Ukutshixwa kweplate yePlayiti-I-Difisi ye-Difiial Training Plates

Ukutshixwa kweplate yePlayiti-I-Difisi ye-Difiial Training Plates

            I-dibial tibial pibial pibin factures inqabile, i-accounting i-10% yefratshi elijikeleze i-ankle. Izicubu ezithambileyo kwi-tibia zinokunganyamezeli okungalunganga kwe-tishu eyoneleyo, ekwandisa ubunzima bonyango lwe-Frature. I-Pilon Fractures yaziwa ngokuba ngumsebenzi, ukususwa komgangatho wobugcisa, kunye nokwenzakala kwezicubu ezithambileyo. Ngenxa yotshintsho kumdibaniso odibeneyo kunye nolungelelwaniso lwelungu, ukwaphuka kakhulu kufuna ukulungiswa kwe-ream. Unyango oluqinisekileyo lufanele lubekelwe iintlobo ezithile zokuqhekeka, ukulimala kwezicubu ezithambileyo, kunye nezigulana. Ixesha elifanelekileyo lonyango lonyango sisitshixo sempumelelo.

     

            Iindlela zokulimala

Ukulimala okuPhakamileyo: Ukuwela Ekuphakameni, ukuKhangela, iingozi zemoto, njl njl.

Indlela yoBundlobongela: Ukunyanzelwa kwe-axial; Ishera yeshera; I-Varis Shear Force; I-Valgas Shears.

-VARUS Force Burgoni   I Umgca we-phrad ukwindiza ye-sagittal, kwaye iFibula ihlala ihleli.

I-Velg Susa ubundlobongela:   Kuxhaphake kakhulu kubantu abadala, ngokulimala kakhulu kunye nokulimala kwamandla asezantsi. Umgca wokuqhekeka kwinqwelomoya ye-coron kwaye uhlala unxulunyaniswa nokuqhekeka kwembali.

Iimviwo zokucinga

            I-Anterosterior esemgangathweni ye-Propos, i-Ateral, kunye neMbono yencwina X-imitha ye-ankle ithathiwe. Ubude obugcweleyo - x-ray ye-tibia inokubonisa ulungelelwaniso kunye nendawo yokudibana kwedolo apha ngasentla. Kwezinye izigulana ezinamaqhekeza okuntsonkothileyo, i-x-imitha yelungu le-charailatengs zithathwa ukubonelela ngesalathiso sokwakhiwa kwakhona kunye nokufumanisa ukwahluka kwe-asatomical okhoyo okanye ukwahlukana kwe-asatomical ekhoyo okanye ukwahlukana kwendalo.

            Indlela yokulimala inokuqikelelwa kuhlobo lwe-fibbul phraction kwi-X-imitha kwaye ihlelwe njengobundlobongela obuqiqisayo Ukuba i-fibula icacile, ikhula ngokubanzi inxenye ye-Intra - i-articular (uhlobo b) ukwenzakala. Ukulimala kwe-Axial Ukulimala akubangeli mfuneko enkulu kodwa kukhokelela kwinani elikhulu lokulayisha kwi-Dibia, kunye neziqwengana ezingaphezulu ze-articular kunye neziqwengana ze-articulas ezininzi kunye nenqanaba eliphantsi. Indlela yokuqhekeka iqhekeza leflogiment inokuqikelelwa kwi-X-ray ebonisa uhlobo lwesuntswana lwe-talar (ihlala ikwindawo engaphandle).

            Inqaku lesibini le-ubude kunye nezithathu ezine-CT. Banokubonelela ngolwazi kubandakanya inqanaba lokuphucula ukuqalisa, isikhundla kunye nenani lamaqhekeza amathambo, kunye nendlela yokufuduswa.

Ukwahlulahlula

Unyango olungapheliyo

            Unyango olungapheliyo lwe-readical ye-tibial pibin pibin inqabile. Iimpawu ezibonakalayo zisuswe kancinci iindidi kunye nezigulana ezineemororbidis ezandisa umngcipheko wonyango. Ukongeza-iqhekeza le-articular elinotshintsho oluncinci kulungelelwaniso lwe-tibial linakho ukuphathwa nge-plassfalses engenalo ngaphandle kotyando. I-splint isetyenziswe ekuqaleni de ifudumele iqhubeke, kwaye emva koko kuphoswa ntsika. Iinguqu ezinzima kwi-tibial okanye zolungelelwaniso lwe-articular zinokukhokelela kwiingxaki zokulungelelaniswa kwelungu kunye nokuzinza. Iimviwo eziqhubekayo ze-X-ray ziyimfuneko ukuqinisekisa ukuba ukudibana okudibeneyo kunye nolungelelwaniso lwelungu.

            I-Intra ekhethiweyo - iqhekeza le-articular linokuphathwa nangokungaqhelekanga. Kwi-Intra - i-Articture Fratures engaphantsi kwe-2 mm yokwahlulahlula i-fecced kunye ne-MM ye-3 mm yenyathelo-icinyiwe ingaqwalaselwa kwizigulana ezinemfuneko ezisebenzayo.

Isalathiso soqhawulo-mtshato

Ixesha lokuThumela ixesha

            (1) Unyango olungxamisekileyo: Ukuncitshiswa kunye nokulungiswa kwemali yokuhambisa; Vula ubuxoki; Ukulimala okungahambelaniyo; I-Syndrome Syndrome.

            (2) Inqanaba lokuqala - Inqanaba lokuqala (ukubuyiselwa kobude belungu kunye nolungelelwaniso): Ukujongwa kweCalcaneal Ukulungiswa kwangaphandle; Ukuncitshiswa kunye nokulungiswa kwangaphakathi kwe-fibbul quatures, ukunqongophala okuvulekileyo kunye nokulungiswa kwangaphakathi kwe-posteralar yamandla; Uthintelo lwe-Grobbus.

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Iindlela zokuhlimela

            (1) Yandisa ukubonakaliswa komgca wokuqhekeka.

            (2) Sombulula yonke i-quations kunye neendlela ezimbalwa zoqhaqho.

            (3) Kuphephe iindawo ezinemigaqo yezicubu ezithambileyo.

            (4) Cinga ngenkqubo yokulimala.

            (5) Qwalasela isikhundla sokufakwa kweplate.

•                     Kwiqhekeza eline-Versus Disform, iplate ye-actreal ye-godys ikhethiwe, kwaye kusetyenziswa i-anteromerames.

•                     Kwiqhekeza elinesiphene sokuhlambela, iplate ye-buttral ye-buttrel ikhethiweyo, kwaye isetyenziswa ngendlela yentembeko.

•                     Umgama phakathi kwezi meko zimbini kufuneka ubuncinci ube yi-5 ukuya kwi-7 cm.

Iimveliso zeCzemedItech