7100-18
I-CZMEDITECH
I-Titanium
CE/ISO:9001/ISO13485
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Incazelo Yomkhiqizo
Izilungisi zangaphandle zingafinyelela 'ukulawula umonakalo' ekuqhekekeni okunokulimala okunzima kwezicubu ezithambile, futhi zisebenze njengokwelashwa okuqinisekile kokuphuka okuningi. Ukutheleleka kwamathambo kuyinkomba eyinhloko yokusetshenziswa kwezilungisi zangaphandle. Ukwengeza, zingasetshenziselwa ukulungisa ukukhubazeka nokuthutha amathambo.
Lolu chungechunge luhlanganisa amapuleti ayisishiyagalombili angu-3.5mm/4.5mm, Ama-Sliding Locking Plates, nama-Hip Plates, aklanyelwe ukukhula kwamathambo ezingane. Banikeza isiqondiso esizinzile se-epiphyseal kanye nokulungisa ukuphuka, ukuhlalisa izingane ezineminyaka ehlukene.
Uchungechunge lwe-1.5S/2.0S/2.4S/2.7S luhlanganisa okumise okwe-T, okumise okuka-Y, okumise okwe-L, i-Condylar, kanye ne-Reconstruction Plates, elungele ukuphuka kwethambo elincane ezandleni nasezinyaweni, enikeza ukukhiya okunembile kanye nemiklamo ephansi.
Lesi sigaba sihlanganisa i-clavicle, i-scapula, namapuleti e-distal radius/ulnar anomumo we-anatomical, okuvumela ukulungiswa kwesikulufu esinama-engeli amaningi ukuze kuhlanganiswe ukuzinza okuphelele.
Idizayinelwe ukuphuka kwemilenze eyinkimbinkimbi ephansi, lesi simiso sihlanganisa amapuleti e-tibial aseduze/akude, amapuleti e-femoral, namapuleti e-calcaneal, okuqinisekisa ukulungiswa okuqinile nokuhambisana kwe-biomechanical.
Lolu chungechunge luhlanganisa amapuleti e-pelvic, amapuleti okwakhiwa kabusha kwezimbambo, namapuleti e-sternum okuhlukumezeka okukhulu nokuqiniswa kwethorax.
Ukulungiswa kwangaphandle ngokuvamile kuhilela ukusika okuncane kuphela noma ukufakwa kwephinikhodi nge-percutaneous, okubangela ukulimala okuncane ezicutshini ezithambile, i-periosteum, nokunikezwa kwegazi endaweni yokuphuka, okukhuthaza ukuphulukiswa kwamathambo.
Ifaneleka ngokukhethekile ukuphuka okukhulu okuvulekile, ukuphuka okuthelelekile, noma ukuphuka okunomonakalo obalulekile wezicubu ezithambile, njengoba lezi zimo zingafaneleki ukubeka izimila ezinkulu zangaphakathi ngaphakathi kwesilonda.
Njengoba ifreyimu ingaphandle, inikeza ukufinyelela okuhle kakhulu ekunakekelweni kwenxeba okulandelayo, ukuchithwa, ukuxhunyelelwa kwesikhumba, noma ukuhlinzwa kwe-flap ngaphandle kokufaka engozini ukuzinza kokuphuka.
Ngemuva kokuhlinzwa, udokotela angenza izinguquko ezinhle endaweni, ukuqondanisa, nobude bezingcezu zokuphuka ngokuphatha izinduku zokuxhuma kanye namalungu ohlaka lwangaphandle ukuze kuzuzwe ukunciphisa okuhle kakhulu.
