Leoto fracture sebakeng noka. Tlhaloso e Khutšoanyane ea tshenyo

Leoto fracture sebakeng femoral na le itse'ng tšoanelang tabeng ea repositioning pele ea likhechana lesapo kapa ho kenngwa ha traction.

Ho itšetlehile ka sebakeng se, ke hlaheletseng:

- mo ntša kotsi ka holimo bohale;

- fracture tsa diaphysis ea;

- fracture tsa distal kapa proximal metaepiphysis.

diso tsa morao tjena ba tšoauoa ka e itseng mathata a phekolo. Nang likotsi tsena ka lebaka la ho liphororong ho tloha bophahamong haholo. Strike ha oela ka ho toba setšeng sa trochanter khōloanyane, susumelletsang motho ka leoto robehile.

Matšoao a ka bohloko le noka e kopanetsoeng, mokuli e thata ho tabola hōle le sefofane tshekaletseng tsa serethe. Ho feta moo, e ka tlaase leoto e fokotsehile 'me hanyenyane rotated supa ka ntle. Tabeng ena, ho trochanter haholoanyane ho sithabela koala e phahame ho feta ea mola-Roselle Nelatona. Ntlafatso lengolo la displacement la likhechana lesapo le mofuta wa fracture e etsoa ke ho hlahloba ka radiological.

The medial (cervical) dikotsi tsa femur le hlooho epifizelioz amanang le tshenyo intra-articular. sithabela lateral ke lethopa periarticular, empa maemong a mang ho na le ho kenella ka hare tsa fracture sefofane ea cavity kopanetsoeng.

Leoto fracture ka femoral molaleng le hloohong sithabela epiphysiolysis le se koala akarelletsa immobilization ka nako e telele ka bese sehokelo kapa liheloe samente ba lebanta la ka sebakeng pelvic superimposed ka chenchana ka hare le hula mantsoe. Immobilization nako e tsoa ho likhoeli tse peli ho isa ho tse tharo, lateloa ke (bakeng sa likhoeli tse 'nè kapa tse tšeletseng) ho tebelwa mosebetsing.

A leoto robehileng ka masapo a liqholo le displacement la likhechana lesapo akarelletsa tšebeliso ea traction ya marapo ka mehato phekolo.

The complication atileng ka ho fetisisa ke ho bōptjoa ha necrosis avascular ka hlooho femoral. Tabeng ea ho hlōleha ha mehato mekhoa e tloaetsoeng leoto fracture kalafo akarelletsa ho buoa.

Ka thōko fracture a mabaka a hore - likotsi ha oela le otla, teng ka sebakeng sa trochanter e khōloanyane ea ho lesapo serope. tshenyo ena e tšoauoa ka bohloko fokolang ka palpation le mokhatlo oa, hammoho le ea moo e sithabetsang ho ruruha. Ka tloaelo ho, jwalo leoto fracture e tsamaea le ho tlōla tse nyenyane tsa mosebetsi.

E le kalafo balletsweng immobilization ka samente splint ka libeke tse tharo ho tse 'nè.

The likotsi atileng ka ho fetisisa ba femur ho kenyeletsa diaphyseal fracture. Tshenyo localized ka boraro bohareng ka bakoang ke ho sithabela sa tobang kapa e tobileng. Ka tloaelo, sena se etsahala ha leoto robehileng oela ho tswa ho ba bolelele kapa lipapali tsa selefouno.

Fuoa boemo ba phapang diaphyseal tshenyo tlaase le phahameng, hammoho le ho ea boraro bohareng ea bobe. Ho latela le ho ya le oblique, ho parola, fractures comminuted le helical.

Haholo-holo ka koala likhechana lesapo amanang le tekanyo e matla dirisega, boemo ba senya, hammoho le phokotsong ea lihlopha tshwanetseng mesifa.

Bone fracture femur proximally ea huloa boemo ba tšoauoa lingoathoana, ba chenchana Link le flexion ka lebaka la ho iliopsoas phokotso le gluteus. The displacement ea sekhechana distal o etsoang morao, hare mme ho ya hodimo.

Fracture ea boraro bohareng e tšoauoa ka ho tšoanang mabapi le tiee ea maloanlahla. Kahoo kheloha anteriorly le hula mantsoe ea sekhechana proximal e tlase phatlalletsoang ha monyetla oa displacement bohlokoa tsa distal sekhechana bolelele le posteriorly.

kalafo e loketseng ea bobe femur e fana ka logan ntle khutsufatsa.

Qetellong ea nako imobilizatsionnogo mojaro ka leoto e lumelloa ho na pele ho moo ho feta libeke tse peli kapa tse tharo. Potlakisa hlaphoheloa thusa ho sebelisa libaka tsa ho tola mofuthu le ea physiotherapy.