Robehileng leqaqailaneng.

Ya dikotsi tsohle lula karolo e kholo ea bobe leoto. ho tloaelehile hore batho haholo fracture tsa leqaqailaneng la.

Leqaqailaneng - mosebetsing ona e bopa e leqaqailaneng kopanetsoeng. kopanetsoeng ena e na le maqaqailaneng a mabeli: lateral (teng holim'a metsi ka ntle la tibia ho) le medial (teng ka lehlakoreng le ka hare). Ho ea ka lipalo-palo, ba etsang liphesente tse mashome a mabeli tsa dikotsi tsohle tsa tsamaiso ya musculoskeletal ke feela robehileng leqaqailaneng.

Kotsi e khōlō ea ho sithabela le fracture pepesa ka ntle (lateral) leqaqailaneng (ka mashome a robeli ba lekholo ba maemong), le leshome le metso e mehlano feela - lisente ka mashome a mabeli a lemetse medial.

Ho na le tse 'maloa mefuta ya fractures , ho itšetlehile ka litšobotsi tsa nyenyenyane: supinatsionno-tataise pronation-ho tebelwa mosebetsing le oa rotary. Ho phaella moo, lihlopha tse arohaneng tsa thōko fracture ka ntle 'me ka hare leqaqailaneng, hammoho le bulehileng le koetsoeng fractures, fracture koala.

Matšoao a sa leqaqailaneng fracture - bohloko, ho ruruha, ho fetoha ha ho contour tsa mosebetsi kopanetsoeng le phytoteratology. Ho tiisetsa fracture, hammoho le ho tiisa nyenyenyane lona le mokhoa kgetho ya kalafo o etsoang tsoa X-ray a leqaqailaneng kopanetsoeng.

Phekolo ea fracture leqaqailaneng thata ka ho fetisisa. Sena ke haholo-holo ka ntlha ya go ha e le hantle hore leqaqailaneng sebopeho kopanetsoeng e rarahaneng haholo, lesapo teng ntle feela maling ka bonono bonolo haholo kotsing. Sena se etsa hore karolo e phahameng ea baahi ba bokooa ka lebaka la e leqaqailaneng fracture (liphesente tse leshome).

Fracture tsa leqaqailaneng, e leng ha e so tšoaroa, o etella ho qhala tsa bokaholimo articular kopanetsoeng (kopanetsoeng congruence). Sena se etsa hore bohloko kamehla le sokela sebopeho sa deforming arthrosis. Lefu lena le etsa hore motho ditlolo tsa statics le dipharologanyo tsa kopanetsoeng, e leng hoo hangata ho fella ka ba nang le bokooa ka.

leqaqailaneng kalafo fracture e fokotsehile ho dithekeniki tse peli tsa motheo: mekhoa e tloaetsoeng le ho buoa kalafo. kalafo mekhoa e tloaetsoeng e kenyeletsa:

- koetsoeng ka letsoho reposition, samente immobilization;

- koaloa phokotso sebedisa repositioned ka sesebediswa leo, liheloe;

- reposition traction khalemeloa hamorao. Bukana fetisisa atile koaloa phokotso le ho kenngwa ha lahletseng ka. Tabeng ena, e le superposition ba lahletseng ho boraro ka holimo ea "dia boot" mofuta tibia.

Haelloang teng ya mekhoa mekhoa e tloaetsoeng ea phekolo:

• khoneha tsa phokotso e feletseng anatomic.

• Ka lahletseng ho na le kotsing e khōlō ea displacement mahareng mora phokotso ea edema.

• khoneha sebopeho sa relapses tibiofibular diastasis le subluxation ba leoto.

Le ho eketseha ha ho ruruha kopanetsoeng ho na le monyetla oa ho sebopeho sa ea liheloe samente oa epidermal bataoloa. Ho phaella moo, e le kotsing e khōlō ea postimmobilizatsionnyh contractures kopanetsoeng, tsosoloso e leng se ka nka ho fihlela ho ka lilemo tse robeli - leshome le metso likhoeli.

Lipakane tsa kalafo ho buoa ke papiso e nepahetseng ea likhechana e, ho tsosolosa ligaments, tlosa likhechana tsa dinama tse nyenyane tse cartilaginous, hammoho le ho kosimbaki tsa osteosynthesis tsitsitseng.

Ngaka e ka tshwarwa leqaqailaneng fracture sebelisa e ka hare (ho qoelisoa) kapa fixation kantle. Katleho khōlō ka ho fetisisa e fihlellwa ha woman stage osteosynthesis, kaha, ho fapana le spokes ea, mothofatso ena baka monyetla osteosynthesis hantle tshwanelelanang la likhechana tsohle masapo. Leha ho le joalo, ho sebelisa osteosynthesis le woman stage ke ke ha khoneha ho hlōla mabotho a hona joale ka bone bone ka, kahoo, ho ke ho hlokahala hore ho kenngwa tlatsetso ya lahletseng ka.

Fracture tsa leqaqailaneng, e leng etsa immobilization ka nako e telele ka 'na lebisa mathata a tebileng.