Zomangira zomangira zam'madzi zakhala chimodzi mwazinthu zosunthika komanso zofunikira kwambiri pakukonza maopaleshoni amakono a mafupa. Zopangidwa ndi ngalande yapakati yopanda dzenje yomwe imalola kuyika pawaya wolozera, zomangira izi zimathandiza kuyika bwino, kukhazikika bwino, ndi njira zopangira maopaleshoni ochepa.
Kuthekera kwawo popereka kupsinjika komwe kumayendetsedwa pamizere yosweka kumawapangitsa kukhala abwino kuyang'anira zophulika m'malo osalimba kapena osalimba, makamaka m'chiuno, akakolo, ndi mafupa ang'onoang'ono a dzanja ndi phazi. Nkhaniyi ikuwunikiranso ntchito zazikulu zachipatala za zomangira zomangika zam'chitini ndikuwunikira momwe zimasinthira zotulukapo za opaleshoni m'magawo osiyanasiyana a thupi.
Opaleshoni ya M'chiuno: Kukonzekera Kokhazikika kwa Nkhata Zachikazi Zophwanyika
Kuphulika kwa khosi lachikazi-kawirikawiri pakati pa okalamba ndi odwala omwe ali ndi mphamvu zowonongeka-amafunikira kukhazikika kodalirika kwa mkati kuti abwezeretse kuyenda ndi kuteteza mavuto monga nonunion kapena avascular necrosis.Zomangira zomangira za cannulatedndi njira yokhazikika chifukwa cha kulondola kwambiri komanso njira yolowera pang'ono.
Zachipatala Chitsanzo:
Wodwala wazaka 65 wosweka khosi lachikazi losasunthika adachepetsedwa ndikukhazikika mkati ndi zomangira zitatu zofananira za cannulated. Motsogozedwa ndi mawaya a K, zomangirazo zidayikidwa mukusintha kwa makona atatu kuti apititse patsogolo kukhazikika kwa biomechanical. Ma X-ray a postoperative adawonetsa kulumikizana kwabwino kwambiri komanso kusungika kwakanthawi. Pamasabata a 12, wodwalayo adawonetsa mphamvu zolemetsa ndi mgwirizano wolimba wa radiographic.
Chifukwa Chake Amagwira Ntchito Bwino Pamafupa a Hip:
Kuyika mothandizidwa ndi Guidewire kumawonetsetsa kuti screw trajectory yolondola.
Kuponderezedwa koyendetsedwa kumapangitsa kukhazikika koyambirira komanso machiritso a mafupa.
Njira yowononga pang'ono imachepetsa kuvulala kwa minofu yofewa ndikufulumizitsa kuchira.
Masinthidwe a screw angapo amawonjezera kukhazikika kozungulira komanso kwa axial.
Opaleshoni ya Ankle: Kukonzekera kwa Malleolar ndi Talar Fractures
Kuvuta kwa minyewa ya akakolo ndi zolemetsa zimafunikira ma implants okhazikika omwe amapereka kuponderezana kolimba ndikusunga kukhazikika pansi pa kupsinjika kwamakina. Zomangira zomangika zam'madzi zimagwiritsidwa ntchito kwambiri pakuphwanya kwapakati kwa malleolus, lateral malleolus avulsion fractures, komanso kuvulala kwa thupi kapena khosi.
Zachipatala Chitsanzo:
Wothamanga wina wazaka 30 anathyoka pakati pa malleolus atavulala pamasewera. Madokotala adachepetsa kuthyokako ndikuyika zomangira ziwiri zomangika pang'ono kuti zitheke kupanikizana pamalo ophwanyika. Njira yowongoleredwa idachepetsa kusokonezeka kwa minofu yofewa-makamaka kofunika kwambiri kuzungulira bondo, komwe mitsempha ya mitsempha imakhala yowuma. Wodwalayo adabwerera ku maphunziro mkati mwa miyezi inayi, mothandizidwa ndi kukhazikika kokhazikika komanso kulimbikitsana koyambirira.
Ubwino mu Ankle Region:
Zabwino kwa tizidutswa tating'ono, oblique, kapena zovuta kuzipeza.
