Yintoni isikhonkwane seTitakium?

Izipikili ezizinzileyo ezizinzileyo (i-ESS) yindlela eqhelekileyo yokuzinzisa ithambo elide kakhulu ebantwaneni. Kusetyenziswa kakhulu ukuphatha ububi obungazinzanga kwerediyo, u-Ulna, u-femur, kwaye ngamanye amaxesha iTibia ne-humerus. Ikwasetyenziselwa ukuphatha iqhekeza le-panforal yamathambo amade ebantwaneni. U-ESIn ubonelela ngokulungiswa okuqhelekileyo kwesanti ngaphandle kokuvula indawo ye-fecture, uzinzo lwemanqaku amathathu, kunye nokulondolozwa kobude kunye nokujikeleza kobushushu, amafutshane amafutshane. Njengokwabelana ngomthwalo, ivumela ukuhamba kwangoko kwelungu. Ngokwesiqhelo, izikhonkwane ezizinzileyo ze-ithramellary zisuswe emva kokuphilisa.

I-themoral fictures

Iimpawu ze-ESIn kwi-themoral ficractions zezi: iminyaka ephakathi kweminyaka emi-4 neli-14 kunye namaqhekeza omzimba ngaphakathi koxinzelelo olukhulu.

Isigulana sibekwe kwitheyibhile ye-Orthoric, kwaye ubungakanani be-boot buhlengahlengiswa kubungakanani bomlenze womntwana. I-Fluoroscope iyadingeka ekufumaneni i-Antero-Posteringaor (AP) kunye ne-Realro-Atero-Ateral Ateral (LL) i-Lateral (LL) i-Teaft ithanga kwaye ibekwe ukuze ivumele ububoni be-femur kwinqanaba le-femur livela kwinqanaba le-femur kwinqanaba le-femur lisuka kwinqanaba le-femur livela kwinqanaba lokufumana i-femur. Ukufumana ukuncitshiswa kukhangelwe kuzo zombini iimbono ze-AP kunye ne-LL, kunye nokujikeleza kuyaqinisekiswa.

Ukukhetha izipikili Ubuncinci bezipikili kufuneka babone uMthetho Jikelele wokukhetha izikhonkwane. Olu luhlu lulandelayo lunokusetyenziswa njengenye eyohlukileyo, ehambelana nobudala bomntwana:

Iminyaka emi-6 -8: 3 mm yobubanzi;

Iminyaka ye-9-11: I-3.5 mm ye-mm;

Iminyaka eli-12 ukuya kweli-4: 4 mm ububanzi.

Ubude bezipikili zilingana nomgama ukusuka ekukhuleni kwe-distal cartilage kwiCartilage enkulu yokukhula.

I-Diaphyseal Fractures

I-proximal kunye neminyaka yesithathu kwimeko ye-diaphyseal quarts kwi-proximal kunye nenqanaba lesithathu, indlela ye-C-off, kunye nezipikili ezifakiweyo kwiMetaphdis, ikhethiwe. Kwimeko yokuqhekeka kwe-proximal, inqaku leproximal lezipikili ligobile, ngelixa i-diaphydual quart, embindini wezipikili icinyiwe. Ekupheleni kotyando, kwimeko yokuqhekeka okuthe tyaba, amaqhekeza achaphazeleka ukuphepha ukuphazamiseka kwentsalela, enokuba noxanduva lokungalingani kubude obungalinganiyo. Kwimeko ye-oblique okanye isaphulelo esivunyiweyo, inkcitho e-distal igobile kwaye ichaphazelekile kwithambo lokuphepha i-tellescoping yeziqwengana kunye nokufuduka kwezipikili.

Utyekelo lwendalo lwala maqhekeza kukukhuphela i-5- ukuya kwezi-5 mm kuncitshiswa kwangoko ngokuzingca, okuya kubuyiswa kukuvuselela ukukhula ngexesha lokudityaniswa kwengqungquthela ngexesha lokudityaniswa kwesandi ngexesha lokudityaniswa kwesandi ngexesha lokudityaniswa kwesaphulelo ngexesha lokudityaniswa kwesandiso.

I-Tibial Fractures

Ukuma kunye nokulungiswa kwesiguli isigulana sibekwe kwitheyibhile yobuncwane ukuze kuququzelele ukuncitshiswa. Ubukho be-fluoroscope bunyanzelekile kulawulo olungenamsebenzi. Umhlaba osebenzayo kufuneka ubandakanye idolo.

Ukufakwa kwezipikili 

Izipikili ze-elastic zihlala zifakwa i-antegrade kwi-metaphysis ye-proximal, kwiindawo ze-Antero-Relit kunye ne-Antermial.

I-Napikie yezipikili iyahluka phakathi kwe-2,5 ne-4 mm, kuxhomekeka kubudala bomguli. Ukusetyenziswa kwe-hammer yokuqhubela phambili izipikili kuvunyelwe kodwa kuya kufuneka kusetyenziswe ngononophelo.

