Isilungisi saNgaphandle sePelvic Fragment - Uhlobo A

Injongo esisiseko yokulungiswa kwe-fracture kukuzinzisa ithambo eliqhekekileyo, ukunika amandla ukuphulukiswa ngokukhawuleza kwethambo elenzakeleyo, kunye nokubuyisela ukuhamba kwangaphambili kunye nomsebenzi opheleleyo wesigxina esonzakeleyo.

Ukulungiswa kwangaphandle bubuchule obusetyenziselwa ukunceda ukuphilisa amathambo aphukile kakhulu. Olu hlobo lonyango lwamathambo lubandakanya ukukhusela ukuphuka ngesixhobo esikhethekileyo esibizwa ngokuba yi-fixator, engaphandle komzimba. Ukusebenzisa i-screws yethambo ekhethekileyo (ebizwa ngokuba yizikhonkwane eziqhelekileyo) ezidlula esikhumbeni kunye nemisipha, i-fixator ixhunywe kwithambo elonakeleyo ukuze ligcinwe ngokufanelekileyo njengoko liphilisa.

Yintoni isilungisi sangaphandle esisetyenziselwa ntoni?

Isixhobo sokulungiswa kwangaphandle singasetyenziselwa ukugcina amathambo aphukileyo azinzile kwaye alungelelanise. Isixhobo sinokuhlengahlengiswa ngaphandle ukuze kuqinisekiswe ukuba amathambo ahlala kwindawo efanelekileyo ngexesha lenkqubo yokuphulukisa. Esi sixhobo sisetyenziswa ngokuqhelekileyo kubantwana kwaye xa ulusu phezu kwe-fracture lonakalisiwe.

Ziziphi iintlobo zesilungisi sangaphandle?

Kukho iintlobo ezintathu ezisisiseko zokulungiswa kwangaphandle: i-standard uniplanar fixator, i-ring fixator, kunye ne-hybrid fixator.

Izixhobo ezininzi ezisetyenziselwa ukulungiswa kwangaphakathi zahlulahlulwe ngokweendidi ezimbalwa eziphambili: iingcingo, izikhonkwane kunye nezikrufu, iipleyiti, kunye nezikhonkwane ze-intramedullary okanye iintonga.

I-Staples kunye ne-clamps zikwasetyenziswa ngamaxesha athile kwi-osteotomy okanye ukulungiswa kwe-fracture. I-autogenous bone grafts, i-allografts, kunye ne-bone graft substitutes zihlala zisetyenziselwa unyango lweziphene zamathambo zezizathu ezahlukeneyo. Ukwaphuka okusulelekileyo kunye nokunyangwa kosulelo lwethambo, amaso okubulala iintsholongwane asetyenziswa rhoqo.

I-Pelvic Fragment yangaphandle Fixator: Isikhokelo esiBanzi

Ummandla we-pelvic uyisakhiwo esiyinkimbinkimbi esinika inkxaso kumzimba ophezulu kunye nokukhusela izitho zokuzala kunye nokugaya. Ukwaphuka kwe-pelvic kunokuba nzima kwaye kubangele ukugula okukhulu kunye nokufa. Ukulungiswa kwangaphandle kwe-pelvic yenye yeendlela ezininzi zonyango zokuphulwa kwe-pelvic fractures. Kweli nqaku, siza kuxubusha isiqwenga se-pelvic yangaphandle, izibonakaliso zayo, ukuchasana, ubuchule, iingxaki, kunye neziphumo.

Intshayelelo

Ukuqhekeka kwe-pelvic kungunobangela obalulekileyo wokugula kunye nokufa kwizigulane ezibuhlungu. Zinokuthi zenzeke ngenxa yeengozi zesantya esiphezulu, ukuwa ukusuka kwindawo ephakamileyo, okanye ukwenzakala kwesantya esisezantsi. Ummandla we-pelvic une-anatomy eyinkimbinkimbi kunye nezakhiwo ezininzi zamathambo, kwaye i-fractures ingabangela ukufuduka okuphawulekayo, ukungazinzi, kunye ne-hemorrhage. Ukulungiswa kwangaphandle kwe-pelvic yenye yeendlela ezininzi zonyango zokuphulwa kwe-pelvic fractures. Banikezela ukuzinza, inkxaso, kunye nokulungelelaniswa kwamathambo e-pelvic ngelixa bevumela ukuhlanganiswa kwangaphambili.

