Indlela i-Bone Broken Bone Bone ifunyanwa ngayo kwaye ilandelwa
I-femur, eyaziwa nangokuthi ithambo lethanga, linye lamathambo amakhulu kunawo onke anamandla kunomzimba osuka kwi-joint hip yonke indlela eya emadolweni . Ngenxa yokuba inamandla, idinga amandla amaninzi ukuwaphula.
Xa kuthethwa oko, iimeko ezithile zonyango zingenza buthathaka ithambo kwaye lenze kube nzima nakwephuka. Ezi ziquka i- osteoporosis , i-tumors, intsholongwane, kunye nemithi ethile ye- bisphosphonate esetyenziselwa unyango lwe-osteoporosis.
Ukuqhawulwa kwezi ntlobo kubhekiswe njengama- pathologic fractures fractures .
Iingqimba ze-Femur zihlukana ngokubanzi kwiindidi ezintathu ezibanzi:
I-Proximal Femur Fractures
Ukuqhaqhaqhaqhaqhaqhaqa kweesifazana , okanye i-hip fractures, kubandakanye isahlulo esiphambili sethanga lesthanga esondele kufuphi ne-hip joint. Ezi ziqhekeza ziyahlukana ngakumbi kwiindidi ezahlukeneyo:
- Iintsimbi zeentamo zentombi zenzeke xa ibhola yomxube webhola kunye ne-socket iphukile phezulu kwintombi.
- I-intertrochanteric hip fractures yenzeka nje ngaphantsi kwentamo yesifazane kwaye ilungiswa ngokulula ngaphezu kweentsimbi zeentamo zentsimbi.
- Ukungafihleki kwepelvic kwenzeka kwi-bonevic pelvic kunokuba i-femour ngokwayo kwaye iyakwazi ukunyangwa ngaphandle kokuhlinzwa.
I-Shaoral Fraction
Ukuqhaqhazela kwe-shaft ye-femoral yingozi kakhulu eyenziwa ngenxa yesigxina se-car speed okanye ukuwa kwephakamileyo.
Unyango luphantse ludinga ukuhlinzwa.
Inkqubo eqhelekileyo ibandakanya ukungeniswa kwipolisi yensimbi (eyaziwa njenge- intramedullary rod ) phakathi kwethambo lesithambo. Oku kunceda ukubuyisela kwakhona iziphelo zombini ezikhuselekile ngeeskrini ezingasentla nangaphantsi kweqhekeza. Intonga ye-intramedullary ngokuhlala ihlala kwithambo kodwa ingasuswa xa ibangela intlungu okanye ezinye iingxaki.
Inkqubo engacwangciswanga ibandakanya ukusetyenziswa kwamacwecwe kunye nezikriti ukukhusela ukuphuka okuqhutyelwa ngokufanelekileyo ngumbonisi wangaphandle . I-fixator, ehlala ngaphandle komlenze kodwa engena esikhwameni ukuzinzisa izigqeba zethambo, iqinisekisa ukuba i-femur ingenasiphelo ngokupheleleyo kwaye ikwazi ukuphilisa.
Supracondylar Femur Fractures
Ukuqhaqhaqhaqhaqhaqhaqhaqa kwesibhakabhaka kungumonakalo ongaqhelekanga owenzeka ngasentla nje kwedolo. Ezi ziqhekeza zidla ngokubandakanya ubuso begoloti kunye nezona ziqhelekileyo kubonakala kubantu abane-osteoporosis enamandla okanye abo baye bafumana ukuguqulwa kwamadolo .
I-contracturlar femer break is a problematic condition njengoko inokunyusa umngcipheko wokuphucula i- knee arthritis kamva ebomini.
Ukunyangwa kwesifo se-femour fracture sitshintsha kakhulu kwaye kunokubandakanya ukuphosa okanye ukukhangela, ukulungiswa kwangaphandle, intonga ye-intramedullary, okanye ukusetyenziswa kwamacwecwe kunye neentloko.
Unyango
Ukuphulwa kwesifazana kuhlale kuthathwa njengongxamiseko lwezonyango olufuna ukuvavanywa kwangoko kunye nonyango esibhedlele. Unyango luxhomeke kakhulu kwiindawo zokuphulwa kunye nomzekelo kunye nobukhulu bekhefu.
Ngokubalulekayo kukuba imeko yezempilo yomntu ngamnye, kubandakanywa amandla kunye nokuxinwa kwethambo elichaphazelekayo.
I-tomography (CT) kunye ne -imagination magnetic resonance (MRI) i- scans isindlela ezimbini eziqhelekileyo zokuvavanya oku.
> Umthombo:
> Von Keudell, A .; Shoji, K .; Nasr, M. et al. Izinketho zokwelapha kwi-Distal Femur Fractures. J Ortho Trauma. 2016; 30: S25-27. INGXELO: 10.1097 / BOT.0000000000000621.