Riza External Fixator

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

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

Isetyenziselwa ntoni i- External Fixator ?

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.

Zeziphi iintlobo ze- External Fixator ?

Kukho iintlobo ezintathu ezisisiseko ze- External Fixators : 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 e-antibiotics asetyenziswa rhoqo.

Riza External Fixator

IREF: 6100-1207

Isetyenziselwa: Femur, Tibia

Uqwalaselo: Amakhonkco anendlebe e-1, amakhonkco aneendlebe ezintandathu, iipcs ezi-6 eziqhelekileyo.

Umsesane External Fixator : IsiKhokelo esiBanzi

Xa kuziwa ekuphatheni iifracture eziyinkimbinkimbi kunye nokukhubazeka kwamathambo, oogqirha bamathambo bahlala bexhomekeke kwizixhobo zokulungiswa kwangaphandle. Enye yezona zinto ziguquguqukayo nezisebenzayo External Fixators ngumsesane External Fixator . Esi sixhobo sinezangqa ezijikelezayo, iintonga zokudibanisa, kunye neentlobo ezahlukeneyo zezikhonkwane kunye neengcingo ezisetyenziselwa ukubamba amathambo aphukileyo okanye akhubazekileyo. Kweli nqaku, siya kunika isikhokelo esibanzi kwindandatho External Fixator , kuquka nembali yayo, iindidi, izicelo, kunye neengxaki ezinokuthi zibe khona.

Imbali yeRingi yoLungiso lwaNgaphandle

Ingcamango yokulungiswa kwangaphandle ibuyele kumaxesha amandulo, xa izibonda ezenziwe ngamaplanga, isinyithi, okanye isikhumba zazisetyenziselwa ukuthintela amalungu aphukileyo. Nangona kunjalo, bekungekho kwasekuqaleni kwenkulungwane ye-20 ukuba iringi yokuqala External Fixator yaphuhliswa ngugqirha waseJamani uGqr Gavril Ilizarov . I- Ilizarov 's invention, eyaziwa njenge Ilizarov apparatus, iguqule unyango lokuqhekeka kwamathambo kunye nokukhubazeka, kwaye sele yamkelwa ngokubanzi ngoogqirha bamathambo emhlabeni jikelele.

I-Anatomy yeRingi External Fixator

Iringi External Fixator iqulathe amacandelo amaninzi, kubandakanywa nezangqa ezijikelezayo, iintonga zokudibanisa, kunye nezikhonkwane/iingcingo. Amakhonkco ahlala enziwe ngensimbi engenasici okanye i-titanium, kwaye afumaneka ngobukhulu obuhlukeneyo kunye neemilo ukuze zihlalise imimandla eyahlukeneyo ye-anatomical. Iintsimbi zokudibanisa nazo zenziwe ngetsimbi kwaye zisetyenziselwa ukudibanisa amakhonkco omnye komnye. Izikhonkwane kunye neengcingo zifakwe ngesikhumba kunye nethambo, zibonelela ngokuzinza kunye nenkxaso kwithambo eliqhekekileyo okanye eliphosakeleyo.

Iintlobo zeRingi yoLungiso lwangaphandle

Kukho iindidi ezininzi zeringi yezixhobo zokulungisa zangaphandle, nganye inoyilo oluthile kunye nokusetyenziswa kwayo. Ezinye zezona ntlobo zixhaphakileyo ziquka:

Ilizarov Isilungisi

I Ilizarov isilungisi yiringi yokuqala External Fixator ephuhliswe nguGqr Gavril Ilizarov . Iqulethwe ngamakhonkco ajikelezayo adityaniswe ngamacangci, kwaye akhuselwe kwithambo usebenzisa iingcingo ezincinci okanye i-half-pins. I- Ilizarov i-fixator ineendlela ezininzi kwaye ingasetyenziselwa ukunyanga uluhlu olubanzi lweemeko ze-orthopedic, kubandakanywa iifractures ezinzima, ukusuleleka kwamathambo, kunye nokungafani kobude bemilenze.

Isakhelo seSithuba sikaTaylor

I-Taylor Spatial Frame yiringi yala maxesha External Fixator edibanisa imigaqo ye Ilizarov yokulungisa kunye nobuchwepheshe obuncediswa ngekhompyutha. Iqukethe ama-struts amathandathu ahlengahlengiswayo adityaniswe kwindandatho nganye ekupheleni, kwaye inokulungelelaniswa kwimilinganiselo emithathu ukulungisa ukukhubazeka kwamathambo okanye ukungafani kobude. Isakhelo seTaylor Spatial siluncedo ngakumbi ekunyangeni ukukhubazeka okuntsokothileyo kwamathambo amade, njengokugoba okanye ukujija.

ISetyhula External Fixator

Isetyhula External Fixator inguqulo elula ye-fixator Ilizarov , equlethwe ngamakhonkco ajikelezayo adityaniswe ngamacangci agudileyo. Ihlala isetyenziselwa ukuzinzisa iifractures kunye nokulimala kwezicubu ezithambileyo zonyawo kunye ne-ankle.

Usetyenziso lweRingi yoLungiso lwaNgaphandle

Iringi External Fixator inezicelo ezininzi kuqhaqho lwamathambo, kuquka:

• Ukunyangwa kweefracture eziyinkimbinkimbi ezingenakho ukunyangwa nge-casting yendabuko okanye ubuchule be-plating.

• Ukulungiswa kokukhubazeka kwamathambo, okufana nokungafani kobude bemilenze, ukukhubazeka kwe-angular, okanye ukukhubazeka okujikelezayo.

• Ukulawulwa kwezifo zethambo, ezifana ne-osteomyelitis, ngokubonelela ukulungiswa okuzinzile kunye nokukhuthaza ukuvuselelwa kwamathambo.

