Labarai - Gyara Gyara Tsarin Cikin Cikin Gida

Akwai nau'ikan hanyoyin tire guda biyu, ƙwayoyin farantin da kuma farji pins, tsohon ya hada da kulob din gaba daya da kuma bude ido ko retrograde pins. Zabi ya dogara ne akan takamaiman shafin da nau'in karaya.
Ingancin PIN mai rikitarwa yana da fa'idodi na kananan fallasa, ƙasa da tsayayye, tsayayyen ƙarfi, da sauransu, babba. Don ƙananan 1/3, saboda babban rami na tsararre da yawa, da wuya a ƙarfafa tare da sukurori mai ƙarfi, amma ya fi dacewa da ƙwayoyin farantin karfe.

Na bude-ciki na ciki don karaya na femur shaft tare da nail na nesa tare da ƙusa
(1) ciki na gaba: an sanya shi a gefe guda ko na ƙarshe na ɓangare a gefe, tare da tsawon 10-12 cm, yankan ta fata da kuma bayyana ta hanyar ƙwayar ƙyama.
An sanya ƙwanƙwaran a cikin layi a tsakanin manyan masani da kuma ƙarshen banbanci na faɗakarwa na Vastrus ta hanyar tsoka na Vastral ta tsoka. (Fig 3.5.5.2-1,3.5,3.5.2-2).

Incisalaman murjani, a gefe guda, ana yin ta ta hanyar tsakar tsaka-tsakin tsoka da kuma rassan da ke haifar da guguwa na yanzu, kuma saboda haka ba wuya ko ba amfani (da aka yi amfani da shi (Fig 3.5,-3).

(2) Fallasa: Rarrabe kuma cire daskararren tsoka na gaba kuma shigar da shi a cikin tazanta tare da biceps femoris, ko yanke zubar jini da kai tsaye. Yanke periosteum don bayyana babba da ƙananan ƙarshen ƙarshen karaya, kuma bayyana yaduwar zuwa da kuma maido da su, kuma tsage kyallen kyallen da kadan.
(3) Gyara gyaran ciki: Adalci abin da abin ya shafa:, bijirar da karyewar karye, saka shi mai ban sha'awa cuttery ko v-dimpedully alllele, kuma yi kokarin auna ko kauri daga allura ya dace. Idan akwai kunkuntar kogon Meduly, ana iya amfani da rufaffen tsararren medullary na Medullary na Medullary da ya kamata a fadada rami, don hana allura daga ba zai iya cire shi ba. Gyara Equimal Karshe mai ƙare tare da mai riƙe da kashi, saka femurnary mai kawowa daga mafi girman cin abinci har sai an fallasa a waje da fata. Ana cire allura ta shiga, ana tura shi, ya wuce ta hanyar Foramen daga mafi girman Trochanic, sannan shigar da wakili zuwa jirgin sama na giciye. Ingantattun allurai masu tsantsan da ke haifar da ƙananan ƙarshen ƙarshen tare da ramuka na hakar. Sannan babu buƙatar fitar da fitar da canza shugabanci, kuma za'a iya bugun allura kuma sannan aka buga shi sau ɗaya. A madadin haka, za a iya saka allura mai ritaya tare da jagorar PIN ɗin kuma an fallasa a bayan mafi girman ƙaho.
Ci gaba da dawowar karaya. Za'a iya samun nasarar jeri na Anatantal ta amfani da ɗakunan wasan motsa jiki a cikin haɗin gwiwa tare da pivottion na pivottion, traction, da kuma ƙwaya. Ana samun gyararrawa tare da mai riƙe da ƙashi, kuma ana tura PIN na Tarihi don haka sai an tura rami na PIN don haka sai ramin hako na PIN ɗin an jagorance shi zuwa ma'amala da Femal. Endarshen allura ya kamata ya isa ga ɓangaren da ya dace na ƙarshen karar, amma ba ta hanyar allura ba, don a cire shi daga baya. (Siffa 3.5.5-4).

Bayan gyara, yi ƙoƙarin motsi na ƙarshe na reshe kuma lura da kowane irin. Idan ya zama dole a maye gurbin hoton mai kauri, ana iya cire shi kuma maye gurbinsu. Idan akwai ƙananan loosening da harsaidi, za'a iya ƙara dunƙule don ƙarfafa gyarawa. (Fig 3.5.5-4).
A ƙarshe ya tashi ya rufe a cikin yadudduka. An samo asali na waje na waje filastar.
II farantin ciki na ciki
Za'a iya amfani da sikirin na cikin gida tare da ƙwayoyin farantin karfe a duk sassan kara na femory, amma ƙananan 1/3 ya fi dacewa da wannan nau'in gyarawa saboda tsananin tsinkaye. Janar Murmushin Karfe ko kuma ana iya amfani da farantin karfe. Latterarshe ya fi tsaurara da tabbaci da tabbaci ba tare da gyara na waje ba. Koyaya, babu ko ɗayansu na iya guje wa rawar da damuwa masking da kuma bi da ka'idar daidai ƙarfin, wanda ke buƙatar inganta.
Wannan hanyar tana da kewayon bututun mai, ƙarin ƙayyadadden ciki, yana shafar waraka, kuma yana da kasawa.
Lokacin da akwai ƙarancin yanayin Intramyulladully, tsohuwar rauni rauni curvature ko babban sashi na rashin daidaituwa da ƙananan 1/3 na karaya sun fi dacewa.
(1) Femaloral na ƙarshe ko na ƙarshe na ƙarshe.
(2) (2) bayyanar karaya, da kuma dangane da yanayin, ya kamata a daidaita shi kuma a gyara shi da ƙayyadaddun ƙwayoyin cuta. Ya kamata a sanya farantin a gefen gefen tashin hankali, ya kamata ya wuce a cikin cortex a bangarorin biyu, kuma tsawon farantin ya zama sau 4-5 na diamita na kashi a wurin karagar. Tsawon farantin shine sau 4 zuwa sau 8 da diamita na kasusuwa mai fashewa. 6 zuwa 8 farantin faranti ana amfani da su a cikin femur. Manyan kashin kashin kashi za'a iya gyara tare da ƙarin sukurori, kuma ana iya sanya babban adadin ƙashin kashi a lokaci guda akan gefen da aka yi amfani da shi. (Fig 3.5.50).