Udinga nini ukuhlinzwa kwe-fracture?

Ama-fractures avame ukuhambisana nokulimala kwezinye izingxenye zomzimba. Kuyo yonke inqubo yokwelashwa, iziguli kufanele ziphathwe zizonke.

Ukuhleleka okubaluleke kakhulu

• Gcina Izimpilo

• Gcina imilenze

• Gcina amalunga

• Umsebenzi wokwakha kabusha

  
  

Ukuhlinzwa okuphuthumayo: Imigomo yokwelashwa yokulimala kwemithambo, ukuqhekeka okuvulekile nokuqhekeka okuvaliwe.

• Ukuncishiswa okuvulekile nokulungiswa kwangaphakathi kusenesikhathi (ngaphakathi kwe-6h)

• 48h

• 3 ~ 7d: Kuzokhulisa ukwenzeka kwama-ards nezinye izinkinga.

• I-7 ~ 10d: Ukusabela kwe-endocrine kwehlile [ukuvuvukala okunciphile, ukuvuvukala kwanyamalala]

• Ngaphezu kwamaviki ama-2: Ubunzima bokukhuphuka kwe-Operation kanye nokusebenza kwe-postoperative kuncipha.

I-collarbone fracture

• Lapho i-fracture block ilimaza umthambo we-subclavia, umthambo kanye ne-brachial plexus, kuvunyelwene ngokuthi kuyinkinga enkulu futhi kufanele isebenze ngokushesha.

I-Proximal Humeliral Fracture

• Lapho ukubuyiselwa kwe-elastistic kwenzeka ngemuva kokuncishiswa kwencwajana - i-tendon of biceps, lapho kuvela izimpawu ze-axillary nerve.

Ukwaphuka komshini wokuthosa

• Lapho izimpawu zokulimala kwe-radial nerve zitholakala ekuhlolweni komzimba, umsebenzi uzokwenziwa ngokushesha.

Ukuqhekeka kwe-distal humeral

• Lolu hlobo lwe-fracture lungadala noma yikuphi ukulimala komkhumbi noma kwegazi okudlula ngokuhlangana kwe-elbow. 

• I-laceration yemithambo yegazi ayivamile, kepha kungenzeka kube nokungezwani noma ukucindezela. 

• I-Fascial Spreen Syndrome-Ukuvela Kwaseduze Nokubola.

Ukulimala kwe-Olecranon, ikhanda le-radial kanye ne-elbow eyinkimbinkimbi

• Qedela ukusebenza kungakapheli isonto.

• 1 ~ 2 amaviki asebenza isikhathi se-taboo Time-Myositis Ossificans.

• Ukuhlinzwa emavikini ama-2.

  
  

Ukwaphuka kwezingalo kabili

• Noma ukuhanjiswa okuvulekile kufanele kusetshenziswe ngaphakathi kwe-6 ~ 8h ngemuva kokulimala.

• Ukusebenza okubambezelekile kungakhulisa ubungozi bokusungulwa kwe-bone Bridge phakathi kwe-Ulna ne-radius.

Ukuqhekeka kwe-distal radius

• Lapho ukuhlolwa ngokomzimba kuthola ukuthi i-pollicis pollicis undes tendon ukulimala kanye nezimpawu zokucindezela kwezinzwa eziphakathi nendawo kwavela - ukuhlinzwa ngokushesha.

Ukuhlukaniswa ngesandla

• Ukuncishiswa kwangaphambi kwesikhathi nokulungiswa kwangaphakathi kugcizelelwa amahlandla avulekile futhi avaliwe, ikakhulukazi ukulimala kwe-vascular, nerve noma i-tendon, ukuhlinzwa kufanele kwenziwe ngokushesha.

  
  

Ukuqhekeka kwe-Pelvic

• Ama-Pelvic Fractures avame ukuhlanganiswa nokuqhekeka kwezinye izingxenye, okuzoholela ekusebenzeni kwe-hemodynamic.

  
  

• Imodi yokwelashwa ye-pelvic eyinkimbinkimbi ye-pelvic fracture: 30min, izinqumo ezi-3

• Ukuhlolwa okusheshayo okusheshayo kokuyeka ukopha

• Ukulungiswa kwe-pelvic (ama-forceps amise okwenziwe yi-C noma i-fixilator yangaphandle) iqediwe ku-10 ~ 15min.

• Ngemuva kokubuka i-10 ~ 15min, isiguli sisenokusebenza kokuqina kwe-hemodynamic.

• Ezigulini ezinamanzi aqinile, umsebenzi kufanele wenziwe kungakapheli izinsuku eziyi-7, noma izinsuku ezingama-7 ~ 14.

I-Proximal Femoral Fracture-Interrochanterteric Fracture

• Lapho isimo esijwayelekile sesiguli silawulwa, ukulungiswa kwangaphakathi, i-DHS, i-DCS ne-PFN, kufanele kwenziwe.

Proximal femoral fracture-femoral forfort fracture

• Ukuqhekeka kwentamo yabesifazane, ikakhulukazi ukwaphuka kwe-intracapsure, kungabeka engcupheni ukuhlinzekwa kwegazi kwekhanda lowesifazane, ngakho-ke kuyadingeka ukuvula ukuncishiswa kanye nokulungiswa kwangaphakathi ngokushesha okukhulu.

• Ukulungiswa kwangaphakathi: <65 ubudala

• Ukubuyiselwa okuhlangene:> Iminyaka engama-65 ubudala

• Uma ukuhlinzwa okuphuthumayo kungenzeki, ukubhoboza okuhlangene kanye nesifiso se-hematoma ye-intra-aricular kungenziwa, futhi i-hip ehlanganisiwe ingagcinwa ku-semi-flexion kanye nokuma kokujikeleza kwangaphandle.

