Dynamic Axial Ankle Joint Fragment ExternalFixator

Lub hom phiaj tseem ceeb ntawm kev txhim kho pob txha pob txha yog txhawm rau txhim kho cov pob txha pob txha, ua kom cov pob txha raug mob sai sai, thiab rov qab mus sai sai thiab ua haujlwm tag nrho ntawm qhov raug mob sab nraud.

External fixation yog ib txoj kev siv los kho cov pob txha tawg loj. Hom kev kho mob orthopedic no suav nrog kev ruaj ntseg pob txha nrog cov cuab yeej tshwj xeeb hu ua fixator, uas yog sab nraud rau lub cev. Siv cov pob txha tshwj xeeb (feem ntau hu ua pins) uas dhau los ntawm daim tawv nqaij thiab cov leeg, lub fixator txuas nrog cov pob txha puas kom nws nyob rau hauv kev sib raug zoo raws li nws kho.

Lub fixator sab nraud siv rau dab tsi?

Ib qho cuab yeej fixation sab nraud tuaj yeem siv los ua kom cov pob txha tawg kom ruaj khov thiab ua kom zoo. Cov cuab yeej tuaj yeem hloov kho sab nraud kom ntseeg tau tias cov pob txha nyob hauv qhov chaw zoo thaum lub sijhawm kho. Cov cuab yeej no feem ntau yog siv rau hauv cov menyuam yaus thiab thaum cov tawv nqaij ntawm cov pob txha puas lawm.

Dab tsi yog hom kev kho sab nraud?

Muaj peb yam yooj yim ntawm cov fixators sab nraud: tus qauv uniplanar fixator, nplhaib fixator, thiab hybrid fixator.

Cov khoom siv ntau yam siv rau kev kho sab hauv yog kwv yees muab faib ua ob peb pawg loj: xov hlau, pins thiab screws, daim hlau, thiab cov ntsia hlau intramedullary lossis rods.

Staples thiab clamps kuj siv qee zaus rau osteotomy lossis pob txha fixation. Autogenous pob txha grafts, allografts, thiab pob txha hloov pauv pob txha yog nquag siv rau kev kho pob txha tsis xws luag ntawm ntau yam ua rau. Rau cov kab mob sib kis nrog rau kev kho pob txha kab mob, cov hlaws tshuaj tua kab mob feem ntau siv.

Dynamic Axial Ankle Joint Fragment Sab Nraud Fixator: Ib Txheej Txheem

Kev puas tsuaj ntawm pob qij txha yog ib qho tshwm sim thiab tuaj yeem tshwm sim los ntawm ntau yam ua rau, nrog rau kev raug mob kis las, ntog, thiab kev sib tsoo ntawm lub tsheb. Cov pob txha no tuaj yeem nyuaj rau kev tswj hwm, tshwj xeeb tshaj yog thaum lawv koom nrog kev sib koom ua ke. Ib qho kev kho mob zoo tshaj plaws rau cov pob txha zoo li no yog kev siv cov pob qij txha dynamic axial pob qij txha sab nraud fixator. Hauv tsab xov xwm no, peb yuav muab cov ntsiab lus ntawm cov cuab yeej no, nws cov khoom, nws cov lus qhia, thiab nws qhov zoo dua lwm txoj kev kho mob.

Dab tsi yog qhov dynamic axial pob taws pob qij txha sab nraud fixator?

Lub dynamic axial pob taws pob qij txha sab nraud fixator yog ib qho cuab yeej siv los txhim kho cov pob qij txha, tshwj xeeb tshaj yog cov uas muaj feem cuam tshuam. Nws yog ib hom kev kho sab nraud uas siv cov pins thiab cov tuav kom ruaj khov ntawm cov pob txha thiab tso cai rau kev tswj cov kev sib koom tes thaum lub sijhawm kho. Lub fixator yog siv sab nraud, txhais tau hais tias nws tsis yog phais implanted, thiab feem ntau raug tshem tawm thaum lub pob txha zoo lawm.

