Nyaya yekusarudza ukobvu hwemukati memukati memapfupa marefu emakumbo ezasi.

Mukati mernaluellary ndiyo goridhe chiyero chekurapa kwekuvhiya kwe diaphyseal fractures yemapfupa marefu mumakumbo epazasi. Inopa madirwo akadai seyakaderera yekuvhiya kwekuvhiya uye yakakwirira biomechancal simba, ichiita kuti iwanikwe pachena mu tibial, femori, uye humakore shaft fractures. Clinically, kusarudzwa kweIntramedullary zvipikiri zvipikiri zvinowanzo farira zvipikiri zvinokwanisika chinogona kuiswa nemwero wekugadzirisa zvine mwero, kuve nechokwadi chekugadzikana kukuru. Nekudaro, kungave ukobvu hwemupendero undarraruwed zvakananga zvinobata zvakakonzera prognosis inokanganisa inosara isingaenderani.

Chinyorwa chakapfuura, takakurukura chidzidzo ichiongorora maitiro emukati mechikiri chechipikiri chepfupa paBone kupora murwere anopfuura makumi mashanu aine yakanyanya kukanganisika. Mhedzisiro yacho yakaratidza kusiyana kwehuwandu mukupwanya mareti ekurapa uye kudzokorora mitengo pakati pegumi nemakumi mairi neboka neboka rine zvipikiri zvakapetwa kupfuura 10mm.

Pepa rakaburitswa muna 2022 nevadzidzi kubva kuTaiwan Proince zvakare rakasvikawo mhedziso yakafanana:

Chidzidzo chinosanganisira varwere makumi maviri nevaviri, avo vakasungirwa nemisangano yeMalametera 10mm, 11mm, 12mm, uye 13mm, yakakamura varwere mumapoka mana zvichienderana neyakagwinya. Izvo zvakaonekwa kuti pakanga pasina mutsauko wemubatanidzwa mukupwanya mareti emapoka mana.

Saka, izvi zvakare here iyo nyaya yakareruka tibial shaft fractures?

Mune chidzidzo cheCratment-Contractive Chinyorwa chinosanganisira varwere makumi matanhatu, vaongorori vakagovana varwere makumi matanhatu vakaenzana mumapoka maviri e30 imwe neimwe. Boka raive rakarongedzwa nemakwenzi akatetepa

Mhedzisiro yacho yakaratidza kuti pakanga pasina mutsauko wakakosha mumapiritsi nemapuranga kana kufungidzira pakati pezvipikiri zvakatetepa uye zvakakora mukati. Pamusoro pezvo, zvipikiri zvakatetepa zvakabatana zvakabatana nefupi yekuvhiya uye fluoroscopy nguva. Pasinei kana uine mikimazuva akakora kana mutete wedhiraivhi akashandiswa, kurongedza zvine mwero zvakaitwa pamberi pekuisa neti. Vanyori vanofunga kuti kune zviri nyore tibial shaft fractures, yakatetepa diameter intramuterllary zvipikiri zvinogona kushandiswa kugadziriswa.