2/3 Ring Fixator For Tibial & Femur Fracture

Injongo esisiseko yokulungiswa kwe-fracture kukuzinzisa ithambo eliqhekekileyo, ukunika amandla ukuphulukiswa ngokukhawuleza kwethambo elenzakeleyo, kunye nokubuyisela ukuhamba kwangaphambili kunye nomsebenzi opheleleyo wesigxina esonzakeleyo.

Ukulungiswa kwangaphandle bubuchule obusetyenziselwa ukunceda ukuphilisa amathambo aphukile kakhulu. Olu hlobo lonyango lwamathambo lubandakanya ukukhusela ukuphuka ngesixhobo esikhethekileyo esibizwa ngokuba yi-fixator, engaphandle komzimba. Ukusebenzisa i-screws yethambo ekhethekileyo (ebizwa ngokuba yizikhonkwane eziqhelekileyo) ezidlula esikhumbeni kunye nemisipha, i-fixator ixhunywe kwithambo elonakeleyo ukuze ligcinwe ngokufanelekileyo njengoko liphilisa.

Yintoni isilungisi sangaphandle esisetyenziselwa ntoni?

Isixhobo sokulungiswa kwangaphandle singasetyenziselwa ukugcina amathambo aphukileyo azinzile kwaye alungelelanise. Isixhobo sinokuhlengahlengiswa ngaphandle ukuze kuqinisekiswe ukuba amathambo ahlala kwindawo efanelekileyo ngexesha lenkqubo yokuphulukisa. Esi sixhobo sisetyenziswa ngokuqhelekileyo kubantwana kwaye xa ulusu phezu kwe-fracture lonakalisiwe.

Ziziphi iintlobo zesilungisi sangaphandle?

Kukho iintlobo ezintathu ezisisiseko zokulungiswa kwangaphandle: i-standard uniplanar fixator, i-ring fixator, kunye ne-hybrid fixator.

Izixhobo ezininzi ezisetyenziselwa ukulungiswa kwangaphakathi zahlulahlulwe ngokweendidi ezimbalwa eziphambili: iingcingo, izikhonkwane kunye nezikrufu, iipleyiti, kunye nezikhonkwane ze-intramedullary okanye iintonga.

I-Staples kunye ne-clamps zikwasetyenziswa ngamaxesha athile kwi-osteotomy okanye ukulungiswa kwe-fracture. I-autogenous bone grafts, i-allografts, kunye ne-bone graft substitutes zihlala zisetyenziselwa unyango lweziphene zamathambo zezizathu ezahlukeneyo. Ukwaphuka okusulelekileyo kunye nokunyangwa kosulelo lwethambo, amaso okubulala iintsholongwane asetyenziswa rhoqo.

I-2/3 Ring Fixator ye-Tibial & Femur Fracture: Isikhokelo esiBanzi

Ukuqhekeka kwe-tibia kunye ne-femur kunokubangela ukulimala okuphazamisayo okudinga unyango olukhawulezileyo kunye olufanelekileyo ukuqinisekisa ukuphilisa kunye nokubuyisela. Olunye ukhetho olusebenzayo lonyango kukusetyenziswa kwe-2/3 ye-ring fixator, uhlobo lwe-fixator yangaphandle enika uzinzo kwithambo elichaphazelekayo ngelixa livumela ukulungelelaniswa okufanelekileyo kunye nokuphilisa. Kule nqaku, siza kuhlolisisa ukusetyenziswa kwe-2/3 ye-ring fixator ye-tibial kunye ne-femur fractures, kubandakanywa neenzuzo zayo, iingozi, kunye nendlela esetyenziswa ngayo.

Isishwankathelo se-2/3 Ring Fixator

I-2/3 ye-ring fixator sisixhobo esinezindandatho ezimbini zeesetyhula ezidityaniswe ngamaqhosha amabini okanye amathathu. Isetyenziselwa ukuzinzisa kunye nokulungelelanisa iziqwenga zamathambo kwiimeko zokuqhekeka okuyinkimbinkimbi, ngakumbi ezo zibandakanya i-tibia kunye ne-femur. I-fixator isetyenziswe ngaphandle, oku kuthetha ukuba ifakwe kwiinqununu zamathambo ngaphandle komzimba, okuvumela ukuphilisa ngokufanelekileyo kunye nokulungelelaniswa.

Izibonelelo ze-2/3 Ring Fixator

Ukusetyenziswa kwe-2/3 ye-ring fixator ye-tibial kunye ne-femur fractures ineenzuzo ezininzi, kuquka:

• Ukuphuculwa kozinzo: I-fixator inika ukuzinza okugqwesileyo kumacandelo amathambo achaphazelekayo, okuvumela ukulungelelaniswa okufanelekileyo kunye nokuphilisa.

• Ukunciphisa umngcipheko wokusuleleka: Izilungisi zangaphandle azinakwenzeka ukuba zibangele usulelo xa kuthelekiswa nezixhobo zokulungiswa kwangaphakathi.

• Ukubuyisela ngokukhawuleza: Ukusetyenziswa kwe-2/3 ye-ring fixator kunokunciphisa ixesha elifunekayo lokubuyisela xa kuthelekiswa nolunye unyango.

