I-Ring Fixator ye-Tibial kunye ne-Femur Fracture

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-Ring Fixator ye-Tibial & Femur Fracture: Isishwankathelo

Ukuqhekeka kwe-tibia kunye ne-femur kunokuba ngumngeni ukunyanga, kwaye iindlela zendabuko zokulungiswa ezifana neeplate kunye ne-screws okanye izikhonkwane ze-intramedullary zingasoloko zibonelela ngemiphumo eyanelisayo. Kwiminyaka yakutshanje, ukusetyenziswa kwe-ring fixator kuye kwanda kakhulu ekuphatheni i-tibial eyinkimbinkimbi kunye ne-femur fractures. Eli nqaku lijolise ekuboneleleni ngokubanzi malunga nezilungisi zeringi, imiqondiso yazo, ubuchule botyando, kunye neziphumo.

Yintoni isilungisi seRingi?

I-ring fixator sisixhobo sokulungiswa kwangaphandle esiquka amakhonkco esinyithi adityaniswe ngeentonga, iingcingo, okanye izikrufu. Izangqa zikhuselekile kwithambo ngezikhonkwane okanye iingcingo ezingena esikhumbeni kwaye zifakwe kwithambo. Isixhobo senza isakhelo esizinzileyo esijikeleze ilungu elivumela ulawulo oluchanekileyo lokuma kunye nokulungelelaniswa kwamaqhekeza amathambo. Ukuzinza kwesakhelo kuvumela ukuhlanganiswa kwangaphambili kunye nokuthwala ubunzima, okukhokelela ekuphulukiseni ngokukhawuleza kunye neziphumo ezingcono.

Iimpawu zeRingi zokulungisa

Izilungiso zendandatho zibonakaliswe kwiintlobo ezininzi ze-tibial kunye ne-femur fractures, kubandakanywa i-fractures evulekileyo, i-non-union, i-malunion, kunye ne-fractures kunye nokulimala okukhulu kwezicubu ezithambileyo. Zikwaluncedo nakwiimeko apho iindlela zendabuko zokulungisa zingenakwenzeka okanye zihlulekile. Ukongeza ekusebenziseni kwabo kwiifractures, izilungisi zeringi nazo zisetyenziswa kwiinkqubo zokwandisa amalungu kunye nokulungisa ukukhubazeka.

UbuCwangciso bokuSebenza

Ukubekwa kwe-ring fixator yinkqubo enzima efuna ukucwangciswa ngokucophelela kunye nokuphunyezwa ngokucokisekileyo. Utyando lwenziwa phantsi kwe-anesthesia jikelele okanye i-anesthesia yomgogodla, kwaye isigulane sibekwe kwisigxina okanye indawo esecaleni ngokuxhomekeke kwindawo yokuphuka. Izikhonkwane okanye iingcingo zifakwe nge-percutaneously okanye ngeendlela ezincinci, kwaye iindandatho zifakwe kuzo. Iingcingo zixinzelelwe ukunika uzinzo kunye noxinzelelo kwindawo yokuphuka. Emva kokubekwa kwesakhelo, ukulungelelaniswa kwelungu kuhlolwe kwaye kulungiswe njengoko kuyimfuneko. Emva kokuhlinzwa, isigulane sikhuthazwa ukuba siqale ukuhlanganiswa kwangaphambili kunye nokuthwala ubunzima njengoko kunyanzeliswa.

Iingxaki

Iingxaki ezinxulumene nezilungisi zendandatho ziquka ukusuleleka kwi-pin tract, i-wire okanye i-pin breakage, ukuqina kwamalungu, kunye nokulimala kwe-neurovascular. Izehlo zeengxaki zinokuncitshiswa ngokubekwa kwephini ngokufanelekileyo, ukuxinana okufanelekileyo kweengcingo, kunye nokhathalelo oluqhelekileyo lwesiza sephini. Izehlo zeengxaki ezinkulu ziphantsi, kwaye uninzi lunokulawulwa ngononophelo okanye ngeenkqubo zotyando ezilula.

Iziphumo

Izilungisi zendandatho zibonise iziphumo ezigqwesileyo kunyango lwe-tibial eyinkimbinkimbi kunye ne-femur fractures. Bavumela ukuthwala ubunzima bokuqala, okukhokelela ekuphulukiseni ngokukhawuleza kunye neziphumo zokusebenza ezingcono. Uphononongo lubonise ukuba izilungisi zeringi zinezinga eliphezulu lomanyano, izinga losulelo elisezantsi, kunye nesantya sokusebenza kwakhona xa kuthelekiswa neendlela zemveli zokulungiswa.

Ukuqukumbela

Izilungisi zendandatho zisisixhobo esibalulekileyo kunyango lwe-tibial eyinkimbinkimbi kunye ne-femur fractures. Banikezela ukulungiswa okuzinzile, ukulawulwa ngokuchanekileyo kokulungelelaniswa, kunye nokuvumela ukuhlanganiswa kwangaphambili kunye nokuthwala ubunzima. Nangona ukubekwa kwe-ring fixator yinkqubo eyinkimbinkimbi, iziphumo zihle kakhulu, kunye namazinga aphantsi obunzima xa kuthelekiswa neendlela eziqhelekileyo zokulungiswa.

Ii-FAQs

1. Ngaba isilungisi seringi sibuhlungu?

Nangona ukubekwa kwe-ring fixator kunokubangela ukungahambi kakuhle kunye nentlungu, ukulawulwa kweentlungu yinxalenye ebalulekileyo yesicwangciso sokunyamekela emva kokuhlinzwa.

1. Ingaba isilungisi seringi sihlala ixesha elingakanani endaweni?

Izilungisi zeringi zihlala zihlala iiveki ezintandathu ukuya kwezisibhozo, emva koko zisuswe ngenkqubo yezigulane ezingaphandle.

1. Ndingahlamba ngesilungisi seringi?

Ukuhlamba nge-ring fixator kunokwenzeka kunye nezilumkiso ezifanelekileyo. Gquma isakhelo ngekhava engangeni manzi okanye ingxowa yeplastiki ukuyigcina yomile.