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, kunyatsoisa pini, uye kutarisisa kwepedyo kwakakosha kuti uwane mhedzisiro yakanaka.
FAQs
Chii chinonzi pelvic external fixator? A pelvic external fixator mudziyo unoshandiswa kudzikamisa uye kuenzanisa mapfupa epelvis kune varwere vane pelvic fractures.
Iyo pelvic yekunze fixator inoiswa sei? Mapini anopinzwa muiriac crest uye supra-acetabular nharaunda yepelvis pasi pekutungamirirwa kwefluoroscopic.
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.
