Ceg puas nyob rau hauv lub hip cheeb tsam. Qhia qhov tseemceeb txog ntawm kev puas tsuaj

Ceg puas nyob rau hauv lub femoral thaj av ntawd muaj ib cov paaj raug nyob rau hauv cov ntaub ntawv ntawm thaum ntxov repositioning ntawm cov pob txha tawg tsam los yog lub imposition ntawm traction.

Nyob rau hauv lub qhov chaw, yog distinguished:

- kev raug mob sab sauv ntug;

- puas ntawm cov diaphysis;

- puas ntawm cov distal los yog proximal metaepiphysis.

Tsis ntev los no txhab yog yus muaj los ntawm tej yam teeb meem nyob rau hauv kev kho mob. Muaj cov kev raug mob vim ntog los ntawm yawm heights. Strike thaum ntog ncaj qha rau ntawm qhov chaw ntawm lub ntau dua trochanter, provoking ib tug tawg ceg.

Cov tsos mob li mob nyob rau hauv lub hip sib koom tes, tus neeg mob yog ib qhov nyuaj rau rhuav tseg los ntawm lub kab rov tav dav hlau ntawm lub pob taws. Tsis tas li ntawd, lub sab povtseg yog txo kom tsawg thiab me ntsis tig outwards. Nyob rau hauv cov ntaub ntawv no, ntau dua qhov trochanter nyob rau hauv kev poob plig offset yog siab tshaj lub line-Roselle Nelatona. Ca degree xaav ntawm cov pob txha tawg tsam thiab qhov xwm ntawm puas yog ua los ntawm moj xeem.

Lub nrub nrab (lub tsev me nyuam) raug mob ntawm lub femur thiab lub taub hau epifizelioz muaj feem xyuam rau intra-articular puas tsuaj. Lateral poob plig yog ib tug periarticular lesion, tab sis nyob rau hauv tej rooj plaub muaj allergic ntawm lub pob txha lov ua dav hlau ntawm tus txha kab noj hniav.

Ceg puas nyob rau hauv lub femoral caj dab thiab taub hau raug mob epiphysiolysis uas tsis muaj offset yuav heev immobilization nyob rau ntawm lub qhov hluav taws xob lub tsheb npav los yog ib tug plaster cam khwb cia ntawm lub siv rau lub pelvic cheeb tsam superimposed nyob rau hauv lub puab sib hloov thiab retraction. Immobilization lub sij hawm no yog los ntawm ob mus rau peb lub hlis, raws li los ntawm (rau plaub los yog rau lub hlis) tawm.

Ib tug tawg ceg ntawm lub ntsag, pob txha nrog xaav ntawm cov pob txha tawg tsam yuav siv cov skeletal traction li kho kev ntsuas.

Feem ntau yam tab kaum yog tus tsim ntawm avascular necrosis nyob rau hauv lub femoral lub taub hau. Nyob rau hauv cov ntaub ntawv ntawm tsis ua hauj lwm ntawm conservative kev ntsuas ceg puas kho mob yuav phais.

Cais puas ntawm cov yog vim li cas hais tias - kev raug mob thaum ntog thiab ntaus, nyob rau hauv lub cheeb tsam ntawm lub ntau dua trochanter ntawm tus ncej puab pob txha. Qhov no puas yog yus muaj los ntawm tsawg qhov mob ntawm palpation thiab lub zog, raws li zoo raws li lub zos puas o. Feem ntau, xws li ib tug ceg puas yog nrog los ntawm ib tug me nyuam ua txhaum ntawm kev ua.

Raws li cov kev kho mob tshuaj immobilization nyob rau hauv ib tug plaster txheem rau peb mus rau plaub lub lis piam.

Cov feem ntau raug mob ntawm lub femur xws li diaphyseal puas. Puas laus nyob rau hauv nruab nrab peb muaj peev xwm muab tau los ntawm indirect los yog ncaj kev poob plig. Feem ntau, qhov no tshwm sim thaum ib tug tawg ceg ntog los ntawm ib qhov siab los yog mobile ua si.

Muab cov theem ntawm tsawg thiab siab txim hluav taws xob diaphyseal puas tsuaj, raws li zoo raws li lub nruab nrab peb ntawm kev raug mob. Nyob rau hauv raws li thiab raug mus rau lub oblique, transverse, comminuted lov thiab helical.

Lom zem ntau offset pob txha tawg tsam txuam nrog cov neeg kawm ntawv ntawm applied quab yuam, cov theem ntawm kev puas tsuaj, raws li zoo raws li lub yuav txo tau ntawm cov nqaij pawg.

Pob Txha puas femur proximally retracted txoj hauj lwm yus thooj, lwm kev sib hloov thiab flexion vim yuav txo tau iliopsoas thiab gluteus. Lub xaav cov distal fragment yog nqa rov mus, sab hauv thiab upwards.

Puas ntawm nruab nrab peb yog tsiag ntawv los ntawm tib kev sib nrig sib piv ntawm cov khib nyiab. Yog li qhov hloov tus nqi anteriorly thiab retraction ntawm proximal fragment yog tsawg pronounced thaum lub yuav ua rau muaj teeb meem loj xaav ntawm lub distal fragment ntev thiab posteriorly.

Kom kev kho mob ntawm femur raug mob muab ib tug fusion tsis shortening.

Qhov kawg ntawm lub sij hawm imobilizatsionnogo load rau lub povtseg yog tau tso cai tsis muaj ntxov tshaj ob los yog peb lub lis piam. Accelerated rov qab yuav pab tau siv sov da thiab physiotherapy.