Ukulimazeka kwentamo yabesifazane kungukulimala okujwayelekile futhi okungenzeka okulimazayo kodokotela abahlinzayo be-orthopedic, ngezigameko eziphakeme ze-non-Union kanye ne-osteonecrosis ngenxa yokuhlinzekwa kwegazi okubuthaka. Ukwehliswa okunembile nokulungile kwentamo yabesifazane ukuqhekeka kuyisihluthulelo sokulungiswa kwangaphakathi okuphumelelayo.
Ukuhlolwa kokuncishiswa
Ngokuya ngengadi, indinganiso yokuncishiswa komfokazi we-Femor Femor Fembunta Fracture ingu-160 ° kwifilimu yamathambo nangu-180 ° kwifilimu yamuva. Kubhekwa njengokwamukelekayo uma inkomba yengadi iphakathi kuka-155 ° no-180 ° ezikhundleni eziphakathi nendawo nakwamuva ngemuva kokuncishiswa.
Ukuhlolwa kwe-X-ray: Ngemuva kokuncishiswa okuvaliwe, izinga lokweneliseka kufanele linqunywe ngokusebenzisa izithombe ze-X-ray ezisezingeni eliphakeme zokuncishiswa kwentamo yabesifazane, bese zithola ukuthi ukwehliswa kwe-anatomical okuvaliwe, kepha hhayi ukuncishiswa kwe-anatomical kwekhanda labesifazane kanye ne-concave ephezulu Intamo yabesifazane ingaxhunywa kwi-S-Curve esimweni esijwayelekile se-anatomical. ULololl uphakamise ukuthi ingaphezulu le-convex lekhanda lowesifazane kanye ne-concave ingaphezulu lentamo yabesifazane lingakha ijika elibunjiwe ngaphansi kwezimo ezijwayelekile ze-anatomical, futhi uma ijika elibunjiwe le-anatomical alibushelelezi noma likhuthaze kunoma yisiphi isikhundla ku-X-ray, libonisa ukuthi ukuphindwaphindwa kwe-anatomical akuzange kutholakale.
Unxantathu ongenanhloso unezinzuzo ezisobala ze-biomechanical
Njengesibonelo, esithombeni esingezansi, ngemuva kokuqhekeka kwentamo ye-femur, ukuphela kwe-fracture kufakwa ngaphansi kwezingcindezi ezishukumisayo kakhulu engxenyeni engenhla futhi ecindezelekile engxenyeni engezansi.
Izinhloso zokulungiswa kwe-fracture yilezi: 1. Ukugcina ukuqondanisa okuhle no-2. Ukubhekana nokuxineka okuthe xaxa ngangokunokwenzeka, noma ukuguqula izingcindezi ezishukumisayo zibe izingcindezi ezicindezelayo, ezihambisana nomgomo wokucindezela kwempesheni. Ngakho-ke, ikhambi le-Triangle elingenele elinezikulufo ezi-2 ngenhla liphakeme kakhulu kunekhambi le-Orthotic Triangle ngesikulufa esisodwa ngaphezulu ukuze alwe nengcindezi ethe xaxa.
I-oda lapho izikulufo ezi-3 zibekwe khona ekuqhekekeni kwentamo yabesifazane kubalulekile:
Isikulufa sokuqala kufanele kube yithiphu kanxantathu ongenele, kanye nomzuzu wesifazane;
Isikulufo sesibili kufanele sibekwe endaweni edlule esisekelweni sonxantathu ongenele, eduze nentamo yabesifazane;
Isikulufa sesithathu kufanele sibe engaphandle emaphethelweni aphansi onxantathu angena ngaphakathi, ohlangothini lwengxabano lokuqhekeka.
Kusukela ama-femoral teght fractures avame ukuhlotshaniswa ne-osteoporosis, ama-screws anomkhawulo wokuklemba uma engaxhunyiwe emaphethelweni nasekunamathiselwe emaphethelweni asondelene nangokunokwenzeka kwi-subcortex enikezela ngokuqina okungcono. Isikhundla Esihle:
Izimiso Ezintathu Zokulungisa Izipikili Eziyize: Eduze kwamaphethelo, ukufana, imikhiqizo ehlanekezelwe
Eseduze kusho ukuthi izikulufo ezi-3 ziphakathi kwentamo ye-femur, eduze ne-corteex ephelele ngangokunokwenzeka. Ngale ndlela, izikulufo ezi-3 zizonke dala ingcindezi engaphezulu kuyo yonke indawo yokuqhekeka, kanti uma izikulufo ezi-3 zingabi bikho ngokwenele, ingcindezi ivame ukuba ngaphezulu kwe-torsion ne-shear.
Ukuzivocavoca Okusebenzayo Kweposi
Ukuzivocavoca okuthembela kwesisindo okukhombisayo kungenziwa amasonto ayi-12 ngemuva kokulungiswa kokuqhekeka, futhi izivivinyo ezithwala isisindo ngokwengxenye zingaqalwa ngemuva kwamasonto ayi-12. Ngokuphambene nalokho, kuma-pauwels hlobo hlobo ama-III fractures, ukulungiswa nge-DHS noma i-PFNA kunconyiwe.
Isikhathi Seposi: Jan-26-26-2024
