Umgomo oyisisekelo wokulungiswa kokuqhekeka ukuqinisa ithambo elikhubazekile, ukunika amandla ukuphulukiswa okusheshayo kwethambo elilimele, nokubuyisa ukuhamba kwangaphambi kwesikhathi kanye nomsebenzi ophelele womkhawulo olimele.

Ukulungiswa kwangaphandle kuyindlela esetshenziselwa ukusiza ukwelapha amathambo aphukile kakhulu. Lolu hlobo lokwelashwa kwamathambo lubandakanya ukuthola ukwaphuka ngedivaysi ekhethekile ebizwa ngokuthi yi-fixilator, engaphandle komzimba. Kusetshenziswa izikulufo ezikhethekile zamathambo (ezivame ukubizwa ngokuthi izikhonkwane) ezidlula esikhunjeni kanye nemisipha, i-fixilator ixhumeke ithambo elimele ukuligcina lihlelwe ngendlela efanele njengoba liphilisa.

Yini ifolishi langaphandle elisetshenziselwa?

Idivaysi yokulungiswa kwangaphandle ingahle isetshenziselwe ukugcina amathambo aqhekekile ahlanze futhi aqondaniswe. Idivayisi ingashintshwa ngaphandle ukuze kuqinisekiswe ukuthi amathambo ahlala esikhundleni esifanele ngesikhathi senqubo yokuphulukisa. Le divayisi isetshenziswa kakhulu ezinganeni nalapho isikhumba phezu kwe-fracture selimele.

Yiziphi izinhlobo zokulungiswa kwangaphandle?

Kunezinhlobo ezintathu eziyisisekelo zangaphandle zangaphandle: Fixtator ejwayelekile ye-Uniplanar, i-Fix Finator yendandatho, kanye ne-hybrid fixerator.

Amadivaysi amaningi asetshenziselwa ukulungiswa kwangaphakathi ahlukaniswe izigaba ezinkulu ezimbalwa: izintambo, izikhonkwane nezikulufo, amapuleti, kanye nezipikili noma izinduku zomhlaba.

I-Staples kanye nama-Clamps nawo asetshenziswa ngezikhathi ezithile ukuze alungiswe ama-osteotomy noma ukulungiswa. I-Autogenous Bone Graff, ama-allograftis, kanye ne-Boneff subretive esetshenziselwa ukwelashwa kweziphambeko zamathambo ezimbangela ezahlukahlukene. Okwe-Fractures enegciwane kanye nokwelashwa kwezifo zamathambo, ubuhlalu be-antibiotic bavame ukusetshenziswa.

I-Dynamic axial proximal Feoseral Floelfrece Floelsol Fixator Fixator: Ukubuka Okuphelele Okuphelele

Ama-Hip Fractures ayinkinga evamile yamathambo, ikakhulukazi kubantu asebekhulile. Lokhu kuqhekeka kungadala ukungabaza okukhulu nokufa kwabantu, futhi abaphathi babo bavame ukuba yinkimbinkimbi. Enye yamasu asetshenziselwa ukuphatha ama-hip fractures yi-axialic axial proximal frofide frovenival floelsover yangaphandle fixerator (DAPFFEF). Kulesi sihloko, sizohlinzeka ngesibukezo esiphelele se-DAPFFEF, kufaka phakathi izinkomba zalo, inqubo, izinkinga nemiphumela.

Ukuqalisa

I-Hip Fractures iyinkinga enkulu yezempilo yomphakathi, enamacala alinganiselwa ezigidini eziyi-1.6 ezenzeka emhlabeni wonke minyaka yonke. Lokhu kuqhekeka kuhlotshaniswa nokudalwa okuphezulu nokufa kwabantu, ikakhulukazi ezigulini ezikhulile. Ukuphathwa kwe-Hip Fractures kuvame ukuba yinkimbinkimbi, futhi kusetshenziselwa izindlela ezahlukahlukene zokuhlinza ukuze ziziphathe. Enye yalezi zindlela yi-axial axial axial frofidence forvel Floelsol Fixator (DAPFFEF).

