I-2/3 Ring Fixator Ye-Tibial & Femur Fracture

Umgomo oyisisekelo wokulungisa ukuphuka uwukuzinzisa ithambo eliphukile, ukunika amandla ukuphulukiswa ngokushesha kwethambo elimele, nokubuyisela ukuhamba kwangaphambi kwesikhathi nokusebenza okugcwele komkhawulo olimele.

Ukulungiswa kwangaphandle kuyindlela esetshenziselwa ukusiza ukuphulukisa amathambo aphukile kakhulu. Lolu hlobo lokwelapha lwamathambo luhlanganisa ukuvikela ukuphuka ngomshini okhethekile obizwa ngokuthi i-fixator, ongaphandle komzimba. Ngokusebenzisa izikulufo ezikhethekile zamathambo (ezivamise ukubizwa ngokuthi izikhonkwane) ezidlula esikhumbeni nasemisipha, i-fixator ixhunywe ethanjeni elimele ukuze lihlale lihambisana kahle njengoba liphulukisa.

Isetshenziselwani isilungisi sangaphandle?

Idivayisi yokulungisa yangaphandle ingase isetshenziselwe ukugcina amathambo aphukile ezinzile futhi ehambisana. Idivayisi ingalungiswa ngaphandle ukuze kuqinisekiswe ukuthi amathambo ahlala endaweni efanele ngesikhathi senqubo yokuphulukisa. Lo mshini uvame ukusetshenziswa ezinganeni nalapho isikhumba esingaphezu kokuphuka sonakele.

Yiziphi izinhlobo ze-fixator yangaphandle?

Kunezinhlobo ezintathu eziyisisekelo zezilungisi zangaphandle: i-standard uniplanar fixator, i-ring fixator, ne-hybrid fixator.

Amadivayisi amaningi asetshenziselwa ukulungisa kwangaphakathi ahlukaniswe cishe ngezigaba ezimbalwa ezinkulu: izintambo, izikhonkwane nezikulufu, amapuleti, nezinzipho noma izinduku ze-intramedullary.

Ama-staples nama-clamp nawo asetshenziswa ngezikhathi ezithile ukuze kulungiswe i-osteotomy noma i-fracture. I-autogenous bone grafts, i-allografts, ne-bone graft substitutes ivame ukusetshenziselwa ukwelapha ukukhubazeka kwamathambo ezimbangela ezihlukahlukene. Ngokuphuka okuthelelekile kanye nokwelashwa kwezifo zamathambo, ubuhlalu be-antibiotic buvame ukusetshenziswa.

I-2/3 Ring Fixator ye-Tibial & Femur Fracture: Umhlahlandlela Ophelele

Ukuphuka kwe-tibia kanye ne-femur kungaba ukulimala okuphazamisayo okudinga ukwelashwa okusheshayo nokufanelekile ukuze kuqinisekiswe ukuphulukiswa okufanele nokululama. Enye indlela yokwelapha ephumelelayo ukusetshenziswa kwe-2/3 ring fixator, uhlobo lwe-fixator yangaphandle ehlinzeka ngokuzinza emathanjeni athintekile ngenkathi ivumela ukuqondanisa nokuphulukiswa okufanele. Kulesi sihloko, sizohlola ukusetshenziswa kwe-2/3 ye-ring fixator ye-tibial ne-femur fractures, okuhlanganisa izinzuzo zayo, izingozi, nokuthi isetshenziswa kanjani.

Uhlolojikelele lwe-2/3 Ring Fixator

I-2/3 ring fixator iyithuluzi eliqukethe izindandatho ezimbili eziyiziyingi zensimbi ezixhunywe ama-struts amabili noma amathathu. Isetshenziselwa ukuzinzisa nokuqondisa izingcezu zamathambo ezimweni zokuphuka okuyinkimbinkimbi, ikakhulukazi lezo ezibandakanya i-tibia ne-femur. I-fixator isetshenziswa ngaphandle, okusho ukuthi inamathele ezingxenyeni zamathambo ngaphandle komzimba, okuvumela ukuphulukiswa okufanele nokuqondanisa.

Izinzuzo ze-2/3 Ring Fixator

Ukusetshenziswa kwe-2/3 ye-ring fixator ye-tibial ne-femur fractures kunezinzuzo eziningana, kuhlanganise:

• Ukuzinza okuthuthukisiwe: I-fixator inikeza ukuzinza okuhle kakhulu ezingxenyeni zamathambo ezithintekile, okuvumela ukuqondanisa nokuphulukisa okufanele.

• Ukuncipha kwengozi yokutheleleka: Izilungisi zangaphandle mancane amathuba okuba zibangele izifo uma ziqhathaniswa nemishini yokulungisa yangaphakathi.

• Ukululama ngokushesha: Ukusetshenziswa kwe-2/3 yokulungisa indandatho kunganciphisa isikhathi esidingekayo sokululama uma kuqhathaniswa nezinye izindlela zokwelapha.

• Isibazi esincane: I-fixator isetshenziswa ngaphandle, okusho ukuthi asikho isibazi esincane.

