Mutivi Tibial Intramedullary Nail Box: Nkatsakanyo wa tindlela ta vuhandzuri ni nhluvuko
Manghenelo
Tibial fractures tingava na ntlhontlho kuva ti tshungula hikokwalaho ka anatomy ya tona leyi rharhanganeke xikan’we na vuswikoti byo horisa marhambu yo biha. Intramedullary nailing i endlelo leri tolovelekeke ra vuhandzuri leri tirhisiwaka ku tshungula ku tshoveka ka tibial. Mabokisi ya swipikiri ya tibial ya tibial intramedullary ma sungule ku duma swinene emalembeni ya sweswinyana, ma nyika madokodela ya vuhandzuri switirhisiwa swo hlawuleka ni swilo leswi nghenisiweke leswi endleriweke ku antswisa vuyelo bya vuhandzuri. Xihloko lexi xi nyikela nkatsakanyo wa mabokisi ya swipikiri swa tibial intramedullary, ku katsa ni swiphemu swa wona, tindlela ta vuhandzuri ni nhluvuko.
Swiphemu swa mabokisi ya swipikiri swa le ndzeni ka xirho xa le ndzeni ka khwiri lama nga ni vutshila .
Mabokisi ya swipikiri ya tibial ya tibial intramedullary ma ni switirhisiwa swo hlawuleka ni swilo leswi nghenisiweke leswi endleriweke ku pfuna madokodela ya vuhandzuri eka vulawuri bya vuhandzuri bya ku tshoveka ka tibial. Hi ntolovelo swiphemu leswi landzelaka swi katsiwa:
Swipikiri swa le ndzeni ka medullary
Swipikiri swa le ndzeni ka marhambu i xiphemu lexikulu xa mabokisi ya swipikiri swa le ndzeni ka marhambu ya tibial lama nga ni vutshila. I tinhonga to leha, to olova, ta cylindrical leti nghenisiwaka eka intramedullary canal ya tibia kuva tinyika stabilization na alignment.
Swikwirikiri swo Khiya
Swikwirikiri swo pfala swi tirhisiwa ku khoma xipikiri xa le ndzeni ka khwiri eka marhambu. Ti nghenisiwa eka ti holes leti boriweke ka ha ri emahlweni eka xipikiri naswona ti rhungeleriwe eka marhambu, leswi nyikaka ku tiya na ku sivela ku rhendzeleka.
Swiharhi swa Reamers .
Ti reamers titirhisiwa ku lulamisa intramedullary canal kuva yi nghenisiwa nail. Ti kumeka hi vukulu byo hambana hambana naswona tinga tirhisiwa ku ndlandlamuxa canal kuva ti amukela tisayizi tohambana hambana ta swipikiri.
Vakongomisi na swiphemu swa drill .
Ti guides nati drill bits titirhisiwa ku endla ti pre-drilled holes ta swikwirikiri swo pfala. Ti tiyisisa ku vekiwa lokunene ka swikwirikiri naswona ti sivela ku onhaka eka tinyama to olova leti rhendzeleke.
Maendlelo ya vuhandzuri ya mutivi wa tibial intramedullary swipikiri swa swipikiri .
Magoza lama landzelaka ma kombisa endlelo ra vuhandzuri ro tirhisa bokisi ra swipikiri ra mutivi wa tibial intramedullary:
Ku pulana ka le mahlweni ka vuhandzuri .
Ku pulana ka le mahlweni ka vuhandzuri ku katsa ku kamberiwa loku heleleke ka ku tshoveka ka muvabyi na rihanyo hinkwaro. Tidyondzo ta swifaniso to fana na X-rays na CT scans ti tirhisiwa ku kambela mpimo wa ku tshoveka na ku kumisisa mpimo wa swipikiri lowu faneleke na xivumbeko.
Anesthesia .
General kumbe regional anesthesia hi ntolovelo yi tirhisiwa eka maendlelo ya intramedullary swipikiri.
Ndlela ya vuhandzuri .
Ku endliwa endlelo ra vuhandzuri eka tibia leswaku ku kumiwa mfikelelo eka mugerho wa le ndzeni ka marhambu. Maendlelo lama tolovelekeke ya katsa maendlelo ya le mahlweni na ya le xikarhi.
Ku Reaming .
Intramedullary canal yi rhurhumerisiwa ku yi lunghiselela ku nghenisiwa ka swipikiri. Ti reamers ta vukulu lebyi engetelekaka ta tirhisiwa kufikela loko canal yiva na vukulu lebyi faneleke eka xipikiri lexi hlawuriweke.
Ku nghenisiwa ka swipikiri .
