Dynamic Axial Igororotse Ubwoko bwo hanze bukosora

Intego y'ibanze yo gukosora kuvunika ni uguhagarika igufwa ryavunitse, kugirango rishobore gukira vuba amagufwa yakomeretse, no kugaruka hakiri kare n'imikorere yuzuye yibikomere.

Gukosora hanze ni tekinike ikoreshwa mu gufasha gukiza amagufwa yavunitse cyane. Ubu bwoko bwo kuvura amagufwa burimo kurinda kuvunika hamwe nigikoresho cyihariye cyitwa fixator, kiri hanze yumubiri. Ukoresheje imigozi idasanzwe yamagufa (bakunze kwita pin) inyura muruhu n imitsi, uwakosoye ahujwe namagufa yangiritse kugirango akomeze guhuza neza nkuko akiza.

Niki gikosora hanze ikoreshwa?

Igikoresho cyo gutunganya gishobora gukoreshwa kugirango amagufa yamenetse ahamye kandi ahuze. Igikoresho kirashobora guhindurwa hanze kugirango amagufwa agume mumwanya mwiza mugihe cyo gukira. Iki gikoresho gikunze gukoreshwa mubana kandi mugihe uruhu hejuru yamenetse rwangiritse.

Ni ubuhe bwoko bwo gukosora hanze?

Hariho ubwoko butatu bwibanze bwo gukosora hanze: gutunganya uniplanar isanzwe, gukosora impeta, hamwe na fixe ya Hybrid.

Ibikoresho byinshi bikoreshwa mugukosora imbere bigabanijwemo ibice bike byingenzi: insinga, pin na screw, amasahani, imisumari cyangwa inkoni.

Staples na clamp nazo zikoreshwa rimwe na rimwe mugukosora osteotomy cyangwa kuvunika. Autogenous bone grafts, allografts, hamwe ninsimburangingo zamagufwa zikoreshwa kenshi mukuvura inenge zamagufa zimpamvu zitandukanye. Kuvunika kwanduye kimwe no kuvura indwara zamagufwa, amasaro ya antibiotique akoreshwa kenshi.

Dynamic Axial Igororotse Ubwoko Bwinyuma Bwakosowe: Ubuyobozi Bwuzuye

Ku bijyanye no kuvura imvune n’ubundi buryo bw’amagufwa, abakosora hanze bafite uruhare runini mu micungire no gusubiza mu buzima busanzwe abarwayi. Imwe muriyo ikosora yo hanze ni dinamike ya axial igororotse ubwoko bwo hanze ikosora, imaze kwamamara mubaganga babaga amagufwa kubera igishushanyo cyayo n'imikorere idasanzwe. Muri ubu buyobozi bwuzuye, tuzacengera cyane muburyo burambuye bwa dinamike ya axial igororotse ubwoko bwo hanze, harimo igishushanyo mbonera, ibimenyetso, ibyiza, hamwe nimbibi.

1. Intangiriro

Dynamic axial igororotse ubwoko bwikosora ni igikoresho cyo hanze gikoreshwa muguhagarika imvune cyangwa ibice byamagufwa kubarwayi. Bikunze gukoreshwa mugihe aho gukosora imbere atari amahitamo, cyangwa aho bikenewe kugenzurwa no kugenda buhoro buhoro cyangwa kwikuramo ikibanza cyacitse. Imbaraga za axial zigororotse ubwoko bwikosora butuma habaho kwikuramo no kurangara, kimwe no guhinduranya no guhinduranya, bigatuma bihinduka cyane mukuvura imiterere itandukanye.

2. Ni ubuhe bwoko bwa Dynamic Axial Straight Ubwoko bwo hanze bukosora?

Imikorere ya axial igororotse ubwoko bwikosora ni igikoresho cyo hanze kigizwe nibyuma cyangwa karuboni fibre fibre, bihujwe na clamp cyangwa pin byinjijwe mumagufwa. Igikoresho kirashobora guhindurwa kugirango gitange kwikuramo cyangwa kurangaza ahavunitse, bitewe nibisabwa na muganga. Igikoresho kirashobora kandi gukoreshwa mugukosora ubumuga cyangwa malunion yamagufwa mugukoresha buhoro buhoro icyerekezo cyifuzwa.

3. Ibigize Dynamic Axial Igororotse Ubwoko bwo hanze bukosora

Imikorere ya axial igororotse ubwoko bwo hanze busanzwe bugizwe nibice bikurikira:

• Ibyuma bya fibre cyangwa karubone bifite uburebure butandukanye na diameter

• Clamps cyangwa pin kugirango bikosore igufwa

• Guhuza guhuza guhuza inkoni na clamps / pin

• Gufunga uburyo bwo gutunganya neza inkoni na clamps / pin

• Ibikoresho byo guhunika no kurangaza byo kwikuramo axial cyangwa kurangara kurubuga rwacitse

• Uburyo bwo guhindura no guhinduranya

4. Ibyerekana Dynamic Axial Igororotse Ubwoko bwo hanze bukosora

Dynamic axial igororotse ubwoko bwikosora bwerekanwe kubintu bikurikira:

• Fungura ibice byavunitse byangiritse byoroshye

• Kumeneka kwingufu nyinshi hamwe no gutakaza cyane cyangwa gutakaza amagufwa

• Imvune zigoye guhagarara hamwe nibikoresho bikosora imbere

• Malunion cyangwa guhuza amagufwa

• Osteotomies ikosora cyangwa uburyo bwo kwagura amagufwa

• Tumor resections cyangwa inenge zamagufa zisaba kwiyubaka

5. Ibyiza bya Dynamic Axial Igororotse Ubwoko bwo hanze bukosora

Dynamic axial igororotse ubwoko bwimbere ikosora ifite ibyiza byinshi kurenza abandi bakosora hanze, harimo:

• Guhinduranya muburyo bwo kuvura imiterere itandukanye

• Ubushobozi bwo gukoresha kugenzura no buhoro buhoro kwikuramo cyangwa kurangaza

• Guhagarika ingirabuzimafatizo ntoya mugihe cyo kuyishyira

• Ntibikenewe gukata cyangwa gutandukanya imitsi

• Gukangurira hakiri kare umurwayi birashoboka

• Guhindura byoroshye no gukuraho igikoresho

6. Imipaka ya Dynamic Axial Igororotse Ubwoko bwo hanze bukosora

Nubwo ibyiza byayo, dinamike ya axial igororotse ubwoko bwo hanze ikosora ifite aho igarukira igomba kwitabwaho, harimo:

• Ibyago byo kwandura pin tract, bishobora gutera izindi ngorane

• Ukeneye gukurikiranwa no guhindura igikoresho kugirango wirinde gukabya gukabije cyangwa kurangaza

• Ingorane zo kugera ku gihagararo gihagije ku barwayi bafite umubyibuho ukabije cyangwa imitsi cyane

• Urutonde ntarengwa rwo kugenda mu gihimba cyanduye mugihe cyo gukosora

• Ibyago byo gukomeretsa imitsi mugihe cyo gushyira cyangwa guhindura igikoresho

7. Nigute Dynamic Axial Igororotse Ubwoko Bwinyuma Bwashyizwe hanze?

Gushyira imbaraga za axial igororotse ubwoko bwikosora busanzwe bukorwa munsi ya anesthesia rusange cyangwa mukarere mubyumba bikoreramo. Inzira ikubiyemo kwinjiza pin cyangwa clamp mu magufa kure yikibanza cyavunitse, hagakurikiraho no gukoresha ibikoresho byo gutunganya hanze kugirango uhuze pin / clamps hamwe ninkoni.

Igikoresho cyahinduwe kugirango kigere ku kigero cyifuzwa cyo kwikuramo cyangwa kurangara ahavunitse, kandi buri gihe hagomba gukurikiranwa no kugenzura igikoresho kugira ngo gikire neza kandi gihuze ibice byamagufwa.

8. Kwita no gufata neza Dynamic Axial Igororotse Ubwoko bwo hanze bukosora

Kwitaho neza no kubungabunga dinamike ya axial igororotse ubwoko bwikosora ni ngombwa kugirango wirinde ingorane nko kwandura pin cyangwa kunanirwa kw'ibikoresho. Ubusanzwe abarwayi basabwa uburyo bwo gukora isuku no kwambara ibibanza bya pin kandi basabwa kwirinda kwibiza igikoresho mumazi.

Guhora ukurikirana gahunda hamwe na orthopedic surgeon basabwa gukurikirana gukira no guhindura igikoresho nkuko bikenewe.

9. Ingorane zifatanije na Dynamic Axial Igororotse Ubwoko bwo hanze bukosora

Ingorane zijyanye na dinamike ya axial igororotse ubwoko bwo hanze bushobora gukosora:

• Indwara ya pin

• Kunanirwa kw'ibikoresho cyangwa kurekura pin / clamps

• Gutakaza guhuza cyangwa kugabanya ibice byamagufwa bihamye

• Gukomeretsa kw'imitsi

• Gukomera hamwe cyangwa amasezerano

• Imitsi cyangwa intege nke

• Kubabara cyangwa kutoroherwa kurubuga rwa pin

10. Umwanzuro

Dynamic axial igororotse ubwoko bwimbere bwo gukosora nigikoresho cyagaciro mugucunga imvune nibindi bihe byamagufwa, bitanga inyungu zidasanzwe kurenza abandi bakosora hanze. Nyamara, guhitamo neza abarwayi no gukurikirana neza igikoresho ni ngombwa kugirango wirinde ingorane kandi urebe neza umusaruro ushimishije.

11. Ibibazo

1. Bifata igihe kingana iki kugirango ushireho imbaraga ya axial igororotse ubwoko bwo hanze bukosora? Gushyira imbaraga za axial igororotse ubwoko bwikosora busanzwe bifata amasaha menshi, bitewe nuburyo bugoye bwo kuvunika hamwe na anatomiya yumurwayi.

2. Ese dinamike ya axial igororotse ubwoko bwo gukosora birababaza? Gushyira imbaraga za axial igororotse ubwoko bwo hanze bushobora gukosorwa, ariko igikoresho ubwacyo ntigikwiye gutera ububabare bukomeye.

3. Mugihe kingana iki umurwayi akeneye kwambara dinamike ya axial igororotse yo hanze ikosora? Igihe cyo gukosora hanze kiratandukanye bitewe nuburyo bwo kuvunika cyangwa imiterere ivurwa, ariko mubisanzwe bimara ibyumweru byinshi kugeza kumezi menshi.

4. Ese imbaraga za axial zigororotse ubwoko bwimbere bwo gukosora bushobora guhinduka? Nibyo, igikoresho kirashobora guhinduka kugirango gitange urugero rwifuzwa rwo kwikuramo cyangwa kurangaza kurubuga rwacitse.

5. Hariho ubundi buryo bwo kuvura kuri dinamike axial igororotse ubwoko bwo hanze bukosora? Ibikoresho byo gukosora imbere, nk'isahani hamwe na screw, birashobora gukoreshwa muguhagarika imvune, ariko ntibishobora kuba muburyo bwose. Ibindi bikoresho byo gukosora hanze, nkibizunguruka bizenguruka cyangwa ibivangavanga, nabyo birashobora gukoreshwa ukurikije ibyo umurwayi akeneye.