Dynamic Axial Yakarurama Type Yekunze Fixator

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 Yakarurama Type Yekunze Fixator: A Comprehensive Guide

Kana zvasvika pakurapa kuputsika uye mamwe mamiriro emapfupa, magadzirirwo ekunze anoita basa rakakosha mukutarisira uye kugadzirisa varwere. Imwe yakadaro yekunze inogadzirisa ndeye dynamic axial yakatwasuka mhando yekunze fixator, iyo yakawana mukurumbira pakati pevanovhiya vemapfupa nekuda kweiyo yakasarudzika dhizaini uye kushanda kwayo. Mugwaro rino rakazara, isu tichaongorora zvakadzama mukati meiyo dynamic axial yakatwasuka mhando yekunze inogadzirisa, kusanganisira dhizaini yavo, zviratidzo, zvakanakira, uye zvinogumira.

1. Nhanganyaya

Dynamic axial straight type yekunze fixator chinhu chekunze chinoshandiswa kudzikamisa kuputsika kana zvimedu zvemapfupa muvarwere. Inowanzoshandiswa mumamiriro ezvinhu apo kugadziriswa kwemukati hakusi sarudzo, kana apo pane chido chekudzora uye zvishoma nezvishoma kuvhiringidza kana kudzvinyirira kwenzvimbo yekuputsika. Iyo dynamic axial yakatwasuka mhando yekunze fixator inobvumira axial compression uye kukanganisa, pamwe nekutenderera uye kushandura mafambiro, zvichiita kuti iite zvakasiyana-siyana mukurapa kwakasiyana-siyana mamiriro emapfupa.

2. Chii chinonzi Dynamic Axial Straight Type External Fixator?

A dynamic axial yakatwasuka mhando yekunze fixator chinhu chekunze chinogadzirwa nesimbi kana kabhoni fibre rods, iyo yakabatana ne clamps kana mapini anopinzwa mubhonzo. Chishandiso chacho chinogona kugadziridzwa kuti chipe kudzvanya kana kukanganisa panzvimbo yekutyoka, zvichienderana nezvinodiwa nachiremba. Chigadzirwa chacho chinogonawo kushandiswa kugadzirisa kuremara kana malunion emapfupa kuburikidza nekushandisa zvishoma nezvishoma kudzvinyirira munzira yaunoda.

3. Zvikamu zveDynamic Axial Yakarurama Type External Fixator

A dynamic axial yakatwasuka mhando yekunze fixator inowanzo sanganisira zvinotevera zvikamu:

• Metallic kana carbon fiber tsvimbo dzehurefu hwakasiyana uye madhayamita

• Zvisungo kana mapini ekugadzirisa bhonzo

• Anogadziriswa majoini ekubatanidza tsvimbo uye mabhanhire / mapini

• Kukiya nzira dzekugadzirisa kwakachengeteka kwetsvimbo uye zvisungo / mapini

• Kudzvinyirira uye kuvhiringidza zvishandiso zveaxial compression kana kukanganisa panzvimbo yekuputsika

• Kushandura uye kutenderera kugadzirisa maitiro

4. Zviratidzo zveDynamic Axial Yakarurama Type External Fixator

Iyo dynamic axial yakatwasuka mhando yekunze fixator inoratidzwa kune anotevera mamiriro:

• Vhura mafractures ane kukuvara kwakakura kwetishu nyoro

• High-energy fractures ine zvakakosha comminution kana kurasikirwa kwepfupa

• Zvimedu zvinonetsa kudzikamisa nemidziyo yekugadzirisa mukati

• Malunion kana zvisizvo zvemapfupa

• Kugadzirisa osteotomies kana mapfupa ekurebesa maitiro

• Tumor resections kana kuremara kwemapfupa kunoda kugadzirwa patsva

5. Zvakanakira Dynamic Axial Yakarurama Type Kunze Fixator

Iyo inoshanduka axial yakatwasuka mhando yekunze fixator ine akati wandei mabhenefiti pamusoro pemamwe ekunze anogadzirisa, anosanganisira:

• Kushanda kwakasiyana-siyana mukurapa kwakasiyana-siyana mamiriro emapfupa

• Kugona kushandisa kudzorwa uye zvishoma nezvishoma kudzvanya kana kukanganisa

• Minimal soft tissue disruption panguva yekuiswa

• Hapana chikonzero chekuchekwa kana kutsemura tsandanyama

• Kukurumidza kuunganidza murwere kunogoneka

• Kugadziriswa kuri nyore uye kubviswa kwechigadzirwa

6. Mitemo yeDynamic Axial Yakarurama Type External Fixator

Pasinei nemabhenefiti ayo, iyo inoshanduka axial yakatwasuka mhando yekunze fixator ine zvimwe zvipimo zvinofanirwa kuverengerwa, zvinosanganisira:

• Ngozi yepini tract infection, iyo inogona kutungamirira kune mamwe matambudziko