• Ukonakala okuncinci: Isilungisi sisetyenziswa ngaphandle, oku kuthetha ukuba akukho scarring encinci.

Imingcipheko ye-2/3 Ring Fixator

Ngelixa izilungisi ze-2/3 zeringi zikhuselekile kwaye zisebenza, kukho imingcipheko ebandakanyekayo, kubandakanya:

• Usulelo: Nangona umngcipheko wosulelo usezantsi xa kuthelekiswa nezinye izixhobo, kusekho ithuba lokosuleleka.

• I-Pin yokukhulula okanye i-breakage: Izikhonkwane ezisetyenziselwa ukudibanisa i-fixator kwithambo zinokukhulula okanye ziphule, zibangele ukuba i-fixator ingazinzi.

• Ubuhlungu kunye nokukhathazeka: I-fixator ingabangela intlungu kunye nokukhathazeka, ngakumbi ngexesha lenkqubo yesicelo.

• Ukuhamba okulinganiselweyo: I-fixator inokunciphisa ukuhamba kunye nemisebenzi yemihla ngemihla.

Ukusetyenziswa kwe-2/3 Ring Fixator

Ukusetyenziswa kwe-2/3 ye-ring fixator yinkqubo enzima efuna ubuchule bomsebenzi wezonyango oqeqeshiweyo. Nantsi isishwankathelo samanyathelo abandakanyekayo:

Inyathelo 1: Ukulungiselela isigulana

Ngaphambi kokufaka i-fixator, isigulane siya kuqhuba iimvavanyo ezininzi zokuxilonga, kubandakanywa i-X-rays kunye ne-CT scans. Oku kuya kunceda ugqirha wezonyango ukuba anqume ubungakanani bokuphuka kwaye acwangcise unyango olufanelekileyo.

Inyathelo 2: Ukufaka isilungisi

Ugqirha wezonyango uya kusebenzisa i-fixator ngokubhoboza izikhonkwane kwiinqununu zamathambo kwaye azifake kwiindandatho ze-fixator. Izikhonkwane zifakwe kwithambo ngokusebenzisa amanxeba amancinci enziwe esikhumbeni.

Inyathelo 3: Ukulungelelanisa isilungisi

Emva kokuba i-fixator isendaweni, ugqirha wezonyango uya kulungelelanisa ukuqinisekisa ukulungelelaniswa okufanelekileyo kunye nokuzinza. Oku kunokufuna ukuqiniswa okanye ukukhulula izikhonkwane okanye ii-struts.

Inyathelo 4: Ukubeka iliso kunye nokulandelela

Emva kokuba i-fixator isetyenzisiwe, isigulane siya kujongwa ngokusondeleyo kuzo naziphi na iimpawu zokusuleleka okanye ezinye iingxaki. Ugqirha wezonyango uya kwenza kwakhona i-X-rays rhoqo ukuqinisekisa ukuphiliswa okufanelekileyo kunye nokulungelelaniswa.

Ukuqukumbela

I-2/3 ye-ring fixator yindlela yonyango esebenzayo kwi-tibial kunye ne-femur fractures, ukubonelela ngokuzinza kunye nokulungelelaniswa ngelixa unciphisa umngcipheko wokusuleleka kunye nokukhwabanisa. Ngelixa kukho imingcipheko ethile ebandakanyekayo, idla ngokugqithiswa ziinzuzo. Ukuba ufumene i-fracture kwaye ugqirha wakho uncoma i-2/3 ye-ring fixator, kubalulekile ukuxoxa ngeengozi kunye neenzuzo kunye nabo kwaye ulandele isikhokelo sabo sokunyamekela kunye nokubeka iliso.

Ii-FAQs

1. Ingaba i-2/3 ring fixator idinga ukuhlala ixesha elingakanani kwindawo?

Ubude bexesha i-fixator kufuneka ihlale kwindawo ixhomekeke kubunzima kunye nendawo yokuphuka. Inokuvela kwiiveki ezininzi ukuya kwiinyanga ezininzi.

1. Ngaba ukusetyenziswa kwe-2/3 ye-ring fixator kufuna utyando?

Hayi, ukusetyenziswa kwe-2/3 ye-ring fixator ayifuni utyando. Isetyenziswe ngaphandle kwiinqununu zamathambo.

1. Ngaba isilungisi sinokususwa emva kokuba ithambo lipholile?

Ewe, i-fixator inokususwa emva kokuba ithambo liphilisiwe. Oku ngokuqhelekileyo kwenziwa phantsi kwe-anesthesia yendawo kwaye yinkqubo elula.

1. Ndisikhathalela njani isilungisi ngelixa sisendaweni?

Kubalulekile ukulandela imiyalelo kagqirha wakho wokunyamekela kunye nokugcinwa kwe-fixator, kubandakanywa ukucocwa rhoqo kunye nokubeka iliso kwiimpawu zokusuleleka.

1. Ngaba ndiya kukwazi ukuqalisa kwakhona imisebenzi eqhelekileyo ngelixa isilungisi sisendaweni?

I-fixator inokunciphisa ukuhamba kunye nemisebenzi yemihla ngemihla, kodwa ugqirha wakho uya kunika isikhokelo malunga nokuba yeyiphi imisebenzi ekhuselekileyo kwaye ifanelekile ngelixa i-fixator ikhona.