Ungasisusa njani isikhonkwane se-intramellary?

Ukususwa kwezikhonkwane ze-intramellary yinkqubo yesiqhelo, njengoko umenzi ngamnye ubonelela ngezixhobo ezifanelekileyo zokususa. Nangona kunjalo, eyona mfuno yokususa isikhonkwane esipheleleyo se-intramellary inqabile. Nje ukuba i-uphuplu ye-Intramellary ye-Intramellary, imeko iba neqhinga ngakumbi. Okwangoku, izixhobo ezizodwa kunye neendlela zobuchule ziyafuneka ukususa isikhonkwane se-intramellary.

I-Universial Intramellary National Swing kunye neseti yokukhupha isipikili sendlela ziyafumaneka kwintengiso, kwaye ezi seti zinokunceda ukusombulula ezi ngxaki zingasentla. Nangona kunjalo, utyando olungaboniyo alucetyiswa ngaphandle kwezixhobo ezikhethekileyo.

I-odolo apho isikhonkwane se-intramellary siyasuswa kubalulekile. Ngaphambi kokuba ususe ulungiso lwangaphakathi, umsila kufuneka ubekwe kwaye ubanjwe. I-cap ye-PAPE ngamanye amaxesha kunzima ukuyichonga kwii-X-rays, kwaye ngenxa yesi sizathu, amanye amagqirha akacebisi ukusebenzisa ubude bomsila ngaphandle kokuba bonyuse ubude be-intramelilary. Emva kokususa i-cap yomsila, sebenzisa isikhokelo ingalo yokuqonda isikhonkwane se-intramellary, kwaye emva koko uqhubeke ekususweni kwesamente ekutshintshiselwayo. Kufuneka igcinwe engqondweni ukuba zonke izikhonkwane zokutshixa kufuneka zisuswe ngaphambi kokuzama ukususa iPIN ephambili. Ukuba umenzi wesikhonkwane sentramomellary akanakuchongwa, kubalulekile ukuba siveze ngokwaneleyo isiphelo se-caudal yendlela yokupheliswa kwe-intramellary ukucacisa indlela yayo yokucacisa indlela yayo yokucacisa ukubamba kwayo, kwaye ukhethe isixhobo esifanelekileyo sokuqinisekisa. Ukuba umdlalo ogqibeleleyo awunakwenzeka, ukhetho lokusebenzisa isixhobo sokukhutshwa kwe-tappled unokunceda ekufumaneni umsila wezipikili ze-intramellary. Ukuba i-bone ingena kumngxunya wezipikili okanye kumphezulu wezipikisi, isikhonkwane sinokutsalwa ngaphakathi kwiimilimitha ezimbalwa kunye ne-hammer yokutyibilika ngaphambi kokususwa kwesando.

Inkcazo eyahlukeneyo ye-caps yomsitho yenzelwe ukuqhuba ukukhetha intsebenzo kunye nokuqinisekisa ukususwa kwe-Intramellary.

Oogqirha abaninzi abanamava bashwankathela inani elikhulu lendlela yokukhupha i-Intramelimes yokukhupha isipikili. Ukuba ukuphela kokuphela kokuqhekeka kufuneka kuvulwe ukuze kuncitshiswe kwaye kunciphise, isikhonkwane se-intramellary singasuswa kwiziphelo ezaphukileyo. Apha ngezantsi, siya kwazisa ngokufutshane ngeendlela zokukhupha okungafunekiyo ukubonakaliswa kokuphela kokuphela.

• Ungasisusa njani isikhonkwane esaphukileyo?

Ngokwesiqhelo, akukho nzima ukususa i-proximal yenxalenye yesikhonkwane esaphukileyo. Nje ukuba inxenye ye-proximal isusiwe, iba ngumceli mngeni ukuba uyisuse i-distal ngaphandle kokuvula iqhekeza lesandla. Ukubuyisela kwakhona i-proximal camllary paltal ngeemilimitha ezimbalwa kunokuphucula ukususwa kwendlela.

Sebenzisa i-nucleus ende okanye i-laparoscopic, isahlulo se-distal sinokufumana kwaye sisuswe ngempumelelo. Nangona kunjalo, amandla amade akaboneleli ngokubambisa kakhulu, kunye nokususwa okuphumelela kuxhomekeke ekubeni i-distal ikhululiwe.

Ukuqhuba isikhonkwane esincinci se-Intramellary okanye i-remer yencwadi kwisikhonkwane esiqhekezayo ngamanye amaxesha kuyanceda ukuyisusa. Ngexesha lokuqhuba, i-pin yokutshixa isitshixo kufuneka igcinwe ukuze ithintele ukuqhubela phambili kwenani le-distal ngexesha lokuqhuba. Nje ukuba isikhonkwane esincinci se-Intramellary okanye i-remer yencwadi iphumelele ukuzibandakanya okuqinileyo kunye necandelo le-distal, susa isikhonkwane esitshixwayo esitshixwayo kwaye emva koko ubhukuqa umva ukuze ususe i-dispal ye-distal eyaphukileyo.

Iingxelo ezininzi zoncwadi ngokusetyenziswa kwezixhobo ezinomdla ukuze zisuse isahlulo se-distal sezikhonkwane ezaphukileyo. I-Cavity ye-Holl ye-Intramellary ye-intramellary inokugcwaliswa ziingcingo ezininzi zesikhokelo ngokuhambelana nendlela yokukhupha i-vook yokuphepha ukuhombisa ngexesha lenkqubo yokukhupha. Indlela yokupakisha i-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ye-Wire ikwangenye indlela yokukhupha amagwegwe.

