I-tibial facking, i-suprapatellar ye-Inramelimellary

I-Teramelity ye-Toipial Tailing: Ukufikelela kunye nolungelelwaniso, iintlungu zangaphandle zedolo

Inkqubo yoNyango ye-Intramellary ye-Tibial Fractures ibalulekile ukuze ifake isikhonkwane se-Intramerullary ngendawo yokungena ye-Intra, kunye nokufezekisa indawo efanelekileyo yokuqhekeka.

Iindlela zeklasikhi ze-tibial stem quares yindlela ye-infrapatellar okanye i-infrapatellar paraptatellar paraptatellar. Nangona ezi ndlela ziboniswe kwi-quations ephakathi, i-Poltopelotives, engaphandle, okanye izinto ezihlanganisiweyo zenzeka rhoqo kwi-proximal quations.

Eyona nto iphambili ye-malafiling kwi-proximal ye-proximal ye-proxice ebangelwa kukudodobala kwe-quadriceps ngexesha le-tendexices ngexesha le-tikiet kunye ne-portex ye-tibial cortex ngexesha lokufakwa kwamaphepha. I-patella iphinda ithintele ukungena kwe-axial kwindiza ye-sagittal (Fig. 1A, B). Ke ngoko, enye indlela eqhelekileyo yokufikelela kwinqaku isebenzisa i-cappatellar ye-parapatatellar, ekhokelela kwi-medial ye-facker yokufakelwa (amakhiwane. 1c kunye ne-2). Njengoko isikhonkwane singena kwi-Inramellary Canal toral kwi-phrackere, isahlulo se-proximal kwi-valgus (umzobo 2). Okokugqibela, ukuphela koxinzelelo lwemisipha ye-ANTARTESS inegalelo elincinci ukuya kwi-xabicmus (umzobo 3).

Umzobo 1 A, B usebenzisa i-Inrapatellar ye-Infrapatellar, i-patella ithintela ukungena kwe-axial yesipikili, okukhokelela kwingcaciso eqhelekileyo yokulungelelanisa i-sagittal ye-apical kunye ne-vilgi. C usebenzisa indlela yeParapatellar yolungelelwaniso lwe-intramelimble.

Umzobo 2 usondela kwinqaku lokungena malunga ne-Prapatellar i-Prapatatellar ikhokelela kwi-medial yendlela yokufakelwa kwesikhonkwane. Njengoko isikhonkwane singena kwi-carmlary estal i-racture kwi-phracture (a), isahlulo se-proximall kwi-valgus (B)

Umzobo 3 Ukuphumla uxinzelelo lwe-ANTARCRORTATTATTTATTATTATTOR MARENCE

Ukufaka i-tibia kwindawo eyandisiweyo kuyanceda ukuthintela iingxaki ezinxulumene nedolo eliqaqambileyo. Ubuchwephesha yayichazwa nguGallbke, iJaakma et al. Ngo-2010 kwaye uye ethandwa kakhulu kwiminyaka yakutshanje ngenxa yokuba ukufaka i-tibia kwindawo ethe ngqo ye-lib yenza lula ukuqhekeka kunye nokubeka kwakhona. I-Fluoroscopy ilula ukuba yenze. Izihlandlo ze-Fluoroscopy ye-Suprapatellar i-Suprapatellar yaxelwa ukuba ifutshane kakhulu kune-infrapatellar. Ukongeza, i-angle yokufakwa kwesikhonkwane (kwindiza ye-sagittal) ihambelana kakhulu ne-axia ye-tibia ye-tibia kule ndlela kune-infrapatellar nasezantsi; Oku kuthintela ukungqubana koomatshini phakathi kwengcebiso ye-Nail kunye ne-porttex ye-portex, ngaloo ndlela ziququzelela ukuncitshiswa kwesaphulelo.

I-Postoperapeative Intlungu yangaphandle yedolo yingxaki enxulumene noko. Intlungu yangaphandle inikwe i-50-70% yezigulana eziqhekezayo, ezinama-30% kuphela abaguli abajamelana nayiphina i-PAIN emva kokususwa kwesityalo sangaphakathi. Kuqikelelwa ukuba ukwenziwa kwesikhali okunxulumene nokufikelela kwi-patellar tendon kunye ne-hoffaphu ye-hoffaf pad nguMthombo we-Postopeed Gode. Ukongeza, indlela ye-Studiatellar ivumela ukubekwa kwesebe lemveli kwisebe le-patellarus ye-safenous nerve, ngaloo ndlela kukuphepha i-torness yangaphandle kunye nokudakumba kwengqondo (umzobo 4). Ukudlulisa isikhonkwane kwi-quadriceps thedriceps, ngaloo ndlela sishiya i-patellar tendon i-tendon, ibonakala inciphisa kakhulu inqanaba leentlungu zedolo.

Ngenxa yeziphumo ezilungileyo ze-proximal yokuqhekeka, izibonakaliso kwizenzo zeklinikhi zandisiwe kuzo zonke izinto zokuqhekezwa.

Isetyenziswe nini isipikili se-Intramellary?

Izibonelelo

• Indawo ye-semi engaphezulu ikhuthaza ubuchule bokuqhekeka kwaye uphinde uphinde uphinde uphumle ngamandla omsipha kunye nokugcinwa ngexesha lokufakwa kwesipikili

• Umngcipheko ongezantsi wokukhutshwa kwendawo yendawo ye-proximal, isahlulo se-qumbal kunye ne-discal uqhetsene xa kuthelekiswa neendlela eziqhelekileyo

• Ukusebenza kwe-Nating kulula ukwenza

• Ukufakwa kwesikhonkwane kuyasebenza njenge- 'inkqubo yonyango

• Incitshisiweyo yexesha leFluoroscopy

• Akukho monakalo kwi-patellar i-paten kunye neziganeko ezisezantsi ze-Post-Stapting yeTar

• Kulula ukwenza inkqubo yeqela lamaqela, njengakwintlekele ezininzi

  
  

Iphawu

• Ukuqhekeka okungaphezulu kwe-proximal tibia (i-AO 41A)

• Ukuqhekeka okulula kwe-tibial diaphysis (AO 32A-C Uhlobo)

• I-tegramential tibial diaphyseal typraure (i-AO 42c yohlobo)

• I-Difikial ye-tibitial ye-tibitial ye-diguyal ye-dictiyar kunye ne-Intra elula ye-Intra ye-Intra ye-Districular Fratures (AO 43A kunye neentlobo ze-C1)

• Idolo

• I-patellar i-ossissotion nge-patellar ye-thesson

• Inxeba elingcolisekileyo kwinqanaba le-patellar

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.

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