Utyando oluvaliweyo lwezinto eziphantsi.

Ukuncitshiswa okuvaliweyo kukungabikho kwendlela encinane kakhulu enokusetyenziselwa ukuqhekeka okuzinzileyo kwezipikili, kwaye kuncitshiswe ukulungisa i-fives, i-femment ye-feramel tyheli, i-tibiofibibul Ukwaphuka, njl., Ukuphelisa ukutshatyalaliswa kwegazi kukuncitshiswa kwegazi.

Ukwaphuka kwentamo ye-femur

(I) Itrasti

Isigulana sibekwe ebhedini, kunye ne-tibial tuberosity yenziwa kunye nomlenze ochaphazelekayo kwindawo engathathi hlangothi ojikelezayo. Ubunzima bentlawulo buyahlukahlukana nomntu, ngokubanzi i-6-9 kg, kwaye ixesha lokurhweba akufuneki lidlule iiyure ezili-12. Iipesenti ezingama-90 zezigulana zinokuphumeza ukwenziwa ngokusemthethweni.

(B) Ukuvalwa kwemali

Ukuba itreyini iyasilela ukufezekisa iimfuno zokufunda, ukuseta ngesandla i-USusition kunokulongelwa, phantsi kwe-enchesia,

1. I-MC Elvenny yey

Injongo kukulungisa i-pelvis, ijikeleze ilungu elichaphazelekayo kwaye lonyuse umkhosi wokuhambisa, kwaye emva koko ujikeleze ngaphakathi kwaye urhoxile ngaphakathi kwaye urhoxise ngaphakathi kwilungu elichaphazelekayo ukufezekisa injongo yokufumana injongo yokufezekisa.

I-2. Indlela ye-Chicbettter

Isigulana silele emhlabeni, sigobe i-hip echaphazelekayo kunye ne-90 °, itreyini ye-axis echaphazelekayo, kwaye incipha ngokucofayo, kwaye ibonisa ukuba iphumelele. Ngaphambi kokwenza ulungiso lwangaphakathi, umatshini we-C-Arm wawusetyenziselwa ukuqinisekisa.

(C) ubuchule bokufumana inaliti

Ukuba indawo yokuhlala ayifezekiswanga kwezi ndlela zingasentla, ihlala ibonisa ukuba intloko ye-themoral iqhekezwe okanye ibekho ukwahlukana phakathi kwentloko kunye nentamo 1A), okanye ukuba kukho indawo ethile phakathi kwentloko nentamo. (Oku kunokwenzeka nakweyiphi na igadi i-II, iii, okanye iindidi ze-IV). Kule meko, ukujikeleza umlenze ochaphazelekayo ukuya entlokweni kunye nentamo yokuqhekeka akusekho kusebenza. Ukwenzela ukunqanda ukungqubana nokuguqula kwakhona, indlela yenaliti ye-Pring ye-Pring ye-Pring ingenziwa iphinde iphinde iphinde iphinde iphinde iphinde iphinde isebenze.

• I-3.0- ukuya kwi-3.5-DM-DMM-Dibeet ye-Intanethi ifakwe ngokuthe nkqo ngolusu lwentloko ye-buemol, kwaye inaliti ijikelezwe kakhulu embindini wentloko ye-C-Arm (umzobo 1B).

• Ukomeleza amandla e-purrang, inaliti yesibini ye-Bone inokufakwa kwi-4-5 mm ehambelana lenaliti, ekupheleni kwenaliti ishiye ngaphandle kwesikhumba.

• Ngetrotheni enkulu, i-3.5 ye-3.5 ye-0,5 yee-2,5 mm ye-SMM ISetyhula ikhutshiwe ngokungqinelana ne-angle yesiqendu somkhombe kunye ne-disteral stem, engadlulanga ekuphumeni kwenaliti engaphandle kwesikhumba ngaphandle kolusu ngaphandle kolusu.

• Umqhubi ubambe iiseti ezimbini zemisila ye-inale ngezandla zombini kwaye ulungelelanise intloko kunye neenxalenye zokuqhekeka kwentamo yokuhambelana nomnye nomncedisi woncedisayo (umzobo 1c-e).

• Emva kokuba ulungelelwaniso loneliseka, i-pin ejikeleze i-bone efakwe kwindawo enkulu ye-roloral ikhuselwe kwintloko yenyamakazi, kunye nezikrelemnqa ezininzi emva koko zifakwe kwintloko ye-themoral (umzobo 1f).

