Li-screws tse thibelang li sebelisoa haholo ts'ebetsong ea bongaka, haholo-holo ho lokisoeng ha lipekere tse telele tsa intramedullary.
Ha e le hantle, mesebetsi ea li-screws tse thibelang e ka akaretsoa ka makhetlo a mabeli: ea pele, bakeng sa ho fokotsa, 'me ea bobeli, ho eketsa botsitso ba ho lokisa ka hare.
Mabapi le phokotso, ketso ea 'thibela' ea sekoti se thibelang e sebelisoa ho fetola tsela ea mantlha ea ho lokisa kahare, ho fihlela phokotso e lakatsehang le ho lokisoa.Boemong bona, sekoti se thibelang se hloka ho behoa sebakeng sa 'ho se tsamaee', ho bolelang sebaka seo ho sona ho sa batloeng ho lokisa ka hare.Ho nka tibia le femur e le mohlala:
Bakeng sa tibia: Ka mor'a ho kenya terata ea tataiso, e behiloe khahlanong le cortex e ka morao ea tibial shaft, e kheloha bohareng ba kanale ea medullary.Ka lehlakoreng le 'sa lakatsehang', haholo-holo karolo e ka morao ea metaphysis, sekoti se thibelang se kenngoa ho tataisa mohala ho ea pele ka kanale ea medula."
Femur: Papisong e ka tlase, ho bonts'itsoe lenala le khutlelang morao, 'me karolo ea ho robeha e bontša bohloko bo ka ntle.Lenala la intramedullary le eme ho ea karolong e ka hare ea kanale ea medulla.Ka hona, sekoti se thibelang se kenngoa ka lehlakoreng le ka hare ho finyella phetoho sebakeng sa sepekere sa intramedullary.
Mabapi le ho matlafatsa botsitso, li-screws tse thibelang li ne li sebelisoa qalong ho matlafatsa botsitso ba fractures e khutšoanyane lipheletsong tsa fractures ea tibial shaft.Ka ho thibela ho tsamaea ha lipekere tsa intramedullary ka ho thibela ketso ea li-screws ka mahlakoreng a ka hare le a ka ntle, joalokaha ho bontšitsoe mohlaleng oa fracture ea intercondylar ea botšehali le supracondylar ka tlase, botsitso ba lipheletsong tsa fracture bo ka matlafatsoa.Sena se thusa ho thibela ho sisinyeha ha lenala la intramedullary le likaroloana tse hole tsa masapo.
Ka mokhoa o ts'oanang, ha ho lokisoa fractures ea tibial ka lipekere tsa intramedullary, tšebeliso ea li-screws tse thibelang li ka boela tsa sebelisoa ho matlafatsa botsitso ba lipheletsong tsa fracture.
Nako ea poso: Feb-02-2024
