Pelvic Fragment External Fixator - Rudzi A

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.

Pelvic Fragment External Fixator: A Comprehensive Guide

Nzvimbo yepelvic chimiro chakaoma chinopa tsigiro kumuviri wepamusoro uye inodzivirira nhengo dzekubereka uye dzekudya. Kutyoka kwePelvic kunogona kuve kwakanyanya uye kunokonzeresa kurwara kwakanyanya uye kufa. Zvigadziriso zvePelvic zvekunze ndeimwe yemhando dzakawanda dzekurapa kwekutyoka kwepelvic. Muchikamu chino, tichakurukura nezve pelvic fragment yekunze fixator, zviratidzo zvayo, contraindications, maitiro, matambudziko, uye migumisiro.

Nhanganyaya

Kutyoka kwePelvic ndicho chikonzero chakakosha chekurwara uye kufa muvarwere vanoshungurudzika. Zvinogona kuitika nekuda kwekukwira-velocity tsaona, kudonha kubva pakakwirira, kana yakaderera-velocity trauma. Nharaunda yepelvic ine anatomy yakaoma ine akawanda bony maumbirwo, uye kuputsika kunogona kukonzera kutama kukuru, kusagadzikana, uye kubuda ropa. Zvigadziriso zvePelvic zvekunze ndeimwe yemhando dzakawanda dzekurapa kwekutyoka kwepelvic. Vanopa kugadzikana, kutsigirwa, uye kurongeka kwemapfupa epelvic uku vachibvumira kutanga kuunganidza.

Zviratidzo

Pelvic ekunze fixator anoratidzwa mumamiriro ezvinhu anotevera:

• Pelvic ring disruption nekutama kana kusagadzikana

• Vhura kuputsika kwepelvic

• Acetabular fractures nekutama kana kusimuka

• Complex fractures inosanganisira sacroiliac joint

• Kukuvara kwakabatana kunodzivisa kuvhiyiwa

Contraindications

Pelvic ekunze fixators anopikiswa mune anotevera mamiriro:

• Kukuvara kwakanyanya kwenyama yakapfava kana utachiona

• Kusagadzikana kwePelvic kusingagoni kuderedzwa zvakakwana

• Vascular kukuvara kusingagoni kudzorwa

• Kukuvara kwakafanana kunodzivisa kugadziriswa kwekunze

Technique

Iyo pelvic yekunze fixator ine zvikamu zviviri zvikuru: mapini nematanda ekubatanidza. Mapini anopinzwa muiriac crest uye supra-acetabular nharaunda yepelvis pasi pekutungamirirwa kwefluoroscopic. Mapini anofanirwa kuiswa perpendicular kune pfupa pamusoro uye kanenge 2 cm kubva kune neurovascular structures. Matanda ekubatanidza anobva asungirirwa pamapini uye anogadziriswa kuti awane kuderedzwa kunodiwa uye kurongeka. Kuderedzwa kunofanirwa kuongororwa intraoperatively uchishandisa fluoroscopy uye kugadziriswa sezvinodiwa.

Matambudziko

Pelvic ekunze fixator inosanganiswa nematambudziko akati wandei, kusanganisira:

• Pini turakiti chirwere

• Pini kusunungura kana kuputsika

• Kutama kwetsvimbo kana kutama

• Neurovascular kukuvara

• Pressure maronda

• Kurasikirwa kwekuderedza kana kurongeka

• Kusashanda zvakanaka pabonde

Migumisiro

Zvigadziriso zvekunze zvepelvic zvakaratidzwa kuti zvinoshanda mukudzikamisa kuputsika kwepelvic nekuvandudza mhedzisiro yevarwere. Kukurumidza kuunganidza uye kutakura uremu kunogona kuwanikwa, zvichiita kuti kuderedzwa kwekugara muchipatara, kugadzirisa marwadzo ekugadzirisa, uye kuderedza kurwara. Nekudaro, chiyero chekuomesera chakakwira, uye kungwarira kusarudzwa kwemurwere, kuiswa kwepini kwakaringana, uye kutarisisa kwepedyo kwakakosha kuti uwane mhedzisiro yakakwana.

Mhedziso

Zvigadziriso zvekunze zvepelvic chinhu chakakosha mukutonga kwepelvic fractures. Ivo vanopa kugadzikana, rutsigiro, uye kurongeka uku vachibvumira kuunganidza kwekutanga. Kusarudzwa kwakakodzera kwemurwere, kuiswa kwepini nekungwarira, uye kutarisisa kwepedyo kwakakosha kuti uwane mhedzisiro yakanaka.

FAQs

1. Chii chinonzi pelvic external fixator? A pelvic external fixator mudziyo unoshandiswa kudzikamisa uye kuenzanisa mapfupa epelvis kune varwere vane pelvic fractures.

2. Iyo pelvic yekunze fixator inoiswa sei? Mapini anopinzwa muiriac crest uye supra-acetabular nharaunda yepelvis pasi pekutungamirirwa kwefluoroscopic.

3. Ndezvipi zviratidzo zve pelvic yekunze fixator? Zvigadziriso zvekunze zvepelvic zvinoratidzirwa mukuvhiringidzika kwemhete yepelinha nekutama kana kusagadzikana, kuvhurika kwepelvic fractures, acetabular fractures ne displacement kana comminution, fractures yakaoma inosanganisira sacroiliac joint, uye kukuvara kwakafanana kunodzivisa kuvhiyiwa.