Semukati mextator, iyo compression ndiro yaigara ichitamba mabasa akakosha mukurapwa kwakashata. Mumakore achangopfuura, pfungwa yemazuva mashoma Inosanganisa osteosynthesis yakanyatsonzwisiswa uye zvishoma nezvishoma kubva pakudzivirira kweropa, asi zvinosimudzirawo kuvandudzwa kwehunyanzvi hwekuvhiya uye kwemukati mextator.Locking compression plate. Iyo tsika yakatanga kushandiswa pamwe chete muna Chivabvu 2000, yakanga yawana matambudziko ekuriritira, uye mishumo yakawanda yakapa mainoraisa zvakanyanya. Kunyangwe paine zvakawanda zvakanakira mukugadziriswa kwayo kukuru, ine zvido zvepamusoro zvehunyanzvi uye ruzivo. Kana zvisina basa zvisina kufanira, zvinogona kuve zvinopesana, uye zvinoguma nemhedzisiro isingarambwe.
1. Biomechancal nheyo, dhizaini uye zvakanakira lcp
Kugadzikana kweyakajairika simbi simbi yakavakirwa pane kupokana pakati pendima uye pfupa. Zviyero zvinodikanwa kuti usimbiswe. Kana zvidimbu zvacho zvakambosununguka, kupokana pakati pendarira uye pfupa kuchadzikiswa, kusetera kuchadzikira, kuchikonzera kutadza kweFitator yemukati.LCPIro rutsva rutsigiro ratidziro mukati meiyo nyoro nyoro, iyo inovandudzwa nekubatanidza iyo tsika yekumanikidza conce uye rutsigiro. Nhungamiro yayo yekugadzirisa haina kuvimba nekupokana pakati penzvimbo uye pfupa rekona, asi inovimba nekona yakagadzikana pakati peiyo screws uye pfupa racho nepfupa, kuitira kuti uzive kufungidzira. Mukana wakananga uri mukuderedza kupindira kweropa renzvimbo. Iko kusimbirira kukona pakati pemapuranga uye zviyero zvakavandudza kwazvo simba rekuita remagakiti, saka simba rekugadzirira remapuranga rakakura kwazvo, rinoshanda pamapfupa akasiyana. [4-7]
Chinhu chakasarudzika cheLCP Dhizaini ndiyo "kusanganisa gomba", iyo inosanganisa iyo Dynamic compression maburi (DcU) ine macalic yakamanikidzwa maburi. Dcu inogona kuziva conse comerveskudzvinyirira nekushandisa iyo standard screws, kana kuti yakadzingwa fungidziro inogona kumanikidzwa uye yakatarwa kuburikidza ne lagling screw; Iyo conical yakadzika gomba ine tambo, iyo inogona kukiya screw uye yetanho rakarukwa, chinjana torque pakati peScrew uye ndiro refu, uye kusagadzikana kwekureba kunogona kuendeswa kudivi racho rinokatyamadzwa. Uye zvakare, iyo yekucheka groove iri dhizaini pazasi pemheni, iyo inoderedza nzvimbo yekuwirirana nefupa.
Muchidimbu, zvine zvakawanda zvakanakira pamusoro pemahwendefa echinyakare: ② inoderedza njodzi yekudzikisa kurasikirwa: Iko hakuna kudikanwa kwekutora kwakarurama pre-kukwira mahwendefa, kuderedza njodzi dzekurasikirwa kwekutanga kwekudzora-kwechipiri uye chechipiri-chikamu chekudzikisa kurasikirwa; [8] inodzivirira kupihwa kweropa: Iyo shoma yekubata pakati peiyo simbi ndiro uye pfupa rinoderedza kurasikirwa kwendima yekupa ropa ④ ine yakanaka yaibata zvisikwa: Zvinonyanya kushanda kune iyo Osteoporosis bracture pfupa, inoderedza huwandu hwekukasira kusunungura uye kubuda; ⑤ Inotendera kuti basa rekutanga rekurovedza; ⑥ ine huwandu hwakawanda hwekushandisa: Iyo ndiro yemapururu uye urefu hwakakwana, iyo anatomical pre-yakaumbwa yakanaka yakanaka, iyo inogona kuziva iyo gadziriso yezvikamu zvakasiyana uye mhando dzakasiyana.
