I-Knee Joint External 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-Knee Joint External Fixator: Umhlahlandlela Ophelele Wodokotela Abahlinza Amathambo

Ukulimala kwamalunga edolo kungabangela ubuhlungu obukhulu nokungakhululeki ezigulini. Ezimweni ezimbi kakhulu, iziguli zingadinga ukungenelela kokuhlinzwa ukuze kulungiswe inkinga. Odokotela abahlinzayo bamathambo bavame ukusebenzisa ama-fixators angaphandle ukuze baphathe ukulimala kwamadolo. Lawa madivaysi asetshenziselwa ukuzinzisa ukuhlangana kwamadolo futhi kube lula ukuphulukiswa. Kulesi sihloko, sizohlola izici ezihlukahlukene ze-knee joint fixator yangaphandle.

Isingeniso

Kulesi sigaba, sizokwethula kafushane i-knee joint fixator kanye nenhloso yayo. Sizophinde sixoxe ngezinzuzo zokusebenzisa izilungisi zangaphandle uma kuqhathaniswa nezinye izindlela zokwelapha.

I-Anatomy ye-Knee Joint

Kulesi sigaba, sizoxoxa nge-anatomy ye-knee joint. Sizohlola izingxenye ezihlukene zejoyinti lamadolo, okuhlanganisa amathambo, imigqa, imisipha, ne-cartilage. Ukuqonda i-anatomy ye-joint joint kubalulekile ukuze odokotela abahlinzayo bamathambo benze ngempumelelo ukuhlinzwa besebenzisa ama-fixators angaphandle.

Izinhlobo ze-Knee Joint External Fixators

Kulesi sigaba, sizoxoxa ngezinhlobo ezahlukene zama-fixator angaphandle ahlangene amadolo. Sizohlola umehluko phakathi kwe-circular, hybrid, kanye ne-monolateral fixator. Uhlobo ngalunye lwe-fixator lunezinzuzo zalo eziyingqayizivele kanye nezithiyo, futhi kubalulekile ukuthi odokotela abahlinzayo bamathambo baqonde ukuthi yiluphi uhlobo olufanelekela isiguli ngasinye.

Izinkomba Zokusebenzisa I-Knee Joint External Fixators

Kulesi sigaba, sizoxoxa ngezinkomba ezahlukene zokusebenzisa ama-fixator angaphandle ahlangene amadolo. Sizohlola izinhlobo zokulimala kwamadolo okuhlangene okungaphathwa kusetshenziswa izilungisi zangaphandle, njengokuphuka, ukuhlukaniswa, nokulimala kwe-ligament. Sizophinde sixoxe ngezinzuzo zokusebenzisa izilungisi zangaphandle ekwelapheni lokhu kulimala uma kuqhathaniswa nezinye izindlela zokwelapha.

Isu Lokuhlinza Lokulungiswa Kwangaphandle Kwamadolweni Okuhlangene

Kulesi sigaba, sizoxoxa ngendlela yokuhlinzwa yokulungiswa kwangaphandle kwamadolo ahlangene. Sizohlola izinyathelo ezihilelekile kule nqubo, okuhlanganisa ukuhlela ngaphambi kokuhlinzwa, ukubeka isiguli, kanye nokusetshenziswa kwe-fluoroscopy. Sizophinde sixoxe ngokunakekelwa kwangemva kokuhlinzwa okudingekayo ezigulini eziye zabhekana nokulungiswa kwangaphandle kwamadolo.

Izinkinga Zokulungiswa Kwangaphandle Kwamadolweni Okuhlangene

Kulesi sigaba, sizoxoxa ngezinkinga ezahlukene ezingase zivele ekulungiseni kwangaphandle kwamadolo ahlangene. Sizohlola izinkinga ezijwayelekile ezifana nokutheleleka kwephinikhodi, ukuqina kwamadolo, nokulimala kwemithambo yegazi. Sizophinde sixoxe ngokuthi odokotela bamathambo bangazivikela kanjani lezi zinkinga.

Ukuvuselelwa Ngemva Kokulungiswa Kwangaphandle Kwamadolweni Okuhlangene

Kulesi sigaba, sizoxoxa ngenqubo yokuvuselela iziguli eziye zabhekana nokulungiswa kwangaphandle kwamadolo. Sizohlola izigaba ezahlukene zokuvuselela, okuhlanganisa uhla lokuvivinya umzimba, ukuvivinya umzimba kokuqinisa, nokuzivocavoca okuthwala isisindo. Sizophinde sixoxe ngokubaluleka kokwelashwa ngokomzimba ohlelweni lokubuyisela.

Intuthuko Ekulungiseni Kwangaphandle Okuhlangene Kwamadolo

Kulesi sigaba, sizoxoxa ngentuthuko yakamuva ekulungisweni kwangaphandle okuhlangene kwamadolo. Sizohlola ukusetshenziswa kwamasu okusizwa ngekhompuyutha, ukuphrinta kwe-3D, nezifakelo eziqondene nesiguli. Lezi ntuthuko ziye zashintsha umkhakha wokuhlinzwa kwamathambo futhi zenze ngcono imiphumela yesiguli.

Isiphetho

Kulesi sihloko, sihlole izici ezihlukene zama-fixator angaphandle ahlangene amadolo. Sixoxile nge-anatomy ye-knee joint, izinhlobo ze-knee joint fixators zangaphandle, izinkomba zokuzisebenzisa, indlela yokuhlinza, izinkinga ezingase ziphakame, inqubo yokuvuselela, kanye nentuthuko yakamuva emkhakheni. Ukuqonda lezi zici kubalulekile ukuze odokotela abahlinzayo bamathambo belaphe ngempumelelo ukulimala kwamadolo besebenzisa izilungisi zangaphandle.