I-Elbow Joint Fixator

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-Elbow Joint Fixator: Umhlahlandlela Ophelele

I-elbow fractures ukulimala okuvamile okungaholela ekukhubazekeni okukhulu nobuhlungu. Nakuba ukuphuka okungasuswanga noma okufuduka kancane kungelashwa ngendlela elondolozayo, ukuphuka okususiwe ngokuvamile kudinga ukungenelela kokuhlinzwa. Izilungisi zokuhlanganisa indololwane zingenye yezinketho ezitholakalayo zokwelapha ukuphuka kwendololwane okususiwe. Le ndatshana ihlose ukuhlinzeka ngomhlahlandlela ophelele wezilungisi ezihlangene zendololwane, okuhlanganisa izinkomba zazo, indlela yokuhlinza, imiphumela, kanye nezinkinga ezingaba khona.

Iyini i-Elbow Joint Fixator?

I-fixator ehlangene yendololwane iyisisetshenziswa sangaphandle esisetshenziselwa ukumisa ukuphuka kwendololwane. Idivayisi iqukethe izikhonkwane zensimbi noma izintambo ezifakwa esikhumbeni nasethanjeni, ezibe sezixhunywa kuhlaka oluzungeza ilunga lendololwane. Uhlaka luvikelwe ethanjeni ngezinsimbi, futhi izikhonkwane noma izintambo ziqinisiwe ukunikeza ukuzinza endaweni yokuphuka.

Izinkomba ze-Elbow Joint Fixators

Ama-fixator ahlangene e-elbow aboniswa ezinhlobonhlobo zokuphuka kwendololwane, okuhlanganisa ukuphuka kwe-intra-articular, ukuphuka okuvulekile, nalabo abanokulimala okuphawulekayo kwezicubu ezithambile. Ziwusizo ikakhulukazi ezimeni lapho izindlela zendabuko zokulungisa, njengamapuleti nezikulufu noma izinzipho ze-intramedullary, zingenzeki. Izilungisi ezihlangene zendololwane nazo ziwusizo ezimeni lapho ibanga lokuqala lokunyakaza lifiseleka, njengoba linikeza ukulungiswa okuzinzile kuyilapho livumela ukuhlanganisa kusenesikhathi.

I-Surgery Technique

Ukubekwa kwe-fixator ehlangene ye-elbow kuyinqubo eyinkimbinkimbi edinga ukuhlela ngokucophelela nokwenza. Ukuhlinzwa ngokuvamile kwenziwa ngaphansi kwe-anesthesia ejwayelekile, futhi isiguli sibekwe endaweni ephansi noma ehlangothini. Izikhonkwane noma izintambo zifakwe nge-percutaneously noma ngokusebenzisa izimbobo ezincane, futhi ifreyimu ifakwe kuzo. Izintambo ziqinisiwe ukuze zinikeze ukuzinza nokucindezelwa endaweni yokuphuka. Ngemva kokubekwa kohlaka, ukuqondanisa kwendololwane kuyahlolwa futhi kulungiswe njengoba kudingeka. Ngemuva kokuhlinzwa, isiguli sikhuthazwa ukuba siqale uhla lokuqala lokuzivocavoca umzimba.

Izinkinga

Izinkinga ezihambisana nezilungisi ezihlangene zendololwane zihlanganisa izifo zephinikhodi, ukuphuka kwentambo noma iphini, ukuqina kwamalunga, nokulimala kwemithambo yegazi. Izehlakalo zezinkinga zingancishiswa ngokubeka iphinikhodi ngendlela efanele, ukucindezelwa okufanele kwezintambo, nokunakekelwa kwesayithi lephinikhodi okuvamile. Izehlakalo zezinkinga ezinkulu ziphansi, futhi eziningi zingalawulwa ngendlela elondolozayo noma ngezinqubo zokuhlinzwa ezilula.

Imiphumela

Izilungisi zokuhlanganisa indololwane zibonise imiphumela emihle kakhulu ekwelapheni ukuphuka kwendololwane okususiwe. Bavumela uhla lokuqala lokunyakaza, okuholela ekuphulukiseni okusheshayo kanye nemiphumela engcono yokusebenza. Ucwaningo luye lwabonisa ukuthi izilungisi ezihlangene zendololwane zinezinga eliphezulu lenyunyana, izinga lokutheleleka eliphansi, nezinga eliphansi lokusebenza kabusha uma kuqhathaniswa nezindlela zendabuko zokulungisa.

Isiphetho

Izilungisi zokuhlanganisa indololwane ziyithuluzi elibalulekile ekwelapheni ukuphuka kwendololwane okususiwe. Ahlinzeka ngokulungiswa okuzinzile, ukulawula okunembile kokuqondanisa, futhi avumele uhla lwangaphambi kwesikhathi lokunyakaza. Nakuba ukubekwa kwesilungisi sokuhlanganisa indololwane kuyinqubo eyinkimbinkimbi, imiphumela mihle kakhulu, enamazinga aphansi ezinkinga uma kuqhathaniswa nezindlela ezivamile zokulungisa.

Imibuzo Evame Ukubuzwa

1. Ingabe i-elbow fixator ibuhlungu?

Nakuba ukubekwa kwe-fixator ehlangene ye-elbow kungabangela ukungakhululeki nobuhlungu, ukuphathwa kobuhlungu kuyingxenye ebalulekile yohlelo lokunakekelwa kwangemva kokuhlinzwa.

1. Ihlala isikhathi esingakanani i-elbow joint fixator?

Izihlungi zokuhlanganisa indololwane ngokuvamile zihlala amasonto ayisithupha kuya kwayisishiyagalombili, ngemva kwalokho zikhishwa ngenqubo elula yokulaliswa ngaphandle.

1. Ngingakwazi ukugeza nge-fixator ehlangene yendololwane?

Ukugeza nge-fixator ehlangene ye-elbow kungenzeka ngezinyathelo ezifanele zokuphepha. Mboza uhlaka ngekhava engangenisi amanzi noma isikhwama sepulasitiki ukuze uhlale womile.

1. Kuthatha isikhathi esingakanani ukululama ekuqhekekeni kwendololwane okulashwe ngokulungiswa okuhlangene kwendololwane?