Suprapatellar Indlela yeTibial Nail

I-Suprapatellar Approach Tibial Nail: Isikhokelo esiBanzi

Ukuqhekeka kwe-tibia kukulimala okuqhelekileyo okuhlala kufuna ukungenelela kokuhlinzwa. Enye yeendlela ezidumileyo zotyando kukusetyenziswa kwezikhonkwane ze-intramedullary. Indlela ye-suprapatellar i-tibial nail yindlela efumene ukuthandwa kwiminyaka yamuva ngenxa yeenzuzo zayo ezininzi. Kule nqaku, siza kuxubusha i-suprapatellar indlela ye-tibial nail ngokweenkcukacha, kubandakanywa neenzuzo zayo, izibonakaliso, ubuchule bokuhlinzwa, ulawulo lwe-post-operative, kunye neengxaki ezinokuthi zibe khona.

Isiqulatho

1. Intshayelelo

2. I-Anatomy ye-Tibia

3. Izibonakaliso zeSuprapatellar Approach Tibial Nail

4. Izinto eziluncedo Suprapatellar Indlela Tibial Nail

5. ULungiselelo lwaphambi kotyando

6. Ubuchwephesha boTyando lweSuprapatellar Indlela yeTibial Nail

7. Ulawulo lwasemva kokusebenza

8. Iingxaki ezinokuthi zibekho

9. Ukuthelekisa nezinye iindlela zobuchule

10. Ukuqukumbela

11. Ii-FAQs

1. Intshayelelo

I-tibia lelinye lawona mathambo amade aqhekekileyo aqhekekileyo emzimbeni. Ukuqhekeka kwe-tibia kaninzi kufuna ukungenelela kokuhlinzwa ngenxa yengozi enkulu ye-malunion kunye ne-non-union. Izikhonkwane ze-Intramedullary ziye zaba ngumgangatho wegolide wokunyanga i-tibial fractures ngenxa yeenzuzo zabo ezininzi, kubandakanywa ukuzinza okuphuculweyo kunye namaxesha okuphulukisa ngokukhawuleza.

Indlela ye-suprapatellar ye-tibial nail yindlela efumene ukuthandwa kwiminyaka yamuva ngenxa yeenzuzo zayo ezininzi ngaphezu kwezinye iindlela. Eli nqaku lijolise ekunikezeni isikhokelo esibanzi kwi-suprapatellar approach tibial nail.

2. I-Anatomy ye-Tibia

Ngaphambi kokuba uxoxe nge-suprapatellar indlela ye-tibial nail, kubalulekile ukuqonda i-anatomy ye-tibia. I-tibia inkulu kumathambo amabini amade kumlenze ongezantsi kwaye ithwala ubunzima obukhulu bomzimba. Isiphelo esisondeleyo se-tibia sichaza kunye ne-femur ukwenza i-knee joint, ngelixa i-distal end ichaza i-fibula kunye ne-talus ukwenza i-ankle joint.

I-tibia inomsele we-intramedullary ohamba ngobude bayo. Umjelo ubanzi kwisiphelo seproximal kwaye uyancipha ukuya ekupheleni kwe-distal. Lo mjelo apho i-intramedullary nail ifakwe khona.

3. Izibonakaliso zeSuprapatellar Approach Tibial Nail

Indlela ye-suprapatellar ye-tibial nail iboniswa kunyango lwezahlulo ezahlukeneyo ze-tibial, kuquka:

• Ukuqhekeka kwe-distal yesithathu ye-tibial

• Ukuqhekeka kwe-tibial ekufutshane

• I-Tibial shaft fractures

• Ukuqhekeka kwe-Oblique

• Ukuqhekeka kwe-spiral

• Ukuqhekeka okungapheliyo

• Iifracture ezineziphene ezibalulekileyo zecortical

4. Izinto eziluncedo zeSuprapatellar Indlela yeTibial Nail

Indlela ye-suprapatellar ye-tibial isikhonkwane ibonelela ngeenzuzo ezininzi ngaphezu kobunye ubuchule, kubandakanya:

• Ukuphuculwa kokunciphisa ukuphuka: Indlela ye-suprapatellar ivumela ukubonwa okungcono kwendawo yokuphuka, okukhokelela ekunciphiseni okuphuculweyo kokuphuka.

• Ukunciphisa ukulahleka kwegazi: Indlela ye-suprapatellar ibandakanya ukuchithwa kwezicubu ezithambileyo ezincinci, ezikhokelela ekunciphiseni ukulahleka kwegazi ngexesha lotyando.