I-anatomy ye-hip

Ngaphambi kokuxoxa nge-DAPFFFEF, kubalulekile ukuqonda ukuthi i-anatomy ye-hip. I-Hip Joint ehlanganisiwe yebhola nesocket, equkethe i-acetshabulum ye-pelvis nekhanda lowesifazane. Intamo yabesifazane ixhumanisa nekhanda lesifazane emgodini wesifazane. I-proximal femur iyingxenye ye-femur esondele kakhulu kwi-hip ehlanganisiwe.

Yini i-axial axial axial axial frovel floelsol flucator yangaphandle?

I-axial axial axial frofide frovece floelsocif Feansicator Fixidator (DAPFFEF) iyithuluzi elisetshenziselwa ukuqinisa ama-fractures we-femur ye-proximal femur. Idivayisi iqukethe iqoqo lezikhonkwane noma izikulufo ezifakwe kwi-femur ye-proximal futhi zixhunywe kuhlaka lwangaphandle. Uhlaka luhlinzeka ngozinzile ethanjeni elikhubazekile, likuvumela ukuba liphuluke.

Izinkomba ze-dapffef

I-DAPFFFEF isetshenziselwa ukwelapha ama-fractures we-femur ye-proximal, kufaka phakathi ukuphazamiseka okuphansi, ukuqhekeka kwe-intertrochanterteric, kanye nokuqhekeka okuphansi. Kusetshenziselwa futhi ukwelapha okungewona izinyunyana kanye nemibono ye-femur ye-proximal femur.

Inqubo ye-dapffef

Inqubo ye-DAPFFFEF ifaka ukufaka izikhonkwane noma izikulufa kwi-femur ye-proximal, ezixhunywe ohlelweni lwangaphandle. Izikhonkwane noma izikulufa zifakwa ngendlela ebavumela ukuthi zisebenze njengengalo ye-lever, zinikeza ukucindezelwa okunamandla kwithambo elikhubazekile. Uhlaka luyalungiswa ukufeza izinga olifunayo lokucindezelwa.

Izinzuzo ze-DAPFEF

Izinzuzo ze-DAPFFEF zifaka amandla azo okuhlinzeka ngokulungiswa okuzinzile kwe-femur ye-proximal, amandla ayo okuhlinzeka ngokucindezelwa okunamandla kuthambo elikhubazekile, namandla alo okuvumela ukuthwala isisindo kusenesikhathi. Lezi zinto zingaholela emiphumeleni ethuthukisiwe kanye nezikhathi zokutakula ngokushesha kweziguli.

Izinkinga ze-dapffef

Izinkinga ze-dapffef zifaka izifo ze-pin tract, okungeyona inyunyana, i-malonion, ukulahleka kokuncishiswa, kanye nokwehluleka ukubekezelela. Lezi zinkinga zingalawulwa ngokwelashwa okufanele, kubandakanya nama-antibiotics, ukuhlinzekwa kabusha kwesibuyekezo, nokususwa kokulungiswa.

Imiphumela ye-DAPFFEF

Imiphumela ye-dapffef ifundelwe izivivinyo eziningana zomtholampilo. Lezi zivivinyo zikhombise ukuthi i-dapffef inganikeza ukulungiswa okuzinzile kwe-femur ye-proximal, okuvumela imiphumela yokuthwala isisindo nokuthuthuka kweziguli.

Ukugcina

I-Dynamic axial proximal Femover Axialimal Floelsol Fixator Fixilator (DAPFFEF) inqubo yokuhlinza esetshenziselwa ukuqinisa ama-fractures we-femur ye-proximal femur. Inikeza ukulungiswa okuzinzile nokucindezelwa okunamandla kuthambo elikhubazekile, livumela imiphumela yokuthwala isisindo futhi ethuthukisiwe yeziguli. Izinkinga zingenzeka, kepha zingalawulwa ngokwelashwa okufanele.