Views: 28 Munyori: Mugadziri wesaiti wesaiti kuburitsa nguva: 2022-09-26 Mavambo: Saiti
Zvakasarudzika zvakasikwa intramedullary zvipikiri (esins) inzira yakajairika yekusagadzikana kwekuvhiya kwemapfupa akareba muvana. Iyo inoshandiswa zvakanyanya kurapa zvisingaitike zvisingaitike zve radius, ulna, femur, uye apo neapo iyo tibia nemanyunyuta. Izvo zvinoshandiswawo kurapa zvibodzwa zvechipfuva zvemapfupa akareba muvana. Esin inopa yakavharwa inokatyamadza isina kuvhurika nzvimbo, matatu-pfungwa kugadzikana, uye kuchengetedza kwehurefu uye kutenderera mukuparadzira, pfupi oblique fractures. Semutoro-kugovana-kugovana implant, inobvumira kufamba kwekutanga kwembeu. Kazhinji, zvakanyanyisa kugadzikana mukati memukati zvipikiri zvinobviswa mushure mekupwanya kupora.
Zviratidzo zveEsin mune fertures ndeye: Zera riri pakati pemakore mana negumi nemana uye gumi nemeriketi mukati mekutambudzika kwakawanda.
Murwere anoiswa patafura yeOrthopedic traction, uye saizi yehutsu inochinjirwa kuhukuru hwegumbo remwana. Iyo fluoroscope inodikanwa kuti uwane anteero-post (AP) uye LAPTERER (LL) maonero eiyo yakakanganisika chiuno che femur kubva kuhudyu kubva kune mabvi mabvi. Kuwana kwekudzikiswa kunoongororwa muAp uye ll maonero, uye kutenderera kunoratidzwawo.
Sarudzo yezvipikiri zvipikiri zvipikiri zvinofanirwa kucherechedza mutemo wenguva yekusarudza zvipikiri. Kugadziriswa kunotevera kunogona kushandiswa semusiyano wakasiyana, izvo zvakaenderana nezera remwana:
- 6-8 Makore: 3 mm Dhaya;
- Makore 9-11: 3,5 mm Diameter;
- Makore 12-14: 4 mm Deameter.
Kureba kwezvipikiri kwakaenzana nechokure kubva kure kubva kune distal kukura cartilage kune yakakura trochantter kukura cartilage.
Iyo proximal uye yepakati yechitatu mune yedarekeya zvidimbu mune iyo proximal neyechitatu, iyo nzira yakaumbwa, ine zvipikiri zvakaiswa retrograde kuburikidza ne distal metaphysis, inosarudzwa. Panyaya yeProximal Fractures, iyo proximal chipikiri zvipikiri zvakakotama, nepo pakati pedadhi-diaphyseal fractures, pakati pechipikiri chakakomberwa. Pakupera kwekuvhiya, mune iyo nzvimbo yekuputika, zvidimbu zvakakanganiswa kuitira kuti udzivise zvinokanganisa, izvo zvinogona kuve nemhosva yekureba kwemakumbo akadzika. Panyaya yeblique kana kufambiswa, iyo dhizaini yerudzi inokotamiswa uye yakakanganiswa nefupa kuti dzidzivise zvidimbu zvezvimedu uye kutama kwezvipikiri.
Maitiro ezvisikwa aya edzidziso idzi nderokunyengedza 5-10 mm kupfupiswa nekukurumidza, iyo icharipirwa nekukurudzirwa kwekukura panguva yekubatanidzwa kwekupwanya.
Kumisikidza uye kugadzirira kwemurwere murwere anoiswa patafura yeOrthopedic kuitira kuti afambire kuderedza kuderedzwa. Kuvapo kweiyo fluoroscope kunosungirwa kune intrapaeperative kutonga. Munda anoshanda anofanira kusanganisira ibvi.
Nail of elastic inogara yakaiswa anteghtadde mune iyo proximal metaphysis, kuAntero-gare gare neAnteromdial nzvimbo.
Iyo mbambo dhayamita inosiyana pakati pe2,5 uye 4 mm, zvichienderana nezera remurwere. Iko kushandiswa kwenyundo yekufambira mberi zvipikiri zvinobvumidzwa asi zvinofanirwa kushandiswa nekungwarira.
Hunhu hwekudzikiswa hunosimbiswa neyakagwinya dhizaini uye degree rekukotama.
Zvipikiri hazvifanirwe kukanganisika mune iyo inocheka pfupa yeiyo distal fanaphysis isati yadzikisa; Zvikasadaro, nzira dzekururamisa dzinogona kukurudzira Osteosynthesis.
