Usukelo olusisiseko lokuqhekeka kokuqhekeka kukuzinzisa ithambo eliqhekezayo, ukwenzela ukuphiliswa ngokufihlakeleyo kwethambo elonzakeleyo, kwaye ukubuyela ekushukumeni kwangoko kunye nomsebenzi ogcweleyo.

Ukulungiswa kwangaphandle yindlela esetyenziselwa ukunceda ukuphilisa amathambo aphukileyo. Olu hlobo lonyango lobuchwephesha lubandakanya ukukhulisa ukuqhekeka ngesixhobo esikhethekileyo esibizwa ngokuba yi-fall, eyangaphandle emzimbeni. Sebenzisa isikrweqe esikhethekileyo sethambo (kubizwa ngokuba yi-PIN) edlulayo kulusu kunye nemisipha, i-faceboto iqhagamshelwe kwithambo elimiselweyo ukuyigcina ngolungelelwaniso olufanelekileyo njengoko liphilisa.

Yintoni i-temptotor yangaphandle esetyenziselwa?

Isixhobo sokulungisa sangaphandle sinokusetyenziselwa ukugcina amathambo aqhekezwe azinziswe kwaye alungelelanise. Esi sixhobo sinokuhlengahlengiswa ngaphandle ukuqinisekisa ukuba amathambo ahlala kwindawo efanelekileyo ngexesha lenkqubo yokuphilisa. Esi sixhobo sisetyenziswa rhoqo ebantwaneni kwaye xa ulusu ngaphezulu kokuqhekeka lonakalisiwe.

Zithini iindidi ze-famitor yangaphandle?

Zintathu iindidi ezisisiseko zezilungiso zangaphandle: I-UNIPLAINARM esemgangathweni, i-fartor yenkndaza, kunye ne-hybrid.

Izixhobo ezininzi ezisetyenziselwa ukulungiswa kwangaphakathi zibandakanyiwe zaba ziindidi ezimbalwa eziphambili: iingcingo, izikhonkwane kunye nezikhonkwane, iipleyiti, kunye neekhonkwane ze-intramellary okanye iintonga.

I-staples kunye ne-clamps zikwasetyenziswa ngamanye amaxesha nge-osteotomy okanye i-fecture. I-Autogenous Bone Grefts, izalamu, kunye nezinto ezingena kwithambo zihlala zisetyenziselwa ukuphathwa kwethambo kweziphene ezahlukeneyo. Kwizityholo ezosulelekileyo kunye nonyango losulelo lwethambo, iibhlukhwe ze-antibiotic zihlala zisetyenziswa rhoqo.

I-Axial ye-Axial probul ye-prographmel ye-femil ye-filminal yangaphandle: Isishwankathelo esibanzi

I-HIP FURARES yingxaki yesiqhelo ye-orthoric, ngakumbi kubantu abadala. Ezi qhekeza zinokubangela ukuba kubi kakhulu kunye nokufa, kwaye ukuphathwa kwabo kuhlala kuntsonkothwa. Enye yeendlela ezisetyenziselwa ukuphatha i-Hip Fictures yi-axial problical ye-probral ye-progimal ye-progumal ye-progeral yangaphandle (i-DAPFFF). Kweli nqaku, siza kubonelela ngamagqabantshintshi ngokubanzi nge-daprofe, kubandakanya nempawu ezibonakalayo, ubuchule, iingxaki kunye neziphumo.

Intshayelelo

I-Hip Fuctures yingxaki enkulu yezempilo yoluntu, eqikelelwa kwizigidi ezingama-1.6 ezigidi ezenzeka kwihlabathi liphela minyaka le. Ezi qhekeza zinxulunyaniswa notywala obuphezulu kunye nokufa, ngakumbi kwizigulana ezikhulileyo. Ulawulo lwe-fip fictures luhlala luntsonkothileyo, kwaye iindlela ezahlukeneyo zoqhaqho zisetyenziselwa ukuzilawula. Enye yezi ndlela yi-proxial probul yokuqhekeza i-axial filmer yangaphandle (i-DAPFFF).

