5 Udzọ ntinye akwụkwọ na usoro a na-ahụ maka ịwa ahụ!

Ụkpụrụ bụ isi nke ị na-emegharị

1. Akụkọ banyere ị na-eme

N'afọ 1910, a na-eji Aluminom Aluminom Intramikpurury a na-eji emegharị femorores.

N'afọ 1913, Schone ji ọlaọcha mee ihe na-eme ihe mgbochi. 

Kingsscher (1900-1972) mere nnukwu onyinye gaa na ndozi ntu. 

1960s na 1970 bụ oge mmepe nke mbọ ike. 

Obodo m anọwo na-eji ha buru ibu kemgbe 1990s.

2. Mepee mbepu na mbelata

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2. Oge na-emeghe oge ịgwọ ọrịa dị ogologo, ọbara na-agba ọbara dị iche iche, ma meghee mbelata na-emebi ọbara maka njedebe ọbara.

3. A na-atụ aro ka iji mbelata emechiri anya dịka o kwere mee. Enwere ike iji traịlị na-ebubata ya, ma ọ bụ obere nsị na ụgbọ elu na-acha ọbara ọbara na-eme ka ọ bụrụ nke ọma ma belata ya, si otú a na-esite na-eweta ọbara.

4. Maka ọdịda mepere emepe, iberibe ọkpụkpụ ma ọ bụ na-akpọ anụ ahụ gbara ya gburugburu, na nnukwu iberibe mmiri na-apụ apụ, enwere ike iji mbelata.

3. Usoro ndozi nke ntu

1. Ofzọ nke interfaulturery ntu nke ime ụlọ bụ usoro dị mkpa na mpaghara mpaghara.

2. Ndozi nke ngbanwe site na ntu na-emebi emebi bụ idozi-arụ ọrụ, ọ bụghị ndozi nchekasị, nke na-eme ka ọ dị mma na-arụ ọrụ.

3. Central mmezi bụ ihe dị elu karịa idozi ndozi mpụga, nke nwere ike belata ike aka, belata nsogbu nke Valgus Angulation na ọdịda.

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4.Mata na-idtamerary na-eme

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2. Gbasaa nke ọma

3. Nzizi siri ike

4. Ọzụzụ ọrụ na-arụ ọrụ na-arụ ọrụ

5. Ibu ibu mbu

6. Enwere ike iji ya na njikọta na ndozi ndị ọzọ

Ụdị dị iche iche na usoro

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4. Mepee ma mepee usoro mmezi

Na-abanye na na-enweghị njikọ

A na-etinye ntu na-adịghị mma na ike dị ala, mana ha nwere ike na-agbake ma nwee ike ịgbakee, na-ebute obere ohere intrabone.

Interlock na-eme ihe mgbochi na-eme ka ndị na-emegide ya dị mma na-egbochi nsogbu na mgbochi na mgbochi, nkwụsị mma dị mma, ma kwekọọ n'ụkpụrụ nke nduzi. A na-eji ha na-ejikarị ha na-egbu egbu. Karịsịa maka ọtụtụ akụkụ na fractated fractages, ha nwere nkwụsi ike karịa mbọ ndị nkịtị.

Drumation nke ndozi static

Static mkpọchi na-eme ka mbọ na-enweghị atụ na-eweta obere masking ma na-abụkarị nke na-achọkarị ime ihe na-anaghị eme mmemme.

Maka frisk nke na-agwọbeghị na ọnwa isii ruo ọnwa 8 na-eziga mkpụrụ osisi ma ọ bụ nnọchi nke mbọ na-eme ka a na-ejikarị ike.

Enwere ike iji ya mee ihe dị ka ụzọ isi kwalite ọgwụgwọ na-adịghị mma. Ọ bụghị atụ aro ya n'ihi na ọ nwere ike ibute obere nrụrụ ukwu na nrụrụ ntụgharị.

Marrow Mgbasa na Ntanetịghị Agbata Na-abụghị

Racsation na-agbasa nwere ike itinye ntu na ike nke nwere nnukwu dayameta, nke na-enyere gị aka na ọzụzụ arụmọrụ ma belata ọnụego mbọ gbajiri agbaji.

Aateow na-agbasa nwere ike iwepụta nnukwu ọrịa irighiri ihe na osteondintive mmetụta, nke na-enyere aka ịgwọ ọrịa.

