I-Pelvic Fragment Fixator Yangaphandle - Uhlobo A

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-Pelvic Fragment Fixator Yangaphandle: Umhlahlandlela Ophelele

Isifunda se-pelvic siyisakhiwo esiyinkimbinkimbi esihlinzeka ngokusekela komzimba ophezulu futhi sivikela izitho zokuzala nezokugaya. Ukuphuka kwe-pelvic kungaba kubi kakhulu futhi kubangele ukugula okukhulu nokufa. Izilungisi zangaphandle ze-pelvic zingenye yezinketho eziningi zokwelapha zokuphuka kwe-pelvic. Kulesi sihloko, sizoxoxa nge-fixator yangaphandle ye-pelvic fragment, izinkomba zayo, ukuphikisa, amasu, izinkinga, nemiphumela.

Isingeniso

Ukuphuka kwe-pelvic kuyimbangela enkulu yokugula nokufa kweziguli ezihlukumezekile. Zingenzeka ngenxa yezingozi zesivinini esikhulu, ukuwa ukusuka endaweni ephakeme, noma ukuhlukumezeka kwesivinini esiphansi. Isifunda se-pelvic sine-anatomy eyinkimbinkimbi enezakhiwo eziningi zamathambo, futhi ukuphuka kungabangela ukufuduka okuphawulekayo, ukungazinzi, nokopha. Izilungisi zangaphandle ze-pelvic zingenye yezinketho eziningi zokwelapha zokuphuka kwe-pelvic. Banikeza ukuzinza, ukusekela, nokuqondanisa kwamathambo e-pelvic ngenkathi bevumela ukuhlanganisa kusenesikhathi.

Izinkomba

Izilungisi zangaphandle ze-pelvic zikhonjiswa ezimweni ezilandelayo:

• Ukuphazamiseka kweringi ye-pelvic ngokususwa noma ukungazinzi

• Vula ukuphuka kwe-pelvic

• Ukuphuka kwe-acetabular ngokususwa noma ukuqhutshwa

• Ukuphuka okuyinkimbinkimbi okubandakanya i-sacroiliac joint

• Ukulimala okuhambisanayo okuvimbela ukuhlinzwa

Contraindications

Izihlungi zangaphandle ze-pelvic ziphikisana kulezi zimo ezilandelayo:

• Ukulimala okukhulu kwezicubu ezithambile noma ukutheleleka

• Ukungaqini kwe-pelvic okungenakuncishiswa ngokwanele

• Ukulimala kwemithambo engakwazi ukulawuleka

• Ukulimala okuhambisanayo okuvimbela ukulungiswa kwangaphandle

Icebo

I-fixator yangaphandle ye-pelvic iqukethe izingxenye ezimbili eziyinhloko: izikhonkwane nezinduku zokuxhuma. Izikhonkwane zifakwe ku-iliac crest kanye nesifunda se-supra-acetabular ye-pelvis ngaphansi kokuqondisa kwe-fluoroscopic. Izikhonkwane kufanele zibekwe eduze nendawo yethambo futhi okungenani zibe ngu-2 cm kude nezakhiwo ze-neurovascular. Izinduku zokuxhuma zibe sezixhunywa ezikhonkwane futhi zilungiswe ukuze kuzuzwe ukunciphisa nokuqondanisa okufunayo. Ukunciphisa kufanele kuhlolwe ngaphakathi kokuhlinzwa kusetshenziswa i-fluoroscopy futhi kulungiswe njengoba kudingeka.

Izinkinga

Izilungisi zangaphandle ze-pelvic zihlotshaniswa nezinkinga eziningana, kufaka phakathi:

• Ukutheleleka kwe-pin tract

• Phina ukukhulula noma ukuphuka

• Ukufuduka kwenduku noma ukufuduka

• Ukulimala kwe-Neurovascular

• Izilonda zokucindezela

• Ukulahlekelwa ukuncishiswa noma ukuqondanisa

• Ukungasebenzi kahle kwezocansi

Imiphumela

Izilungisi zangaphandle ze-pelvic ziye zaboniswa ukuthi zisebenza kahle ekuqiniseni ukuphuka kwe-pelvic nokuthuthukisa imiphumela yesiguli. Ukushesha ukuhlanganisa nokuthwala isisindo kungafinyelelwa, okuholela ekunciphiseni ukuhlala esibhedlela, ukulawulwa kwezinhlungu okuthuthukisiwe, nokunciphisa ukugula. Kodwa-ke, izinga lenkinga liphezulu, futhi ukukhetha ngokucophelela isiguli, ukubekwa kwephinikhodi okufanele, nokuqapha ngokucophelela kubalulekile ukuze kuzuzwe imiphumela emihle.

Isiphetho

Izilungisi zangaphandle ze-pelvic ziyithuluzi elibalulekile ekulawuleni ukuphuka kwe-pelvic. Banikeza ukuzinza, ukusekela, nokuqondanisa kuyilapho bevumela ukuhlanganisa kusenesikhathi. Ukukhetha okufanele kwesiguli, ukubekwa kwephinikhodi ngokucophelela, nokuqapha ngokucophelela kubalulekile ukuze kuzuzwe imiphumela emihle.

Imibuzo Evame Ukubuzwa

1. Iyini i-pelvic fixator yangaphandle? I-fixator yangaphandle ye-pelvic iyisisetshenziswa esisetshenziselwa ukuzinzisa nokuqondisa amathambo e-pelvis ezigulini eziphukile ze-pelvic.

2. Sifakwa kanjani isilungisi sangaphandle se-pelvic? Izikhonkwane zifakwe ku-iliac crest kanye nesifunda se-supra-acetabular ye-pelvis ngaphansi kokuqondisa kwe-fluoroscopic.

3. Yiziphi izinkomba ze-fixator yangaphandle ye-pelvic? Izilungisi zangaphandle ze-pelvic ziboniswa ekuphazamisekeni kwendandatho ye-pelvic ngokufuduka noma ukungazinzi, ukuphuka kwe-pelvic okuvulekile, ukuphuka kwe-acetabular ngokufuduka noma ukuhlangana, ukuhlukana okuyinkimbinkimbi okubandakanya ukuhlangana kwe-sacroiliac, nokulimala okuhambisanayo okuvimbela ukuhlinzwa.