Cov Phaj Siv Feem Ntau Hauv Kev Raug Mob Orthopedics Yog Dab Tsi?

Ob rab riam phom khawv koob ntawm kev raug mob orthopedics, phaj thiab intramedullary ntsia hlau. Phaj kuj yog cov khoom siv kho sab hauv uas siv ntau tshaj plaws, tab sis muaj ntau hom phaj. Txawm hais tias lawv yog ib daim hlau, lawv siv tuaj yeem suav hais tias yog Avalokitesvara ib txhiab caj npab, uas tsis tuaj yeem kwv yees tau. Koj puas paub tag nrho cov no?

1. Tesion Band Tension Band

Lub phaj puas yog ib txoj hlua khi?

Thaum cov txheej txheem ntawm qee cov pob txha raug hloov mus rau qhov kho eccentric, lub phaj hlau yog qhov nruj nreem, xws li lub femur, thiab lub phaj hlau yuav tsum tau muab tso rau ntawm sab nruj.

2. Hom Kev Sib Nqus 

Lub phaj siab yog nqa tawm los ntawm kev ntsia hlau lub hau rau hauv lub qhov rooj nqes hav, uas yog raws li lub hauv paus ntsiab lus ntawm kev swb kheej kheej.

Txawm li cas los xij, qhov siab yuav ua rau qhov siab ntawm lub phaj thiab pob txha loj dhau, thiab qee zaum cuam tshuam rau kev kho pob txha. Yog li ntawd, lub phaj nias tsawg nrog qhov sib cuag tau tsim, uas yog qhov peb feem ntau hu ua LCP.

Yog tias koj xav kom muaj kev nias, thaum koj tho qhov, koj yuav tsum tau ua tib zoo saib xyuas qhov tseeb tias qhov kev tho qhov yuav tsum nyob ze rau sab ntawm lub qhov tseem ceeb (sab saud), thiab kev tho qhov hauv nruab nrab yuav tsis muaj qhov cuam tshuam ntawm kev nias rau qhov kawg uas tawg (hauv qab). Qhov cuam tshuam tsuas yog tuaj yeem nce ntxiv li ntawm 1 hli xwb.

1. Xauv phaj  

Lub phaj xauv, uas yog, lub hau ntswj thiab lub phaj tau ua ke ua ib daim ntawv xauv. Feem ntau lub qhov xauv thiab lub qhov siab tau ua ke, tab sis lub luag haujlwm ntawm ob qho no txawv kiag li.

Cov ntsia hlau xauv tuaj yeem ua rau lub zog kho sab hauv zoo dua, thiab lawv qhov kev tiv thaiv rub tawm zoo dua, tshwj xeeb tshaj yog cov ntsia hlau xauv lub kaum sab xis, qhov tseem ceeb tshaj plaws yog lub phaj xauv proximal humeral philos.

1. Hom Kev Ua Kom Tsis Muaj Kev Cuam Tshuam 

Lub phaj neutralization tsis tsim kev nias rau ntawm qhov kawg ntawm qhov tawg, tab sis tsuas yog qhov txuas ntawm qhov kawg ntawm qhov tawg. Vim tias qhov kawg ntawm qhov tawg yog nias los ntawm cov ntsia hlau lag, tab sis lub zog ntawm cov ntsia hlau lag tiv thaiv kev khoov, kev tig, thiab kev txiav yog txwv, yog li xav tau lub phaj hlau rau kev pab.

Hauv cov hlau phaj neutralized, lub zog tseem ceeb yog lub hau ntswj lag. Thaum cov kab tawg loj dua thiab ntev dua, 2-3 lub hau ntswj lag tuaj yeem siv los rub perpendicular rau cov kab tawg, thiab tom qab ntawd pab nrog kev kho phaj neutralization.

Cov phaj neutralization feem ntau yog siv rau kev kho ntawm lub lateral malleolus thiab clavicle.

1. Phaj Buttress 

Yuav siv cov buttress li cas hauv kev kho pob txha? Feem ntau, daim ntawv thov yog rau cov pob txha tawg tiv thaiv cov zog shear, muab tso rau hauv kev taw qhia ntawm kev txav mus los. Lub phaj hlau txhawb nqa tsis tas yuav tuab heev piv rau cov phaj hlau uas muaj siab, thiab nws tsis tas yuav tsum tau ntim nrog cov ntsia hlau.

Lub phaj hlau yuav tsum tau khoov ua ntej, ntsia cov ntsia hlau cortical ib zaug los ntawm deb mus rau ze, thiab siv cov ntsia hlau cortical los txuas lub phaj hlau. Vim nws qhov elastic recoil, lub phaj hlau muaj feem yuav rov qab khoov, thiab lub zog no yog siv los ua lub luag haujlwm buttress.

1. Phaj Tiv Thaiv Kev Sib Tsoo  

Tom qab kho cov hlau phaj, tiv thaiv kom tsis txhob muaj qhov tawg ntawm qhov txav mus rau sab nraud raws li lub zog ntev. Feem ntau siv rau hauv qhov kawg ntawm lub fibula.

1. Span Plating lossis Choj Plating 

Qhov no yog ib qho hloov kho ntawm lub phaj neutralization, tsom rau qhov tawg ntawm lub cadre, los ntawm kev saib xyuas fluoroscopy, lub phaj hla thaj chaw tawg thiab kho qhov kawg ntawm qhov tawg, thiab thaj chaw tawg tsis kho.

Hom thev naus laus zis no feem ntau hais txog kev sib dhos, kev sib dhos, qhov ntev, thiab kev tig. Kev sib tsoo nruab nrab tuaj yeem ua tiav yam tsis muaj kev kho mob, uas tuaj yeem tiv thaiv cov ntshav ntawm qhov kawg ntawm qhov tawg. Txawm li cas los xij, nws yuav tsum tau sau tseg tias lub phaj hlau yuav tsum muaj qhov ntev txaus, thiab tus lej ntawm cov ntsia hlau ntawm ob qho kawg kuj yuav tsum txaus. . Tam sim no, qee qhov pob txha tsis sib koom ua ke feem ntau tshwm sim, uas yuav tsum tau kho nrog kev ceev faj.