Racsation na-eme ka ọbara na-emebi arịa ọbara na-eri nri ma na-emechi emechi, ma arịa ọbara nwere ike ịmaliteghachi na oghere nke mbọ. Aateow na-agbasa nwekwara ike ịdị na-abawanye ọbara na akwara anụ ahụ gbara ya gburugburu, si otú a na-akwalite ọgwụgwọ na-egbu egbu.

Marrow na-agbasawanye na-abawanye ohere ọrịa na embolism, ma ga-eji nlezianya mee ka ọ dị mma maka fractures mepere emepe, ọtụtụ mmerụ ahụ, mmerụ ahụ siri ike.

Uru nke mgbasa nke medilary

Mgbe mgbasawanye methulary, mpaghara kọntaktị n'etiti ntu ntu na ọkpụkpụ na-abawanye, nke na-eme ka nkwụsi ike nke ndozi. 

Mgbe mgbasa ọgwụ methulary, e nwere ike iji ya dị ukwuu, nke na-eme ka ike nke intermullary ntu ma belata ọnụego mbọ gbajiri agbaji. 

Mpempe ihe eji eme ihe mgbe mgbasa mmiri metulary nwere ike ime ka ọ bụrụ ọkpụkpụ ọhụrụ, nke na-eme ka ịgwọ ọrịa.

Tụnyere Extranion Mgbasa Ozi Imedemulary Nails, na-enweghị ike na-enweghị atụ nwere uru ndị na-esonụ

Oge dị mkpụmkpụ na ọbara ọgbụgba. 

Nnoputa na-enweghị mgbochi na ọbara ọgbụgba na-aga n'ihu na mmerụ ahụ dị nro.

Ngwa ntu

Ntuli ala mechiri emechi

Ngosipụta maka mbọ omenala

Ihe ndị na-egosi maka njikọta ihu ọchị na-emegharị anya na ọgwụgwọ ụmụ nwoke na-eme mkpọtụ, na-emebi emebi, ọtụtụ mmerụ ahụ, ihe mgbochi.

Onu ogugu enwere ike idozi ya site na 2cm n'okpuru isi humeral 4cm n'elu nke Olecranon Fossa. Can nwere ike ịhọrọ idozi ya site na ubu na-eme ihe mgbochi egwere ma ọ bụ site na mkpali na-retrograde.

Njirimara nke mbọ

Usoro ndozi ịwa ahụ maka oghere nkuku na-acha uhie uhie bụ ndozi ube na ndozi ntu.

Nzizi plate nwere ike ịgbagharị na mgbochi na-egbochi ma na-edozi ya, mana ịwa ahụ na-awa ahụ, nke puru omume na-emebi akwara radial na-emebi ngwa ngwa.

A na-enwekarị mgbochi nke ime ihe na-enweghị atụ, na-akụda mmụọ dị iche iche, na a na-ekesa ya dị obere, na mgbatị ahụ na-egosi n'oge, na mmega ahụ nwere ike bidoro mgbe ịwa ahụ.

Na Femoral Interlock Intermulasry ntu

Ngosipụta maka inhival Nails

Ofdị fractures niile dị n'okpuru traktonec vertebra na ihe karịrị 9cm site na nkwonkwo ikpere.

Akụkụ ochie nke akụkụ nke etiti.

Ndị ọrịa nwere ndozi nke na-emebi emebi.

Njirimara nke na-abanye ntu

Uru nke ọma

Ike ogwe aka nke etiti ntu na-eme ka ọ dị ogologo karịa ịhazigharị efere dị ogologo karịa nke akwa ígwè, a na-ekesakwa ike na etiti ọkpụkpụ niile, nke adịghị mfe na-ada na ndagwurugwu.

Na na-akpọchi na nsọtụ abụọ nke ntu na-eme ka ọkpụkpụ na-eme ka ọ bụrụ ọkpụkpụ na-eme ka ọ dị na mbata, na-egbochi mkpụmkpụ na nkwụsi ike na nkwụsi ike maka ndozi.

Gamma Inclock Intermulasry ntu

Ngosi nke Gamal

Adara na ụdị dị iche iche nke peritrofierricricricricricricricricricricricricricricricricricric.

Ntughari nke Gamma (Ntughari Ntughari)

Nnukwu subtrochntier fractageric, trakrantecrieric tinyere akwa akwa.

