Khalisa Isilungisi sangaphandle

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.

Khalisa Isilungisi sangaphandle

Inombolo yepholisi: 6100-1207

Isetshenziselwa: Femur, Tibia

Ukucushwa: Amasongo anendlebe engu-1, amasongo anezindlebe eziyisithupha, okuthunyelwe okujwayelekile 6 ama-pcs.

Indandatho Isilungisi sangaphandle : Umhlahlandlela Ophelele

Uma kuziwa ekwelapheni ukuphuka okuyinkimbinkimbi nokukhubazeka kwamathambo, odokotela abahlinzayo bamathambo bavame ukuthembela kumadivayisi okulungisa angaphandle. Enye yezinto eziguquguqukayo nezisebenzayo Izilungisi zangaphandle iringi Isilungisi sangaphandle . Lo mshini uqukethe izindandatho eziyindilinga, izinduku zokuxhuma, nezinhlobo ezihlukahlukene zezikhonkwane nezintambo ezisetshenziselwa ukubamba amathambo aphukile noma akhubazekile. Kulesi sihloko, sizohlinzeka ngomhlahlandlela ophelele kwendandatho Isilungisi sangaphandle , ofaka umlando wayo, izinhlobo, izinhlelo zokusebenza, kanye nezinkinga ezingaba khona.

Umlando Wokulungiswa Kwangaphandle Kwendandatho

Umqondo wokulungiswa kwangaphandle uhlehlela ezikhathini zasendulo, lapho izintambo ezenziwe ngokhuni, insimbi, noma isikhumba zazisetshenziselwa ukuvala izitho eziphukile. Nokho, kwaze kwaba ngasekuqaleni kwekhulu lama-20 lapho indandatho yokuqala Isilungisi sangaphandle yasungulwa udokotela ohlinzayo waseJalimane uDkt. Gavril Ilizarov . Ukusungulwa kuka Ilizarov , okwaziwa ngokuthi Ilizarov amathuluzi, kuguqule ukwelashwa kokuphuka kwamathambo okuyinkimbinkimbi nokukhubazeka, futhi kusukela ngaleso sikhathi kuye kwamukelwa kabanzi ngodokotela bamathambo emhlabeni jikelele.

I-Anatomy of the Ring Isilungisi sangaphandle

Iringi Isilungisi sangaphandle iqukethe izingxenye ezimbalwa, okuhlanganisa izindandatho eziyindilinga, izinduku zokuxhuma, nezikhonkwane/izintambo. Amasongo ngokuvamile enziwe ngensimbi engagqwali noma i-titanium, futhi atholakala ngobukhulu obuhlukahlukene kanye nokwakheka ukuze amukele izifunda ezihlukahlukene ze-anatomical. Izinduku zokuxhuma nazo zenziwe ngensimbi futhi zisetshenziselwa ukuxhuma izindandatho komunye nomunye. Izikhonkwane nezintambo zifakwa esikhumbeni nasethanjeni, zinikeze ukuzinza nokusekelwa kwethambo eliphukile noma elikhubazekile.

Izinhlobo Zokulungiswa Kwangaphandle Kwendandatho

Kunezinhlobo eziningana zemishini yokulungisa yangaphandle eyindandatho, ngayinye inomklamo wayo othile kanye nokusebenza kwayo. Ezinye zezinhlobo ezivame kakhulu zihlanganisa:

Ilizarov I-Fixator

Isilungisi Ilizarov siyindandatho yoqobo Isilungisi sangaphandle eyakhiwe uDkt. Gavril Ilizarov . Iqukethe izindandatho eziyindilinga ezixhunywe ngezinduku ezinezintambo, futhi zivikelekile ethanjeni kusetshenziswa izintambo ezincane noma izikhonkwane eziyingxenye. Isilungisi se Ilizarov sisebenza ngezindlela ezihlukahlukene kakhulu futhi singasetshenziswa ukwelapha izimo ezihlukahlukene zamathambo, okuhlanganisa ukuphuka okuyinkimbinkimbi, izifo zamathambo, nokungavumelani kobude bezitho.

