Kuderedzwa kwakavharwa kwakadzikira sei screw yemukati kugadziriswa kwakaitwa nekuda kwemutsipa wechikadzi bure?

Chikadzi mutsipa chinowanzoitika uye chinogona kukuvadza kukuvadza kweOrthopedicial mutsipa, kushushikana kwechiitiko chinopfuura Arthroplasty, uye varwere vari pasi pemakore makumi matanhatu nemasere vanokwanisa kusarudzwa Kuvhiyiwa kwemukati kwekugadziriswa, uye kwakanyanya kukanganiswa kwekuyerera kweropa kunokonzerwa neyakagadziriswa mhando kuputsika kwemutsipa wechikadzi. Subcapital Fracture yemutsipa wechikadzi ane yakanyanya kujairika haenzi simba, uye kuderedzwa kwekudzikisira uye kugadziriswa kwemukati kuchiri nzira yekurapa kwekurapa kwesubulital bracture yemutsipa wechikadzi. Kuderedzwa kwakanaka kunoita kuti udzikise kupwanya, kusimudzira kupora kupora uye kudzivirira musoro wechikadzi necrosis.

Izvi zvinotevera chiitiko chechikadzi chemuchikadzi subcapital kupwanya kukurukura maitiro ekuita zvakavharwa

Ⅰ Ruzivo rwekutanga rwezvakaitika

Murwere Ruzivo: Makore makumi mana nemashanu emakore

Kunyunyuta: Kuruboshwe muhudyu marwadzo uye chiitiko chekuita kwemaawa matanhatu.

History: The patient fell down while taking a bath, causing pain in the left hip and limitation of activity, which could not be relieved by resting, and was admitted to our hospital with a fracture of the neck of the left femur on radiographs, and was admitted to the hospital in a clear state of mind and poor spirit, complaining of pain in the left hip and limitation of activity, and had not eaten and had not relieved himself of his second bowel movement after the injury.

Ⅱ Kuongororwa kwepanyama (muviri wese kutarisa & nyanzvi kutarisa)

T 36.8 ° C P87 Beats / Min R20 Beats / min BP135 / 85mmhg

Yakajairika kukura, hutano hwakanaka, nzvimbo inopfuura, pfungwa dzakajeka, dzinoshanda mukuongororwa. Ruvara rweganda rwakajairika, elastic, no edema kana rash, hapana kuwedzera kweiyo superficiketial lymph node mumuviri wese kana nzvimbo yemuno. Saizi yemusoro, yakajairika morphology, hapana kumanikidzwa kurwadziwa, misa, bvudzi rinopenya. Vadzidzi vese vari vaviri vakaenzana muhukuru uye kutenderera, neyekunaka mwenje Reflex. Mutsipa wacho wacho waipfava, iyo trachea yaive yakatarisana, iyo dialoa yaive yakapfupikiswa, miganho yemoyo yaive neyakajairika, min Chiropa uye Spune haina kuwanikwa, uye pakanga pasina hunyoro muitsvo. Iyo anterior uye posterior diaphrams haina kuongororwa, uye pakanga pasina kuremara kwemusana, makumbo ekumusoro uye kurudyi makumbo, nekufamba kwakajairika. Phiaological Reflexes vaivepo mukuongororwa kweNystemal uye nepafirimu rezvematare hazvina kumisikidzwa.

Pakanga pasina kuzvimba kuri pachena kwechiuno chekuruboshwe, kurwadziswa kuri pachena kwepakati kuruboshwe rwechikara,

Ⅲ Mibvunzo yeAuxiliary

X-ray firimu yakaratidza: kuruboshwe kwechikadzi subcapital bracture, dislocation yemugumo wakaputsika.

Iyo yakasara yeBiochemical bvunzo, chest x-ray, pfupa fantometry, uye ruvara ruzha rwekupedzisira mapatya emakumbo akadzika haana kuratidza chero pachena.

Ⅳ Kuongororwa uye kusiyanisa kuongororwa

Zvinoenderana nenhoroondo yemurwere yekusagadzikana, kuongororwa kwehurumende, kuongororwa kwemuviri kwekuruboshwe, iyo kuruboshwe rombo rakanaka. +) Kupwanyika kweTrochantter kunogona zvakare kuve nehuremu hwekuita uye kuiswa kwezviitiko zviri pachena, nzvimbo yekumanikidza iri muTrochanter, uye iyo inotenderera yekutonhorodha yakakura, saka inogona kusiyaniswa nayo.

Ⅴ Kurapa

Kuvharwa kuderedzwa uye kusvetuka mbichana mukati mekugadziriswa kwakaitwa mushure mekuongororwa kwakazara.

Iyo preoperative firimu iri seinotevera