External fixation nye mɔnu si wodo kpɔ le ɣeyiɣi aɖe me eye wozãnɛ le afisiafi le gbagbãƒewo dada me. Mɔnu sia bia be woazã mɔ̃ siwo woda ɖe ŋutilãa godo be woali ke ahaɖo ƒu siwo gbã la ɖe wo nɔewo ŋu.

gotagome fixation ƒe wɔwɔfia .
External fixation nye amekokomɔnu si wozãna ƒe alafa geɖe tsɔ kpɔa gbagbãƒewo gbɔe. Hippocrates ye to nukpɔsusua vɛ zi gbãtɔ, amesi zã atikpakpɛwo tsɔ xe mɔ na ƒu gbagbãwo be woagaʋuʋu o. Le ɣeyiɣi aɖe megbe la, mɔ̃ɖaŋununya va trɔ, gake gɔmeɖose vevitɔa gakpɔtɔ le nenema: be wòana teƒe si wogbã la nali ke esime wòɖe mɔ ɖe lãkusi falɛfalɛwo takpɔkpɔ kple dɔyɔyɔ ŋu.
Taɖodzinu siwo le gotagome fixation ŋu:Woléa fracture alignment, didime, kple rotation ɖe te.Na ɣeyiɣi kpui aɖe alo definitive stabilization.woate ŋu aƒo ƒu kple akpa aɖe ƒe ememe fixation le nɔnɔme sesẽwo me.
Nusiwo kpɔa ŋusẽ ɖe fixation ƒe liƒo dzi .
Nu geɖe kpɔa ŋusẽ ɖe gotagome fixation device ƒe liƒo dzi:
Pin ƒe ɖoɖowɔwɔ:
Pins ƒe xexlẽme dzi ɖeɖe kpɔtɔ, wo dome didi tso wo nɔewo gbɔ didi wu, kple wo dada ɖe afisi wogbã teƒe si wogbã la le dzina ɖe edzi.
Ele be woama pinwo sɔsɔe be woaƒo asa na nuteɖeamedzi fũ le teƒe aɖewo koŋ.
Pin ƒe didime:
Pin siwo lolo wu la nana woli ke wu gake ate ŋu ana nuteɖeamedzi ƒe susu ƒe dɔwɔwɔ kple lãmekawo ƒe dzikudodo ƒe afɔkua nadzi ɖe edzi.
Pin ƒomeviwo:
Pins, trocar pins, pin siwo wofa, carbon fiber rods.
gotagome fixator ƒomeviwo .
External fixators vovovowo le wo wɔwɔ me, eye wo dometɔ ɖesiaɖe naa viɖe tɔxɛwo:
Uniplanar ƒe nutunulélawo:
bɔbɔe eye wòle bɔbɔe be woatsɔe awɔ dɔe.
Liliɖe si seɖoƒe li na ne wotsɔe sɔ kple mɔ̃ siwo me wozãa mɔ̃ geɖe le.
Fixanar ƒe nutunu siwo wotsɔna ƒoa nu geɖee:
Zã pin siwo le yameʋu geɖe me, si na be wòali ke nyuie wu.
Enyo ŋutɔ na gbagbãƒe sesẽwo.
Unilateral/Bateral fixators:
Unilateral fixators meli ke tututu o, gake akpa eveawo ƒe fixators ya naa ŋusẽ kple kpekpeɖeŋu geɖe wu.
Fixators siwo le gota:
Wozãnɛ zi geɖe hena abɔ kple afɔ ƒe didime kple nɔnɔme madeamedzi ƒe ɖɔɖɔɖo sesẽwo.
ɖea mɔ ɖe kpekpeme tsɔtsɔ kple ƒunukpeƒewo ƒe ʋuʋu ƒe akpa aɖe ŋu le dɔyɔyɔ me.

ŋutilã ƒe wɔwɔme ŋuti nukpɔsusuwo kple dedienɔnɔ ƒe teƒewo .
PIN-wo ɖoɖo le vevie ŋutɔ be woaƒo asa na kuxiwo abe lãmeka alo ʋukawo me abi ene. Nu vevi siwo ŋu woabu le ŋutilã ƒe wɔwɔme ŋu dometɔ aɖewoe nye:

Femur:
Ele be woatsɔ ŋgɔgbe pinwo aɖo trochanter suetɔ te sentimeta 5.8 eye woatsɔ sentimeta 7.4 aɖo patellar apex la tame.
