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 Proximal Femoral Fragment Isilungisi Sangaphandle: Uhlolojikelele

Ukuphuka kwe-Hip kuyinkinga evamile yamathambo, ikakhulukazi kubantu asebekhulile. Lezi ziphuka zingabangela ukugula okukhulu nokufa, futhi ukuphathwa kwazo kuvame ukuba yinkimbinkimbi. Enye yezindlela ezisetshenziswa ukuphatha ukuphuka kwenyonga yi-dynamic axial proximal femoral fragment external fixator (DAPFFEF). Kulesi sihloko, sizohlinzeka ngombono obanzi we-DAPFFEF, okuhlanganisa izinkomba zayo, amasu, izinkinga, kanye nemiphumela.

Isingeniso

Ukuphuka kwe-hip kuyinkinga enkulu yezempilo yomphakathi, okulinganiselwa ukuthi kube nezigameko eziyizigidi ezingu-1.6 ezenzeka emhlabeni wonke minyaka yonke. Lokhu kuphuka kuhlotshaniswa nokugula okuphezulu nokufa, ikakhulukazi ezigulini esezikhulile. Ukuphathwa kwe-hip fracture ngokuvamile kuyinkimbinkimbi, futhi izindlela ezihlukahlukene zokuhlinza zisetshenziselwa ukuphatha. Enye yalezi zindlela yi-dynamic axial proximal femoral fragment external fixator (DAPFFEF).

I-Anatomy ye-Hip

Ngaphambi kokuxoxa nge-DAPFFEF, kubalulekile ukuqonda i-anatomy ye-hip. I-hip joint yi-ball-and-socket joint, ehlanganisa i-acetabulum ye-pelvis nekhanda lesifazane. Intamo yesifazane ixhuma ikhanda lesifazane ne-femoral shaft. I-proximal femur yingxenye ye-femur eseduze kakhulu ne-hip joint.

Yini i-Dynamic Axial Proximal Femoral Femoral Fragment yangaphandle Fixator?

I-axial proximal femoral fragment yangaphandle fixator (DAPFFEF) iyithuluzi elisetshenziselwa ukuzinzisa ukuphuka kwe-proximal femur. Idivayisi iqukethe isethi yezikhonkwane noma izikulufu ezifakwe ku-proximal femur futhi zixhunywe kuhlaka lwangaphandle. Uhlaka lunikeza ukuzinza ethanjeni eliphukile, elivumela ukuba liphole.

Izinkomba ze-DAPFFEF

I-DAPFFEF isetshenziselwa ukwelapha ukuphuka kwe-proximal femur, okuhlanganisa ukuphuka kwe-subcapital, ukuphuka kwe-intertrochanteric, nokuphuka kwe-subtrochanteric. Ibuye isetshenziselwe ukwelapha okungezona izinyunyana kanye ne-malunion ye-proximal femur.

Icebo le-DAPFFEF

Indlela ye-DAPFFEF ihlanganisa ukufaka izikhonkwane noma izikulufu ku-proximal femur, ezibese zixhunywa kuhlaka lwangaphandle. Izikhonkwane noma izikulufi zifakwe ngendlela ezivumela ukuthi zisebenze njengengalo ye-lever, zinikeze ukucindezelwa okuguquguqukayo kwethambo eliphukile. Uhlaka luyalungiswa ukuze kuzuzwe izinga elifiselekayo lokucindezelwa.

Izinzuzo ze-DAPFFEF

Izinzuzo ze-DAPFFEF zihlanganisa ikhono layo lokuhlinzeka ngokulungiswa okuzinzile kwe-proximal femur, ikhono layo lokuhlinzeka ngokucindezelwa okuguquguqukayo ethanjeni eliphukile, kanye nekhono layo lokuvumela ukuthwala isisindo kwangaphambi kwesikhathi. Lezi zici zingaholela emiphumeleni ethuthukisiwe kanye nezikhathi zokululama ngokushesha ezigulini.

Izinkinga ze-DAPFFEF

Izinkinga ze-DAPFFEF zifaka ukutheleleka kwe-pin tract, okungezona inyunyana, i-malunion, ukulahlekelwa ukuncishiswa, nokwehluleka kokufakelwa. Lezi zinkinga zingalawulwa ngokwelashwa okufanele, okuhlanganisa ama-antibiotics, ukuhlinzwa okubukeziwe, nokususwa kwe-fixator.

Imiphumela ye-DAPFFEF

Imiphumela ye-DAPFFEF iye yafundwa ezivivinyweni ezimbalwa zomtholampilo. Lezi zivivinyo zibonise ukuthi i-DAPFFEF inganikeza ukulungiswa okuzinzile kwe-proximal femur, okuvumela ukuthwala isisindo kusenesikhathi kanye nemiphumela ethuthukisiwe yeziguli.

Isiphetho

I-Dynamic axial proximal femoral fragment external fixator (DAPFFEF) iyindlela yokuhlinzwa esetshenziselwa ukuzinzisa ukuphuka kwe-proximal femur. Inikeza ukulungiswa okuzinzile kanye nokucindezelwa okuguquguqukayo kwethambo eliphukile, okuvumela ukuthwala isisindo sokuqala kanye nemiphumela ethuthukisiwe yeziguli. Izinkinga zingenzeka, kodwa zingalawulwa ngokwelashwa okufanele.