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Zaɓin wurin shigarwa don Intramedullary of Tibial Fractures

Zaɓin wurin shigarwa don Intramedullary of Tibial Fractures yana ɗaya daga cikin mahimman matakai na nasarar maganin tiyata.Matsayi mara kyau na Intramedullary, ko a cikin tsarin suprapatellar ko infrapatellar, na iya haifar da asarar sakewa, nakasar angular na ƙarshen fashe, da rauni ga mahimman tsarin gwiwa a kusa da wurin shigarwa.

Za a bayyana bangarorin 3 na tibial intramedullary ƙusa ƙusa.

Menene daidaitaccen wurin saka ƙusa intramedullary tibial?

Menene sakamakon karkatacciyar ƙusa intramedullary tibial?

Ta yaya aka ƙayyade madaidaicin wurin shigarwa cikin ciki?

I. Menene ma'aunin ma'aunin shigarwa donTibialIntramedullary?

Matsayin orthotopic yana samuwa a tsaka-tsakin ma'aunin injin na tibia da tudun tibial, matsakaicin matsakaici na tsaka-tsakin tsaka-tsakin tsaka-tsaki na tibia, kuma matsayi na gefe yana samuwa a kan ruwa tsakanin tibial plateau da ƙaurawar tibial. yankin.

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Kewayon yankin aminci a wurin shigarwa

22.9 ± 8.9mm, a cikin wane yanki za a iya shigar da allurar ba tare da lalata kashin kashin ACL da ƙwayar meniscus ba.

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II.Menene sakamakon karkatacciyar hanyaTibialIntramedullary Nai?

Dangane da kusanci, tsakiya, da Distal Tibial Fractures, raunin tibial na kusa yana da mafi mahimmancin tasiri, raunin tibial na tsakiya yana da mafi ƙarancin tasiri, kuma ƙarshen ƙarshen yana da alaka da matsayi da kuma sake mayar da ƙusa na intramedullary na Distal.

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# Karayar Tibial na kusa

# Karyewar Tibial ta Tsakiya

Ma'anar shigarwa yana da ɗan ƙaramin tasiri akan ƙaura, amma yana da kyau a saka ƙusa daga daidaitattun shigarwa.

# Karyawar Tibial Distal

Ana buƙatar wurin shigarwa ya zama daidai da karyewar kusanci, kuma ana buƙatar matsayi na ƙusa na intramedullary mai nisa don kasancewa a ko'ina a tsakiyar tsakiyar fornix mai nisa.

Ⅲ.Hdon sanin ko wurin shigar allura daidai ne a ciki?

Muna buƙatar fluoroscopy don sanin ko wurin shigar allura daidai ne.Yana da matukar muhimmanci a dauki daidaitaccen orthopantomogram na gwiwa a cikin ciki, to ta yaya za a sha?

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Daidaitaccen orthopantomogram-daidaitaccen layi na fibular kai

Ana yin layin injin na ortho-x-ray madaidaiciya, kuma ana yin layi ɗaya daidai da axis na injina a gefen gefen tudun tibial, wanda ya kamata ya raba kan fibular akan ortho-x-ray.Idan aka sami irin wannan x-ray, yana tabbatar da cewa an ɗauka daidai.

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Idan yanki na ortho-slice ba daidai ba ne, alal misali, idan an ciyar da ƙusa daga daidaitaccen abincin abinci, lokacin da aka ɗauki matsayi na juyawa na waje, zai nuna cewa wurin ciyarwa yana waje, kuma yanayin juyawa na ciki zai nuna cewa. feed point yana ciki, wanda hakan zai shafi hukuncin tiyata.

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A kan daidaitaccen x-ray na gefe, tsaka-tsakin tsaka-tsakin tsaka-tsaki da na gefe na femoral condyles sun fi yawa kuma tsaka-tsakin tsaka-tsakin tsakiya da na gefe sun yi yawa sosai, kuma a kan ra'ayi na gefe, wurin shigarwa yana samuwa a bakin ruwa tsakanin faranti da tushe na tibial.

IV.Takaitaccen abun ciki

Madaidaicin madaidaicin madaidaicin ƙusa na intramedullary na tibial yana tsaye a kai tsaye a gefen tsakiya na kashin baya na tsaka-tsakin tibia kuma a gefe a magudanar ruwa tsakanin tudun tibial da yankin ƙaura na tibial.

Yankin aminci a wurin shigarwa yana da ƙananan ƙananan, kawai 22.9 ± 8.9 mm, kuma ana iya shigar da allurar a cikin wannan yanki ba tare da lalata kashin kashin ACL da nama na meniscal ba.

Ya kamata a ɗauki ma'auni na intraoperative orthopantomographs da radiyo na gefe na gwiwa, wanda shine mabuɗin don sanin ko wurin shigar allura daidai ne ko a'a.


Lokacin aikawa: Janairu-02-2023