Tibial shaft kupwanyika ndeyekukuvara kiriniki. Intramellary Mbiri Yemukati Kugadziriswa ine Biomechanical Bility of Litselly Invesive uye Axial Sixiation, ichiita iyo yakajairwa mhinduro yekubata kwekuvhiya. Pane nzira mbiri huru dzemukati dzemukati dzeTibial
Zvekupwanya kweiyo proximal 1/3 yeTibia, sezvo nzira yekunyengedza inoda kuti ibveketi yekubhururuka, zviri nyore kukonzera kupwanya kukona kumberi panguva yekushanda. Naizvozvo, suprapetallar maitiro anowanzo kukurudzirwa kurapwa.
Mufananidzo uyu unoratidza kuiswa kweiyo yakakanganisika kubudikidza neSuprapetallar
Nekudaro, kana paine kukanganisa kune iyo suprapatellar nzira, yakadai seyunorwarwa yemunharaunda Ulceration, iyo Infrapagelar yekushandisa inofanira kushandiswa. Maitiro ekudzivirira kushungurudzika kwekuputsika kwemugumo panguva yekuvhiya idambudziko rinofanira kutarisana. Vamwe vadzidzi vanoshandisa zvidiki-zvidiki-mahwendefa ekugadzirisa nguva pfupi, kana kushandisa zvipikiri zvipikiri kuti vagadzirise iyo ingation.
▲ Mufananidzo unoratidza kushandiswa kwekuvharira zvipikiri kuti ugadzirise kona.
Kugadzirisa dambudziko iri, nyanzvi dzekune dzimwe nyika dzakatora zvishoma kusanzwisisika maitiro. Chinyorwa chichangobva kuburitswa mumagazini "Ann r Coll Surg Engl":
Sarudza maviri 3.5mm ganda masaga ematehwe, padhuze nepamhepo yemugumo wakaputsika, isa imwe screw mberi uye kumashure mumigove yemapfupa pamipendero yemapepa, uye siya anopfuura 2cm kunze kweganda.
Rumbidza kuderedzwa kweanodhedza kuchengetedza kuderedzwa, uye wobva waisa zvipikiri zvemukati zvichienderana nemaitiro akajairwa. Mushure mekamambo intramedudullary yakaiswa, bvisa iyo screw.
Iyi nzira yehunyanzvi yakakodzera kune zvakakosha nyaya uko suprapatellar kana parapatellar nzira hazvigone kushandiswa, uye hazviratidzwe. Iko kuiswa kwechibharo ichi kunogona kukanganisa kuiswa kweiyo mbambo huru, kana panogona kunge paine njodzi yekuputsa. Inogona kushandiswa sekureva mumamiriro ezvinhu akakosha.
Kutumira Nguva: May-21-2024
