Icwecwe lokutshixa iCalcaneal

Iimpawu zePlate

• Ifumaneka ngezincinci, ezinkulu nezinkulu kwiinguqulelo zasekhohlo nasekunene

• 11 imingxuma yokutshixa ekhoyo

• Iithebhu ezinokugobeka

• Imingxuma yokutshixa kwipleyiti yonke yezikrufu eziqinisa umphezulu we-articular

• Usetyenziso olusecaleni

• Ukutshixa scr

Imingxunya yokutshixa enemisonto

• Ukubonelela ngolwakhiwo olukwi-engile esisigxina kwimigangatho yokuqinisa

• Ivumela iindawo ezininzi zokulungisa

• Ziyahambelana nezikrufu ezikumgangatho we-2.7 mm kunye ne-3.5 mm zecortex njengezinye iindlela, okanye ezidityaniswe nezikrufu eziyi-3.5 mm zokutshixa.

iinkcukacha

Iimveliso	I-REF	Inkcazo	Ukutyeba	Ububanzi	Ubude
I-Calcaneous Locking Plate-I (Sebenzisa i-3.5 yokutshixa iScrew)	5100-3801	Ncinci Ekunene	2	34	60
	5100-3802	Encinci eKhohlo	2	34	60
	5100-3803	Phakathi Ekunene	2	34.5	67
	5100-3804	Phakathi eKhohlo	2	34.5	67
	5100-3805	Ekunene okukhulu	2	35	73
	5100-3806	Ekhohlo Enkulu	2	35	73

I-Calcaneal Locking Plate: Isikhokelo esiBanzi

I-calcaneal fractures yinto eqhelekileyo kubantu abancinci nabadala. Iipleyiti zokutshixa zeCalcaneal zihlala zisetyenziswa kulawulo lotyando ukunyanga ezi fractures. Ipleyiti yokutshixa i-calcaneal sisifakelo esikhethekileyo esenzelwe ukulungisa iifractures ezisusiweyo kwithambo lecalcaneus. Eli nqaku libonelela ngesikhokelo esibanzi kwiipleyiti zokutshixa i-calcaneal, kubandakanywa nenkcazo yayo, i-anatomy, izibonakaliso, ubuchule, kunye neengxaki.

I. Ingcaciso

Ipleyiti yokutshixa i-calcaneal sisifakelo esikhethekileyo sotyando esenzelwe ukulungiswa kwangaphakathi kweefractures zecalcaneal ezifudusiweyo. Iqulunqwe ngepleyiti yentsimbi enemingxuma emininzi, eyenzelwe ukuhlalisa izikrufu. Izikrufu zibekwe ngepleyiti kwithambo ukuzinzisa ukwaphuka.

II. I-Anatomy

Ithambo le-calcaneus lifumaneka kwi-hindfoot kwaye lenza ithambo lesithende. I-calcaneus inemilo ekhethekileyo eneempawu ezininzi zamathambo ezihambelana namanye amathambo onyawo. Ipleyiti yokutshixa i-calcaneal yenzelwe ukujikela kwi-anatomy eyodwa yecalcaneus. Ineemilo ezininzi ezahlukeneyo kunye nobukhulu ukuze ilingane iipateni ezahlukeneyo zokwaphuka.

III. Iimpawu

Isalathiso esiphambili sokusebenzisa ipleyiti yokutshixa i-calcaneal kunyango lwe-intra-articular calcaneal fractures. Ezi fractures zihlala zibangelwa yi-high-energy trauma, ezifana nokuwa ukusuka kwindawo ephakamileyo okanye iingozi zemoto. Zibonakaliswa ngobungakanani obubalulekileyo bokufuduka kunye nokubandakanyeka kwe-articular. Ezinye izibonakaliso zokusebenzisa ipleyiti yokutshixa i-calcaneal ziquka:

• Ukuqhekeka ngokunyuka okubalulekileyo

• Ukuqhekeka kunye nokunciphisa izicubu ezithambileyo

• Ukuqhekeka kwizigulane ezinomgangatho ophantsi wamathambo

IV. Ubuchule

Kukho iindlela ezininzi zokusebenzisa ipleyiti yokutshixa i-calcaneal ukulungisa i-calcaneal fracture. Ubuchule obusetyenzisiweyo buxhomekeke kwipatheni yokwaphuka kunye nokukhethwa ngugqirha wotyando. Ezona ndlela zimbini zixhaphakileyo ziquka:

