Kev xaiv qhov chaw nkag rau Intramedullary ntawm Tibial Fractures

Kev xaiv qhov chaw nkag rau Intramedullary of Tibial Fractures yog ib qho ntawm cov kauj ruam tseem ceeb hauv kev ua tiav ntawm kev phais mob. Qhov chaw nkag tsis zoo rau Intramedullary, txawm tias nyob rau hauv suprapatellar lossis infrapatellar txoj hauv kev, yuav ua rau poob ntawm kev hloov chaw, lub kaum sab xis ntawm qhov kawg ntawm pob txha tawg, thiab raug mob rau cov qauv tseem ceeb ntawm lub hauv caug nyob ib puag ncig qhov chaw nkag.

Yuav piav qhia txog 3 yam ntawm qhov ntxig rau ntawm tus ntiv tes tibial intramedullary.

Qhov chaw ntxig rau tus ntiv tes hauv tibial intramedullary yog dab tsi?

Cov teebmeem ntawm tus ntsia hlau intramedullary uas deviated tibial yog dab tsi?

Yuav txiav txim siab qhov chaw nkag mus rau hauv lub cev li cas thaum lub sijhawm phais?

I. Qhov chaw nkag mus rau tus qauv yog dab tsi?TibialIntramedullary?

Qhov chaw orthotopic nyob ntawm qhov kev sib tshuam ntawm lub tshuab axis ntawm tibia thiab tibial plateau, ntug medial ntawm lateral intercondylar spine ntawm tibia, thiab qhov chaw lateral nyob ntawm qhov dej ntawm tibial plateau thiab tibial stem migration zone.

Thaj chaw nyab xeeb ntawm qhov nkag

22.9 ± 8.9 hli, nyob rau hauv thaj chaw uas lub koob txhaj tshuaj tuaj yeem ntxig yam tsis ua rau lub pob txha ntawm ACL thiab cov ntaub so ntswg meniscus puas tsuaj.

II. Cov teebmeem ntawm kev hloov pauv yog dab tsi?TibialIntramedullary Npuas yog?

Nyob ntawm seb qhov proximal, nruab nrab, thiab Distal Tibial Fractures, qhov proximal tibial fractures muaj qhov cuam tshuam tshaj plaws, qhov nruab nrab tibial fractures muaj qhov cuam tshuam tsawg tshaj plaws, thiab qhov kawg distal feem ntau yog cuam tshuam nrog qhov chaw thiab kev hloov chaw ntawm Distal intramedullary nail.

# Kev tawg ntawm cov pob txha tibial proximal

# Pob Txha Nruab Nrab Tibial

Qhov nkag tsis muaj feem cuam tshuam rau kev hloov chaw, tab sis nws yog qhov zoo tshaj plaws los ntxig tus ntsia hlau los ntawm qhov nkag ib txwm muaj.

# Kev tawg ntawm cov pob txha caj qaum Distal Tibial

Qhov nkag yuav tsum zoo ib yam li qhov tawg proximal, thiab qhov chaw ntawm tus ntsia hlau distal intramedullary yuav tsum nyob ortholateral ntawm qhov nruab nrab ntawm distal fornix.

III. HYuav ua li cas thiaj paub seb qhov nkag ntawm koob txhaj tshuaj puas yog qhov tseeb thaum lub sijhawm phais?

Peb xav tau kev kuaj fluoroscopy kom paub tseeb tias qhov koob nkag mus rau hauv lub hauv caug puas yog. Nws yog ib qho tseem ceeb heev uas yuav tsum tau thaij duab orthopantomogram ntawm lub hauv caug thaum lub sijhawm phais, yog li yuav tsum ua li cas?

Tus qauv orthopantomogram-kab sib luag ntawm lub taub hau fibular

Lub axis ntawm ortho-x-ray yog ua ib txoj kab ncaj, thiab ib txoj kab sib luag ntawm lub axis yog ua ntawm ntug sab ntawm tibial plateau, uas yuav tsum faib lub taub hau fibular ntawm ortho-x-ray. Yog tias tau txais ib qho x-ray zoo li no, nws ua pov thawj tias raug coj mus.

Yog tias daim ortho-slice tsis yog tus qauv, piv txwv li, yog tias tus ntsia hlau raug pub los ntawm qhov chaw pub tus qauv, thaum tig sab nraud, nws yuav qhia tias qhov chaw pub yog sab nraud, thiab qhov chaw tig sab hauv yuav qhia tias qhov chaw pub yog sab hauv, uas yuav cuam tshuam rau kev txiav txim siab phais.

Ntawm daim duab xoo hluav taws xob sab nraud, cov pob txha caj qaum sab hauv thiab sab nraud feem ntau sib tshooj thiab cov pob txha caj qaum sab hauv thiab sab nraud feem ntau sib tshooj, thiab ntawm qhov pom sab nraud, qhov nkag mus rau hauv dej ntawm cov pob txha caj qaum thiab cov pob txha tibial.

IV. Cov Ntsiab Lus Qhia Txog

Qhov chaw nkag ntawm tus ntiv tes intramedullary tibial nyob rau ntawm ntug medial ntawm tus txha caj qaum intercondylar ntawm tibia thiab sab nraud ntawm qhov dej ntawm tibial plateau thiab thaj chaw tsiv teb tsaws chaw ntawm tibial stem.

Thaj chaw nyab xeeb ntawm qhov nkag yog me heev, tsuas yog 22.9 ± 8.9 hli xwb, thiab lub koob txhaj tshuaj tuaj yeem ntxig rau hauv thaj chaw no yam tsis ua rau lub pob txha ntawm ACL thiab cov ntaub so ntswg meniscal puas tsuaj.

Yuav tsum tau thaij cov duab orthopantomographs thiab cov duab xoo hluav taws xob sab nraud ntawm lub hauv caug thaum lub sijhawm phais, uas yog qhov tseem ceeb los txiav txim siab seb qhov koob nkag puas yog lossis tsis yog.