Imyidagaduro ya femoral

Ibicuruzwa birambuye Video

Czmeditech Isubiramo rya femoral

Umuyoboro wa femoral wateguwe kugirango ufashe kuvura ibitsina bitandukanye bya femur. Imisumari itandukanye irahari igomba gushyirwa mu isonga rya trochanter ikomeye. Imiyoboro ishyizwe mu musumari kugirango ikore neza aho igashyiraho kandi igakomeza uburebure no guhuza mugihe gukira bibaye. Imisumari ifite umwobo mwinshi mu mubiri wa Proximal kugirango ukemere gukemura ubwoko butandukanye bwo kuvura. Ibibanza byambere kandi bya kure byemerera kwikuramo cyangwa gutera imbaraga kumeneka.

Kongera imiyoboro y'intangiriro

Sisitemu ya femoral yanze imisumari itanga amanota yo kubaga no gufunga uburyo bwo guhura nibindi bikorwa byo kubaga byinshi.

Yagenewe anatomical

Umusumari wagenewe neza guhuza Anatomy na Anatomiya no gufasha kwirinda guhindura cortex imbere ugereranije nimisumari hamwe na radiyo nini ya curvature.

Kugabanya uburyo bworoshye

Igikoresho cya femoral Pontal Dialy irimo ibintu byagenewe kugabanya ibintu byo kubaga byorohereza ibintu byubahiriza ibintu byagaragaye, uhambiriye no guhuza kimwe no koroshya gukoresha cyangwa abakozi.

Amahitamo yo gufunga

Guhitamo uburyo bwo gufunga bisanzwe kandi bwo kubaka yemerera kuvura ibintu bitandukanye byo kuvunika femoral.

Amahitamo yo gufunga

Ifite ibikoresho bine byo gufunga kure, harimo umwobo wa kure cyane kumagufwa meza kuri conds na / p umwobo utanga ingingo yo kugura itabi.

Guhitamo ingingo

Ikirenga Crochanter na Piriforsis Fossa yinjira ahabishushanyo byo kwakira anatomiya itandukanye no kubaga.

Igishushanyo mbonera cyateye imbere

Igishushanyo mbonera cya femoral igishushanyo gitanga guhinduka cyane

Imisumari itandukanye ibumoso na femur iburyo

Anatomic yunamye kugirango yoroherezwe no gushiramo no gukuramo

Connulate yimisumari yose yo kwinjiza gahunda yagaruwe na tekinike yagaruwe kandi idashoboka

Imbuga nini hamwe na diameters yimirire kuva kuri dia 9 kugeza 11 mm nuburebure kuva kuri 320 kugeza kuri mm 420

Gufunga ibikoresho byo gufunga kubihatanira static, imbaraga no gufunga bisanzwe

Kongera imisumari iboneka muri Titanium na SS 316L

Amahitamo adasanzwe yo gufunga

Umwobo udasanzwe uhuza uhuza gufunga ibintu byiza kuri buri kintu cyose cya anatomical na frecture. Umuganga ubaga arashobora gukoresha gufunga bisanzwe (hamwe nimigozi ibiri yo gufunga). CAP CUD ituma ingubone ifunga ifunga cyane gufunga kure cyane muburyo bwombi.

IHEREZO

Kwiyambaza umushoferi wa screw kubikorwa bidafite imbaraga kandi bifite umutekano

Ibishoboka kugirango uhagarike gufunga ibintu byinshi byo gufunga kumutekano rwose

Iherezo rya CAP irinda kwi mwarimu

Gufunga imigozi

Imigozi ya 6.4 ya DEG ifite igishushanyo mbonera cyihariye gitanga gufata neza. Imbere yo gukata imbere gutema ibice bigabanya intera ya Torque na yoroheje yo gukuraho amagufwa make.

Gushyira Umutekano wa Lag muri diameters ntoya irashobora kugerwaho kubera gutandukanya imigozi ibiri 6.4

Iboneza rya kure birimo umwuka nu mwobo wa oblong kugirango wemererwe na static na / cyangwa imbaraga za kure.

5 mm contikel imigozi, ihuriweho nuwononoma bya femoral, byateguwe ko byoroshya inzira yo kubaga no guteza imbere uburyo budahuye.

Kwifata umushoferi wa screw kugirango ufungure imitekerereze kandi ufite umutekano wo gutora.

Insanganyamatsiko ebyiri kubindi bisobanuro biganisha ku kuzamura umutekano

Igice kinini cyambukiranya ubukanguranisitani

Urudodo rwegereye umutwe utanga igufwa ryiza ryo kugura amagufwa meza no kunoza

Kwifata nabi umushoferi utagira imbaraga kandi wizewe gufunga screw

Gusubiramo

Kuvunika bya Femur, ni igufwa rirerire kandi rikomeye mu mubiri w'umuntu, rishobora kuba mbi kandi ricika intege. Kuvura femoral akenshi bisaba gutabara, kandi imisumari yo mu ntambara yahindutse tekinike izwi cyane yo guhungabanya umutekano. Kwiyubaka kw'intwaro InterAmedlary Nine Ubwoko bw'intangiriro yumunwa wagenewe kwisubiraho femoral. Iyi ngingo izaganira ku munwa wo kwiyubaka mu bubiko, ibimenyetso byayo, tekinike yo kubaga, ibyiza, n'ibishobora gukemura ibibazo.

