I-Dynamic Axial Ankle Joint Fragment ExternalFixator

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-Dynamic Axial Ankle Joint Fragment yangaphandle Fixator: Uhlolojikelele

Ukuphuka kwe-ankle joint kuyinto evamile futhi kungase kubangele izimbangela ezihlukahlukene, kuhlanganise nokulimala kwezemidlalo, ukuwa, nezingozi zezimoto. Lokhu kuphuka kungase kube nzima ukuphatha, ikakhulukazi uma kuhilela izingcezu ezihlangene. Enye yezindlela zokwelapha eziphumelela kakhulu zokuphuka okunjalo ukusetshenziswa kwe-axial ankle joint fragment yangaphandle ye-fragment fixator. Kulesi sihloko, sizohlinzeka ngemininingwane yalolu cingo, izingxenye zalo, izinkomba zalo, kanye nezinzuzo zalo ngaphezu kwezinye izindlela zokwelapha.

Iyini i-axial ankle joint fragment yangaphandle?

I-axial ankle joint fragment yangaphandle iyisisetshenziswa esisetshenziselwa ukuzinzisa ukuphuka okubandakanya i-ankle, ikakhulukazi lezo ezihlanganisa izingcezu ezihlangene. Kuwuhlobo lwesilungisi sangaphandle esisebenzisa uchungechunge lwezikhonkwane nemigoqo ukuze kuqiniswe ukuphuka nokuvumela ukunyakaza okulawulwayo kwelunga phakathi nenqubo yokuphulukisa. I-fixator isetshenziswa ngaphandle, okusho ukuthi ayifakwanga ngokuhlinzwa, futhi ngokuvamile iyasuswa lapho ukuphuka sekupholile.

Izingxenye zengxenye ye-axial ehlangene ye-ankle joint fixator yangaphandle

Izingxenye ze-dynamic axial ankle joint fragment fixator yangaphandle ngokuvamile zihlanganisa:

• Ukulungiswa kwephini: Izikhonkwane zifakwa ethanjeni nhlangothi zombili zokuphuka futhi zixhunywe emigodleni yesilungisi.

• Ukulungiswa kwebha: Amabha ahlanganiswe nezikhonkwane nakwamanye, enza uhlaka oluzinzile oluzungeze ukuphuka.

• Ihinge enamandla: Ihinge ifakiwe kusilungisi ukuvumela ukunyakaza okulawulwayo kwelunga phakathi nenqubo yokuphola.

• Idivayisi yokucindezela/yokuphazamisa: Idivayisi yokucindezela/yokuphazamisa ifakiwe kusilungisi ukuze kuvunyelwe ukucindezelwa okulawulwayo noma ukuphazamiseka kwesayithi lokuphuka njengoba kudingeka.

Izinkomba zokusetshenziswa kwengxenye ye-axial ehlangene ye-ankle joint fixator yangaphandle

I-axial axial joint fragment yangaphandle ye-axial joint fragment ngokuvamile isetshenziswa ezimweni lapho ezinye izindlela zokwelapha, ezifana nokuphonsa noma ukulungiswa kokuhlinzwa, zingafanelekile. Izinkomba zokusetshenziswa zihlanganisa:

• Ukuphuka okubandakanya izingcezu ezihlangene

• Ukuphuka ngokulimala okuphawulekayo kwezicubu ezithambile

• Ukuphuka ezigulini ezinekhwalithi ephansi yamathambo noma ezinye izifo zezokwelapha ezenza ukulungiswa kokuhlinzwa kube nzima

• Ukuphuka ezigulini ezingakwazi ukubekezelela ukhonkolo noma enye idivayisi yokuvinjelwa

Izinzuzo ze-dynamic axial ankle joint fragment fixator yangaphandle

Kunezinzuzo eziningana zokusebenzisa i-axial axial joint fragment yangaphandle fixator ngaphezu kwezinye izindlela zokwelapha:

• Ivumela ukuhlanganiswa kwangaphambi kwesikhathi kwelunga, okungasiza ukuvimbela ukuqina nokuthuthukisa umsebenzi jikelele.

• Inikeza ukulungiswa okuzinzile kokuphuka, okungaholela ekuphulukiseni okuthuthukisiwe kanye nemiphumela engcono yesikhathi eside.

• Ingasetshenziswa ezigulini ezingakwazi ukubekezelela ukufakwa noma ukulungiswa kokuhlinzwa.

• Ivumela ukulungiswa okulula kokuminyanisa noma ukuphazamiseka kwesayithi lokuphuka njengoba kudingeka.

• Ihlasela kancane, okusho ukuthi kunengozi encane yezinkinga uma kuqhathaniswa nokulungiswa kokuhlinzwa.

Izingozi kanye nezinkinga

Njenganoma iyiphi inqubo yezokwelapha, ukusetshenziswa kwe-axial ankle joint fragment yangaphandle ayinazo izingozi nezinkinga. Ezinye izingozi nezinkinga ezingaba khona zihlanganisa:

• Ukutheleleka endaweni yokufaka iphinikhodi

• Phina ukukhulula noma ukuphuka

• Ukucasuka kwezicubu ezithambile noma ukulimala

• Ukuqina kwamalunga noma ukungazinzi

• Ukulimala kwezinzwa noma imithambo yegazi

Isiphetho

I-axial ankle joint fragment yangaphandle iyithuluzi elibalulekile ekulawuleni ukuphuka kwamalunga eqakala, ikakhulukazi lawo ahlanganisa izingcezu ezihlangene. Ivumela ukuhlanganisa kokuqala kokuhlangana futhi inikeze ukulungiswa okuzinzile kokuphuka, okuholela ekuphulukiseni okuthuthukisiwe kanye nemiphumela engcono yesikhathi eside. Yize kukhona ubungozi kanye nezinkinga ezihlobene nokusetshenziswa kwalolu cingo, ngokuvamile luphephile futhi lubekezelelwa kahle iziguli.