2. Zviratidzo zveLCP
LCP inogona kushandiswa kungave seyakajairika compressing plate kana sekutsigira kwemukati. Chiremba anovhiya anogona zvakare kusanganisa zvese, kuitira kuti vawedzere kwazvo zviratidzo zvacho uye zvinoshanda kune akasiyana-siyana emhando dzakashata dzekuvhiringidza.
2.1 Zviripachena zveDharishysis kana Detaphysis: Kana iyo yekukuvara kweiyo mitezo yakanyanya
2.2 Craustures Fractures yeDhiaPhysis kana Metaphyseal: LCP inogona kushandiswa seyekutanga ndiro, iyo inotora kuderedzwa zvisina kunanga uye Bridge Osteosynthesis. Izvo hazvidi anatomical kuderedza, asi kungodzosera iyo rambuko urefu, kutenderera uye axial Force mutsara. Kupwanyika kweradius uye ulna kusarudzika, nekuti basa rekutenderera remafudzi rinoenderana zvakanyanya neyakajairwa anatomy yeradius uye ulna, iyo yakafanana neyenzi-yekufungidzira mafungire. Kunze kwezvo, kuderedzwa kweanatomical kunofanirwa kuitwa kunze, uye kuchamiswa zvine simba nemahwendefa ..
2.3 Intra-Artular Fractures uye Internicular Fractures: Mune Intra-Intralar Kuchena Kudzora Kwekutsamwa Kwemhando yepamusoro uye kusimudzira kupora kweBone, uye kunobvumira kurovedzera kwekutanga. Kana iyo yekunyepedzera fractures ine zvinokanganisa pamapfupa, LCP inogona kugadzirisa iyomubatanidzwapakati peiyo yakaderedzwa yehunyanzvi uye diaphysis. Uye hapana chikonzero chekugadzira ndiro mukuvhiya, iyo yakaderedza nguva yekuvhiya.
2.4 Kunonoka kubatana kana nonunion.
2,5 yakavharwa kana kuvhura osteotomy.
2.6 Izvo hazvishande kune kuunganidzwaintramedullary mbirikupwanyika, uye LCP ndeyemhando yepamusoro. Semuenzaniso, LCP inoshamisira yekukanganisa kukuvara kwevana kana achiri kuyaruka, vanhu vane maruva ane mapopoma akawandisa kana kuti akawandisa.
2.7 Osteoporosis Varwere: Sezvo pfupa reCortex rakatetepa, zvakaoma kuti ndiro yechinyakare kuti riwedzere kugadzikana kwekuvhiya, uye zvakakonzerwa nekukundikana nekuda kwekusunungura nyore uye nekubuda kwekusunungurwa kwekugadzirisa. LCP Kuvhiya Screw uye Plate Anchor fomu iyo angle kugadzikana, uye zvipikiri zvipfeko zvakabatanidzwa. Uye zvakare, Mandrel Dhivhiri weChidimbu Chikanganiso chakakura, ichiwedzera simba rekubatira repfupa. Naizvozvo, zviitiko zvekusveta kusununguka kunoderedzwa zvinobudirira. Kutanga kushanda muviri muviri kwakabvumidzwa mukushanda-kushanda. Osteoporosis chiratidzo chakasimba cheLCP, uye mishumo yakawanda yakazvipa yakanyanya kuzivikanwa.