Indlela yokuncitshiswa evaliweyo echazwe apha ngasentla inokufezekisa ukuncitshiswa okufunekayo malunga ne-98% yentsebenzo ye-submoral. Okungcono ukulungelelaniswa kokuqhekeka, nokuba kuvaliwe okanye kuvaliwe, kungcono ukuqina. Ngokwesiqhelo, inqanaba lokukhutshwa kwengcaciso eboniswe kwi-X-ray lingaphantsi kwelona nqanaba lokufudumala. Since the fracture alignment directly affects the healing of the fracture and the possibility of necrosis of the femoral head, it is necessary to have a correct judgment of the X-ray film after the fracture alignment. Ukuba ijika le-S-SWEEDS ayigudileyo okanye iphazamiseke, ibonisa ukuba i-themoral yentshukumo ayifikanga kwi-Aatomical Remives (umzobo 2).

Umzobo 1 i-femoral intamo iphinde yenziwa nge-percutaneous nenaliti

Umzobo 2 intamo ye-femoral i-x-rays nge-curve engapheliyo kwi-anatomical yolungelelwaniso kunye nokuphazamiseka ijika elingaphandle kulungelelwaniso lwe-no-anatomical

I-Stemoral Story

Indlela yokuncitshiswa evaliweyo inokuncedisa kulungelelwaniso lwe-stemoral stem facture ngaphandle kokwenzakalisa naziphi na izicubu ezithambileyo okanye igazi kwisiphelo sokuqhekeka, kwaye inokusetyenziselwa ukulungiswa ngaphakathi kunye nesipikili sangaphakathi.

• Phantsi kwe-epinaltional anesthesia, isigulana silele kwibhedi (ulusu lwelungu elichaphazelekayo alizange libekwe ithole le-lin kunye ne-bitella ichaphazele i-birb yendawo engathathi hlangothi, i-PATEAL START ijikelezwe kwaye Isuswe ngumsipha wemisipha, kwaye inokulungiswa ngokuzenzekelayo ngengqungquthela, ke umqhubi kufuneka kufuneka alungise i-ANTER-postuser-postuser kunye ne-Wateral Shutting yesiphelo sesiqu).

• Umqhubi usebenzisa iingalo zombini ukuhambisa umlenze ochaphazelekayo kwaye ubambe izandla kunye (umzobo 3), kwaye ulungisa indawo engasemva kwaye usebenzise i-subretiment kwaye usebenzise amandla angaphandle.

• Umzekelo, ukuba iqhekeza le-proximal yefratshi le-femur lisusiwe ngaphandle nangaphandle, enye yengalo isetyenziselwa ukuntywila iqhekeza le-proximal nangaphantsi. Omnye umphambili onyibilikisiweyo we-distal uqhekezo lwangaphandle nangaphezulu ukuba ubolekise amandla okurhoxisa (igqirha ngokutsha kufuneka abe nomgwebo we-frienting of Pract kunye ne-subceliment ngaphambi kokusetwa ngempumelelo ngexesha elinye. Ngexesha lokutsala kwakhona, umncedisi kufuneka anyuse amagunya entambo kwaye agcine i-femur ekujikelezisweni.

• Xa isiphelo sokuqhekeka sibanjiwe ngokusisiseko, isandi esibulalayo sethambo lethambo kufuneka siviwe, ngeli xesha, umncedisi kufuneka agcine ingqungquthela, kodwa anciphise amagunya.

• Xa iqhekeza lilungelelaniswe ngumatshini we-C-Armar (ukuba kusenokwenzeka ukuba kuhle gwenxa, yenza uhlengahlengiso ukuze uqiniseke ukuba i-facture iphela), igcine itrayitivel echaphazelekayo kwaye ilungelelanise itawuli, emva koko ilungiswe itawuli, kwaye emva koko ilungiswe itawuli, emva koko ilungiswe itawuli, emva koko ilungiswe itawuli.

• 
  

Umzobo 3 Indawo engasemva-iposti yangasemva kunye ne-Fretical Shutration ilungisiwe ngaxeshanye ngokusongela imilenze yomibini ijikeleze imilenze echaphazelekayo kwaye ibeka izandla kunye, esebenzisa amandla okuqhwalela.

Umzobo o-4 we-stemoral sth stem fition repulation mechars schematic

• Kwizigulana ezinokuqhekeka okukhulu kwesahlulo, ukungaphumeleli okanye ukuqhutywa kwentambo okanye ukungcungcuthekisiweyo, ibhedi yoqhawulo-mvume elinokusetyenziselwa ukucutha okuvaliweyo.

• Emva kokubeka umlenze ochaphazelekayo kwisakhelo sesalathiso sengqungquthela kunye noviwo lwe-C-ALOP lubonisa ukuba ukonakala kwesahlulo se-Darlation kuye kwalungiswa, ukuphela komzimba ochaphazelekayo kungalungiswa ngaphakathi ukuze kulungiswe ulungelelwaniso kunye nokulungelelaniswa komfanekiso we-orthostatic we-orthhostatic ye-orthhostatic ye-orthhostatic ye-orth.

