Leg ukwa kule ndawo hip. Inkcazelo emfutshane ye umonakalo

Leg ukwa kule ngingqi femoral uba ALS kakuhle kwimeko Ukumiswa yokuqala ngamaqhekeza yethambo okanye kukumiselwa zokutsalwa kwimithwalo.

Kuxhomekeka indawo, ahluka:

- ukuzilimaza edge eliphezulu;

- ukwaphuka le diaphysis;

- ukwaphuka le metaepiphysis distal okanye proximal.

izilonda yakutshanje luphawulwa ubunzima obuthile kwindlela unyango. Abafumana loku limala ngenxa yokuwa phezulu kakhulu. Strike ngoxa iwela ngqo kwi kwisiza trochanter enkulu, ukumqumbisa umlenze eyaphukileyo.

Iimpawu njengoko intlungu entlanganweni womlenze, isigulana kunzima siyakrazula moya tyaba isithende. Ngaphezu koko, lo mlenze esezantsi sinciphile kwaye zijikeleziswe kancinci ngaphandle. Kulo mzekelo, i trochanter omkhulu trauma offset ingaphezulu kwe umgca-Roselle Nelatona. ukubana degree Ukuphuculwa ngamaqhekeza bone kunye nohlobo ngokwaphulwa lwenziwa yi iimviwo radiology.

Le medial (wesibeleko) ukwenzakala yifemur kunye nentloko epifizelioz ezinxulumene umonakalo intra-articular. umothuko lateral i sisilonda esidumbileyoesingaphakathi periarticular, kodwa kwezinye iimeko kukho kwii-ezinjengokwaphuka moya ka kwisisu ehlangeneyo.

Leg ukwa ku femoral entanyeni kunye nentloko trauma epiphysiolysis kungabikho lisisiqalo ibandakanya immobilization elide kwi ibhasi ngamashishini okanye isamente le umbhinqo kwindawo zangasese lwenziwe kwi ujikeleziso ngaphakathi kunye esokuqala. ixesha Immobilization uvela iinyanga ezimbini ukuya kwezintathu, kulandele (iinyanga ezine okanye ezintandathu) nokukhutshwa.

A nomlenze kwi amathambo hip kunye ukubana amaqhekeza bone kubandakanya ukusetyenziswa imoto skeletal njengoko amanyathelo zonyango.

I ingxaki iqhelekileyo ukuyilwa necrosis avascular intloko femoral. Kwimeko yokusilela yamanyathelo angqingqwa unyango umlenze ngokwaphulwa kubandakanya yotyando.

ukwa ekwanti yezizathu ukuba - ukwenzakala xa ukuwa ukubetha, ibekwe kummandla ka trochanter ngakumbi ithambo lethanga. Le umonakalo luphawulwa ziintlungu encinane Ngokucofa kunye nentshukumo, kwakunye iindumbisa esibuhlungu yasekuhlaleni. Ngokuqhelekileyo, a ngokwaphulwa umlenze loo sikhatshwa kophulwa minor umsebenzi.

Njengoko immobilization unyango emiselweyo umhlabelo, udaka iiveki ezintathu ukuya kwisine.

Yokulimala zixhaphakileyo ye yifemur ziquka zaphuka diaphyseal. Ukonakala eyendayo wesithathu phakathi ezinokubangelwa trauma ngqo okanye ngqo. Ngokuqhelekileyo, oku kwenzeka xa umlenze eyaphukileyo ukuwa ukusuka kumphakamo okanye imidlalo mobile.

Xa sijonga umgangatho umonakalo diaphyseal mahluko ephantsi phezulu, kwakunye yesithathu phakathi yokwenzakala. Ngokuhambelana kunye ngokuxhomekeke, ezinqamlezayo, yamophula elibhalwe ngokumileyo comminuted kunye helical.

Ubukhulu becala offset iziqwenga bone ezinxulumene ne iqondo amandla isicelo, inqanaba umonakalo, kwakunye kunciphiso amaqela izihlunu efanelekileyo.

Bone ukwa yifemur proximally kubuyiswe amaqhekeza indawo ebonakala, ujikelezo bangaphandle flexion ngenxa iliopsoas kuphungulwe gluteus. Ukubana-ngqangi distal yenziwa ngasemva, izibilini phezulu.

Ukwaphuka lwesithathu ophakathi luphawulwa ngokunxulumene enye efanayo kobutyobo. Ngaloo ndlela konke konke ukutenxa anteriorly kwaye isimangalo of Isiqwengana proximal ingaphantsi ngokukhawuleza xa amathuba ukubana ebonakalayo ubude Isiqwengana distal kunye posteriorly.

unyango Efanelekileyo yifemur yokwenzakala inika Fusion ngaphandle kunciphisa.

Ekupheleni umthwalo ixesha imobilizatsionnogo phezu kwesebe kuvunyelwa ngaphambi ngaphezu iiveki ezimbini okanye ezintathu. recovery Accelerated kunceda ukusebenzisa leebhate ezifudumeleyo kunye ukuyifundisa.