2.8 Periprosthetic femoriy fracture: Periprosthetic echikadzi fralures anowanzo kuperekedzwa neecheropoorosis, chirwere chevakuru zvirwere zvakakomba zvezvirongwa. Mahwendefa echinyakare ari pasi pekuwedzera kwezvinhu, zvichikonzera kugona kugona kugovera kweropa kwezvidimbu. Kunze kwezvo, zviyero zvakajairika zvinoda kuti Bicortical gadziriso, zvichikonzera kukuvara kwepafuro wepafuma, uye iyo yeSteoporosis yekumanikidza simba zvakare murombo zvakare. LCP uye Liss Mahwendefa anogadzirisa matambudziko akadaro nenzira yakanaka. Ndokureva kuti, ivo vanotora mipipo tekinoroji yekudzora mashandiro emubatanidzwa, uye ipapo screw offication yekuvhara inogona kukonzera kusimba kwakakwana, iyo isingazoiti kukuvadza kwepfupa. Iyi nzira inoratidzwa nekureruka, nguva pfupi yekuvhenekesa, kushoma kubuda ropa, zvidiki kubvarura uye kufambisa kupora kwekuputika. Naizvozvo, fungidziro dzechikadzi dzinopesana zvakare ndeimwe yezviratidzo zvine simba zveLCP. [1, 10, 11]
3. Maitiro ekuvhiya ane chekuita nekushandisa kweLCP
3.1 Tsika Yekumanikidza Tekinoroji: Kunyangwe iyo pfungwa yeAo yemukati yekuchinja uye yekupa kwetsika yekudzvanywa, senge intra Nzira dzekumanikidza ndeiyi: Senge chivakwa chedziviriro, LCP inoshandisa iyo lag screws kugadzirisa iyo refu-oblique fractures; ③ Nekutora nhungamiro yedambudziko rekutambudzika, ndiro inoiswa padanho rekutambudzika kwepfupa, richasungwa pasi pepfuma, uye pfupa rezvekutora rinogona kuwana kumanikidza; Sekuita buttress buttrate, lcp inoshandiswa mukubatana neye lag screws yekugadziriswa kwehunhu hwekufungidzira.
3.2 Bridge Tekinoroji: Chekutanga, tora nzira isina kunanga yekudzikisa kudzosera kupwanya, kupuruzira kuyambuka nzvimbo dzakapwanyika kuburikidza nebhiriji uye gadzirisa mativi ese ekupwanya. Anatomic kuderedzwa hakudiwi, asi zvinongoda kudzoreredzwa kweiyo diaphysis kureba, kutenderera uye kumanikidza mutsara. Zvichakadaro, kuronga kwepfupa kunogona kuitwa kumutsa kuumbwa kwekudaidzira uye kusimudzira kupora kupora. Nekudaro, kugadziriswa kwebhiriji kunogona kungoita basa rekugadzikana, asi kurapa kwakanyanya kunowanikwa kuburikidza nemafoni maviri nechinangwa chechipiri, saka zvinongoitika chete kufambidzana.
3.3 Mashoma Asisive Plate Osteosynthesis (Mapo) Technology: Kubva kuma1970s, osangano reAO Nheyo dzakazivikanwa kwazvo munyika, uye kiriniki mhedzisiro iri nani pane nzira dzekurapa dzakapfuura. Nekudaro, kuti uwane iyo anatomic kudzikisira uye yemukati ficha, inowanzoda kuwanda kwekunyepedzera, zvichikonzera kupfupika kwemahombekombe epafupi, kuderera kweropa kwezvinhu zvinopesana uye zvakawedzera njodzi dzeutachiona. Mumakore achangopfuura, nyanzvi dzezvipfuyo uye dzinozvisimbisa zvakanyanya uye nekuwedzera kusimbisa kwehunyanzvi hwekunyepedzera uye pfupa. Naizvozvo, zvinodzivirira nzvimbo yakasvibirira yezvinhu, kureva biological osteosynthesis (bo). Muma1990, Krettek akadzidzira iyo Mippo tekinoroji, iyo iri kufambira mberi kutsva kwekufungidzira mumakore achangopfuura. Iyo inovavarira kuchengetedza ropa reropa rekudzivirira pfupa uye zvinyoro nyoro zvine madiki anokuvara kusvika pamwero wakakura. Nzira yacho ndeyekuvaka subcutaneous tunnel kuburikidza neyakajeka incision, isa mahwendefa, uye tora nzira dzekudzikisira dzisina kunanga kwekudzora kuderedzwa uye yemukati fixator. Kona pakati peLCP mahwendefa akagadzikana. Kunyangwe mahwendefa asina kuziva zvizere zvimisikidzo, kuderedzwa kwekunyepedzera kunogona kuramba kuchengetwa, saka zvakanakira Mirpology tekinoroji yakanyanya mukurumbira, uye iyo yakakwana yeMIPO TECHOCGOCY.
