Nyanzvi Tibial Intramedullary Nail Bhokisi: Mhedziso yeKuvhiya Techniques uye Kufambira mberi
Nhanganyaya
Tibial fractures inogona kuva yakaoma kurapa nekuda kwehutano hwavo hwakaoma uye kukwanisa kwehutano husina kunaka hwemapfupa. Intramedullary nailing inzira yakajairika yekuvhiya inoshandiswa kurapa tibial fractures. Nyanzvi tibial intramedullary nail mabhokisi yakawedzera mukurumbira mumakore achangopfuura, ichipa vanachiremba vane hunyanzvi zviridzwa uye maimplants akagadzirirwa kuvandudza mhedzisiro yekuvhiya. Ichi chinyorwa chinopa mhedziso yehunyanzvi tibial intramedullary nail mabhokisi, kusanganisira zvikamu zvavo, maitiro ekuvhiya, uye kufambira mberi.
Zvikamu zveNyanzvi Tibial Intramedullary Nail Mabhokisi
Nyanzvi tibial intramedullary nail mabhokisi ane midziyo yakasarudzika uye ma implants akagadzirirwa kubatsira vanovhiya mukuvhiya manejimendi yetibial fractures. Izvi zvinotevera zvikamu zvinowanzobatanidzwa:
Intramedullary Nails
Intramedullary mbambo ndiyo chikamu chikuru chenyanzvi tibial intramedullary nail mabhokisi. Iwo marefu, matete, cylindrical tsvimbo dzinoiswa mu intramedullary canal yetibia kuti ipe kugadzikana uye kurongeka.
Locking Screws
Locking screws anoshandiswa kuchengetedza intramedullary chipikiri pabhonzo. Izvo zvinopinzwa mumakomba ekare-akaboorwa muchipikiri uye akaiswa mupfupa, achipa kugadzikana uye kudzivirira kutenderera.
Reamers
Reamers anoshandiswa kugadzirira intramedullary canal yekupinza zvipikiri. Iwo anowanikwa muhukuru hwakasiyana uye anogona kushandiswa kuwedzera canal kuti agare akasiyana mbambo saizi.
Guides uye Drill Bits
Manongedzo uye mabhiti ekuboorera anoshandiswa kugadzira maburi akacherwa kare ekukiya ma screws. Ivo vanovimbisa kuiswa kwakaringana kwema screws uye kudzivirira kukuvadzwa kune yakatenderedza nyoro tishu.
Nzira dzekuvhiya dzeNyanzvi Tibial Intramedullary Nail Box
Matanho anotevera anotsanangura nzira yekuvhiya yekushandiswa kwenyanzvi tibial intramedullary nail box:
Preoperative Planning
Kuronga kwepreoperative kunosanganisira kunyatsoongorora kutsemuka kwemurwere uye hutano hwese. Zvidzidzo zvekufungidzira zvakaita seX-rays uye CT scans zvinoshandiswa kuongorora huwandu hwekutyoka uye kuona hukuru hwembambo hwakakodzera uye kugadzirisa.
Anesthesia
General kana redunhu anesthesia inowanzoshandiswa kune intramedullary nailing maitiro.
Kuvhiya Nzira
Nzira yekuvhiya inoitwa kune tibia kuti iwane mukana kune intramedullary canal. Maitiro akajairika anosanganisira anterior uye medial maitiro.
Reaming
Iyo intramedullary canal inodzokororwa kuti igadzirire kuiswa kwembambo. Reamers ekuwedzera kukura anoshandiswa kusvikira mugero wakakodzera hukuru hwembambo yakasarudzwa.
Kupinza Kwezvipikiri
Iyo intramedullary mbambo inopinzwa mugero uye yakachengetedzwa munzvimbo ine yekukiya screws.
Kuvharwa Kwemaronda
Ronda racho rinovharwa, uye kutarisirwa kwakakodzera pashure pokuvhiyiwa kunotangwa.
Kufambira mberi muNyanzvi Tibial Intramedullary Nail Mabhokisi
Kufambira mberi mune nyanzvi tibial intramedullary nail mabhokisi kwakavandudza mhedzisiro yekuvhiya uye kuderedzwa kwematambudziko. Zvinotevera ndezvimwe zvezvino kufambira mberi:
Pre-contoured Nails
Pre-contoured misumari yakagadzirwa kuti ienderane neatomical shape yetibia, ichipa kugadzikana kwakanaka uye kuderedza dambudziko rekukundikana kwekudyara.
Kukiya Mechanisms
Yakanatsiridzwa yekuvhara nzira dzinopa kugadzikana kuri nani uye kuderedza njodzi yekusunungura sikuru kana kuputsika.
Instrumentation
Kufambira mberi mukushandisa zviridzwa kwaita kuti nzira yekuvhiya ive yakanyatsojeka uye yakarongeka, kuderedza nguva yekushanda uye kugadzirisa mhedzisiro.
Mhedziso
Nyanzvi tibial intramedullary mbambo mabhokisi inyanzvi seti yemidziyo inobatsira mukuvhiya manejimendi yetibial fractures. Izvo zvine midziyo yakasarudzika uye ma implants akagadzirirwa kuvandudza mhedzisiro yekuvhiya uye kuderedza matambudziko. Kufambira mberi mune nyanzvi tibial intramedullary nail mabhokisi akaita kuti nzira yekuvhiya ive yakanyatsojeka uye yakarongeka, zvichikonzera mhedzisiro iri nani kune varwere. Vanachiremba vanovhiya vanofanira kunge vachiziva nezvezvikamu uye maitiro ekuvhiya enyanzvi tibial intramedullary nail mabhokisi kuti ape hutano hwakakwana kune varwere vane tibial fractures.
FAQs
Chii chinonzi tibial intramedullary chipikiri bhokisi? Nyanzvi tibial intramedullary nail bhokisi chishandiso chakasarudzika chakagadzirirwa kubatsira vanachiremba mukuvhiya manejimendi etibial fractures.
Ndezvipi zvikamu zvinosanganisirwa mune nyanzvi tibial intramedullary chipikiri bhokisi? Nyanzvi tibial intramedullary zvipikiri mabhokisi anowanzo sanganisira intramedullary zvipikiri, kukiya screws, reamers, madhairekitori, uye drill bits.
Iyo nyanzvi tibial intramedullary nail bhokisi inovandudza sei mhedzisiro yekuvhiya? Nyanzvi tibial intramedullary mbambo mabhokisi inopa hunyanzvi zviridzwa uye maimplants akagadzirirwa kuvandudza mhedzisiro yekuvhiya uye kuderedza matambudziko. Kufambira mberi mune nyanzvi tibial intramedullary nail mabhokisi akaita kuti nzira yekuvhiya ive yakanyatsojeka uye yakarongeka, zvichikonzera mhedzisiro iri nani kune varwere.
Ndedzipi kufambira mberi kwazvino mune nyanzvi tibial intramedullary zvipikiri mabhokisi? Iko kufambira mberi kwazvino muhunyanzvi tibial intramedullary zvipikiri mabhokisi anosanganisira pre-yakakomberedzwa zvipikiri, yakagadziridzwa yekukiya nzira, uye kufambira mberi mune chiridzwa.
Chii chinofanira kuziva vanachiremba vanovhiya nezve nyanzvi tibial intramedullary chipikiri mabhokisi? Vanachiremba vanovhiya vanofanira kunge vachiziva nezvezvikamu uye maitiro ekuvhiya enyanzvi tibial intramedullary nail mabhokisi kuti ape hutano hwakakwana kune varwere vane tibial fractures.
