I-Ring Fixator Ye-Tibial & Femur Fracture

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.

Sisetshenziselwani 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-Ring Fixator ye-Tibial & Femur Fracture: Uhlolojikelele

Ukuphuka kwe-tibia ne-femur kungase kube inselele ekwelapheni, futhi izindlela zendabuko zokulungisa ezifana namapuleti nezikulufu noma izinzipho ze-intramedullary zingase zinganikezi njalo imiphumela egculisayo. Eminyakeni yamuva nje, ukusetshenziswa kwezilungisi zendandatho sekuye kwanda kakhulu ekwelapheni ukuphuka okuyinkimbinkimbi kwe-tibial kanye ne-femur. Le ndatshana ihlose ukuhlinzeka ngemininingwane ebanzi yezilungisi zendandatho, izinkomba zazo, indlela yokuhlinza, kanye nemiphumela.

Iyini i-Ring Fixator?

I-ring fixator iyisisetshenziswa sokulungisa sangaphandle esihlanganisa izindandatho zensimbi ezixhunywe ngezinduku, izintambo, noma izikulufu. Amasongo aqiniswa ethanjeni ngezikhonkwane noma izintambo ezingena esikhunjeni futhi zibambelele ethanjeni. Idivayisi idala uhlaka oluzinzile oluzungeze umlenze oluvumela ukulawula okunembile kokuma nokuqondanisa kwezingcezu zethambo. Ukuzinza kohlaka kuvumela ukuhlangana kwangaphambi kwesikhathi kanye nokuthwala isisindo, okuholela ekuphulukisweni okusheshayo kanye nemiphumela engcono.

Izinkomba zama-Ring Fixators

Izilungisi zendandatho zikhonjiswe ezinhlobonhlobo ze-tibial kanye ne-femur fractures, okuhlanganisa ukuphuka okuvulekile, okungezona izinyunyana, ama-malunion, kanye nama-fractures anokulimala okukhulu kwezicubu ezithambile. Zibuye zibe usizo ezimweni lapho izindlela zendabuko zokulungisa zingenakwenzeka noma zehlulekile. Ngaphezu kokusetshenziswa kwazo ekuqhekekeni, izilungisi zendandatho nazo zisetshenziselwa izinqubo zokwandisa izitho kanye nokulungisa ukukhubazeka.

Isu Lokuhlinza

Ukubekwa kwesilungisi sendandatho kuyinqubo eyinkimbinkimbi edinga ukuhlela ngokucophelela nokwenziwa ngokucophelela. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia evamile noma i-anesthesia yomgogodla, futhi isiguli sibekwe endaweni ephansi noma ehlangothini kuye ngendawo yokuphuka. Izikhonkwane noma izintambo zifakwe nge-percutaneously noma ngokusebenzisa ama-incisions amancane, futhi izindandatho zifakwe kuzo. Izintambo ziqinisiwe ukuze zinikeze ukuzinza nokucindezelwa endaweni yokuphuka. Ngemva kokubekwa kwefreyimu, ukuqondanisa kwesitho kuyahlolwa futhi kulungiswe njengoba kudingeka. Ngemuva kokuhlinzwa, isiguli sikhuthazwa ukuba siqale ukuhlanganisa nokuthwala isisindo njengoba kubekezelelwe.

Izinkinga

Izinkinga ezihambisana nezilungisi zendandatho zihlanganisa izifo zephina, ukuphuka kwentambo noma iphini, ukuqina kwamalunga, nokulimala kwemithambo yegazi. Izehlakalo zezinkinga zingancishiswa ngokubeka iphinikhodi ngendlela efanele, ukucindezelwa okufanele kwezintambo, nokunakekelwa kwesayithi lephinikhodi okuvamile. Izehlakalo zezinkinga ezinkulu ziphansi, futhi eziningi zingalawulwa ngendlela elondolozayo noma ngezinqubo zokuhlinzwa ezilula.

Imiphumela

Izilungisi zendandatho zibonise imiphumela emihle kakhulu ekwelapheni ukuhlukana okuyinkimbinkimbi kwe-tibial kanye ne-femur. Bavumela ukuthwala isisindo sokuqala, okuholela ekuphulukiseni okusheshayo kanye nemiphumela engcono yokusebenza. Ucwaningo lubonise ukuthi izilungisi zendandatho zinezinga eliphezulu lenyunyana, izinga eliphansi lokutheleleka, nezinga eliphansi lokuphinda lisebenze uma kuqhathaniswa nezindlela ezivamile zokulungisa.

Isiphetho

Izilungisi zendandatho ziyithuluzi elibalulekile ekwelapheni ukuhlukana okuyinkimbinkimbi kwe-tibial kanye ne-femur. Banikeza ukulungiswa okuzinzile, ukulawula okunembile kokuqondanisa, nokuvumela ukuhlanganisa kusenesikhathi kanye nokuthwala isisindo. Nakuba ukubekwa kwesilungisi sendandatho kuyinqubo eyinkimbinkimbi, imiphumela mihle kakhulu, enamazinga aphansi ezinkinga uma kuqhathaniswa nezindlela ezivamile zokulungisa.

Imibuzo Evame Ukubuzwa

1. Ingabe isilungisi sendandatho sibuhlungu?

Nakuba ukubekwa kwe-ring fixator kungabangela ukungakhululeki nobuhlungu, ukuphathwa kwezinhlungu kuyingxenye ebalulekile yohlelo lokunakekelwa kwangemva kokuhlinzwa.

1. Isilungisi sendandatho sihlala isikhathi esingakanani endaweni?

Izilungisi zendandatho ngokuvamile zihlala amasonto ayisithupha kuya kwayisishiyagalombili, ngemva kwalokho zikhishwa ngenqubo elula yokulaliswa ngaphandle.

1. Ngingakwazi ukugeza ngesilungisi sendandatho?

Ukugeza nge-ring fixator kungenzeka ngezinyathelo zokuphepha ezifanele. Mboza uhlaka ngekhava engangenisi amanzi noma isikhwama sepulasitiki ukuze uhlale womile.