4. Zvikonzero uye zvevanoverengera zvekutadza kweLCP application
4.1 Kukundikana kweFitator Yemukati
Zvese zvipembudzi zvine kusunungura, kudzingwa, kupwanyika uye dzimwe njodzi dzekukundikana, mahwendefa ekutakura uye LCP hazvibhadhare. Maererano nemishumo yemabhuku, kutadza kwemukati mextator hakuwanzo kukonzerwa neplate pachayo, asi nekuti nheyo dzekutanga dzekurapa dzinotyorwa nekuda kwekunzwisisa kusarongeka uye ruzivo rweLCP Kugadziriswa.
4.1.1. Mahwendefa akasarudzwa akapfupika. Kureba kweplate uye screw kugovera ndeyezvinhu zvakakosha zvinokanganisa kugadzikana kwekugadziriswa. Asati amubuda eAMIPO tekinoroji, mahwendefa akapfupika anogona kuderedza urefu hwekupatsanurwa uye kupatsanurwa kweiyo nyoro. Kwenguva pfupi mahwendefa anoderedza simba rexial simba uye torssion simba reiyo yakatarwa chimiro, zvichikonzera kutadza kwemukati mexator. Nekuvandudzwa kweanoregedzera kudzora tekinoroji uye tekinoroji inosindirisa, mahwendefa akareba haazowedzeri kusawirirana kwematehwe akapfava. Vanachiremba vanofanira kusarudza kureba kuenderana neiyo biomechanics yekukanganisa kugadziriswa. Zvekufungidzira zviri nyore, chiyero chehurefu hwakakodzera urefu uye kureba kwenzvimbo yakazara inokatyamadza inofanirwa kunge yakakwira kupfuura 8-10 nguva, nepo chiyero ichi chinofanira kunge chakakwira kupfuura 2-3 nguva. [13. Maererano nemhedzisiro yeLCP Commen Fined Ongorora, apo gakava pakati pemativi ari 1mm, kushushikana kwekunetseka kweplete gomba, kushushikana pabhenji rinodzora 10%, uye kushushikana kune screws inoderedza 63%; Kana iyo bracture rutivi ruchisiya maburi maviri, kushushikana pane compression plate inoderedza 45% kuderedzwa, uye kushushikana kune screws inoderedza 78%. Naizvozvo, kuti vadzivise kushushikana kushushikana, kune zvakareruka, maburi 1-2 pedyo nemativi anokamhina achasiyiwa, nepo mafuro matatu anokurudzirwa kuti asashandiswe patsvingo imwe neimwe uye 2 screws ichaswedera kune mapundu.
4.1.2 iyo gomba pakati pemahara uye pfupa pamusoro zvakawandisa. Kana LCP inogamuchira iyo Bridge Tekinoroji, mahwendefa haafanirwe kuonana nenhamba kuti adzivirire ropa reropa rekupwanya. Icho ndezvemhando yeiyo elastic gadziriso, inomutsa iyo yechipiri yekuwedzera kwekukura kwekufona. Nekufunda biomekantics kugadzikana, NARAR AL [16] et Al [16] et al [16] et al [1 Kana iyo geji isingasviki 2mm, hapana kuderera kwakakosha. Naizvozvo, iyo geji inokurudzirwa kuve isingasviki 2mm.
4.1.3 iyo ndiro inotsauka kubva ku diaphysis axis, uye zviyero ndezve eccentric kugadziriswa. Kana LCP yakasanganiswa mipo tekinoroji, mahwendefa anodikanwa fungidziro yehunhu, uye dzimwe nguva yakaoma kudzora nzvimbo yeplate. Kana iyo pfupa axis isingafarire neiyo ndiro axis, iyo Distal ndiro inogona kutsauka kubva kune pfupa axis, iyo ichatungamira kuEccentric Kugadziriswa kweScrews uye isina simba. [9,15]. Zvinokurudzirwa kutora mukana wakakodzera, uye X-ray kuongororwa mushure mekutungamira chinzvimbo chekubata kwemunwe zvakakodzera uye kuntercher pin yekugadzirisa.
