyenera kwa odwala omwe ali ndi malire obowola.

3Kufanizira kwamankhwala

Mitengo yopanda tanthauzo ndi ma alaligment ya misomali ya Antegrade ndi 0-25% ndi 8.3-50%, motsatana; potseka mbale, 0-17% ndi 0-17%. Mu kafukufukuyu, milandu yonse idakwaniritsidwa, ndipo 20% yokha idali ndi zonyansa> 5 °, kufananizidwa ndi njira zachikhalidwe.

Mzere wa DTN

Intual Tibial intradellallary msomali (DTN)

Model: T1100-59

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Intual Tibial intradellallary msomali (DTN) chida chokhazikitsidwa

Model: 1200-27

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Intual Tibial intradellary msomali (DTN) Bokosi la Chida

Model: 1000-0139

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