• Ngenxa yokuba uxinzelelo lwemihluzi yethanga phantsi kwengqungquthela inokudlala indima ethambileyo ye-tissing kwi-stemoral stem fecture, uninzi lwezinto ezininzi zesiqu zinokufumana ulungelelwaniso olwaneleyo kwi-Orthogonal X-ray.

• Nangona kunjalo, ngeli xesha, ngenxa yokusilela kwenkxaso esebenzayo kwisiphelo secandelo lokuqhekeka phantsi kwesiphumo sokuphelisa i-stemoral, kwaye ngeli xesha i-raceling ye-Stemol Superes ye-Sterile Suped kunye ne-Soute Sheeds, kunye ne-Postaior Ukususwa kwesiphelo sokuqhekeka kwe-distal kunokulungiswa ngokuhlengahlengisa ukuphakama kwe-brace.

• Ukuba indawo yasemva kwendawo yokuqhekeka i-distal ayikalungiswa, isikhonkwane se-proximal sinokusekwa nge-apex ye-trochan ye-trochan okanye i-Pyriform Forsa, kwaye emva koko isiphatho se-femurland Ukuphinda kuphakanyiswe i-rod iphakanyiselwe ngokusesikweni phambili ukuze idade iqhekeza le-femur libuyele umva ngokusebenzisa i-lever kwintonga yokuposa,

• Emva kokuqhekeka kuhambelana, iPIN enesikhokelo ifakwe kwi-divity ye-distal uqhelise ukugqiba ukuseta kwakhona. I-Intramellary ye-Intramellary isebenza ngokukhethekileyo ekulungelelaniseni ukutshintsha, ukuthinjwa, kunye nokujikeleziswa kwangaphandle kuqhelekile kwi-festilemal ye-femur (umzobo 5).

• Kwindawo eshiyekileyo yentsalela, ukuvulwa kwesiphelo sentshukumo ye-intramellary kungalungiswa ukukhokela iPIN yeSikhokelo se-Distring kwi-diving ravity yokugqibezela ukucuthwa okuvaliweyo.

• Enye indlela yokuncitshiswa okuvaliweyo kukucokisa isikhonkwane kwi-bone cortex kwicala lokuphela kwe-facked kwaye uhlengahlengise ukuphela kwe-phyz ye-SCHZ yokuphumelela (umzobo 6). Emva kokuqhekeka ngokungqinelana ngokwanelisayo, isikhonkwane se-intramellary sifakwe kwi-proximal kunye ne-divillary cavity ye-protrade yokugqibezela ulungiso lwangaphakathi (umzobo 7).

  
  

• 
  

  
  

• 
  

Umzobo o-5 we-propimal ye-proximal ye-proximal yesahlulo esivaliweyo usebenzisa i-intramellary rod

Umzobo o-6 ovaliweyo usebenzisa isipikili se-SChanz ebekwe kwi-cortex ye-Enelateral Bone kwi-Fortx

Umzobo o-7 wokunciphisa ukuncitshiswa kwe-Inramellary

I-Ankle Frature

(A) Ukulungiswa kokukhetha

• Uvavanyo lwe-radiographic: Uvandlakanyo lwemifanekiso eliqhelekileyo leAnkle kufuneka lubandakanye izigaba ezi-3: i-anterosteriort (umzobo 8), i-Ankle Point (i-15 °), kunye ne-ATTAL (umfanekiso we-10).

• Xa i-ankle idibeneyo yenzakalise kakhulu i-ankle yangaphakathi nangaphandle kwaye i-talous iya kususwa kwiidigri ezahlukeneyo ezili-11 (umzobo 11). I-ticografees ye-static ayibonisi ngokuchanekileyo uzinzo lwe-ankle. Iiradiyo zoxinzelelo kunye ne-MRI zikwazi ukuphucula uvavanyo lozinzo lwe-ankle kunye nomonakalo we-ligament (umzobo 12).

• Kule meko, uhlobo lokulimala kwe-ankle kufuneka lugqitywe ngokuchanekileyo ngendlela yokwenzakala kunye nedatha ye-radiological yelungu elichaphazelekayo ukuze kukhokele kwakhona ukubeka kunye nokulungiswa.

• Ngamanye amaxesha i-ankle ilula i-ankle inokuba yinxalenye ye- mannenuuve ', ikwabandakanya i-proximal ', ikwabandakanya ukulimala kwe-proxilal fit kunye nokulimala kwe-fibeulal kunye ne-tibiofibhamu kufuneka ihlolwe.

