Ƙaƙƙarfan kusoshi masu ƙarfi (ESINs) hanya ce ta gama gari don daidaitawar fiɗa na tsayin kashi a cikin yara. Ana amfani dashi ko'ina don magance karyewar radius, ulna, femur, da lokaci-lokaci na tibia da humerus. Ana kuma amfani da shi don magance cututtukan cututtuka na dogayen kasusuwa a cikin yara. ESIN yana ba da gyare-gyaren rufaffiyar karyewa ba tare da buɗe wurin karyewar ba, kwanciyar hankali mai maki uku, da adana tsayi da jujjuyawa a cikin juzu'i, gajerun karaya. A matsayin dasa shuki mai ɗaukar nauyi, yana ba da damar motsi da wuri na hannu. Yawanci, ana cire kusoshi masu ƙarfi na intramedullary masu ƙarfi bayan waraka daga karaya.
Karyawar mata
Alamun ESIN a cikin raunin mata sune: shekaru tsakanin shekaru 4 zuwa 14 da kuma raunin mata a cikin rauni mai yawa.
An sanya majiyyaci a kan tebur ɗin motsa jiki na orthopedic, kuma girman takalmin ya dace da girman ƙafar yaron. Ana buƙatar fluoroscope don samun ra'ayi na baya-baya (AP) da na baya-baya (LL) na cinyar da abin ya shafa kuma an sanya shi don ba da damar hangen nesa na femur daga matakin hip zuwa gwiwa. Ana duba samun raguwa a duka ra'ayoyin AP da LL, kuma ana tabbatar da juyawa.
Zaɓin kusoshi Diamita na ƙusa ya kamata ya kiyaye ka'ida ta gaba ɗaya don zabar kusoshi. Ana iya amfani da rarrabuwa mai zuwa azaman madadin bambance-bambancen, wanda ke da alaƙa da shekarun yaron:
- 6-8 shekaru: diamita 3 mm;
- 9-11 shekaru: 3.5 mm diamita;
- 12-14 shekaru: 4 mm diamita.
Tsawon kusoshi daidai yake da nisa daga guringuntsi girma mai nisa zuwa mafi girman guringuntsi girma na trochanter.
Karyawar diaphyseal
Matsakaicin kusanci da na uku A cikin yanayin raunin diaphyseal a cikin kusanci da na uku na tsakiya, an zaɓi tsarin C-dimbin yawa, tare da ƙusoshin da aka saka retrograde ta hanyar metaphysis mai nisa. A cikin yanayin raunin da ya faru, an lanƙwasa ƙarshen ƙusoshi, yayin da tsakiyar diphyseal fractures, tsakiyar ƙusa yana lankwasa. A ƙarshen aikin, a cikin yanayin ɓarkewar ɓarna, ana yin tasiri ga ɓangarorin don guje wa raguwar ɓarna, wanda zai iya zama alhakin rashin daidaituwa na ƙananan ƙafafu. A cikin yanayin ɓarna ko ɓarna, tip mai nisa yana lanƙwasa kuma yana tasiri a cikin kashi don guje wa telescoping na guntu da ƙaura na kusoshi.
Halin dabi'a na waɗannan ɓarna shine haifar da raguwa na 5-10 mm nan da nan bayan aiki, wanda za a biya shi ta hanyar haɓakar girma a lokacin ƙarfafa raguwa.
Karyawar Tibial
Matsayi da shirye-shiryen majiyyaci an sanya majiyyacin a kan tebur na orthopedic don sauƙaƙe raguwa. Kasancewar fluoroscope ya zama tilas don kulawar ciki. Filin aiki dole ne ya haɗa da gwiwa .
Shigar da kusoshi
Ana shigar da kusoshi na roba ko da yaushe antegrade a cikin metaphysis na kusa, a wurare na gaba-gaba da na gaba.
Diamita na ƙusa ya bambanta tsakanin 2.5 zuwa 4 mm, dangane da shekarun majiyyaci. An ba da izinin yin amfani da guduma don ciyar da ƙusoshi amma ya kamata a yi amfani da shi da hankali.
Ana tabbatar da ingancin raguwa ta hanyar diamita na ƙusa da matakin lankwasawa.
Kada a yi tasiri ga ƙusoshi a cikin kashin da aka soke na metaphysis mai nisa kafin raguwa ya zama cikakke; in ba haka ba, hanyoyin gyara na iya lalata osteosynthesis.
Kafin tasiri, ana duba jujjuyawar gutsuttsura kuma, idan akwai ragowar nakasar varus, ana gyara wannan ta hanyar lankwasa ƙusa mai yawa. A ƙarshen aikin, an kwantar da hankali kuma an yi tasiri ga gutsuttsura.