Ele be megbeƒuwo naƒo asa na ƒunukpeƒeŋusẽ ƒe lãkusi kple ʋuka siwo ƒo xlãe.
Tibia:
Ele be woatsɔ pinwo aɖo afisi didi tso ƒunukpeƒea gbɔ mm 14 ya teti be woaxe mɔ na ƒunukpeƒea ƒe gege ɖe ƒunukpeƒewo.
Nuwuwu ƒe akpa si le etame:
Ele be humerus pins naƒo asa na axillary kple radial nerves.
Ele be woatsɔ abɔta ƒe lãkusiwo ade ulna ƒe akpa si le lãkusi te be lãmekawo ƒe dɔmawɔmawɔ nyuie dzi naɖe akpɔtɔ.
Nusiwo fia be woatsɔ gotagomenuwo aɖo wo nɔewo ŋu .
External fixation ɖea vi ŋutɔ le nɔnɔme siwo gbɔna me:
Unstable pelvic ring ƒe abixɔxɔwo.
Kpememewo ƒe akpa si le ƒunukpeƒewo (le kpɔɖeŋu me, pilon, akɔta ƒe akpa si le didiƒe, tibial gbadzaƒe, abɔta, kple didiƒe ƒe didime).
Lãmetsi falɛfalɛwo ƒe ʋuʋu sesẽ alo ecchymosis.
Ʋumenugbagbeviɣi ƒe malikenyenye alo ŋutete manɔamesi be woawɔ dɔ nɛ le gaglãgbe.
Ƒumeŋuɖui, dɔlékuiwo, abɔ kple afɔ ƒe didime, ƒumeŋuɖui, ƒunukpeƒetetedɔ, ame siwo mewɔa dɔ o, kple dɔlékuiwo dada.
Nusiwo woawɔ atsɔ atsi tre ɖe nu ŋu .
Ðewohĩ gotagome fixation masɔ le nɔnɔme siwo gbɔna me o:
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Dɔnɔ siwo lolo akpa.
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Dɔnɔ siwo mewɔ ɖe seawo dzi o.
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Dɔnɔ siwo ƒe ƒu ƒe nyonyome mesɔ gbɔ o.
Dɔnɔ siwo gbe amekoko alo womate ŋu ado dzi le dɔdamɔnua me o.
Aɖaŋuwo kple wo zazã .

Pin-Bone ƒe ŋgɔdonya:
Ƒo asa na lãkusi falɛfalɛwo ƒe hehe le pin ƒe dodo me.
Zã trocars kple drill sleeves nàtsɔ aɖe lãmekawo ƒe gbegblẽ dzi akpɔtɔ.
Do ŋgɔ na tsikuku kple tsiɖɔɖɔ (tsidede) le vevie ŋutɔ be woaɖe ɖiƒoƒo dzi akpɔtɔ.
Akɔta ƒe Ðoɖo:
Zi geɖe la, wodanɛ ɖe iliac crest alo anterior inferior iliac spine (AIIS) me.
C-arm fluoroscopy kpɔa egbɔ be woɖo pin la nyuie.
Nugbɔ ƒe akpa si le etame:
Ele be humerus pins naƒo asa na ahɔhɔ̃mekawo ƒe wɔwɔme.
Wotsɔa abɔta ƒe pinwo dana ɖe ulna ƒe akpa si le lãkusi te la me.
Nusiwo le anyigba ƒe akpa si le ete ƒe fixation:
Wotsɔa afɔkpodzi ƒe lãkusiwo dana ɖe akɔta ƒe nɔnɔme si nye anterolateral me.
Wotsɔa tibial pinwo dana ɖe akɔta ƒe nɔnɔme me be woaƒo asa na ƒunukpeƒewo ƒe gege ɖe wo me.
Pilon ƒe gbagbãƒewo:
Wozãa delta-frame ƒe ɖoɖo, si me wotsɔa calcaneal kple tibial pins siaa dea eme be wòali ke.
Kuxi siwo dona tso gotagome fixation me .
Togbɔ be viɖe le gotagome ŋu hã la, edo ƒome kple kuxi siwo ate ŋu ado tso eme, siwo dometɔ aɖewoe nye:
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Pin tract dɔlékuiwo .
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Ƒumeŋuɖui .
