Uhlobo lwe-Dynamic Axial Straight Isilungisi sangaphandle

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. Kusetshenziswa okukhethekile Izikulufu zamathambo (okuvame ukubizwa ngokuthi izikhonkwane) ezidlula esikhumbeni nasemsipha, isilungisisi sixhunywa ethanjeni elilimele ukuze siligcine lihambisana kahle njengoba liphola.

Isetshenziselwa ini i- 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 Isilungisi sangaphandle ?

Kunezinhlobo ezintathu eziyisisekelo ze Izilungisi zangaphandle : i-uniplanar fixator ejwayelekile, 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 Isilungisi sangaphandle : Umhlahlandlela ophelele

Uma kuziwa ekwelapheni ukuphuka nezinye izimo zamathambo, Izilungisi zangaphandle idlala indima ebalulekile ekulawuleni nasekuvuseleleni iziguli. Enye Isilungisi sangaphandle iwuhlobo oluqondile lwe-axial Isilungisi sangaphandle , oluthole ukuduma phakathi kodokotela abahlinzayo bamathambo ngenxa yomklamo nokusebenza okuyingqayizivele. Kulo mhlahlandlela obanzi, sizongena sijule emininingwaneni yohlobo oluqondile lwe-axial Izilungisi zangaphandle , okuhlanganisa ukuklama kwayo, izinkomba, izinzuzo, kanye nemikhawulo.

1. Isingeniso

Uhlobo oluqondile lwe-axial Isilungisi sangaphandle luyidivayisi yangaphandle esetshenziselwa ukuzinzisa ukuphuka noma izingcezu zamathambo ezigulini. Kuvame ukusetshenziswa ezimeni lapho ukulungiswa kwangaphakathi kungeyona inketho, noma lapho kunesidingo sokuphazamiseka okulawulwayo noma kancane kancane noma ukucindezelwa kwesayithi lokuphuka. Uhlobo oluqondile lwe-axial Isilungisi sangaphandle luvumela ukucindezelwa kwe-axial nokuphazamiseka, kanye nokunyakaza okujikelezayo nokuhumusha, okwenza kube nezinto ezihlukahlukene kakhulu ekwelapheni izimo ezihlukahlukene zamathambo.

2. Yini i-Dynamic Axial Straight Type Isilungisi sangaphandle ?

Uhlobo oluqondile lwe-axial Isilungisi sangaphandle luyidivayisi yangaphandle eyenziwe nge-metallic noma i-carbon fibre rod, exhunywe kuma-clamp 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 Zohlobo Lwe-Dynamic Axial Straight Isilungisi sangaphandle

Uhlobo oluqondile lwe-axial Isilungisi sangaphandle ngokuvamile luqukethe 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 zohlobo lwe-Dynamic Axial Straight Isilungisi sangaphandle

Uhlobo oluqondile lwe-axial Isilungisi sangaphandle lukhonjiswe lezi 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 Zohlobo Lwe-Dynamic Axial Straight Isilungisi sangaphandle

Uhlobo oluqondile lwe-axial Isilungisi sangaphandle lunezinzuzo ezimbalwa kunezinye 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 yohlobo lwe-Dynamic Axial Straight Isilungisi sangaphandle

Ngaphandle kwezinzuzo zayo, uhlobo oluqondile lwe-axial Isilungisi sangaphandle lunemikhawulo ethile okufanele inakwe, okuhlanganisa:

• Ingozi yokutheleleka nge-pin tract, okungaholela kwezinye izinkinga

• Isidingo sokuqapha okuqinile 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. Ibekwe kanjani i-Dynamic Axial Straight Type Isilungisi sangaphandle ?

Ukubekwa kohlobo oluqondile lwe-axial Isilungisi sangaphandle ngokuvamile kwenziwa ngaphansi kwe-anesthesia evamile noma yesifunda egumbini lokuhlinza. Inqubo ihlanganisa ukufaka izikhonkwane noma izinsimbi ethanjeni kude nesayithi lokuphuka, okulandelwa ukusetshenziswa kwedivayisi ye Isilungisi sangaphandle ukuxhuma izikhonkwane/izinsimbi ngezinduku.

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

8. Ukunakekelwa Nokugcinwa Kohlobo Lwe-Dynamic Axial Straight Isilungisi sangaphandle

Ukunakekelwa okufanele nokugcinwa kohlobo oluqondile lwe-axial Isilungisi sangaphandle kubalulekile ukuze kuvinjwe izinkinga ezifana nokutheleleka kwe-pin tract 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 Nohlobo Lwe-Dynamic Axial Straight Isilungisi sangaphandle

Izinkinga ezihlobene nohlobo oluqondile lwe-axial Izilungisi zangaphandle lungabandakanya:

• Ukutheleleka kwe-pin tract

• 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 Isilungisi sangaphandle iyithuluzi elibalulekile ekulawuleni ukuphuka nezinye izimo ze-orthopedic, enikeza izinzuzo ezihlukile kunezinye 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 uhlobo oluqondile lwe-axial Isilungisi sangaphandle ? Ukubekwa kohlobo oluqondile lwe-axial Isilungisi sangaphandle ngokuvamile kuthatha amahora ambalwa, kuye ngobunkimbinkimbi bokuphuka kanye nesimo somzimba wesiguli.

2. Ingabe uhlobo oluqondile lwe-axial Isilungisi sangaphandle lubuhlungu? Ukubekwa kohlobo oluqondile lwe-axial Isilungisi sangaphandle kungase kungakhululeki, kodwa idivayisi ngokwayo akufanele ibangele ubuhlungu obukhulu.

3. Isiguli sidinga isikhathi esingakanani ukugqoka uhlobo oluqondile lwe-axial Isilungisi sangaphandle ? Ubude besikhathi sokulungiswa kwangaphandle siyahlukahluka kuye ngohlobo lokuphuka noma isimo esiphathwayo, kodwa ngokuvamile sithatha amaviki ambalwa kuya ezinyangeni ezimbalwa.

4. Ingabe uhlobo oluqondile lwe-axial oluguqukayo Isilungisi sangaphandle lungalungiswa? Yebo, idivayisi ingalungiswa ukuze inikeze inani elifiswayo lokucindezelwa noma ukuphazamiseka endaweni yokuphuka.

5. Ingabe zikhona ezinye izindlela zokwelapha zohlobo oluqondile lwe-axial Isilungisi sangaphandle ? 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.