Kusarudzwa kwenzvimbo yekupinda kweiyo intrameduuterary ye tibial fractures ndeimwe yematanho anokosha mukubudirira kwekurapa kwekuvhiya kwekuvhiya. Nzvimbo Yepamoyo yekupinda yakareruka, ingave iri muUttrapatellar kana Infrapatellar nzira, inogona kukonzera kuparadzaniswa kwekupwanya, uye kukuvara kune zvakakwanira zvimiro zvebvi rakatenderedza nzvimbo yekupinda.
Izvo zvikamu zvitatu zveTibial Intrameduutery nail Kuisa pfungwa kuchatsanangurwa.
Chii chinonzi standard tibial intrameduutllary nail yekuisa pfungwa?
Ndezvipi zvinokonzeresa mabvumirano etsviroketi intramedudullary mbambo?
Ndeipi pfungwa yakakodzera yekupinda inotsanangurwa intraoperaratively?
I. Ndeipi nzvimbo iyo yakajairwa yekupindaTibialIntramedullary?
Nzvimbo yeOrthotopic iri pane kupindirana kweiyo mechancal axis yeTibia neTilial Platecular musana weTibia, uye nzvimbo yakatevera iri padanda pakati peTibial Plateau uye tibier stem nzvimbo yekutya.
Range nzvimbo yekuchengetedza munzvimbo yekupinda
22.9 "
Ii. Ndezvipi zvinokonzerwa neakatsaukaTibialIntrameduullary NAil?
Zvichienderana neiyo Proximal, yepakati, uye distal tibial fractures, iyo proximal tibil fracture ine maitiro mazhinji, uye kuguma kwemukati kwakanangana nenzvimbo uye kudzoreredza kwechisimba
# Proximal tibial fractures
# Middle Tibial Fractures
Iyo poindi yekupinda ine zvishoma mhedzisiro pakurwiswa, asi zvakanaka kuisa mbambo kubva pane yakajairwa nzvimbo yekupinda.
# Distal tibial fractures
Iyo nzvimbo yekupinda inodikanwa kuti ive yakafanana neye proximal bracture, uye chinzvimbo che distal intramedularary chinodiwa kuti chiwanikwe pane iyo midpoint yeiyo distal fornix.
Ⅲ. How kuti uone kana tsono yekupinda pfungwa iri chaiyo intraoperaratively?
Isu tinoda fluoroscopy kuti tizive kana tsono yekupinda pfungwa iri chaiyo. Izvo zvakakosha kuti utore yakajairwa orthopantomogram yebvi yemabvi inyasha, saka inofanira kutorwa sei?
Standard orthopantomograph-partlerel mutsara wemusoro wemoto
Iyo mechancal axis yeOrtho-x-ray inoitwa yakatwasuka, uye mutsara wakaenzana wemubatanidzwa wakaitwa panguva yeTibial yeTibial Plateau. Kana imwe yakadaro X-ray inowanikwa, inoratidza kuti ibviswe zvakanaka.
Kana iyo Orthe-chidimbu chisiri chiyero, semuenzaniso, kana chipikiri chinodyiwa kubva pane imwe nzvimbo yekudyira yatorwa, icharatidza kuti nzvimbo yekudyira icharatidza kuti nzvimbo yekudyira iri mukati, iyo ichikanganisa kutongwa kwekuvhiya.
Pane yakajairwa LATLAL X-RAY, iyo medial echikadzi echikadzi zvakanyanya kuwanda uye medial tibil clateau zvakanyanya kupfuura nepakati pakati pePlateau uye tibi.
Iv. Zvemukati muchidimbu
Iyo Standard Tibial Intramedullary Nail Nail Pinda Pounyanzvi pane iyo Medial Edanho reiyo Tallerylar musana weTibia uye gare gare pamvura pakati peTibi.
Iyo nzvimbo yekuchengetedza panzvimbo yekupinda ndeyedu kwazvo, chete 22.9 × 8.9 mm, uye tsono inogona kuiswa munzvimbo ino pasina kukuvadza iyo Bony yekumira yeACL uye meniscal tishu.
Intraoperative standhostomographs uye yakazotevera redhiyo yebvi inofanira kutorwa, iyo ndiyo kiyi yekuziva kuti tsono yekupinda pfungwa ndeyechokwadi here kana kuti kwete.
Kutumira Nguva: Jan-02-2023
