I-Cannulated Headless Compression Screw

I-Cannulated Headless Compression Screw: Umhlahlandlela Ophelele

Ukuphuka kuyisenzakalo esivamile, futhi kungenzeka kunoma ubani, nganoma yisiphi isikhathi. Ngenhlanhla, intuthuko kwezobuchwepheshe bezokwelapha yenze kwaba lula ukwelapha ukulimala okunjalo. Esinye sezixazululo ezintsha kakhulu ukusetshenziswa kwe-Cannulated Headless Compression Screws (CHCS). Kulesi sihloko, sizohlinzeka ngomhlahlandlela ophelele kukho konke odinga ukukwazi nge-CHCS.

Okuqukethwe

1. Yini i-Cannulated Headless Compression Screw?

2. Umlando kanye Nokuthuthukiswa Kwezikulufu Zokucindezelwa Okungenakhanda Ezingavunyelwe

3. Izinhlobo Zezikulufu Zokucindezelwa Ezingenakhanda Ezingavunyelwe

4. Izinkomba Zokusetshenziswa Kwezikulufu Zokucindezelwa Ezingenakhanda Ezingavunyelwe

5. Indlela Yokuhlinza Yezikulufu Zokuminyanisa Ezingenakhanda Ezingakheniwe

6. Izinzuzo ze-Cannulated Headless Compression Screw

7. Izinkinga Ezingenzeka kanye Nezingozi

8. Ukunakekelwa Kwangemva Kokuhlinzwa Nokuvuselelwa

9. Ucwaningo Nezifundo Zomtholampilo

10. Isiphetho

11. Imibuzo Evame Ukubuzwa

1. Yini i-Cannulated Headless Compression Screw?

I-Cannulated Headless Compression Screw (CHCS) wuhlobo lwesikulufu esisetshenziswa ekuhlinzweni kwamathambo ukulungisa ukuphuka kwethambo. Idizayinelwe ukuhlinzeka ngokulungiswa okuzinzile kunezikulufu zendabuko ngenkathi inciphisa ingozi yokudala umonakalo kumathishu athambile azungezile.

Ngokungafani nezikulufu zendabuko, ezinekhanda elinentambo elingaphuma ethanjeni, izikulufu ze-CHCS azinakhanda, okusho ukuthi azinalo ikhanda elibonakalayo. Esikhundleni salokho, banomkhawulo ocijile ocindezela indawo yokuphuka, okukhuthaza ukuphulukiswa kwamathambo.

Izikulufu ze-CHCS zifakwe emathinini, okusho ukuthi zinendawo engenalutho. Lokhu kuvumela ukufakwa kwentambo yomhlahlandlela, esiza ukuqondisa isikulufu ngokunembile ethanjeni.

2. Umlando kanye Nokuthuthukiswa Kwezikulufu Zokucindezelwa Ezingenakhanda Ezingavunyelwe

Ukusetshenziswa kwezikulufu zokucindezelwa ekwelapheni ukuphuka kwaqala ekuqaleni kwekhulu lama-20. Kodwa-ke, kwaze kwaba ngawo-1980 lapho izikulufi ezifakwe emathini zasungulwa.

Ukuthuthukiswa kwezikulufu ze-CHCS kwaba intuthuko enkulu ekwelapheni ukuphuka, njengoba zehlisa ingozi yokulimala kwezicubu ezithambile futhi zanikeza ukulungiswa okuzinzile. Kusukela ekuthuthukisweni kwazo, izikulufu ze-CHCS ziye zanda kakhulu ekuhlinzeni amathambo.

3. Izinhlobo ze-Cannulated Headless Compression Screw

Kunezinhlobo ezahlukene zezikulufu ze-CHCS ezitholakalayo, okuhlanganisa:

• Izikulufu ezinentambo ngokugcwele

• Izikulufu ezinentambo eyingxenye

• Izikulufu zokuzibhoboza

• Izikulufu zokuzishaya

Uhlobo ngalunye lwesikulufu lunezinzuzo nezinkinga zalo, futhi ukukhetha kwesikulufa esisetshenzisiwe kuzoncika ecaleni elithile.