Uru nke na niil gamma

Mepụtara site na ijikọ ụkwụ na-agagharị na teknụzụ na-eme ihe na-atọ ụtọ, ya mere, isi na-eme ka ọ dị nkọ na-eme ka ọ bụrụ nke na-eme ka ọ bụrụ nke na-eme ka ọ bụrụ nke na-ahụ n'anya. N'ihi na ọgbụgba ojii na-agagharị na usoro egwuri egwu na-ezere mkpa ọfụma, ya mere, ọ bara uru maka nrụgharị ikuku na-enweghị mmerụ.

Retrograde na-atọ ụtọ na-eme egwuregwu

Ngosipụta nke Retrograp mbọ

Nke kachasị eji maka femperar fressar, gụnyere supracyylar na-emekọ ihe ọkụ na intercondyylar 't ' na-eme egwuregwu na-emetụta elu elu.

Enwere ike iji ya mee ihe maka ụmụ nwanyị n'okpuru Isthmus nke Femen.

Shop Cameral, Supecondylar Femoral, na intercandylar frackres dị na 20cm site na nkwonkwo ikpere.

Ndị na-emebi ndozi.

Njirimara nke nzọputa ube

Supracylar Fracration bụ ihe siri ike na nsogbu na mbụ, mbelata na ndozi nke abụọ, siri ike. Enwere nnukwu nsogbu nke nsogbu dị ka mmerụ ahụ na-abụghị njikọ na oge na-egbu oge.

Nchịkwa na-emegharị emegharị na-eme ka ihe ndị a na-ahụkarị bụ ihe a na-ejikarị emegharị emegharị na-adịbeghị anya, nke nwere ezigbo ọrụ nkwụsi ike nke njedebe nke njedebe, ma na-enyere aka na mmegharị njikọ.

Supracylar jikọtara ndị na-eme egwuregwu na-edochi anya na-edozi isi na-emegharị anya, nke na-edozi nsogbu ahụ siri ike iji dozie ya site na itinye nsogbu nke mgbede. Ihe eji eme ihe di nfe iji rụọ ọrụ, kwụ ọtọ na ọnọdụ, ntụkwasị obi na ndozi, yana onye ọrịa nwere ike ịrụ ọrụ ikpere na-arụ ọrụ n'oge ịwa ahụ.

Akwara na-agagharị

Ngosipụta maka nkpuchi

Fracrations stera na etiti 1/3 nke tibia: traktị na-ebugharị ihe mgbochi, mkpụmkpụ ọpụpụ, pseudathrosis.

Ọkpụkpụ na-enweghị atụ n'ime 60% nke ogologo oge nke etiti TBA: Ọkpụkpụ dị n'akụkụ metaphy, ogologo gburugburu, na-efe efe, na-arịa ọrịa na-arịa ọrịa.

Njirimara nke nkpuchi

A na-ejikarị ntụ na-abanye na-emegharị tibia nke tibia nke na-ejikarị ya maka etiti ọgba aghara.

Ọ bụ ezie na enwere ike iji ya mee ihe maka ọgba aghara na mpaghara TIBA dị egwu, ọnụego mgbaasị ahụ dị elu, Marinion na-emegharị na 1/2 nke ikpe, yana 1/4 nke ndozi ahụ dara.

Mkwukwo a na-akọ ihe ga-eme ka njọ karịa ọgba aghara karịa ọgba aghara na-eme ka mmezigharị nke fibula.

Usoro ịwa ahụ

Nkwadebe nke ngwa agha

Akwa orthopedic (akwa traction) ma ọ bụ akwa flumcopicalcopic curway; retractor; Onyonyo.

Nhọrọ ziri ezi nke ntu na-enweghị atụ maka ogologo endophosheses

Ofufe

Ogologo oge nke ukwu

Ntinye ntu na myrail

Obosara X-ray Isthmus

Interlood-ntu ogologo

ITRUTUTUTUTUTUTUTUTUTUTUTUTUTUTUTUTION CHINETRIRIRION CRAMS

Akụkụ nke ọkpọ na-apụta n'ọkpụkpụ ahụ dị na etiti nke ahụ Ray; Onye na-achị achị ahụ bụ diaphysis.

2.Lerd na-egosi na akara ngosi

Femor: Isi nke trocanter → akụkụ ikpere ma ọ bụ oghere patella ma ọ bụ patella dị elu; TIBA: Oghere ikpere na-ahụ anya → ihu ọma → ihu nke nkwonkwo nkwonkwo ụkwụ na-eme mkpọtụ.

