Ukususwa kwezipikili ze-intramedullary yinkqubo yesiqhelo, njengoko umenzi ngamnye ubonelela ngezixhobo ezifanelekileyo zokususa. Nangona kunjalo, imfuno yangempela yokususa isikhonkwane esipheleleyo se-intramedullary sinqabile. Nje ukuba isikhonkwane se-intramedullary sigqabhuke, imeko iba nzima kakhulu. Ngeli xesha, izixhobo ezikhethekileyo kunye neendlela ezifunekayo ukususa i-intramedullary nail.
Ukususwa kwe-intramedullary ye-Universal intramedullary kunye neeseti zokususa izikhonkwane ezaphukileyo ziyafumaneka kwimarike, kwaye ezi seti zinokunceda ukusombulula ezi ngxaki zingasentla. Nangona kunjalo, utyando oluyimfama alukhuthazwa ngaphandle kwezixhobo ezikhethekileyo.
Umyalelo wokukhutshwa kwesikhonkwane se-intramedullary ubalulekile. Ngaphambi kokususa ukulungiswa kwangaphakathi, umsila kufuneka ubekwe kwaye ubambe. Umsila womsila unzima ngamanye amaxesha ukuchonga kwi-X-rays, kwaye ngenxa yesi sizathu, abanye oogqirha abacebisi ukusebenzisa i-cap yomsila ngaphandle kokuba kwandisa ubude bokusebenza kwesikhonkwane se-intramedullary. Emva kokususa i-cap yomsila, sebenzisa ingalo yesikhokelo ukuze ubambe isikhonkwane se-intramedullary, uze uqhubeke nokususwa kwesikhonkwane sokukhiya. Kufuneka kukhunjulwe ukuba zonke izikhonkwane zokutshixa kufuneka zisuswe phambi kokuzama ukususa isikhonkwane esingundoqo. Ukuba umenzi wesikhonkwane se-intramedullary akakwazi ukuchongwa, kuyimfuneko ukuveza ngokwaneleyo isiphelo se-caudal yesikhonkwane se-intramedullary ukucacisa indlela yokubamba kwayo, kubandakanywa uhlobo lwentambo kunye nobukhulu, kunye nokukhetha isixhobo esifanelekileyo sokukhupha. Ukuba umdlalo ogqibeleleyo awunakwenzeka, ukhetho lokusebenzisa isixhobo se-tapered extraction sinokunceda ukubamba umsila wesikhonkwane se-intramedullary. Ukuba ithambo lingena kumngxuma wezikhonkwane okanye kumphezulu wesikhonkwane kurhanelwa, isikhonkwane sinokubethelwa ngaphakathi ngeemilimitha ezimbalwa ngesando sokutyibilika ngaphambi kokuba sisuswe.
Iimpawu ezahlukeneyo zomsila zenzelwe ukuququzelela ukhetho lwe-intraoperative kunye nokuqinisekisa ukususwa kwe-intramedullary nail.
![intramedullary nail cap]()
Oogqirha abaninzi abanamava baye bashwankathela inani elikhulu leendlela zokususa iinzipho eziqhekekileyo ze-intramedullary. Ukuba isiphelo esaphukileyo sokuphuka kufuneka sivulwe ukucocwa kunye nokunciphisa, isikhonkwane se-intramedullary sinokususwa ngesiphelo esiphukileyo. Ngezantsi, siza kwazisa ngokufutshane ezinye iindlela zokukhupha ezingadingi ukuvezwa kwesiphelo esaphukileyo.
Indlela yokususa isikhonkwane se-intramedullary esaphukileyo?
Ngokuqhelekileyo, akunzima kakhulu ukususa inxalenye esondeleyo yesikhonkwane se-intramedullary esaphukileyo. Emva kokuba inxalenye esondeleyo isusiwe, iba ngumngeni indlela yokususa inxalenye ye-distal ngaphandle kokuvula iqhekeza leqhekeza. Ukubuyisela i-proximal medulary canal ngeemilimitha ezimbalwa kunokuququzelela ukususwa kweziphopho ezikude.
