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 Proximal Femoral Fragment yangaphandle Isilungisi: Isishwankathelo esiBanzi

I-hip fractures yingxaki eqhelekileyo yamathambo, ngakumbi kubantu abadala. Oku kwaphuka kunokubangela ukugula okubalulekileyo kunye nokufa, kwaye ulawulo lwazo luhlala luntsonkothile. Enye yeendlela ezisetyenziselwa ukulawula ukuphuka kwe-hip yi-axial proximal femoral fragment yangaphandle fixator (DAPFFEF). Kweli nqaku, siza kubonelela ngesishwankathelo esibanzi se-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. Ukulawulwa kwe-hip fractures ihlala iyinkimbinkimbi, kwaye iindlela ezahlukeneyo zotyando zisetyenziselwa ukulawula. Enye yezi ndlela yi-axial proximal femoral fragment yangaphandle fixator (DAPFFEF).

I-Anatomy ye-Hip

Ngaphambi kokuxoxa nge-DAPFFEF, kubalulekile ukuqonda i-anatomy ye-hip. I-hip joint yi-ball-and-socket joint, equkethe i-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 yangaphandle Fixator?

I-axial proximal femoral fragment yangaphandle 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. Ikwasetyenziselwa ukuphatha iimanyano ezingezizo kunye ne-malunions ye-femur esondeleyo.

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, ivumela ukuthwala ubunzima bokuqala kunye neziphumo eziphuculweyo kwizigulane.

Ukuqukumbela

Dynamic axial proximal femoral fragment yangaphandle fixator (DAPFFEF) bubuchule botyando obusetyenziselwa ukuzinzisa iifractures of proximal femur. Inika ukulungiswa okuzinzile kunye nokunyanzeliswa okuguquguqukayo kwithambo eliqhekekileyo, livumela ubunzima bokuqala kunye neziphumo eziphuculweyo kwizigulane. Iingxaki zingenzeka, kodwa zinokulawulwa ngonyango olufanelekileyo.