Dynamic Axial Ankle Nkwaa Asinasin ExternalFixator

Botae titiriw a ɛwɔ dompe a abubu no mu ne sɛ ɛbɛma dompe a abubu no agyina, na ama dompe a apira no atumi asa ntɛmntɛm, na ama dompe a apira no asan atumi atu ntɛm na ayɛ adwuma koraa.

External fixation yɛ ɔkwan a wɔfa so boa ma wɔsa nnompe a abubu kɛse. Nea ɛka nnompe ayaresa a ɛte sɛɛ ho ne sɛ wɔde afiri titiriw bi a wɔfrɛ no fixator a ɛwɔ nipadua no akyi bɛbɔ abubuw no ho ban. Wɔde nnompe mu nkɔnsɔnkɔnsɔn soronko (a wɔtaa frɛ no pin) a ɛfa honam ani ne ntini no mu di dwuma, na wɔde fixator no bata dompe a asɛe no ho na ama akɔ so ayɛ pɛpɛɛpɛ bere a ɛresa no.

Dɛn na wɔde abɔnten so fixator di dwuma?

Wobetumi de afiri a wɔde hyɛ nnompe a ɛwɔ akyi adi dwuma de ama nnompe a abubu no ayɛ nea ɛyɛ den na ɛne ne ho hyia. Wobetumi ayɛ nsakrae wɔ afiri no mu wɔ akyi de ahwɛ ahu sɛ nnompe no bɛkɔ so ayɛ nea eye sen biara bere a ɛresa no. Wɔtaa de saa mfiri yi di dwuma wɔ mmofra ne bere a honam ani a ɛwɔ baabi a abubu no so asɛe no.

Dɛn ne abɔnten so fixator ahorow?

Abɔnten so nneɛma atitiriw abiɛsa na ɛwɔ hɔ: standard uniplanar fixator, ring fixator, ne hybrid fixator.

Wɔakyekyɛ mfiri pii a wɔde si mu no mu bɛyɛ sɛ akuw atitiriw kakraa bi: nhama, nhama ne nkɔnsɔnkɔnsɔn, mprɛte, ne nnade anaa abaa a ɛwɔ anom.

Wɔde staples ne clamps nso di dwuma bere ne bere mu de twa nnompe anaasɛ wɔde hyɛ nnompe a abubu no mu. Wɔtaa de nnompe a wɔde hyɛ nipadua mu, allografts, ne nea wɔde si nnompe ananmu di dwuma de sa nnompe mu sintɔ ahorow a efi nneɛma ahorow mu ba. Wɔ nnompe a abubu a ɔyare mmoawa wom ne nnompe mu yare a wɔde sa nso ho no, wɔtaa de nnuru a ekum ɔyare mmoawa a wɔde yɛ nhwiren di dwuma.

Dynamic Axial Ankle Joint Fragment Abɔnten so Fixator: Nsɛm a Wɔaka abom

Ankle nkwaa a ɛpaapae yɛ ade a ɛtaa ba na ebetumi afi nneɛma ahorow mu aba, a nea ɛka ho ne agumadi mu opira, asehwe, ne kar akwanhyia. Ebetumi ayɛ den sɛ wobedi saa akisikuru yi ho dwuma, titiriw bere a ɛfa nkwaa asinasin ho no. Ayaresa a etu mpɔn sen biara a wɔde sa mpaapaemu a ɛte saa no mu biako ne sɛ wɔde afiri a ɛma akisikuru a ɛyɛ nnam a ɛyɛ axial ankle joint fragment external fixator bedi dwuma. Wɔ asɛm yi mu no, yɛde afiri yi, nneɛma a ɛwom, nea ɛkyerɛ, ne mfaso a ɛwɔ so sen ayaresa afoforo bɛma.

Dɛn ne dynamic axial ankle joint fragment abɔnten fixator?

Dynamic axial ankle joint fragment external fixator yɛ afiri a wɔde ma akisikuru a ɛfa ankle joint ho no gyina pintinn, titiriw nea ɛfa nkwaa asinasin ho. Ɛyɛ abɔnten so afiri bi a ɛde nhama ne nnua a ɛtoatoa so di dwuma de ma akisikuru no gyina na ɛma nkwaa no tumi kankan bere a ɛresa no. Wɔde fixator no gu abɔnten, a ɛkyerɛ sɛ wɔmfa oprehyɛn nhyɛ mu, na mpɛn pii no, bere a abubu no asa awie no, woyi fi hɔ.

