Dynamic Axial Ankle Joint Fragment ExternalFixator

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-Dynamic Axial Ankle Joint Fragment Isilungisi sangaphandle: Isishwankathelo

Ukuqhekeka kwe-ankle joint yinto eqhelekileyo kwaye kunokubangelwa yizizathu ezahlukeneyo, kubandakanywa ukulimala kwezemidlalo, ukuwa, kunye neengozi zemoto. Ezi ziqhekeza zinokuba nzima ukulawula, ngakumbi xa zibandakanya amaqhekeza adibeneyo. Olunye lonyango olusebenzayo lwezo fractures kukusetyenziswa kwe-axial ankle edibeneyo ye-fragment yangaphandle fixator. Kweli nqaku, siza kubonelela ngesishwankathelo sesi sixhobo, amacandelo aso, izibonakaliso zayo, kunye neenzuzo zayo ngaphezu kwezinye iindlela zonyango.

Yintoni i-axial edibeneyo ye-ankle joint fragment yangaphandle?

Iqhekeza le-axial joint fragment yangaphandle sisixhobo esisetyenziselwa ukuzinzisa iifractures ezibandakanya i-ankle joint, ngokukodwa ezo zibandakanya amaqhekeza adibeneyo. Luhlobo lwe-fixator yangaphandle esebenzisa uchungechunge lwezikhonkwane kunye nemivalo ukuzinzisa ukuphuka kunye nokuvumela ukunyakaza okulawulwayo kokubambisana ngexesha lenkqubo yokuphulukisa. I-fixator isetyenziswe ngaphandle, oku kuthetha ukuba ayifakwanga ngotyando, kwaye ngokuqhelekileyo isuswe xa i-fracture iphilisiwe.

Amacandelo e-axial edibeneyo ye-ankle joint fragment yangaphandle fixator

Amacandelo e-axial edibeneyo ye-ankle joint fragment yangaphandle ibandakanya:

• Ukulungiswa kwepini: Izikhonkwane zifakwe kwithambo ngapha nangapha kweqhekeza kwaye zifakwe kwimivalo ye-fixator.

• Ukulungiswa kwebha: Imivalo ifakwe kwizikhonkwane kunye nomnye komnye, ukudala isakhelo esizinzile malunga nokuphuka.

• I-Dynamic hinge: I-hinge ifakwe kwi-fixator ukuvumela ukunyakaza okulawulwayo kwelungu ngexesha lokuphilisa.

• Ukunyanzeliswa / isixhobo sokuphazamiseka: Isixhobo sokunyanzeliswa / ukuphazamiseka sifakwe kwi-fixator ukuvumela ukunyanzeliswa okulawulwayo okanye ukuphazamiseka kwendawo yokuphuka njengoko kufuneka.

Izibonakaliso zokusetyenziswa kweqhekeza elidibeneyo le-axial ye-ankle edibeneyo yangaphandle

Iqhekeza le-axial joint fragment yangaphandle isetyenziswa ngokuqhelekileyo kwiimeko apho ezinye iindlela zonyango, ezifana nokuphosa okanye ukulungiswa kotyando, azifanelekanga. Iimpawu zokusetyenziswa ziquka:

• Ukuqhekeka okubandakanya amaqhekeza adibeneyo

• Ukuqhekeka ngokwenzakala okubonakalayo kwezicubu ezithambileyo

• Ukuqhekeka kwizigulane ezinomgangatho ophantsi wamathambo okanye ezinye izifo zonyango ezenza ukulungiswa kotyando kube nzima

• Iifractures kwizigulane ezingakwazi ukunyamezela i-cast okanye esinye isixhobo sokunciphisa

Izinto eziluncedo ze-axial ankle edibeneyo yeqhekeza elidibeneyo yangaphandle

Kukho iingenelo ezininzi zokusebenzisa iqhekeza le-axial joint fragment yangaphandle ye-axial ngaphezu kwezinye iindlela zonyango:

• Ivumela ukuhlanganiswa kwangaphambili komdibaniso, onokunceda ukukhusela ukuqina kunye nokuphucula umsebenzi jikelele.

• Inika ukulungiswa okuzinzile kokuphuka, oku kunokukhokelela ekuphuculeni ukuphilisa kunye neziphumo ezingcono zexesha elide.

• Ingasetyenziselwa izigulane ezingakwazi ukunyamezela ukuphosa okanye ukulungiswa kokuhlinzwa.

• Ivumela ukulungiswa lula koxinzelelo okanye ukuphazamiseka kwendawo yokuphuka njengoko kufuneka.

• Ingachaphazeleki kancinci, okuthetha ukuba kukho umngcipheko omncinci weengxaki xa kuthelekiswa nokulungiswa kotyando.

Imingcipheko kunye neengxaki

Njengayo nayiphi na inkqubo yonyango, ukusetyenziswa kweqhekeza elidibeneyo le-axial edibeneyo ye-axial ayikho ngaphandle kweengozi kunye neengxaki. Eminye imingcipheko enokwenzeka kunye neengxaki ziquka:

• Usulelo kwindawo yokufaka isikhonkwane

• Iphini lokukhulula okanye ukwaphuka

• Ukucaphuka kwezicubu ezithambileyo okanye umonakalo

• Ukuqina okudibeneyo okanye ukungazinzi

• Ukonakala kwemithambo-luvo okanye imithambo yegazi

Ukuqukumbela

Iqhekeza elidibeneyo le-axial ye-ankle joint fragment yangaphandle sisixhobo esibalulekileyo ekulawuleni iifractures ezidibeneyo ze-ankle, ngokukodwa ezo zibandakanya amaqhekeza adibeneyo. Ivumela ukuhlanganiswa kwangaphambili komdibaniso kunye nokubonelela ngokuzinza ngokuzinzile kokuphuka, okukhokelela ekuphuculeni ukuphilisa kunye neziphumo ezingcono zexesha elide. Nangona kukho imingcipheko kunye neengxaki ezinxulumene nokusetyenziswa kwesi sixhobo, ngokuqhelekileyo sikhuselekile kwaye sinyamezeleke kakuhle zizigulane.