Locking plate zviridzwa midziyo yekuvhiya yakakosha inoshandiswa kuisa, kuisa, uye kuchengetedza Locking plates pamapfupa panguva yekuvhiyiwa kwemapfupa. Zvishandiso izvi zvakagadzirirwa kupa nzvimbo yakarurama uye yakarurama ye Locking plates , zvichibvumira kugadzirisa kunobudirira kwekuputsika uye kukanganisa kwemapfupa.
Locking plate zviridzwa zvinosanganisira maturusi akasiyana siyana, akadai semabhonzo anosunga, simba rekutapudza, maplate benders, plate cutters, screwdrivers, uye madrills. Zvishandiso izvi zvinogadzirwa kubva kumhando yepamusoro-stainless simbi kana titanium, kuve nechokwadi chekugara kwavo uye kuramba kune ngura.
Kushandiswa kwe Locking plate zviridzwa zvinogona kubatsira kuderedza kukuvadzwa kwetishu, kuderedza nguva yekuvhiya, nekuvandudza mhedzisiro yekuvhiya. Orthopedic surgeons nedzimwe nyanzvi dzehutano dzinodzidziswa kuti dzive nehunyanzvi mukushandiswa kwezviridzwa izvi, izvo zvinoda kunyatsobatika uye kwakapfava.
Zvishandiso zvinoshandiswa mu Locking plate zviridzwa zvinogona kusiyana, asi zvinowanzo gadzirwa kubva kuchipatara-giredhi Stainless simbi kana titanium alloy. Zvinhu izvi zvinosarudzwa nekuda kwesimba razvo, kusimba, uye biocompatibility nemuviri wemunhu. Zvimwe zviridzwa zvinogonawo kunge zvine mamwe machira kana marapirwo epamusoro kusimudzira kuita kwavo uye kuderedza njodzi yehutachiona kana mamwe matambudziko. Kusarudzwa kwezvinhu uye machira e Locking plate zviridzwa zvinogona kuvimba nezvinhu zvakadai serudzi rwekuvhiya, nhoroondo yehutano hwemurwere, uye zvido zvechiremba anovhiya.
Zvose mahwendefa etitanium uye simbi isina tsvina inowanzoshandiswa mukuvhiya kwemapfupa, kusanganisira ye Locking plates . Sarudzo pakati pezvinhu zviviri izvi zvinoenderana nezvinhu zvakati wandei, kusanganisira rudzi rwekuvhiyiwa, nhoroondo yekurapa yemurwere uye zvaanoda, uye ruzivo rwechiremba anovhiya uye zvaanoda.
Titanium chinhu chakareruka uye chakasimba icho chinopindirana uye chinoshingirira mukuora, zvichiita kuti ive sarudzo yakanakisa yekudyara kudyara. Titanium mahwendefa haana kuoma kudarika mahwendefa esimbi asina tsvina, izvo zvinogona kubatsira kuderedza kushungurudzika pamapfupa uye kukurudzira kuporesa. Pamusoro pezvo, mahwendefa etitanium ane radiolucent, zvinoreva kuti haapindire nemiedzo yekufungidzira senge X-ray kana MRI.
Simbi isina tsvina, kune rumwe rutivi, chinhu chakasimba uye chakaomarara icho zvakare chinopindirana uye chinoshingirira mukuora. Yakashandiswa mu Ma-implant emabhonzo kwemakumi emakore uye inyaya yakaedzwa-uye-yechokwadi. Stainless simbi mahwendefa anodhura zvishoma pane titanium mahwendefa, izvo zvinogona kutariswa kune vamwe varwere.
Pakupedzisira, kusarudzwa kwezvinhu kunoenderana nezvinodiwa chaizvo uye zvido zvemurwere uye chiremba anovhiya.
Titanium mahwendefa anowanzo shandiswa mukuvhiya nekuda kwehunhu hwawo hwakasiyana hunovaita chinhu chakanakira kuisirwa kwekurapa. Mamwe mabhenefiti ekushandisa titanium mahwendefa mukuvhiya anosanganisira:
Biocompatibility: Titanium inopindirana zvakanyanya, izvo zvinoreva kuti haigone kukonzera kusagadzikana kana kurambwa nemasoja emuviri. Izvi zvinoita kuti ive yakachengeteka uye yakavimbika zvinhu zvekushandisa mumishonga inodyara.
Simba uye kusimba: Titanium imwe yesimbi yakasimba uye yakasimba, iyo inoita kuti ive chinhu chakakodzera chekudyara chinoda kushingirira kushushikana uye madhiri ekushandiswa kwemazuva ese.
Corrosion resistance: Titanium inoshingirira mukuora uye kashoma kupindirana nemvura yemumuviri kana zvimwe zvinhu zviri mumuviri. Izvi zvinobatsira kudzivirira kuisirwa kubva pakuora kana kushatisa nekufamba kwenguva.