A cikin yanayin raunin da ya faru, ƙananan kusoshi na kusoshi da aka bari a waje da kashi suna lankwasa a 90 ° kuma suna tasiri a cikin kashin cortical don hana telescoping na gutsuttsura.
Humeral fractures
Alamu na ESIN a cikin karayar humeral sun bambanta dangane da wurin karaya: kusancin metaphysis ko diaphysis. A cikin karaya na wuyan tiyata na humerus, ana nuna ESIN saboda yana rage lokacin rashin motsi da ake buƙata a yanayin jiyya na mazan jiya.
A cikin yanayin raunin diaphyseal, ana nuna amfani da kusoshi na roba ba tare da la'akari da kasancewar raunin jijiya na radial ba.
Shigar da ƙusoshi Ana shigar da ƙusoshi ta amfani da hanyar retrograde. Ana samun wuraren sakawa a gefen gefe na yankin supracondylar, yana da alkiblar bayan fage da kuma kusanci. Ana shirya wuraren shigarwa ta amfani da rawar jiki saboda kashin cortical a wannan yanki yana da wuyar gaske. Diamita na ƙusoshi ya bambanta tsakanin 2.5 zuwa 3.5 mm, kuma an lanƙwasa su iri ɗaya. Ana shigar da kusoshi ta hanyar matsi na hannu a tsaye da jujjuyawar motsi. Idan ba za a iya rage karayar da ke cikin yankin metaphyseal na kusa da kyau ba, jujjuyawar 1800 na ƙusoshi yana sauƙaƙe wannan raguwa. Idan, duk da haka, raguwa ba zai yiwu ba, ana sanya wayoyi na jagorar Kirschner a cikin guntu na kusa kafin buɗewa. A cikin yanayin raunin diaphyseal na oblique, yana da mahimmanci don guje wa ƙusoshin barin tashar medullary da ƙaura daga baya zuwa cikin jijiyar radial sulcus. Bayan ƙusoshi biyu sun haye wurin karyewar, ana yin tasiri a cikin soker kashi na kusancin metaphysis.
Karyewar hannu
An yarda da maganin orthopedic a cikin karyewar hannu, amma iyakokin da aka yarda da su ba da jimawa ba an san su. Idan waɗannan iyakoki sun wuce ko kuma a cikin yanayin gazawar jiyya na orthopedic, raguwar rufewa da ESIN ana nuna su a cikin karyewar hannu.
Dabarar aiki Mai haƙuri yana matsayi a cikin dorsal decubitus, tare da goshin da abin ya shafa akan tebirin transparent.
Diamita na kusoshi da aka yi amfani da su ya bambanta tsakanin 2.5 zuwa 3 mm. Farcen ulnar ya kusan kai tsaye, yayin da ƙusa na radial yana da alamar lanƙwasawa don maido da lanƙwasa na radius.
Gyara yawanci yana farawa da kashi wanda ya fi sauƙi don ragewa. Don radius, ana samun wurin shigarwa a cikin metaphysis mai nisa, sama da guringuntsi girma mai nisa, tsakanin tendons na tsayi da gajere na babban yatsan hannu. An fallasa kashin cortical ta hanyar ɗan ƙarami kuma an haƙa rami, wanda aka haɓaka ta ƙungiyoyin madauwari. Ana shigar da ƙusa a cikin tashar medullary har zuwa wurin da ya karye. Ana yin raguwar karaya kuma an haɓaka ƙusa zuwa cikin guntun kusa da ke ƙarƙashin ikon fluoroscopic.
Ana aiwatar da irin wannan hanya don ulna, ta yin amfani da fasahar antegrade, tare da wurin shigarwa a kan tsaka-tsakin tsaka-tsakin olecranon.
Yadda Ake Siyan Kayan Gyaran Orthopedic da Instruments?
Domin CZMEDITECH , muna da cikakken samfurin layi na kayan aikin tiyata na orthopedic da kayan aiki masu dacewa, samfurori ciki har da kashin baya implants, intramedullary kusoshi, farantin rauni, farantin kulle, cranial-maxillofacial, prosthesis, kayan aikin wuta, masu gyara waje, arthroscopy, kula da dabbobi da saitin kayan aikinsu.
Bugu da kari, mun himmatu wajen ci gaba da bunkasa sabbin kayayyaki da fadada layin samfur, ta yadda za a iya biyan bukatun tiyata na karin likitoci da marasa lafiya, da kuma sa kamfaninmu ya kara yin gasa a cikin dukkan masana'antar sarrafa kasusuwa ta duniya da masana'antar kayan aiki.
Muna fitarwa a duk duniya, don haka za ku iya Tuntuɓe mu a adireshin imel song@orthopedic-china.com don faɗakarwa kyauta, ko aika sako ta WhatsApp don amsa cikin gaggawa +86- 18112515727 .
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