• Ukunciphisa umngcipheko wokusuleleka: Indlela ye-suprapatellar inciphisa umngcipheko wokusuleleka ngokuphepha idolo elihlangeneyo, elinokuba ngumthombo wokusuleleka.

• Ukunciphisa umngcipheko wokulimala kwe-patellar tendon: Indlela ye-suprapatellar igwema i-tendon ye-patellar, ukunciphisa umngcipheko wokulimala kwesi sakhiwo esibalulekileyo.

• Ukuchacha ngokukhawuleza: Izigulane ezihamba nge-suprapatellar zisondela kwi-tibial nail operation zivame ukuchacha ngokukhawuleza kwaye zibe nokuhlala esibhedlele esifutshane xa kuthelekiswa nalabo bafumana ezinye iindlela.

5. Ukulungiselela kwangaphambili

Ngaphambi kokwenza utyando lwe-suprapatellar lwe-tibial nail, izigulane ziya kuqhuba amalungiselelo amaninzi angaphambi kokusebenza. Oku kuya kubandakanya imbali yonyango ngokucokisekileyo, ukuhlolwa komzimba, kunye nezifundo zokucinga ezifana ne-X-rays, i-CT scans, okanye i-MRI scans ukuvavanya ubungakanani kunye nendawo yokuphuka.

Izigulana zinokuphinda zivavanye igazi langaphambi kotyando kunye nezinye izifundo zelabhoratri ukuvavanya impilo yazo yonke kwaye zichonge naziphi na iimeko zonyango esele zikho ezinokuchaphazela utyando kunye nokuchacha kwabo.

Kubalulekile ukuba izigulana zixelele ugqirha wazo wotyando ngawo nawaphi na amayeza abawathathayo, kubandakanywa amayeza angaphaya kwekhawuntara kunye nezongezelelo, njengoko amanye amayeza anokufuna ukuyekwa ngaphambi kotyando ngenxa yengozi yokopha okanye ezinye iingxaki.

Izigulane zinokucetyiswa ukuba ziyeke ukutshaya kwaye zigweme utywala kwiiveki ezikhokelela kukuhlinzwa, njengoko ezi zinto zinokuphazamisa inkqubo yokuphulukisa kunye nokwandisa umngcipheko weengxaki.

6. I-Technique yoCando ye-Suprapatellar Indlela ye-Tibial Nail

Indlela ye-suprapatellar utyando lwezikhonkwane lwe-tibial lwenziwa ngokuqhelekileyo phantsi kwe-anesthesia jikelele kwaye inokuthatha iiyure ezininzi ukugqiba. Ubuchule botyando bubandakanya la manyathelo alandelayo:

1. Isigulane sibekwe etafileni yokusebenza kwindawo yokulala, kunye nomlenze ochaphazelekayo uphakanyisiwe kwaye uxhaswe ngumgcini womlenze.

2. I-incision encinci yenziwe esikhumbeni ngaphezu kwepatella, kwaye ucingo lwesikhokelo lufakwe esikhumbeni kunye nomsele we-intramedullary we-tibia.

3. Isixhobo sokuvuselela sisetyenziselwa ukulungisa umjelo wokufakwa kwesikhonkwane.

4. Emva koko, isikhonkwane sifakwe ngokusikwa size sikhokelwe kumjelo kusetyenziswa i-fluoroscope.

5. Nje ukuba isikhonkwane sibekwe endaweni, izikrufu zokutshixa zifakwa kwisikhonkwane nakwithambo ukuze likhuseleke endaweni yalo.

6. Ukusika kuyavalwa, kwaye umlenze awushukumi kusetyenziswa isamente okanye ibrace.

7. Ulawulo lwasemva kotyando

Ukulandela utyando lwezikhonkwane lwe-suprapatellar, izigulane ziya kuchitha iintsuku ezininzi esibhedlele ukuze zibekwe esweni kunye nokulawulwa kweentlungu. Baya kucetyiswa ukuba bagcine umlenze ochaphazelekayo uphakanyisiwe kwaye ugweme ukubeka ubunzima kwiiveki ezininzi.

Izigulana nazo ziyakunikwa umthambo wokwenza ukunceda ukuqinisa imisipha ejikeleze idolo kunye nokuthintela ukuqina. Unyango lomzimba lunokucetyiswa ukuba luncede izigulane ziphinde ziphinde zifumane uluhlu olupheleleyo lokunyakaza kunye namandla emlenzeni ochaphazelekayo.

