Dynamic Axial Ankle Joint Fragment ExternalFixator

Chinangwa chikuru chekugadzirisa kuputsika ndechekudzikamisa pfupa rakatyoka, kugonesa kukurumidza kupora kwepfupa rakakuvara, uye kudzoka kwekutanga kufamba uye kushanda kwakakwana kwegumbo rakakuvadzwa.

Kugadziriswa kwekunze inzira inoshandiswa kubatsira kuporesa mapfupa akatyoka zvakanyanya. Mhando iyi yekurapa kwemapfupa inosanganisira kuchengetedza pakatyoka nemudziyo wakasarudzika unonzi fixator, uri kunze kwemuviri. Kushandisa mapfupa emapfupa anokosha (anowanzonzi mapini) anopfuura nepakati peganda uye tsandanyama, iyo inogadzirisa inosungirirwa kune yakakuvadzwa bhonzo kuti igare yakanyatsorongeka sezvainoporesa.

Chii chinonzi fixator chekunze chinoshandiswa?

Chigadzirwa chekunze chekugadzirisa chinogona kushandiswa kuchengetedza mapfupa akatyoka akadzikama uye mukurongeka. Chigadzirwa chacho chinogona kugadziriswa kunze kuitira kuti mapfupa arambe ari munzvimbo yakakwana panguva yekuporesa. Ichi chishandiso chinowanzoshandiswa muvana uye kana ganda riri pamusoro pekutyoka rakakuvadzwa.

Ndeapi marudzi ekunze fixator?

Kune matatu akakosha marudzi ekunze ekugadzirisa: akajairwa uniplanar fixator, ring fixator, uye hybrid fixator.

Midziyo yakawanda inoshandiswa kugadzirisa mukati yakakamurwa kuita mashoma mashoma: waya, mapini uye screws, mahwendefa, uye intramedullary zvipikiri kana tsvimbo.

Staples uye mabhanhire anoshandiswawo apo neapo kune osteotomy kana kuputsika kugadzirisa. Autogenous bone grafts, allografts, uye pfupa graft inotsiva inowanzoshandiswa pakurapa kukanganiswa kwemapfupa ezvikonzero zvakasiyana. Pakutyoka kweutachiona pamwe chete nekurapa hutachiona hwemapfupa, mabheji anorwisa mabhakitiriya anowanzoshandiswa.

Dynamic Axial Ankle Joint Fragment External Fixator: An Overview

Kutyoka kwechidzitiro chegumbo chinhu chinowanzoitika uye chinogona kuguma nezvikonzero zvakasiyana-siyana, kusanganisira kukuvara kwemitambo, kudonha, uye tsaona dzemotokari. Aya mafracture anogona kuve akaoma kubata, kunyanya kana anosanganisira majoini zvidimbu. Imwe yeanonyanya kurapa kwekutyoka kwakadaro ndiko kushandiswa kweiyo dynamic axial ankle joint fragment yekunze fixator. Muchinyorwa chino, tichapa mhedziso yemudziyo uyu, zvikamu zvawo, zviratidzo zvawo, uye zvakanakira pane dzimwe nzira dzekurapa.

Chii chinonzi dynamic axial ankle joint fragment yekunze fixator?

A dynamic axial ankle joint fragment yekunze fixator chishandiso chinoshandiswa kudzikamisa matyoka anosanganisira ankle joint, kunyanya ayo anosanganisira majoini zvidimbu. Imhando yekunze kwekugadzirisa iyo inoshandisa nhevedzano yepini nembariro kudzikamisa kuputsika uye kubvumira kudzorwa kwekufamba kwejoinhi panguva yekupora. Iyo fixator inoshandiswa kunze, zvichireva kuti haina kuisirwa kuvhiyiwa, uye inowanzobviswa kana kuputsika kwapora.

