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 Proximal Femoral Fragment External Fixator: A Comprehensive Overview

Hip fractures idambudziko rakajairika remapfupa, kunyanya muvanhu vakura. Kutyoka uku kunogona kukonzera kurwara kwakanyanya uye kufa, uye manejimendi avo anowanzo kuoma. Imwe yemaitiro anoshandiswa kubata hudyu kuputsika ndeye dynamic axial proximal femoral fragment yekunze fixator (DAPFFEF). Muchinyorwa chino, tichapa tarisiro yakazara yeDAPFFEF, kusanganisira zviratidzo zvayo, maitiro, matambudziko, uye zvabuda.

Nhanganyaya

Hip fractures idambudziko guru rehutano hweveruzhinji, uye inofungidzirwa mamirioni 1.6 zviitiko zviri kuitika pasi rese gore rega. Kutyoka uku kwakabatana nehurwere hwepamusoro uye kufa, kunyanya muvarwere vakura. Kutungamira kwekutyoka kwehudyu kunowanzo kuoma, uye nzira dzakasiyana dzekuvhiya dzinoshandiswa kuzvibata. Imwe yemaitiro aya ndeye dynamic axial proximal femoral fragment yekunze fixator (DAPFFEF).

Anatomy yeHip

Usati wakurukura DAPFFEF, zvakakosha kuti unzwisise maitiro ehudyu. Hudyu inobatanidza bhora-ne-socket, inosanganisira acetabulum yepelvis uye musoro wemukadzi. Mutsipa wemukadzi unobatanidza musoro wemukadzi kune shaft yemukadzi. The proximal femur chikamu chemukadzi chiri pedyo nejojo ​​rehudyu.

Chii chinonzi Dynamic Axial Proximal Femoral Fragment External Fixator?

A dynamic axial proximal femoral fragment yekunze fixator (DAPFFEF) chishandiso chinoshandiswa kudzikamisa kuputsika kweproximal femur. Mudziyo uyu une seti yemapini kana screws anoiswa muproximal femur uye akabatanidzwa kune yekunze furemu. Chimiro chinopa kugadzikana kune pfupa rakaputsika, richibvumira kuporesa.

Zviratidzo zveDAPFFEF

DAPFFEF inoshandiswa kurapa kuputsika kweiyo proximal femur, kusanganisira subcapital fractures, intertrochanteric fractures, uye subtrochanteric fractures. Inoshandiswawo kurapa vasiri masangano uye malunion e proximal femur.

Nzira yeDAPFFEF

Iyo tekinoroji yeDAPFFEF inosanganisira kuisa mapini kana screws muproximal femur, izvo zvinobva zvabatanidzwa kune yekunze furemu. Mapini kana mascrews anoiswa nenzira inovabvumira kuita serevhisi ruoko, zvichipa kudzvanya kwakasimba kune pfupa rakatyoka. Iyo furemu inogadziriswa kuti iwane nhanho inodiwa yekumanikidza.

Zvakanakira zveDAPFFEF

Zvakanakira zveDAPFFEF zvinosanganisira kugona kwayo kupa yakagadzikana gadziriso yeproximal femur, kugona kwayo kupa simba rekumanikidza kune bhonzo rakatyoka, uye kugona kwayo kubvumidza kutanga kurema. Izvi zvinhu zvinogona kutungamira kune zvakagadziridzwa mhedzisiro uye nekukurumidza kupora nguva kune varwere.

Matambudziko eDAPFFEF

Matambudziko eDAPFFEF anosanganisira hosha dzepini, dzisiri-mubatanidzwa, malunion, kurasikirwa kwekudzikisa, uye kutadza kwekudyara. Zvinetso izvi zvinogona kugadziriswa nekurapa kwakakodzera, kusanganisira mishonga inorwisa mabhakitiriya, kuvhiyiwa kwekudzokorora, uye kubviswa kwechigadziriso.

Migumisiro yeDAPFFEF

Mhedzisiro yeDAPFFEF yakadzidzwa mune akati wandei miedzo yekiriniki. Iyi miedzo yakaratidza kuti DAPFFEF inogona kupa kugadzirisa kwakadzikama kweproximal femur, ichibvumira kutanga kurema uye kuvandudzwa kwemigumisiro yevarwere.

Mhedziso

Dynamic axial proximal femoral fragment yekunze fixator (DAPFFEF) inzira yekuvhiya inoshandiswa kudzikamisa kuputsika kweproximal femur. Inopa kugadzirisa kwakadzikama uye kudzvinyirirwa kune simba kune pfupa rakaputsika, zvichibvumira kutanga kurema-kutakura uye kuvandudzwa kwemigumisiro yevarwere. Zvinetso zvinogona kuitika, asi zvinogona kugadziriswa nekurapa kwakakodzera.