Injongo esisiseko yokulungiswa kwe-fracture kukuzinzisa ithambo eliphukileyo, 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 ekhethekileyo Skrubu za mifupa (ebizwa ngokuba yizikhonkwane eziqhelekileyo) ezidlula esikhumbeni kunye nemisipha, i-fixator ixhunywe kwithambo elonakalisiweyo ukuze ligcinwe ngokufanelekileyo njengoko liphilisa.

Isetyenziselwa ntoni i- External Fixator ?

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.

Zeziphi iintlobo ze- External Fixator ?

Kukho iintlobo ezintathu ezisisiseko ze- External Fixators : 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 e-antibiotics asetyenziswa rhoqo.

Dynamic Axial Proximal Femoral Fragment External Fixator : Isishwankathelo esiBanzi

I-hip fractures yingxaki eqhelekileyo yamathambo, ngakumbi kubantu abadala. Oku kwaphuka kunokubangela ukugula okukhulu kunye nokufa, kwaye ulawulo lwazo luhlala luntsonkothile. Enye yeendlela ezisetyenziselwa ukulawula i-hip fractures yi-axial proximal femoral fragment External Fixator (DAPFFEF). Kweli nqaku, siza kubonelela ngombono obanzi we-DAPFFEF, kubandakanya imiqondiso, ubuchule, iingxaki, kunye neziphumo.

Intshayelelo

Ukuqhekeka kwe-hip yingxaki enkulu yempilo yoluntu, kuqikelelwa ukuba i-1.6 yezigidi zeemeko zenzeka kwihlabathi jikelele minyaka le. Ezi zaphuka zinxulunyaniswa nokugula okuphezulu kunye nokufa, ngakumbi kwizigulane ezisele zikhulile. Ulawulo lwe-hip fractures luhlala luyinkimbinkimbi, kwaye iindlela ezahlukeneyo zotyando zisetyenziselwa ukulawula. Enye yezi ndlela yi-axial proximal femoral fragment eguqukayo External Fixator (DAPFFEF).

I-Anatomy ye-Hip

Ngaphambi kokuxoxa nge-DAPFFEF, kubalulekile ukuqonda i-anatomy ye-hip. I-hip joint yi-ball-and-socket joint, equlethwe yi-acetabulum ye-pelvis kunye nentloko ye-femoral. Intamo yesifazane idibanisa intloko yowesifazane kunye ne-femoral shaft. I-proximal femur yinxalenye ye-femur esondeleyo kwi-joint hip.

Yintoni iDynamic Axial Proximal Femoral Fragment External Fixator ?

I-axial proximal femoral fragment eguqukayo External Fixator (DAPFFEF) sisixhobo esisetyenziselwa ukuzinzisa iifractures zeproximal femur. Isixhobo siqukethe isethi yezikhonkwane okanye izikrufu ezifakwe kwi-femur esondeleyo kwaye zixhunywe kwisakhelo sangaphandle. Isakhelo sibonelela ngokuzinza kwithambo eliqhekekileyo, livumela ukuba liphilise.

Iimpawu zeDAPFFEF

I-DAPFFEF isetyenziselwa ukunyanga iifractures ze-femur proximal, kubandakanywa i-subcapital fractures, i-intertrochanteric fractures, kunye ne-subtrochanteric fractures. Kwakhona isetyenziselwa ukuphatha iimanyano ezingezizo kunye ne-malunions ye-proximal femur.

Ubuchwephesha beDAPFFEF

Ubuchule be-DAPFFEF bubandakanya ukufaka izikhonkwane okanye izikrufu kwi-femur esecaleni, ezithi ke ziqhagamshelwe kwisakhelo sangaphandle. Izikhonkwane okanye izikhonkwane zifakwe ngendlela evumela ukuba basebenze njengengalo ye-lever, ukubonelela ngoxinzelelo oluguquguqukayo kwithambo eliqhekekileyo. Isakhelo sihlengahlengiswa ukufezekisa inqanaba elifunwayo lokunyanzeliswa.

Izinto eziluncedo zeDAPFFEF

Iinzuzo ze-DAPFFEF ziquka ukukwazi ukubonelela ukulungiswa okuzinzile kwe-proximal femur, ukukwazi ukubonelela ngoxinzelelo oluguquguqukayo kwithambo eliqhekekileyo, kunye nokukwazi kwayo ukuvumela ubunzima bokuqala. Ezi zinto zingakhokelela kwiziphumo eziphuculweyo kunye namaxesha okubuyisela ngokukhawuleza kwizigulane.

Iingxaki zeDAPFFEF

Iingxaki ze-DAPFFEF ziquka ukusuleleka kwe-pin tract, non-union, malunion, ukulahlekelwa kokunciphisa, kunye nokungaphumeleli kokufakelwa. Ezi ngxaki zinokulawulwa ngonyango olufanelekileyo, kubandakanywa i-antibiotics, utyando oluhlaziyiweyo, kunye nokususwa kwe-fixator.

Iziphumo zeDAPFFEF

Iziphumo ze-DAPFFEF ziye zaphononongwa kwizilingo ezininzi zeklinikhi. Ezi zilingo zibonise ukuba i-DAPFFEF inokubonelela ngokuzinza ngokuzinzile kwe-femur ehamba phambili, evumela ukuthwala ubunzima bokuqala kunye neziphumo eziphuculweyo kwizigulane.

Ukuqukumbela

Dynamic axial proximal femoral fragment External Fixator (DAPFFEF) bubuchule botyando obusetyenziselwa ukuzinzisa iifractures of proximal femur. Inika ukulungiswa okuzinzileyo kunye nokunyanzeliswa okuguquguqukayo kwithambo eliqhekekileyo, ukuvumela ukuthwala ubunzima bokuqala kunye neziphumo eziphuculweyo kwizigulane. Iingxaki zingenzeka, kodwa zinokulawulwa ngonyango olufanelekileyo.