Okokugqibela, ukuba zonke ezi ndlela zokukhupha ezi-proximal aziphumelelanga, ukususwa okungaphezulu kwesipikili se-intramellary kunokuzanywa. Umzekelo, isahlulo esaphukileyo sokuqala se-intrallarary sisuswe ngokuvulwa komfanekiso ophakathi ngokusebenzisa idolo. I-Drill ijolise kwisiphelo se-diveramellary sail, kwaye ukuvulwa kuphakamile ngokwaneleyo ukuba kulungiselelwe isikhokelo somnquma otyhidiweyo nge-cire. I-wire yesikhokelo idluliselwe kwakhona kwi-hoble ye-Intramellary Natile kunye ne-protrude yokuvula i-femur ye-proximal, kwaye intloko yomnquma ene-spacer inokuzisa i-feec ekhutshiwe kwi-femur. Indlela efanayo inokusetyenziselwa iTibia, ngokufakwa kwakhona kokuvulwa kwe-distal ye-wire wire kwi-medial Malleous. Ngamanye amaxesha, ucingo lwe-Steinder lufakwe ngokuvulwa kwaye lwankqonkqoza ngokuchasene nepipi ezaphukileyo, ukuze isikhonkwane esaphukileyo sishukume ngokupeyintiweyo kwenaliti yesikhokelo kunye nokususwa kwesipikili esaphukileyo.

• Ungayisusa njani isikhonkwane esiqinileyo se-Inramellary?

Izikhonkwane eziqinileyo ze-Intramellary zihlala zinzima kakhulu ukususa kunezikhonkwane ze-intramellary ezifakwe kwi-intramellary. Iindlela zayo zokususa zibandakanya ukuhlengahlengiswa kwe-proximal cavity cavity kunye nokuthathwa okusebenzayo kwesikhonkwane esikhulu esaphukileyo. I-Laparoscopic Flow Hooks inokusetyenziselwa ukufunyanwa kwezikhonkwane eziphezulu. Uncwadi luye lwaxela amanye amachaphaza awodwa okufumana umsila wezipikili. Nangona kunjalo, ukusetyenziswa kwezixhobo ezahlukeneyo akunakuba nakho ukufumanisa isikhonkwane esikhulu esaphukileyo. Kule meko, isikhonkwane esaphukileyo kufuneka sikhutshwe ngaphandle kwesinye isiphelo sethambo. UMGAQO-NKQUBO WOKUGQIBELA NGOKULULA KAKHULU kwesona sipikili se-intramellary edityanisiweyo. Sebenzisa izixhobo ezinje nge-drives ethambileyo kunye nezikhonkwane ezinzima zokukhupha izikhonkwane eziphukileyo ngokuthe ngqo kwisiphelo se-proximal.

• Ungayisusa njani i-Inramellory ye-intramellary?

Intloko okanye inxenye ye-proximal ye-screw yokudibana inokususwa isuswe usebenzisa i-screwdring yokuthelekisa. Ngamanye amaxesha imisonto ye-screen inokuthi ityibilike ngaphakathi kwethambo, ifuna ingqungquthela ejikeleze intloko yesikhafu kunye ne-screwds kunye ne-screwdriver ukuyifumana. Iintloko ze-screw ezonakeleyo zinokufuna izixhobo ezikhethekileyo zokususwa, ezinjengeekhilomitha zokucoca ngaphakathi ezifana nokrokrela okumalunga ne-ronis. Inxalenye ye-distal yesikhafu esaphukileyo ngamanye amaxesha ikhululwe ngokupheleleyo, nto leyo engachaphazeli ukususwa kwesikrelem esiphambili, kwaye inokushiywa emzimbeni ukuba ayichaphazeli ukusebenza kwenyanga elandelayo. Nangona kunjalo, ngamanye amaxesha isikhonkwane esiqhekeziweyo sinokubangela ukwaphuka kwe-iatrogenic xa isikhonkwane esiphambili sisusiwe, kwaye kubalulekile ukuyisusa. Eyona ndlela isetyenziswayo yindlela esetyenziswayo yindlela yokutyhala kwesikali, oko kukuthi, eyona nto iphambili irhoxisiwe kwindawo yayo yasekuqaleni, ukuze i-screw hole isungule umngxunya wethambo, kwaye i-screw ephukileyo isuswe i-wire, i-screwdries encinci okanye i-screwdriver. IPIN ikhutshelwe ngaphandle komngxunya wePIN kwi-cortex ye-cortex kwaye isuswe ngophawu ohlukileyo.

Ungayithenga njani i-orphopents kunye nezixhobo ze-orthopedic?

Kuba I-CZMEDICH , sinomgca opheleleyo wemveliso ye-Orthoric utyanSpents kunye nezixhobo ezihambelana nayo, iimveliso kubandakanya i-spine ifakinti, izipikili ze-intramellary, Iplate ye-Mouma, Ukutshixa iplate, I-cranial-maxillofacial, I-Prosthesis, Izixhobo zamandla, Abalungisi bangaphandle, I-Arthroscopy, Inkathalo yonyango lwezilwanyana kunye neeseti zesixhobo zazo.

Ukongeza, sizimisele ukuqhubeka nokuphuhlisa iimveliso ezintsha kunye nokwandisa imigca yemveliso, ukuze kuhlangatyezwane neemfuno zonyango noogqirha kunye nezigulana, kwaye zenze ukuba inkampani yethu ikhuphisane kwishishini le-Orthopenic yeHlabathi yeHlabathi.

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