I-Tibial Shaft Fracture ukulimala okuvamile komtholampilo. Ukulungiswa kwe-intramentundary nail yangaphakathi kunezinzuzo ze-biomechanical zokulungiswa okuncane kanye nokulungiswa kwe-axial, okwenza kube yisixazululo esijwayelekile sokwelashwa kokuhlinzwa. Kunezindlela ezimbili eziphambili zokukhokhisa zokulungiswa kwezipikili ze-tibial, i-suprapatellar kanye nokungena kwe-infrapatellar, kanye nendlela ye-parapatellar esetshenziswa ezinye izazi.
Ukuqhekeka kwe-proximal 1/3 yeTibia, ngoba indlela ye-infrapatellar idinga ukuguquguquka kwamadolo, kulula ukudala ukuqhekeka kube yi-angle phambili ngesikhathi sokusebenza. Ngakho-ke, indlela ye-suprapatellar imvamisa inconyelwe ukwelashwa.
▲ umzekeliso okhombisa ukubekwa komlenze othintekile ngendlela ye-suprapatellar
Kodwa-ke, uma kukhona okuphikisana nendlela ye-Suprapatellar, njengokulingisa kwezicubu zasendaweni, indlela ye-infrapatellar kumele isetshenziswe. Ungakugwema Kanjani Ukulandisa Kwemithetho Yokuqhekeka Ngesikhathi Sokuhlinzwa kuyinkinga okufanele ibhekane nayo. Ezinye izazi zisebenzisa amapuleti ensimbi ezincane ukuze alungise okwesikhashana i-cortex ye-anterior, noma asebenzise izipikili zokuvimba ukulungisa uMonsi.
▲ Isithombe sikhombisa ukusetshenziswa kokuvimba izipikili ukulungisa i-angle.
Ukuxazulula le nkinga, izazi zakwamanye amazwe zamukela inqubo enokuhlasela okuncane. Le ndatshana isanda kushicilelwa kumagazini "Ann R collow Surch Engling":
Khetha izikulufo ezimbili zesikhumba ezingama-3.5mm, eduze kwesiqeshana sesiphetho esiphukile, faka isikulufa esisodwa phambili bese ubheke emuva ezigxotsheni zamathambo kuzo zombili iziphetho zokuphuka, bese ushiya ngaphezu kwe-2cm ngaphandle kwesikhumba:
Faka uphawu lokuncipha ukuze ulondoloze ukuncishiswa, bese ufaka isipikili esijwayelekile ngokwezinqubo ezijwayelekile. Ngemuva kokufakwa kwe-intramerary nail, susa isikulufa.
Le ndlela yezobuchwepheshe ilungele amacala akhethekile lapho izindlela ze-suprapatellar noma izindlela ze-parapatellar azikwazi ukusetshenziswa, futhi azinconywa njalo. Ukubekwa kwalesi sikulufa kungathinta ukubekwa kwezipikili okuyinhloko, noma kungahle kube nengozi yokuqhekeka kwesikulufu. Ingasetshenziswa njengesethenjwa ezimweni ezikhethekile.
Isikhathi Seposi: Meyi-21-2024
