Nyanzvi mitialt intramedullary zvipikiri: Kuvandudza OrthoPedies Kuvhiya

Nhanganyaya

Kuvhiya kweOrtodies kwakapupurira kufambira mberi kwakakura mumakore, zvichitungamira kuvandudzika zvinobuda zvinobuda uye zvakavandudzwa zviitiko zvemurwere. Imwe inoshamisa inoshamisa ndiyo nyanzvi yemhando yeTibial intrameduutery, nzira yekuvhiya iyo yakatsauka manejimendi emhando yemifananidzo. Munyaya ino, isu tichazotarisa izvo zvimiro, zvinobatsira, uye zvinoshandiswa zvehunyanzvi tibial intramentulary chipikiri, zvichiratidza basa rahwo mukuvandudzika kwezvirimwa.

Zviri Mukati

1. Kunzwisisa Tibial Fractures

2. Nhanganyaya kune Intrameduutery Nailing

3. Iyo nyanzvi yeTibial Intramedullary Chikamambo: Kuongorora

4. Zvakanakira zveNyanzvi Tibial Intramedullary Nailing

5. Kuvhiya maitiro uye kusarongeka maitiro

6. Kugadzirisa uye kupora

7. Mhosva dzakakodzera kune nyanzvi tibiel intramedudullary zvipikiri

8. Kuenzanisa nedzimwe sarudzo dzekurapa

9. Zvinetso uye Njodzi Zvinhu

10. Kufambira mberi mune nyanzvi tibial intramedullary mbiri

11. Mafambiro emangwana uye mauniti

12. Nhau dzebudiriro uye nePrepertilials

13. Mhedziso

Kunzwisisa Tibial Fractures

Ma tibial fractures, kana maponda eShinbone, anozivikanwa erthopedic kukuvara kunogona kuitika nekuda kwezvinhu zvakasiyana-siyana sekutambura, tsaona, kana zviitiko zvemitambo. Aya maronda anogona kukanganisa zvakanyanya kugona kwemunhu uye hupenyu hwehupenyu, zvinofanirwa kukurudzira uye zvinobudirira kurapwa.

Nhanganyaya kune Intrameduutery Nailing

Mukati memukati intraming maitiro ekuvhiya anoshandiswa zvakanyanya kurapwa kwemapfupa marefu emapfupa, kusanganisira tibier fractures. Zvinosanganisira kuiswa kwetsvimbo yesimbi, inozivikanwa sechipikiri chemukati, mune medullary canal yepfupa. Iyo intramedullary chipikiri inopa kugadzikana uye inotsigira pfupa rakakombama panguva yekupora.

Iyo nyanzvi yeTibial Intramedullary Chikamambo: Kuongorora

Iyo nyanzvi yeTibial intramedullary chipikiri chinhu chepamberi chakagadzirirwa chakanyatsogadzirirwa manejimendi emhando yemifananidzo. Inosanganisira maficha anoverengeka, achizviita sarudzo yaunoda pakati pekuvhiya kweOrthopedidic. Chikombama chakagadzirwa neTitanium, vachipa simba, kusimba, uye kusakwana.

Zvakanakira zveNyanzvi Tibial Intramedullary Nailing

• Yakavandudzwa kugadzikana : Iyo Nyanzvi Tibial Intrameduutery Chikiri inopa kugadzikana kwakanyanya kune yakakoromoka tibia, kubvumira kuunganidzwa kwekutanga uye kuderedza njodzi yekusaziva.

• Zvishoma zvinosangana : Maitiro ekuvhiya ekuisa zvipikiri zvehunyanzvi zvinosanganisira zvidiki zvidiki, zvichikonzera kuderedzwa zvakapfava kupora kukuvara nekukurumidza kupora.

• Mutakuri-kugovana : mbambo inogovera basa rekutakura-mutoro weTibia, kudzoreredza zvipfupi zvipfuyo zveBiomechanics uye kufambisa kurapa kwakanaka.

• Kuedza : Nemberi rehunyanzvi kunouya mune dzakasiyana siyana uye diamita, kubvumira kugadziridzwa zvinoenderana neyenyanzvi yemurwere uye fracture maitiro.

