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
Iyini i-pelvic fixator yangaphandle? I-fixator yangaphandle ye-pelvic iyisisetshenziswa esisetshenziselwa ukuzinzisa nokuqondisa amathambo e-pelvis ezigulini eziphukile ze-pelvic.
Sifakwa kanjani isilungisi sangaphandle se-pelvic? Izikhonkwane zifakwe ku-iliac crest kanye nesifunda se-supra-acetabular ye-pelvis ngaphansi kokuqondisa kwe-fluoroscopic.
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.