Iimpawu

Izilungisi zangaphandle ze-pelvic ziboniswa kwezi meko zilandelayo:

• Ukuphazamiseka kweringi ye-pelvic kunye nokufuduka okanye ukungazinzi

• Vula i-pelvic fractures

• Iifractures ze-acetabular ngokufuduswa okanye ukuhanjiswa

• Iifracture eziyinkimbinkimbi ezibandakanya i-joint sacroiliac

• Ukwenzakala okuhambisanayo nokuthintela utyando

Contraindications

I-Pelvic fixators yangaphandle i-contraindicated kwezi meko zilandelayo:

• Ukwenzakala okukhulu kwezicubu ezithambileyo okanye usulelo

• Ukungazinzi kwe-pelvic okungenakuncitshiswa ngokwaneleyo

• Ukulimala kweVascular engenakulawulwa

• Ukulimala okuhambelanayo okuthintela ukulungiswa kwangaphandle

Ubuchwephesha

I-fixator yangaphandle ye-pelvic iqukethe izinto ezimbini eziphambili: izikhonkwane kunye neentonga zokudibanisa. Izikhonkwane zifakwe kwi-iliac crest kunye nommandla we-supra-acetabular we-pelvis phantsi kwesikhokelo se-fluoroscopic. Izikhonkwane kufuneka zibekwe nge-perpendicular kumphezulu wethambo kwaye ubuncinane ubuncinane be-2 cm kude nezakhiwo ze-neurovascular. Emva koko iintonga zokudibanisa zifakwe kwizikhonkwane kwaye zilungelelaniswe ukufezekisa ukunciphisa kunye nokulungelelaniswa okufunwayo. Ukunciphisa kufuneka kuhlolwe i-intraoperatively usebenzisa i-fluoroscopy kunye nokulungiswa njengoko kufuneka.

Iingxaki

Izilungisi zangaphandle ze-pelvic zidibene neengxaki ezininzi, kuquka:

• Usulelo lwe-Pin phecana

• Iphini lokukhulula okanye ukwaphuka

• Ukufuduka kwentonga okanye ukufuduka

• Ukulimala kwe-neurovascular

• Izilonda zoxinzelelo

• Ukulahleka kokunciphisa okanye ukulungelelaniswa

• Ukungasebenzi kakuhle ngokwesondo

Iziphumo

Izilungiso zangaphandle ze-pelvic ziye zaboniswa ukuba zisebenza kakuhle ekuzinziseni iifractures ze-pelvic kunye nokuphucula iziphumo zesigulane. Ukuhlanganiswa kwangaphambili kunye nokuthwala ubunzima kunokufezekiswa, okukhokelela ekunciphiseni ukuhlala esibhedlele, ukuphucula ukulawulwa kweentlungu, kunye nokunciphisa ukugula. Nangona kunjalo, izinga lengxaki liphezulu, kwaye ukhetho lwesigulane ngononophelo, ukubekwa kwepini ngokufanelekileyo, kunye nokubeka iliso elisondeleyo kubalulekile ukufezekisa iziphumo ezilungileyo.

Ukuqukumbela

Izilungisi zangaphandle ze-pelvic zisisixhobo esibalulekileyo ekulawuleni iifractures ze-pelvic. Banikezela uzinzo, inkxaso, kunye nokulungelelaniswa ngelixa bevumela ukuhlanganiswa kwangaphambili. Ukukhetha okufanelekileyo kwesigulana, ukubekwa kwepini ngononophelo, kunye nokubekwa kweliso olusondeleyo kubalulekile ukufezekisa iziphumo ezigqwesileyo.

Ii-FAQs

1. Yintoni i-pelvic fixator yangaphandle? I-fixator yangaphandle ye-pelvic isixhobo esisetyenziselwa ukuzinzisa kunye nokulungelelanisa amathambo e-pelvis kwizigulane ezine-pelvic fractures.

2. Sifakwa njani isilungisi sangaphandle se-pelvic? Izikhonkwane zifakwe kwi-iliac crest kunye nommandla we-supra-acetabular we-pelvis phantsi kwesikhokelo se-fluoroscopic.

3. Ziziphi iimpawu ze-pelvic fixator yangaphandle? Izilungiso zangaphandle ze-pelvic zibonakaliswe kwi-pelvic ring disruption kunye nokufuduka okanye ukungazinzi, i-pelvic fractures evulekileyo, i-acetabular fractures kunye ne-displacement okanye i-comminution, i-fractures eyinkimbinkimbi ebandakanya i-joint sacroiliac, kunye nokulimala okuhambelanayo okuthintela utyando.