Isiqwenga esikhulu sibhekisa kwiqela lokufakwa kwethambo elisetyenziswa kugqirha wamathambo ukunyanga ukwaphuka kwamathambo amade, njenge-femur (i-tibia), i-humersus (i-humerus (i-humersus).
Ezi uffint zenzelwe ukuzinzisa i-phraction ngokuvala isikhewu kwaye zivumele ithambo lokuphilisa kwindawo efanelekileyo. Ukufakelwa okukhulu kweqhekeza okuqhelekileyo kubandakanya iipleyiti zesinyithi kunye nezikrelemnqa ezifakwe uqinile kumphezulu wethambo ukubamba iziqwenga zethambo endaweni.
Iipleyiti kunye nezikrelemnqa zikhulu kwaye zomelele kunezo zisetyenziswa kwiindawo zokufakwa kwamaqhekeza amancinci, njengoko kufuneka baxhase ubunzima ngakumbi kwaye bayamelana nemikhosi enkulu. Ukufakwa kwamanzi amakhulu kuqhekezwa ngokuqhelekileyo kuqhelekile ukwaphuka okungaphezulu okufuna ukuzinza kubanzi ngakumbi.
Iipleyiti zokuvalela ziqhele okwenziwa zizixhobo ze-bioMMMPEs ezifana neTitanium, i-titanium, okanye intsimbi engenasiseko. Ezi zixhobo zinamandla amakhulu, ukuqina, kunye nokungaxhathisi, zenza ukuba zilungele ukusetyenziswa kwe-Ortoped. Ukongeza, bayi-Intert kwaye abasanduluki izicubu zomzimba, ukunciphisa umngcipheko wokwala okanye ukuvuvukala. Ezinye iiplate zokuvalela zinokudityaniswa nezinto ezinje nge-hydroxyatite okanye ezinye iingubo zokuphucula ukudityaniswa kwabo kunye nezicubu zazo.
Zombini i-tinnium kunye ne-staines yentsimbi isetyenziswa rhoqo ku utyando lwamathambo, kubandakanya iipleyiti zokutshixa. Ukukhetha phakathi kwezinto ezimbini kuxhomekeke kwizinto ezininzi, kubandakanya nohlobo lotyando, imbali yezonyango yesigulana kunye nezinto ezikhethwayo, kunye namava otyando kunye nokhetho lotyando.
I-titanium yindawo ephosakeleyo kunye nezinto ezomeleleyo ezisisiseko kwaye ichasa ukunganyaniseki, yenze ukhetho oluhle kakhulu lokufakwa kwezonyango. I-titanium plates ilukhuni kunepleyiti zentsimbi engenasimo, ezinokunceda ukunciphisa uxinzelelo kwithambo nokukhuthaza ukuphiliswa. Ukongeza, i-titanium plates i-radiollucent, oko kuthetha ukuba abaphazamisi ngeemvavanyo zokucinga ezinjenge-x-rays okanye MRI.
Intsimbi engenasibala, kwelinye icala, yinto eyomeleleyo nelsy enamandla kwaye ikwanjalo ikwayi-biomity kwaye ichasa ukuvela. Isetyenziswe kwizinto ezithengiweyo zamashumi eminyaka kwaye yinto evavanyiweyo kunye neyinyani. Iipleyiti zentsimbi ezingapheliyo zibiza kakhulu kune-timetium plates, ezinokuba luqwalaselwa kwezinye izigulana.
I-Titanium Plates zihlala zisetyenziswa kutyando ngenxa yepropathi yabo eyahlukileyo ebangela ukuba abe yinto efanelekileyo yokufakwa kwezonyango. Ezinye zezibonelelo zokusebenzisa i-titanium plates kwi utyando zibandakanya:
I-Biomitication: I-titanium ibaluleke kakhulu, oko kuthetha ukuba akunakulindeleka ukubangela indlela engafakwanga okanye yalahlwa ngamaso amajoni omzimba. Oku kwenza ukuba ibe yinto ekhuselekileyo nethembekileyo yokusetyenziswa kwiimpawu zonyango.
Amandla kunye nokuqina: I-titanium yenye yezona zinyibiliki zezona ziqinileyo, ziyenza ukuba zibe yinto efanelekileyo yokufakelwa iimfuno ezifuna ukumelana noxinzelelo kunye nemigca yokusetyenziswa kwemihla ngemihla.
Ukunganyangeki kwe-Corrosion: I-titanium ixhaphake kakhulu kukothuka kwaye incinci ukuba ikwazi ukujongana nolwelo lomzimba okanye ezinye izinto emzimbeni. Oku kunceda ukukhusela ukufakwa kwindawo yokungasebenzi okanye ukuthoba ixesha elide.
I-radiopacity: i-titanium i-radiopaque, okuthetha ukuba inokubonwa ngokulula kwimizobo kunye nezinye iimvavanyo zokucinga. Oku kwenza ukuba kube lula oogqirha ukubeka esweni indawo ekufakweni kuyo kunye nokuqinisekisa ukuba kuyasebenza kakuhle.
