Sepheo sa motheo sa ho lokisa fracture ke ho tsitsisa lesapo le robehileng, ho etsa hore lesapo le lemetseng le fole ka potlako, le ho khutlisa ho tsamaea pele le ho sebetsa ka botlalo ha lesapo le lemetseng.

Ho lokisa ka ntle ke mokhoa o sebelisoang ho thusa ho folisa masapo a robehileng haholo. Mofuta ona oa phekolo ea masapo o akarelletsa ho tiisa leqeba ka sesebelisoa se khethehileng se bitsoang fixator, se ka ntle ho 'mele. Ho sebelisa li-screws tse khethehileng tsa masapo (tseo hangata li bitsoang li-pins) tse fetang letlalong le mesifa, sekontiri se kopantsoe le lesapo le senyehileng ho le boloka ka tsela e nepahetseng ha le ntse le fola.

Sehlahisoa sa kantle se sebelisetsoa eng?

Sesebelisoa sa ho lokisa ka ntle se ka sebelisoa ho boloka masapo a robehileng a tsitsitse le ho lumellana. Sesebelisoa se ka fetoloa ka ntle ho etsa bonnete ba hore masapo a lula a le boemong bo botle nakong ea phekolo. Sesebelisoa sena se atisa ho sebelisoa ho bana le ha letlalo le holim'a fracture le senyehile.

Ke mefuta efe ea li-fixator tsa kantle?

Ho na le mefuta e meraro ea mantlha ea li-fixator tsa kantle: fixator e tloaelehileng ea uniplanar, ring fixator, le hybrid fixator.

Lisebelisoa tse ngata tse sebelisetsoang ho lokisa ka hare li arotsoe ka lihlopha tse 'maloa tse kholo: lithapo, lithapo le li-screw, lipoleiti le lipekere kapa lithupa tsa intramedullary.

Li-staples le li-clamp li boetse li sebelisoa ka linako tse ling bakeng sa ho lokisa masapo kapa fracture. Li-grafts tsa lesapo tse ikemetseng, li-allografts, le li-substitutes tsa lesapo li sebelisoa khafetsa bakeng sa ho phekola bokooa ba masapo a lisosa tse fapaneng. Bakeng sa ho robeha ha tšoaetso hammoho le ho phekola mafu a masapo, lifaha tsa lithibela-mafu li sebelisoa khafetsa.

Dynamic Axial Proximal Femoral Fragment External Fixator: Tlhaloso e Feletseng

Ho robeha ha letheka ke bothata bo tloaelehileng ba masapo, haholo-holo ho batho ba hōlileng. Ho robeha hona ho ka baka mafu a mangata le ho shoa, 'me tsamaiso ea bona hangata e rarahane. E 'ngoe ea mekhoa e sebelisoang ho laola ho robeha ha letheka ke dynamic axial proximal femoral fragment external fixator (DAPFFEF). Sengoliloeng sena, re tla fana ka kakaretso e felletseng ea DAPFFEF, ho kenyeletsoa matšoao, mokhoa, mathata le liphetho.

Selelekela

Ho robeha ha letheka ke bothata bo boholo ba bophelo bo botle ba sechaba, 'me ho hakanngoa hore ho etsahala linyeoe tse limilione tse 1.6 lefatšeng ka bophara selemo se seng le se seng. Ho robeha hona ho amahanngoa le ho kula ho phahameng le ho shoa, haholo-holo ho bakuli ba tsofetseng. Tsamaiso ea ho robeha ha letheka hangata e rarahane, 'me mekhoa e fapaneng ea ho buoa e sebelisoa ho e laola. E 'ngoe ea mekhoa ena ke dynamic axial proximal femoral fragment external fixator (DAPFFEF).

Anatomy ea Hip

Pele o buisana ka DAPFFEF, ho bohlokoa ho utloisisa sebopeho sa letheka. Lenonyeletso la noka ke lenonyeletso la bolo-le-socket, le nang le acetabulum ea pelvis le hlooho ea botšehali. Molala oa botšehali o kopanya hlooho ea botšehali le molamu oa botšehali. The proximal femur ke karolo ea femur e haufi haholo le lenonyeletso la letheka.

Dynamic Axial Proximal Femoral Fragment External Fixator ke eng?

A dynamic axial proximal femoral fragment external fixator (DAPFFEF) ke sesebelisoa se sebelisetsoang ho tsitsisa ho robeha ha proximal femur. Sesebelisoa se na le sete ea likhoele kapa li-screw tse kentsoeng ka har'a proximal femur mme li hokahantsoe le foreimi e kantle. Foreimi e fana ka botsitso ho lesapo le robehileng, le lumella hore le fole.

Lipontšo tsa DAPFFEF

DAPFFEF e sebelisetsoa ho phekola ho robeha ha proximal femur, ho kenyelletsa le ho robeha ha subcapital, fractures intertrochanteric, le subtrochanteric fractures. E boetse e sebelisoa ho phekola bao e seng mekhatlo le malunions ea proximal femur.

Mokhoa oa DAPFFEF

Mokhoa oa DAPFFEF o kenyelletsa ho kenya likhoele kapa li-screw ka har'a proximal femur, ebe li hokahanngoa le foreimi e kantle. Lithako kapa li-screws li kenngoa ka tsela e lumellang hore li sebetse joaloka letsoho la lever, ho fana ka khatello e matla ho lesapo le robehileng. Foreimi e lokisoa ho fihlela boemo bo lakatsehang ba khatello.

Melemo ea DAPFFEF

Melemo ea DAPFFEF e kenyelletsa bokhoni ba eona ba ho fana ka tokiso e tsitsitseng ea proximal femur, bokhoni ba eona ba ho fana ka khatello e matla ho lesapo le robehileng, le bokhoni ba eona ba ho lumella boima ba pele ba ho jara. Lintlha tsena li ka lebisa liphellong tse ntlafetseng le linako tsa ho hlaphoheloa kapele ho bakuli.

Mathata a DAPFFEF

Mathata a DAPFFEF a kenyelletsa tšoaetso ea pin tract, bao e seng bonngoe, malunion, tahlehelo ea phokotso, le ho hlōleha ho kenya letsoho. Mathata ana a ka laoloa ka phekolo e nepahetseng, ho akarelletsa le lithibela-mafu, ho buuoa ka ho nchafatsa, le ho tlosoa ha fixator.

Liphello tsa DAPFFEF

Liphetho tsa DAPFFEF li ithutile litekong tse 'maloa tsa bongaka. Liteko tsena li bontšitse hore DAPFFEF e ka fana ka tokiso e tsitsitseng ea proximal femur, e lumellang ho jara boima ba pele le liphello tse ntlafetseng bakeng sa bakuli.

Qetello

Dynamic axial proximal femoral fragment external fixator (DAPFFEF) ke mokhoa oa ho buoa o sebelisetsoang ho tsitsisa ho robeha ha proximal femur. E fana ka ho lokisa ho tsitsitseng le ho hatella ka matla ho lesapo le robehileng, ho lumella ho jara boima ba pele le liphello tse ntlafetseng bakeng sa bakuli. Mathata a ka hlaha, empa a ka laoloa ka phekolo e nepahetseng.