Icala1
Uchungechunge Lomkhiqizo
Ibhulogi
Idolo elihlangene lingelinye lamalunga ayinkimbinkimbi kakhulu emzimbeni womuntu. Yilunga elikhulu kunawo wonke futhi lixhuma ithambo lethanga (i-femur) nethambo le-shin (tibia). Ukulimala kwamadolo ahlangene kuvamile futhi kungahluka kusuka ezinhlobonhlobo ezincane kuya ezinyembezini ezinzima ze-ligament noma ukuphuka. Kwezinye izimo, ukuhlinzwa kuyadingeka ukuze kuqiniswe amadolo futhi kukhuthaze ukuphulukiswa. Enye yezindlela zokuhlinza ezisetshenziselwa ukwelapha ukulimala kwamadolo kuyindlela yokulungisa yangaphandle. Lesi sihloko sizonikeza ukubuka kabanzi kwama-fixator angaphandle ahlangene amadolo, okuhlanganisa izinhlobo zawo, izinkomba, kanye nezinzuzo.
I-fixator yangaphandle ehlangene yamadolo iyisisetshenziswa sokuhlinza esisetshenziselwa ukuzinzisa ukuhlangana kwamadolo nokukhuthaza ukuphulukiswa ngemva kokulimala noma ukuhlinzwa. Kuyidivayisi yangaphandle ehlanganiswe nethambo ngezikhonkwane noma izintambo futhi ixhunywe ngezinduku noma ama-struts. I-fixator ibamba amathambo endaweni efanele, evumela ukuthi aphulukise kahle.
Kunezinhlobo ezimbili zama-fixator angaphandle ahlangene amadolo:
I-fixator yangaphandle eyindilinga iqukethe izindandatho ezixhunywe ethanjeni ngezintambo noma izikhonkwane. Amasongo axhunywe ngezinduku noma ama-struts, enza ifreyimu eyindilinga ezungeze isitho. Uhlaka lungalungiswa ukuze lulawule ukuma kwamathambo futhi luvumele ukunyakaza kwelunga.
I-unilateral fixator yangaphandle iyithuluzi elihlanganiswe ohlangothini olulodwa lwethambo ngezikhonkwane noma ngezikulufo. Olunye uhlangothi lwethambo alunqunyelwe, okuvumela ukunyakaza okulawulwayo kokujoyina. Lolu hlobo lwe-fixator aluhlaseli kancane kune-fixator eyindilinga futhi luvame ukusetshenziselwa ukulimala okuncane kakhulu.
Ukulungiswa kwangaphandle okuhlangene kwedolo kuboniswa ezinhlobonhlobo zokulimala nezimo, kuhlanganise:
Ukuphuka kwamadolo ahlangene kungaphathwa ngokulungiswa kwangaphandle. I-fixator ibamba amathambo endaweni efanele ngenkathi ephulukisa.
Ukukhishwa kwamadolo ahlangene nakho kungaphathwa ngokulungiswa kwangaphandle. I-fixator ibamba amathambo endaweni efanele ngenkathi imigqa namathenda ephulukisa.
Ukulimala kwe-Ligament, njengezinyembezi ze-anterior cruciate ligament (ACL), zingelashwa ngokulungiswa kwangaphandle. I-fixator ibamba amathambo endaweni efanele ngenkathi i-ligament iphulukisa.
Ama-osteotomies, okuyizinqubo zokuhlinza ezibandakanya ukusika nokuvuselela amathambo, zingelashwa ngokulungiswa kwangaphandle. I-fixator ibamba amathambo endaweni efanele ngenkathi ephulukisa.
Kwezinye izimo, izifo ezihlangene zamadolo zingaphathwa ngokulungiswa kwangaphandle. I-fixator ivumela ukugeleza okufanele kokutheleleka futhi ivimbele ukulimala okuqhubekayo ekuhlanganyeleni.
Ukulungiswa kwangaphandle okuhlangene kwedolo kunikeza izinzuzo eziningana ngaphezu kwamanye amasu okuhlinza, okuhlanganisa:
Ukulungiswa kwangaphandle kuyindlela encane ehlaselayo engadingi ukusikwa okukhulu noma ukuhlakazwa okubanzi kwezicubu.
Imishini yokulungisa yangaphandle ingenziwa ngendlela oyifisayo ukuze ilingane nokulimala okukhethekile kwesiguli kanye nokwakheka komzimba.
