Umlenze ukwa endaweni hip. Incazelo emfushane umonakalo

Umlenze ukwa esifundeni femoral has a Izibikezelo evumayo esimweni ekuhleleni kabusha ekuqaleni we izinsalela noma ukunqunywa traction.

Kuye indawo, ababonakali ngezikhundla:

- ukulimala onqenqemeni engenhla;

- ukwa we diaphysis;

- ukwa we metaepiphysis distal noma proximal.

izilonda kwakamuva zinezikhathi nobunzima ezithile ekwelashweni. Ukubona laba ukulimala ngenxa yokuwa usuka phezulu kakhulu. Isiteleka ngenkathi kusayithi we trochanter enkulu ewela ngqo, ingqondo ophuke umlenze.

Izimpawu njengoba ubuhlungu joint hip, isiguli kunzima zokudonsa kude indiza ovundlile esithendeni. Ngaphezu kwalokho, esitho engezansi sinciphile kancane ijikelezwe phandle. Kulokhu, lo trochanter enkulu e ukuhlukumezeka offset ingaphezu kwe-line-Roselle Nelatona. Intuthuko degree displacement izinsalela kanye nesimo ukwa wenziwa luhlolo radiology.

I medial (wesibeletho) ukulimala of kunawo wonke futhi ikhanda epifizelioz ezihlobene umonakalo naphakathi-articular. ukuhlukumezeka Lateral kuyinto lesion periarticular, kodwa kwezinye izimo kukhona Ukungena indiza ukwaphuka we umgodi ngokuhlanganyela.

Umlenze ukwa ku femoral entanyeni ekhanda ukuhlukumezeka epiphysiolysis kungekho offset kuhilela immobilization isikhathi eside ngesikhathi ibhasi esidayisa noma ukhonkolo olukhonkiwe ibhande endaweni okhalo esikhulu ngesikhathi Ukujikeleza kwangaphakathi futhi sokuhoxisa. Immobilization nkathi kusukela izinyanga ezimbili kuya kwezintathu, kulandele (izinyanga ezine noma eziyisithupha) khulula.

A emlenzeni ngesikhathi amathambo hip ne displacement izinsalela kuhilela ukusetshenziswa traction lwamathambo njengoba izinyathelo zokwelapha.

I inkinga obujwayelekile kumiswa necrosis avascular ekhanda femoral. Uma kwenzeka ukwehluleka izinyathelo olandelanayo ukwelashwa umlenze ukwa kuhilela kuhlinzwa.

ukwa gqwa sezizathu ukuthi - ukulimala lapho bangawi bese ukushaya, elise esifundeni trochanter enkulu ithambo ithanga ngempama. Lokhu umonakalo libhekene ubuhlungu elinganiselwe ku palpation kanye nokunyakaza, kanye ukuvuvukala kuhlasimulise wendawo. Ngokuvamile, ophukayo umlenze enjalo ihambisana ukuhlukumeza ezincane umsebenzi.

Njengoba ekwelapheni ebekiwe immobilization endaweni imbande usimende ngenxa ezintathu kuya amane amasonto.

Ukulimala okuvame kakhulu ka kunawo wonke zihlanganisa ukwa diaphyseal. Umonakalo zendawo lwesithathu phakathi kungadalwa ukuhlukumezeka ngokungaqondile noma ngqo. Ngokuvamile, lokhu kwenzeka lapho ophuke umlenze ewa imidlalo mobile ukuphakama noma.

Sikhishwe ezingeni eliphansi futhi okusezingeni eliphezulu umehluko umonakalo diaphyseal, kanye eyesithathu phakathi ukulimala. Ngokuhambisana futhi kuncike etshekile, transverse, waphuka comminuted futhi Helical.

Ikakhulu offset izinsalela elihlobene ne degree of force applied, lizinga umonakalo, kanye nokwehlisa amaqembu kwemisipha efanele.

Imigqa ephezulu nephansi kunawo wonke proximally kubuyiswe isikhundla libhekene izingcezwana eziyizinsalela, Ukujikeleza bangaphandle flexion ngenxa ukuncishiswa iliopsoas futhi gluteus. I displacement isinqamu distal wenziwa nasemuva, izibilini phezulu.

Ukwa yesithathu phakathi libhekene maqondana efanayo mutual doti. Ngakho ukuphambuka anteriorly futhi isihoxiso isinqamu proximal lingaphansi evelele lapho amathuba ukufuduka enkulu distal isinqamu ubude posteriorly.

nokuphatha kahle kunawo wonke ukulimala ihlinzeka Fusion ngaphandle kunciphisa.

Ekupheleni umthwalo isikhathi imobilizatsionnogo ku esitho uvunyelwe kuka amasonto amabili noma amathathu. yokutakula Accelerated kusiza ukusebenzisa zokugeza efudumele futhi Physiotherapy.