• Ukwakhiwa kwakhona kwezicubu zamathambo ezonakalisiweyo okanye ezilahlekileyo, usebenzisa iindlela ezifana nokuphazamiseka kwe-osteogenesis okanye ukuthuthwa kwethambo.

Iingxaki ezinokuthi zenzeke kwiRingi yoLungiso lwaNgaphandle

Njengayo nayiphi na inkqubo yotyando, ukulungiswa kweringi yangaphandle kuthwala imingcipheko ethile kunye neengxaki ezinokubakho. Ezinye zeengxaki eziqhelekileyo ziquka:

• Izifo ze-Pin site: Izikhonkwane kunye neengcingo ezisetyenziselwa ukulungiswa kwangaphandle zingabangela usulelo ukuba alugcinwanga kakuhle okanye ukuba ulusu olujikeleze izikhonkwane luyacaphuka.

• Ukuqina okuhlangeneyo: I-immobil ization ende ehambelana nokulungiswa kwangaphandle kwendandatho kunokukhokelela ekuqiniseni ngokubambisana kunye nokunciphisa uluhlu lokunyakaza.

• Umonakalo we-nerve: Izikhonkwane kunye neengcingo ezisetyenziselwa ukulungiswa kwangaphandle zingabangela umonakalo we-nerve ukuba zifakwe nzulu kakhulu okanye ukuba zidibana ngokuthe ngqo neentsholongwane.

• Ukungaphumeleli kwe-Hardware: Iindandatho, iintonga, izikhonkwane, kunye neengcingo ezisetyenziselwa ukulungiswa kwangaphandle zinokuphuka okanye zikhutshwe, ezikhokelela ekulahlekelweni kozinzo kunye nokungaphumeleli kwenkqubo.

Ukunciphisa umngcipheko weengxaki, kubalulekile kwizigulane ezifumana i-ring yangaphandle yokulungiswa ukuba zilandele ngokusondeleyo imiyalelo yogqirha wabo wokunyamekela kunye nokugcinwa kwesixhobo, kubandakanywa nococeko olufanelekileyo lwendawo yepini kunye nokuqeshwa ngokulandelelana rhoqo.

Ukuqukumbela

Iringi External Fixator sisixhobo esisebenza kakhulu kunye nesiguquguqukayo sonyango lwezahlulo ezinzima, ukukhubazeka kwamathambo, kunye nezinye iimeko zamathambo. Uyilo lwayo olulodwa kunye nosetyenziso oluninzi luyenze yasisixhobo esibalulekileyo kwikhithi yezixhobo zogqirha wotyando. Nangona kunjalo, njengayo nayiphi na inkqubo yotyando, ukulungiswa kweringi yangaphandle kuthwala imingcipheko ethile kunye neengxaki ezinokubakho, ezinokuncitshiswa ngokhathalelo olufanelekileyo kunye nolandelelwano olusondeleyo kunye nogqirha onobuchule wamathambo.

Ii-FAQs

1. Kuthatha ixesha elingakanani ukuchacha kwiringi yokulungiswa kwangaphandle? Ubude bokubuyisela buxhomekeke kuhlobo kunye nobunzima bemeko ephathwayo, kunye nempilo yonke yesigulane kunye nokuthotyelwa kwemiyalelo yokunyamekela emva kokuhlinzwa. Ezinye izigulana zinokufuna iinyanga ezininzi zokunyanzeliswa kunye nokuvuselelwa ngaphambi kokuba zibuyele kwimisebenzi eqhelekileyo.

2. Ngaba ukulungiswa kweringi kwangaphandle kubuhlungu? Ukufakwa kwezikhonkwane kunye neengcingo kunokubangela ukungahambi kakuhle okanye intlungu, enokuthi ilawulwe ngamayeza eentlungu okanye i-anesthesia yendawo. Izigulana nazo zinokufumana ukungonwabi okanye ukuqina ngexesha le-immobilization, kodwa oku kuphucula ngokuqhelekileyo njengoko ithambo liphilisa kwaye ukuvuselelwa kuqhubeka.

3. Ngaba ukulungiswa kweringi yangaphandle kungasetyenziselwa izigulana zabantwana? Ewe, ukulungiswa kweringi yangaphandle kungasetyenziselwa izigulana zabantwana abaneefracture ezinzima okanye ukukhubazeka. Nangona kunjalo, kufuneka kuthathelwe ingqalelo ekhethekileyo ukuze kuqinisekiswe ukukhula okufanelekileyo kunye nophuhliso lwelungu elichaphazelekayo, kunye nokunciphisa umngcipheko weengxaki ezifana nokusuleleka kwendawo ye-pin okanye umonakalo weplate yokukhula.

4. Ingaba iringi External Fixator ifuna ukuhlala ixesha elingakanani? Ubude bexesha apho i- External Fixator idinga ukuba ibekho ixhomekeke kuhlobo kunye nobukhulu bemeko ephathwayo, kunye nempendulo yesigulane sonyango. Kwezinye iimeko, i- External Fixator inokufuneka ibekhona iinyanga ezininzi okanye ukuya kuthi ga kunyaka.

5. Ngaba ndiya kukwazi ukubuyela kwimisebenzi yesiqhelo emva kweringi yokulungiswa kwangaphandle? Kwiimeko ezininzi, izigulane ziyakwazi ukubuyela kwimisebenzi eqhelekileyo emva kokuba i- External Fixator isusiwe kwaye ithambo liye laphila. Nangona kunjalo, oku kunokuxhomekeka kuhlobo kunye nobukhulu bemeko ephathwayo, kunye nempendulo yesigulane kunyango. Ugqirha wakho unokukunika isikhokelo kwixesha elifanelekileyo lokuphinda uqalise imisebenzi ethile.