Imishini yokulungisa yangaphandle ingalungiswa ukuze ilawule ukuma kwamathambo nokuvumela ukunyakaza okulawulwayo kokuhlangana.
Ukulungiswa kwangaphandle kuvumela ukuhlanganisa kokuqala kokuhlangana, okungakhuthaza ukuphulukiswa okusheshayo nokuvimbela ukuqina kwamalunga.
Ukulungiswa kwangaphandle kunengozi ephansi yezinkinga uma kuqhathaniswa namanye amasu okuhlinza.
Ukulungiswa kwangaphandle okuhlangene kwedolo kuyindlela ebalulekile yokuhlinza esetshenziselwa ukuzinzisa ukuhlangana kwamadolo nokukhuthaza ukuphulukiswa ngemva kokulimala noma ukuhlinzwa. Inikeza izinzuzo ezimbalwa ngaphezu kwamanye amasu okuhlinza, okuhlanganisa ukuhlinzwa okungavamisile, ukusheshe kuxhunywe ilunga, kanye nengozi encishisiwe yezinkinga. Kunezinhlobo ezimbili zokulungiswa kwangaphandle ezisetshenziselwa ukulimala kwamadolo: i-fixator yangaphandle eyindilinga kanye ne-unilateral fixator yangaphandle. Izinkomba zokulungiswa kwangaphandle kwamadolo ahlangene zihlanganisa ukuphuka, ukuhlukana, ukulimala kwe-ligament, i-osteotomies, nezifo.
Ekuphetheni, ukulungiswa kwangaphandle kwamadolo ahlangene kuyindlela yokuhlinzwa ephumelelayo yokwelapha ukulimala kwamadolo. Ivumela ukuphulukiswa okufanele futhi ikhuthaze ukugqugquzela ukuhlangana kwangaphambi kwesikhathi, okuholela ekululameni okusheshayo nokunciphisa ingozi yezinkinga. Uma uhlushwa ukulimala kwamadolo, kubalulekile ukuxoxa ngezinketho zakho zokwelapha nomhlinzeki wezempilo oqeqeshiwe ukuze anqume ukuthi ukulungiswa kwangaphandle kwangaphandle kwamadolo kulungile yini kuwe.
Ingabe ukulungiswa kwangaphandle kwamalunga edolo kubuhlungu?
Izimpendulo: Iziguli zingase zithole ukungakhululeki ngemva kokuhlinzwa, kodwa ubuhlungu bungalawuleka ngemithi enqunywe umhlinzeki wezempilo.
Kuthatha isikhathi esingakanani ukululama ekuhlinzweni kwangaphandle kokuhlanganisa amadolo?
Izimpendulo: Isikhathi sokululama siyahlukahluka kuye ngobunzima bokulimala kanye nempilo yonke yesiguli. Kungase kuthathe amaviki noma izinyanga ezimbalwa ukululama ngokugcwele.
Ingabe ukulungiswa kwangaphandle okuhlangene kwamadolo kungasetshenziselwa zonke izinhlobo zokulimala kwamadolo?
I-Ans: Cha, ukulungiswa kwangaphandle okuhlangene kwamadolo kuboniswa ngezinhlobo ezithile zokulimala nezimo, njengoba kunqunywe umhlinzeki wezempilo.
Ingabe zikhona izingozi ezihlobene nokuhlinzwa kokulungiswa kwangaphandle kwamadolo ahlangene?
I-Ans: Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezihlobene nokuhlinzwa kokulungiswa kwangaphandle kwamadolo, okuhlanganisa ukutheleleka, ukulimala kwezinzwa, namahlule egazi.
I-fixator yangaphandle igqokwa isikhathi esingakanani ngemva kokuhlinzwa kwamalunga edolo?
Izimpendulo: Ubude besikhathi isilungisi sangaphandle sigqokwa siyahlukahluka kuye ngobunzima bokulimala kanye nenqubekelaphambili yokululama yesiguli. Umhlinzeki wakho wokunakekelwa kwezempilo uzonquma ukuthi isilungisi singasuswa nini.