Ukusebenzisa i-nucleus ende okanye i-laparoscopic forceps, inxalenye ye-distal ngamanye amaxesha inokubanjwa kwaye isuswe ngempumelelo. Nangona kunjalo, ii-forceps ezide aziboneleli ukubamba okuqinileyo, kwaye ukususwa ngempumelelo kuxhomekeke ekubeni inxalenye ye-distal ikhululiwe.
Ukuqhuba isikhonkwane esincinci se-intramedullary okanye i-reamer manual kwi-distal broken nail ngamanye amaxesha kuyanceda ukuyisusa. Ngexesha lokuqhuba, iphini lokukhiya i-distal kufuneka ligcinwe ukunqanda ukufuduswa okungaphezulu kwendawo ekude ngexesha lokuqhuba. Nje ukuba isikhonkwane esincinci se-intramedullary okanye i-reamer ye-manuwali ifezekise ukubandakanyeka okuqinileyo kunye necandelo elikude, susa isikhonkwane sokutshixa i-distal kwaye emva koko ubethe umva ukususa icandelo le-distal eyaphukileyo.
Iingxelo ezininzi zoncwadi malunga nokusetyenziswa kwezixhobo eziqhotyoshelweyo ukususa inxalenye ekude yezikhonkwane ezaphukileyo ezinkonkxiweyo. Umngxuma onomngxuma wesikhonkwane se-intramedullary unokuzaliswa ngeengcingo ezininzi zesikhokelo ngokunxuseneyo ecaleni kwendlela ye hook yokutsalwa ukuze ugweme ukuqhawuka ngexesha lenkqubo yokutsalwa. Ubuchule bokupakisha ucingo lwesikhokelo esininzi ngamanye amaxesha bubuye ngamanye amaxesha bubeyenye yeehuku zokukhupha.
![Ukususwa kwezikhonkwane ze-intramedullary ezaphukileyo]()
Ekugqibeleni, ukuba zonke ezi ndlela zingasentla zokususa iindlela zokususa aziphumelelanga, ukususwa kwe-distal kwesikhonkwane se-intramedullary kunokuzanywa. Ngokomzekelo, inxalenye ephukileyo ye-distal ye-femoral intramedullary nail isuswa ngokuvula kwi-distal femur ngokusebenzisa idolo. I-drill ijoliswe ekupheleni kwe-distal yesikhonkwane se-intramedullary, kwaye ukuvuleka kukhulu ngokwaneleyo ukuba kufakwe ucingo lwesikhokelo somnquma kunye ne-gasket. Intambo yesikhokelo idluliswa ngokuphindaphindiweyo kumngxuma wesikhonkwane se-intramedullary kwaye iphuma ekuvulekeni kwe-femur ejikelezayo, kwaye intloko yomnquma ene-spacer inokuzisa isikhonkwane esaphukileyo ngaphandle kwe-proximal femur. Ubuchule obufanayo bunokusetyenziswa kwi-tibia, kunye nokufakwa kwe-retrograde yokuvulwa kwe-distal yocingo lwesikhokelo kwi-malleolus ephakathi. Ngamanye amaxesha, ucingo lwe-Steiner lufakwe ngokuvula kwaye lubethelwe kwisikhonkwane esaphukileyo ekupheleni kwe-distal, ukwenzela ukuba isikhonkwane esaphukileyo sinokuhamba kancinci, oku luncedo ekufakeni ukubuyisela ukubuyisela kwinaliti yesikhokelo kunye nokususwa kwesikhonkwane esaphukileyo.
Ususa njani isikhonkwane esiqinileyo se-intramedullary esaphukileyo?
Izikhonkwane eziqinileyo ze-intramedullary ngokuqhelekileyo kunzima kakhulu ukuzisusa kunezikhonkwane ze-intramedullary ezitonkco. Ubuchwephesha bayo bokususa bubandakanya ukuphinda kufakwe i-proximal medullary cavity kunye nokubamba okusebenzayo kwesikhonkwane esaphukileyo esikude. Amagwegwe e-Laparoscopic claw angasetyenziselwa ukubamba iinzipho ezikude ezaphukileyo. Uncwadi luphinde lwachaza i-forceps ekhethekileyo yokubamba ejikeleze umsila wesikhonkwane. Nangona kunjalo, ukusetyenziswa kwezixhobo ezahlukeneyo akunakukwazi ukubamba ngokufanelekileyo isikhonkwane esaphukileyo se-distal. Kule meko, isikhonkwane esaphukileyo kufuneka sikhutshwe kwelinye icala lethambo. Umgaqo wobugcisa ufana ne-canulated intramedullary nail. Sebenzisa izixhobo ezinje ngee-drill ezithambileyo kunye nezikhonkwane zesikhokelo esinzima ukunkqonkqoza izikhonkwane ezaphukileyo ezikude ngokuthe ngqo kwisiphelo esisondeleyo.
