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U mona: Hae » Litaba » Ho sithabela maikutlo Pherekhong Holimo ho feta 10 Datial Tibial Tibiallallary nail (DTN) ho Amerika Leboea ka la 20

Liaparo tse 10 tse tobileng li-tilialtantery nails (dtn) ho Amerika Leboea ka la 20 Pherekhong 225

Maikutlo: 0     Mongoli: Nako ea Phatlalatsa: Nako ea Phatlalatsa: 2025-06-17: Sebaka

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Distal Tibial

Tlhahlobo e akaretsang ea mokhoa oa ho buoa, sephetho le likopo
E phatlalalitsoe: June, 2025

Ho na le li-mashala tse fapaneng tse fapaneng, ho kenyelletsa le linoko tse telele tse kopaneng, tse seng metal tibia, eo kapa mal-a-mashano; E kanna ea sebelisoa, hangata e na le lisebelisoa tse khethehileng tsa lisebelisoa, bakeng sa ho tsamaisa masapo kapa ho nyenyefatsa tsela ea ho tsitsisa kapa ho khutsisa kapa ho khutsa).

Ho notlela lipala

Tšenyo e bonolo ea lisele tse bonolo tsa tishu, sekhahla se phahameng sa ts'oaetso, ho fola halelele

Lijana tsa Antevie

Kotsi ea likotsi tse kopaneng tsa mangole, ho kenella ka tsela e sa lekaneng, e tloaetse ho

Tharollo ea DTN

Mokhoa o sa ts'oaneng ka mokhoa o hlakileng o kopaneng le moralo oa ho kenya hape

I. Selelekela

1Ho ts'oaroa ha masapo a maholo a tloaelehile, 'me phekolo ea setso e na le meeli

Ho senyeha ha mesebetsi ea metsu ke mofuta o tloaelehileng oa ho putlama ha maoto a tlase. Litlhare tsa setso tse kang ho notlolla lipekere tsa ho notlela le e 'ngoe le e' ngoe ea ho itšireletsana. Ho theola lipolanete ho ka baka tšoaetso ea postoperati kapa necrosis e bonolo, ho hlaphoheloa ha nako e telele; Le ha lipekere tsa antefade li hlaseloa ka nakoana, li ka senya mohono, ebile li na le likotsi kapa litlokotsi tsa ho lokisoa ka mokhoa o sa lekaneng.

2Tharollo e Ncha: Dal Tibial Nail (DTN)

Sekhetho sa Phetoho-Elvel Bontša Nail (DTN) --O -Offers ke pono e ncha ea ho sebetsana le masapo a moea o ikhethang le moralo oa eona o ikhethang oa ho emisa.

Feiga 1: DTN Retrograde degree

II. Ts'ebetso ea ho buoa

1Ho ba le boemo bo botle le ho fokotsa ho fokotsa

Mokuli o beoa maemong a supine. Masholu a sehlōhō a lokela ho fokotseha ka letsoho; Haeba ho hlokahala, sebelisa ho fokotsa phokotso ho thusa pele u kenya DTN. Haeba ho na le ho robeha ha lithaka tse tsamaeang le lithaelese tse tsamaeang le lithaelese tse nepahetseng.

LITLHAKISO TSE HELANG: Boemo ba Sipesitara, sebelisa liphoso tsa phokotso ha ho hlokahala. Peletela taolo ea li-fi motsoako ho netefatsa phokotso e nepahetseng ea matsali.

2Ts'ebetso ea ho kenya DTN

Ho itlohella ho 2 cm cm cm ho etsoa ntlheng ea malinyane a mallleuse ho pepesa ligagoane tsa methapo ea kutlo. Pini ea Tataiso e kenngoe ntlheng ea malinolusolus, 4-5 mm ho tloha sebakeng sa bonono.

Incisition:

Khalemela ka ntlheng ea marllelus matluolus

Ho beha boemo ba Pic Picta:

4-5 limilimithara ho tloha sebakeng se kopaneng

TLHOKOMELISO:

Ho kopanya likhoto tse sa tloaelehang le ka mokhoa o sa lebelloang

Feiga.

