The Ring External Fixator: Mɔfiame si me kɔ
Ne wole ƒu gbagbã sesẽwo kple ƒu ƒe gbagbãƒewo dada dzi la, zi geɖe la, ƒumeŋutinunyalawo ɖoa ŋu ɖe gotagome mɔ̃ siwo wotsɔ léa ƒu ŋu. External fixator siwo woate ŋu azã le mɔ vovovowo nu eye wowɔa dɔ nyuie wu dometɔ ɖekae nye ring external fixator. Mɔ̃ sia nyea asigɛ siwo le gota, kaƒomɔ̃wo, kple gavi kple ka ƒomevi vovovo siwo wozãna tsɔ léa ƒu siwo gbã alo esiwo gblẽ la ɖe wo nɔƒe. Le nyati sia me la, míana mɔfiame blibo aɖe le ring external fixator ŋu, si me eƒe ŋutinya, ƒomeviwo, dɔwɔwɔ, kple kuxi siwo ate ŋu ado tso eme hã le.
Ring External Fixation ƒe ŋutinya
Nukpɔsusu si nye be woatsɔ abla gotagomenuwoe la dze egɔme tso blema ke, esime wozãa aŋe siwo wotsɔ ati, ga, alo lãgbalẽ wɔ tsɔ naa abɔ kple afɔ siwo gbã la meʋãna o. Gake ƒe alafa 20 lia ƒe gɔmedzedze hafi Germanytɔ amekola Ðɔkta Gavril Ilizarov to asigɛ ƒe gotagome nulénu gbãtɔ vɛ. Ilizarov ƒe nutovɛ si woyɔna be Ilizarov ƒe mɔ̃a trɔ asi le ƒu ƒe gbagbã kple nuwɔametɔ sesẽwo dada ŋu, eye tso ɣemaɣi la, ƒumeŋutinunyalawo va zãe le xexeame godoo.
Anatomy of the Ring ƒe gotagome Fixator
Kpẽ ƒe gotagome fixator la nyea akpa vovovowo, siwo dometɔ aɖewoe nye asigɛ siwo le gota, kadodotiwo, kple pin/ka. Zi geɖe la, wotsɔa gakpo si mexɔ dzo o alo titanium wɔa asigɛawoe, eye woate ŋu akpɔ wo le lolome kple nɔnɔme vovovowo me be woate ŋu axɔ ŋutilã ƒe akpa vovovowo. Wotsɔ ga wɔ kaƒomɔ̃awo hã eye wozãa wo tsɔ doa ka kple asigɛawo ɖe wo nɔewo ŋu. Wotsɔa gaviawo kple kaawo toa ŋutigbalẽa me hedea ƒua me, si wɔnɛ be ƒu si gbã alo si gblẽ la nɔa te eye wòléa wo ɖe te.
Kpẽkuku ƒe Gomegome Fixation Ƒomeviwo
Mɔ̃ ƒomevi vovovowo li siwo wotsɔ léa asigɛ gota, eye wo dometɔ ɖesiaɖe kple eƒe nɔnɔme kple dɔwɔwɔ tɔxɛ. Wo dometɔ aɖewo siwo bɔ wu dometɔ aɖewoe nye:
Ilizarov Fixatɔ si Kpɔa Nuwo Gbɔ
Ilizarov fixator nye ring gota fixator gbãtɔ si Ðɔkta Gavril Ilizarov to vɛ. Kpẽ siwo le gota siwo wotsɔ ka siwo wotsɔ ka blae lae le eme, eye wozãa ka tsɛwo alo ka afã kple afã tsɔ lénɛ ɖe ƒua ŋu. Ilizarov fixator la te ŋu wɔa dɔ le mɔ vovovowo nu ŋutɔ eye woate ŋu azãe atsɔ ada ƒumeŋuɖui ƒe nɔnɔme vovovowo, siwo dometɔ aɖewoe nye ƒu ƒe gbagbã sesẽwo, ƒu ƒe dɔlékuiwo, kple abɔ kple afɔ ƒe didime ƒe vovototo.