Umgangatho wokuncitshiswa kuqinisekisiwe yi-Nagemeter yeZikiphu kunye nenqanaba lokugoba.

Izipikili akufuneki zichaphazelene nethambo le-distaphysis ye-distaphsis ngaphambi kokuba incitshiswe igqibelele; Kungenjalo, iinkqubo zolungiso zisenokubeka ityala i-osteosynthesis.

Ngaphambi kokuba iphucuke, ukujikeleza kwamaqhekeza kukhangelwa kwaye, kwimeko yobukho be-Versus Primes yentsalela, oku kulungiswa kukubetheka kakhulu kwesikhonkwane. Ekupheleni komsebenzi, itrasti ihlaziyekile kwaye amaqhekeza achaphazeleka.

Kwimeko yokuqhekezwa kwamaqhekeza, iingcebiso ze-proximal zezipikili ezishiywe ngaphandle kwethambo zigobile nge-90 ° kwaye zinefuthe kwithambo leziqwengana.

I-Himeral Fratures

Iimpawu ze-ESIn kwi-Humeral Fractures ziyahluka ngokuxhomekeka kwindawo yokuqhekeka: i-proximal metaphysis okanye i-diaphysis. Kwi-suctures yentamo ye-humerus, i-ESIn ibonisiwe ngenxa yokuba inciphisa ixesha lokungasebenziyo olufunekayo kwimeko yonyango lolondolozo.

Kwimeko ye-diaphysese quations, ukusetyenziswa kwezikitho ze-elastic kuchazwe ngokunganyangekiyo izilonda ze-radial nerve.

Ukufakwa kwezikhonkwane izipikili zifakiwe kusetyenziswa indlela yokubuyisa. Iindawo zokufakwa zifumaneka kumda wamva wendawo ye-Supracondylar, ukuba nendawo ye-Potero-Lateral Astal kunye notyekelo oluqhelekileyo. Iindawo zokungena zilungisiwe kusetyenziswa i-drill kuba ithambo le-cortical kule ndawo linzima kakhulu. Ububanzi bezipikili buyahluka phakathi kwe-2,5 ne-3.5 mm, kwaye bagobe ngokufanayo. Izipikili zifakwe ngoxinzelelo lwe-ndlebe kunye nentshukumo ejikelezayo. Ukuba uqhekezwe kwindawo yeMetaphyseAl ye-proximal ayinakuncitshiswa ngokufanelekileyo, ukujikeleziswa kwezipikili okwenza oku kuncitshiswa. Ukuba, nangona kunjalo, ukuncitshiswa akunakwenzeka, isikhokelo sesikhokelo seKirschner-wire ibekwe kwisiqwengana seproximal ngaphambi kokuncitshiswa okuvulekileyo. Kwimeko yefrafy edrafti ye-oblique, kubalulekile ukuthintela izipikili zishiya i-carllary cast kwaye ifudukele i-sulliory kwi-nerve sulcus. Emva kokuba zombini izikhonkwane ziwele indawo yokuqhekeka, zichaphazeleka kwithambo le-proximal metaphysis.

I-Wallorm Fratures

Unyango lwe-Orthopedic kwifracki loLomsa lwamkelwe, kodwa imida evunyelweyo ye-angcula yalungiswa ngokuzenzekelayo iyaziwa. Ukuba le mida idlulile okanye kwimeko yokusilela kwamathambo, ukuncitshiswa okuvaliweyo kwaye i-ESIn iboniswe kwizenzo ze-SUMTARM.

Ubuchwephesha bokusebenza Isiguli sibekwe kwi-dosallitus kaDorsal Degitus, kunye neMpuma echaphazelekayo kwitafile ye-radiotranspantranserpantranserpantranserpantranserpantrancent.

Ububanzi bezipikili ezisetyenzisiweyo buyahluka phakathi kwe-2,5 ne-3 mm. Isikhonkwane se-Ulnar siphantse ngokuthe ngqo, ngelixa isikhonkwane se-radracial sibe ne-Besing ephawuliweyo ukuze sibuyise ijika le radius.

Ukulungiswa kuqale rhoqo ngethambo ekulula ukunciphisa. Kwirediyo, indawo yokungena ifumaneka kwi-Distaphysiss, ngaphezulu kokukhula kwe-distage, phakathi kweethenda ezintathu kunye nezimfutshane zesithupha. Ithambo le-cortical livezwa lugqwesiso oluncinci kwaye umngxunya uyadinwa, owenziweyo ngeentshukumo zesetyhula. Isikhonkwane sifakwe kwi-carling caltal ukuya kwindawo yokuqhekeka. Ukuncitshiswa kwe-Fracration kwenziwa kwaye isikhonkwane siqhubekile kwisiqwengana seproximal phantsi kolawulo lwe-fluoroscopic.

Inkqubo efanayo iqhutywa i-ULNA, esebenzisa indlela ye-antegrade, enesixhobo sokungena kwi-Anecran kwi-OlecCom.

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 zamandla, 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 unakho 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.