Udaba lokukhetha ukushuba kwezipikili zomculo wamathambo amade we-tubular ezimile.

I-intramenduvary Kiling iyindinganiso yegolide yokuphathwa kokuhlinzwa kwama-diaphyseal fractures amathambo amade we-tubyur ezindlini eziphansi. Inikeza izinzuzo ezinjengokuhlukumezeka okuncane okuhlangene kanye namandla aphezulu e-biomechanical, okwenza kuvame ukusetshenziswa kakhulu eTibial, femoral, kanye nemithembi sha shaft. Ngokwengqondo, ukukhethwa kobubanzi bezipikili ezingenantambo kuvame ukuthandwa yizipikili ezikhulu kakhulu ezingafakwa ekuvulekeni ngokulinganiselayo, ukuqinisekisa ukuqina okukhulu. Kodwa-ke, noma ngabe ubukhulu besipikili esihlangene buthinta ngqo i-Fracture Prognosis ihlala ingenakuphikwa.

Esihlokweni esandulele, saxoxa ngocwaningo oluhlola umthelela we-intellionary ye-Nail Diameter ekuphulukeni kwamathambo ezigulini ezingaphezu kwama-50. Imiphumela ayibonisi umehluko wezibalo ngamanani wokuphulukisa we-Fracture kanye namazinga okuhlukanisa phakathi kweqembu le-10mm neqembu elinezipikili zikhulu kune-10mm.

Iphepha elishicilelwe ngo-2022 izazi ezivela esifundazweni saseTaiwan nazo zafinyelela esiphethweni esifanayo:

Ucwaningo olubandakanya iziguli ezingama-257, ezazilungiswe ngezipikili zama-diameters 10mm, 11mm, 12mm, no-13mm, zahlukanisa iziguli ngamaqembu amane asuselwa kububanzi bezipikili. Kwatholakala ukuthi kwakungekho mehluko wezibalo emazingeni aphulukisa ama-Fracture phakathi kwamaqembu amane.

Ngakho-ke, ingabe nalokhu futhi lelo lokuqhekeka okulula kweTibial Shaft.

Esifundweni sokulawula icala elibandakanya okubandakanya iziguli ezingama-60, abacwaningi bahlukanisa iziguli ezingama-60 ngokulingana ngamaqembu amabili angu-30 lilinye. Iqembu A lalilungiswe ngezipikili ezincanyana ze-intramenduvationary (9mm zabesifazane kanye ne-10mm zabesilisa), kanti iqembu B lilungiswe ngamanzi abukhali angenamikhono (11mm kwabesifazane kanye ne-12mm kwabesilisa):

Imiphumela ikhombisile ukuthi kwakungekho umehluko obalulekile emiphumeleni yezokwelapha noma ukucabanga phakathi kwezipikili ezithambile neziwugqinsi. Ngokwengeziwe, izipikili ezincanyana ezihlangene zahlotshaniswa nezikhathi ezimfishane zokuhlinza nezikhathi ze-fluoroscopy. Akunandaba ukuthi ngabe kwakusetshenziswa isipikili esikhulu noma esincanyana noma esincanyana, ukugcotshwa ngokulinganiselayo kwenziwa ngaphambi kokufakwa kwezipikili. Ababhali basikisela ukuthi ukuze uthole ama-tibial shaft alula, ububanzi obuncane bezikhala zomculo obuyimfihlo bungasetshenziselwa ukulungiswa.