Ipleyiti yokuNxibelela yeFemoral egobileyo yokuTshixa

Inkqubo yotyando lwe-curved femoral shaft locking compression plate (LC-DCP) ngokuqhelekileyo ibandakanya la manyathelo alandelayo: Ucwangciso lwangaphambi kotyando: Ugqirha wotyando uya kuphonononga imbali yezonyango yesigulana, enze uviwo lomzimba, aze ahlolisise izifundo zokucinga (ezifana ne-X-rays okanye i-CT scans) ukuze ahlole uhlobo lokwaphuka, indawo, kunye nobukhulu. Ucwangciso lwangaphambi kokuhlinzwa lubandakanya ukugqiba ubungakanani obufanelekileyo kunye nokuma kwe-LC-DCP iplate kunye nokucwangcisa isikhundla se-screws.I-Anesthesia: Isigulane siya kufumana i-anesthesia, enokuthi ibe yi-anesthesia jikelele okanye i-anesthesia yengingqi, kuxhomekeke kukhetho logqirha kunye nesigulane. Ubude kunye nokubekwa kwe-incision ye-incision kuxhomekeke kwipatheni ethile yokuphuka kunye nokukhethwa kogqirha. Oku kunceda ukubuyisela i-anatomy eqhelekileyo kunye nokukhuthaza ukuphulukiswa okufanelekileyo.Ukulungiswa kwethambo: Uluhlu lwangaphandle lwethambo (periosteum) lunokususwa ukuze luveze ithambo. Umphezulu wethambo uyacocwa kwaye ulungiswe ukuqinisekisa uqhagamshelwano olufanelekileyo kunye ne-LC-DCP plate.Plate. I-plate ilandela i-curvature yendalo ye-femur kwaye ihambelana ne-axis yethambo. Ipleyiti ibekwe kusetyenziswa izixhobo ezikhethekileyo kwaye igxininiswe kwithambo okwethutyana ngeengcingo zesikhokelo okanye iingcingo zaseKirschner.Ukubekwa kweScrew: Emva kokuba ipleyiti ibekwe kakuhle, izikrufu zifakwa kwipleyiti nakwithambo. Ezi zikrufu zihlala zibekwe kwi-configuration evaliweyo, enika uzinzo kwaye inceda ukukhuthaza ukuphilisa. Inombolo kunye nesikhundla se-screws sinokuhluka ngokuxhomekeka kwipatheni ethile yokuphuka kunye nokukhethwa kogqirha.Umfanekiso we-Intraoperative: I-X-rays okanye i-fluoroscopy ingasetyenziselwa ngexesha lenkqubo yokuqinisekisa ukulungelelaniswa okufanelekileyo kokuphuka, indawo yeplate, kunye nokubekwa kwe-screws.Ukuvalwa kwenxeba: Ukuqhawulwa kuvaliwe ngokusebenzisa i-sutures okanye i-staples yokugqoka, kunye ne-staples yokunyamekela kwi-staples. imeko yesigulane kunye nokukhetha kogqirha, isigulane sinokudinga ukusebenzisa iintonga okanye umntu ohambahambayo ukuze kube lula ukuhamba kunye nokuthwala ubunzima. Unyango lomzimba lunokucetyiswa ukuba luncede ekubuyiseleni nasekubuyiseleni amandla kunye nokuhamba emlenzeni ochaphazelekayo.Kubalulekile ukuba uqaphele ukuba ubuchule botyando kunye namanyathelo athile angahluka ngokuxhomekeka kumava ogqirha, imeko yesigulane, kunye nomzekelo othile wokuphuka. Olu lwazi lunika inkcazo jikelele yenkqubo, kodwa ukubonisana nogqirha wamathambo oqeqeshiweyo kubalulekile ekuqondeni okucacileyo kolu tyando.