Iimboniselo: 190 uMbhali: Ixesha lokupapasha loMhleli weSiza: 2023-01-04 Imvelaphi: Isiza
Iifractures zihlala zihamba kunye nokulimala kwamanye amalungu omzimba. Kuyo yonke inkqubo yonyango, izigulane kufuneka ziphathwe ngokupheleleyo.
Gcina ubomi
Gcina amalungu
Gcina amalungu
Umsebenzi wokwakha kwakhona
Ukunciphisa okuvulelekileyo kunye nokulungiswa kwangaphakathi ngokukhawuleza (ngaphakathi kwe-6h)
48h
3 ~ 7d: Iyakwandisa ukwenzeka kwe-ARDS kunye nezinye iingxaki.
I-7 ~ 10d: Ukusabela kwe-Endocrine kwehlile [ukudumba kwehla, ukudumba kwaphela]
Ngaphezulu kweeveki ezi-2: ubunzima bokusebenza buyanda kwaye umsebenzi we-postoperative uyancipha.
Xa ibloko lokuphuka lilimaza umthambo we-subclavia, i-vein kunye ne-brachial plexus, kuvunyelwene ukuba yingxaki enkulu kwaye kufuneka iqhutywe ngokukhawuleza.
Xa ukubuyiswa kwe-elastic kwenzeka emva kokunciphisa i-manual-tendon ye-biceps longus, xa kubonakala iimpawu ze-axillary nerve.

Emva kokuba iimpawu zokulimala kwe-radial nerve zifunyenwe ekuhlolweni komzimba, umsebenzi uya kwenziwa ngokukhawuleza.

Olu hlobo lokwaphuka lunokubangela nayiphi na imithambo-luvo okanye ukwenzakala kwemithambo yegazi edlula kwijoyini yengqiniba.
Ukuqhekeka kwemithambo yegazi kunqabile, kodwa kunokubakho uxinzelelo okanye uxinzelelo.
I-Fascial space syndrome-ukusika ngokukhawuleza kunye noxinzelelo.
Gqibezela utyando kwisithuba seveki.
1 ~ 2 iiveki ukusebenza taboo ixesha-myositis ossificans.
Utyando kwiiveki ezi-2.
Okanye ukwaphuka okuvulekileyo kufuneka kuqhutywe ngaphakathi kwe-6 ~ 8h emva kokulimala.
Ukusebenza okulibazisekayo kunokunyusa umngcipheko wokwakhiwa kwebhulorho yamathambo phakathi kwe-ulna kunye ne-radius.

Xa uvavanyo lomzimba lwafumanisa ukuba i-extensor pollicis longus ithoni yokwenzakala kunye neempawu zoxinzelelo lwe-nerve median zavela-utyando olukhawulezileyo.

Ukunciphisa kwangaphambili kunye nokulungiswa kwangaphakathi kugxininiswe kuzo zombini iifractures ezivulekileyo nezivaliweyo, ngakumbi kulabo banzima ngokulimala kwe-vascular, nerve okanye i-tendon, utyando kufuneka lwenziwe ngokukhawuleza.
Iifractures ze-pelvic zihlala zidibaniswa kunye nokuqhekeka kwezinye iindawo, eziza kubangela ukungazinzi kwe-hemodynamic.
Indlela yonyango ye-pelvic fracture eyinkimbinkimbi: i-30min, izigqibo ze-3
Uphononongo lotyando olukhawulezileyo lokuyeka ukopha
Ukulungiswa kwe-pelvic (i-C-shaped forceps okanye i-fixator yangaphandle) igqityiwe kwi-10 ~ 15min.
Emva kokujonga i-10 ~ 15min, isigulane sisene-hemodynamic instibility-operation.
Kwizigulane ezine-hemodynamics ezinzileyo, utyando kufuneka lwenziwe phakathi kweentsuku ezi-7, okanye iintsuku ezi-7 ~ 14.


Emva kokuba imeko yesigulane iphantsi kolawulo, ukulungiswa kwangaphakathi, i-DHS, i-DCS kunye ne-PFN, kufuneka yenziwe.

I-Femoral neck fracture, ngokukodwa i-intracapsular fracture, inokubeka engozini ukunikezelwa kwegazi kwentloko ye-femal, ngoko ke kuyimfuneko ukuvula ukunciphisa kunye nokulungiswa kwangaphakathi ngokukhawuleza.
Ukulungiswa kwangaphakathi: <iminyaka engama-65 ubudala
Ukutshintshwa ngokudibeneyo:> iminyaka engama-65 ubudala
Ukuba utyando olungxamisekileyo alunakwenzeka, i-joint puncture kunye ne-aspiration ye-hematoma ye-intra-articular inokwenziwa, kwaye ukudibanisa kwe-hip kunokugcinwa kwi-semi-flexion kunye nokujikeleza kwangaphandle kokujikeleza.
Izigulana ezinokulimala kakhulu kwezicubu ezithambileyo, iifractures ezivulekileyo, okanye ubunzima ekusebenzeni kwangaphambili-Super-articular fixator yangaphandle.
Unyango olukhawulezileyo lotyando lokulimala okukodwa--i-DCS, i-retrograde intramedullary nail.

