Ngokuya ngezikulufo zekhanda nentamo, yamukela ukwakheka kwesikulufa okubili kwezikulufo ze-lag kanye nezikulufo zokucindezela. Ukuhlangana okuhlangene kwezikulufo ezi-2 kuthuthukisa ukumelana nokujikeleza kwekhanda lowesifazane.
Ngesikhathi senqubo yokufaka isikulufa sokucindezela, ukunyakaza kwe-axial kwesikulufa se-lag kuqhutshwa yintambo ye-ockhersusal phakathi kwesikulufa sokushintshana kanye nesikulufa se-lag, ngaleyo ndlela kuthuthukiswe kakhulu amandla okulwa nesikulufa. Sika ukusebenza. Izikulufo ezi-2 zixhumene ngokuhlanganyela ukugwema umphumela we- "z".
Idizayini yokuphela kweProximal yezipikili eziphambili ezifana naleso se-prosthesis ehlanganayo yenza umzimba wezipikili uhambisane kakhulu ne-medullary cavity, futhi ngaphezulu ngokuhambisana nezimpawu ze-biomechanical ze-feomechal femur.
Izinyathelo Zokuhlinzwa
Ukuma: Isiguli singakhetha isikhundla se-lateral noma esiphakeme. Nesiguli esisezingeni eliphakeme, etafuleni elisebenzayo elisebenzayo noma etafuleni lama-Orthopedic Traction. Uhlangothi olunempilo lwesiguli senziwa futhi luhlelwe kubakaki, futhi uhlangothi oluthintekile lufakwa ku-10 ° -15 ° ukwenza lula ukuqondanisa ne-medullary cavity.
Ukusetha kabusha okunembileI-traction umlenze othintekile ngombhede we-traction ngaphambi kokusebenza, bese ulungisa ukuqondiswa kwe-traction ngaphansi kwe-fluoroscopy ukuze umlenze othintekile wokujikeleza kwangaphakathi nokungenisa isikhundla. Ama-Fractires amaningi angasethwa kabusha kahle. Ukusetha kabusha kwe-Preaperative kubaluleke kakhulu futhi iphuzu, ungalinqumi kalula uma kungekho ukuncishiswa okugculisayo. Lokhu kungagcina isikhathi sokusebenza futhi kunciphise ubunzima ngesikhathi sokusebenza. Uma ukuncishiswa kunzima, ungenza ukuvela okuncane ngesikhathi sokusebenza futhi usebenzise induku ye-push, retractor, ama-forces wokunciphisa, njll. Ukusiza ukuncishiswa. Ukuqhekeka okuncane kwezinhlangothi zangaphakathi nangaphandle zihlukanisiwe, futhi asikho isidingo sokushintsha kaninginingi. Ukuphela kokuphuka kungasetha kabusha ngokuzenzakalelayo lapho isikulufo sokucindezela siklwebekile phakathi kokuhlinzwa.
Ukuncishiswa kwe-trochanter encane: Idizayini ye-intrametullary nail ayidingi ukuqhubeka kwe-cortex ye-medial. Ngokuvamile, asikho isidingo sokunciphisa isiqephu se-trochanter esingaphansi, ngoba ukusebenza okuvaliwe okuvaliwe okuvaliwe kunomthelela omncane ekusakazweni kwegazi kokuphela kokuphela, futhi ukuqhekeka kulula ukwelapha. Kodwa-ke, i-COXA VARUS kufanele ilungiswe ngaphambi kokuba isikulufa sibekwe, futhi isikhathi sokuya emhlabathini kanye nesikhathi sokuhambisa isisindo se-postoperative kufanele sibambezelwe ngendlela efanele
Isikhundla: Ukuvela okungu-3-5 cm okude Intambo ye-kirschner ingabekwa ohlangothini lwangaphandle lwe-femur ye-proximal, futhi ilungiswe ukuze ihambisane ne-axis ende ye-femur ngaphansi kwe-c-arm fluoroscopy, ukuze ukuma kwe-incision kunembe kakhudlwana.