![susa isikhonkwane esaphukileyo esiqinileyo se-intramedullary]()
Ususa njani isikhonkwane se-intramedullary esaphukileyo?
Intloko okanye inxalenye esondeleyo ye-screw edibeneyo idla ngokususwa ngokusebenzisa i-screwdriver ehambelanayo. Ngamanye amaxesha imisonto yesikrufu esidityanisiweyo inokutyibilika ngaphakathi kwethambo, ifuna ukutsalwa ngokujikeleze intloko yesikrufu ngezinyanzelo kunye nescrewdriver ukusikhulula. Iintloko ze-screw ezonakeleyo zinokufuna izixhobo ezikhethekileyo zokususwa, njengezixhobo zokususa zangaphakathi zokulungisa ezifana ne-counter-threaded drills. Inxalenye ekude ye-screw ephukile ngamanye amaxesha ikhululwe ngokupheleleyo, engachaphazeli ukukhutshwa kwe-screw ephambili, kwaye inokushiywa emzimbeni ukuba ayichaphazeli umsebenzi wonyango olandelayo. Nangona kunjalo, ngamanye amaxesha i-distal nail ephukile inokubangela ukuphuka kwe-iatrogenic xa isikhonkwane esikhulu sisusiwe, kwaye kuyimfuneko ukuyisusa. Eyona ndlela isetyenziswa ngokuqhelekileyo yindlela yokutyhala ye-screw, oko kukuthi, i-screw engundoqo irhoxisiwe kwindawo yayo yokuqala, ukwenzela ukuba i-screw hole kwindawo yethambo ibe kumgca ofanayo nomngxuma wokutshixa we-intramedullary nail, kunye ne-screw ephukileyo isuswe ngokusebenzisa ucingo lwe-Steiner, intonga encinci ye-malleus okanye i-screwdriver. Isikhonkwane sityhalelwa ngaphandle ngomngxuma we-pin kwi-cortex ye-contralateral kwaye isuswe ngendlela eyahlukileyo.
Uzithenga njani ii-Orthopedic Implants kunye ne-Orthopedic Instruments?
Kuba I-CZMEDITECH , sinomgca wemveliso ogqityiweyo kakhulu wokufakelwa kotyando lwe-orthopedic kunye nezixhobo ezihambelanayo, iimveliso ezibandakanya ukufakelwa komqolo, iinzipho ze-intramedullary, ipleyiti yokwenzakala, ipleyiti yokutshixa, i-cranial-maxillofacial, iprosthesis, izixhobo zamandla, izilungisi zangaphandle, arthroscopy, ukhathalelo lwezilwanyana kunye neeseti zezixhobo ezixhasayo.
Ukongeza, sizibophelele ekuqhubekeni siphuhlisa iimveliso ezintsha kunye nokwandisa imigca yemveliso, ukuze sihlangabezane neemfuno zotyando zoogqirha abaninzi kunye nezigulana, kwaye senze inkampani yethu ikhuphisane ngakumbi kulo lonke ilizwe lehlabathi lokufakelwa kwamathambo kunye nezixhobo.
Sithumela kumazwe ngamazwe, ukuze ukwazi qhagamshelana nathi kwidilesi ye-imeyile ingoma@orthopedic-china.com ngesicatshulwa samahhala, okanye uthumele umyalezo kwi-WhatsApp ukuze uphendule ngokukhawuleza + 86- 18112515727 .
Ukuba ufuna ukwazi ngakumbi, cofa CZMEDITECH ukufumana iinkcukacha ezithe vetshe.
