Chikadzi mutsipa kupwanyika kwakajairika uye kunogona kukuvadza kukuvara kwekurwiswa kweOrthopedic kuvhiya, nekakawanda chiitiko chevasiri-mubatanidzwa uye seeonecrosis nekuda kweiyo isina kusimba kweropa. Kuderedzwa kwakasimba uye kwakanaka kwetsipa yemutsipa emutsipa ndiyo kiyi yekubudirira kwemukati yekugadziriswa kwemukati.
Kuongororwa kwekudzikiswa
Sekureva nebindu, chiyero chekudzikisira chakatsemuka chembere mutsipa Zvinoonekwa sekugamuchirwa kana iyo Bindu Index iri pakati pe155 ° uye 180 ° muMedial uye Stareral Nzvimbo Mushure mekudzikiswa.
X-Ray Kuongororwa: Mushure mekudzikiswa kwakavharwa, degree rekugutsikana kwekudzikiswa kweX-Ray Mifananidzo Concave pamusoro peyakaomeswa mutsipa inogona kubatana kune s-curve mune yakajairika yemhando yemamiriro ezvinhu. Lowell akataura kuti convex pamusoro pemusoro wechikadzi uye concave pamusoro peyakaganhurika yemusikadzi inogona kuumba iyo svutugadzike yemukati
Inverted triangle ine zvakawanda zviri pachena biomechancal zvakanaka
Semuenzaniso, mumuenzaniso pazasi, mushure mekupwanyika kwemutsipa we femur, kupunzika kwekupedzisira kunoiswa kushushikana kunowanzoitika kune chikamu chepamusoro uye chinomanikidza muchikamu chepasi.
Zvinangwa zveKutsika Kurovedzwa ndeVAKURU: 1. Kuti uchengetedze zvakanaka uye 2. Kukurira tonile kushushikana zvakanyanya sezvazvinogona, kana kushandura mamiriro ekunze ekumanikidza kushushikana, ayo anoenderana nenheyo yekumanikidza kusungwa. Naizvozvo, iyo yakatsanangurwa yedanho rezvikamu zviviri nepamusoro-soro pamusoro zvakanyatsojeka kune iyo erthotic triangle mhinduro pamwe chete pachiyero chimwe pamusoro apa kuti urambe kusagadzikana kwetenile.
Iyo yekuraira iyo iyo 3 screws yakaiswa mumutsipa wechikadzi wakakosha:
Iyo yekutanga screw inofanira kunge iri chipenga cheiyo yakamiswa triangle, pamwe nechisimba chechikadzi;
Iyo yechipiri screw inofanira kuiswa posterior kune iyo chigadziko cheiyo yakatsanangurwa triangle, pamwe chete nemutsipa wechikadzi;
Screw yechitatu inofanira kunge iri anterior kumucheto wepazasi kweiyo yakatsanangurwa triangle, padanho rekutadza kwekupwanya.
Sezvo tsvina yemutsipa kazhinji inowanzobatanidzwa neiyo Osteoporosis, screws yakaderera screw grip kana isina kubatanidzwa kune yepakati chinzvimbo, saka kusvika pamucheto uri padhuze nepakati pane subcortex inopa kugadzikana kuri nani. Chinzvimbo chakakodzera:
Nheyo nhatu dzekugadzirisa Hollow zvipikiri: padyo nepamapendero, zvakafanana, zvakaumbirwa zvigadzirwa
Arikent zvinoreva kuti 3 screws iri mukati memutsipa we femur, padyo nepareripher cortex sezvinobvira. Nenzira iyi, zviyero zvitatu seyese gadzira kumanikidzwa kwepamhepo pane yakazara nzvimbo pamusoro, nepo kana iyo madiki matatu haina kunyanya kuita pfungwa - yakagadzikana uye isinganyanye kugadzikana uye kushoma kurwisa kuitisa.
Postoperative Inoshanda Exercises
Kurovera-kunongedza uremu-kuremerwa kurovedza kunogona kuitwa kwemavhiki gumi nemaviri mushure mekupwanya kugadziriswa, uye kusarudzika kuremerwa kurovedza kunogona kutangwa mushure memavhiki gumi nemaviri. Mukupesana, kwemapuwels mhando III Fractures, gadziriso neDHS kana PFN inokurudzirwa.
Kutumira Nguva: Jan-26-2024