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Mɔ̃a ƒe gbagbã alo eƒe ʋuʋu .
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Malunion alo Nonunion .
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Lãmetsi falɛfalɛwo ƒe dzikudodo alo gege ɖe eme .
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Lãmetsiŋusẽ alo ʋukawo ƒe abixɔxɔ .
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Compartment Syndrome .
Nusiwo wotsɔna tsia dzodzodzoetsitsi nu .
Vevienyenye le atikewɔƒe .
External fixation wɔa akpa vevi aɖe le nuveviwɔame dzi kpɔkpɔ me:
Enaa nusiwo gblẽa nu le ame ŋu ƒe ƒumeŋutinu siwo gblẽa nu le ame ŋu la nɔa te kabakaba.
Eɖea afɔku si le abi evelia xɔxɔ kple kuxiwo me dzi kpɔtɔna.
Enaa mɔnu si me wowɔa dɔ vovovowo le si me ƒumeŋutinunyalawo, dɔnɔdzikpɔlawo, ŋutilãmedɔdalawo, kple dɔwɔɖui ŋuti dɔdamɔnufialawo le la nɔa bɔbɔe be woatsɔ ana dɔnɔwo ƒe dɔwɔwɔ nanyo ɖe edzi.
CzmediTech ƒe nuwɔna .
Kplɔ̃ si le gota si le gota:
Nɔnɔmewo: Ga ƒe asigɛwo kple ka nyuiwoe wotsɔ wɔe, eye woƒo xlã abɔa ƒe akpaa eye woɖe mɔ ɖe asitɔtrɔ siwo me wowɔa nu geɖe le ŋu.
The
Circular external fixator nye atikewɔnu si wozãna hena fracture fixation kple ƒumeŋuɖui ƒe ɖɔɖɔɖo. Eƒe aɖaŋuwɔwɔ ƒe nɔnɔmewo kple viɖewo dzena le akpa siwo gbɔna me koŋ:
Aɖaŋuwɔwɔ ƒe nɔnɔmewo .
Kpẽkukua ƒe wɔwɔme: Wotrɔ asi le gotagome fixator si le dzogoe ene me ŋu kple asigɛ ƒe nɔnɔme, si wɔe be gotagome blibo ƒo xlã gbagbãƒea be wòana kpekpeɖeŋu kple fixation blibo.
Teƒe geɖe ƒe fixation points: Zi geɖe la, fixation points geɖe nɔa circular frame la dzi, si woate ŋu atsɔ aƒo ƒu ɖe ƒu ŋu to ƒu ƒe pin alo ɖa gbogbo aɖewo dzi. Esia kakaa ŋusẽ si wotsɔna léa nu ɖe te la ɖe enu eye wòɖea nyaƒoɖeamenu si le teƒe ɖeka si woɖoa nu ɖe ame ŋu le la dzi kpɔtɔna.
Asitɔtrɔ le eŋu: Alesi wowɔ gotagome fixator si le gota la ɖea mɔ na ɖɔktawo be woawɔ asitɔtrɔwo le dɔnɔa ƒe nɔnɔme tɔxɛwo nu, siwo dometɔ aɖewoe nye asigɛawo ƒe lolome, teƒe si woɖo wo ɖo, kple ŋusẽ ƒe mama, be woate ŋu axɔ abi ƒomevi vovovowo kple ƒu ƒe nɔnɔme.
Zi geɖe la, wotsɔa nusiwo ƒe kpekpeme le bɔbɔe eye ŋusẽ le wo ŋu abe titanium ƒe kpe alo carbon fiber ene wɔa egbegbe nulémɔ̃ siwo le gota gome la wɔa egbegbe nulémɔ̃ siwo le gota, eye wokpɔa egbɔ be woli ke esime wole agba si le dɔnɔa dzi la dzi ɖem kpɔtɔ.
Ele bɔbɔe be woaɖoe ɖe eme ahaɖee ɖa: asigɛa ƒe nɔnɔme na be eɖoɖo kple eɖeɖeɖa ƒe ɖoɖoa le bɔbɔe wu, si ɖea amekoko ƒe ɣeyiɣi kple dɔnɔa ƒe vevesese dzi kpɔtɔna.
Viɖewo .
