Ukuvinjwa kwezikulufa kusetshenziswa kabanzi ekusebenzeni kwemitholampilo, ikakhulukazi ekulungisweni kwezipikili ezinde ze-intrametullary.
Empeleni, imisebenzi yokuvimba izikulufo ingafushaniswa njengezimbili ezimbili: okokuqala, ukuncishiswa, bese okwesibili, ukwandisa ukuqina kokulungiswa kwangaphakathi.
Ngokuya kokuncishiswa, isenzo 'sokuvimba' sesikulufa esivinjiwe siqashiwe ukuguqula indlela yokuqala yokulungiswa kwangaphakathi, ukufeza ukuncishiswa okufunayo kanye nokulungisa ukuqondanisa. Kulesi simo, isikulufa esivinjiwe sidinga ukubekwa e-'hhayi ukuya' indawo, okusho indawo lapho kufiswa khona indawo yangaphakathi. Ukuthatha i-tibia ne-femur njengezibonelo:
Kwi-Tibia: Ngemuva kokufaka ucingo lomhlahlandlela, ihlelwe ngokumelene ne-cortex yangemuva ye-tibial shaft, ephambukayo kusuka ku-midline yomsele we-medullary. Esiqondisweni 'esingafanele', ikakhulukazi isici sangemuva se-metaphysis, kufakwa isikulufa esivinjiwe ukuqondisa ucingo phambili ngomsele we-medullary. "
I-Femur: Emfanekisweni ongezansi, kuboniswa isipikili sabesifazane ababuyisiwe, kanti ukuqhekeka kugcina kukhombisa ukunyathela kwangaphandle. Isipikili se-intramedullary sibekwe esicini sangaphakathi se-medullary calal. Ngakho-ke, isikulufa esivinjiwe sifakwa ohlangothini lwangaphakathi ukuze kufezeke ushintsho endaweni ye-intramedullary nak.
Ngokwemibandela ukuthuthukisa ukuqina, ekuqaleni izikulufo ezivinjelwe zazisetshenziselwa ukuqinisa ukuqina kokuqhekeka okufushane emaphethelweni e-tibial shaft shaft fractures. Ngokuvimbela ukunyakaza kwezipikili ezivinjelwe ngesenzo sokuvimba ezinhlangothini zangaphakathi nangaphandle, njengoba kuboniswe esibonelweni sokwehla kwesifazane, ukuqina kwe-supracondylar fracture ngezansi, ukuqina kwemikhawulo yokuqhekeka kungaqiniswa. Lokhu kusiza ukuvikela ukunyakaza okuswayipha kwezipikili ezihlangene nezipikili ezikude amathambo.
Ngokufanayo, ngokulungiswa kwama-tibial fractures nge-intrametullary nalists, ukusetshenziswa kwezikulufo ezivinjiwe nakho kungaqashwa ukuze kuthuthukiswe ukuqina kokuphela kokuphela.
Isikhathi sePosi: Feb-02-2024