4. Izinkomba Zokusetshenziswa Kwezikulufu Zokucindezelwa Ezingenakhanda Ezingavunyelwe

Izikulufu ze-CHCS zisetshenziselwa ukwelapha ukuphuka kwamathambo amade, njenge-femur, i-tibia, ne-humerus. Ziwusizo ikakhulukazi ekwelapheni ukuphuka okuvunguzayo, njengoba zinikeza ukulungiswa okuzinzile kunezikulufu zendabuko.

Izikulufu ze-CHCS nazo zisetshenziselwa ukwelapha okungezona inyunyana (ukuphuka okungakapholi) kanye nama-malunion (ukuphuka okungapholi kahle).

5. Indlela Yokuhlinza Yezikulufu Zokucindezelwa Ezingenakhanda Ezingavunyelwe

Indlela yokuhlinza yokufaka izikulufo ze-CHCS ibandakanya lezi zinyathelo ezilandelayo:

1. Ukuhlelwa kwangaphambi kokuhlinzwa, okuhlanganisa izifundo zokuthatha izithombe ukuze kutholakale indawo nobukhulu bokuphuka

2. I-Anesthesia kanye nokuma kwesiguli

3. Ukufakwa kwentambo yomhlahlandlela ethanjeni, kusetshenziswa isiqondiso sesithombe

4. Ukuthepha ithambo ukuze udale indlela yesikulufu

5. Ukufakwa kwesikulufu se-CHCS phezu kwentambo yomhlahlandlela, kucindezela isayithi lokuphuka

6. Ukuqinisekisa ukubekwa okulungile kusetshenziswa izifundo zezithombe

6. Izinzuzo ze-Cannulated Headless Compression Screw

Izikulufu ze-CHCS zinikeza izinzuzo ezimbalwa kunezikulufu zendabuko nezinye izindlela zokulungisa. Ezinye zalezi zinzuzo zihlanganisa:

1. Ukuncipha kwengozi yokulimala kwezicubu ezithambile: Izikulufu ze-CHCS azinakhanda, okunciphisa ubungozi bokulimala kwezicubu ezithambile ezizungezile.

2. Ukukhula kokuqina: Izikulufu ze-CHCS zihlinzeka ngokulungiswa okuzinzile kunezikulufu zendabuko, zinciphisa ubungozi bokuhluleka kwehadiwe kanye nesidingo sokuhlinzwa kokubuyekezwa.

3. Okuhlasela kancane: Ukusetshenziswa kwezikulufu ze-CHCS kuyinqubo ehlasela kancane, engaholela ezikhathini zokuphulukisa nokululama ngokushesha.

4. Ibanga elikhulu lokunyakaza: Usayizi omncane wezikulufu ze-CHCS uvumela ububanzi obuningi bokunyakaza uma kuqhathaniswa nezinye izindlela zokulungisa.

5. Ingozi encishisiwe yokutheleleka: Isikhungo esingenalutho sezikulufu ze-CHCS sivumela ukuchelela okungcono futhi sinciphise ingozi yokutheleleka.

7. Izinkinga Ezingenzeka kanye Nezingozi

Njenganoma iyiphi inqubo yokuhlinzwa, ukusetshenziswa kwezikulufu ze-CHCS kuthwala ubungozi obuthile kanye nezinkinga ezingaba khona. Ezinye zazo zihlanganisa:

1. Ukuhluleka kwezingxenyekazi zekhompuyutha: Izikulufu ze-CHCS zingaphuka noma zixege ngokuhamba kwesikhathi, okuholela esidingweni sokuhlinzwa kokubuyekezwa.

2. Ukubeka ngendlela engafanele: Ukubekwa okungalungile kwezikulufu ze-CHCS kungase kubangele ukuphulukiswa okungalungile noma ukulimala kwezakhiwo ezizungezile.

3. Ukutheleleka: Nakuba kungavamile, ukusetshenziswa kwezikulufu ze-CHCS kungaholela ekuthelelekeni.

4. Ukulimala kwemizwa noma kwemithambo: Ukubekwa kwezikulufu ze-CHCS eduze kwemizwa noma imithambo yegazi kungaholela ekulimaleni.