• Kudiwa kwekunyatsotarisisa uye kugadzirisa kwechishandiso kuti udzivise kudzvinyirira zvakanyanya kana kukanganisa

• Kuomerwa mukuwana kugadzikana kwakakwana muvarwere vakafuta kana vakanyanyisa tsandanyama

• Nhamba shoma yekufamba munhengo yakakanganiswa panguva yekugadzirisa

• Ngozi yekukuvara kweurourovascular panguva yekuiswa kana kugadziriswa kwechigadzirwa

7. Dynamic Axial Straight Type External Fixator inoiswa sei?

Kuiswa kweiyo dynamic axial yakatwasuka mhando yekunze fixator inowanzoitwa pasi pe general or regional anesthesia mukamuri yekuvhiya. Nzira yacho inosanganisira kuisa mapini kana zvisungo mupfupa kure kubva panzvimbo yakaputsika, inoteverwa nekushandiswa kwechigadziro chekunze chekugadzirisa kubatanidza pini / zviputi nematanda.

Chigadzirwa chacho chinogadziriswa kuti chiwane chiyero chinodiwa chekumanikidza kana kukanganisa panzvimbo yekuputsika, uye nguva dzose kutarisa uye kugadziriswa kwechigadziro kunodiwa kuti uone kupora kwakakodzera uye kurongeka kwemapfupa emapfupa.

8. Kuchengetedza uye Kuchengetedza kweDynamic Axial Yakarurama Type External Fixator

Kuchengeta kwakaringana uye kuchengetedzwa kweiyo dynamic axial yakatwasuka mhando yekunze fixator yakakosha kudzivirira matambudziko akadai sepini turakiti kutapukira kana kutadza kwemudziyo. Varwere vanowanzorairwa nzira yekuchenesa uye kupfeka nzvimbo dzepini uye vanorairwa kuti vadzivise kunyudza mudziyo mumvura.

Kugara uchitevera kugadzwa nachiremba wemapfupa anodiwa kuti atarise kupora uye kugadzirisa mudziyo sezvinodiwa.

9. Matambudziko Akabatanidzwa neDynamic Axial Yakarurama Type External Fixator

Matambudziko anoenderana neakasimba axial yakatwasuka mhando ekunze fixator anogona kusanganisira:

• Pini turakiti chirwere

• Kutadza kwemudziyo kana kusunungura mapini/machira

• Kurasikirwa kwekugadzirisa kana kuderedzwa kwefupa fragment kugadzikana

• Neurovascular kukuvara

• Kuoma kwejoints kana contractures

• Tsandanyama atrophy kana kupera simba

• Marwadzo kana kusagadzikana panzvimbo dzepini

10. Mhedziso

Dynamic axial yakatwasuka mhando yekunze fixator chishandiso chakakosha mukutarisira mafractures uye mamwe mamiriro emapfupa emapfupa, achipa yakasarudzika mabhenefiti pane mamwe ekunze anogadzirisa. Zvisinei, kusarudzwa kwakakodzera kwemurwere uye kunyatsotarisa kwechigadzirwa kwakakosha kuti udzivise matambudziko uye uve nechokwadi chekubudirira.

11. FAQs

1. Zvinotora nguva yakareba sei kuisa dynamic axial yakatwasuka mhando yekunze fixator? Kuiswa kweiyo dynamic axial yakatwasuka mhando yekunze fixator inowanzotora maawa akati wandei, zvichienderana nekuoma kwekutyoka uye chimiro chemurwere.

2. Iyo dynamic axial yakatwasuka mhando yekunze fixator inorwadza here? Kuiswa kweiyo dynamic axial yakatwasuka mhando yekunze fixator inogona kusagadzikana, asi mudziyo pachawo haufanire kukonzera kurwadziwa kwakanyanya.

3. Inguva yakareba sei murwere anofanirwa kupfeka inoshanduka axial yakatwasuka mhando yekunze fixator? Nguva yekugadziriswa kwekunze inosiyana zvichienderana nerudzi rwekutyoka kana mamiriro ari kurapwa, asi kazhinji anotora mavhiki akati wandei kusvika kumwedzi yakati wandei.

4. Ko dynamic axial yakatwasuka mhando yekunze fixator inogona kugadziriswa here? Ehe, mudziyo unogona kugadziridzwa kuti upe huwandu hunodiwa hwekumanikidza kana kukanganisa panzvimbo yekutyoka.

5. Pane here dzimwe nzira dzekurapa kune dynamic axial yakatwasuka mhando yekunze fixator? Zvigadzirwa zvemukati zvekugadzirisa, zvakadai semahwendefa uye screws, zvinogona kushandiswa kugadzirisa kuputsika, asi zvingave zvisina kukodzera mumatambudziko ose. Zvimwe zvigadziriso zvekunze, senge denderedzwa fixators kana mahybrid fixators, anogona zvakare kushandiswa zvichienderana nezvinodiwa nemurwere.