I-Taylor Spatial Frame

I-Taylor Spatial Frame indandatho yesimanje Isilungisi sangaphandle ehlanganisa izimiso ze- Ilizarov fixator nobuchwepheshe obusizwa ngekhompuyutha. Iqukethe ama-struts ayisithupha alungisekayo axhunywe kwendandatho ekugcineni ngakunye, futhi angalungiswa ngezinhlangothi ezintathu ukuze kulungiswe ukukhubazeka kwamathambo noma ukungafani kobude. I-Taylor Spatial Frame iwusizo ikakhulukazi ekwelapheni ukukhubazeka okuyinkimbinkimbi kwamathambo amade, njengokukhothama noma ukusonteka.

Isiyingi Isilungisi sangaphandle

Isiyingi Isilungisi sangaphandle inguqulo elula ye- Ilizarov fixator, ehlanganisa izindandatho eziyindilinga ezixhunywe ngezinduku ezibushelelezi. Ivame ukusetshenziselwa ukuzinzisa ukuphuka kanye nokulimala kwezicubu ezithambile zonyawo kanye neqakala.

Izicelo Zokulungiswa Kwangaphandle Kwendandatho

Iringi Isilungisi sangaphandle inezinhlelo zokusebenza eziningi ekuhlinzweni kwamathambo, okuhlanganisa:

• Ukwelashwa kwama-fractures ayinkimbinkimbi angeke aphathwe ngezindlela zendabuko zokuphonsa noma zokucwenga.

• Ukulungiswa kokukhubazeka kwamathambo, njengokungafani kobude bezitho, ukukhubazeka kwe-angular, noma ukukhubazeka kokujikeleza.

• Ukulawulwa kwezifo zamathambo, njenge-osteomyelitis, ngokuhlinzeka ngokulungiswa okuzinzile nokukhuthaza ukuvuselelwa kwamathambo.

• Ukwakhiwa kabusha kwezicubu zamathambo ezilimele noma ezilahlekile, kusetshenziswa amasu afana nokuphazamiseka kwe-osteogenesis noma ukuthuthwa kwethambo.

Izinkinga Ezingaba Khona Zokulungiswa Kwangaphandle Kwendandatho

Njenganoma iyiphi inqubo yokuhlinza, ukulungisa indandatho yangaphandle kunezingozi ezithile kanye nezinkinga ezingaba khona. Ezinye zezinkinga ezivame kakhulu zihlanganisa:

• Izifo ze-pin site: Izikhonkwane nezintambo ezisetshenziselwa ukulungiswa kwangaphandle zingabangela ukutheleleka uma zinganakekelwa kahle noma uma isikhumba esizungeze izikhonkwane sicasuka.

• Ukuqina kwamalunga: Ukumiswa kwe-immobil okuhlala isikhathi eside okuhlotshaniswa nokulungiswa kwangaphandle kwendandatho kungaholela ekuqineni kwamalunga kanye nokunciphisa ububanzi bokunyakaza.

• Ukulimala kwemizwa: Izikhonkwane nezintambo ezisetshenziswa ekulungiseni kwangaphandle zingabangela ukulimala kwezinzwa uma zifakwe zijule kakhulu noma uma zihlangana ngqo nezinzwa.

• Ukuhluleka kwezingxenyekazi zekhompuyutha: Amaringi, izinduku, izikhonkwane, nezintambo ezisetshenziswa ekulungiseni kwangaphandle zingaphuka noma zikhishwe, okuholela ekulahlekelweni kokuzinza kanye nokwehluleka okungenzeka kwenqubo.

