Ungayisusa kanjani isipikili esijwayelekile?

Ukususwa kwezipikili ze-intrametullary kuyindlela ejwayelekile, njengoba umenzi ngamunye ehlinzeka ngamathuluzi afanele wokususa. Kodwa-ke, isidingo sangempela sokususa isipikili esiphelele se-intrametuvary siyivelakancane. Lapho nje kuqhume izipikili ezihlanganayo, isimo siba nzima kakhulu. Ngalesi sikhathi, amathuluzi akhethekile namasu adingekayo ukususa isipikili esijwayelekile.

Ukususwa kwezipikili ze-Universal Universalmentary kanye namasethi wokususa izipikili aphukile kuyatholakala emakethe, futhi la masethi angasiza ekuxazululeni izinkinga ezingenhla. Kodwa-ke, ukuhlinzwa okumpumputhe akunconywa ngaphandle kwamathuluzi akhethekile.

I-oda lapho kususwa khona isipikili se-intramengract kubalulekile. Ngaphambi kokususa ukulungiswa kwangaphakathi, umsila kufanele ubekwe futhi ubekwe. I-Tail Cap ngesinye isikhathi inzima ukukhomba kuma-X-ray, futhi ngalesi sizathu, abanye odokotela abancomi ukusebenzisa i-tail cap ngaphandle kokuthi kukhulise ubude bendawo yokusebenza. Ngemuva kokususa i-tail cap, sebenzisa ingalo yomhlahlandlela ukuqonda isipikili esijwayelekile, bese uqhubekela ekususeni isipikili sokukhiya. Kufanele igcinwe engqondweni ukuthi zonke izikhonkwane ezikhiyayo kufanele zisuswe ngaphambi kokuzama ukususa iPIN enkulu. Uma umenzi we-intramenduvalundary engakhonjwa, kuyadingeka ukudalula ngokwanele isiphetho se-caudal yesipikili se-intramedullary ukucacisa indlela yayo yokubamba, kufaka phakathi i-Thread Type andreas, futhi ukhethe ithuluzi elifanele lokukhipha. Uma umdlalo ophelele ungenzeki, inketho yokusebenzisa ithuluzi lokukhipha le-tapered lingasiza ekubambeni umsila we-intrametuvary nail. Uma ithambo lingrowth emgodini wezipikili noma ngaphezulu kwesipikili lisolwa, izipikili zingatholwa ngaphakathi kumamilimitha ambalwa ngesando esishelelayo ngaphambi kokususwa.

Ukucaciswa okuhlukahlukene kwezikebhe zomsila zenzelwe ukwenza lula ukukhethwa kwe-intraperative futhi kuqinisekiswe ukususwa kwezipikili kwe-intrametundary.

Odokotela abaningana abanolwazi bafingqe inani elikhulu lamasu wokususa izipikili aqhekekile. Uma ukuphela okuphuliwe kokuqhekeka kudinga ukuvulwa ukuze kuhlanze futhi kuncishiswe, i-intramerary nail ingasuswa endaweni ephukile. Ngezansi, sizokwethula kafushane izindlela ezithile zokukhishwa ezingadingi ukuvezwa kokuphela okuphukile.

• Ungayisusa kanjani isipikili esiphukile esiphukile?

Imvamisa, akunzima kakhulu ukususa ingxenye yentengo yesipikili esaphukile esiphukile. Lapho ingxenye yeProximal isusiwe, iba yinselele ukuthi ungayisusa kanjani ingxenye ye-distal ngaphandle kokuvula isiqephu sokuphuka. Ukuvuselela umsele we-proximal medullary ngamamilimitha ambalwa kungahle kube lula ukususwa kwezipikili.

Kusetshenziswa amandla amade noma ama-laparoscopic ama-forceps, ingxenye ye-distal kwesinye isikhathi iyabanjwa futhi isuswe ngempumelelo. Kodwa-ke, ama-forceps amade awanikezi ukubamba okuqinile, futhi ukususwa okuphumelelayo kuya ngokuthi ingxenye ye-distaal isikhululile.

Ukushayela isipikili esincanyana se-intramenduvationary noma i-reger reamer esipikili esiphukile kwesinye isikhathi kwesinye isikhathi siyasiza ukuyikhipha. Ngesikhathi sokushayela, i-dist distal Locking PIN kufanele igcinwe ukugwema ukukhishwa okwengeziwe kwengxenye ye-distal ngesikhathi sokushayela. Lapho isipikili esincanyana noma i-Reamer Rimer etholile ithole ukuzibandakanya okuqinile nengxenye ye-distal, susa isipikili esikhiyiwe dist, bese ungqongqoza ukususa ingxenye ephukile yedwa.

Imibiko yezincwadi eziningi ngokusetshenziswa kwamathuluzi ahlangene ukususa ingxenye ye-distal yezinzipho eziphukile ezihlasele. I-hollow cavity ye-intramerary nail ingagcwaliswa ngezintambo eziningi zemihlahlandlela ngokufana eceleni kwesihloko sokukhishwa ukuze ugweme ukukhubazeka ngesikhathi senqubo yokukhipha. I-Multiple Guide Packing Technique nayo kwesinye isikhathi ihlukile kwezingwegwe zokukhishwa.

