Kusarudzwa kwenzvimbo yekupinda muIntramedullary yeTibial Fractures

Kusarudzwa kwenzvimbo yekupinda muIntramedullary yeTibial Fractures ndeimwe yematanho akakosha mukubudirira kwekurapwa kwekuvhiyiwa. Nzvimbo isina kunaka yekupinda muIntramedullary, ingave iri mu suprapatellar kana infrapatellar approach, inogona kukonzera kurasikirwa nenzvimbo yakachinjika, kukanganisika kwemagumo ekutyoka, uye kukuvara kwezvimiro zvakakosha zvebvi zvakatenderedza nzvimbo yekupinda.

Zvinhu zvitatu zviri padanho rekupinza nzara mudumbu zvichatsanangurwa.

Ndeipi nzvimbo yakajairika yekupinza nzara mu tibial intramedullary?

Ndezvipi migumisiro yekutsauswa kwechipikiri chemukati memudullary chetibial?

Nzira chaiyo yekupinda nayo inoonekwa sei mushure mekuvhiyiwa?

I. Ndeipi nzvimbo yakajairika yekupindaTbhiialMudumbu memudumbu?

Nzvimbo ye orthotopic iri panzvimbo inoungana axis yemuchina wetibia netibial plateau, mupendero wepakati wemusana wetibia, uye nzvimbo yedivi iri panzvimbo iri pakati petibial plateau nenzvimbo yekufamba kwetibial stem.

Nzvimbo yakachengeteka panzvimbo yekupinda

22.9±8.9mm, umo tsono inogona kuiswa pasina kukuvadza mapfupa eACL ne meniscus tissue.

II. Ndeipi migumisiro yemunhu akatsauka?TbhiialInzira yekurapa Ndambudziko?

Zvichienderana neProximal, Middle, uye Distal Tibial Fractures, proximal tibial fracture ndiyo inonyanya kuoneka, pakati tibial fracture ndiyo isinganyanyi kukosha, uye magumo ekure anonyanya kuenderana nenzvimbo uye kuiswazve kweDistal intramedullary nail.

# Kutyoka kweTibial Proximal

# Kutyoka kweTibial yepakati

Nzvimbo yekupinda haina simba guru pakusuduruka, asi zvakanaka kuisa chipikiri kubva panzvimbo yakajairika yekupinda.

# Kutyoka kweTibial yeDistal

Nzvimbo yekupinda inofanirwa kunge yakafanana neyakatyoka pechiso, uye nzvimbo yenzara yemukati memedullary inofanirwa kunge iri pakati penzvimbo yefornix yekumashure.

Ⅲ. Hkuti ndione kana nzvimbo yekupinda netsono yakarurama panguva yekuvhiyiwa?

Tinoda fluoroscopy kuti tione kana nzvimbo yekupinda netsono yakarurama. Zvakakosha kutora orthopantomogram yebvi panguva yekuvhiyiwa, saka inofanira kutorwa sei?

Mutsetse wakajairika we orthopantomogram-wakafanana wemusoro we fibular

Mutsetse wemechanical we ortho-x-ray unogadzirwa wakatwasuka, uye mutsetse wakafanana wemechanical axis unogadzirwa pamucheto we lateral we tibial plateau, iyo inofanira kupatsanura musoro we fibular uri pa ortho-x-ray. Kana x-ray imwe yakadaro ikawanikwa, inoratidza kuti yakatorwa nemazvo.

Kana ortho-slice isiri standard, semuenzaniso, kana nzara ikadyiswa kubva panzvimbo yakajairwa yekudyisa, kana nzvimbo yekutenderera yekunze yatorwa, zvicharatidza kuti nzvimbo yekudyisa iri kunze, uye nzvimbo yekutenderera yemukati icharatidza kuti nzvimbo yekudyisa iri mukati, izvo zvinozokanganisa kutonga kwekuvhiya.

Pa x-ray yakajairwa yedivi, ma condyles epakati neepadivi echikadzi anopindirana zvakanyanya uye plateau yepakati neyepadivi yetibial inopindirana zvakanyanya, uye pakuona kwedivi, nzvimbo yekupinda iri pamvura iri pakati peplateau netibial stem.

IV. Pfupiso yezviri mukati

Nzvimbo yekupinda kwezvipikiri zvemukati metibial iri pamucheto wepakati wemusana wetibial uye padivi pamucheto wemvura uri pakati petibial plateau nenzvimbo yekufamba kwetibial stem.

Nzvimbo yekuchengetedza iri panopinda idiki kwazvo, 22.9±8.9 mm chete, uye tsono inogona kuiswa munzvimbo iyi pasina kukuvadza mapfupa eACL ne meniscal tissue.

Kuongororwa kwebvudzi repabvi panguva yekuvhiyiwa kunofanira kuitwa, izvo zvinova chinhu chikuru chekuona kana nzvimbo yekupinda netsono yakarurama kana kuti kwete.