Nhọrọ nke ebe ntinye maka Intramedullary nke Tibial Fractures

Nhọrọ nke ntinye ntinye maka Intramedullary of Tibial Fractures bụ otu n'ime isi ihe na-aga nke ọma nke ọgwụgwọ ịwa ahụ.Ebe ntinye na-adịghị mma maka Intramedullary, ma ọ bụ na suprapatellar ma ọ bụ ụzọ infrapatellar, nwere ike ịkpata nkwụsị nke repositioning, nrụrụ angular nke njedebe mgbawa, na mmerụ ahụ na akụkụ dị mkpa nke ikpere gburugburu ebe ntinye.

A ga-akọwa akụkụ 3 nke ebe ntinye ntu intramedullary tibial.

Kedu ihe bụ isi ntinye ntu intramedullary tibial?

Kedu ihe mmetụta nke ntu intramedullary tibial gbapụrụ?

Kedu otu esi ekpebi ebe ntinye ziri ezi n'ime ime?

I. Gịnị bụ ọkọlọtọ ebe ntinye makaTibialIntramedullary?

Ọnọdụ orthotopic dị na nkwụsị nke axis axis nke tibia na tibial plateau, akụkụ etiti nke akụkụ intercondylar spine nke tibia, na ebe dị n'akụkụ dị n'akụkụ mmiri dị n'etiti ala tibial plateau na njem njem tibial. mpaghara.

Oke mpaghara nchekwa na ebe ntinye

22.9 ± 8.9mm, ebe enwere ike ịtinye agịga ahụ n'emebighị ọkpụkpụ nkwụsị nke ACL na anụ ahụ meniscus.

II.Gịnị bụ mmetụta nke onye gbapụrụ icheTibialIntramedullary Naga?

Dabere na nso nso, n'etiti, na Distal Tibial Fractures, ọkpụkpụ tibial nke dị nso nwere mmetụta kachasị pụta ìhè, ọkpụkpụ tibial dị n'etiti nwere mmetụta kachasị nta, na njedebe dị anya na-ejikọta ya na ọnọdụ na nhazigharị nke ntu intramedullary Distal.

# Ọkpụkpụ Tibial dị nso

# Ọkpụkpụ Tibial etiti

Ebe ntinye na-enwe mmetụta dị nta na nchụpụ, ma ọ ka mma itinye ntu site na ọkọlọtọ ọkọlọtọ.

# Ọkpụkpụ Tibial Distal

A na-achọ ebe ntinye ka ọ bụrụ otu ihe mgbaji dị nso, na ọnọdụ nke ntu intramedullary distal ka ọ dị mkpa ka ọ dị na ortholaterally n'etiti etiti fornix distal.

Ⅲ.How iji chọpụta ma ebe ntinye agịga ọ bụ eziokwu intraoperatively?

Anyị chọrọ fluoroscopy iji chọpụta ma ebe ntinye agịga ziri ezi.Ọ dị ezigbo mkpa ka ị were orthopantomogram ọkọlọtọ nke ikpere n'ime ime, yabụ kedu ka esi were ya?

Ọkọlọtọ orthopantomogram-ahịrị ahịrị isi fibular

A na-eme axis axis nke ortho-x-ray kwụ ọtọ, a na-emekwa ahịrị dị n'akụkụ akụkụ nke tibial plateau, nke kwesịrị bisect isi fibular na ortho-x-ray.Ọ bụrụ na enwetara otu x-ray dị otú ahụ, ọ na-egosi na a ewere ya nke ọma.

Ọ bụrụ na ortho-slice abụghị ọkọlọtọ, dịka ọmụmaatụ, ọ bụrụ na a na-enye ntu ahụ site na nri nri ọkọlọtọ, mgbe a na-ewere ọnọdụ ntụgharị dị n'èzí, ọ ga-egosi na ebe nri ahụ dị n'èzí, na ntugharị n'ime ime ga-egosi na. Ebe nri dị n'ime, nke n'aka nke ya ga-emetụta ikpe ịwa ahụ.

N'elu x-ray ọkọlọtọ dị n'akụkụ ọkọlọtọ, oghere nke etiti na mpụta femoral condyles na-adaba n'ụzọ dị ukwuu na etiti na akuku tibial plateau na-adaba nke ukwuu, na n'akụkụ anya, ebe ntinye dị na mmiri dị n'etiti ala dị larịị na tibial stem.

IV.Nchịkọta ọdịnaya

Ọkọlọtọ ọnụ ụzọ ntinye ntu intramedullary tibial dị n'usoro n'akụkụ etiti nke mpụta intercondylar spain nke tibia na n'akụkụ n'akụkụ mmiri dị n'etiti ala ala tibial na mpaghara ọpụpụ tibia.

Mpaghara nchekwa na ebe ntinye dị ntakịrị, naanị 22.9 ± 8.9 mm, na agịga nwere ike ịtinye na mpaghara a n'emebighị ọkpụkpụ ọkpụkpụ nke ACL na anụ ahụ meniscal.

Ekwesịrị iwere ọkọlọtọ intraoperative orthopantomographs na redio mpụta nke ikpere, nke bụ isi ihe iji chọpụta ma ebe ntinye agịga ziri ezi ma ọ bụ na ọ bụghị.