Uha mua fracture i loko o ka hip-kahi. Pōkole hōʻikeʻano o ka poho

Uha mua fracture i loko o ka femoral māhele 'āina i ka maikaʻi prognosis i loko o ka hihia o kakahiaka repositioning o ka iwi koena ai a me ke kau ana o traction.

Ke kaumaha ma muli o ka wahi, ua kilakila:

- eha luna palena;

- fracture o ka diaphysis;

- fracture o ka distal a proximal metaepiphysis.

Nā lesions i wehewehe aku e kekahi hihia ma ka lapaau. Aʻike kēia nā palapū aie i Falls mai nui kiekie. Hahau ana haule 'ana ma luna o ke kahua o ka nui trochanter, me ka hoonaukiuki aku i kekahi i uhaiia wāwae.

Symptoms iʻeha ma ka Hip hui, i ka hoʻomanawanui i ole e haehae aku ai, mai ka papamoe pelane o ke kuekue wawae. Eia kekahi, ua hoemiia a iki ke ka ao ka waho i ka lalo lala. Ma keia hihia, no ka oi aku trochanter ma ka trauma offset mea ma luna ma mua o ka laina-Roselle Nelatona. Ano hoohanohano a degere pohupani hale o ka iwi koena ai, a me ka ano o ka fracture ua hana e radiological ninaninau.

Ke medial (cervical) nā palapū o ka femur a me ka poo epifizelioz pili ana i ke kūʻai '-articular poino. Kīloi paʻewa trauma mea he periarticular lesion, akā, i loko o kekahi hihia he mea anal o ka fracture pelane o na ami lua.

Uha mua fracture i loko o ka femoral ai a me ka poo trauma epiphysiolysis me offset i komo ai hooloihi ae i immobilization ma mākeke kaʻa 'ohua' ole me ka puna ka hikina o ke kāʻei o ka pelvic wahi superimposed ma ka pā e kaʻapuni ai a me ka retraction. Immobilization au mea mai ka elua a hiki i na malama ekolu, i ukali ia e (no ka eha eono paha mahina) hookuuia.

A i kona wāwae ma ke ki kala iwi me ka pohupani hale o ka iwi koena ai komo ai i ka hoʻohana 'ana o skeletal traction like pākōlea ana.

Ka loa, he pono ole complication o ke kahua o avascular necrosis i loko o ka femoral poo. I Ina o ka ole o ka makeʻe kulana ana'ūhā fracture lapaau komo aiʻoki lāʻau lapaʻau.

Kaʻawale fracture o na kumu i - nā palapū ka wā haule a hitting, Aia i loko o ka'āina o ka trochanter nui o ka uha iwi. Keia poho Ua wehewehe aku e kaupalena eha ma palpation a me ka neʻeʻana, e like me kūloko traumatic nani. Nō kāu, e like me ka uha mua fracture ua pu ma ka nīnūnē 'aʻe' o ke kuleana pili i.

E like me ka iapaau ana i hoakaka ia immobilization i loko o ka puna splint no ekolu i eha pule.

Ka loa, he pono ole nā palapū o ka femur nā diaphyseal fracture. Poino IIeEeAIEUIeXAIIUE ma ka waena kolu o ka hiki e kena ae la ia eʻauhau'ēʻaʻe a pololei trauma. Nō kāu, keia hana i ka wa a kekahi lahuikanaka i mokumokuia wāwae hāʻule mai ke kiekie a me ka lawe lima nā pāʻani.

Haawi mai i ka nui o ka haʻahaʻa a me ka kiʻekiʻe hoʻokaʻawale diaphyseal poino, e like me ka waena kolu o ka hewa. I kulike ai me a me ka hoʻokuleana i ka kēlā, transverse, comminuted fractures a me helical.

Pili kēia offset iwi hakina pili me ke degere o ka pili ikaika, i ka nui o ke poho, e like me ka ka ho'ēmiʻana o ka pili Muscle pūʻulu.

Iwi fracture femur proximally retracted kulana wehewehe aku koena ai, mawaho kuapo a me ka flexion ma muli o ia ka ho'ēmiʻana iliopsoas a me gluteus. Ke pohupani hale o ka distal apana nahaha ua lawe ia ma ka hope, naau, a keu.

Fracture o ka wati waena kolu o ka ua wehewehe aku ma ka ia ae ana o ka'ōpala. Pela ka haiahū kūmau anteriorly a me ka retraction o proximal apana nahaha mea emi haʻi ka wā o ka likelihood o ka nui pohupani hale o ka distal apana nahaha lōʻihi, a posteriorly.

Kupono lapaʻau o femur ino hoʻolako i ke kuʻi nukeliu me ka hua'ōleloʻo.

I ka pau ana o ka manawa imobilizatsionnogo haawe ana ma luna o ka lala ua 'ae' ole ma mua o elua a ekolu pule. Hōʻeleu i koi kōkua i hoʻohana mehana bato a me physiotherapy.