Gumbo kutsemuka ari muhudyu nzvimbo. tsanangudzo pfupi kukuvara

Gumbo kutsemuka ari femoral nharaunda ine zvakanaka fungidziro kuna mangwanani repositioning repfupa zvimedu kana nokuiswa traction.

Zvichienderana nzvimbo, Munokudzwa:

- kukuvadzwa yokumusoro mucheto;

- kutsemuka of diaphysis;

- kutsemuka of distal kana proximal metaepiphysis.

Recent maronda dzinoratidzwa nemamwe matambudziko ari kurapwa. Kuitirwa Kukuvara izvi nokuda mapopoma kubva pakakwirira zvikuru. Rova apo inowira zvakananga pamusoro nzvimbo mukuru trochanter, Nokumukira akatyoka gumbo.

Zviratidzo sezvo kurwadziwa pamagaro vadyi, murwere kwakaoma ndikahubvisa kubva chinjikira ndege yacho chitsitsinho. Uyezve, rezasi muzvidimbu ipfupi uye zvishoma zvayaitenderera paguyo outwards. Panyaya iyi, iyo trochanter zvikuru kunotevera zvaizopedza riri kupfuura mutsetse-Roselle Nelatona. Chakagadziridzwa dhigirii misha remafupa nezvimedu uye mhando kutsemuka rinoitwa nevanhu radiological kuzviongorora.

The medial (remuromo) kukuvara pamusoro femur uye musoro epifizelioz chokuita intra-articular kukuvara. Lateral kunotevera chinhu periarticular lesion, asi mune zvimwe zviitiko pane kupinda pakati pakakuvara ndege yacho pamwe mhango.

Gumbo kutsemuka ari femoral pamutsipa uye musoro kunotevera epiphysiolysis pasina zvaizopedza kunosanganisira refu immobilization pa nzira yokubudisa bhazi kana varinamire chakakandirwa pakati bhandi pamusoro pelvic nzvimbo seari panguva yomukati kutenderera uye yokururamisa. Immobilization nguva iri maviri mwedzi mitatu, ichiteverwa (nokuti vana kana mitanhatu) buditsa.

A akatyoka gumbo iri muhudyu pamwe misha repfupa zvimedu mapfupa kunosanganisira kushandisa skeletal traction sezvo kuchirapa matanho.

The inonyanya kuomesa ndiyo paumbwe avascular necrosis ari femoral musoro. Kana kukundikana kuchinja matanho gumbo kutsemuka kurapwa kunosanganisira zvomusejari.

Kure pakakuvara zvikonzero kuti - kukuvara kana kuwa uye kumurova, riri munzvimbo zvikuru trochanter yehudyu mapfupa. zvakakanganisika ichi kunoratidzwa dzisina marwadzo pamusoro palpation uye kufamba, uyewo vemo zvinorwadza kuzvimba. Kazhinji, kwakadaro gumbo kutsemuka achabatsirwa zvishoma kutyora basa.

Sezvo kurapwa ramakanzi immobilization ari varinamire chitsamhura matatu kusvika mana vhiki.

Vakawanda kukuvara ari femur zvinosanganisira diaphyseal kutsemuka. Damage vemunyika pakati rechitatu zvinogona kukonzerwa zvisina kunanga kana zvakananga kunotevera. Kazhinji, izvi zvinoitika apo akatyoka gumbo kudonha kubva pakakwirira kana Mobile mitambo.

Akapiwa pachiyero yakaderera uye yakakwirira mutsauko diaphyseal zvakakanganisika, uyewo pakati chetatu kukuvara. Maererano uye pasi oblique, transverse, comminuted mitswe uye helical.

Kunyanya zvaizopedza pfupa zvimedu chokuita noukuru Zvakarurama simba, padanho kukuvadzwa, uyewo rutapudzo kuMudzidzisi mapoka tsandanyama.

Bone kutsemuka femur proximally retracted nzvimbo inozivikanwa zvimedu, zvokunze kutenderera uye flexion nokuda rutapudzo iliopsoas uye gluteus. The misha yacho distal chinyorwa rinoitwa negotsi, ura uchikwira.

Pakakuvara pakati rechitatu kunoratidzwa chete yakawiriranwa ukama marara. Saka nokutsauka anteriorly uye yokururamisa pakati proximal Fragment zvishoma raidudzwa apo mukana wokuti chinokosha misha yacho distal chinyorwa urefu uye posteriorly.

Kurapwa kuti femur kukuvara inopa Fusion pasina vachigurisira.

Panoperera kwenguva imobilizatsionnogo mutoro pamusoro pabazi anobvumirwa hapana yapfuura pane vaviri kana vatatu mavhiki. Nokukurumidza kupora kunobatsira kushandisa ushamwari dzokugezera uye physiotherapy.