Izikulufo zokuvimba zisetshenziswa kabanzi emisebenzini yomtholampilo, ikakhulukazi ekulungiseni izipikili ezinde ze-intramedullary.
Ngamafuphi, imisebenzi yezikulufu zokuvimba ingafingqwa njengokuphindwe kabili: okokuqala, ukuncishiswa, futhi okwesibili, ukukhulisa ukuqina kokulungisa kwangaphakathi.
Mayelana nokunciphisa, isenzo 'sokuvimbela' sesikulufu sokuvimbela sisetshenziswa ukuze kushintshwe indlela yasekuqaleni yokulungisa kwangaphakathi, kuzuzwe ukunciphisa okufunayo kanye nokulungisa ukuqondanisa.Kulo mongo, isikulufu sokuvimbela sidinga ukumiswa endaweni 'yokungahambi', okusho indawo lapho kungafunwa ukulungiswa kwangaphakathi.Ukuthatha i-tibia ne-femur njengezibonelo:
Nge-tibia: Ngemva kokufaka ucingo oluqondisayo, lubekwe ngokumelene ne-posterior cortex ye-tibial shaft, isuka emgqeni ophakathi we-medullary canal.Esiqondisweni 'esingathandeki', ikakhulukazi isici sangemuva se-metaphysis, isikulufu sokuvimbela sifakwa ukuze siqondise ucingo phambili eduze nomsele we-medullary."
I-Femur: Emfanekisweni ongezansi, isipikili se-femoral retrograde siyaboniswa, nesiphetho sokuphuka sibonisa i-angulation yangaphandle.Uzipho lwe-intramedullary lubekwe ngasengxenyeni yangaphakathi ye-medullary canal.Ngakho-ke, isikulufu sokuvimbela sifakwe ohlangothini lwangaphakathi ukuze kuzuzwe ushintsho endaweni ye-intramedullary nail.
Mayelana nokuthuthukisa ukuzinza, izikrini zokuvimbela ekuqaleni zazisetshenziselwa ukuqinisa ukuzinza kwama-fractures amafushane ekugcineni kwe-tibial shaft fractures.Ngokuvimbela ukunyakaza kwezipikili ze-intramedullary ngokusebenzisa isenzo sokuvimbela izikrini ezinhlangothini zangaphakathi nangaphandle, njengoba kuboniswe esibonelweni se-femoral intercondylar kanye ne-supracondylar fracture ngezansi, ukuzinza kweziphetho zokuphuka kungaqiniswa.Lokhu kusiza ukuvimbela ukunyakaza kokushwibeka kwe-intramedullary nail nezingcezu zamathambo ezikude.
Ngokufanayo, ekulungiseni ama-tibial fractures ngezipikili ze-intramedullary, ukusetshenziswa kwezikrini zokuvimbela kungaqashwa ukuze kuthuthukiswe ukuzinza kweziphetho zokuphuka.
Isikhathi sokuthumela: Feb-02-2024
