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 anoiswa 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 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
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
Chii chinonzi pelvic External Fixator ? Pelvic External Fixator mudziyo unoshandiswa kudzikamisa nekugadzirisa mapfupa emboro muvarwere vane pelvic yakatyoka.
Pelvic External Fixator inoiswa sei? Mapini anopinzwa muiriac crest uye supra-acetabular nharaunda yepelvis pasi pekutungamirirwa kwefluoroscopic.
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.
