I-Dynamic Axial Straight Type Fixator yangaphandle

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 Straight Type Fixator yangaphandle: Umhlahlandlela Ophelele

Uma kuziwa ekwelapheni ukuphuka kanye nezinye izimo zamathambo, izilungisi zangaphandle zidlala indima ebalulekile ekulawuleni nasekuvuseleleni iziguli. Esinye isilungisi sangaphandle esinjalo siyi-axial straight type fixator yangaphandle, esiye yazuza ukuduma phakathi kodokotela abahlinzayo bamathambo ngenxa yomklamo nokusebenza kwayo okuyingqayizivele. Kulo mhlahlandlela obanzi, sizocubungula imininingwane yezilungisi zangaphandle zohlobo lwe-axial oluqondile, okuhlanganisa ukwakheka kwazo, izinkomba, izinzuzo, kanye nemikhawulo.

1. Isingeniso

I-Dynamic axial straight type fixator iyisisetshenziswa sangaphandle esisetshenziselwa ukuzinzisa ukuphuka noma izingcezu zamathambo ezigulini. Kuvame ukusetshenziswa ezimweni lapho ukulungiswa kwangaphakathi kungeyona inketho, noma lapho kunesidingo sokuphazamiseka okulawulwayo noma kancane kancane noma ukucindezelwa kwesayithi lokuphuka. I-axial straight type fixator yangaphandle ivumela ukucindezelwa kwe-axial nokuphazamiseka, kanye nokunyakaza okujikelezayo nokuhumusha, okwenza kube nezinto ezihlukahlukene kakhulu ekwelapheni izimo ezihlukahlukene zamathambo.

2. Iyini i-Dynamic Axial Straight Type Fixator yangaphandle?

I-axial straight type fixator yangaphandle iyisisetshenziswa sangaphandle esakhiwe ngezinduku ze-metallic noma ze-carbon fibre, ezixhunywe kuma-clamps noma izikhonkwane ezifakwe ethanjeni. Idivayisi ingalungiswa ukuze inikeze ukucindezelwa noma ukuphazamiseka endaweni yokuphuka, kuye ngezidingo zodokotela ohlinzayo. Idivayisi ingase futhi isetshenziselwe ukulungisa ukukhubazeka noma i-malunion yamathambo ngokufaka kancane kancane ingcindezi endaweni oyifunayo.

3. Izingxenye ze-Dynamic Axial Straight Type Fixator yangaphandle

Isilungisi sangaphandle sohlobo lwe-axial eqondile ngokuvamile siqukethe izingxenye ezilandelayo:

• Izinti ze-Metallic noma ze-carbon fibre ezinobude nobubanzi obuhlukahlukene

• Izinsimbi noma izikhonkwane zokuqinisa ithambo

• Izixhumi ezilungisekayo zezinduku zokuxhuma nama-clamp/pins

• Izindlela zokukhiya zokulungiswa okuphephile kwezinduku kanye nezinsimbi/izikhonkwane

• Amadivayisi okucindezela nokuphazamisa okucindezela kwe-axial noma ukuphazamiseka endaweni yokuphuka

• Izindlela zokushintsha zokuhumusha nokushintshanisa

4. Izinkomba ze-Dynamic Axial Straight Type Fixator yangaphandle

I-axial axial straight type fixator yangaphandle ikhonjiswe kulezi zimo ezilandelayo:

• Vula ama-fracture anomonakalo omkhulu wezicubu ezithambile

• Ukuphuka kwamandla aphezulu ngokuhlukana okukhulu noma ukulahleka kwamathambo

• Ukuphuka okunzima ukuzinzisa ngamadivaysi okulungisa angaphakathi

• Ama-malunion noma ama-nonnunions amathambo

• Ama-osteotomies okulungisa noma izinqubo zokwandisa amathambo

• Ukususwa kwesimila noma ukukhubazeka kwamathambo okudinga ukwakhiwa kabusha

5. Izinzuzo ze-Dynamic Axial Straight Type Fixator yangaphandle

I-axial axial straight type fixator yangaphandle inezinzuzo ezimbalwa ngaphezu kwezinye izilungisi zangaphandle, okuhlanganisa:

• Ukuhlukahluka ekwelapheni izimo ezihlukahlukene zamathambo

• Ikhono lokusebenzisa ukucindezela okulawulwayo noma kancane kancane noma ukuphazamiseka

• Ukuphazamiseka okuncane kwezicubu ezithambile ngesikhathi sokubekwa

• Asikho isidingo sokusikwa noma ukuhlukaniswa kwemisipha

• Ukuhlanganisa isiguli kusenesikhathi kungenzeka

• Ukulungiswa okulula nokususwa kwedivayisi

6. Imikhawulo ye-Dynamic Axial Straight Type Fixator yangaphandle

Naphezu kwezinzuzo zayo, i-axial eqondile yohlobo lwe-axial straight fixator inemikhawulo ethile okufanele icatshangelwe, okuhlanganisa:

• Ingozi yokutheleleka nge-pin tract, okungaholela kwezinye izinkinga

• Isidingo sokuqapha okuqinile kanye nokulungiswa kwedivayisi ukugwema ukuminyanisa ngokweqile noma ukuphazamiseka