Xipikiri xa intramedullary xi nghenisiwa eka canal naswona xi tiyisisiwile hi swikwirikiri swo pfala.
Ku pfala swilondza .
Xilondza xi pfariwile, naswona vukorhokeri lebyi faneleke bya le ndzhaku ka vuhandzuri byi sunguriwa.
Nhluvuko eka Mabokisi ya Swipikiri ya Tibial ya Tibial Intramedullary .
Nhluvuko eka mabokisi ya swipikiri ya tibial intramedullary ya vutshila wu antswise vuyelo bya vuhandzuri ni ku hunguta swiphiqo. Leswi landzelaka i swin’wana swa nhluvuko wa sweswinyana:
Swipikiri leswi endliweke ka ha ri emahlweni .
Swipikiri leswi endliweke ka ha ri emahlweni swi endleriwe ku fambisana ni xivumbeko xa anatomical xa tibia, leswi nyikaka ku tshamiseka ko antswa ni ku hunguta khombo ra ku tsandzeka ka ku vekiwa ka xirho.
Switirhisiwa swo pfala .
Tindlela leti antswisiweke to pfala ti nyika ku tiya ko antswa naswona ti hunguta khombo ra ku ntshunxa swikwirikiri kumbe ku tshoveka.
Switirhisiwa swa switirhisiwa .
Nhluvuko eka switirhisiwa wu endle leswaku endlelo ra vuhandzuri ri va leri kongomeke swinene naswona ri olovile, leswi hungutaka nkarhi wa vuhandzuri ni ku antswisa vuyelo.
Mahetelelo
Expert tibial intramedullary nail boxes i switirhisiwa swo hlawuleka leswi pfunetaka eka vulawuri bya vuhandzuri bya tibial fractures. Swi ni switirhisiwa swo hlawuleka ni swilo leswi nghenisiweke leswi endleriweke ku antswisa vuyelo bya vuhandzuri ni ku hunguta swiphiqo. Nhluvuko eka mabokisi ya swipikiri ya tibial ya tibial intramedullary swi endle leswaku endlelo ra vuhandzuri ri va leri kongomeke swinene naswona ri olovile, leswi endleke leswaku vavabyi va kuma vuyelo byo antswa. Vahandzuri va fanele ku tolovelana na swiphemu na tindlela ta vuhandzuri bya tibial intramedullary nail boxes ku nyika vukorhokeri lebyinene eka vavabyi lava nga na tibial fractures.
Swivutiso leswi talaka ku vutisiwa .
Xana i yini bokisi ra swipikiri ra tibial ra tibial intramedullary? Bokisi ra swipikiri ra tibial ra tibial intramedullary i sete ya switirhisiwa swo hlawuleka leyi endleriweke ku pfuna madokodela ya vuhandzuri eka vulawuri bya vuhandzuri bya ku tshoveka ka tibial.
Hi swihi swiphemu leswi katsekaka eka bokisi ra swipikiri ra expert tibial intramedullary? Mabokisi ya swipikiri ya tibial ya tibial intramedullary hi ntolovelo ya katsa swipikiri swa intramedullary, swikwirikiri swo pfala, ti-reamer, swiletelo, na swiphemu swo bora.
Xana bokisi ra swipikiri ra le ndzeni ka medmedullary ra tibial leri nga ni vutshila ri antswisa njhani vuyelo bya vuhandzuri? Mabokisi ya swipikiri ya tibial ya tibial intramedullary ya nyika switirhisiwa swo hlawuleka na switirhisiwa leswi endleriweke ku antswisa mimbuyelo ya vuhandzuri na ku hunguta swiphiqo. Nhluvuko eka mabokisi ya swipikiri ya tibial ya tibial intramedullary swi endle leswaku endlelo ra vuhandzuri ri va leri kongomeke swinene naswona ri olovile, leswi endleke leswaku vavabyi va kuma vuyelo byo antswa.
Hi swihi nhluvuko wa sweswinyana eka mabokisi ya swipikiri ya tibial ya tibial intramedullary? Nhluvuko wa sweswinyana eka mabokisi ya swipikiri ya tibial ya tibial intramedullary wu katsa swipikiri leswi endliweke ka ha ri emahlweni, tindlela to pfala leti antswisiweke ni nhluvuko wa swichayachayana.
I yini leswi madokodela ya vuhandzuri ma faneleke ma swi tiva hi mabokisi ya swipikiri ya tibial ya tibial intramedullary? Vahandzuri va fanele ku tolovelana na swiphemu na tindlela ta vuhandzuri bya tibial intramedullary nail boxes ku nyika vukorhokeri lebyinene eka vavabyi lava nga na tibial fractures.