Kuponderezana kumalimbikitsa kuphatikizika kofulumira kwa mafupa a cancellous.
Kuchepetsa kukula kwake kumachepetsa chiopsezo cha zovuta zapambuyo pa opaleshoni.
Zimagwirizana ndi njira zina zokonzera (mwachitsanzo, zopangira mbale) zosweka zovuta.
Kukonzekera Kwamafupa Ang'onoang'ono: Kuthyoka kwa Dzanja, Dzanja, ndi Mapazi
Mafupa ang'onoang'ono amafuna zida zolimba zomwe zimapereka bata popanda kuchulukirachulukira. Zomangira zomangika zam'madzi - zomwe nthawi zambiri zimapezeka m'madiameter ang'onoang'ono-ndizoyenera kwa scaphoid fractures, metacarpal fractures, ndi proximal phalanx kuvulala, komanso kuthyoka kwa phazi, monga navicular ndi five metatarsal.
Zachipatala Chitsanzo:
Wodwala wazaka 22 wothyoka m'chiuno wa scaphoid adapangidwa ndi percutaneous fixation pogwiritsa ntchito phula lopanda mutu. Chomangiracho chinapereka kukanikizana kosalekeza pachothyokacho, kupangitsa kuti dzanja liyambe kuyenda. Pamasabata asanu ndi atatu, ma CT scans amatsimikizira kuti fupa likugwirizana, ndipo wodwalayo anayambanso kuchita zinthu zachibadwa popanda kuumirira.
Chifukwa Chake Amagwira Ntchito Bwino M'mafupa Ang'onoang'ono:
Mapangidwe a screw opanda mutu amachotsa kutchuka kwa hardware ndi kupsa mtima.
Kuyika bwino kumateteza minyewa yozungulira komanso malo olumikizana.
Kupanikizana kosalekeza kumawonjezera mgwirizano m'mafupa omwe ali ndi magazi ochepa (mwachitsanzo, scaphoid).
Njira zowononga pang'ono zimachepetsa mabala ndi nthawi yochira.
Ubwino Waukadaulo Kuyendetsa Zotsatira Zabwino Za Opaleshoni
Kudutsa zigawo zosiyanasiyana za anatomical, zomangira zomangika zam'madzi zimagawana zabwino zingapo zaukadaulo zomwe zimawapangitsa kuti azikondedwa ndi maopaleshoni a mafupa:
Kuyika Kwapamwamba:
Kuyika kwa guidewire-based kumachepetsa chiopsezo cha kusalongosoka.
Kuponderezana Kokhazikika:
Mapangidwe ang'onoang'ono kapena opanda mutu amapereka kuponderezedwa kwapakati pamagulu kofunikira kuti machiritso azikhala okhazikika.
Kusinthasintha mu Njira:
Oyenera maopaleshoni otsegula komanso ocheperako pang'ono.
Kuchepetsa Kuvulala Kwa Opaleshoni:
Kudulira kwazing'ono kumapangitsa kuti nthawi yogwira ntchito ikhale yochepa komanso kukonzanso msanga.
Mphamvu Zachilengedwe:
Amapangidwa kuti athe kupirira katundu wozungulira komanso wa axial, ngakhale m'malo olemera ngati chiuno ndi akakolo.
Mapeto:
Zomangira zomangika zam'madzi zimagwira ntchito yofunika kwambiri pakuwongolera kuthyoka kwa mafupa, kupereka zolondola, zokhazikika, komanso zopindulitsa pang'ono pazachipatala zosiyanasiyana. Kaya amagwiritsidwa ntchito pothyoka khosi lachikazi, kuvulala kwa malleolar, kapena kukonza mafupa ang'onoang'ono m'manja ndi kumapazi, zomangirazi nthawi zonse zimapititsa patsogolo zotsatira za odwala komanso machiritso. Kusinthika kwawo kumachitidwe osiyanasiyana amtundu wa anatomical ndi kusweka kwawo kumawapangitsa kukhala gawo lofunika kwambiri la machitidwe amakono a mafupa.
Nthawi yotumiza: Nov-27-2025