I-Pelvic Fragment Isilungisi sangaphandle - Uhlobo B

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. Kusetshenziswa okukhethekile Izikulufu zamathambo (okuvame ukubizwa ngokuthi izikhonkwane) ezidlula esikhumbeni nasemsipha, isilungisisi sixhunywa ethanjeni elilimele ukuze siligcine lihambisana kahle njengoba liphola.

Isetshenziselwa ini i- 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 Isilungisi sangaphandle ?

Kunezinhlobo ezintathu eziyisisekelo ze Izilungisi zangaphandle : i-uniplanar fixator ejwayelekile, 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 Isilungisi sangaphandle : 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. I-pelvic Izilungisi zangaphandle ingenye yezindlela eziningi zokwelapha zokuphuka kwe-pelvic. Kulesi sihloko, sizoxoxa ngesiqephu se-pelvic Isilungisi sangaphandle , izinkomba zayo, ukuphikisana, 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. I-pelvic Izilungisi zangaphandle ingenye yezindlela eziningi zokwelapha zokuphuka kwe-pelvic. Banikeza ukuzinza, ukusekela, nokuqondanisa kwamathambo e-pelvic ngenkathi bevumela ukuhlanganisa kusenesikhathi.

Izinkomba

I-pelvic Izilungisi zangaphandle ikhonjiswe ezimeni 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

I-Pelvic Izilungisi zangaphandle ivinjelwa ezimeni ezilandelayo:

• Ukulimala okukhulu kwezicubu ezithambile noma ukutheleleka

• Ukungaqini kwe-pelvic okungenakuncishiswa ngokwanele

• Ukulimala kwemithambo engakwazi ukulawuleka

• Ukulimala okuhambisanayo okuvimbela ukulungiswa kwangaphandle

Icebo

I-pelvic Isilungisi sangaphandle 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

I-Pelvic Izilungisi zangaphandle ihlotshaniswa nezinkinga ezimbalwa, okuhlanganisa:

• I-Pin tract infection

• Phina ukukhulula noma ukuphuka

• Ukufuduka kwenduku noma ukufuduka

• Ukulimala kwe-Neurovascular

• Izilonda zokucindezela

• Ukulahlekelwa ukuncishiswa noma ukuqondanisa

• Ukungasebenzi kahle kwezocansi

Imiphumela

I-pelvic Izilungisi zangaphandle iboniswe ukuthi iyasebenza ekuqiniseni ukuphuka kwe-pelvic kanye 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

I-Pelvic Izilungisi zangaphandle iyithuluzi 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. Yini i-pelvic Isilungisi sangaphandle ? I-pelvic Isilungisi sangaphandle iyithuluzi elisetshenziselwa ukuzinzisa kanye nokuqondisa amathambo e-pelvis ezigulini eziphuka i-pelvic.

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

3. Yiziphi izinkomba ze-pelvic Isilungisi sangaphandle ? I-pelvic Izilungisi zangaphandle iboniswa ekuphazanyisweni kweringi ye-pelvic ngokususwa noma ukungazinzi, ukuvuleka kwe-pelvic fracture, i-acetabular fracture ngokususwa noma ukuhlangana, ukuphuka okuyinkimbinkimbi okubandakanya ijoyinti le-sacroiliac, kanye nokulimala okuhambisanayo okuvimbela ukuhlinzwa.