- Theo doi thifdng xuyen mach, HADM ap kpe TM TW vit so lifting nude til u, day la chi so danh gia b^nh nhan diityc truy&i du djch hay khfing.
Hinh 17.3 Nan trat khdp theo Kocher
• PhitOng phap D jenalidze-Stim son
Benh nhan nam sap, thdng 2 chan xuong dudi mep ban. hang goi 90 -90° co ngUdi giu xUdng chau, ngUdi nan ke goi vao khoeo benh nhan. Chan tru chung dan, stic nang than minh keo dui xuong dudi, khdp vao.
7.1.3. Bat dong
Bot chau lung chan de ba tuan (neu co gay xUdng kem theo)
Buoc cheo hai co chan vdi nhau 7.2. Dieu trj trat khdp hang trung tam
7.2.1. Dieu trj khong m d
Vd hom khdp khong lech hoac di lech dudi 3mm cho keo ta 5kg trong 6-8 tuin
Gay lech d ndi it quan tron g
Cd benh noi khoa can chula trUdc
Cd vet thUdng nhiem tru n g ndi du kien mo NgUdi gia loan g xUdng
7.2.2. Mo ket hop xi/ong: o coi vd nang, di lech n hieu, ben h n h a n tre thi phai mo sdm de nan va ket hdp xUdng ba n g nep vit (hinh 17.5) sdm de nan va ket hdp xUdng ba n g nep vit (hinh 17.5)
7.2.3. K eo lien tuc: Gay me benh nhan, keo chan ben trat theo true chi dudi, kiem
tra chieu dai hai chan b&ng nhau la dtfdc (muc dich la de chom ra khoi tieu khung, ve vj tri cu). Sau do xuyen kim qua loi c lu dui keo lien tuc vdi trong ltfdng b ln g 1/6 trong ltfdng cd the, keo trong ba tuan (hinh 17.6).
Hinh 17.6. Keo lien tuc
7.3. Dieu trj trat khdp hang cu
Neu dtfdi 3 tuan (4-21 ngay): keo lien tuc 10 ngay, sau day nan thtf nhe nhang. Neu tren 3 tuan: M o de dat lai khdp
Neu trat khdp lau nam: Da co stf thich nghi vdi mot khdp tan tao d canh chau, khong nen mo dat lai khdp, ma phau thuat due xtfdng dtfdi mau chuyen stfa lai true chi.