• 
  

Umzobo 8 wangaphambili kunye ne-PATR

Umzobo 9 Amanqaku e-Ankle (i-15 ° yokujikeleza ngaphakathi)

Umzobo we-10

Umzobo 11 Ukuqhekeka kwe-11

Umzobo we-12 yoxinzelelo lweRadi radiograph (i-Trianglar Ligament)

(Ii) i-anesthesia

I-femoral kunye ne-scaitic nenesthesia idla ngokuthathwa.

(C) Indlela yokuseta kwakhona

Uhlobo lwasemva-lwangaphandle lwendawo yokuhlala lwenziwa ngokomyalelo we-Ankle-Post Start Tibiofibibar Union Union. Uhlobo lwasemva kokujikeleza luye lwenziwa ngokomyalelo we-ankle-yangaphandle ye-ankle.

• Kwimeko ye-Posteringation Sheet IV, isigulana sibekwe supine kwaye idon iguqulwe kwi-90 ° ukuya phumla ithole lethole.

• Abancedisi ababini babamba inxalenye ye-el thanga kwaye unyawo lusetyenziswe ngokulandelelana, kwaye itrasti isebenza kwicala lokuqhekeka kwe-phraction (umkhosi wetrasti akufuneki ukuba ugqithise ekuphepheni ukwenzakala).

• Umncedisi wokutsala unyawo ujikeleza unyawo ngaphakathi ukuze alungise ukujikeleza okungaphandle (umzobo 13). Ngelixa ukutyhala isiphelo se-tibial tibial kunye nokutsala i-dibia kwicala le-fibul, umncedisi ongaphakathi uguqukayo kwaye ujikeleze i-ankle kunye ne-ankle (umzobo 14).

• Gcina ujikelelelo lwangaphakathi lokujikeleza-ukujikeleza ngaphakathi-dorsal Emva koko ibhloko ye-Postestali ye-Postered ye-Postereding igcinwe zizo zombini izithupha, iminwe emine ejikeleze i-tibia, kwaye zombini i-throbs ityhala kwaye ityhutyha isidima, ngelixa ihla i-tibia yase-Ista (umzobo 15).

• Okokugqibela, umqhubi ukutyhala i-ackeal ankle ngasemva na ezantsi kunye nezithupha zokuseta kwakhona (umzobo 16). Abancedisi ababini bagcina unyawo kunye ne-ankle kwi-overtocal ejikelezwe ngaphakathi-i-dorsal yosulelo ukulungiselela ukulungiswa.

Umzobo we-13 Ukulungiswa kwengqungquthela yokujikeleza okungaphandle

Umzobo we-14 yokuHanjiswa kweShedlity ye-ankle yangaphandle kunye ne-tali

Umzobo 15 Ukulungiswa kwe-Postereight Shift

Umzobo 16 Ukulungiswa kwe-Ankle yangaphakathi ye-Ankle

Inkqubo yokuhlengahlengiswa kweposi-yomhlaba yangaphakathi yenkqubo yokujikeleza-yangaphandle yenziwa kwaye yenziwa ngokomyalelo we-ankle-yangaphakathi ye-ankle-yangaphandle.

Ungayithenga njani i-orphopents kunye nezixhobo ze-orthopedic?

Kuba I-CZMEDICH , sinomgca opheleleyo wemveliso ye-Orthoric utyanSpents kunye nezixhobo ezihambelana nayo, iimveliso kubandakanya i-spine ifakinti, izipikili ze-intramellary, Iplate ye-Mouma, Ukutshixa iplate, I-cranial-maxillofacial, I-Prosthesis, izixhobo zombane, Abalungisi bangaphandle, I-Arthroscopy, Inkathalo yonyango lwezilwanyana kunye neeseti zesixhobo zazo.

Ukongeza, sizimisele ukuqhubeka nokuphuhlisa iimveliso ezintsha kunye nokwandisa imigca yemveliso, ukuze kuhlangatyezwane neemfuno zonyango noogqirha kunye nezigulana, kwaye zenze ukuba inkampani yethu ikhuphisane kwishishini le-Orthopenic yeHlabathi yeHlabathi.

Sithumela ilizwe liphela, ukuze unako Nxibelelana nathi kwi-imeyile ye-imeyile Ingoma Ingoma Ingoma ye-imeyile I-Ngcebiso yasimahla, okanye uthumele umyalezo kwi-whatsapp yokuphendula ngokukhawuleza + 86- 18112515727 .

Ukuba ufuna ukwazi ngakumbi ulwazi, cofa I-Czemedch ukufumana iinkcukacha ezininzi.