Ukuqhekeka kwabesifazane okude

• Iziguli ezinokulimala kwezicubu ezithambile ezithambile, okuvulelekile, noma ubunzima ku-Operation-Super-articular yangaphandle yangaphandle.

• Ukwelashwa okusheshayo okusheshayo kokulimala okuhlukile - i-DCS, ukubuyisa kabusha isipikili se-intramedullary.

  
  

  

Ukuqhekeka kwePatella

• Isimo esijwayelekile sesiguli sizinzile, futhi izimo zendawo zivuma, ukuhlinzwa kufanele kwenziwe ngokushesha.

I-Proximal tibial fracture

• Nquma uhlobo lodlame lokulimala

• Ukulimala kwamandla okuphezulu kuvame ukuhambisana nokulimala kanzima kwezicubu ezithambile. Kuboniswa ukuvuvukala kwe-limb, i-blistang, isikhumba abstrasion kanye nesikhumba se-laceration yesikhumba. Ukuhlinzwa kufanele kuhlehliswe ngalesi sikhathi. Ngasikhathi sinye, i-Facial Space Syndrome kanye nokulimala kwe-vascular ne-nerve akumele kukhishwe.

I-Tibial Shaft Fracture

• I-anatomy ye-anatomy - ukubaluleka kokuvalwa kwezicubu ezithambile.

• Isigaba sokuqala: ngaphakathi kwe-8h

• I-Finator yangaphandle ibhekwa njengokukhetha kokuqala kokwelashwa kusenesikhathi.

• Ukuxhaswa kwe-Gypsum

• Traction calcaneal

• Isigaba II: Cishe amasonto ama-2.

• Kwakungekho ukutheleleka okusobala okuhlelekile nokuhlukumezeka okukhulu.

• Akukho ukuvuvukala noma ukukhishwa kwesilonda.

• I-Blister iyomile, i-subsides yokuvuvukala kanye namamaki ama-bony angathintwa.

• Isikhumba esihlanganisiwe, kuvela imigqa yesikhumba.

Ukwaphuka kwe-dibia distal (Pilon)

Umphumela wokwelashwa we-Pilon Fracture uncike kwikhwalithi yokwakhiwa kabusha okuhlangene kanye nesimo sokuvalwa kwezicubu ezithambile.

Isikhathi esihle kakhulu sokuhlinzwa sincike esimweni sezicubu ezithambile:

• Isigaba sokuqala: Ukuhlinzwa kwenziwa kungakapheli ama-6 ~ 8h, okuhlala ku-2 ~ 3h.

• Ukubambezeleka: 7 ~ izinsuku eziyi-10, ukuvuvukala kwanyamalala futhi kwavela imibimbi yesikhumba.

Izimiso ezine zendabuko okumele zilandelwe ekwakheni kabusha ekwakheni okukodwa okukodwa:

• Ukwakhiwa kabusha kwe-fibula

• Ukwakhiwa kabusha kwe-tibial articular suple

• Ithambo ngokuxhunyelelwa

• Ukusekelwa kwepuleti yamathambo

Ukuqhekeka kwe-Ankle

• Ukuqhekeka kwe-ankle kungukuphazamiseka kwe-intra-articular.

• Inhloso yokwelashwa ukubuyisela isakhiwo esijwayelekile se-anatomical samalunga.

• Isikhathi sokuhlinzwa sincike esimweni sezicubu ezithambile.

• Isikhathi esifanele sokuhlinzwa siphambi kokuba u-Edema nama-blisters avele endaweni yokuqhekeka.

Unyawo lwe-foot fracture

• Yitshe lezinyawo ukuthi abantu bame futhi bahambe. Ukubuyisela ukwakheka okujwayelekile kwe-anatomical konyawo kudlala indima ebalulekile ekuhambeni kwabantu nasekuhambeni.

• Ngokuhambisana nokuqhekeka kwe-ankle, isikhathi sokuhlinzwa sincike ngezinga nangesimo sokuvuvukala kwezicubu ezithambile.

Umpheme womgogodla

• Uma wonke umzimba uzinze, ukwaphuka okubalekile kufanele kusetshenziswe ngokushesha uma kunezimpawu zemizwa.

  
  

Ungayithenga kanjani izimila zamathambo namathuluzi ama-orthopedic?

Ingomane I-CZMeditech , sinomugqa womkhiqizo ophelele we-Orthopedic Surgery izimila nezinsimbi ezihambisanayo, imikhiqizo kubandakanya izimila ze-spine, Izipikili ze-intramentundary, Ipuleti le-Trauma, Ukukhiya ipuleti, I-Cranial-maxillofacial, UProsuthesis, Amathuluzi Amandla, Finators yangaphandle, I-Arthroscopy, ukunakekelwa kwezilwane kanye nezinsimbi zabo ezisekelayo.

Ngaphezu kwalokho, sizibophezele ekuthuthukiseni ngokuqhubekayo imikhiqizo emisha kanye nokwandisa imigqa yomkhiqizo, ukuze sihlangabezane nezidingo zokuhlinzwa zodokotela neziguli eziningi, futhi zenze inkampani yethu icindezele ngokwengeziwe ezindaweni zonke zemboni yama-orthopedic kanye nemboni yezinsimbi.

Sithumela umhlaba wonke, ukuze ukwazi Sithinte ekhelini le-imeyili ling@orthopedic-china.com ukuthola isilinganiso samahhala, noma uthumele umyalezo ku-whatsapp ukuze uthole impendulo esheshayo + 86- 18112515727 .

Uma ufuna ukwazi imininingwane eminingi, chofoza Czmeditech ukuthola imininingwane eminingi.