Taylor ƒe Teƒe ƒe Nɔnɔmetata
Taylor Spatial Frame nye egbegbe ring gotagome fixator si ƒoa Ilizarov fixator ƒe gɔmeɖosewo nu ƒu kple mɔ̃ɖaŋununya si wotsɔa kɔmpiuta kpena ɖe eŋu. Eƒe akpa ade siwo woate ŋu atrɔ asi le siwo wotsɔ do ka kple asigɛ aɖe le eƒe nuwuwu ɖesiaɖe, eye woate ŋu atrɔ asi le eŋu le akpa etɔ̃ me be woatsɔ aɖɔ ƒu ƒe gbagbã alo didime ƒe vovototowo ɖo. Taylor Spatial Frame la ɖea vi ŋutɔ le ƒu didiawo ƒe nɔnɔme madeamedzi sesẽwo, abe tadedeagu alo wo ƒoƒo ene, dada me.
Kplɔ̃ŋuti gotagome Fixator
Gotagome nusi wotsɔ blaa nu si le gota la nye Ilizarov nusi wotsɔna léa nu ɖe nu ŋu ƒe akpa si le bɔbɔe wu, si me asigɛ siwo le gota siwo wotsɔ ati gbadzɛwo do ƒome kplii le. Wozãnɛ zi geɖe tsɔ naa afɔ kple afɔkpodzi ƒe gbagbãƒewo kple lãmeka falɛfalɛ siwo xɔ abi la li ke.
Dɔwɔwɔwo le Ring External Fixation
Woate ŋu azã ring external fixator la zi geɖe le ƒumeŋutinunya me, siwo dometɔ aɖewoe nye:
Atikewɔwɔ na ƒu gbagbã sesẽ siwo womate ŋu atsɔ aɖaŋu siwo wozãna tsã atsɔ aƒu gbe alo atsɔ aƒoe o.
Ƒu ƒe gbagbãƒewo ɖɔɖɔɖo, abe abɔ kple afɔ ƒe didime ƒe vovototo, dzogoe ƒe gbagbã, alo tɔtrɔ ƒe gbɔdzɔgbɔdzɔ ene.
Ƒumeŋuɖuiwo, abe ƒumeŋuɖui ene, dzi kpɔkpɔ to ƒumeŋuɖui si li ke nana kple ƒu ƒe gbugbɔgadzɔ dodo ɖe ŋgɔ me.
Ƒu ƒe lãkusi siwo gblẽ alo bu la gbugbɔgatu, to mɔnuwo abe distraction osteogenesis alo bone transport zazã me.
Kuxi Siwo Ate Ŋu Ado tso Ring External Fixation me
Abe amekoko ɖesiaɖe ene la, afɔku aɖewo kple kuxi aɖewo siwo ate ŋu ado mo ɖa le asigɛ ƒe gotagome fixation ŋu. Kuxi siwo bɔ wu dometɔ aɖewoe nye:
Pin teƒe ƒe dɔlékuiwo: Pin kple ka siwo wozãna le gotagome nuléle me ate ŋu ahe dɔlékui vɛ ne womelé be na wo nyuie o alo ne ŋutigbalẽ si ƒo xlã pinawo do dziku.
Ƒunukpeƒewo ƒe sesẽ: Ɣeyiɣi didi ƒe immobil ization si do ƒome kple ring external fixation ate ŋu ana ƒunukpeƒewo nasẽ eye woaɖe ʋuʋu ƒe didime dzi akpɔtɔ.
Lãmetsiŋusẽ ƒe gbegblẽ: Kplu kple ka siwo wozãna le gotagome nuléle me ate ŋu agblẽ nu le lãmekawo ŋu ne wotsɔ wo de eme wòde to akpa alo ne wodo ka kple lãmekawo tẽ.
Hardware ƒe gbagbã: Kplɔ̃wo, atikplɔwo, gaviwo, kple ka siwo wozãna le gotagome nusiwo wotsɔ blaa nu me ate ŋu agbã alo adzo, si ana be woƒe liƒo nabu eye dɔa ate ŋu ado kpo nu.
Be woaɖe kuxi siwo ate ŋu ado mo ɖa ƒe afɔkua dzi akpɔtɔ la, ele vevie be dɔnɔ siwo le ring external fixation wɔm na be woawɔ ɖe woƒe amekola ƒe mɔfiamewo dzi nyuie le mɔ̃a dzi kpɔkpɔ kple edzikpɔkpɔ ŋu, siwo dometɔ aɖewoe nye dzadzɛnyenye nyuie le pin teƒea kple ɣeyiɣi siwo woawɔ be woakplɔe ɖo edziedzi.