• Ubunzima bokuthola ukuzinza okwanele ezigulini ezikhuluphele noma ezinemisipha ngokweqile

• Ibanga elilinganiselwe lokunyakaza esithweni esithintekile ngesikhathi sokulungiswa

• Ingozi yokulimala kwe-neurovascular ngesikhathi sokubekwa noma ukulungiswa kwedivayisi

7. I-Dynamic Axial Straight Type Fixator Ibekwa Kanjani?

Ukubekwa kwe-axial eqondile yohlobo lwe-axial straight fixator ngokuvamile kwenziwa ngaphansi kwe-anesthesia evamile noma yesifunda egumbini lokuhlinza. Inqubo ihilela ukufaka izikhonkwane noma ama-clamps ethanjeni kude nesayithi lokuphuka, okulandelwa ukusetshenziswa kwedivayisi yokulungisa yangaphandle ukuxhuma izikhonkwane / izinsimbi ngezinduku.

Idivayisi ilungiswa ukuze kuzuzwe inani elifunekayo lokucindezela noma ukuphazamiseka endaweni yokuphuka, futhi ukuqapha okuvamile nokulungiswa kwedivayisi kuyadingeka ukuze kuqinisekiswe ukuphulukiswa okufanele nokuqondanisa kwezingcezu zamathambo.

8. Ukunakekelwa Nokugcinwa Kwe-Dynamic Axial Straight Type Fixator yangaphandle

Ukunakekela nokugcinwa okufanele kwe-axial straight type fixator kubalulekile ukuze kuvinjwe izinkinga ezifana nezifo zamaphini noma ukwehluleka kwedivayisi. Iziguli zivame ukufundiswa ukuthi zihlanzwa kanjani futhi zigqokiswe kanjani izindawo zamaphini futhi ziyalulekwa ukuthi zigweme ukucwilisa idivayisi emanzini.

Ukuqokwa okulandelwa njalo nodokotela ohlinzayo kuyadingeka ukuze kuqashwe ukuphulukiswa nokulungisa idivayisi njengoba kudingeka.

9. Izinkinga Ezihambisana Ne-Dynamic Axial Straight Type Fixator yangaphandle

Izinkinga ezihlobene nezilungisi zangaphandle zohlobo lwe-axial oluqondile zingabandakanya:

• I-Pin tract infection

• Ukuhluleka kwedivayisi noma ukuxegiswa kwamaphini/ama-clamps

• Ukulahlekelwa ukuqondanisa noma ukunciphisa ukuzinza kwesiqephu sethambo

• Ukulimala kwe-Neurovascular

• Ukuqina kwamalunga noma ukufinyela

• I-muscle atrophy noma ubuthakathaka

• Ubuhlungu noma ukungaphatheki kahle ezindaweni zokuphina

10. Isiphetho

I-Dynamic axial straight type fixator yangaphandle iyithuluzi elibalulekile ekulawuleni ukuphuka nezinye izimo ze-orthopedic, enikeza izinzuzo eziyingqayizivele ngaphezu kwezinye izilungisi zangaphandle. Kodwa-ke, ukukhetha okufanele kwesiguli nokuqapha ngokucophelela idivayisi kubalulekile ukuze ugweme izinkinga futhi uqinisekise imiphumela eyimpumelelo.

11. Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ukubeka i-axial straight type fixator yangaphandle? Ukubekwa kohlobo lwe-axial straight fixator yangaphandle ngokuvamile kuthatha amahora ambalwa, kuye ngobunkimbinkimbi bokuphuka kanye nesimo somzimba wesiguli.

2. Ingabe i-axial eqondile yohlobo lwe-axial straight fixator ibuhlungu? Ukubekwa kwe-axial eqondile yohlobo lwe-fixator yangaphandle kungase kungakhululeki, kodwa idivayisi ngokwayo akufanele ibangele ubuhlungu obukhulu.

3. Isiguli sidinga isikhathi esingakanani ukugqoka i-axial straight type fixator yangaphandle? Ubude besikhathi sokulungiswa kwangaphandle siyahlukahluka kuye ngohlobo lokuphuka noma isimo esiphathwayo, kodwa ngokuvamile sithatha amaviki ambalwa kuya ezinyangeni ezimbalwa.

4. Ingabe i-axial eqondile yohlobo lwe-axial straight fixator ingalungiswa? Yebo, idivayisi ingalungiswa ukuze inikeze inani elifiswayo lokucindezelwa noma ukuphazamiseka endaweni yokuphuka.

5. Ingabe zikhona ezinye izindlela zokwelapha i-axial straight type fixator yangaphandle? Amadivayisi okulungisa angaphakathi, njengamapuleti nezikulufu, angasetshenziswa ukuze kumiswe ukuphuka, kodwa angase angafaneleki kuzo zonke izimo. Ezinye izinto zokulungisa zangaphandle, njengezilungisi eziyindilinga noma izilungisi ezixubile, nazo zingasetshenziswa kuye ngezidingo zesiguli.