I-Calcaneal Locking Plate

Izici zepuleti

• Itholakala ngezinguqulo ezincane, ezinkulu nezinkulu ngokwesobunxele nakwesokudla

• 11 izimbobo zokukhiya ezitholakalayo

• Amathebhu agobekayo

• Izimbobo zokukhiya kulo lonke ipuleti lezikulufu eziqinisa i-articular surface

• Isicelo se-Lateral

• Ukukhiya scr

Izimbobo zokukhiya ezinentambo

• Ihlinzeka ngokwakhiwa kwe-engeli engaguquki ezindaweni eziqinile

• Ivumela amaphuzu amaningi okulungisa

• Zihambisana nezikulufu ze-cortex ezijwayelekile ezingu-2.7 mm kanye nezingu-3.5 mm njengezinye izindlela, noma ngokuhambisana nezikulufu zokukhiya ezingu-3.5 mm

imininingwane

Imikhiqizo	REF	Ukucaciswa	Ubukhulu	Ububanzi	Ubude
I-Calcaneous Locking Plate-I (Sebenzisa i-3.5 Locking Screw)	5100-3801	Ilungelo Elincane	2	34	60
	5100-3802	Encane Kwesobunxele	2	34	60
	5100-3803	Medium Right	2	34.5	67
	5100-3804	Okumaphakathi Kwesobunxele	2	34.5	67
	5100-3805	Okukhulu Kwesokudla	2	35	73
	5100-3806	Enkulu Kwesobunxele	2	35	73

I-Calcaneal Locking Plate: Umhlahlandlela Ophelele

Ukuphuka kwe-calcaneal kuyisenzakalo esivamile kokubili kubantu abasha nabadala. Amapuleti okukhiya i-Calcaneal avame ukusetshenziswa ekuphathweni kokuhlinzwa ekwelapheni lokhu kuphuka. Ipuleti lokukhiya i-calcaneal isitshalo esikhethekile esiklanyelwe ukulungisa ukuphuka okususiwe kwethambo le-calcaneus. Lesi sihloko sinikeza umhlahlandlela ophelele wamapuleti okukhiya ama-calcaneal, okuhlanganisa incazelo yawo, i-anatomy, izinkomba, amasu, kanye nezinkinga.

I. Incazelo

Ipuleti lokukhiya i-calcaneal ukufakelwa okukhethekile okuhlinzayo okuklanyelwe ukulungisa kwangaphakathi ukuphuka kwe-calcaneal okususiwe. Yakhiwe ngepuleti lensimbi elinezimbobo eziningana, eziklanyelwe ukufaka izikulufu. Izikulufu zifakwa ngepuleti zingene ethanjeni ukuze kusimame ukuphuka.

II. I-Anatomy

Ithambo le-calcaneus litholakala ku-hindfoot futhi lakha ithambo lesithende. I-calcaneus inomumo oyingqayizivele ngokugqama kwamathambo amaningana ahambisana namanye amathambo onyaweni. Ipuleti lokukhiya i-calcaneal liklanyelwe ukujikela ku-anatomy eyingqayizivele ye-calcaneus. Inesimo nosayizi abaningana abahlukene ukuze ilingane namaphethini ahlukene okuphuka.

III. Izinkomba

Inkomba eyinhloko yokusebenzisa ipuleti lokukhiya i-calcaneal iwukwelapha ukuqhekeka kwe-calcaneal okususiwe. Lokhu kuphuka kuvame ukubangelwa ukuhlukumezeka kwamandla aphezulu, njengokuwa endaweni ephakeme noma izingozi zezimoto. Zibonakala ngenani elikhulu lokufuduka nokubandakanyeka kwe-articular. Ezinye izinkomba zokusebenzisa ipuleti lokukhiya i-calcaneal zifaka:

• Ukuphuka ngokuqala okukhulu

• Ukuphuka ngezicubu ezithambile kuyancipha

• Ukuphuka ezigulini ezinekhwalithi ephansi yamathambo

IV. Amasu

Kunamasu amaningana okusebenzisa ipuleti lokukhiya i-calcaneal ukulungisa ukuphuka kwe-calcaneal. Indlela esetshenziswayo incike kuphethini yokuphuka kanye nokuthandwa ngudokotela ohlinzayo. Izindlela ezimbili ezivame kakhulu zihlanganisa:

• I-Extensile lateral approach: Le nqubo ihilela ukwenza ukusika okukhulu engxenyeni engemuva yonyawo nokubonisa izicubu ezithambile ukuze kufinyelelwe endaweni yokuphuka. Le ndlela ivumela ukuboniswa okuqondile kokuphuka kanye nokunciphisa okunembile. Ipuleti lokukhiya i-calcaneal libe selibekwa engxenyeni engemuva ye-calcaneus.

• I-Percutaneous technique: Le nqubo ihilela ukwenza izimbobo ezincane nokufaka izikulufu esikhumbeni ukuze kuncishiswe futhi kuzinziswe ukuphuka. Le nqubo ayihlaseli kancane kodwa idinga ukuthwebula izithombe okuthuthukisiwe kanye ne-fluoroscopy ukuze kuqinisekiswe ukubekwa kwesikulufu okunembile.

V. Izinkinga

Njenganoma iyiphi inqubo yokuhlinzwa, kunezinkinga ezingaba khona ezihlobene nokusebenzisa ipuleti lokukhiya i-calcaneal. Ezinye zezinkinga ezivame kakhulu zihlanganisa:

• Ukutheleleka

• Izinkinga zokupholisa amanxeba

• Ukulimala kwemizwa

• Ukuhluleka kwezingxenyekazi zekhompuyutha

• I-post-traumatic arthritis

VI. Isiphetho

Amapuleti okukhiya ama-Calcaneal ayithuluzi elibalulekile ekulawulweni kokuhlinzwa kokuqhekeka kwe-calcaneal. Banikeza izinzuzo eziningana kunezindlela zendabuko zokulungisa, okuhlanganisa ukuzinza okukhulayo kanye nokuthwala isisindo sokuqala. Kodwa-ke, ukusetshenziswa kwabo kudinga ukuqonda okuphelele kwe-anatomy, izinkomba, amasu, kanye nezinkinga ezingaba khona.

VII. Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ukululama ekwephukeni kwe-calcaneal?

• Isikhathi sokululama siyahlukahluka kuye ngobulukhuni bokuphuka kanye nempilo yonke yesiguli. Kungathatha izinyanga ezimbalwa ukuya onyakeni ukululama ngokugcwele.

1. Kuzodingeka ngihlale isikhathi esingakanani esibhedlela ngemva kokuhlinzwa?

• Ubude besikhathi sokuhlala esibhedlela buyahlukahluka kuye ngendlela yokuhlinza esetshenzisiwe kanye nempilo yesiguli iyonke. Kungaba kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa.

1. Ngizokwazi yini ukuhamba ngemva kokuhlinzwa?

• Iziguli eziningi ziyakwazi ukuqala isisindo ngokushesha ngemva kokuhlinzwa. Nokho, lokhu kuncike ekuqineni kokuphuka kanye nezindlela zokuhlinza ezisetshenzisiwe.

1. Kuzodingeka isikhathi esingakanani ukugqoka ukhonkolo noma ibhulashi ngemva kokuhlinzwa?

• Ubude besikhathi okudingeka ukhonkolo noma i-brace edingekayo iyahlukahluka kuye ngobunzima bokuphuka kanye nezindlela zokuhlinza ezisetshenzisiwe. Kungaba kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa.

1. Ingabe i-calcaneal fracture ingalashwa ngaphandle kokuhlinzwa?

• Ukuphatha okungahlinzeki, okufana nokungakwazi ukuhamba nokuphumula, kungase kube inketho yokuphuka kwe-calcaneal. Kodwa-ke, ukuphuka kwe-intra-articular okususiwe ngokuvamile kudinga ukungenelela kokuhlinzwa ukuze kube nemiphumela emihle. Kungcono ukubonisana nochwepheshe bezokunakekelwa kwempilo ukuze uthole uhlelo olungcono kakhulu lokwelapha esimweni sakho esithile.