Ntinye uche na MURAEDEDE - Ntinye usoro

Axis nke oghere nke oghere na eriri

Ọ Dịzi Mkpa Nke Ntinye Aka

Ogologo kwesịrị ekwesị: dikwa - ogologo; Enweghi ike - mkpụmkpụ

(Nkwenye na-ezighi ezi nke ntinye; ọnweghị pulp didition, enweghị nchebe anụ ahụ chọrọ)

Peellel Femoralm Intermallatary Nail

Nkwadebe nke ntinye aka maka egwuregwu nke na-eme egwuregwu

Hip flexoon na mgbakwunye

Ogologo oge dị anya na trocater

Adịghị oke anya

Ntinye nke Nduzi Ntuziaka

Na-edobe ọta dị nro

Retrograde nke ụmụ nwanyị na-abanye

30 Celsion Knoneon

Ogologo okwu nke ntuziaka ndu n'otu nduzi ka oghere nke na-eme ka ememme nke nwanyị

Ntinye nke Kirschner Pin n'ime freler lighter site na pattallel ligament site na uwe aka na-echebe: orthogonal - n'etiti etiti nwatakịrị ahụ; Latchel - ahịrị Blumentaat

Mmalite nke pcl na-enweghị mmerụ ahụ

Myiri na tibial

Na etiti etiti oghere metọrọ

Oke nke na-acha uhie uhie dị larịị

Dị elu dị ka o kwere mee na-enweghị imebilata ala

Kacha mma ikpere

Nkpuchi na-agbagharị na-agba ọsọ patella na patella n'akụkụ oghere

Mepee oghere ncheta: Pin Ntuziaka na 15 Celsius ruo n'ụgbọ elu nke ogologo

Ọnọdụ nke ihe onyonyo

A na-eme usoro ịkpụ

Eleda anya eletrik

Ọhụrụ

Mbelata akwụkwọ ntuziaka

Old gbara ya gburugburu

Ọ dịghị njem na onu oriri

Mgbasa obara bu ezigbo loid

Ntughari usoro

Yiri femeral inmerary

Ihe kpatara ihe isi ike na-eweghachi frockal

Ihe mkpuchi anụ ahụ dị nro na-eme ka ọ ghara ikwe ka otu ọkpụkpụ

Enweghị ike ịhụ ụzọ ntinye akwụkwọ

HIP nkwonkwo → iliac fatilia esemokwu

Mbelata mgbatị ahụ

Mgbaputa

Na -agakarị na mfe iji palpte

Kwụsị mgbaze - etiti ma ọ bụ daalụ na ụdị

Oblique na-efe efe - nke ọma

Nooningn Iilting → Mgbapu ozi Ngwaọrụ

Usoro mgbochi Aclallary

Prepy Reacher Purpps

tibia; na-eji ya ma ọ bụ ọnya

Nnukwu ndị nwe ala (braces)

mbelata oge. Nchikota aka

Sknonz schanz

① Femor, tibia

② Dị ka ọ dị nso na ahịrị mgbakọ dị ka o kwere mee

③ Njedebe ohuru

④ue zuru ezu na mbara igwe

Ntu polrer

①metipyseal Fracration (na-agbazi akara nke ike, na-eme ka iweghachi ya, weghachi ọrụ)

② ② briscle nke na-enweghị isi ike ma ọ bụ Femor (Seear Nchegbu →

③ Nke a na-etinye ntu na-emetụta ya na-abanye na ọwa mmegharị uche ochie n'oge ịwa ahụ

④ Na-ezighi ezi nke ntinye, Ntinye Mmegharị na-ezighi ezi (ịghasa na-etinye ihe mgbochi na-enweghị ike nke nsọtụ)

Ọzọ More

① TIBIA

② gbakwunye site na traction ma ọ bụ retractor

Jiri nlezianya na-akpachara anya na mmerụ ahụ dị nro

④ Debe ya obere

⑤ machibidoro mgbasa ozi medullary na steeti na-agwụ ike

Ntuziaka na-ezochi usoro

Uru

mfe nke mkpịsị aka, mkpakọ nke ezumike mgbapụta; mkpochapu nke nkewa; Nrụpụta mbelata.