Izigulane ziya kunikwa amayeza eentlungu kunye ne-antibiotics njengoko kufuneka ukulawula intlungu kunye nokuthintela usulelo. Ukuqeshwa kokulandelela kuya kucwangciswa ukubeka esweni inkqubo yokuphilisa kunye nokuvavanya naziphi na iingxaki.

8. Iingxaki ezinokubakho

Njengalo naluphi na utyando, kukho imingcipheko enokubakho kunye neengxaki ezinxulumene ne-suprapatellar indlela yotyando lwezikhonkwane. Oku kunokubandakanya:

• Usulelo

• Ukopha

• Umonakalo wemithambo-luvo

• Amahlwili egazi

• Ukulibaziseka ukuphiliswa

• I-Non-union okanye i-malunion ye-fracture

• Ukusilela kwehardware

Kubalulekile ukuba izigulane zixoxe ngale mingcipheko kunye nogqirha wazo kwaye zilandele yonke imiyalelo yangaphambili kunye nasemva kokusebenza ukunciphisa umngcipheko weengxaki.

9. Uthelekiso kunye nezinye iiTechniques

Indlela ye-suprapatellar ye-tibial nail yenye yeendlela ezininzi ezisetyenziselwa ukunyanga i-tibial fractures. Obunye ubuchule bubandakanya i-infrapatellar approach tibial nail, i-retrograde tibial nail, kunye nepleyiti kunye ne-screw fixation.

Ngelixa ubuchule obunye buneenzuzo kunye nokungonakali, i-suprapatellar approach tibial nail inika iingenelo ezininzi ezikhethekileyo, kubandakanywa nokuphuculwa kokunciphisa ukuphuka, ukunciphisa ukulahleka kwegazi, kunye nokunciphisa umngcipheko wokusuleleka kunye nokulimala kwe-tendon patellar.

10. Isiphelo

Indlela ye-suprapatellar ye-tibial nail yindlela eyaziwayo yokuhlinzwa yokunyanga i-tibial fractures. Inika iingenelo ezininzi kunezinye iindlela, kubandakanywa ukuphuculwa kokunciphisa ukuphuka, ukunciphisa ukulahleka kwegazi, kunye nomngcipheko ophantsi wosulelo kunye nokulimala kwe-tendon patellar.

Nangona kunjalo, njengalo naluphi na utyando, kukho imingcipheko enokubakho kunye neengxaki, kwaye kubalulekile ukuba izigulana ziqwalasele ngononophelo ukhetho lwazo kwaye zixoxe ngazo nogqirha wazo ukwenza isigqibo esinolwazi.

11. Ii-FAQs

1. Ingaba i-suprapatellar ithatha ixesha elingakanani utyando lwezikhonkwane lwe-tibial?

   
   

   Utyando ludla ngokuthatha iiyure ezininzi ukulugqiba.

   
   

2. Kuthatha ixesha elingakanani ukuchacha kwi-suprapatellar approach ye-tibial nail operation?

   
   

   Ixesha lokubuyisela linokwahluka ngokuxhomekeke kubungakanani bokwaphuka kunye namandla okuphilisa isigulana ngasinye, kodwa ngokuqhelekileyo kuthatha iinyanga ezininzi ukuba ithambo liphilise ngokupheleleyo.

   
   

3. Lithini izinga lempumelelo yotyando lwezinzipho lwe-suprapatellar?

   
   

   Izinga lokuphumelela kotyando liphezulu ngokubanzi, kodwa linokwahluka ngokuxhomekeke kwiimeko zesigulane kunye nobungakanani bokwaphuka.

   
   

4. Ngaba ndiza kufuna unyango lomzimba emva kokuhlinzwa kwe-suprapatellar ye-tibial nail?

   
   

   Unyango lomzimba lunokucetyiswa ukukunceda ukuba uphinde ufumane uluhlu olupheleleyo lokunyakaza kunye namandla kumlenze ochaphazelekayo.

   
   

5. Ngaba kukho naziphi na iinketho ezingezizo utyando zokunyanga i-tibial fractures?

   
   

   Kwezinye iimeko, iinketho ezingezizo utyando ezifana nokuphosa okanye i-bracing zingasetyenziselwa ukuphatha i-tibial fractures, kodwa oku kuya kuxhomekeka kwiimeko zesigulane ngasinye.