• I-extensile lateral approach: Le ndlela ibandakanya ukwenza i-incision enkulu kwinqanaba elisecaleni lonyawo kunye nokubonakalisa izicubu ezithambileyo zokufumana ukufikelela kwindawo yokuphuka. Le ndlela ivumela ukubonwa ngokuthe ngqo kokuqhekeka kunye nokunciphisa ngokuchanekileyo. Ipleyiti yokutshixa i-calcaneal emva koko ibekwe kwicala elisecaleni le-calcaneus.

• Ubuchule bePercutaneous: Olu buchule lubandakanya ukwenza izikrweqe ezincinci kunye nokufaka izikrufu eluswini ukunciphisa nokuzinzisa ukwaphuka. Obu buchwephesha abuchaphazeli kangako kodwa bufuna umfanekiso ophucukileyo kunye ne-fluoroscopy ukuqinisekisa ukubekwa kwesikrufu ngokuchanekileyo.

V. Iingxaki

Njengayo nayiphi na inkqubo yotyando, kukho iingxaki ezinokubakho ezinxulumene nokusebenzisa ipleyiti yokutshixa i-calcaneal. Ezinye zeengxaki eziqhelekileyo ziquka:

• Usulelo

• Iingxaki zokuphilisa amanxeba

• Ukulimala kwemithambo-luvo

• Ukusilela kwehardware

• I-post-traumatic arthritis

VI. Ukuqukumbela

Iipleyiti zokutshixa iCalcaneal zisisixhobo esibalulekileyo kulawulo lotyando lwezahluko zecalcaneal ezifudusiweyo. Banikezela ngeenzuzo ezininzi kwiindlela zemveli zokulungiswa, kubandakanywa ukuzinza okwandisiweyo kunye nokuthwala ubunzima bokuqala. Nangona kunjalo, ukusetyenziswa kwabo kufuna ukuqondwa ngokucokisekileyo kwe-anatomy, izalathisi, ubuchule kunye neengxaki ezinokubakho.

VII. Ii-FAQs

1. Kuthatha ixesha elingakanani ukuchacha kwi-calcaneal fracture?

• Ixesha lokubuyisela liyahluka ngokuxhomekeke kubunzima bokuphuka kunye nempilo yonke yesigulane. Kungathatha iinyanga ezininzi ukuya kunyaka ukuchacha ngokupheleleyo.

1. Kuya kufuneka ndihlale ixesha elingakanani esibhedlele emva kotyando?

• Ubude bokuhlala esibhedlele buyahluka ngokuxhomekeke kubuchule botyando obusetyenzisiweyo kunye nempilo yonke yesigulana. Inokuvela kwiintsuku ezimbalwa ukuya kwiiveki ezininzi.

1. Ngaba ndiya kukwazi ukuhamba emva kotyando?

• Uninzi lwezigulana ziyakwazi ukuqala ubunzima emva kokuhlinzwa. Nangona kunjalo, oku kuxhomekeke kubuzaza bokwaphuka kunye nobuchule botyando obusetyenziswayo.

1. Kuya kuthatha ixesha elingakanani ukunxiba isamente okanye ibrace emva kotyando?

• Ubude bexesha elifunekayo isamente okanye izihlangu zezilima ezidityaniswe ngentsinjana/ngeplangana liyahluka ngokuxhomekeke kubuzaza bokwaphuka kunye nobuchule botyando obusetyenzisiweyo. Inokuvela kwiiveki ezimbalwa ukuya kwiinyanga ezininzi.

1. Ngaba i-calcaneal fractures inokunyangwa ngaphandle kotyando?

• Ulawulo olungazenziyo utyando, olufana nokungashukumi kunye nokuphumla, kunokuba lukhetho lwezinye iifractures zecalcaneal. Nangona kunjalo, i-intra-articular fractures efudukayo ihlala ifuna ungenelelo lotyando ukuze ufumane iziphumo ezilungileyo. Kungcono ukudibana nengcali yezempilo ukufumanisa isicwangciso sonyango esilungileyo kwimeko yakho ethile.