Radiopacity: Titanium ine radiopaque zvakanyanya, zvinoreva kuti inogona kuoneka zviri nyore paX-ray uye mamwe maedzo ekufungidzira. Izvi zvinoita kuti zvive nyore kuti vanachiremba vatarise implant uye kuona kuti iri kushanda nemazvo.
Locking plates inoshandiswa mukuvhiyiwa kwemapfupa kuti ipe kugadzikana uye tsigiro kumapfupa akatyoka, akatyoka, kana kupera simba nekuda kwechirwere kana kukuvara. Iyo ndiro inonamirwa kune bhonzo uchishandisa screws, uye screws kukiya mundiro, kugadzira yakagadziriswa-angle kuvaka inopa tsigiro yakasimba yebhonzo panguva yekupora. Locking plates inowanzoshandiswa pakurapa kutyoka kwechanza, forearm, ankle, uye gumbo, pamwe nekuvhiyiwa kwespinal fusion uye mamwe maitiro emapfupa. Zvinonyanya kukosha mumamiriro ezvinhu apo pfupa rakaonda kana osteoporotic, sezvo nzira yekuvhara yeplate inopa kuwedzera kugadzikana uye inoderedza dambudziko rekukundikana kwekudyara.
Bopa ndiro chigadzirwa chekurapa chinoshandiswa kudzikamisa kuputsika kwemapfupa panguva yekupora. Icho chimedu chesimbi, chinowanzo gadzirwa nesimbi isina tsvina kana titanium, inosungirirwa pamusoro pebhonzo uchishandisa screws. Iyo ndiro inoshanda sechinhu chemukati chekubata zvimedu zvepfupa zvakaputsika mukurongeka kwakakodzera uye kupa kugadzikana panguva yekuporesa. Iyo screws inochengetedza ndiro kubhonzo, uye ndiro inobata zvimedu zvebhonzo munzvimbo yakarurama. Mapfupa emapfupa akagadzirirwa kupa kugadzirisa kwakasimba uye kudzivirira kufamba panzvimbo yekuputsika, iyo inobvumira pfupa kupora zvakanaka. Nokufamba kwenguva, pfupa rinokura rakapoteredza ndiro uye rinoribatanidza munyama yakakomberedza. Kana pfupa rapora zvakakwana, ndiro inogona kubviswa, kunyange izvi zvisingadi nguva dzose.
Masiruu ekukiya usape compression, sezvo dzakagadzirirwa kukiya mundiro uye kudzikamisa zvimedu zvemapfupa kuburikidza neyakagadziriswa-angle constructs. Kudzvinyirirwa kunowanikwa kuburikidza nekushandisa zvisiri- Masiruu ekukiya zvinoiswa mumakumbo ekumanikidzira kana maburi eplate, zvichibvumira kudzvinyirira kwemapfupa emapfupa sezvo zviputi zvakasimbiswa.
Zvakajairika kunzwa kurwadziwa uye kusagadzikana mushure mekuisa ndiro uye screws panguva yekuvhiyiwa. Nekudaro, kurwadziwa kunofanirwa kudzikira nekufamba kwenguva apo muviri unopora uye nzvimbo yekuvhiya inopora. Marwadzo anogona kugadziriswa kuburikidza nemishonga uye kurapwa kwepanyama. Zvakakosha kutevera mirairo yepashure-operative inopiwa nachiremba uye kurondedzera chero kurwadziwa kunoramba kuripo kana kuwedzera kune boka rezvokurapa. Muzviitiko zvisingawanzoitiki, hardware (mahwendefa uye screws) inogona kukonzera kusagadzikana kana kurwadziwa, uye mumamiriro ezvinhu akadaro, chiremba anovhiya anogona kukurudzira kubviswa kwehardware.
Nguva inotora kuti mapfupa apore nemahwendefa uye screws zvinogona kusiyana zvichienderana nekuoma kwekukuvara, nzvimbo yekukuvara, rudzi rwefupa, uye zera uye hutano hwese hwemurwere. Kazhinji, zvinogona kutora mavhiki akawanda kusvika kumwedzi yakawanda kuti mapfupa apore zvachose nerubatsiro rwemahwendefa uye screws.
Munguva yekutanga kupora, iyo inowanzotora mavhiki matanhatu-8, murwere anozofanira kupfeka simbi kana bhurashi kuchengetedza nzvimbo yakakanganisika isingafambi uye yakachengetedzwa. Mushure menguva iyi, murwere anogona kutanga kurapwa kwepanyama kana kugadziriswa kuti abatsire kuvandudza mararamiro uye simba munzvimbo yakakanganiswa.
Zvisinei, zvakakosha kuti uzive kuti kupora hakuna kupera kana simbi yabviswa, uye zvinogona kutora mimwe mwedzi yakati wandei kuti bhonzo rigadzirise zvizere uye riwanezve simba raro rekutanga. Mune zvimwe zviitiko, varwere vanogona kunzwa kurwadziwa kwakasara kana kusagadzikana kwemwedzi inoverengeka mushure mekukuvara, kunyange mushure mekunge pfupa rapora.