Ingcaphephe ye-Tibial Intramedullary Nail Box: Isishwankathelo seTeknikhi zoTyando kunye nokuqhubela phambili
Intshayelelo
I-Tibial fractures ingaba ngumngeni ukunyanga ngenxa ye-anatomy yabo eyinkimbinkimbi kunye nokukwazi ukuphulukiswa kwamathambo. I-Intramedullary nailing yindlela eqhelekileyo yotyando esetyenziselwa ukunyanga i-tibial fractures. Iibhokisi ze-tibial ze-intramedullary ze-intramedullary ziye zanda kakhulu kwiminyaka yamuva nje, ukubonelela oogqirha abanezixhobo ezikhethekileyo kunye nokufakelwa kwenzelwe ukuphucula iziphumo zotyando. Eli nqaku libonelela ngombono weebhokisi zeengcali ze-tibial intramedullary nail, kubandakanywa namacandelo abo, ubuchule bokuhlinzwa, kunye nokuqhubela phambili.
Amacandelo eNgcali ye-Tibial Intramedullary Nail Boxes
Iibhokisi ze-tibial ze-intramedullary ze-intramedullary ziqulethe izixhobo ezikhethekileyo kunye nokufakelwa kwenzelwe ukunceda oogqirha botyando ekulawuleni utyando lwe-tibial fractures. La malungu alandelayo adla ngokuqukwa:
Izikhonkwane ze-Intramedullary
Izikhonkwane ze-Intramedullary ziyinxalenye ephambili yeebhokisi ze-tibial intramedullary nail. Zide, zincinci, iintonga ze-cylindrical ezifakwe kwi-intramedullary canal ye-tibia ukubonelela ukuzinza kunye nokulungelelanisa.
Izikrufu zokutshixa
Izikrufu zokutshixa zisetyenziselwa ukukhusela isikhonkwane se-intramedullary kwithambo. Zifakwe kwimingxuma yangaphambili kwisikhonkwane kwaye ifakwe kwithambo, inika uzinzo kunye nokuthintela ukujikeleza.
Reamers
IiReamers zisetyenziselwa ukulungisa umjelo we-intramedullary wokufakwa kwezikhonkwane. Zifumaneka kuluhlu lweesayizi kwaye zingasetyenziselwa ukwandisa umjelo ukulungiselela ubungakanani obuhlukeneyo bezikhonkwane.
Izikhokelo kunye neeBits Drill
Izikhokelo kunye ne-drill bits zisetyenziselwa ukudala imingxuma esele igrunjwe ngaphambili kwizikrufu zokutshixa. Baqinisekisa ukubekwa okuchanekileyo kwezikhonkwane kunye nokuthintela umonakalo kwizicubu ezithambileyo ezijikelezayo.
Ubuchwephesha boTyando lweNgcali ye-Tibial Intramedullary Nail Box
La manyathelo alandelayo achaza ubuchule botyando bokusetyenziswa kwebhokisi yesikhonkwane ye-tibial intramedullary:
UCwangciso lwaphambi kokuSebenza
Ucwangciso lwangaphambi kokuhlinzwa lubandakanya uvavanyo olucokisekileyo lokuphuka kwesigulane kunye nempilo yonke. Izifundo zokucinga ezifana ne-X-rays kunye ne-CT scans zisetyenziselwa ukuvavanya ubungakanani bokuqhekeka kunye nokugqiba ubungakanani obufanelekileyo bezipikili kunye nokucwangciswa.
I-anesthesia
I-anesthesia jikelele okanye yengingqi isetyenziselwa iinkqubo zokubethelwa kwe-intramedullary.
Indlela Yotyando
Indlela yokuhlinzwa yenziwa kwi-tibia ukuze ifumane ukufikelela kwi-canal intramedullary. Iindlela eziqhelekileyo ziquka iindlela zangaphambili kunye nezangaphakathi.
Ukuhlaziya kwakhona
Umsele we-intramedullary uphinde uhlaziywe ukuze ulungiselele ukufakwa kwezikhonkwane. IiReamers zobukhulu obukhulayo zisetyenziselwa kude kube ngumjelo ubungakanani obufanelekileyo kwisikhonkwane esikhethiweyo.
