Kupararira kweCalcaneal kwakarapwa sei?

Ndedzipi kiriniki clinicopathological shanduko muCalcaneal Fractures?

Iyo Clinicopathological shanduko yeCalcaneal Fracures inosanganisira Arch Wall Bulge, Talus Dorsiflexion, LELLUR YEMAHARA, FILUR YEMAHARA uye Pfupi Tendon Endrapment, Hinfon Endform Colignment Shanduko, chirimwa chekudyara kugoverwa zvinochinja, hindfoot kufamba uye Gait Abnormalities, Hindfoot chimiro chinoshanduka, uye kuomerwa kupfeka shangu.

Ndedzipi zviratidziro zvekiriniki zveCalcaneal Fractures?

Kuratidzwa kukuru kwetsvina yeCalcaneal kurwadzisa kwenzvimbo, hunyoro, zvipuka zvepfupa, kuzvimba kwenzvimbo, subcutaneous ecchymosis, chitsitsinho chezvemusoro, chitsitsinho chirwere, uye kushoma kwekufamba. Zvichekare Calcaneal Fracts zvinogona kuratidza sekuzvimba, kurwadziwa, kushomeka kwechitsitsinho, senge dysfantfaction, kuremerwa kwemotokari, uye kuoma mukupfeka shangu.

Maitiro Ekubata Sei Calcaneus Kupwanya?

Kurapa kweCalcaneal Fractures kunogona kukamurwa kuita zvisiri-zvekuvhiya uye kurapwa kwekuvhiya.

Kusarapa zvisiri zvekuvhiya

•  Longitudinal Tubercle Frcraes: Kudzvinyirira Bhaisikopo kunogona kushandisirwa kune avo vasina kudzikisira, uye kuderedzwa kwekudzvinyirira neCalcaneal traction kunogona kushandiswa kune varwere nekukasira nePlaster.

• Fractures pachiyero cheTimbera: Varwere vasingatenderwa nePlaster Cast, uye avo vakadzikiswa vanogona kuderedzwa nekudzikiswa kuderedzwa uye kugadziriswa ne screws kana iyo yekunyengera isingakwanisi kuderedzwa.

• Hapana mutoro wekutakura Talus Lracture.

• Kune calcaneal protrusion kupwanyika, mhuru ikakanda inogona kugadziriswa nekugadziriswa kwekunze, uye kusaziva kunogona kuongororwa.

• Kune fractures padyo neCalcaneal Joint, kana pasina kudzingwa, shandisa plaster cast yekugadzirisa kwekunze; Kana paine kukosha kwakakosha, iyo calcaneal tubercle inofanira kuderedzwa nehurongwa hwekudzoreredza kona ye tabuni, uye kuremara kwe calcaneus kunofanirwa kudzoreredzwa uye kuchinjwa ne plaster cast. . Mukuwedzera, kurapwa kusiri kwekuvhiya kunoonekwawo mune zvinotevera zviitiko: ① varwere vane zvakakomba zvombo uye chirwere cheshuga, kana kutyisidzira kwehupenyu nekukuvara kwakanyanya kukuru; ← Kuvakazve Kuvakazve kana kusakosha, vakura vanhu vasingagoni kufamba kana vaine paraplegia; ③ Intra-articular bracture neyekupararira kutama <2mm.

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Kune fractures nekudzingwa kuri pachena kunokanganisa iyo yekunyepedzera pamusoro peCalcaneus, kurapa kwekuvhiya kuri kutsigirwa.

Zvinangwa zvekurapa kurapwa uye maitiro eAnatomical kuvaka kweMalcaneus:

•  Mukubatwa kweCalcaneal Fractures, iyo yakajairika biomakanical hunhu hwetsoka retsoka dzinofanira kudzoreredzwa kusvika sezvinobvira;

• Fractures inofanira kuderedzwa nenzira kwayo, uye anatomical kuderedzwa kunofanirwa kuwanikwa nekukanganiswa kunosanganisira kubatana kwezviitiko zvepasi uye zvakajairika zvechirungu. .

• Maitiro ekugadzirisa anofanirwa kuve akavimbika uye otenderwa kurovedza muviri zvakanyanya uye nekutanga kurwadzisa, kuderedza kurwadzisa uye kuderedza mamiriro ekukuvara kwetishu uye zvinyoronyoro.

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Ndezvipi zvakajairika zvekutanga zvinetso zveCalcaneal fractures? Maitiro ekuita nazvo?

Zvakajairika nguva dzekutanga dzeCalcaneal Fractures dzinosanganisira zvakapfava zvekukuvara, kuzvimba, kushushikana, mabhururu ezvinyorwa, uye yakadzika vein thrombosis.

Manejimendi ezviputi zvinyoro-nyoro zvinosanganisira:

•  Simudza ruoko rwakakanganisika kuitira kuti zvakakwira kupfuura iyo nhanho yemoyo, uye inogona kuunzwa kune iyo nhanho yemwoyo iyo iyo inyonganiso yemitambo inofungidzirwa;

• Kushandiswa kwezvinodhaka zveAnti-kuzvimba, senge 20% mananitol intrevenous kudonha kudonha.