5. Ukungezwani komzimba: Ezimweni ezingavamile, iziguli zingase zibe nokungezwani nezinto ezisetshenziswa kuzikulufu ze-CHCS.

8. Ukunakekelwa Kwangemva Kokuhlinzwa Nokuvuselelwa

Ukunakekelwa kwangemva kokuhlinzwa nokuvuselelwa kudlala indima ebalulekile empumelelweni yokubeka isikulufu se-CHCS. Iziguli zizoyalwa ukuthi zigweme ukuthwala isisindo esithweni esithintekile futhi zizodinga ukwelashwa ngokomzimba ukuze zibuyise amandla nokuhamba.

Ukubuyisela esimweni ngokuvamile kuqala amasonto ambalwa ngemva kokuhlinzwa futhi kungathatha izinyanga ezimbalwa, kuye ngobunzima bokuphuka.

9. Ucwaningo Nezifundo Zomtholampilo

Ucwaningo oluningana lwemitholampilo lubonise ukusebenza kwezikulufu ze-CHCS ekwelapheni ukuphuka. Ucwaningo olulodwa olushicilelwe ku-Journal of Orthopedic Trauma luthole ukuthi izikulufu ze-CHCS zinikeze ukulungiswa okungcono kanye nemiphumela ethuthukisiwe yesiguli uma kuqhathaniswa nezikulufu zendabuko.

Olunye ucwaningo olwanyatheliswa kuyi-Journal of Bone and Joint Surgery lwathola ukuthi ukusetshenziswa kwezikulufu ze-CHCS kubangele izinga eliphezulu lokuphulukiswa kokuphuka uma kuqhathaniswa nezinye izindlela zokulungisa.

10. Isiphetho

I-Cannulated Headless Compression Screw iyithuluzi elibalulekile ekwelapheni ukuphuka. Banikeza izinzuzo ezimbalwa phezu kwezikulufu zendabuko nezinye izindlela zokulungisa futhi ziboniswe zisebenza ngempumelelo ezifundweni zomtholampilo.

Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi kanye nezinkinga ezingaba khona ezihlobene nokusetshenziswa kwezikulufu ze-CHCS. Kodwa-ke, uma zisetshenziswe ngendlela efanele, zingaholela ezikhathini zokuphulukisa ngokushesha, ukunciphisa ingozi yokutheleleka, kanye nemiphumela ethuthukisiwe yesiguli.

11. Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ukululama ekuhlinzweni kwe-CHCS?

Isikhathi sokululama siyahlukahluka kuye ngobunzima bokuphuka nezinye izici ngazinye. Kodwa-ke, iziguli eziningi zingalindela ukuqala ukuvuselelwa emasontweni ambalwa ngemva kokuhlinzwa futhi zingalindela ukubona ukuthuthuka phakathi nezinyanga ezimbalwa.

1. Ingabe izikulufu ze-CHCS zingasuswa?

Kwezinye izimo, izikulufu ze-CHCS zingase zikhishwe uma zibangela ubuhlungu noma ezinye izinkinga. Nokho, lesi sinqumo kufanele senziwe ngokubonisana nodokotela.

1. Ingabe izikulufu ze-CHCS zimbozwe umshwalense?

Iningi lezinhlelo zomshwalense zikhava izindleko zezikulufu ze-CHCS uma kuthathwa njengesidingo ngokwezempilo.

1. Yiziphi izinto ezenziwe ngezikulufu ze-CHCS?

Izikulufu ze-CHCS ngokuvamile zenziwe nge-titanium noma insimbi engagqwali.

1. Ingabe ikhona imikhawulo emisebenzini ngemva kokuhlinzwa kwe-CHCS?

Iziguli ngokuvamile zizoyalwa ukuthi zigweme ukuthwala isisindo esithweni esithintekile amasonto ambalwa ngemva kokuhlinzwa. Ngokuya ngobunzima bokuphuka, eminye imikhawulo yomsebenzi ingase isebenze, futhi iziguli kufanele zilandele imiyalelo kadokotela wazo ukuze zilulame.