Ekugcineni, uma wonke amasu angenhla wokususa amasu angaphumelelanga, ukususwa kwe-distal kwe-intramerary nail kungazanywa. Isibonelo, ingxenye ephukile ye-distal ye-feoveral yemvelo ye-intrametuundary isuswa ngokuvulwa kwe-femur distal femur ngokusebenzisa i-knee ehlanganisiwe. I-drill iqondiswe ekupheleni kokuphela kwesipikili se-intramedullary, futhi ukuvulwa kukhulu ngokwanele ukwamukela ucingo lwe-Olive-Taped Guide nge-gasket. Intambo yomhlahlandlela idluliswa kabusha nge-hollow yesipikili se-intramedullary naky Icebo elifanayo lingasetshenziselwa i-Tibia, ngokufakwa kwe-retrograde kokuvulwa kwe-distal kocingo lomhlahlandlela eMedial Malleolus. Kwesinye isikhathi, i-wire kaSteiner ifakwa ngokuvula futhi yangqongqozwa ngokumelene nezipikili ezaphukile ekugcineni okuqhekekile, ukuze izipikili eziphukile zingahambisa umfutho omncane, okuwusizo ekufakweni kwenaliti yomhlahlandlela.

• Ungayisusa Kanjani Isipikili Esiqinile Esiqinile Esihlanganisiwe?

Izipikili eziqinile ze-intrametullary ngokuvamile zinzima kakhulu ukususa kunezinzipho ze-intrametuundary ezihlaselwe. Amasu alo wokususa afaka ukugcwala kwe-proximal medullary cavity kanye nokubamba okusebenzayo kwesipikili esiphukile se-distal. Izingwegwe ze-laparoscopic claw zingasetshenziselwa ukudonswa kwezipikili eziphukile. Izincwadi ziphinde zabika futhi ama-forceps akhethekile azungeza umsila wesipikili. Kodwa-ke, ukusetshenziswa kwamathuluzi ahlukahlukene kungenzeka kungakwazi ukuqonda ngempumelelo isipikili esiphukile esiphukile. Kulokhu, isipikili esiphukile kufanele sikhishwe ngaphandle komunye umkhawulo wethambo. Umgomo wezobuchwepheshe uyafana nalowo wesipikili se-canctured intramentary. Sebenzisa amathuluzi afana nokushayela okuthambile kanye nezikhonkwane ezilukhuni ukungqongqoza izinzipho eziphukile eziphukile ngokuphela kokuphela.

• Ungasusa Kanjani Isipikili Esiphukile E-Interclomentary?

Ikhanda noma ingxenye ye-Proximal yesikulufa esivumelanayo ngokuvamile ingasuswa kusetshenziswa i-screwdriver ehambelana ne-screwdriver. Kwesinye isikhathi imicu yesikulufa esivumelanayo ingangena ngaphakathi kwethambo, idinga ukulandelwa kwekhanda lesikulufo esinama-forceps kanye ne-screwdriver ukuze ungazingenisi. Amakhanda alonakalisiwe angadinga amathuluzi akhethekile wokususwa, njengamakhithi wokususwa kwangaphakathi afana nokushayela okuhlanganisiwe okuphikisayo. Ingxenye ye-distal yesikulufa ephukile kwesinye isikhathi ikhululwa ngokuphelele, okungathinti ukususwa kwesikulufa esikhulu, futhi kungasala emzimbeni uma kungathinti ukusebenza okulandelayo kokwelashwa. Kodwa-ke, kwesinye isikhathi i-distal nail ephukile ingadala ukuqhekeka kwe-Inkagenic lapho kususwa isipikili esikhulu, futhi kuyadingeka ukuyikhipha. Indlela esetshenziswa kakhulu yinqubo yokucindezela yesikulufa, okungukuthi, isikulufa esikhulu sihoxisiwe esimweni saso sokuqala, ukuze isikulufa isikulufa esikhaleni esifanayo sisemugqeni okhiye, bese isikulufa esiphukile sisuswe ngokusebenzisa i-steri's wire, i-malala induku noma i-screwdriver. I-PIN ikhishwa ngomgodi wePin ku-cortex yama-cortex uqobo futhi isuswe nge-incision ehlukile.

Ungayithenga kanjani izimila zamathambo namathuluzi ama-orthopedic?

Ingomane I-CZMeditech , sinomugqa womkhiqizo ophelele we-Orthopedic Surgery izimila nezinsimbi ezihambisanayo, imikhiqizo kubandakanya izimila ze-spine, Izipikili ze-intramentundary, Ipuleti le-Trauma, Ukukhiya ipuleti, I-Cranial-maxillofacial, UProsuthesis, Amathuluzi Amandla, Finators yangaphandle, I-Arthroscopy, ukunakekelwa kwezilwane kanye nezinsimbi zabo ezisekelayo.

Ngaphezu kwalokho, sizibophezele ekuthuthukiseni ngokuqhubekayo imikhiqizo emisha kanye nokwandisa imigqa yomkhiqizo, ukuze sihlangabezane nezidingo zokuhlinzwa zodokotela neziguli eziningi, futhi zenze inkampani yethu icindezele ngokwengeziwe ezindaweni zonke zemboni yama-orthopedic kanye nemboni yezinsimbi.

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