Ipleyiti yokuNxibelela yeFemoral egobileyo yokuTshixa

Inkqubo yotyando lwe-femoral shaft yokutshixa ipleyiti egobileyo (LC-DCP) ibandakanya la manyathelo alandelayo: Ucwangciso lwangaphambi kotyando: Ugqirha wotyando uya kuphonononga imbali yempilo yesigulana, enze uviwo lomzimba, aze ajonge kwakhona izifundo zokucinga (ezifana neeX-reyi okanye CT scans) ukuvavanya uhlobo lokuqhekeka, indawo, kunye nobukhulu.Ukucwangciswa kwangaphambi kokuhlinzwa kubandakanya ukugqiba ubungakanani obufanelekileyo kunye nokuma kwe-LC-DCP ipleyiti kunye nokucwangcisa indawo ye-screws.I-Anesthesia: Isigulane siya kufumana i-anesthesia, enokuthi ibe yi-anesthesia jikelele okanye i-anesthesia yengingqi, kuxhomekeke kwisigqibo sogqirha kunye nesigulane. Uqhaqho lotyando lwenziwa ecaleni kwethanga ukufikelela kwishaft ye-femoral eyaphukileyo.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.Inani kunye nendawo yezikhonkwane inokwahluka ngokuxhomekeke kwipatheni ethile yokuphuka kunye nokukhethwa ngugqirha.I-Intraoperative imaging: I-X-rays okanye i-fluoroscopy ingasetyenziselwa ngexesha lenkqubo ukuqinisekisa ukulungelelaniswa okufanelekileyo kokuphuka, indawo yepleyiti, kunye nokubekwa. i-screws. Ukuvalwa kwenxeba: I-incision ivaliwe ngokusebenzisa i-sutures okanye i-staples, kwaye isambatho esiyinyumba sisetyenziswa kwisilonda. Ukunyamekela emva kokuhlinzwa: Ngokuxhomekeke kwimeko yesigulane kunye nokukhetha kogqirha, isigulane sinokudinga ukusebenzisa iintonga okanye umntu ohambahambayo ukuya. lula ukuhamba kunye nokuthwala ubunzima.Unyango lomzimba lunokucetyiswa ukuba luncede ekubuyiseleni nasekubuyiseleni amandla kunye nokuhamba emlenzeni ochaphazelekayo.Kubalulekile ukuba uqaphele ukuba ubuchule bokuhlinzwa kunye namanyathelo athile anokuhluka 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.