Ukutshixwa kweepleyiti zisetyenziswa kutyando lwe-ortopedic ukubonelela ngozinzo kunye nenkxaso kumathambo aphelelwe ngamathambo, eyaphukileyo, okanye obuthathaka ngenxa yesifo okanye ukwenzakala.
Iplate iqhotyoshelwe kwithambo isebenzisa isikhafu, kwaye izikrelemnqa zitshixa kwiplate, zenza i-angle-engle ye-angle esisigxina ebonelela ngenkxaso eqinileyo kwithambo ngexesha lenkqubo yokuphilisa. Ukutshixa iipleyiti zisetyenziswa ngokuqhelekileyo kunyango lwe-quist, umqolo, i-ankle, kunye nomlenze, kunye neenkqubo ze-spinal fusion utyani.
Ziluncedo kakhulu kwiimeko apho ithambo licekeceke okanye i-osteoporocros, njengendlela yokutshixa yePlati ibonelela ngokuzinza kongeziweyo kwaye inciphisa umngcipheko wokufakelwa.
Iplate yethambo sisixhobo sonyango esisetyenziselwa ukuzinzisa ithambo lethambo ngexesha lenkqubo yokuphilisa. Sisiqwenga sesinyithi, esiqhelekileyo senziwe ngentsimbi engenasitayile okanye i-titanium, eqhotyoshelwe kumphezulu wethambo usebenzisa izikrelemnqa. Iplate isebenza njenge-splint yangaphakathi yokubamba iziqwenga zamathambo eziqhumayo ngolungelelwaniso olufanelekileyo kwaye zinike uzinzo ngexesha lenkqubo yokuphilisa. Izikrelemnqa ikhusele iplate kwithambo, kwaye ipleyiti ibambe iziqwenga zethambo kwindawo efanelekileyo. Iipleyiti ze-bone zenzelwe ukubonelela ngokulungiswa ngokuqinileyo kunye nokukhusela intshukumo kwindawo yokuqhekeka, evumela ithambo lokuphola ngokufanelekileyo. Ixesha elingaphezulu, ithambo liya kukhula lijikeleze ipleyithi kwaye liyifaka kwizicubu ezijikelezileyo. Nje ukuba ithambo liphilise ngokupheleleyo, iplate isuswe, nangona oku akusoloko kuyimfuneko.
Ukutshixa izikrelemnqa aziboneleli ngoxinzelelo, njengoko zenzelwe ukutshixa kwiplate kwaye zizinzisa iziqwenga zethambo nge-angle-and swist. Uxinzelelo lufezekiswa ngokusebenzisa izikrelem ezifunekiyo ezibekwe kwindawo yokunyanzelwa okanye imingxunya yeplate, ivumela uxinzelelo lwethambo lethambo njengoko izikrelem ziyaqiniswa.
Yinto eqhelekileyo ukufumana iintlungu kunye nokungalunganga emva kokuba uneepleyiti kunye nezikrelemnqa ezifakwe ngexesha lotyando. Nangona kunjalo, iintlungu kufuneka zinciphise ixesha elide njengoko umzimba uphilisa kunye nendawo yokuhlisela. Intlungu inokulawulwa ngamayeza kunye nonyango lomzimba. Kubalulekile ukulandela imiyalelo yasemva kwe-post ebonelelwe ngugqirha wotyando kwaye inike ingxelo ngayo nayiphi na intlungu eqhubekayo okanye ebanzi kwiqela lezonyango. Kwiimeko ezinqabileyo, izixhobo ze-Hardware (iipleyiti kunye nezikrelemnqa) zinokubangela ukungahambi kakuhle okanye iintlungu, kwaye kwiimeko ezinjalo, ugqirha ugqirha unokucebisa ukususwa kwezixhobo.
The time it takes for bones to heal with plates and screws can vary depending on the severity of the injury, the location of the injury, the type of bone, and the age and overall health of the patient. Ngokubanzi, inokuthatha iiveki ezininzi kwiinyanga ezininzi zamathambo ukuze uphilise ngokupheleleyo ngoncedo lweepleyiti kunye nezikrelemnqa.
Ngexesha lokufumana ixesha lokubuyisela kwimeko yesiqhelo, elihlala lihlala lihlala lijikeleze iiveki ezi-6, isiguli siya kufuneka sinxibe isiphoso okanye isigulana ukugcina indawo echaphazelekayo ingasebenzi kwaye ikhuselwe. Emva kweli xesha, isigulana sinokuqalisa unyango lomzimba okanye ukuvuselelwa ukunceda ukuphucula uluhlu lwentshukumo namandla kwindawo echaphazelekayo.
Nangona kunjalo, kubalulekile ukuba uqaphele ukuba inkqubo yokuphilisa ayiphelelanga nje ukuba isuswe okanye i-brace isuswe, kwaye inokuthatha iinyanga ezininzi kwithambo lokulungisa ngokupheleleyo kwaye libuye lifumane kwakhona amandla alo aphambili. Ngamanye amaxesha, abaguli banokufumana iintlungu okanye ukungonwabi kwiinyanga ezininzi emva kokonzakala, kwanasemva kokuba ithambo liphilisiwe.