Ụkwụ mgbaji ọkpụkpụ na hip ebe. Brief nkọwa nke mmebi

Ụkwụ mgbaji ọkpụkpụ na femoral mpaghara nwere a mma prognosis na ikpe nke n'oge repositioning nke ọkpụkpụ iberibe ma ọ bụ na imposition nke traction.

Dabere na ebe, na-na-akwanyere ùgwù:

- mmerụ elu onu;

- mgbaji ọkpụkpụ nke diaphysis;

- mgbaji ọkpụkpụ nke distal ma ọ bụ proximal metaepiphysis.

Adịbeghị anya ọnya na-ji ụfọdụ ihe isi ike na ọgwụgwọ. Inwe ndị a unan n'ihi Falls si oké elu. Ebu mgbe dara na na saịtị nke ndị ka trochanter, nākpasu a gbajiri ụkwụ.

Mgbaàmà dị ka mgbu ahụ hip nkwonkwo, ọrịa siri ike akwa efep kwụ ụgbọelu nke n'ikiri ụkwụ. Ọzọkwa, ala N'ịdị na-ebelata na ubé na-agba gburugburu outwards. Na nke a, ihe ka ukwuu trochanter na trauma dechapụ dị elu karịa akara-Roselle Nelatona. Ukpụhọde ogo Ndahie nke ọkpụkpụ iberibe na odidi nke mgbaji ọkpụkpụ a rụrụ site radiological nyochaa.

The medial (cervical) unan nke femur na isi epifizelioz metụtara intra-articular mebiri. Mpụta trauma bụ a periarticular lesion, ma na ụfọdụ e nwere penetration nke mgbaji ọkpụkpụ ụgbọelu nke nkwonkwo oghere.

Ụkwụ mgbaji ọkpụkpụ na femoral n'olu na isi trauma epiphysiolysis na-enweghị dechapụ agụnye ruo ogologo oge Immobilization na tinyekwa bọs ma ọ bụ a ihe nkedo nke belt na pelvic ebe karịrị na n'ime adiana na retraction. Immobilization oge abụọ ọnwa atọ, sochiri (anọ ma ọ bụ ọnwa isii) n'ahụ.

A gbajiri ụkwụ na ndị hip ọkpụkpụ na displacement nke ọkpụkpụ iberibe-agụnye iji ihe skeletal traction ka ọgwụgwọ jikoro.

The kasị sikwuoro bụ guzobere avascular necrosis na femoral isi. Bụrụ na nke ọdịda nke mgbanwe jikoro ụkwụ mgbaji ọkpụkpụ ọgwụgwọ na-agụnye ịwa ahụ.

Dịpụrụ Adịpụ mgbaji ọkpụkpụ nke ihe ndị mere na - unan mgbe ada na ọkụkụ, emi odude ke ikpehe nke ukwuu trochanter nke apata ọkpụkpụ. Nke a mmebi e ji mmachi mgbu na palpation na ije, dị ka nke ọma dị ka obodo traumatic ọzịza. A, ndị dị otú ahụ a ụkwụ mgbaji ọkpụkpụ na-esonyere a obere nmebi iwu nke ọrụ.

Dị ka ọgwụgwọ kenyere Immobilization na a plaster splint atọ na izu anọ.

The kasị unan nke femur gụnyere diaphyseal mgbaji ọkpụkpụ. Mebiri metụtara nanị akụkụ ụfọdụ na n'etiti atọ nwere ike mere site na anọ ma ọ bụ kpọmkwem trauma. A, nke a na-eme mgbe a gbajiri ụkwụ na-ada site na a elu ma ọ bụ mobile egwuregwu.

Nyere larịị nke ala na elu iche diaphyseal mmebi, nakwa dị ka n'etiti atọ nke ihe ọjọọ. Dị na na isiokwu na oblique, transverse, comminuted fractures na helical.

N'ụzọ dị ukwuu dechapụ ọkpụkpụ iberibe metụtara na ogo nke etinyere ike, larịị nke mmebi, nakwa dị ka Mbelata mkpa muscle iche iche.

Ọkpụkpụ mgbaji ọkpụkpụ femur proximally retracted ọnọdụ ji rifọrọ, mpụga adiana na flexion ruru ka Mbelata iliopsoas na gluteus. The Ndahie nke distal ibe akwụkwọ na-rụrụ azu azu, ime ime na elu.

Mgbaji ọkpụkpụ nke etiti atọ e ji otu ibe mmekọrita nke irighiri. N'ihi ya ndiiche anteriorly na retraction nke proximal ibe akwụkwọ bụ obere akpọ mgbe ohere nke ịrịba Ndahie nke distal papaịrọs ogologo na posteriorly.

Ọgwụgwọ kwesịrị ekwesị nke femur mmerụ na-enye a anọ na-enweghị shortening.

Ná ngwụsị nke oge imobilizatsionnogo ibu na N'ịdị na-ekwe dịghị tupu abụọ ma ọ bụ atọ izu. Accelerated mgbake na-enyere aka iji na-ekpo ọkụ baths na physiotherapy.