Usoro mbelata na ịwa ahụ na-egbu oge

Nsogbu nwere ike izute na ịwa ahụ na-egbu oge

Mmebi nrụrụ (mkpụmkpụ, angulation)

Uto na anụ ahụ granulation

Ọkpụkpụ mbido

Sclerosis nke agbaji na mmechi nke oghere na-emeghe

Osteoporosis

Nsogbu nwere ike itinye uche

Ngbanwe nke ebubo na-aghọbu na ntu na-enịm → Info in intramedry ntu site na cortex

Nrụrụ Ọkpụkpụ → Retractor

Nkwekọrịta nke eriri afọ

Ụzọ iji gbochie ahịrị ndị na-adịghị mma

Proximal - isi okwu ziri ezi

Dalaral - ntu na-enweghị isi na etiti nke oghere metọrọ

Mgbanwe nke Inwe Iche Inwe Iche Iche

★ Nsogbu

★ Ihe mgbochi akwara

★ ọgwụgwọ gbagọrọ agbagọ nke frescres

★ Ọkpụkpụ ọgwụ

Ntugharị mpụga, torsoon, Valgus, ntụgharị nke ime, angulation

★ Nkwonkwo nkwonkwo

★ abụba embolism

★ hestotopic ossific

★ Embolism

★ repracture

★ thrombosis

★ Nkwonkwo ukwu

★ Njirimara na-enweghị mmerụ, ọkpụkpụ ọkpụkpụ

★ Ime ndozi dị n'ime

★ Aka aka

★ Ndị ọzọ

Mgbara - Ọrịa

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2.The e nwere ike ibute ọrịa na-efe efe na mbara igwe na-adabere na ọnọdụ nke mmerụ ahụ na mmerụ ahụ dị nro

Ọnọdụ nke ibute ọrịa mgbe emepere emepe na ọnọdụ mmerụ ahụ na-emerụ ahụ na mmerụ ahụ yana ụdị nke a na-ejikwa anụ ahụ dị nro.

3.N'iredmụnna Intermerary nails na-abawanye ohere ibute ọrịa; Nchịkwa ntu na-abụghị ndị na-abụghị ndị na-adịghị mma

Ibelata mkpuchi na-abụghị nke na-abụghị nke na-adịghị mma, nke nwere microscopic ngagharị nke ngwụcha nke ọkpụkpụ yana ọ dị mfe maka nje.

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Ọrịa Ebilis

1.The evensive nke ọnya afọ nke eriri afọ bụ 0,5% ruo 2%.

2. Mgbabawanye nke medulla na mgbasa nke nduhie enweghị mmetụta dị mkpa na ikuku ikuku.

3. Kedu ka ịgbasawanye medulla, usoro a kwesịrị iji nwayọ nwayọ, na-ezere oke ike na ọrụ siri ike.

4.Na nyocha dị ugbu a na-agbagha usoro Gurd na 1974, na ọgwụgwọ ahụ mgbe ọ chọpụtara ga-egbu oge kacha mma maka ọgwụgwọ ma nwee ike ibute ya.

Na-egbu oge ịgwọ ọrịa na ọkpụkpụ

Ihe dị iche iche na-emetụta ọgwụgwọ na-emerụ awa mgbe mmezi ntu, ma enwere ike nyocha ya dịka ndị na-akpata ya.

1.Soft anụ ahụ agbakwunyere na njedebe

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3. Oge okenye nke onye ọrịa

4. Open Fracration, mmerụ ahụ anụ ahụ dị oke njọ, oke momodialysis mpaghara ma ọ bụ ọrịa.

5. Ọdịmma ntu na-adịghị mma

6. Chịkọtara ọrịa shuga mellitus ma ọ bụ ọrịa ndị ọzọ na-enweghị atụ.

Ọkpụkpụ ọgwụ

Ọkpụkpụ ọgwụ na-akpata ọgwụ na-akpatakarị ọnya sekọndrị nke na-ezighi ezi site na ndozi ntu na-adịghị mma.

A ga-akwụ ụgwọ intraoperaid na

1. Nhọrọ nke ezighi ezi nke ntinye ntinye aka nwere ike ibute uzo.

2. Emebila ike na mgbasawanye nke medulla.

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Mgbu na nkwonkwo agbataobi

1. Ighapu ntu na-etinye uche na-emetụta anụ ahụ dị nro na ọbụna eriri nkwonkwo na gburugburu ọ dịkarịa ala 1 nkwonkwo.

2. Ndị ọrụ ngaji na-ejikọ ọnụ na ihu nke mediscia site na ngagharị na-agagharị ma na-etolite ebe nchekwa dị ka ihe dị ka ebe a na-atụgharị uche. Ọ bụrụ na ntinye ntu dị nso na elu ma ọ bụ dayameta nke mbọ ime inmeraliry buru oke ibu, ọ nwere ike ibute ihe owuwu nke intra - na-ebute mgbu ikpere.

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