Proximal Chemorer Frauti anowanzoonekwa kukuvara kweKrisiki zvichiripo kubva kune yakakwirira-simba kushungurudzika. Nekuda kwehunhu hwehunhu hwehuputi hwevakadzi, iyo fracture mutsetse kazhinji inowanzovhara padyo neyekunyorera pasi uye inogona kuwedzera mubatanidzwa, ichiita kuti ive yakakodzera kuti isingaonekwe yechibhenekeri chipikiri. Nekuda kweizvozvo, chikamu chakakosha chezviitiko zvichiri kuvimba nekugadziriswa uchishandisa ndiro uye screw system. Nekudaro, iyo biomechanical maficha eccentrilly akagadziriswa pleti inoisa njodzi yakanyanya njodzi yakadai seyakawedzera plate gadziriso yekugadzirisa, kugadziriswa kwemukati kuputika, uye screw kudhira-kunze. Iko kushandiswa kwedare rediwedi rubatsiro rwekugadziriswa, kunyangwe zvichishanda, zvichingouya nekuwedzera kwekutambudzika, nguva yekuvhiya kwenguva, yakawedzera njodzi yekutapukirwa, uye yakawedzera mutoro wemari kune varwere.
Kupiwa izvi kufunga, kuitira kuti uwane chiyero chakaringana pakati peBiomechancal Deals of Latery Ongorora Mahwendefa Achibatanidza Plate Fixile Sceterali Screw Screw screw Iyi nzira yakaratidza zvakanaka zvemakiriniki zvibodzwa.
Mushure mekunge anesthesia, murwere anoiswa muchinzvimbo che supine.
Nhanho 1: Fracture kuderedza. Isa 2.0mm Kocher gobhi mune tibial tubority, traction yekudzosera iyo limb urefu, uye shandisa iyo pende yekukwana kugadzirisa iyo SAGITTAL ndege yekufambisa.
Nhanho yechipiri: Kuiswa kweiyo inotevera simbi simbi ndiro. Mushure mekudzikisira kwekutanga nekutarisirwa, svika zvakananga neakanaka femur, sarudza kureba kwekuvhara kupfumisa, uye isa zviyero zviviri pakagadziriswa uye distal magumo ekuchengetera kuderedzwa. Panguva ino, zvakakosha kuti uone kuti maviri maviri euroyi anofanirwa kuiswa padyo nepamberi nepatinogona kuti arege kubatanidza kuiswa kwemu medial screws.
Nhanho 3: Kuiswa kweMedial yakanyorwa screws. Mushure mekusimbisa kupunzika neiyo Literal Steel ndiro, shandisa iyo 2.8m Screw-inotungamirwa Driec Cirel, neyepamhepo nzvimbo yeiyo Distal Chemukati, ScAgonally Kunze uye kumusoro, ichipinda mupfudze, Mushure mekudzikisira Fluoroscopy kuderedzwa, shandisa 5.0mm dhizaini kugadzira gomba uye isa iyo 7.3mm inoda kusvika pfupa.
Diagram inoratidza maitiro ekudzikisira kuderedzwa uye kugadziriswa. Mukadzi ane makore makumi manomwe nemasere ane musangano wehukama wechikadzi . . . .
Munguva yekudzora maitiro, zvakakosha kufunga nezve zvinotevera zvinongedzo:
(1) Shandisa waya inotungamira ine screw. Kuiswa kwemu medial kukwenya kwakakura zvakanyanya, uye kushandisa gwara waya pasina banga racho rinogona kutungamira kukona yakakwira panguva yekudhara kuburikidza nedare redhidi, zvichiita kuti zvive zvekutsvedza.
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. Kana svutugadzike yakavharirwa panguva yemubatanidzwa screw yekusaisa, funga kubvisa kana kudzoreredza mitezo yerusaruro, ichipa pamberi peiyo medial course.
Nyaya 2. Murwere wemukadzi, ane makore makumi manomwe nemashanu, aine ushamwari hwechikadzi kuwedzera-hunyanzvi kupwanya. . . .
Nyaya 3. Murwere wemukadzi, ane makore makumi manomwe, ane denderedzwa rakakomberedza kupenya kwechikadzi. . . .
Kutumira Nguva: Jan-10-2024
