Tūhurahia ā mātou Whao Tibial Intramedullary

He aha i hiahiatia ai te pokanga o ngā whao tibial?
Tibial IntramedullaryWhaokoia tonu te maimoatanga pai mō ngā whati o te tibial steal kāore i te pumau, kua nekehia hoki i roto i ngā pakeke. Ko ngā whāinga o te maimoatanga pokanga he whakahoki i te roa, te tūnga tika, me te hurihanga o te tibia me te whakatutuki i te whakaora whati. Ko ngā painga oIte pokapū o rotoNe mate anatae atu ki te iti o te whara pokanga me te tiaki tika i te rere o te toto ki te whati. Hei tāpiri,Tohunga Whao Tibialwhakarato i te pumau o ngā whati koiora-ā-tinana, ā, hei taputapu tohatoha kawenga, e āhei ai te nekeneke wawe i muri i te pokanga. Nā ngā whanaketanga o te hoahoa whao intramedullary me ngā tikanga whakaiti kua whakawhānui ake i ngā tohu mō te whakapiringa whao intramedullary, tae atu ki ngā whati tibial proximal me ngā whati o te hautoru waenga me te hautoru tawhiti o te tibia.

Whao I roto i te Medullary

He aha ngā crainaangā tonoo te Whakatō Whao Tibial?
Ngā whati pumau o te 1/3 o waenganui o te tibia: ngā whati whakawhiti, ngā whati poto whakarara, te pseudarthrosis.Ngā whati kore pumau i roto i te 60% o te roa o waenganui o te tibial: ngā whati tata ki te metaphysis, ngā whati porowhita roa, ngā whati wāhanga, ngā whati kopikopiko, ngā whati me ngā hapa wheua.

He aha ngā wāhanga matua o tētahite pūnaha whao o roto o te tibial?
I te nuinga o te wāWhao TibialKo te pūnaha he whao tibial, he pūtu raka me te taupoki pito.
Ko te pūnaha whakapiri tuaiwi ā-roto he mea tito mai i tētahi tīwiri, he tīwiri whakatū, he tokotoko hononga, me te hononga whakawhiti.

He aha ngā painga o tā mātou Whao Honohono?
Ngā Whao Orthopedic
Ko te kōtaha o raro i te pito tata
Kōhao kōpeketanga tuaka ka taea te whakahaere
Ko te tawhiti pēhanga mōrahi he 7mm
He hoahoa piko-ā-ringa 9º mō te ngāwari o te whakauru i ngā whao

Whao Tibial

Ngā kōwhiringa raka tata maha:
E toru ngā kōwhiringa raka auaha, me ngā tīwiri raka wheua whakakorekore, ka whakapiki i te pumau o te kongakonga proximal mō ngā whati tuatoru proximal.
E rua ngā kōwhiringa raka waenga-taha hou e āhei ai te pēhanga tuatahi, te whakakaha tuarua rānei.

Pūmau Maukati

Taupoki Mutunga
Ka ārai te taupoki pito i te tipu o te kiko, ā, ka āwhina i te tango i ngā whao
Ka noho te taupoki pito 0mm ki te whao. Ka whakaroahia te teitei o te whao e ngā taupoki pito 5mm me te 10mm mēnā he rite te whao.kua tāpirihia rawatia
Kua whakapūmautia
He kōhao raka-ā-unoa mō te ngāwari o te tango i te taupoki pito me te ngāwari o te whakauru
Pūmau Maukati

Pūmau Maukati
Ngā tīwiri maukati wheua whakakorekore:
E tohuhia ana mō ngā kōwhiringa raka e toru mō ngā diameter whao tibial katoa
He hoahoa matua rua mō te hoko pai ake i roto i te wheua cancellous
Unicortical
Ngā roa: 40 mm–75 mm 

Ngā tīwiri raka paerewa:
He nui ake te wāhanga whakawhiti hei whakapai ake i te ātete miihini
Φ4.0 mm mō ngā whao tibial Φ8.0 mm me Φ9.0 mm, roa: 28 mm–58 mm
Φ5.0 mm mō ngā whao tibial Φ10.0 mm, roa: 28 mm–68 mm
Wiri Maukati

 


Wā tuku: Hakihea-04-2025