Panyaya yemusoro uye mutsipa zviyero, inotora dhizaini mbiri-screw dhizaini yeLAG screws uye kumanikidza screws. Iyo yakasanganiswa yekuvharirwa kwe2 screws inokwidziridza kuramba kutenderera kwemusoro wechikadzi.
Munguva yekugadzirisa iyo comption screw, iyo axial kufamba kweiyo tambo yechigadzirwa pakati pekumanikidza kuenderana nekupunzika kwekupedzisira, ipapo kusimudzira zvakanyanya simba rekutenderera kweiyo screw. Cheka kuita. Iyo 2 screws yakabatanidzwa zvakabatana kuti dzidzivise iyo "Z".
Kugadzirwa kweiyo proximal mugumo wechiitiko chikuru chakafanana neiyo yejoinhi prosthesiti inoita kuti muviri wembiru unonyanya kuwirirana neyekuvandudza mwero, uye kuenderana ne biomechanical maitiro eiyo proximal femur.
Matanho ekuvhiya
Chinzvimbo: Murwere anogona kusarudza gare gare kana chinzvimbo chinzvimbo. Nemurwere mune iyo supine chinzvimbo, pane radixent inoshanda tafura kana orthopedic traction tafura. Rutivi rune hutano rwemurwere runoratidzwa uye rwakatemerwa pabracket, uye chikamu chakakanganisika chinokurudzirwa 10 ° -15 ° -15 kufambisa kuenderana neyekuenderana neyekupedzisira cavity.
Reset reset. Zvakawanda zvidimbu zvinogona kudzorerwazve. Preeperative reset yakakosha uye pfungwa yacho ndeyekuti, usazvichekerera zviri nyore kana pasina kuderedza kunogutsa. Izvi zvinogona kuchengetedza nguva yekuvhiya uye kuderedza kuoma panguva yekushanda. Kana kuderedzwa kwakaoma, iwe unogona kuita chidimbu chidiki panguva yekuvhiya uye shandisa iyo push tsvimbo, retractor, kuderedza forceps, etc. kuti ubatsire kuderedzwa. Zvidiki zvidiki zvikamu zvemukati uye zvekunze zvakaparadzaniswa, uye hapana chikonzero chekugadzirisa kakawanda. Iyo yekupwanya magumo inogona kugadziriswazve kana iyo compred screw is screwed mukati panguva yekuvhiya.
Kuderedzwa kweiyo madiki trochantter. Kazhinji hapana chikonzero chekudzikisa chidiki trochanter fragment, nekuti izvo zvishoma zvekusangana kwekudzikisira hazvibatsiri pakuparadzwa kweropa, uye kupwanya kuri nyore kupora. Nekudaro, iyo Coxa Varus inofanira kururamisa screw isati yaiswa, uye nguva yekuenda kuvhu uye nguva yekutakura inorema inofanirwa kunonoka zvakakodzera
Nzvimbo Incision. A Kirschner waya inogona kuiswa parutivi rwekunze kweiyo proximal femur, uye yakagadziriswa kuti ishandurwe neiyo axis refu yeiyo femur pasi peC-ruoko fluoroscopy, kuitira kuti chinzvimbo chechiitiko chakanyatsojeka.
Sarudza nzvimbo yekupinda: Iyo nzvimbo yekupinda iri zvishoma mwero kune apex yeiyo yakakura trochanter, inoenderana neye 4 ° inotevera kutsauka kweiyo mwero mwero padhuze nepamberi pekutarisa. Pane imwe chete maonero, iyo chipikiri yekupinda nepfungwa iri pane axis refu yeiyo medullary cavity;
Sindano Kupinda Pfungwa
INSertGuidePin FLuoroscopy
Zvizere rchera
Sezvo proximal kupera kweiyo manyoreri mikombi yakakosha, chipikiri chinogona kungoiswa mushure mekutenderera kuzere panguva yekushanda. Iyo proximal kutongedzerwa kunofanirwa kumiswa kana iyo kudzora mudziyo wekutendeseka kudhiraivha kunobata iyo yekupinda chiteshi chekupinda. Kunyangwe iyo distal yechikadzi shaft inoshandirwazve inoenderana neyekukura kweiyo medullary cavity yakatemwa. Kana iyo chaiyo X-ray inowana iyo medullary cavity yeiyo proximal feal shaft iri pachena, iyo yechikadzi shaft reamer inofanira kugadzirira kusavapo. Kana kudzokorora hakuna kukwana, kuchaita kuti zviome kuendesa iyo screw. Munguva yekukanda screwing, inogona kudedera mune diki renji zvidimbu zvechipikidzo chinotevera chechipikiri chinofanira kudzivirirwa, asi tichigogodza padombo repombi rinofanira kudzivirirwa. Kuzeya kwakadaro kugogodza kunogona kukonzera kupatsanurana kwemahombekombe panguva yekuvhiya kana kutsveneswa kwekupwanya kupatsanurwa mushure mekudzora.
Isa iyo yakapfava tishu dziviriki sleeve, kudhiraivha mumutungamiri waya neyekuchengetera, uye nekuwedzera iyo proximal femmer chiteshi chechikamo (pamusoro pemufananidzo); Kana iyo medullary cavity yakatetepa, shandisa iyo yakanyorwa zvinyoro-nyoro kuti uwedzere mipendero yemukati kusvika kune yakafanira upamhi; Batanidza iyo gwara isa iyo interntan main mons mune medullary cavity (pazasi);
ProximalLock
Lag Screw Kuiswa
Kumanikidza Screw Kuiswa
Screw mune distal locking mbambo
RemoteLock
Kupera mukombe
Kurapwa kwekurapa
Mishonga inorwisa mabhakitiriya yaigara ichishandiswa kudzivirira kutapuro makumi mana nemasere mushure mekuvhiyiwa; Low-molecular-uremu heparin calcium uye mhepo pumps yaishandiswa kudzivirira yakadzika vein thrombosis (dvt) mumigumo yezasi, uye hosha dzekurapa dzakaramba dzichirongwa. Plain radiographs neAnteroposter uye yakazotevera redhiyo yeiyo yakakanganisika hip yakavapo yakagara ichinzwisisika kuti inzwisise kuderedzwa uye kugadziriswa kwemukati.
Pazuva rekutanga kuvhiyiwa, murwere akakurudzirwa kuita isometric contriction ye quadriceps femuoris mune imwe-inodzokorora chinzvimbo. Pazuva repiri, murwere akarayirwa kuti agare pamubhedha. Pazuva rechitatu, murwere aive nesimba kuita chiuno uye mabvi anodzora muviri pamubhedha. Hapana uremu-kutakura pane yakakanganisika gumbo. Kurudzira varwere vanokwanisa kutakura chikamu chehuremu pane yakakanganisika nhengo mukati memavhiki anoshivirira mushure mekushanda. Zvishoma nezvishoma kufamba neanofamba nehuremu-kurema sekutakura maererano ne x-ray yekutevera-kusvika pamavhiki matanhatu kusvika masere. Varwere vasingagoni kufamba vakazvimirira uye vane akawanda osteoporosis kune varwere vane kuenderera mberi kweBone Callus Kukura paX-ray, vanogona kufamba zvishoma nezvishoma nehuremu hwekuriridzira pasi pekutsigira.
Bata Munhu: Yoyo (Chigadzirwa Maneja)
Tel / WhatsApp: +86 15682071283
Kutumira Nguva: May-08-2023