  
  

Kuvhiya maitiro uye kusarongeka maitiro

Iyo nyanzvi yeTibial intramedullary mbambo inowanzoiswa ichishandisa nzira isinganzwisisike. Mushure mekugadzira madiki madiki, chiremba anovhiya anoisa mbambo mukati mechidhori cheTibia, achizvishingisa nezvimedu zvipfupi zvipuka. Chikombama chinochengetedzwa nekuvhara zviyero pamigumo yose miviri, ichivimbisa kugadzikana uye kugadzirisa.

Kugadzirisa uye kupora

Kutevera kuvhiya, chirongwa chakazara chekugadzirisa chakakosha chakakosha kupora. Kurapa kwemuviri kunotora basa rakakosha mukudzoreredza simba, huwandu hwekufamba, uye kushanda. Nyanzvi yeNyanzvi Intrameduutery Chemari inogonesa kutanga kurema, kubatsira mukugadzirisa maitiro.

Mhosva dzakakodzera kune nyanzvi tibiel intramedudullary zvipikiri

Iyo nyanzvi yehunyanzvi yakakodzera kune huwandu hwakawanda hwe tibial fractures, kusanganisira:

• Zvirere nyore

• Crawtured Fractures

• Vhura Fractures

• Fractures yakabatana neakapfava tishu kukuvara

  
  

Kuenzanisa nedzimwe sarudzo dzekurapa

Kuenzaniswa nedzimwe sarudzo dzekurapa dzakadai sekugadziriswa kwekunze kana plate fixation, nyanzvi yeTibial intrameduutery chipenyu chinopa zvakati wandei zvakanakira. Inopa kugadzikana kwakanyanya, kuwirirana kuri nani, uye kukurumidza kurapa marongero. Pamusoro pezvo, njodzi yekutapukirwa uye kudiwa kwekuvhiyiwa kwakazotevera kwakadzikira zvakanyanya neiyo nyanzvi mbambo.

Zvinetso uye Njodzi Zvinhu

Kunyangwe iyo nyanzvi yeTibial intramealry chipikiri chinoonekwa seyakachengeteka uye inoshanda kurapwa sarudzo, pane zviitiko zvinogona kuitika zvine chekuita nemaitiro. Izvi zvinosanganisira hutachiona, kukundikana kwekuisa, nonunion, malilignment, uye nerve kana mutsipa kana kukuvara kweropa. Nekudaro, izvi zvinonetsa hazviwanzo kuitika uye zvinogona kuderedzwa neakakodzera kuvhiya maitiro uye postoperative hanya.

Kufambira mberi mune nyanzvi tibial intramedullary mbiri

Kuenderera mberi kufambira mberi tekinoroji yemitambo kwakatungamira mukuvandudzwa kwezvakavandudzwa shanduro dzehunyanzvi tibial intramentularary chipikiri. Aya kufambira mberi anovavarira kuenderera mberi nekuwedzera kwekuvhenekera, kuderedza matambudziko, uye optarize kugutsikana kwemurwere.

Mafambiro emangwana uye mauniti

Vatsvagiri uye vagadziri vanoshingairira kushanda pakubatanidza zvinhu zvepamberi uye matekinoroji mumanyorero tibial intramealry zvipikiri. Izvi zvinosanganisira kushandiswa kwespolate

Nhau dzebudiriro uye nePrepertilials

Varwere vane undergone nyanzvi yeTibial intramealry chipungu ichiwanzotaura nezviripo uye zvakavandudza hupenyu. Zvipupuriro zvavo zvinoratidza zvakanakira maitiro, sekurwadziwa kwakaderedza, kupora nekukurumidza, uye kushanda kwakadzoreredzwa.

Mhedziso

Nyanzvi yehunyanzvi intramuelary yakandoshora kurapwa kwemifananidzo, kupa kwakavimbiswa, kwakavandudzika nematsotsi emurwere, uye kupora. Nepo yayo isingawanzo kusanganisa nzira uye yepamusoro biomechanical zvivakwa, iyi yekuvhiya yekuvhiya yave iri kormu yedombo rekuvhiya kwemazuva ano.