Mbale Yopondereza Yokhotakhota ya Femoral Shaft Locking

Njira yochitira opaleshoni ya curved femoral shaft locking compression plate (LC-DCP) nthawi zambiri imakhala ndi izi: Kukonzekera opaleshoni isanakwane: Dokotala adzawunikanso mbiri yachipatala ya wodwalayo, kuchita kafukufuku wa thupi, ndikuwunikanso maphunziro ojambulira (monga X-ray kapena CT scans) kuti awone mtundu wa kusweka, malo, ndi kuopsa kwake. Kukonzekera opaleshoni isanakwane kumaphatikizapo kudziwa kukula ndi mawonekedwe oyenera a LC-DCP plate ndikukonza malo a zomangira. Anesthesia: Wodwalayo adzalandira anesthesia, yomwe ingakhale anesthesia wamba kapena anesthesia yachigawo, kutengera zomwe dokotala wa opaleshoni ndi wodwalayo amakonda. Incision: Kudula opaleshoni kumapangidwa m'mbali mwa ntchafu kuti afike ku femoral shaft yosweka. Kutalika ndi malo odulira kumadalira mawonekedwe enieni a kusweka ndi zomwe dokotala wa opaleshoni amakonda. Kuchepetsa: Malekezero a fupa losweka amasinthidwa (kuchepetsedwa) kukhala pamalo awo oyenera pogwiritsa ntchito zida zapadera monga ma clamp kapena mafupa. Izi zimathandiza kubwezeretsa kapangidwe kabwino ka thupi ndikulimbikitsa kuchira koyenera. Kukonzekera fupa: Gawo lakunja la fupa (periosteum) lingachotsedwe kuti liwonetse pamwamba pa fupa. Kenako pamwamba pa fupa limatsukidwa ndikukonzekera kuti zitsimikizire kuti mbale ya LC-DCP yalumikizana bwino. Kuyika mbale: Mbale ya LC-DCP yopindika ya femoral shaft imayikidwa mosamala pamwamba pa mbali ya shaft ya femoral. Mbaleyi imatsatira kupindika kwachilengedwe kwa femur ndipo imalumikizidwa ndi mzere wa fupa. Mbaleyi imayikidwa pogwiritsa ntchito zida zapadera ndikumangiriridwa ku fupa kwakanthawi ndi mawaya otsogolera kapena mawaya a Kirschner. Kuyika screw: Mbaleyi ikayikidwa bwino, screw imayikidwa kudzera mu mbaleyo ndikulowa m'fupa. Zomangira izi nthawi zambiri zimayikidwa mu mawonekedwe otsekedwa, omwe amapereka kukhazikika komanso kumathandiza kuchiritsa. Chiwerengero ndi malo a zomangira zimatha kusiyana malinga ndi momwe zimakhalira zomangira komanso zomwe dokotala wa opaleshoni amakonda. Kujambula pa opaleshoni: X-ray kapena fluoroscopy zingagwiritsidwe ntchito panthawi ya opaleshoni kuti zitsimikizire kuti chomangiracho chili bwino, malo a mbale, ndi malo a zomangirazo. Kutseka kwa bala: Chomangiracho chimatsekedwa pogwiritsa ntchito suture kapena staples, ndipo chovala chopanda banga chimayikidwa pabala. Chisamaliro cha pambuyo pa opaleshoni: Kutengera ndi momwe wodwalayo alili komanso zomwe dokotala wa opaleshoni amakonda, wodwalayo angafunike kugwiritsa ntchito ndodo kapena choyendera kuti azitha kuyenda bwino komanso kunyamula zolemera. Chithandizo cha thupi chingalimbikitsidwe kuti chithandize kubwezeretsa ndikubwezeretsa mphamvu ndi kuyenda kwa mwendo wokhudzidwa. Ndikofunikira kudziwa kuti njira yochitira opaleshoni ndi njira zinazake zimatha kusiyana malinga ndi zomwe dokotala wa opaleshoniyo adakumana nazo, momwe wodwalayo alili, komanso momwe chomangiracho chidaswekera. Izi zikupereka chithunzithunzi cha njira yonse, koma kufunsa dokotala wa mafupa wodziwa bwino ntchito ndikofunikira kuti mumvetsetse bwino opaleshoniyo.