Zvikamu zvea dynamic axial ankle joint fragment yekunze fixator

Izvo zvikamu zveiyo dynamic axial ankle joint fragment yekunze fixator inowanzo sanganisira:

• Kugadziriswa kwepini: Pini dzinopinzwa mubhonzo kune rumwe rutivi rwekutyoka uye dzakanamirwa kune mbariro dzekugadzirisa.

• Kugadziriswa kwebhari: Mabhawa akasungirirwa pamapini uye kune mumwe nemumwe, achigadzira yakagadzikana chimiro chakatenderedza kuputsika.

• Dynamic hinge: Hinge inosanganisirwa mugadziriso kubvumira kudzora kufamba kwejoint panguva yekupora.

• Kudzvinyirira / kuvhiringidza mudziyo: Chigadzirwa chekumanikidza / chinovhiringidza chinosanganisirwa mugadziriso kubvumira kudzorwa kudzvinyirira kana kukanganisa kwenzvimbo yekuputsika sezvinodiwa.

Zviratidzo zvekushandiswa kweiyo dynamic axial ankle joint fragment yekunze fixator

A dynamic axial ankle joint fragment yekunze fixator inowanzoshandiswa mumamiriro ezvinhu apo mamwe marapirwo, akadai sekukanda kana kugadziriswa kwekuvhiya, haana kukodzera. Zviratidzo zvekushandiswa zvinosanganisira:

• Kutyoka kunosanganisira zvimedu zvakabatana

• Kutsemuka nekukuvara kwakakosha kwetishu

• Kutyoka kwevarwere vane hurombo husina kunaka hwemapfupa kana zvimwe zvekurapa zvinokonzeresa izvo zvinoita kuti kuvhiya kugadzirisa kuve kwakaoma

• Kuputsika muvarwere vasingakwanisi kushivirira chigadziro kana imwe immobilization device

Zvakanakira zvea dynamic axial ankle joint fragment yekunze fixator

Pane zvakati wandei zvakanakira kushandisa dynamic axial ankle joint fragment yekunze fixator pamusoro pedzimwe nzira dzekurapa:

• Inobvumira kuunganidza kwekutanga kwekubatana, izvo zvinogona kubatsira kudzivirira kuoma uye kuvandudza basa rose.

• Inopa kugadzirisa kwakagadzikana kwekuputsika, izvo zvinogona kutungamirira kukuvandudzwa kwekuporesa uye zviri nani zvenguva refu.

• Inogona kushandiswa kune varwere vasingakwanise kushivirira kukanda kana kuvhiya kugadzirisa.

• Inobvumira kugadzirisa nyore kwekumanikidza kana kukanganisa kwenzvimbo yekuputsika sezvinodiwa.

• Inoita zvishoma, zvichireva kuti kune njodzi shoma yematambudziko kana ichienzaniswa nekugadzirisa kwekuvhiya.

Njodzi uye matambudziko

Kufanana nechero nzira yekurapa, kushandiswa kweiyo dynamic axial ankle joint fragment yekunze fixator haina njodzi uye matambudziko. Dzimwe njodzi dzinogona kuitika uye matambudziko anosanganisira:

• Utachiona panzvimbo yepini inopinza

• Pini kusunungura kana kuputsika

• Soft tissue irritation kana kukuvara

• Kuoma kwemajoini kana kusagadzikana

• Kukuvadzwa kwetsinga kana tsinga yeropa

Mhedziso

A dynamic axial ankle joint fragment yekunze fixator chishandiso chakakosha mukutonga kweankle joint fractures, kunyanya izvo zvinosanganisira majoini zvidimbu. Inobvumira kuunganidza kwekutanga kwekubatana uye inopa kugadziriswa kwakadzikama kwekuputsika, zvichiita kuti kuve nekuvandudzwa kwekuporesa uye zviri nani zvenguva refu. Kunyange paine njodzi uye matambudziko ane chekuita nekushandiswa kwechigadzirwa ichi, kazhinji chakachengeteka uye chinotenderwa nevarwere.