Wrist Joints External Fixator - Type F

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?

Chida 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.

Wrist Joints External Fixator: Chidule

Dzanja ndilofunika kwambiri lomwe limagwirizanitsa mkono ndi dzanja ndipo limapereka chithandizo ndi kusinthasintha kuti lichite zinthu zosiyanasiyana. Tsoka ilo, kuvulala padzanja kumakhala kofala kwambiri ndipo kumatha kuyambitsidwa ndi zinthu zosiyanasiyana monga kugwa, kuvulala pamasewera, ndi ngozi zagalimoto. Zikavuta kwambiri, kuvulala kumeneku kungafunike kuchitidwa opaleshoni, ndipo cholumikizira chakunja cholumikizira dzanja ndi njira yodziwika bwino yothandizira kusweka kwakukulu kwa dzanja. M'nkhaniyi, tikambirana mwatsatanetsatane cholumikizira chakunja cholumikizira dzanja, kuphatikiza tanthauzo lake, mitundu, zisonyezo, ndi zovuta zake.

Mawu Oyamba

Chida chakunja cholumikizira dzanja ndi chida chachipatala chomwe chimagwiritsidwa ntchito kukhazikika mafupa osweka m'dzanja. Chipangizocho chimakhala ndi zikhomo zachitsulo kapena zomangira zomwe zimamangiriridwa ku mafupa kumbali zonse za fracture ndipo zimagwirizanitsidwa ndi chitsulo chachitsulo kunja kwa khungu. Fungo limeneli limapangitsa kuti mafupa azikhala bwino ndipo amachira bwino.

Mitundu ya Zokonza Zakunja

Pali mitundu yosiyanasiyana yazitsulo zakunja zomwe zimagwiritsidwa ntchito pochiza fractures zamanja. Mitundu ina yodziwika bwino ndi:

Uniplanar External Fixators

Zokonza zakunja zopanda uniplanar ndi mtundu wosavuta wa fixator ndipo zimakhala ndi ndege imodzi yothandizira. Zokonza izi zimagwiritsidwa ntchito muzowonongeka zosavuta ndipo zimapereka kukhazikika kochepa.

Zozungulira Zakunja Zokonza

Zozungulira zozungulira kunja zimakhala ndi mphete ziwiri kapena zingapo zomwe zimagwirizanitsidwa ndi mawaya kapena ndodo. Ma fixator awa amagwiritsidwa ntchito muzowonongeka zovuta ndipo amapereka kukhazikika kwapamwamba.

Ma Hybrid External Fixators

Zosakaniza zakunja zosakanikirana ndizophatikizira za uniplanar ndi zozungulira. Ma fixator awa amagwiritsidwa ntchito muzowonongeka zovuta kumene kuphatikiza kukhazikika ndi kusinthasintha kumafunika.

Zizindikiro Zogwiritsa Ntchito Fixator Kunja

Zokonzera zakunja zimagwiritsidwa ntchito makamaka pochiza fractures zazikulu za dzanja zomwe sizingachiritsidwe ndi ma cast kapena braces. Zizindikiro zina zomwe zimagwiritsidwa ntchito ndi fixator zakunja ndizo:

Open Fractures

Kuthyoka kotseguka kumachitika pamene fupa losweka likulowa pakhungu, kuonjezera chiopsezo cha matenda. Zokonzera zakunja zingagwiritsidwe ntchito kuti zikhazikitse fracture ndi kuchepetsa chiopsezo cha matenda.

Ma Fractures Okhazikika

Kuthyoka kwapang'onopang'ono kumachitika pamene fupa lathyoledwa kukhala zidutswa zingapo. Okonza kunja angagwiritsidwe ntchito kulimbitsa fupa ndikulimbikitsa machiritso oyenera.

Zophwanyika Zokhala ndi Zowonongeka Zofewa

Ziphuphu zomwe zimaphatikizapo kuwonongeka kwa minofu yofewa yozungulira fupa zingakhale zovuta kuchiza. Zokonza zakunja zingagwiritsidwe ntchito kulimbitsa fupa pamene kulola kuti minofu yofewa ichiritse.

Zovuta za Kugwiritsa Ntchito Fixator Kunja

Mofanana ndi chipangizo chilichonse chachipatala, okonza kunja angayambitse mavuto. Zina mwazovuta zomwe zimafala ndi izi:

Matenda

Zokonzera zakunja zimatha kuonjezera chiopsezo cha matenda, makamaka ngati chipangizocho sichikusungidwa bwino.

Pin Site Kutupa

Zikhomo kapena zomangira zomwe zimagwiritsidwa ntchito muzitsulo zakunja zimatha kukwiyitsa khungu ndikuyambitsa kutupa.

Kutayika kwa Range of Motion

Zokonzera zakunja zimatha kuchepetsa kusuntha kwa dzanja lomwe lakhudzidwa, zomwe zingakhale zovuta kuti zibwezeretse chipangizocho chikachotsedwa.

Mapeto

Chiwongola dzanja chakunja chakunja ndi njira yabwino yochizira matenda osweka kwambiri pamkono. Amapereka bata kwa mafupa osweka, kuwalola kuchira bwino. Komabe, monga chipangizo chilichonse chachipatala, zokonza kunja zingayambitse mavuto. Odwala ayenera kugwirira ntchito limodzi ndi othandizira awo azaumoyo kuti awonetsetse kuti chipangizocho chikusamalidwa bwino ndipo zovuta zilizonse zimathetsedwa mwachangu.