• ice pack inotonhora compress;

• Nyorera rutsoka arterial venous pombi;

• Kune avo vane mabhureki ari pachena, mabhureki anogona kutorwa, uye bandage elastic mushure mekusafarirwa kuzoshanda.

Nheyo dzekurapa dzeFascial Compartment Syndrome dziri pekutanga kuwanikwa, kutanga kuongororwa, uye kurapwa kwenguva pfupi, kudzivirira rutsoka uye nerve discfiction, uye dzorera basa retsoka dzakakanganisika kusvika pamwero wakakura. Kutarisirwa kunofanirwa kubhadharwa mukudzivirira, uye kutarisirwa kunofanirwa kubhadharwa kune izvo zvinogona kunge zviratidzo zveIschemia muchikamu chekutanga. Kana zvikawanikwa kuti pane tsika yekukudziridza chirwere, chero mabhandeji, plaster anogadzira, uye mabhureki anofanira kudzivirirwa. Rutsoka rwunoiswa pamwoyo mwero kutora mukana weVenous kudzoka uye kudzivirira tsoka ischemia. Intravenous inculsion ye mannitol. Kamwe kuongororwazve, inofanira kubatwa nekukurumidza, uye nzira inoshanda kwazvo ndeye fasciotomy yekushomeka.

Iyo huru yekudzivirira matanho eiyo yakadzika vein thrombosis ndeye inotevera.

• Matanho ekutanga anosanganisira: a. Kutanga kunoshanda kurovedzera mumubhedha; b. Inwa mvura yakawanda, wedzera mvura nenzira yakakodzera, uye chaiyo hypovolemia; c. Nyorera LIPID-inodzikisa zvinodhaka kune varwere vane hyperlipidemia uye chirwere cheshuga uye edza kudzora shuga yeropa mukati meiyo yakajairika. d. Moyo kutadza varwere vanofanirwa kugadzirisa basa remwoyo; e. Dzivisa yakakwirira cholesterol uye chikafu chemafuta; f. kurambidza kuputa, nezvimwe

• Matanho euchina anosanganisira: a. Kupfeka nhanho-nhanho-nhanho compression conves kune yakaderera migumo; b. Kushandiswa kwe plantar venous pombi; c. Inopinda inflatable compression kifaa.

• Kudzivirira kwezvinodhaka kunosanganisira Heparin, yakaderera molecular uremu heparin, aspirin, vitamini k vapistanists uye pentosan sodium.

  
  

Maitiro Ekuita Kwaungaita Postoperative Rejilitation Kutungamirwa Kwemalcaneal Fractures?

Rudzi rwakakanganisika runofanira kukwidziridzwa kwemazuva matatu mushure mekuvhiya, uye zviitiko zvinopera zvezvigunwe zvinofanirwa kutanga maawa makumi maviri nemana mushure mekuvhiyiwa; Zviitiko zvinoshanda uye zvinopesana zvezvigunwe uye majoini anofanirwa kutanga paawa makumi mana nemasere, uye zviitiko zvinofanirwa kunge zvichinyanya kuwedzeredza uye kuwedzera kuwedzerwa uye zvishoma nezvishoma kusimbiswa. Tanga zvakare makore mana kusvika matanhatu mushure mekuvhiyiwa; Yakazara uremu-kubereka kwetsoka yakakanganisika inodiwa mushure mekupwanya kwapera.

Mashandisiro Aungaita Calcaneus Cracture Plata?

Zvekuratidzwa Intra-Artular Fractures yeMalcaneus, kuderedzwa kwakavhurika uye kugadziriswa kweplate kuchine nzira dzakanyanya kushandiswa pakurapa. Parizvino, kune akawanda marudzi emapleti anoshandiswa kune mahombekombe eCalcaneal, senge ao ndiro, '.' Y ' kuvimbika kwekugadziriswa; kushungurudzika zvishoma; kuwirirana nehunhu hunhu uye saizi yechidimbu; kuenderana ne biomechancal maitiro akadai sechihure kurema uye zviri nani zvepabonde.

Matenga sei kuti utenge orthopedic mispende uye zviridzwa zveOrthopedic?

Nekuti Czmeditech​ Spine Implants, intramedullary zvipikiri, Traumal Plate, Locking Plate, cranial-maxillofacial, prostisesa, Zvishandiso zvine simba, vekunze taxators, arthroscopy, kutarisirwa kwevaterinary uye yavo inotsigira chiridzwa.

Mukuwedzera, isu takazvipira kuramba tichikudziridza zvigadzirwa zvitsva uye tichiwedzera mitsara yechigadzirwa, kuti tisangane nezvinodiwa zvevamwe vanachiremba nevarwere, uyezve vanokwanisawo kukwikwidza vese muzvinyorwa zvepasirese uye zviridzwa.

Isu tinotengesa pasi rese, saka unogona Taura neTemail Kero Rwiyo@orthopepepedic-cho.com quote yemahara, kana kutumira meseji pane whatsapp yekukurumidza kupindura +86 - 18112515727.

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