Izingozi ze-2/3 Ring Fixator

Nakuba izilungisi zendandatho ezingu-2/3 ngokuvamile ziphephile futhi zisebenza kahle, kunezingozi ezithile ezihilelekile, okuhlanganisa:

• Ukutheleleka: Nakuba ingozi yokutheleleka iphansi uma iqhathaniswa nezinye izisetshenziswa, lisekhona ithuba lokutheleleka.

• Ukukhulula iphinikhodi noma ukuphuka: Izikhonkwane ezisetshenziselwa ukunamathisela i-fixator ethanjeni zingaxegisa noma ziphuke, okubangele ukuthi isilungisi singazinzi.

• Ubuhlungu nokungakhululeki: I-fixator ingabangela ubuhlungu nokungahambi kahle, ikakhulukazi phakathi nenqubo yesicelo.

• Ukuhamba okulinganiselwe: I-fixator ingakhawulela ukuhamba nemisebenzi yansuku zonke.

Ukusetshenziswa kwe-2/3 Ring Fixator

Ukufakwa kwe-2/3 ring fixator kuyinqubo eyinkimbinkimbi edinga ulwazi lukachwepheshe wezokwelapha oqeqeshiwe. Nasi isifinyezo sezinyathelo ezihilelekile:

Isinyathelo 1: Ukulungiselela isiguli

Ngaphambi kokufaka i-fixator, isiguli sizohlolwa eziningana zokuxilonga, okuhlanganisa ama-X-ray nama-CT scan. Lokhu kuzosiza uchwepheshe wezokwelapha anqume izinga lokuphuka futhi ahlele ukwelashwa okufanele.

Isinyathelo sesi-2: Faka i-fixator

Uchwepheshe wezokwelapha uzosebenzisa i-fixator ngokubhoboza izikhonkwane ezingxenyeni zamathambo futhi azinamathisele emasongweni okulungisa. Izikhonkwane zifakwa ethanjeni ngokusebenzisa izimbotshana ezincane ezenziwe esikhumbeni.

Isinyathelo sesi-3: Ukulungisa isilungisi

Uma i-fixator isikhona, uchwepheshe wezokwelapha uzoyilungisa ukuze aqinisekise ukuqondana kahle nokuzinza. Lokhu kungase kudinge ukuqinisa noma ukuxegisa izikhonkwane noma ama-struts.

Isinyathelo sesi-4: Ukuqapha nokulandelela

Ngemva kokufakwa kwe-fixator, isiguli sizobhekwa ngokucophelela nganoma yiziphi izimpawu zokutheleleka noma ezinye izinkinga. Uchwepheshe wezokwelapha uzophinde enze ama-X-ray ajwayelekile ukuze aqinisekise ukuphulukiswa okufanele nokuqondanisa.

Isiphetho

I-2/3 ye-ring fixator iyindlela yokwelapha ephumelelayo yokuphuka kwe-tibial kanye ne-femur, ehlinzeka ngokuzinza nokuqondanisa ngenkathi kunciphisa ingozi yokutheleleka kanye nezibazi. Nakuba kunezingozi ezithile ezihilelekile, ngokuvamile zidlulwa izinzuzo. Uma uke waphuka futhi udokotela wakho uncoma isilungisi sendandatho esingu-2/3, kubalulekile ukuxoxa ngezingozi nezinzuzo kanye nabo futhi ulandele isiqondiso sabo sokunakekelwa okufanele nokuqapha.

Imibuzo Evame Ukubuzwa

1. Ngabe isilungisi sendandatho esingu-2/3 sidinga ukuhlala isikhathi esingakanani sisendaweni?

Ubude besikhathi isilungisi esidinga ukuhlala endaweni sincike ebucayi nendawo yokuphuka. Kungaba kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa.

1. Ingabe ukusetshenziswa kwe-2/3 ring fixator kudinga ukuhlinzwa?

Cha, ukusetshenziswa kwe-2/3 ring fixator akudingi ukuhlinzwa. Isetshenziswa ngaphandle ezingxenyeni zamathambo.

1. Ingabe i-fixator ingasuswa ngemva kokuba ithambo selipholile?

Yebo, i-fixator ingasuswa ngemva kokuba ithambo selipholile. Lokhu ngokuvamile kwenziwa ngaphansi kwe-anesthesia yendawo futhi inqubo elula kakhulu.

1. Ngisinakekela kanjani isilungisi ngenkathi sisendaweni?

Kubalulekile ukulandela imiyalelo kadokotela wakho yokunakekelwa nokugcinwa kwe-fixator, kuhlanganise nokuhlanza njalo nokuqapha izimpawu zokutheleleka.

1. Ingabe ngizokwazi ukuqalisa kabusha imisebenzi evamile ngenkathi isilungisi sisendaweni?

I-fixator ingase ikhawulele ukuhamba kanye nemisebenzi yansuku zonke, kodwa udokotela wakho uzonikeza isiqondiso sokuthi yimiphi imisebenzi ephephile futhi efanelekile ngenkathi isilungisi sisendaweni.