I-intrametullary niiling Technology iyindlela esetshenziswa kakhulu yokulungiswa kwamathambo. Umlando wayo ungalandelelwa emuva ku-1940. Kusetshenziswa kabanzi ekwelapheni kokuqhekeka kwamathambo amade, izingelo, njll. Lungisa isayithi lokuphuka. Kulezi zingqinamba, sizokwethula okuqukethwe okufanele kuwe ngokuzungeza izinzipho eziyimfihlo.
Kalula nje, isipikili se-intramenduvaltary yisakhiwo eside esinezimbobo eziningi zokukhiya zombili izinhlangothi ukulungisa iziphetho ze-freximal nezesakhiwo. Ngokusho kwezakhiwo ezahlukahlukene, zingahlukaniswa zibe ziqinile, ze-tubular, isigaba esivulekile, njll., Ezilungele iziguli ezahlukahlukene. Isibonelo, izipikili eziqinile ze-intrametuvary zimelana nokutheleleka ngoba azinaso isikhala sangaphakathi esifile. Ikhono elingcono.
Ukuthatha i-tibia njengesibonelo, ububanzi bemithambo ye-medullary buhluka kakhulu ezigulini ezahlukene. Ngokusho kokuthi kudingeka ubuhlakani, izipikili zomculo ezingaphakathi zingahlukaniswa ngokukhala okuvuthayo nokungena ngaphakathi. Umehluko ulele ekutheni ama-REamer adinga ukusetshenziselwa ukumiswa kwe-medullary, kufaka phakathi amadivaysi noma amadivaysi kagesi, njll.
Kodwa-ke, inqubo yokunwetshwa koMarth ilimaza i-endosteum, njengoba kukhonjisiwe kwisibalo, futhi ithinta ingxenye yomthombo wegazi lethambo lethambo, elingaholela kwi-avescular necrosis yesikhashana yamathambo endawo futhi yandise ingozi yokutheleleka. Kodwa-ke, kuhlobene nezifundo zemitholampilo ziphike ukuthi kunomehluko omkhulu. Kukhona nemibono eqinisekisa ukubaluleka kwe-Medullary Riming. Ngakolunye uhlangothi, izipikili ezihlekisayo ezinama-diameters amakhulu zingasetjenziswa nge-medullary realing. Amandla nokuqina kuyanda ngokwanda kobubanzi, nendawo yokuxhumana ne-medullary cavity inyuka. Kukhona futhi umbono wokuthi ama-chips amancane amathambo akhiqizwa ngesikhathi senqubo yokunwebeka futhi adlala indima ethile ekutshaleni kwamathambo amathambo.
Ingxabano enkulu esekela indlela engeyona eye-realing ukuthi inganciphisa ubungozi bokutheleleka kanye ne-pulmonary embolism, kepha obunganakwa ukuthi ububanzi bawo obuncane buletha izilinganiso ezibuthakathaka zemishini, okuholele ekuhlolweni okuphezulu. Njengamanje, izipikili eziningi zeTibials ezihlelekile zivame ukusebenzisa izinzipho ezinwetshiwe, kepha izinzuzo nezinzuzo nezinzuzo zisadinga ukukala ngokususelwa kusayizi weziguli ze-medullary cavity kanye nemibandela yokuqhekeka. Isidingo se-REamer ukunciphisa ukungqubuzana ngesikhathi sokusika futhi sibe nomtshingo ojulile kanye ne-shaft encane, ngaleyo ndlela kunciphisa ingcindezi emgodini we-medullary futhi ugweme ukushisa ngokweqile kwamathambo nezicubu ezithambile ezibangelwa ukuxabana. Necrosis.
Ngemuva kokufakwa kwe-intrametullary nail, ukulungiswa kwesikulufa kuyadingeka. Ukulungiswa kwesikhundla kwesikuluzi sendabuko kubizwa ngokuthi ukukhiya okujwayelekile, futhi abanye abantu bakholelwa ukuthi kungadala ukuphulukiswa okubambezelekile. Njengokuthuthuka, ezinye izimbobo zokukhiya izikulufa zenzelwe ukwakheka okusaqanda, okubizwa ngokuthi ukukhiya okunamandla.
Lokhu okungenhla kuwukungathwa kwezingxenye ze-intramedullary kiling. Kumagazini olandelayo, sizokwabelana nawe ngenqubo emfushane yokuhlinzwa kwe-intrametuundary
Isikhathi sePosi: Sep-16-2023