Nneɛma a ɛwɔ axial ankle joint fragment akyi fixator a ɛyɛ nnam mu

Nneɛma a ɛwɔ dynamic axial ankle joint fragment external fixator mu no taa yɛ:

• Pin fixation: Wɔde pin hyɛ dompe a ɛwɔ abubuw no afã abien no nyinaa mu na wɔde bata fixator no nnua ho.

• Bar fixation: Wɔde bar ahorow bata pin ahorow no ho ne wɔn ho wɔn ho ho, na ɛma wonya nhyehyɛe a ɛyɛ den twa baabi a abubu no ho hyia.

• Dynamic hinge: Wɔde hinge ka fixator no ho na ama nkwaa no akɔ so ahwɛ so bere a ɛresa no.

• Compression/distraction device: Wɔde compression/distraction device ka fixator no ho na ama wɔatumi ayɛ compression anaa distraction a wɔahyɛ so wɔ beae a abubu no sɛnea ɛho hia.

Nsɛnkyerɛnne a ɛkyerɛ sɛ wɔde dynamic axial ankle joint fragment external fixator bedi dwuma

Wɔtaa de dynamic axial ankle joint fragment external fixator di dwuma wɔ nsɛm a ayaresa afoforo te sɛ casting anaa oprehyɛn fixation mfata mu. Nneɛma a ɛkyerɛ sɛ wɔde bedi dwuma no bi ne:

• Mpaapaemu a ɛfa nkwaa asinasin ho

• Abubuw a ntini a ɛyɛ mmerɛw apira kɛse

• Ayarefo a wɔn nnompe nyɛ papa anaasɛ nnuruyɛ mu nyarewa afoforo a ɛka ho a ɛma ɛyɛ den sɛ wɔde oprehyɛn besi hɔ no mu abubu

• Ayarefo a wontumi nnye cast anaa afiri foforo a wɔde siw obi kwan a ɛma obi ntumi nkɔ baabiara no ho akisikuru

Mfaso a ɛwɔ ahoɔden axial ankle nkwaa asinasin abɔnten fixator

Mfaso pii wɔ so sɛ wode dynamic axial ankle joint fragment external fixator bedi dwuma sen ayaresa afoforo:

• Ɛma wotumi kanyan nkwaa no ntɛm, na ebetumi aboa ma wɔasiw nea ɛyɛ den ano na ama dwumadi nyinaa atu mpɔn.

• Ɛma abubuw no si hɔ pintinn, na ebetumi ama ayaresa no atu mpɔn na nea efi mu ba no yɛ papa bere tenten.

• Wobetumi de adi dwuma wɔ ayarefo a wontumi nnye cast anaa oprehyɛn a wɔde si hɔ a wɔde hyɛ wɔn ho no ntom.

• Ɛma ɛyɛ mmerɛw sɛ wɔbɛyɛ nsakrae wɔ compression anaa distraction a ɛwɔ beae a abubu no mu sɛnea ɛho hia.

• Ɛyɛ nea ɛnyɛ den koraa, a ɛkyerɛ sɛ asiane a ɛwɔ hɔ sɛ nsɛnnennen bɛba no sua sɛ wɔde toto oprehyɛn a wɔde si hɔ ho a.

Asiane ne nsɛnnennen a ɛwɔ mu

Te sɛ aduruyɛ mu adeyɛ biara no, asiane ne nsɛnnennen biara nni ho sɛ wɔde dynamic axial ankle joint fragment external fixator di dwuma. Asiane ne nsɛnnennen a ebetumi aba no bi ne:

• Infection wɔ beae a wɔde pin no hyɛ mu

• Pin a ɛsansan anaasɛ ɛbubu

• Ntini a ɛyɛ mmerɛw a ɛyɛ hyew anaasɛ ɛsɛe

• Nkwaa a ɛyɛ den anaasɛ entumi nnyina

• Ntini anaa mogya ntini a ɛsɛe

Awie

A dynamic axial ankle joint fragment external fixator yɛ adwinnade a ɛsom bo a wɔde di ankle joint fractures ho dwuma mu, titiriw nea ɛfa nkwaa asinasin ho. Ɛma wotumi kanyan nkwaa no ntɛm na ɛma wotumi si nea abubu no so pintinn, na ɛma ayaresa no tu mpɔn na nea efi mu ba no yɛ papa bere tenten. Bere a asiane ne nsɛnnennen wɔ afiri yi a wɔde di dwuma mu no, mpɛn pii no, ahobammɔ nnim na ayarefo tumi gyina ano yiye.