I-osteosynthesis ye-femur yinkqubo lapho kuhlanganiswa khona izingcezu zethambo. Inikeza ukulungiswa okuqinile kweziqephu ezihlangene, baze baqoqe ngokugcwele. Le ndlela yokwelapha ingaphakathi, uma izilonda ezihlukahlukene zisetshenziselwa ngaphakathi komzimba wesiguli, nangaphandle, lapho kusetshenziselwa khona izixhobo zokucindezela ukucindezela kwangaphandle.
Izinkomba ze-osteosynthesis ye-femur
I-osteosynthesis ye-femur yi-pin yangaphakathi noma idivayisi yokucindezela iboniswa lapho:
- ama-fracture angeke ahlanganiswe ngaphandle kokugxila kokusebenza kwama-debris;
- ama-fractures ahlotshaniswa nomonakalo emkhunjini noma emthonjeni we-trunk noma ehambisana nokukhonjiswa kwezicubu ezithambile;
- ama-fractures, lapho kunengozi yokukhishwa kwesikhumba ngendwangu yethambo.
Izinhlobo ze-osteosynthesis ye-femur
Izinhlobo eziyinhloko ze-osteosynthesis ye-femur yilezi:
- I-intramedullary osteosynthesis ye-femur yindlela yokwelashwa lapho izikhonkwane ezinokuvinjelwa ezihlonyelwe khona ekupheleni. Ngalesi izimbobo, izikhonkwane zifakwa ngethambo elimele futhi zilungiswe iziqephu. Inzuzo yale ndlela yinkathazo yayo ephansi, kanye nokukwazi ukulayisha isilonda esigulayo ezinsukwini ezimbalwa ngemva kokufakwa kwazo.
- I-bone osteosynthesis - yenziwa ngosizo lwamacwecwe obukhulu obuhlukahlukene. Benza izimbobo lapho zixhunywe khona nge-bone screws. Ukuphumelela kwamuva emkhakheni walendlela yokwelashwa yizibhebhe ezinezinyathelo ezingenangqondo kanye ne-polyaxial. Ngaphandle kokucubungula esibukweni, banamathele ekhanda elibhekene ne-screw nasemigodini. Ngenxa yalokhu, ngemuva kokusebenza kwe-osteosynthesis ye-femur, asikho isimo lapho ipuleti izoguqa khona.
- I-osteosynthesis ngamadivaysi okulungisa wangaphandle - ngokusebenzisa amathambo, izinduku noma ama-opharethi, aphethwe ngaphezu kwesikhumba. Banikeza ukulungiswa okuhle kwezingcezu zethambo, nokuvuselelwa emva kwalolu hlobo lwe-osteosynthesis le-femur lidlula ngokushesha futhi lingenabuhlungu.