Lilikɔ si kɔkɔ:
Annular structure la naa 全方位 support, si xea mɔ na teƒe si gbã la ƒe ʋuʋu nyuie eye wòkpɔa egbɔ be ƒu la gakpɔtɔ le nɔnɔme nyuitɔ me le dɔyɔyɔa me.
Ŋusẽ si kaka:
Teƒe geɖe ƒe fixation points kakaa fixation force, si ɖea concentrated pressure on bones kple soft geses dzi kpɔtɔna, eye wòɖea kuxi siwo le fixation si mesɔ o hena vɛ ƒe afɔkua dzi kpɔtɔna.
Dɔdamɔnu vovovo siwo wozãna:
External fixator si le gota la sɔ na gbagbã ƒomevi vovovowo, vevietɔ gbagbãƒe sesẽwo, gbagbãƒe siwo le ʋuʋu ɖi, kple nu siwo hiã be woatsɔ aɖo wo ɖokui me ɣeyiɣi didi.
Dɔyɔyɔ dodo ɖe ŋgɔ:
To nɔnɔme si li ke si nye fixation environment me la, gotagome fixator si le gota la kpena ɖe ame ŋu be wòaƒu du le gbagbãm kabakaba eye wòɖea afɔku si le nonunion alo Healing Healing megbe dzi kpɔtɔna.
Ðe kuxi siwo dona tso eme dzi kpɔtɔ:
Le fixation force si kaka ta la, . External external fixator ɖea lãmeka falɛfalɛwo ƒe nugbegblẽ dzi kpɔtɔna eye wòɖea kuxiwo abe dɔlékuiwo kple pin tract dɔdzẽ ene dzi kpɔtɔna.

Enɔa bɔbɔe na beléle na ame le dɔwɔwɔ vɔ megbe:
Anuƒomɔ̃a ƒe nɔnɔme na wòle bɔbɔe na dɔnɔwo wu be woalé be na wo ɖokui le amekoko megbe, abe dzadzɛnyenye kple awuɖɔɖɔɖɔ ene, evɔ makpɔ ŋusẽ ɖe nusi wotsɔna ƒoa nu ɖe ame ŋu ƒe ŋusẽkpɔɖeamedzia dzi o.
Nɔnɔme siwo sɔ .
Wozãa gotagome fixator siwo le gota zi geɖe le nɔnɔme siwo gbɔna me:
Ƒu ƒe gbagbã sesẽwo: Esɔ na gbagbãƒe sesẽ siwo me ƒu ƒe akpa vovovowo alo ƒunukpeƒewo le.
Gblẽƒe siwo le ʋuʋu ɖi: Le eƒe ŋusẽ kaka ƒe nɔnɔmewo ta la, gotagome fixator si ƒo xlãe la sɔ na ʋuʋu le ʋuʋu me eye wòɖea afɔku si le dɔlékuiwo xɔxɔ me dzi kpɔtɔna.
non-union alo delayed union: Le go aɖewo me la, gotagome gota fixation frames ate ŋu akpe ɖe ƒu ƒe dɔyɔyɔ ŋu to liƒo kple kpekpeɖeŋu si hiã nana me.
Dɔwɔwɔ vɔ megbe ƒe fixation: Wozãnɛ hena liƒoɖoɖo kple kpekpeɖeŋu nana le ƒunukpeƒeŋutinunya megbe, si naa amekokoƒea li ke.
Aɖaŋu si le gotagome fixator si le gota gome hã nye dzigbɔɖitɔ, si léa fɔ ɖe liƒo kple akɔfafa ŋu, eye wònye dɔwɔnu vevi aɖe le ƒumeŋutinunya me.
Nyanuwuwuw
External fixation gakpɔtɔ nye dzogoedzikpe le gbagbãƒewo dada me, si naa woate ŋu awɔ dɔ vovovowo eye woate ŋu atrɔ ɖe dɔdaƒe ƒe nɔnɔme vovovowo ŋu. To mɔnu sia tsɔtsɔ tsaka kple mɔnu si me wozãa nu vovovowo le me la, atikewɔlawo ate ŋu akpɔ emetsonu nyuitɔ kekeake na dɔnɔwo. Esi mɔ̃ɖaŋununya ƒe ŋgɔyiyi le edzi yim ta la, . External fixation yi edzi le tɔtrɔm, si le ekpɔm be eƒe vevienyenye le egbegbe ƒumeŋuɖui ƒe nuwɔna me.