Raparapa Broken.

O nga wharanga katoa noho te ōwehenga nui o te alangá whara. whati tino noa o te pona.

Pona - tukanga e hanga te tahi pona. Kei tēnei tahi o rua nga pona: lateral (kei i runga i te mata waho o te tibia) me medial (kei i runga i te taha ki roto). E ai ki ngā tatauranga, e rua tekau ōrau o wharanga katoa o te pūnaha musculoskeletal ko tika te pona pakaru.

Ko te mōrea nui o ngaukino me whati kitea waho (lateral) pona (e pā ana ki waru tekau ōrau o te take), me ma rima anake - e rua tekau ōrau ia e whara medial.

He maha ngā momo o piere , i runga i nga āhuatanga o rehe rānei: supinatsionno-ārahi, pronation-rere, me te hurihuri. I tua atu, ngā rōpū motuhake o te whati raparapa taratahi waho, me te roto, me te tuwhera, me te kati piere, whati wāhikē.

Tohu o te whatinga pona - te mamae, pupuhi, huringa i roto i te takiwa o te mahi tahi, me te waimaero. Hei whakaū i te whatinga, me te ki te whakatū i ona rehe, me kawea te tikanga whiriwhiri o te maimoatanga i roto X-ray o te tahi pona.

Maimoatanga o te whati pona tino uaua. Ko te matua e tika ana ki te meka i te pona hanganga tahi ko te tino uaua, wheua kei noa bloodstream i roto i rawa ngāwari whakaraeraetanga te toi tenei. arata'i tenei ki te ōrau nui o te taupori o te hauātanga rite ki te hua o te whatinga pona (tekau ōrau).

Whati o te pona, e kore nei e i tukinotia, arata'i ki te rangirua o nga papa tahi articular (congruence tahi). ai tenei mamae tonu, me te fakamanamanai te hanganga o deforming arthrosis. arata'i te mate ki maumaui o statics me akiakinga o te tahi, e maha mutu ki te hauātanga.

heke pona maimoatanga whati te ki e rua ngā tikanga taketake: maimoatanga momo, me te hāparapara. maimoatanga tūpato ngā:

- katia mai anō te ā, raima immobilization;

- katia whakaiti te whakamahi i te Ehia i roto i te pūrere, te maka;

- papaki mai anō te umeraa muri. katia te ā-tino whānui whakaiti ki te whakapanga o te maka. I roto i tenei take, he superposition o te maka ki te tuatoru o runga o te "whawhai" momo tibia.

Drawbacks o tikanga momo o te maimoatanga:

• eita o whakaiti anatomic oti.

• I roto i te maka i reira ko te tūpono nui o displacement tuarua i muri i whakaiti o edema.

• hanganga taea o relapses diastasis tibiofibular me subluxation o te waewae.

Ki te hua i roto i te tetere tahi i reira ko te taea o te hanganga o te maka te raima o te epidermal blistering. I roto i te tua, he mōrea tiketike o postimmobilizatsionnyh contractures tahi, whakanohonoho i roto i nei e taea te tango ake ki te waru - marama kotahi tekau ma rua.

He whakarite tika o te whatiwhatinga, whakaora mea tuhonohono e, tango o whatiwhatinga o kiko cartilaginous, me te te pupuri o te osteosynthesis pūmau nga whāinga o te maimoatanga hāparapara.

Hāparapara tukinotia pona whati te whakamahi i te ā-(rumaki) warea waho ranei. tutuki ana te angitu rahi, kei ka pokekore osteosynthesis, mai, i rite ki nga titi, e faingamālie osteosynthesis ōrite tangohia o whatiwhatinga wheua katoa hanga tenei whakatinanatanga. Heoi, ko te whakamahi o te osteosynthesis ki tīwiri kore he taea ki te te tu atu te ope o nāianei i runga i te wheua, na ko reira e tika ana te whakapanga atu o te maka.

Whati o te pona, e mahi immobilization auroa kia arahi ki pōauautanga nui.