4.1.4 Kutadza kutevera misimboti yekukanganisika kurapwa uye kusarudza zvisirizvo zvemukati ficha uye tekinoroji yekugadzirisa. Kune Intra-Artular Fractures, yakapusa Draipsis Fracts, LCP inogona kushandiswa seyekumanikidza ndiro yekugadzirisa Mhedziso Kugadzikana kuburikidza nehunyanzvi hwekumanikidza, uye kusimudzira kurapa kwekupora; Kune metaphyseal kana kufambiswa-kambani, tarisiro yekupa kweropa yekudzivirirwa uye kutenderwa kwakapfava. Kusiyana neizvozvo, kushandiswa kweBridge Kugadziriswa Kwematongi kurapa zvakapusa zvimiro zvinogona kukonzera zvikanganiso zvisina kugadzikana, zvichikonzera kunonoka kuporeswa; [17] Cractures 'kutsvaga kwakawandisa kweatomication kuderedzwa uye kumanikidza kumanikidzwa kumativi anokanganisika kunogona kukonzera kuwanikwa kweropa kwemapfupa, zvichikonzera kunonoka mubatanidzwa kana nonunion.
4.1.5 Sarudza mhando dzisina kukodzera screw mhando. Gomba rekubatanidza LCP rinogona kukweverwa mumhando ina dze screws: iyo yakajairwa cortreal screws, iyo yakajairwa inokweretesa pfupa screws, iyo yekuzvishambadzira / yekuzvitakura-inozvibata zviyero uye kuzvirongedza zviyero. Kuzvishingisa / kuzvirongedza zviyero zvinowanzoshandiswa sechiitiko chisina kujairika kugadzirisa iyo yakajairika dicrayseal fractures yemapfupa. Zano rayo repombi racho rine dhizaini yekurovedza muviri Kana iyo diaphyseal pulp cavity iri yakamanikana kwazvo, screw nati inogona kunge isina kukwana correx cortex, uye iyo mafupa, uye yekuzvidza bheji-turase screws ichashandiswa panguva ino. Screw yakachena isina musoro ine simba rakanaka rekubatira kune mafupa akajairwa, asi osteoporosis pfupa rinowanzove rine simba cortex. Kubva panguva yekuvhiya yekuvhiya inoderedza, chinguva chinguva ruoko rwe screw kuramba chinoderera, chinokonzerwa nekucheka bhata cortex cortex, screw kusunungura uye sekondari kutapudzwa kwekufamba. [18] Sezvo zviyero zvebhenekeri zvakawedzera kureba 'urefu hwekushanda, simba rekupembera rinowedzerawo. Kupfuura zvese, pfupa rakajairika racho rinogona kushandisa zvisikwa zvisina musoro kuti gadzirise, asi iyo Osteoporosis pfupa rinokurudzirwa kushandisa bikeortical screws. Uye zvakare, humerusfu pfupa cortex ine mutete, zviri nyore zvinokonzeresa, saka screwical screws inodiwa kuti igadzirise mukurapa mahukadzi.
4.1.6 Screw kugovera yakanyanya kana zvishoma. Screw Kugadziriswa kunodiwa kuti uteedzere bracture biomechanics. Kunyanya kutsiva screw kugovera kuchaguma nekusagadzikana kwemuno kushushikana uye kupwanyika kwemukati mexator; Kunyanya kusungira kupwanya screws uye isina kukwana gadziriso simba rinozoguma nekutadza kweFitator yemukati. Kana iyo Bridge tekinoroji inoiswa kuti ishandiswe gadziriso, iyo yakakurudzirwa screw density inofanira kunge iri pasi pe40% -50% kana zvishoma. [7,13,15] Naizvozvo, mahwendefa akareba, kuitira kuti awedzere chiyero chemakaniki; 2-3 mabhegi anofanirwa kusiiwa kumativi anokona, kuitira kuti abvumire hurukuro huru yekuwedzera, dzivisa kushushikana kwekushushikana uye kuderedza chiitiko chekuputsa kwemukati (19]. Gautier uye Sommer [15] akafunga kuti kanokwana maviri masokisi anofanirwa kuiswa pamativi ese emakarati, nekukasira certex haazokonzeresa kuyamwiswa pamativi ese ekupwanya. Anosvika 3-4 screws anodikanwa pamativi ese eHumerus uye forearm fracture, mimwe mitoro yemitambo inofanira kutakurwa.