Imeko yesigulane jikelele izinzile, kwaye iimeko zesikhumba zendawo zivumela, umsebenzi kufuneka wenziwe ngokukhawuleza.
Qinisekisa uhlobo lobundlobongela bokwenzakala
Ukwenzakala kwamandla aphezulu kudla ngokukhatshwa yingozi kakhulu yezicubu ezithambileyo. Ibonakala ngokudumba kwelungu, ukudumba, ukuqhawuka kwesikhumba kunye nokuqhekeka kwesikhumba. Utyando kufuneka luhlehliswe ngeli xesha. Ngelo xesha, i-fascial space syndrome kunye nokulimala kwe-vascular and nerve kufuneka kukhishwe.

Ubungcali be-anatomy-ukubaluleka kokugubungela izicubu ezithambileyo.
Inqanaba lokuqala: ngaphakathi kwe-8h
I-fixator yangaphandle ithathwa njengokhetho lokuqala lonyango lwakwangoko.
Inkxaso yeGypsum
Ukutsalwa kweCalcaneal
Isigaba II: malunga neeveki ezi-2.
Kwakungekho usulelo olucacileyo lwenkqubo kunye nokwenzakala okuqatha.
Akukho kudumba okanye ukuphuma kwenxeba.
Iblister yomile, ukudumba kuncipha kwaye iimpawu zamathambo zinokuchukunyiswa.
Ulusu olushwabeneyo, imigca yesikhumba ibonakala.


Isiphumo sonyango lwe-Pilon fracture sixhomekeke kumgangatho wokwakhiwa ngokutsha kunye nemeko yokugubungela izicubu ezithambileyo.
Elona xesha lilungileyo lotyando lixhomekeke kwimeko yezicubu ezithambileyo:
Inqanaba lokuqala: utyando lwenziwa ngaphakathi kwe-6 ~ 8h, eyathatha i-2 ~ 3h.
Ukulibazisa: 7 ~ 10 iintsuku, ukudumba kwanyamalala kwaye kwavela imibimbi yolusu.
Imigaqo emine yemveli ekufuneka ilandelwe kwinqanaba elinye lolwakhiwo ngokutsha:
Ukwakhiwa ngokutsha kwefibula
Ukwakhiwa kwakhona kwe-tibial articular surface
Ukufakwa kwamathambo
Inkxaso yeplate yethambo

I-ankle fracture kukwaphuka kwe-intra-articular.
Injongo yonyango kukubuyisela isakhiwo esiqhelekileyo se-anatomical yamalungu.
Ixesha lotyando lixhomekeke kwimeko yezicubu ezithambileyo.
Ixesha elifanelekileyo lotyando liphambi kokuba i-edema kunye ne-blisters ibonakale kwindawo yokuphuka.
Lilitye leenyawo ukuba abantu bame bahambe. Ukubuyisela ukwakheka kwe-anatomical eqhelekileyo yonyawo kudlala indima ebalulekileyo ekumeni nasekuhambeni kwabantu.
Njengokwaphuka kwe-ankle, ixesha lotyando lixhomekeke kwiqondo kunye nemeko yokudumba kwezicubu ezithambileyo.
Ukuba umzimba wonke uzinzile, i-fracture esusiweyo kufuneka iqhutywe ngokukhawuleza ukuba kukho iimpawu ze-neurological.


Kuba CZMEDITECH , sinomgca wemveliso ogqityiweyo kakhulu wokufakelwa kotyando lwamathambo kunye nezixhobo ezihambelanayo, iimveliso ezibandakanya ukufakelwa komqolo, iinzipho ze-intramedullary, ipleyiti yokwenzakala, ipleyiti yokutshixa, i-cranial-maxillofacial, iprosthesis, izixhobo zamandla, izilungisi zangaphandle, arthroscopy, ukhathalelo lwezilwanyana kunye neeseti zezixhobo ezixhasayo.
Ukongeza, sizibophelele ekuqhubekeni siphuhlisa iimveliso ezintsha kunye nokwandisa imigca yemveliso, ukuze sihlangabezane neemfuno zotyando zoogqirha abaninzi kunye nezigulana, kwaye senze inkampani yethu ikhuphisane ngakumbi kulo lonke ilizwe lehlabathi lokufakelwa kwamathambo kunye nezixhobo.
Sithumela kumazwe ngamazwe, ukuze ukwazi qhagamshelana nathi kwidilesi ye-imeyile ingoma@orthopedic-china.com ngesicatshulwa samahhala, okanye uthumele umyalezo kwi-WhatsApp ukuze uphendule ngokukhawuleza + 86- 18112515727 .
Ukuba ufuna ukwazi ngakumbi, cofa CZMEDITECH ukufumana iinkcukacha ezithe vetshe.
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