Pelvic Fragment External Fixator - Rudzi B

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 yakakosha Masikiruu emapfupa (inowanzonzi pini) iyo inopfuura nepakati peganda uye tsandanyama, inogadzirisa inobatanidzwa kune pfupa rakakuvadzwa kuti rirambe rakagadzikana sezvainoporesa.

Chii chinonzi External Fixator inoshandiswa?

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.

Ndedzipi mhando dze External Fixator ?

Kune mhando nhatu dzakakosha dze External Fixators : yakajairwa 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. Pelvic External Fixators ndeimwe yenzira dzakawanda dzekurapa dzekutyoka kwepelvic. Muchikamu chino, tichakurukura chidimbu chepelvic External Fixator , zviratidzo zvayo, zvinopesana, 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 zvimiro, uye kutsemuka kunogona kukonzera kutama kukuru, kusagadzikana, uye kubuda ropa. Pelvic External Fixators ndeimwe yenzira dzakawanda dzekurapa dzekutyoka kwepelvic. Vanopa kugadzikana, kutsigirwa, uye kurongeka kwemapfupa epelvic uku vachibvumira kutanga kuunganidza.

Zviratidzo

Pelvic External Fixators inoratidzwa mumamiriro 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 External Fixators inopikiswa mumamiriro anotevera:

• Kukuvara kwakanyanya kwenyama yakapfava kana utachiona

• Kusagadzikana kwePelvic kusingagoni kuderedzwa zvakakwana

• Vascular kukuvara kusingagoni kudzorwa

• Kukuvara kwakafanana kunodzivisa kugadziriswa kwekunze

Technique

Huru yehudyu External Fixator ine zvikamu zviviri zvikuru: mapini uye tsvimbo dzinobatanidza. 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 External Fixators inosanganisirwa nematambudziko akati wandei, anosanganisira:

• Pini turakiti chirwere

• Pini kusunungura kana kuputsika

• Kutama kwetsvimbo kana kutama

• Neurovascular kukuvara

• Pressure maronda

• Kurasikirwa kwekuderedza kana kurongeka

• Kusashanda zvakanaka pabonde

Migumisiro

Pelvic External Fixators yakaratidza kuti inoshanda mukudzikamisa kuputsika kwepelvic nekuvandudza mhedzisiro yemurwere. 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

Pelvic External Fixators chishandiso chakakosha mukutonga kwekutyoka kwepelvic. Ivo vanopa kugadzikana, rutsigiro, uye kurongeka uku vachibvumira kuunganidza kwekutanga. Kusarudzwa kwakakodzera kwemurwere, kunyatsoisa pini, uye kutarisisa kwepedyo kwakakosha kuti uwane mhedzisiro yakanaka.

FAQs

1. Chii chinonzi pelvic External Fixator ? Pelvic External Fixator mudziyo unoshandiswa kudzikamisa nekugadzirisa mapfupa emboro muvarwere vane pelvic yakatyoka.

2. Pelvic External Fixator inoiswa sei? Mapini anopinzwa muiriac crest uye supra-acetabular nharaunda yepelvis pasi pekutungamirirwa kwefluoroscopic.

3. Ndezvipi zviratidzo zve pelvic External Fixator ? Pelvic External Fixators inoratidzwa mukukanganiswa kwemhete yepelvic nekutama kana kusagadzikana, kuvhurika kwepelvic fractures, acetabular fractures nekutama kana kutumirwa, kuputsika kwakaoma kunosanganisira sacroiliac joint, uye kukuvara kwakafanana kunodzivisa kuvhiyiwa.