5 talo oo loogu talagalay hagaajinta ciddiyaha ciddiyaha

Labada sadar ee gabaygu "jarjar oo dejiya hagaajinta gudaha, oo loo xiray xalaal gudaha ah, oo si tartiib ah u muujinaya" si xun uga tarjumaysa aragtida dhakhaatiirta qalliinka orthopedic ee ku saabsan jabinta jajabka caloosha. Ilaa maantadan, wali waa arin fikradeed in boorarka saxanka ama ciddiyaha farta ku haysa. Iyadoo aan loo eegin oo si sax ah ugu fiican indhaha Ilaah, maanta waxaan sameyneynaa dulmar guud oo ku saabsan tallowga qalliinka ee ku saabsan silsiladaha fobis fog.

Ka hortagga "taayirrada firaaqada" set

In kasta oo diyaarinta joogtada ahi aysan muhiim ahayn, waxaa lagula talinayaa in la yeesho xaashiyo firaaqeed iyo taaric haddii ay dhacdo xayndaab aan la fileynin (tusaale, qalad jabsan oo ka hortagaya jajabka iyo waxyaabaha kacsan, iwm.)

4-ta saldhig ee dib-u-habeynta guul

Sababta oo ah anatomity-ka oblique of foifial metaphysis, jeexinta fudud ayaa laga yaabaa inaysan had iyo jeer keenin dhimis guul leh. Qodobbada soo socdaa waxay gacan ka geysan doontaa hagaajinta heerka guusha ee dib u soo celinta:

1. Qaado othopopomamka ka hortagga ah ama intraporopatomaramka lugaha caafimaad qaba si loo barbar dhigo oo loo go'aamiyo heerka jajabka jajabinta ee dhinaca ay dhibaatadu ka dhacday.

2. Isticmaal booska jilibka ee jilicsanaanta jilibka si aad u fududeyso meelaynta ciddiyaha iyo forooscopy

3. Adeegso dib-u-soo-noqoshada si aad u ilaaliso addimada meesha iyo dhererka

4. Ka fogaanshaha Schanz oo ku saabsan masaafada fog iyo wakiilka tibia si loo caawiyo yareynta jabka.

7 Faahfaahinta dhimista gacan ka gaysata iyo is-xakamaynta

1. Meesha ku rid Hagaha Pin si sax ah tabiyada fog ee dusheeda adoo adeegsanaya aalad caawimaad ku habboon ama ka hor-laabashada caarada biinga hagaha ka hor meelaynta.

2. U adeegso koronto-bixinno dib-u-dhac ah oo lagu ridayo si aad u dhigto ciddiyaha muqaadka ee ku yaal jabka wareega iyo jabka (Jaantuska 1)

3. U adeegso saxan adag oo aad ku dhejisid hagaajinta monocortical (saxanka loo yaqaan 'tabular') oo yareynta furan si aad u ilaaliso dhimista illaa iyo inta ciddiyaha lagu galiyay

4. Qabsashada ciribtirka ciddiyaha ee ugu dhexeysa ee loo adeegsado xirmooyinka si loo saxo ceelka iyo kanaalka si loo wanaajiyo guusha meelaynta ciddiyaha cidiyaha gudaha ah (Jaantus 2)

5. Waxay kuxirantahay nooca jabka, go'aan ka gaadho in loo isticmaalo boolal hagaajinta iyo hagaajinta ku-meelgaarka ah ee Schnee ama biinanka kirschner.

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7. Hagaaji Fiblaula-ka Marka ka dib tibiia kiiska haraaga isku-darka jabka si loo fududeeyo dib-u-habeynta taban

Jaantuska 1 percutent Weber Squension aragtiyada oblique (tirooyinka a iyo b) waxay soo jeedinayaan jaban oo jilicsan oo jilicsan oo si tartiib tartiib ah u hayaan

Jaantus 2 Isticmaalka jajabinta xargaha Sawir. C)
6 dhibcood oo loogu talagalay hagaajinta gudaha

1. Haddii lafaha fog ee jabka uu yahay mid si ku filan, ciddiyaha ku dhex jira ayaa lagu hagaajin karaa iyadoo lagu soo bandhigi karo 4 boolal ah xagal badan
2. U adeegso ciddiyaha murgacashada ee u oggolaanaya boolalka la galiyay si ay u gudbaan oo samee qaab dhismeedka qufulka oo leh xasillooni ku jirta xasilloonida.
3. U isticmaal boolal qaro weyn, boolal badan, iyo diyaarado badan oo meelaynta shaashadda si aad u qaybiso boogaha u dhexeeya dhammaadka folcal iyo dhamaadkii burburka ee jabka cidiyaha gudaha ah.
4. Haddii ciddiyaha tooska ah la saaro si aad u fogaato si hagaha loo yaqaan 'pre-bentware' ay ka hortagto ballaarinta taranka fog, ka dibna hagitaan aan horay loo sii-bixin ama meelaha aan fogayn karin ayaa la isticmaali karaa.
5. Hayso ciddiyaha iyo saxanka ilaa jabku, ilaa uu cidhiidhka xayiraadu ka hortagayso ciddiyaha tooska ah ee ku faafaya lafta ama saxanka isku-dhafka ah ee uu waxyeelo u geysto unugyada jilicsan.
6. Haddii ciddiyaha gudaha ah iyo boolalku aysan bixin dhimis iyo hagaajin ku filan, saxan oo ku filan ama shaashad ayaa lagu dari karaa si loo kordhiyo xasilloonida ciddiyaha gudaha ah.

Xasuusin

In ka badan 1/3 jabka tiribia ee fog ayaa ku lug leh wadajirka. Gaar ahaan, jabka jidka fogaanka fog, jabka suufka ah, ama jahwareerka is-xidho ee is-xidho waa in loo baaro jajabka mihil-micular. Haddii ay sidaas tahay, jabka-jajabinta ee farshaxanka ah ayaa loo baahan yahay in si gooni ah loogu maareeyo ka hor meelaynta ciddiyaha gudaha ah.