Iqhekeza elincinci libhekisa kuhlobo lokufakelwa kwamathambo olusetyenziselwa ukulungisa amathambo amancinci kunye namaqhekeza amathambo, ngokuqhelekileyo lawo anomlinganiselo we-2.0 ukuya kwi-3.5 mm ububanzi. Ezi zihlomelo ziqhele ukusetyenziswa kuqhaqho lwezandla kunye neenyawo, kunye nolunye utyando olubandakanya amaqhekeza amancinci amathambo. I-mini fragment implants yenzelwe ukubonelela ukulungiswa okuzinzile kunye nokukhuthaza ukuphiliswa, kwaye zifumaneka kwiimilo ezahlukeneyo kunye nobukhulu ukuze zihlangabezane neemfuno ezahlukeneyo zotyando. Ngokuqhelekileyo zenziwe ngezinto ezihambelana ne-biocompatible ezifana ne-titanium okanye insimbi engenasici, kwaye zihlala zifakwa kusetyenziswa izixhobo ezikhethekileyo.
Iipleyiti zamaqhekeza amancinci ziyafumaneka kwiindidi ezahlukeneyo kunye nobukhulu ukuze zilingane iindawo ezahlukeneyo ze-anatomical kunye nobukhulu bamathambo. Ezinye iintlobo eziqhelekileyo zeepleyiti ezincinci zibandakanya:
Isinye kwisithathu samacwecwe e-tubular: Ezi zisetyenziselwa amaqhekeza amancinci amathambo okanye amaqhekeza amancinci anesithuba esincinci sokulungiswa, njengasesandleni, esihlahleni, kunye ne-ankle.
I-T-plates: Ezi cwecwe zisetyenziswa ngokuqhelekileyo kwiifractures ze-distal radius, i-ankle, kunye ne-calcaneus.
Amacwecwe e-L: Ezi cwecwe zisetyenziselwa ukuphuka okudinga ukulungiswa kwe-perpendicular kwi-axis ende yethambo, njengakwi-distal femoral fractures.
I-H-plates: Ezi zicwecwe zisetyenziselwa ukuphuka kwe-tibia esondeleyo, kunye nonyango lwe-non-union.
I-Y-plates: Ezi cwecwe zisetyenziselwa ukuphuka kwe-humerus ehamba phambili, i-clavicle, kunye ne-distal femur.
Iipleyiti zeHook: Ezi pleyiti zisetyenziswa kwiifractures eziyinkimbinkimbi apho iindlela eziqhelekileyo zokucwenga zingenakwenzeka okanye zisilele, ezifana nokuqhekeka kwe-lateral tibial plateau.
Kubalulekile ukuba uqaphele ukuba iintlobo kunye nobukhulu beepleyiti ezincinci ezisetyenzisiweyo ziya kuxhomekeka kwipatheni ethile yokuphuka kunye nokukhethwa kogqirha.
Iipleyiti zokutshixa ziqhele ukwenziwa ngezinto ezihambelana ne-biocompatible ezifana ne-titanium, i-titanium alloy, okanye intsimbi engenasici. Ezi zixhobo zinamandla abalaseleyo, ukuqina, kunye nokuxhathisa umhlwa, okwenza ukuba zilungele ukusetyenziswa kukufakelwa kwe-orthopedic. Ukongezelela, zi-inert kwaye aziphenduli kunye nezicubu zomzimba, zinciphisa umngcipheko wokugatywa okanye ukuvuvukala. Ezinye iipleyiti zokutshixa zinokuthi zifakwe kwizinto ezifana ne-hydroxyapatite okanye ezinye iingubo zokuphucula ukudibanisa kwazo kunye nezicubu zethambo.
Zombini iipleyiti ze-titanium kunye nensimbi engenasici zisetyenziswa ngokuqhelekileyo kuqhaqho lwamathambo, kubandakanywa neepleyiti zokutshixa. Ukhetho phakathi kwezi zinto zimbini luxhomekeke kwizinto ezininzi, kubandakanywa uhlobo lotyando, imbali yonyango yesigulane kunye nezinto ezikhethwayo, kunye namava ogqirha kunye nokukhetha.
I-Titanium yimathiriyeli ekhaphukhaphu kwaye eyomeleleyo ehambelana ne-biocompatible kwaye imelana nokubola, iyenza ibe lolona khetho lubalaseleyo lokufakelwa kwezonyango. Iipleyiti ze-Titanium zincinci kuneeplate zensimbi ezingenasici, ezinokukunceda ukunciphisa uxinzelelo kwithambo kunye nokukhuthaza ukuphilisa. Ukongezelela, iipleyiti ze-titanium zine-radiolucent ngakumbi, oku kuthetha ukuba aziphazamisi iimvavanyo ze-imaging ezifana ne-X-rays okanye i-MRI.
Insimbi engenasici, kwelinye icala, iyinto eyomeleleyo kwaye iqinile kwaye ihambelana ne-biocompatible kwaye iyamelana nokubola. Isetyenziswe kwi-orthopedic implants amashumi eminyaka kwaye yinto ezamayo kwaye iyinyani. Iipleyiti zensimbi ezingenasici zingabizi kakhulu kuneepleyiti ze-titanium, ezinokuqwalaselwa kwezinye izigulane.
Iipleyiti ze-Titanium zihlala zisetyenziselwa utyando ngenxa yeempawu zazo ezizodwa ezenza zibe yinto efanelekileyo yokufakelwa kwezonyango. Ezinye zezibonelelo zokusebenzisa iipleyiti ze-titanium kutyando ziquka:
I-Biocompatibility: I-Titanium ihambelana kakhulu ne-biocompatible, oku kuthetha ukuba akunakwenzeka ukuba kubangele ukusabela komzimba okanye ukukhatywa ngumzimba wokuzivikela. Oku kwenza ukuba kube yinto ekhuselekileyo kunye nethembekileyo yokusetyenziswa kwiifakelo zonyango.
Amandla kunye nokuqina: I-Titanium yenye yezona zimbiwa zinamandla kwaye zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala khona.
Ukumelana nokukhula: I-Titanium ixhathisa kakhulu ekudlekeni kwaye ayinakufane ibe nokusabela kulwelo lomzimba okanye ezinye izinto ezisemzimbeni. Oku kunceda ukuthintela ukufakelwa kokugrumba okanye ukuthotywa ekuhambeni kwexesha.
I-Radiopacity: I-Titanium ine-radiopaque ephezulu, nto leyo ethetha ukuba inokubonwa lula kwi-X-reyi nakwezinye iimvavanyo ze-imaging. Oku kwenza kube lula koogqirha ukuba babeke iliso kwisifakelo kwaye baqinisekise ukuba sisebenza ngokufanelekileyo.