4.1.7 zvigadzirwa zvekugadzirisa zvinoshandiswa zvisiri izvo, zvichikonzera kutadza kwemukati mexator. Sommer C [9] Vakashanyira varwere gumi nevaviri vane makore gumi nemashanu ane lcP kwegore rimwe chete, kuongorora kunoitika kunoratidza kuti pakati pematanho manomwe ekuvhara, mashoma mashoma e2,5mm akasunungurwa. Icho chikonzero ndechekuti kushandiswa kwakasiiwa kwekuvhara screws kuona mudziyo. Muchokwadi, iyo screw inovhara uye iyo ndiro haina kunyatsoita, asi ratidza madhigirii makumi mashanu ekona. Ichi dhizaini zvinangwa pakuderedza kuvhara screw kushushikana. Kusiyiwa kushandiswa kwekuona chishandiso kunogona kuchinja chiisiko chikamu uye nekudaro kukonzera kukuvadza kune simba resimba. Käätai Chidzidzo chekuyedza, akawana kona pakati pematanho uye mahwendefa eLCP akakura kwazvo, uye nekudaro simba rekubatira rezviyero rakadzikira zvakanyanya.
4.1.8 mimbiso inorema kutakura kutanga. Zvinotodza mishumo yakawandisa inotungamira vanachiremba vazhinji kuti vanyatsoita simba rekuvhara mahwendefa, vanokanganisa kuti simba rekuvhara rinogona kutakura huremu hwakazara hwekutakura, zvichikonzera kupenya kana screw fractures. Mukushandisa iyo Bridge Kugadziriswa Kwemahara, LCP ine kutsiga, uye inofanirwa kuumba callus kuitira kuti uzive kurapa neyechipiri kuwedzera. Kana varwere vabuda pamubhedha zvakanyanya uye mutoro wakawandisa huremu, ndiro uye screw ichatsemurwa kana kusunungurwa. Kuvhara ndiro yekugadziriswa kunosimudzira chiitiko chekutanga, asi zadza zvishoma nezvishoma mavhiki matanhatu gare gare, uye mafirimu eX-ray anoratidza kuti rutivi rwakatsiga runopa callus yakakosha. [9]
4.2 Tendon uye neurovascular kukuvara:
MiPO tekinoroji inoda percutaneous yekuisa uye kuiswa pasi pemasipasi, saka pakatarisana nendirozi dzinoiswa, ivo vaireva vaisakwanisa kuona chimiro chechisimba, uye ipapo tendon uye neurovascular kukuvara kunowedzera. Van Honsbroek PB [21] Yakashuma nyaya yekushandisa tekinoroji yeLiss yekushandisa LCP, iyo yakaguma neAnterior Tibial Artery pseudoaneurysms pseudoaneurysms. AI-RASHID M. [22] et Al yakataura kurapa kunonoka kupaza yekuwedzera tendonor Zvikonzero zvikuru zvekukuvara ndezvekuti iatrogenic. Yekutanga yakakuvara zvakananga yakaunzwa ne screws kana kirivan pini. Yechipiri ndiyo kukuvara kunokonzerwa nehembe. Uye wechitatu anokuvara anokuvara anogadzirwa nekukwevera kuzvirongedza zviyero. Naizvozvo, vanachiremba vanovhiya vanoziva anatomy yakapoteredzwa, teerera nekuchengetedza nervaspularis uye zvimwe zvakakoshesa, mufambiro wakakwana, udzivise marara, dzivisa kudzvinyirira kana kutsauka. Uye zvakare, kana uchirovera zviyero zvekuzvibata, shandisa mvura kuderedza kupisa kupisa uye kuderedza kupisa.
