Cholinga chachikulu cha kukonza fupa la fracture ndikukhazikitsa fupa losweka, kuthandizira kuchira msanga kwa fupa lovulala, ndi kubwereranso mofulumira komanso kugwira ntchito kwathunthu kwa fupa lovulala.

Kukonzekera kwakunja ndi njira yomwe imagwiritsidwa ntchito pochiritsa mafupa osweka kwambiri. Mtundu uwu wa chithandizo cha mafupa umaphatikizapo kuteteza fracture ndi chipangizo chapadera chotchedwa fixator, chomwe chili kunja kwa thupi. Pogwiritsa ntchito zida zapadera za fupa (zomwe zimatchedwa pini) zomwe zimadutsa pakhungu ndi minofu, chokonzacho chimagwirizanitsidwa ndi fupa lowonongeka kuti likhale loyenera pamene likuchiritsa.

Kodi chokonzera chakunja chimagwiritsidwa ntchito chiyani?

Chipangizo chokonzekera chakunja chingagwiritsidwe ntchito kuti mafupa osweka akhazikike komanso agwirizane. Chipangizocho chikhoza kusinthidwa kunja kuti chitsimikizire kuti mafupa amakhalabe pamalo abwino panthawi ya machiritso. Chipangizochi chimagwiritsidwa ntchito kwambiri kwa ana komanso pamene khungu pa fracture lawonongeka.

Ndi mitundu yanji ya fixator yakunja?

Pali mitundu itatu yoyambira yazitsulo zakunja: wokhazikika uniplanar fixator, ring fixator, ndi hybrid fixator.

Zida zambiri zomwe zimagwiritsidwa ntchito pokonza mkati zimagawidwa m'magulu angapo: mawaya, mapini ndi zomangira, mbale, ndi misomali kapena ndodo za intramedullary.

Zomangamanga ndi zomangira zimagwiritsidwanso ntchito nthawi zina pa osteotomy kapena fracture fixation. Mafupa amtundu wa autogenous, allografts, ndi mafupa amtundu wa mafupa amagwiritsidwa ntchito kawirikawiri pofuna kuchiza matenda a mafupa pazifukwa zosiyanasiyana. Pa zothyoka zomwe zili ndi kachilombo komanso pochiza matenda a mafupa, mikanda yolimbana ndi maantibayotiki imagwiritsidwa ntchito pafupipafupi.

Dynamic Axial Proximal Femoral Fragment External Fixator: Chidule Chachidule

Kuthyoka kwa m'chiuno ndi vuto lodziwika bwino la mafupa, makamaka kwa okalamba. Zosweka izi zimatha kuyambitsa kudwala kwambiri komanso kufa, ndipo kasamalidwe kawo nthawi zambiri kumakhala kovuta. Njira imodzi yomwe imagwiritsidwa ntchito poyang'anira kuthyoka kwa chiuno ndi dynamic axial proximal femoral fragment external fixator (DAPFFEF). M'nkhaniyi, tipereka chidule cha DAPFFEF, kuphatikiza zomwe zikuwonetsa, njira yake, zovuta zake, ndi zotsatira zake.

Mawu Oyamba

Kuthyoka kwa m'chiuno ndi vuto lalikulu la thanzi la anthu, ndipo pafupifupi 1.6 miliyoni zimachitika padziko lonse lapansi chaka chilichonse. Mitsempha iyi imagwirizanitsidwa ndi kudwala kwambiri komanso kufa, makamaka kwa odwala okalamba. Kasamalidwe ka fractures ya ntchafu nthawi zambiri imakhala yovuta, ndipo njira zosiyanasiyana zopangira opaleshoni zimagwiritsidwa ntchito kuti zisamalidwe. Imodzi mwa njirazi ndi dynamic axial proximal femoral fragment external fixator (DAPFFEF).

Anatomy ya Hip

Musanakambirane za DAPFFEF, ndikofunikira kumvetsetsa momwe chiuno chilili. Mgwirizano wa chiuno ndi mgwirizano wa mpira-ndi-socket, womwe umapangidwa ndi acetabulum ya pelvis ndi mutu wa chikazi. Khosi lachikazi limagwirizanitsa mutu wachikazi ndi shaft yachikazi. The proximal femur ndi gawo la femur lomwe lili pafupi kwambiri ndi mgwirizano wa chiuno.

Kodi Dynamic Axial Proximal Femoral Femoral Fragment External Fixator ndi chiyani?

A dynamic axial proximal femoral fragment external fixator (DAPFFEF) ndi chipangizo chomwe chimagwiritsidwa ntchito kukhazikitsira fractures za proximal femur. Chipangizocho chimakhala ndi zikhomo kapena zomangira zomwe zimayikidwa mu proximal femur ndipo zimagwirizanitsidwa ndi chimango chakunja. Chojambulacho chimapereka kukhazikika kwa fupa losweka, kulola kuti lichiritse.

Zizindikiro za DAPFFEF

DAPFFEF imagwiritsidwa ntchito pochiza fractures ya proximal femur, kuphatikizapo subcapital fractures, intertrochanteric fractures, ndi subtrochanteric fractures. Amagwiritsidwanso ntchito pochiza osagwirizana ndi malunions a proximal femur.

Njira ya DAPFFEF

Njira ya DAPFFEF imaphatikizapo kuyika zikhomo kapena zomangira mu proximal femur, zomwe zimalumikizidwa ndi chimango chakunja. Zikhomo kapena zomangira zimayikidwa m'njira yomwe imawalola kuti azigwira ntchito ngati mkono wa lever, kupereka kuponderezedwa kwamphamvu kwa fupa losweka. The chimango ndi kusinthidwa kukwaniritsa kufunika mlingo wa psinjika.

Ubwino wa DAPFFEF

Ubwino wa DAPFFEF umaphatikizira kukwanitsa kwake kupereka kukhazikika kokhazikika kwa proximal femur, kuthekera kwake kopereka kukanikizana kosunthika kufupa losweka, komanso kuthekera kwake kulola kunyamula koyambirira. Zinthu izi zitha kubweretsa zotsatira zabwino komanso nthawi yochira mwachangu kwa odwala.

Zovuta za DAPFFEF

Zovuta za DAPFFEF zikuphatikizapo matenda a pin tract, osagwirizanitsa, malunion, kutaya kuchepetsa, ndi kulephera kwa implant. Zovutazi zimatha kuyendetsedwa ndi chithandizo choyenera, kuphatikizapo maantibayotiki, opaleshoni yokonzanso, ndi kuchotsa fixator.

Zotsatira za DAPFFEF

Zotsatira za DAPFFEF zaphunziridwa m'mayesero angapo azachipatala. Mayeserowa asonyeza kuti DAPFFEF ikhoza kupereka kukhazikika kokhazikika kwa proximal femur, kulola kulemera koyambirira ndi zotsatira zabwino kwa odwala.

Mapeto

Dynamic axial proximal femoral fragment external fixator (DAPFFEF) ndi njira yopangira opaleshoni yomwe imagwiritsidwa ntchito kukhazikitsira kusweka kwa proximal femur. Amapereka kukhazikika kokhazikika komanso kuponderezedwa kwamphamvu kwa fupa losweka, kulola kulemera koyambirira komanso zotsatira zabwino kwa odwala. Zovuta zikhoza kuchitika, koma zingathetsedwe ndi chithandizo choyenera.