Ukuze kuncishiswe ubungozi bezinkinga, kubalulekile ezigulini ezilungiswa ngendandatho yangaphandle ukuthi zilandele eduze imiyalelo yazo kadokotela ohlinzayo yokunakekelwa nokunakekelwa kwedivayisi, okuhlanganisa ukuhlanzeka okufanele kwendawo yamaphini kanye nokuqokwa kokulandelela njalo.

Isiphetho

Iringi Isilungisi sangaphandle iyidivayisi esebenza kahle kakhulu futhi eguquguqukayo yokwelapha ukuphuka okuyinkimbinkimbi, ukukhubazeka kwamathambo, nezinye izimo zamathambo. Idizayini yayo eyingqayizivele kanye nezinhlelo eziningi ezisetshenziswayo kuyenze yaba ithuluzi elibalulekile kukhithi yamathuluzi kadokotela ohlinzayo wamathambo. Kodwa-ke, njenganoma iyiphi inqubo yokuhlinza, ukulungisa indandatho yangaphandle kunezingozi ezithile kanye nezinkinga ezingaba khona, ezingancishiswa ngokunakekelwa okufanele kanye nokulandelelwa eduze nodokotela ohlinzayo wamathambo onekhono.

Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ukululama ekulungisweni kwangaphandle kwendandatho? Ubude bokululama buncike ohlotsheni nobukhulu besimo eselashwayo, kanye nempilo yesiguli iyonke kanye nokuthobela imiyalelo yokunakekelwa kwangemva kokuhlinzwa. Ezinye iziguli zingadinga izinyanga ezimbalwa zokunganyakazi kanye nokuvuselelwa ngaphambi kokubuyela emisebenzini evamile.

2. Ingabe ukulungiswa kwendandatho yangaphandle kubuhlungu? Ukufakwa kwezikhonkwane nezintambo kungabangela ukungaphatheki kahle noma ubuhlungu, obungalawuleka ngemithi yezinhlungu noma i-anesthesia yendawo. Iziguli zingase futhi zithole ukungakhululeki noma ukuqina phakathi nesikhathi sokungakwazi ukuhamba, kodwa lokhu kuvame ukuba ngcono njengoba ithambo liphulukisa futhi ukuvuselelwa kuqhubeka.

3. Ingabe i-ring yangaphandle yokulungisa ingasetshenziselwa iziguli zezingane? Yebo, ukulungiswa kwangaphandle kwendandatho kungasetshenziswa ezigulini zezingane ezinemifantu eyinkimbinkimbi noma ekhubazekile. Kodwa-ke, ukunakekelwa okukhethekile kufanele kuthathwe ukuze kuqinisekiswe ukukhula nokuthuthukiswa okufanele kwesitho esithintekile, kanye nokunciphisa ingozi yezinkinga ezifana nokutheleleka kwendawo yephini noma ukulimala kwepuleti lokukhula.

4. Iringi Isilungisi sangaphandle idinga ukuhlala isikhathi esingakanani? Ubude besikhathi i Isilungisi sangaphandle okudingeka ibe khona buncike ohlotsheni nobukhulu besimo esiphathwayo, kanye nempendulo yomuntu ngamunye yesiguli ekwelashweni. Kwezinye izimo, i Isilungisi sangaphandle ingase idinge ukuthi ibe khona izinyanga ezimbalwa noma kuze kube unyaka.

5. Ingabe ngizokwazi ukubuyela emisebenzini evamile ngemva kokulungiswa kwangaphandle kokukhala? Ezimweni eziningi, iziguli ziyakwazi ukubuyela emisebenzini evamile ngemva kokuthi i Isilungisi sangaphandle isusiwe futhi ithambo selipholile. Kodwa-ke, lokhu kungancika ohlotsheni nobukhulu besimo esiphathwayo, kanye nendlela isiguli esisabela ngayo ekwelashweni. Udokotela wakho ohlinzayo angakunikeza isiqondiso ngomugqa wesikhathi ofanelekile wokuqalisa kabusha imisebenzi ethile.