Ndepapi paunoda kuvhiyiwa kutyoka?

Kuputsika kunowanzoperekedzwa nekukuvara kune dzimwe nhengo dzemuviri. Muchirongwa chese chekurapa, varwere vanofanirwa kurapwa vese.

Order of Priority

• Chengetedza hupenyu

• Chengetedza mitezo

• Chengetedza majoini

• Kuvakazve basa

  
  

Kuvhiyiwa kwekukurumidzira: mitemo yekurapa yekukuvara kwevascular, kuputsika kwakazaruka uye kuputsika kwakavharwa.

• Vhura kuderedza uye kugadzirisa kwemukati nekukurumidza sezvinobvira (mukati me6h)

• 48h

• 3 ~ 7d: Ichawedzera kuitika kweARDS uye mamwe matambudziko.

• 7 ~ 10d: Endocrine reaction yakadzikira [kuzvimba kwakadzikira, kuzvimba kwakanyangarika]

• Kupfuura mavhiki maviri: kuoma kwekushanda kunowedzera uye basa rekupedzisira rinoderera.

Collarbone fracture

• Kana iyo fracture block inokuvadza subclavian artery, vein uye brachial plexus, zvinotenderwa kuti idambudziko rakakura uye rinofanirwa kuvhiyiwa nekukurumidza.

Proximal humeral fracture

• Kana iyo elastic kudzoka kunoitika mushure mekuderedzwa kwebhuku-iyo tendon ye biceps longus, apo zviratidzo zveaxillary nerve zvinoonekwa.

Kuputsika kwehumeral shaft

• Kamwe zviratidzo zvekukuvadzwa kweradial nerve zvinowanikwa mukuongororwa kwepanyama, kuvhiyiwa kuchaitwa pakarepo.

Distal humeral fracture

• Rudzi urwu rwekutyoka runogona kukonzera chero kukuvara kwetsinga kana tsinga yeropa inopfuura nemujoinho regokora. 

• Kutsemuka kwetsinga dzeropa hakuwanzo, asi panogona kuve nekukakavadzana kana kumanikidzana. 

• Fascial space syndrome-yekukurumidza incision uye decompression.

Kukuvara kweolecranon, radial musoro uye yakaoma elbow joint

• Pedzisa kuvhiya mukati mevhiki.

• 1 ~ 2 mavhiki oparesheni taboo nguva-myositis ossificans.

• Kuvhiya mumavhiki maviri.

  
  

Kaviri forearm kutyoka

• Kana kuvhurika kutyoka kunofanirwa kuitwa mukati me6 ~ 8h mushure mekukuvara.

• Kunonoka kushanda kunogona kuwedzera njodzi yekuumbwa kwebhonzo bhiriji pakati pe ulna neradius.

Distal radius fracture

• Apo kuongorora kwemuviri kwakaona kuti extensor pollicis longus tendon kukuvara uye median nerve compression zviratidzo zvakaonekwa-pakarepo kuvhiyiwa.

Kutyoka kweruoko

• Kuderedzwa kwekutanga uye kugadziriswa kwemukati kunosimbiswa kune zvose zvakavhurika uye zvakavharwa kuputsika, kunyanya kune avo vakaoma nekukuvara kwevascular, nerve kana tendon, kuvhiyiwa kunofanira kuitwa pakarepo.

  
  

Kutyoka kwePelvic

• Kuputsika kwepelvic kunowanzobatanidzwa nekuputsika mune zvimwe zvikamu, izvo zvinotungamirira mukusagadzikana kwehemodynamic.

  
  

• Kurapa maitiro ekutyoka kwepelvic kwakaoma: 30min, 3 sarudzo

• Kukurumidza kuvhiyiwa kuongorora kumisa kubuda ropa

• Kugadziriswa kwePelvic (C-shaped forceps kana yekunze fixator) inopedzwa mu10 ~ 15min.

• Mushure mekucherechedza kwe10 ~ 15min, murwere achiri nehemodynamic instability-operation.

• Kune varwere vane hemodynamics yakagadzikana, kuvhiyiwa kunofanira kuitwa mukati memazuva manomwe, kana 7 ~ 14 mazuva.

Proximal femoral fracture-intertrochanteric fracture

• Kana mamiriro ehutano emurwere ari pasi pekutonga, kugadziriswa kwemukati, DHS, DCS uye PFN, inofanira kuitwa.