Feiga 2b: Pono ea morao

Feiga ea 2c: Ts'ebetso ea ho khutlisa

III. Post-op ntlafatso

0-6

Libeke tse se nang boima ba 'mele

Nako le ho sisinyeha ha masapo a kopaneng le lebitso la maoto le tlase

6-8

Libeke tse nang le boima ba 'mele

Tsoelo-pele ho 50% bophahamo ba boima ba 'mele

8-12

Libeke tse Ikemetseng

Ha e ntse e lekola sebopeho le bohloko

Tlhahiso ea Ntlafatso

  • Ts'ebetso e kopaneng ea Ankle e qala hang hang kamora ho buoa

  • Qoba ho ba le boima ba 'mele bakeng sa libeke tse 4-6

  • Phetoho ea butle-butle ho ho be le boima bo felletseng ba boima ba 8-12

  • Ho sebetsana le maemo a tloaelehileng nakong ea poloko ea ho hlaphoheloa

IV. Liphello tsa ho Ithuta

1Liphello tsa bongaka tsa bakuli ba 10

Ho ithuta bakuli ba 10. Ka likhoeli tse 3 Post-op, linyeoe tse 7 li ne li folile; Bakuli bohle ba atlehile ho folisa nakong ea likhoeli tse 6. Nyeoe e le 'ngoe ea mefuta e mengata ea varus le phepo e etsahetseng. Ha ho na tahlehelo ea phokotso, tšoaetso, mathata a amanang le ho amana a ho bapisoa kapa likotsi tsa iatrogegenic.

70%

O folile nakong ea likhoeli tse 3

100%

O folile ka likhoeli tse 6

0%

Tšoaetso

Mekhoa ea mantlha ea DTN e tlisa mekhoa ea setso
Sekhahla sa morao (likhoeli tse 3) 70% 40-60%
Malateno (> 5 °) 20% 25-40%
Sekhahla sa tšoaetso 0% 5-15%
AOFAS Score 92.6 73-88

la linyeoe Lengolo

69-batho ba baholo ba lilemo li 69

  • Mofuta oa ho robeha: ho phathahana le maemo

  • TLHOKOMELISO: Tissia e bonolo ea Tissia

  • Post-Op: Lits'enyehelo tse nyane tse 6 feela, pholiso e felletseng nakong ea selemo se le seng

Kakaretso ea kalafo

DTN e kentsoe linthong tse nyane tse nang le lisele tse bonolo tse bolokiloeng. Ho robeha ha finyer le na le nail ea ho itšireletsa. Mokuli o ile a qeta ho fola ka botlalo ntle le mathata.


Pre-op mona

OP ea poso

Khoeli ea likhoeli tse 3

Pholiso ea lilemo tse 1

VI. Puisano

1Biomechani ea Biomechani

Lisebelisoa tsa maiketsetso li na le ho tepella ha axial le ho potoloha ha ho bapisoa le medicking plates le lipekere tsa antenode. Greenfield et al. Liteko tse tsamaisoang tsa biomechanizary tse bonts'ang hore u sebelisa li-screws tse peli tse mpe tsa DTL tse fihletseng 60-70% ea ho salafela ho bapisoa le likhakanyo tse tharo.

2Melemo ea DTN

Ha ho bapisoa le lipokato, lipekere tsa ho hloea li baka tšenyo e fokolang ea lithane, haholo-holo ho baruti ba ho lemala le likotsi tse matla. Mokhoa ona ha o hloke balefole ba khumame, ho fokotsa kotsi ea tahlehelo ea ho fokotsa meeli le ho e etsa hore e be e loketseng bakuli ba tsamaeang le mangole a fokolang.

3Papiso ea bongaka

Litefiso tsa thibelo ea li-nounign tsa li-antelign Bakeng sa ho koala lipolanete, 0-17% le 0-17%. Thutong ena, linyeoe tsohle tse fumanoeng bo kopanele, 'me ke 20% feela ea 20% e nang le 20% e nang le 5 °, e tšoanang le mekhoa ea setso.

VII. Sephetho

Ka kakaretso, DTN e fana ka melemo ea ho notlela lipekere le ho amohela lipekere tsa intramed le e emela tharollo e sebetsang. DTN e na le litšitiso tse mpe tse nyane, botsitso bo phahameng le ho fola kapele. Ke mofuta oa bohlokoa oa phekolo ea setso le bohlokoa ho ntšetsa pele.

DTL Line Line Line

2

Distal Tibial Intendullary nail (DTN)

2

Distal Tibial Intetrallery nail (DTN) sesebelisoa se behiloeng

2

Lintho tse tloaelehileng tsa Tibiamellary nail (DTN) lebokose la lisebelisoa

Litšupiso

  1. Yamakawa Y, Auhalira T, Shigemoto K, Et al. Liphetho tsa pelehi tsa maemo a phahameng a lintho tse hole tsa Tibia tibia tsa Tibia: e tla ba e mong. Kotsi, 2024: 11134.

  2. 创伤骨科智能科技 智汇骨. (2024 年 12月 4) 4,2). 胫骨远端髓内钉突破胫骨远端骨折 的 的 的 的]. 创伤骨科智能科技 智汇骨. https://mpmp.weixin.qq.com/s/9uqqvjke2u4nq8q (a fihlele: 2025 年 06月 ka lilemo tse 2025 年 06月.


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