Pamberi pekuita, kutenderera kwezvidimbu kunotariswa uye, mune iyo yekuvapo kwekusara kwekusarongeka kwekusarongeka, izvi zvinogadziriswa nekukotama kwechipikiri. Pakupera kwekuvhiya, traction inozorora uye zvidimbu zvakakanganiswa.
Panyaya yeakakomberedzwa mapundu, iyo proximal matipi ezvipikiri zvasara kunze kwepfupa rakakotama pa 90 ° uye rakakanganisika mupfupa rezvekutengesa kuti udzivise teresitoping.
Zviratidzo zveEsin muhuwandu hwekubhururuka dzinosiyana zvichienderana neyekutsvina saiti: iyo proximal metaphysis kana diaphysis. Muzvikamu zvemutsipa wekuvhiya weHumerus, Esin zvinoratidzwa nekuti zvinoderedza nguva yekusagadzikana inodiwa mune yekuchengetedza kurapwa.
Panyaya yedudziro yedhirivheri, kushandiswa kweiyo elastic zvipikiri zvinoratidzwa zvisinei nekuvapo kwarima nerve nerve.
Kuiswa kwechipikiri zvipikiri zvinoiswa uchishandisa nzira yekuzorora. Pfungwa dzekuisa dzinowanikwa pane iyo inotevera marangi eiyo supracondlar nharaunda, kuva neyeposoro-inotevera gwara uye proximal found. Pfungwa dzekupinda dzakagadzirirwa uchishandisa dhizaini nekuti pfupa rezvekutora munzvimbo ino yakaoma. Iyo dhayamita yechipikiri inosiyana pakati pe2,5 uye 3.5 mm, uye ivo vakakotama. Zvipikiri zvinowiswa nemanyorero bhuku rekumanikidza uye kutenderera mafambiro. Kana iyo bracture iri proximal dentaphyseal nzvimbo haigoni kuderedzwa zvakakwana, iyo 1800 kutenderera kwechipikiri kunofambisa kuderedzwa uku. Kana, zvakadaro, kuderedzwa hazvigoneke, kiriviki inotungamira-waya inoiswa muProximal Fragment usati wazarura kuderedzwa. Panyaya yeOblique Draiphyseal Fracts, zvakakosha kuti udzivise zvipikiri zvichisiya medulary canal uye kutama kwepashure mune radial nerve nerve. Mushure mekunge zvipikiri zvacho zvikayambuka nzvimbo inovhiringidza, ivo vanokanganiswa munzvimbo dzinochema dzeproximal metaphysis.
Kurapa kweOrthopedic mune fravearm fractures kunogamuchirwa, asi miganhu inobvumidzwa yekudzoreredzwa kwainononoka. Kana aya miganhu akadarika kana kuti mune nyaya yekurapa kurapwa kwekurapa, kuderedzwa kuderedzwa uye esin zvinoratidzwa mune fravearm fractures.
Inoshanda nzira iyo murwere anoiswa muDorsal decubitus, aine ruoko rwakakanganisika pane tafura ye radiotranspolar.
Iyo diameter yechipikiri yakashandiswa inosiyana pakati pe2,5 uye 3 mm. Iyo Ulnar mbambo ingangoita yakananga, nepo mbambo radial ine yakakundwa yakakwenenzverwa kuitira kudzosa iyo prenating curve yeradius.
Kugadziriswa kunotanga nefupa iri nyore kuderedza. Kune iyo radius, iyo yekupinda nzvimbo inowanikwa mune iyo distal metaphysis, pamusoro peiyo distal yekukura cartilage, pakati pematongero ehurefu uye pfupi extensors yechigunwe. Iyo pfupa rezvekutonga rinoburitswa kuburikidza nekamanje chidimbu uye gomba rinodhirowa, iro rinokudzwa nematenderedzwa etenderedzwa. Chikombama chakaiswa muzvikamu pakati nepakati kune nzvimbo yakatsemuka. Fracture kuderedzwa kunoitwa uye chipikiri chakaburitswa mune iyo proximal chidimbu pasi peFluoroscopic kutonga.
Maitiro akafanana anoitwa iyo Ulna, uchishandisa iyo Antegrade maitiro, neiyo nzvimbo yekupinda pane iyo medial margin yeolecranon.
For 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.
Kana uchida kuziva rumwe ruzivo, tinya Czmeditech kuti uwane zvimwe zvakawanda.
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