Cheebtsam ntawm ib tug dynamic axial pob taws pob qij txha tawg sab nraud fixator

Lub Cheebtsam ntawm ib tug dynamic axial pob taws pob qij txha fragment sab nrauv fixator feem ntau muaj xws li:

• Pin fixation: Pins tau muab tso rau hauv cov pob txha ntawm ob sab ntawm qhov tawg thiab txuas rau cov tuav ntawm lub fixator.

• Bar fixation: Cov tuav yog txuas rau cov pins thiab sib koom ua ke, tsim kom muaj lub hauv paus ruaj khov nyob ib ncig ntawm qhov tawg.

• Dynamic pob khawm: Lub pob khawm muaj nyob rau hauv lub fixator kom tswj tau qhov kev sib koom tes thaum lub sij hawm kho.

• Compression / distraction ntaus ntawv: Lub compression / distraction ntaus ntawv muaj nyob rau hauv lub fixator tso cai rau kev tswj compression los yog cuam tshuam ntawm qhov chaw tawg raws li xav tau.

Indications rau kev siv ntawm ib tug dynamic axial pob taws pob qij txha fragment sab nrauv fixator

Lub dynamic axial pob taws pob qij txha sab nraud fixator feem ntau yog siv nyob rau hauv lwm yam kev kho mob, xws li casting los yog phais kho, tsis tsim nyog. Cov lus qhia rau kev siv muaj xws li:

• Fractures uas muaj kev sib koom ua ke

• Fractures nrog cov ntaub so ntswg tseem ceeb raug mob

• Kev puas tsuaj rau cov neeg mob uas muaj pob txha tsis zoo lossis lwm yam kev kho mob uas ua rau kev phais mob nyuaj

• Kev puas tsuaj rau cov neeg mob uas tsis tuaj yeem zam lub cam khwb cia lossis lwm yam khoom siv immobilization

Qhov zoo ntawm dynamic axial pob taws pob qij txha tawg sab nraud fixator

Muaj ntau qhov zoo rau kev siv lub zog axial pob taws pob qij txha sab nraud fixator dua lwm txoj kev kho mob:

• Tso cai rau kev sib koom ua ke thaum ntxov, uas tuaj yeem pab tiv thaiv kev nruj thiab txhim kho kev ua haujlwm tag nrho.

• Muab kev ruaj khov kho ntawm cov pob txha, uas tuaj yeem ua rau kev kho kom zoo dua qub thiab cov txiaj ntsig zoo rau lub sijhawm ntev.

• Nws tuaj yeem siv rau hauv cov neeg mob uas tsis tuaj yeem zam lub cam khwb cia lossis phais kho.

• Tso cai rau kev hloov kho yooj yim ntawm compression lossis cuam tshuam ntawm qhov chaw tawg raws li xav tau.

• Muaj qhov cuam tshuam me me, txhais tau hais tias muaj tsawg dua kev pheej hmoo ntawm cov teeb meem piv rau kev kho phais.

Kev pheej hmoo thiab teeb meem

Zoo li txhua txoj kev kho mob, kev siv dynamic axial pob taws pob qij txha tawg sab nraud fixator tsis muaj kev pheej hmoo thiab teeb meem. Qee qhov kev pheej hmoo thiab teeb meem muaj xws li:

• Kab mob ntawm tus pin insertion site

• Pin loosening lossis breakage

• Cov nqaij mos khaus khaus lossis puas

• Joint stiffness los yog instability

• Cov paj hlwb lossis cov hlab ntsha puas

Xaus

Lub dynamic axial pob taws pob qij txha sab nraud fixator yog ib qho cuab yeej tseem ceeb hauv kev tswj cov pob qij txha pob qij txha, tshwj xeeb tshaj yog cov kev sib koom ua ke. Nws tso cai rau kev sib koom ua ke thaum ntxov ntawm kev sib koom ua ke thiab muab kev txhim kho ruaj khov ntawm cov pob txha, ua rau kev kho kom zoo dua qub thiab cov txiaj ntsig zoo mus ntev. Txawm hais tias muaj kev pheej hmoo thiab teeb meem cuam tshuam nrog kev siv cov cuab yeej no, nws feem ntau muaj kev nyab xeeb thiab ua tau zoo los ntawm cov neeg mob.