Proximal femoral fracture-femoral neck fracture

• Femoral neck fracture, kunyanya intracapsular fracture, inogona kukanganisa ropa remusoro wevakadzi, saka zvakakosha kuzarura kuderedza uye kugadziriswa kwemukati nokukurumidza.

• Kugadziriswa kwemukati: < 65 makore

• Joint kutsiva:> 65 makore

• Kana kuvhiyiwa kwekukurumidzira kusingakwanisi, kuputika kwekubatana uye kushuva kwe-intra-articular hematoma inogona kuitwa, uye mubatanidzwa wehudyu unogona kuchengetwa muhafu-flexion uye kunze kwekutenderera kwekutenderera.

Distal femoral fracture

• Varwere vane kukuvara kwakanyanya kwenyama yakapfava, kuputsika kwakavhurika, kana kuomerwa mukutanga kushanda-Super-articular yekunze fixator.

• Kukurumidzira kurapwa kwekukuvadza kwakasiyana---DCS, retrograde intramedullary nail.

  
  

Patella Fracture

• Mamiriro ezvinhu emurwere akagadzikana, uye mamiriro eganda emunharaunda anobvumira, kuvhiyiwa kunofanira kuitwa pakarepo.

Proximal tibial fracture

• Sarudza rudzi rwemhirizhonga yekukuvara

• Kukuvadzwa kwesimba guru kunowanzoperekedzwa nekukuvara kwakanyanya kwetishu. Inoratidzwa nekuzvimba kwemakumbo, kuputika, kuputika kweganda uye kuputika kweganda. Kuvhiya kunofanira kumbomiswa panguva ino. Panguva imwecheteyo, fascial space syndrome uye kukuvara kwevascular uye nerve kunofanira kubviswa.

Tibial shaft fracture

• Hunhu hweanatomy - kukosha kwekuvharika kwematishu akapfava.

• Nhanho yekutanga: mukati me8h

• External fixator inoonekwa seyokutanga sarudzo yekurapa kwekutanga.

• Gypsum rutsigiro

• Calcaneal traction

• Chikamu II: anenge mavhiki maviri.

• Pakanga pasina hutachiona hwehurongwa hwakajeka uye kushungurudzika kwakanyanya.

• Hapana kuzvimba kana kubuda kweronda.

• Blister yakaoma, kuzvimba kunoderera uye zviratidzo zvebony zvinogona kubatwa.

• Ganda rakaunyana, mitsetse yeganda inooneka.

Kuputsika kwe distal tibia (pilon)

Mhedzisiro yekurapa kwePilon kuputsika kunoenderana nemhando yekuvakazve majoini uye mamiriro eakapfava tishu kuvhara.

Nguva yakanakisa yekuvhiyiwa inoenderana nemamiriro ezvinyoro zvinyoro:

• Nhanho yekutanga: kuvhiyiwa kwakaitwa mukati me6 ~ 8h, iyo yakatora 2 ~ 3h.

• Kunonoka: 7 ~ 10 mazuva, kuzvimba kwakanyangarika uye makwinya eganda akaonekwa.

Nheyo ina dzechivanhu dzinofanirwa kuteverwa mune imwe-nhanho yekuvhiya patsva:

• Kugadziriswa kwefibula

• Kugadziriswa kwetibial articular pamusoro

• Bone grafting

• Kutsigira kwepfupa ndiro

Ankle fracture

• Ankle fracture is intra-articular fracture.

• Chinangwa chekurapa ndechekudzoreredza yakajairwa anatomical chimiro chemajoini.

• Nguva yekuvhiya inoenderana nemamiriro ezvinyoro zvinyoro.

• Nguva yakakodzera yekuvhiyiwa isati yasvika edema uye blisters munzvimbo yekuputsika.

Kutyoka kwetsoka

• Ndiro ibwe retsoka kuti vanhu vamire vafambe. Kudzoreredza chimiro chechimiro chetsoka chetsoka chine basa rakakosha mukumira nekufamba kwevanhu.

• Sekutyoka kwechitsitsinho, nguva yekuvhiyiwa inoenderana nedhigirii uye mamiriro ekuzvimba kwenyama yakapfava.

Kutyoka kwemusana

• Kana muviri wose wakagadzikana, kuputsika kwakadzingwa kunofanira kushandiswa pakarepo kana pane zviratidzo zvetsinga.

  
  

Nzira yeKutenga Orthopedic Implants uye Orthopedic Instruments?

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