I-anatomy ye-hip

Ngaphambi kokuba uxoxe nge-daprof, kubalulekile ukuqonda i-anatomy ye-hip. I-hip edibeneyo yiNtlawulo yeBhola-kunye neSoket, equka i-acetabulum ye-pelvis kunye nentloko yenyama. Intamo yenyama inxibelelanisa intloko yenyama ukuya kwi-themoral shaft. I-festilemal femur yinxalenye ye-femur ekufutshane ne-hip edibeneyo.

Yintoni i-axial ye-axial prography ye-femilimes ye-progeral yangaphandle?

I-axial fexial ye-axial prography ye-prographmel ye-prography yangaphandle (i-DAPFFF) sisixhobo esisetyenziselwa ukuzinzisa i-feckimal femur. Isixhobo sineseti ye-PIN okanye isikhafu esifakwe kwi-femur femur kwaye iqhagamshelwe kwisakhelo esingaphandle. Isakhelo sinika uzinzo kwithambo eliqhekezayo, liyivumela ukuba liphilise.

Isalathiso se-daprofe

I-DAPFFF isetyenziselwa ukunyanga ububi bombhiyozo we-femur, kubandakanya ukwaphulwa kwe-subcapital, ukwaphuka kwe-pertansancric gwenxa, kunye nokuqhekezwa kwe-sub. Ikwasetyenziselwa ukuphatha ukungafani kunye nokuntywila kwe-femur femur.

Ubuchule be-dapfefe

Indlela ye-daPFEF ibandakanya ukufaka izikhonkwane okanye isikhafu kwi-femur femur, edityaniswe kwisakhelo esingaphandle. Izikhonkwane okanye iikrelem zifakwe ngendlela ebavumela ukuba benze njengengalo ye-lever, babonelela ngoxinzelelo lwe-cusy Isakhelo sihlengahlengiswa ukufezekisa inqanaba elifunayo lokucinezelwa.

Izibonelelo ze-dapfene

Izibonelelo ze-DAPFF zibandakanya amandla ayo okubonelela ngokulungiswa kwezinto ezithile ze-femur, amandla ayo okubonelela ngoxinzelelo lwe-proximac, kunye namandla ayo okuvumela ukuphathwa kwesisindo kwangoko. Ezi zinto zinokukhokelela kwiziphumo eziphuculweyo kunye namaxesha okubuyisela ngokukhawuleza kwizigulana.

Iingxaki ze-daprofe

Iingxaki ze-DAPFFF ziquka usulelo lwe-Pict, i-Union, i-arhemu, ilahleko yokuncitshiswa, kwaye ifihliwe. Ezi ngxaki zinokulawulwa ngonyango olufanelekileyo, kubandakanya ukubulala iintsholongwane, ukuphononongwa, kunye nokususwa komlungisi.

Iziphumo ze-DAPFFF

Iziphumo ze-DAPFFF ziye zafundwa kwiimvavanyo zeklinikhi. Ezi zilingo zibonakalise ukuba i-DAPFEF inokubonelela ngokulungiswa kwezinzile kwi-femur ye-proximal, ivumela ubunzima benqanaba lokuqala kunye neziphumo eziphuculweyo zezigulana.

Ukuqukumbela

I-Axial ye-Axial ye-Axial probul ye-progumal ye-progumal ye-progeral (i-dapfefe) yindlela yokuhlinqwa esetyenziselwa ukuzinzisa i-feckimal femur. Inika ukulungiswa okuzinzileyo kunye nokunyanzelwa okunamandla kwithambo elixhaphakileyo, kuvumela ukuthwala ubunzima bomzimba kunye neziphumo eziphuculweyo zezigulana. Iingxaki zinokwenzeka, kodwa zinokulawulwa ngonyango olufanelekileyo.