Fractures yeiyo yakanganisa nzvimbo yeiyo femur account ye50% yehudhudhudhudhudhudhudhu uye ndirwo rudzi rwazvino kupwanyika muvarwere vakwegura. Intramedullary zvipikiri zvechipikiri chigamba chegoridhe chiyero chekuvhiya kwekuvhiya kweltrtrochantt fantures. Pane kubvumirana pakati pekuvhiya kweOrthopedic kunzvenga "kupfupisa" nekushandisa zvipikiri zvisina mwero kana kupfupi, asi hapana kubvumirana pane sarudzo pakati kwenguva refu uye pfupi.
Mufundisi, zvipikiri zvipfupi zvinogona kupfupisa nguva dzekusiya, kuderedza kurasikirwa kweropa, uye kudzivirira kudzosa, nepo zvipikiri zvakareba zvichipa kugadzikana kuri nani. Munguva yemukombi yekuisa mbichana Nekudaro, nzira iyi kazhinji haina kunyatso tsauka, uye kana paine kutsauka kwehurefu, kutsiva mbambo intramoutularara kunogona kutungamira mukurasikirwa kukuru kweropa, kuwedzera kushaya kwekuvhiya, uye nguva yekuvhiya yekuvhiya. Naizvozvo, kana urefu hwakadiwa hwechipikiri chinomarara chingaongororwa zvakaringana, chinangwa chechipikiri chekuisa chingangoitwa mukuedza kumwe, kudzivisa njodzi dzinonakidza.
Kuti ugadzirise dambudziko iri, nyanzvi dzekune dzimwe nyika dzakashandisa intramuteruter bhokisi rekuputika Clinical application mhedzisiro yakanaka, sekugoverwa pazasi:
Kutanga, isa murwere pamubhedha wekutengeserana uye ita rondedzero yakavharwa kudzikiswa pasi pehunhu. Mushure mekuwana kuderedzwa kunogutsa, tora iyo isina kujeka intramedullary chipikiri (kusanganisira iyo bhokisi rekuputika) uye isa bhokisi rekutakura pamusoro peiyo femm yeiyo yakakanganisika.
Nerubatsiro rweC-ruoko Fluoroscopy muchina, iyo proximal chinzvimbo cheki ndeyekupedza kwepfungwa neyekoreti pamusoro peiyo yekadzi uye inoisa pane yekupinda kweiyo nzvimbo yemukati yeiyo intrame
Kamwe chinzvimbo cheproximal chinogutsa, chengetedza iyo proximal chinzvimbo, wozosundira iyo c-ruoko yakananga kumagumo ekupedzisira uye ita fluoroscopy yekuwana chaiyo maonero ebvi. Iyo nguva isiriyo rezita rinorondedzera ndiyo intercondylar notch ye femur. Chinja chikomborero chakasiyana nehurefu hwakawanda Izvi zvinoratidza kureba kwakakodzera kwechipikiri chemukati.
Uye zvakare, vanyori vakatsanangura maitiro maviri okufungidzira izvo zvinogona kuratidza kuti chipikiri chinomarara zvakanyanyisa:
1. Iko kuguma kwechiitiko cheIntramedudullary kunoiswa muzvikamu zvekumusoro 1/3 yePatefemorel Joint pamusoro (mukati mechena mutsara mumufananidzo uri pazasi).
2. Kupera kwerudzi rwechipikiri chinhu chakaiswa mumatare akaumbwa nemutsara weiyo bloensaat.
Vanyori vakashandisa nzira iyi kuyera hurefu hwenitedramedullary zvipikiri mumarwere makumi maviri nemaviri uye vakawana huwandu hwechiratidzo che9,2%. Nekudaro, panogona kuve nenyaya inogona kuitika nenzira iyi: Kana chipikiri chinomarara chakaiswa muzvikamu zvakapfava, panogona kunge paine maitiro ekumagnical panguva yefluoroscopy. Izvi zvinoreva kuti kureba chairo kwechipikiri chemukati inoshandiswa kungangoda kuve kupfupi kupfuura chiyero chaicho. Vanyori vakacherekedza phenomen vanorirwazve varwere vanonamira zvakanyanya, kureba kwemukati kwakapfupikiswa nepakati pekupedzisira kwechidimbu chekadzi kuri mukati me2-3 diamiters yeiyo intrame
Mune dzimwe nyika, zvipikiri zvemukati, zvingave zvakarongedzwa zvega uye pre-sterilised, asi mune dzakawanda zviitiko, kureba kwakasiyana-siyana kwezvipikiri zvakavhenganiswa pamwe chete uye zvakasungwa pamwe chete nevanogadzira. Nekuda kweizvozvo, zvinogona kunge zvisingaite kuti uongorore urefu hwechikara cheIntramedudullary usati wasvibiswa. Nekudaro, maitiro aya anogona kupedzwa mushure mekunge ma dresization madhiri akaiswa.
Kutumira Nguva: Kubvumbi 09-2024
