Dynamic Axial Straight Type External Fixator

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 zapadera Zomangira mafupa (zomwe zimatchedwa pini) zomwe zimadutsa pakhungu ndi minofu, chokonzeracho chimagwirizanitsidwa ndi fupa lowonongeka kuti likhale loyenera pamene likuchiritsa.

Kodi External Fixator amagwiritsidwa 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 External Fixator ?

Pali mitundu itatu yofunikira ya External Fixators : wokhazikika wa 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 Straight Type External Fixator : Buku Lophatikiza

Pankhani yochiza fractures ndi matenda ena a mafupa, External Fixators amagwira ntchito yofunika kwambiri pakuwongolera ndi kukonzanso odwala. Mmodzi wotere External Fixator ndi axial axial yowongoka mtundu External Fixator , yomwe yadziwika kwambiri pakati pa opaleshoni ya mafupa chifukwa cha mapangidwe ake apadera ndi ntchito zake. Mu bukhuli lathunthu, tifufuza mozama za mtundu wowongoka wa axial External Fixators , kuphatikizapo mapangidwe awo, zizindikiro, ubwino, ndi malire.

1. Mawu Oyamba

Dynamic axial straight type External Fixator ndi chipangizo chakunja chomwe chimagwiritsidwa ntchito kukhazikitsira fractures kapena zidutswa za mafupa mwa odwala. Amagwiritsidwa ntchito nthawi zambiri pamene kukonza kwamkati sikungatheke, kapena komwe kuli kofunikira kuwongolera ndi kusokoneza pang'onopang'ono kapena kuponderezedwa kwa malo osweka. Mtundu wowongoka wa axial External Fixator umalola kuponderezedwa kwa axial ndi kusokoneza, komanso mayendedwe ozungulira komanso omasulira, kupangitsa kuti ikhale yosinthika kwambiri pochiza matenda osiyanasiyana a mafupa.

2. Kodi Dynamic Axial Straight Type External Fixator ndi chiyani?

Mtundu wowongoka wa axial External Fixator ndi chipangizo chakunja chopangidwa ndi zitsulo kapena carbon fiber rods, zomwe zimalumikizidwa ndi zikhomo kapena mapini omwe amalowetsedwa mu fupa. Chipangizocho chikhoza kusinthidwa kuti chipereke kupanikizika kapena kusokoneza pamalo ophwanyika, malingana ndi zomwe dokotalayo akufuna. Chipangizocho chingagwiritsidwenso ntchito kukonza zopunduka kapena malunions a mafupa ndikugwiritsanso ntchito pang'onopang'ono kukakamiza komwe mukufuna.

3. Zigawo za Dynamic Axial Straight Type External Fixator

Mtundu wowongoka wa axial External Fixator nthawi zambiri umakhala ndi zigawo izi:

• Ndodo zachitsulo kapena za carbon fiber zautali ndi ma diameter osiyanasiyana

• Zikhomo kapena zikhomo kuti zigwirizane ndi fupa

• Zolumikizira zosinthika zolumikizira ndodo ndi ma clamp/pini

• Njira zokhoma zokhazikika bwino za ndodo ndi zikhomo / zikhomo

• Zida zopondereza ndi zosokoneza za axial compression kapena kusokoneza pamalo ophwanyika

• Njira zosinthira ndikusintha mozungulira

4. Zizindikiro za Dynamic Axial Straight Type External Fixator

Mtundu wowongoka wa axial External Fixator umasonyezedwa pazifukwa izi:

• Tsegulani fractures ndi kuwonongeka kwakukulu kwa minofu yofewa

• Kuphulika kwamphamvu kwamphamvu komwe kumakhala ndi commition yayikulu kapena kuwonongeka kwa mafupa

• Ziphuphu zomwe zimakhala zovuta kukhazikika ndi zipangizo zopangira mkati

• Malunions kapena zosagwirizana ndi mafupa

• Kuwongolera osteotomies kapena njira zowonjezera mafupa

• Kuchotsa chotupa kapena kuwonongeka kwa mafupa kumafuna kukonzanso

5. Ubwino wa Dynamic Axial Straight Type External Fixator

Mtundu wowongoka wa axial External Fixator uli ndi maubwino angapo kuposa ena External Fixators , kuphatikiza:

• Kusinthasintha pochiza matenda osiyanasiyana a mafupa

• Kutha kugwiritsa ntchito kuponderezana kowongolera komanso pang'onopang'ono kapena kusokoneza

• Kusokonezeka kwa minofu yofewa pang'ono panthawi yoyika

• Palibe chifukwa chocheka kapena kudula minofu

• Kukonzekera koyambirira kwa wodwalayo ndizotheka

• Kusintha kosavuta ndi kuchotsedwa kwa chipangizocho

6. Zochepa za Dynamic Axial Straight Type External Fixator

Ngakhale zabwino zake, mtundu wowongoka wa axial External Fixator uli ndi zoletsa zina zomwe ziyenera kuganiziridwa, kuphatikiza:

• Kuopsa kwa matenda a pin tract, omwe angayambitse zovuta zina

• Kufunika kowunika mosamala ndikusintha chipangizocho kuti musapanikize kwambiri kapena kusokoneza

• Kuvuta kukwaniritsa kukhazikika kokwanira mwa odwala onenepa kwambiri kapena othamanga kwambiri

• Kuyenda kochepa mu mwendo womwe wakhudzidwa panthawi yokonza

• Chiwopsezo cha kuvulala kwaubongo pakuyika kapena kusintha kwa chipangizocho

7. Kodi Dynamic Axial Straight Type External Fixator imayikidwa bwanji?

Kuyika kwa mtundu wowongoka wa axial External Fixator nthawi zambiri kumachitika pansi pa anesthesia wamba kapena wachigawo m'chipinda chopangira opaleshoni. Njirayi imaphatikizapo kuyika zikhomo kapena zikhomo mu fupa patali kuchokera pamalo ophwanyika, ndikutsatiridwa ndi kugwiritsa ntchito chipangizo cha External Fixator chogwirizanitsa zikhomo / zikhomo ndi ndodo.

Chipangizocho chimasinthidwa kuti chikwaniritse kuchuluka kofunikira kwa kuponderezedwa kapena kusokoneza pa malo ophwanyidwa, ndipo kuyang'anitsitsa nthawi zonse ndi kusintha kwa chipangizocho kumafunika kuti zitsimikizidwe kuti machiritso oyenera ndi kugwirizanitsa zidutswa za mafupa.

8. Kusamalira ndi Kusamalira Mtundu Wowongoka wa Dynamic Axial External Fixator

Kusamalira koyenera ndi kukonza kwamtundu wa axial wowongoka External Fixator ndikofunikira kuti tipewe zovuta monga matenda a pin tract kapena kulephera kwa chipangizo. Odwala nthawi zambiri amalangizidwa momwe angayeretsere ndi kuvala malo a pini ndipo amalangizidwa kuti apewe kumiza chipangizocho m'madzi.

Kukumana pafupipafupi ndi dokotala wa opaleshoni ya mafupa kumafunika kuyang'anira machiritso ndikusintha chipangizocho ngati pakufunika.

9. Zovuta Zogwirizana ndi Dynamic Axial Straight Type External Fixator

Zovuta zokhudzana ndi mtundu wa axial wowongoka External Fixators zingaphatikizepo:

• Pin thirakiti matenda

• Kulephera kwa chipangizo kapena kumasula mapini/zingwe

• Kutayika kwa kuyanjanitsa kapena kuchepetsa kukhazikika kwachidutswa cha fupa

• Kuvulala kwa Neurovascular

• Kulimba kolumikizana kapena kutsekeka

• Kufooka kwa minofu kapena kufooka

• Ululu kapena kusapeza bwino pa malo a pini

10. Mapeto

Dynamic axial straight type External Fixator ndi chida chamtengo wapatali poyang'anira fractures ndi ziwalo zina za mafupa, zomwe zimapereka ubwino wapadera kuposa zina External Fixators . Komabe, kusankha koyenera kwa odwala ndikuwunika mosamala chipangizocho ndikofunikira kuti tipewe zovuta ndikuwonetsetsa kuti zinthu zikuyenda bwino.

11. Mafunso Ofunsidwa Kawirikawiri

1. Zimatenga nthawi yayitali bwanji kuti muyike mtundu wowongoka wa axial External Fixator ? Kuyika kwa mtundu wowongoka wa axial External Fixator nthawi zambiri kumatenga maola angapo, malingana ndi zovuta za kuthyoka kwake ndi thupi la wodwalayo.

2. Kodi mtundu wowongoka wa axial External Fixator ndi wowawa? Kuyika kwa mtundu wowongoka wa axial External Fixator kungakhale kovutirapo, koma chipangizocho sichiyenera kuyambitsa kupweteka kwakukulu.

3. Kodi wodwala amafunika kuvala mtundu wowongoka wa axial External Fixator kwanthawi yayitali bwanji? Kutalika kwa kukhazikika kwakunja kumasiyanasiyana malinga ndi momwe fracture kapena momwe akuchiritsira, koma nthawi zambiri kumatenga milungu ingapo mpaka miyezi ingapo.

4. Kodi mtundu wa axial wolunjika External Fixator ungasinthidwe? Inde, chipangizochi chikhoza kusinthidwa kuti chipereke kuchuluka kwa kupanikizika kapena kusokoneza komwe kukufunika.

5. Kodi pali njira zina zochiritsira zamtundu wa axial wowongoka External Fixator ? Zida zokonzera mkati, monga mbale ndi zomangira, zingagwiritsidwe ntchito kukhazikitsira fractures, koma sizingakhale zoyenera nthawi zonse. Zida zina zowonjezera kunja, monga zozungulira zozungulira kapena zosakanizidwa zosakanizidwa, zingagwiritsidwenso ntchito malinga ndi zosowa za wodwalayo.