Nquma iphuzu lokungena: Iphuzu lokungena liphakathi kwe-apex ye-apex ye-trochanter enkulu, ehambelana nokuphambuka okulandelayo kwe-axis ende yemithambo ye-medullary ekubukeni kwangaphambili. Ekubukeni kwangemuva, iphuzu lokungenela kwezipikili litholakala eksishini ende ye-medullary cavity;
Iphuzu Lokungena Ngenaliti
INsertGuidePin Fluoroscopy
Ngokugcwele r-philile
Njengoba ukuphela kweProximal kwesipikili esikhulu se-Intertan kukhulu, isikhonkwane singafakwa kuphela ngemuva kokuvuka okugcwele ngesikhathi sokusebenza. I-Proximal Riming kufanele imiswe lapho idivaysi ekhawulelwe yokushayela i-Riming ithinta ithuluzi lesiteshi sokungena. Ukuthi umgodi wesifazane we-distal feave uyavuselelwa kuncike kusayizi we-mediullary cavity inqunywa. Uma i-X-ray preaperative ithola ukuthi i-medullary cavity yesifutho se-feofimal femoral shaft ngokusobala, i-femfice shame reamer kufanele ilungiselelwe ngaphambi kokuhlinzwa. Uma i-REAMING akwanele, kuzokwenza kube nzima ukufaka isikulufa. Ngesikhathi senqubo yokukhonkotha, kungashukunyiswa kububanzi obuncane izingxenye zangemuva zesipikili se-intramerary. Ukungqongqoza okunjalo okunzima kungadala kalula ukwahlukanisa amathambo ngesikhathi sokusebenza noma ukuphequlula kabusha kokuqhekeka ngemuva kokuncishiswa.
Faka umkhono wokuvikela izicubu ezithambile, ukuqhutshwa kocingo lomhlahlandlela nge-drill, bese wandise isiteshi sowesifazane sowesifazane osondelene nesipikili se-intramedullary (ngenhla kwesithombe); Uma i-medullary cavity incane, sebenzisa i-drill ethambile ethambile yokwandisa umgodi we-medullary ububanzi obufanele; Xhuma umhlahlandlela Faka isipikili esikhulu se-Intertan emgodini we-medullary (ngezansi);
PivuphoLingu
Ukubekwa kwesikulufa seLag
Ukubekwa kwesikulufa
Isikulufa esipikili esikhiyiwe dist
RisizukulwanaLingu
Inkomishi yokugcina
Ukwelashwa okusebenzayo
Ama-antibiotic asetshenziswa njalo ukuvikela ukutheleleka amahora angama-48 ngemuva kokuhlinzwa; Kusetshenziselwa amaphampu we-hepaparin calcium kanye namaphampu e-air ukuvikela i-vein vein thrombosis ejulile (DVT) emaphethelweni aphansi, futhi izifo eziyisisekelo zezokwelapha zaqhutshwa ziphathwe. Ama-radiographs asobala we-pelvis kanye ne-radiopograph e-antereposterterior kanye ne-radiographs ye-hip ehlanganisiwe yathathwa kaningi ukuqonda ukuncishiswa kwe-fracture kanye nokulungiswa kwangaphakathi.
Ngosuku lokuqala ngemuva kokuhlinzwa, isiguli sakhuthazwa ukuba senze ukwakheka kwe-isometric of Quadriceps ngesimo se-semi-recumbes. Ngosuku lwesibili, isiguli sayalwa ukuba sihlale embhedeni. Ngosuku lwesithathu, isiguli sayenziwa ngentshiseko izinsimbi ze-hip ne-knee flexion embhedeni. Akukho okuthwala isisindo emlenzeni othintekile. Khuthaza iziguli ezikwaziyo ukuthi zibambe ingxenye yesisindo emlenzeni othintekile ngaphakathi kwamabanga abekezelelekayo amasonto abekezelelekile ngemuva kokuhlinzwa. Kancane kancane uhambe no-Walker ngokuthwala isisindo ngokuya nge-X-ray Landela kumaviki ayi-6 kuye kwayi-8. Iziguli ezingakwazi ukuhamba ngokuzimela futhi zibe nezifo ezinzima zeziguli ezinokukhula kwamathambo amathambo ku-X-ray, zingahamba kancane kancane ngesisindo esibekwe ngaphansi kokusekelwa.
Umuntu Oxhumana naye: I-YOYO (Umphathi Wemikhiqizo)
I-TEL / Whatsapp: +86 15682071283
Isikhathi sePosi: Meyi-08-2023