Ukufakwa Kwezikhonkwane
Isikhonkwane se-intramedullary sifakwe kwi-canal kwaye sikhuselekile kwindawo kunye nezikrini zokuvala.
Ukuvalwa Kwenxeba
Inxeba liyavalwa, kuze kuqaliswe unyango olufanelekileyo emva kotyando.
Ukuqhubela phambili kwiiNgcali zeTibial Intramedullary Nail Boxes
Ukuqhubela phambili kwiibhokisi ze-tibial intramedullary ze-nail ziye zaphucula iziphumo zotyando kunye nokunciphisa iingxaki. Oku kulandelayo zezinye zenkqubela phambili yamva nje:
Izikhonkwane zangaphambili
Izikhonkwane ze-pre-contoured zenzelwe ukuhambelana nesimo se-anatomical ye-tibia, ukubonelela ukuzinza okungcono kunye nokunciphisa umngcipheko wokungaphumeleli kokufakelwa.
Iindlela zokutshixa
Iindlela zokutshixa eziphuculweyo zibonelela uzinzo olungcono kwaye zinciphisa umngcipheko wokukhulula izikrufu okanye ukwaphuka.
Izixhobo zomculo
Ukuqhubela phambili kwizixhobo kwenze indlela yotyando ichaneke ngakumbi kwaye ilungelelaniswe, ukunciphisa ixesha lokusebenza kunye nokuphucula iziphumo.
Ukuqukumbela
Iibhokisi ze-tibial ze-intramedullary ze-intramedullary zengcali ziseti zesixhobo ezikhethekileyo ezinceda ekulawuleni utyando lwe-tibial fractures. Ziqulethe izixhobo ezikhethekileyo kunye nokufakelwa kwenzelwe ukuphucula iziphumo zotyando kunye nokunciphisa iingxaki. Ukuqhubela phambili kwiibhokisi zezikhonkwane ze-tibial intramedullary zenze indlela yotyando ichaneke ngakumbi kwaye ilungelelaniswe, okukhokelela kwiziphumo ezingcono kwizigulana. Oogqirha kufuneka baqhelane namacandelo kunye nobuchule botyando beebhokisi ze-tibial intramedullary nail boxes ukubonelela ngononophelo olufanelekileyo kwizigulane ezine-tibial fractures.
Ii-FAQs
Yintoni ingcali ye-tibial intramedullary nail box? Ingcali ye-tibial intramedullary nail box sisixhobo esikhethekileyo esenzelwe ukunceda oogqirha botyando ekulawuleni utyando lwe-tibial fractures.
Ngawaphi amacandelo afakwe kwi-tibial intramedullary nail box eyingcali? Iibhokisi zezikhonkwane ze-tibial intramedullary zibandakanya izikhonkwane ze-intramedullary, izikhonkwane zokutshixa, ii-reamers, izikhokelo, kunye ne-drill bits.
Ngaba ingcali ye-tibial intramedullary nail box iphucula njani iziphumo zotyando? Iibhokisi zeengcali ze-tibial intramedullary nail zibonelela ngezixhobo ezikhethekileyo kunye nokufakelwa kwenzelwe ukuphucula iziphumo zotyando kunye nokunciphisa iingxaki. Ukuqhubela phambili kwiibhokisi zezikhonkwane ze-tibial intramedullary zenze indlela yotyando ichaneke ngakumbi kwaye ilungelelaniswe, okukhokelela kwiziphumo ezingcono kwizigulana.
Zeziphi iinkqubela phambili zamva nje kwiibhokisi zezikhonkwane ze-tibial intramedullary? Ukuqhubela phambili kwamva nje kwiibhokisi zesikhonkwane ze-tibial intramedullary zibandakanya izikhonkwane zangaphambili, iindlela zokutshixa eziphuculweyo, kunye nokuqhubela phambili kwisixhobo.
Yintoni ekufuneka bayazi oogqirha malunga neebhokisi ze-nail ze-tibial intramedullary? Oogqirha kufuneka baqhelane namacandelo kunye nobuchule botyando beebhokisi ze-tibial intramedullary nail boxes ukubonelela ngononophelo olufanelekileyo kwizigulane ezine-tibial fractures.