4.3 Kuvhiya saiti utachiona uye ndiro yekuratidzwa:
LCP ndeyemukati Fitator System yakaitika pasi pemashure yekusimudzira pfungwa inonyanya kusarangarira, chinangwa pakuderedza kukanganisa, kuderedza hutachiona, kusanzwisisika uye zvimwe zvinonetsa. Mukuvhiyiwa, isu tinofanirwa kutariswa zvakanyanya kune zvinyoro nyoro tishu dziviriro, kunyanya zvikamu zvisina kusimba zve tishu nyoro. Kuenzaniswa neDCP, LCP ine hupamhi hwakakura uye hukuru hwakakura. Paunenge uchishandisa iyo MIPO TECTULGY YEMITSICUTANISOOSE KUTI UCHINONZWA, zvinogona kukonzera kupfava kwematauro mitezo kana kukuvara uye kutungamira kutapukirwa kwaronda. Pinit p [23] Yakashuma kuti Liss system yakanga yabhadhara 37 Cards Tibia Bractures, uye zviitiko zvekushanduka kwehutachiona hwepashure hwakasvika ku2000. Namazi H [24] Yakataurwa Kuti LCP yaive neTibial Shaft kupwanyika kweTibhyseal Bracture yeTibia, uye Zvinoshamisa Zvekutakura Zvirwere Zvekutakura uye kuratidzwa kwePlate kwaive kusvika 23,5%. Naizvozvo, isati yashanda, mikana uye yemukati fixator ichave inotarisisa zvinoenderana nekukuvara kweiyo nyoro nyoro uye degree rakaoma rekutambudzika.
4.4 Anotsamwa Bowel Syndrome yeiyo yakapfava tishu:
Pinit p [23] Tiss system yanga yabata 37 nyaya dzeProximal Tibia Hosenboehler.e [17] et al yakataura LCP yakanga yaitira makumi matatu nematanhatu emakesi e-distal tibies, kusanganisira 29 nyaya dzeMopellus kusagadzikana. Icho chikonzero ndechekuti ndirozi yakanyanya kuwanda kana mahwendefa akaiswa zvisina kufanira uye mahwendefa akapfava paMagirazi Nhau dzakanaka ndedzekuti the New Disal Disaril Plate Yakagadzirwa neSynthes yakatetepa uye inonamatira kune pfupa pamusoro nePfupa Edges, iyo yakagadzirisa dambudziko iri.
4.5 DZVANYANYA KUKONZESA ZVINHU ZVINOKOSHA:
LCP zvinyorwa zvine simba rakanyanya titanium, ine yakanyanya kuwirirana nemuviri wemunhu, izvo zviri nyore kutariswa ne callus. Mukubvisa, kutanga kubvisa callus kunotungamira kuwedzerwa kwakaoma. Chimwe chikonzero chekubvisa chakaoma chiri mukuvhara-kusimbisa kwekuvhara masaga kana kuti nati kukuvadzwa, izvo zvinowanzo kukonzerwa nekutsiva iyo yakasiiwa inokiya screing mudziyo neyekuzviona. Naizvozvo, chishandiso chekuona chichashandiswa mukutora zviyero zvekuvhara, zvekuti screw tambo dzinogona kuve dzakanyonganiswa neshinda. .
Kupfuura zvese, sedanda rekumanikidza reAO's Budandura kweAO Yakasanganiswa neyeMppo tekinoroji, LCP inosanganisa neropa kuPnational Pneins kune yakakura kupora, inokwanirisa kupfuurira, kunokanganisa kutarisisa, saka ine tarisiro yakakura yekushandisa mukurapa kwekupwanya. Sezvo chishandiso, LCP yakawana yakanaka kliniki pfupi-pfupi mhedzisiro, asi mamwe matambudziko anofumurwawo. Kuvhiya kunoda ruzivo rwakadzama kuronga uye zvakarongeka zvechirongwa, inosarudza iyo chaiyo yekugadzirisa yemukati uye inoshandiswa nheyo dzekutakura, inoshandisa maitiro akakodzera uye kuti idzivise zvinonetsa uye kuwana iyo yakakwana marongero emhedzisiro.
Post Nguva: Jun-02-2022