Intangiriro

• Ibisobanuro byo kuvunika femoral nuburemere bwabo

• Ibisobanuro byo gutabara kubaga byo guhagarika femoral

• Incamake ngufi ya Intramedillary imisumari

Ibimenyetso byo kwiyubaka mu bubiko

• Ibisobanuro byubwoko bwo kuvunika femoral bushobora kuvurwa hamwe na inkuta zo kwiyubaka mu bubiko

• Ibisobanuro byo kumenyekanisha ubu buryo

Tekinike yo kubaga yo kwiyubaka muri femoral instaimedlary umusumari

• Ibitekerezo byateganijwe

• Anesthesia Amahitamo

• Umwanya wumurwayi

• Uburyo bwo kubaga

• Kwinjiza umusumari

• Gufunga kure

• Gufunga ibikomere

Ibyiza byo kwiyubaka muri femoral isukari

• Impamvu nto

• Kubungabunga amaraso atanga amagufwa

• Ibirori byambere

• Ikigereranyo kinini

• Kugabanya ibyago byo kugorana ugereranije nubundi buryo bwo kubaga

Ingorane zishobora gutumiza imibonano mpuzabitsina imisumari

• Kwandura

• Inzego zitari Umunyamerika

• Kunanirwa

• Kurakara

• Ibigo bya femorale cyangwa ibikomere

Kugarura no gusubiza mu buzima busanzwe

• Ibisobanuro byo kwita ku ntangiriro

• Igihe cyo gukira no gusubira mubikorwa bisanzwe

• Imyitozo yo gusana no kuvura umubiri

Umwanzuro

Kwiyubaka kw'intwaro InterAmedillary Umusuko ni tekinike nziza kandi nziza yo kubaga no kuvura imivurungano. Itanga ibyiza byinshi hejuru yubundi buryo bwo kubaga kandi ifite igipimo kinini. Ariko, ibibazo bishobora kubaho kandi bigomba kuganirwaho numurwayi mbere yuburyo. Hamwe no gutegura neza, tekinike yo kubaga, no kwitabwaho nyuma, abarwayi barashobora kugera kubisubizo byiza bagasubira mubikorwa byabo bisanzwe.

Ibibazo

1. Kubaga bifata igihe kingana iki?

2. Nkeneye kuvura kumubiri nyuma yo kubaga?

3. Ni kangahe nshobora gutangira kugenda nyuma yo kubagwa?

4. Ese inzitizi yo kwiyubakwa kw'insanganyamatsiko irashobora gukurwaho?

5. Ni ubuhe buryo bwo gutsinda muri ubu buryo?

1. Kubaga bifata igihe kingana iki? Kubaga mubisanzwe bifata amasaha agera kuri 1-2.

2. Nzakenera kuvura kumubiri nyuma yo kubaga? Yego, kuvura umubiri nigice cyingenzi mubikorwa byo gukira kandi bifasha kwemeza ibisubizo byiza bishoboka.

3. Ni kangahe nshobora gutangira kugenda nyuma yo kubagwa? Abarwayi benshi barashobora gutangira kugenda babifashijwemo inkoni cyangwa kugenda muminsi mike nyuma yo kubagwa.

4. Irashobora Kubaka Umunyabwenge InterAmedily Umusumari Yakuweho? Nibyo, umusumari arashobora kuvaho igihe igufwa ryarakize.

5. Ni ubuhe buryo bwo gutsinda muri ubu buryo? Ikigereranyo cyo kwiyubaka mu bubiko bw'inkuta z'umusumari ni muremure, hagamijwe gutsinda igipimo kirenga 90%.

Kongera imisumari imisumari ikoresha

Sisitemu yumusumari ya femoral igenewe kuvura ibivunika mubakuze ningimbi ibyangiza amasahani yo gukura. By'umwihariko, sisitemu igaragazwa na:

1. Kuvunika subtrochanterIc

2. Ijosi rya IPILATELT / SHAFIC

3. Shaft Fractrale

4. Kwegeranya

5. Amadubunti no kutagira

Rehoneral Rehoneral ihungabanya

Uburezi bwa muganga, amahugurwa n'umunyamwuga bigomba gushingirwa guhitamo igikoresho no kuvura.

Ibisabwa byerekana ibyago byo kunanirwa birimo:

1. Inzitizi cyangwa ukekwaho kwandura byihishe cyangwa zaranzwe no gutwika hafi cyangwa hafi yacyo.

2. Imiyoboro iteshutse izabuza amaraso ahagije yo kuvunika cyangwa kurubuga rwabakozi.

3. Amagufwa yamagufwa yangiritse nindwara, kwandura cyangwa gutera imbere bidashobora gutanga inkunga ihagije kandi / cyangwa gukosora ibikoresho.

4. Kwiyumvisha ibintu, byanditse cyangwa bikekwa.

5. Umubyibuho ukabije. Umurwayi ufite umubyibuho ukabije cyangwa ufite umubyibuho ukabije ushobora kubyara imitwaro ishobora gutuma umuntu ananirwa gukosorwa cyangwa kunanirwa kw'igikoresho ubwacyo.

6. Abarwayi bafite tissue idahagije kurubuga rwakazi.

7. Gukoresha Gukoresha byabangamira hamwe ninzego za Anatoodical cyangwa imikorere ya physiologiya.

8. Indwara iyo ari yo yose yo mu mutwe cyangwa neuromuscular izakora ibyago bitemewe byo kunanirwa kunanirwa cyangwa kunanirwa mubwitange nyuma yo kwitabwaho.

9. Ubundi buvuzi cyangwa kubaga byabuzaga imbaraga zo kubaga.