Yakanyanya kukonzeraseric fungidziro yeiyo femur account ye50% yehudhudhudhudhudzi muvakuru. Kurapa kwekurapa kunowanzoita zvinetso zvakadai seyakadzika vein thrombosis, pulmonary embolism, kudzvanywa maronda, uye pulmonary hutachiona. Chiyero chinofa mukati megore rimwe chinodarika 20%. Naizvozvo, mune mamiriro okuti mamiriro emurwere anobvumirwa, kutanga kwekuvhiya kwemukati kurapa kwakasarudzika kurapwa kwertrtrochant.
Intramellary zvipikiri zvemukati zvinogadziriswa parizvino iri mwero wegoridhe wekurapa kweanonyanya kukanganisika. Muzvidzidzo pane zvinhu zvinopesvedzera pfun yemukati yekugadziriswa, zvinhu zvakadai sePFna chipikauko, Varus angle, uye dhizaini rakataurwa muzvidzidzo zvepamberi zvakapfuura. Nekudaro, zvichiri kujeka kuti ko ukobvu hwechikomberedza hombe zvinokanganisa zvibodzwa zvinoshanda. Kugadzirisa izvi, nyanzvi dzekunze dzakashandisa mukati mehupfumi hwakaenzana asi hwakakora urefu kuti ugadzirise dzakapererera muvanhu vezera (zera>, chinangwa chekuenzanisa kana paine misiyano yemabasa anoshanda.
Chidzidzo ichi chakasanganisira 191 zviitiko zvehunhu husingafungidzirwi, zvese zvinobatwa nePFNA-II mamiriro emukati. Kana iye mudiki trochantter akavhunika uye akasungwa, chipikiri chipfupi 200mm. Kana akaderera trochantter aive akasungwa kana asina kubviswa, a 170mm Ultra-pfupi mbambo yakashandiswa. Iyo dhayamita yeiyo hombe mbambo yakabuda kubva ku9-12mm. Kuenzanisa kukuru mune chidzidzo chakatarisana nezviratidzo zvinotevera:
1. Scesser trochanter upamhi, kuti uongorore kana chinzvimbo icho chaive chiyero;
2. Ukama pakati peMial cortex yemusoro wemusoro-mutsipa chidimbu uye chidimbu che distal, kuongorora kunaka kwekudzikisira.
3. Tip-Apex kure (tad);
4.Vail-to-canal ratio (ncr). NCR ndiyo huwandu hwechinyakare chipikiri kuyamisa kune medullary canal dial dial diamita pane distal kuvhara screw screw ndege.
Pakati pevarwere ve1911 vaisanganisira, kugoverwa kwemakesi kunoenderana nekureba uye diameter yechidimbu chikuru chinoratidzwa mune inotevera nhamba:
Avhareji yeCR aive makumi matanhatu nenomwe. Uchishandisa Aya Avhareji sechikumbaridzo, nyaya ine NCR yakakura kupfuura avhareji yaionekwa seyakaenzana madiki, nepo narr isingasviki yakafungidzirwa kuti ine mutambi akaonda zvipikiri. Izvi zvakakonzera kuiswa kwerudzi rwevarwere mumakona makuru epamhepo (90 kesi) uye iyo yakatetepa mainikiri repombi (101 kesi).
Mhedzisiro yacho yairatidza kuti pakanga pasina mutsauko wakakosha pakati peboka rakakura repombi uye hombe dzepombi.
Zvakafanana nekudzidza uku, chinyorwa chakabudiswa mu "chinyorwa cheOrthoPedic Trauma" muna 2021: [Musoro weChinyorwa].
Chidzidzo ichi chakabatanidza varwere vane 168 vechikuru (zera> 60) nehuremu hwechokwadi, vese vanobatwa neCEPhalollary zvipikiri. Zvichienderana neyakagwinya wechiitiko chikuru, varwere vakakamurwa kuita zana remmm uye boka rine dhayeti rakakura kupfuura 10mm. Mhedzisiro yacho yakaratidzawo kuti pakanga pasina mutsauko wakakura wakakura mukudzokorora mareti (kungave kwese kana kusatapudza) pakati pemapoka maviri aya. Vanyori vechidzidzo vanoratidza kuti, vevarwere vakwegura vane manyorerwo enyama, vachishandisa 10mm Dractrocer mainini, uye hapana chikonzero chekutenderera zvakanyanya, sezvo zvichiri kugona kuwana zvinobuda zvakanaka.
Kutumira Nguva: Kukadzi-23-2024