Nyanuwuwuw
Ring external fixator nye mɔ̃ si wɔa dɔ ŋutɔ eye woate ŋu azãe le mɔ vovovowo nu hena ƒu ƒe gbagbã sesẽwo, ƒu ƒe gbagbã, kple ƒumeŋuɖui ƒe nɔnɔme bubuwo dada. Alesi wowɔe etɔxɛe kple alesi wozãnɛ zi geɖee na wònye dɔwɔnu vevi aɖe le ƒumeŋutinunyala ƒe dɔwɔnuwo me. Gake abe amekoko ɖesiaɖe ene la, afɔku aɖewo kple kuxi aɖewo siwo ate ŋu ado mo ɖa le asigɛ ƒe gotagome nuléle ɖe asi ŋu, eye woate ŋu aɖe wo dzi akpɔtɔ to beléle nyuie kple ƒumeŋutinunyala bibi ƒe kplɔkplɔ ɖo nyuie me.
Nya siwo wobiaa nya tso ame ŋu
Ɣeyiɣi didi kae wòxɔna hafi wòhaya tso ring gotagome fixation me? Ɣeyiɣi didi si wòaxɔ hafi ahaya nɔ te ɖe nɔnɔme si ƒomevi wole dɔ wɔm na kple eƒe sesẽme dzi, kpakple dɔnɔa ƒe lãmesẽ bliboa kple edziwɔwɔ le dɔwɔwɔ nɛ vɔ megbe ƒe mɔfiamewo dzi. Dɔnɔ aɖewo ate ŋu ahiã be woaɖe wo ɖokui ɖa ɣleti geɖe eye woagbugbɔ wo aɖo wo ɖokui me hafi atrɔ ayi dɔ siwo wowɔna ɖaa dzi.
Ðe ring gotagome fixation nye vevesesea? Pin kple ka dede eme ate ŋu ana ame aɖe nase veve alo ase veve, eye zi geɖe la, woate ŋu atsɔ vevesesenutsitike alo atike si wua alɔ̃dɔdɔ le teƒea akpɔ egbɔ. Dɔnɔwo ate ŋu ase veve alo woƒe lãme sẽ vie hã le ɣeyiɣi si me womete ŋu ʋãna o me, gake zi geɖe la, esia nyona ɖe edzi ne ƒua le hayahayam eye wògale ŋgɔ yim.
Ðe woate ŋu azã ring external fixation na ɖeviwo ƒe dɔnɔwoa? Ẽ, woate ŋu azã asigɛ ƒe gotagome fixation na ɖeviwo ƒe dɔnɔ siwo ƒe gbagbã sesẽwo alo woƒe nɔnɔme madeamedziwo. Gake ele be woakpɔ egbɔ etɔxɛe be woakpɔ egbɔ be abɔ kple afɔ si ŋu dɔlélea le la tsi nyuie eye wòatsi nyuie, eye woaɖe kuxiwo abe pin site infections alo growth plate ƒe gbegblẽ ene ƒe afɔkua dzi akpɔtɔ.
Ɣeyiɣi didi kae wòle be ring gotagome fixator la nanɔ teƒea? Ɣeyiɣi didi si wòle be gotagome fixator la nanɔ teƒea nɔ te ɖe nɔnɔme si ƒomevi wole dɔ wɔm kple eƒe sesẽme dzi, kpakple alesi dɔnɔa ɖekaɖeka awɔ nui ɖe atikewɔwɔ ŋu dzi. Le go aɖewo me la, ahiã be gotagome fixator la nanɔ teƒea ɣleti geɖe alo vaseɖe ƒe ɖeka gɔ̃ hã.
Ðe mate ŋu atrɔ ayi dɔwɔna siwo sɔ gbɔ le ring external fixation megbea? Zi geɖe la, dɔnɔwo te ŋu trɔna yia woƒe dɔwɔna siwo sɔ me ne woɖe gotagome nusi wotsɔ blaa ƒuae eye ƒua haya vɔ. Gake esia ate ŋu anɔ te ɖe nɔnɔme si ƒomevi wole dɔ wɔm na kple eƒe sesẽ dzi, kpakple alesi dɔnɔa ɖekaɖeka awɔ nui ɖe atikewɔwɔ ŋu. Wò amekola ate ŋu ana mɔfiame le ɣeyiɣi si sɔ si dzi nàgadze dɔwɔna aɖewo koŋ gɔme ake ŋu.
