Kufanele asuswe izipikili ezi-inter?

Imvamisa, isipikili se-intramerary singadinga ukususwa ngaphambi kokuba u-nonunion udinga ukuhlinzwa kabusha. Kodwa-ke, lapho ukuqhekeka sekupholile, ukususwa kwe-nail intramerary sekuyimpikiswano. Ubuhlungu obuqhubekayo noma obuqhubekayo ngemuva kokuphulukiswa kokuqhekeka kungaba yinkomba yokususwa kwezipikili. Vele, ukususwa okungaboni kokulungiswa kwangaphakathi kungenzeka kungaxazululeki noma kukhulise inkinga kuze kube yimbangela yobuhlungu ekhonjwe. Udokotela ohlinzayo kufanele acabangele ngokucophelela ukuba khona kwalezi zinkomba ezilandelayo lapho unquma ukuthi uzosusa isipikili esijwayelekile.

• Ubuhlungu obuhlobene ne-Implant

Ubuhlungu obungamahlalakhona elilandela ukufakwa kwezipikili kwe-intrametundary kuvamile emaphethelweni aphansi. Isibonelo, ukucasuka kwezicubu ezithambile nokungabikwa okubangelwa ukumbumbuluzwa komsila kanye nekhanda elivelelayo lesipikili sokukhiya kungumthombo ocacile wobuhlungu

Ubuhlungu be-trochanter enkulu bujwayelekile ngemuva kokukhala kwe-antentergade, kepha izehlakalo zayo ngqo azikakhulumi, futhi lobu buhlungu buvame ukubangelwa ukumbumbuluzwa komsila wezipikili. Ubuhlungu ngaphambili kwethanga bungadalwa yithiphu ye-intramerary Nail eshaya i-cortex yangaphandle ye-femur. Ukususwa kwe-feoseraly nail intraverary nak kubikwe ezincwadini ukuthuthukisa izimpawu zobuhlungu, noma kwezinye izikhathi umthombo wezinhlungu awukhonjwanga.

Ubuhlungu ngemuva kokufihla izikhala zomculo, ikakhulukazi izinhlungu zedolo elingaphandle, nakho kuvamile. Kodwa-ke, noma ngabe ukususwa kwezipikili ezihlekisayo kuzuzisa ukukhululeka kobuhlungu kuhlala kuvulekele umbuzo. Ubuhlungu buvela ngenxa yezizathu eziningi, kufaka phakathi ukuphazamiseka kwezakhiwo ezijwayelekile ze-anatomical (infrapatellar ramus yezinzwa ezingezona, i-pattery tendon, i-infrapatellar fat pad, i-meniscus ye-tibial, kanye ne-tibial plateau noma i-petellar cartilage) ngesikhathi sokufakwa kwesikulufa. Kodwa-ke, zonke izindlela okuhloswe ngazo ukwehlisa ukulimala okungenhla namanje azange zinciphise izehlakalo zobuhlungu be-anterior ye-antere esebenzayo ngemuva kwesicelo. Ngakho-ke, ngaphambi kokususa isipikili esijwayelekile, udokotela kufanele axoxe ngesiguli inqubo yokuhlinzwa angeke adalule izinhlungu futhi adale izinkinga ezintsha ze-postoperative. Ubuhlungu be-Beterior Knee bungadalwa futhi yi-spike evikelayo endaweni yokungena. I-Arthroscopy ikuqinisekisile ukuthi umsila we-PIN ovikelayo ofakwe ebusweni be-femur ephumela ekulweni kwe-cartilage izilonda. Ngasikhathi sinye, ukumbunguswa komsila wezipikili kungadala ukulimala kwe-patellar tendon. Inkomba yokususwa kwendawo ye-intramedullary ikhona uma izimpawu noma izinkinga zifakazelwe ukuthi zibangelwa umsila wezipikili onomugqa.

Isipikili esingenhla se-intramenduvationary nail, uma sisekwe kahle, imvamisa ibangela ubuhlungu obuncane, ngaphandle kokucasuka okubangelwa yingxenye ebonakalayo yokulungiswa kwangaphakathi, okufanele kubhekwe ukususwa kwezipikili zangaphakathi.

• I-Implant Fracture

Ukususa izipikili eziphukile ze-intrametuvary kuyinselele. Ukwehluleka kwangaphakathi kokuhlelwa kwangaphakathi kuvame ukwehluleka ukukhathala ngenxa yemithwalo ephindaphindwayo ephindaphindwayo. Ngesikhathi senqubo yokwelashwa yesibili yokwakheka kwe-callus, i-intrametuundary nail ithandwa yimikhosi ephindaphindwayo. Uma kuqhathaniswa nezipikili zangaphambilini ezivalekile, izipikili ezintsha zesigaba esivaliwe zivikeleke kakhulu kulo mkhuba wokukhubazeka. Ngokufanayo, ukwanda kobubanzi kungathuthukisa izakhi zokungakhathali ze-inteing ye-intramerary. Lapho isipikili se-intramenduvalunta sephukile, kubonisa ukuthi kusenokunyakaza ekupheleni kokuphela, ngakho-ke ukwaphuka kwesipikili esihlangene kungabhekwa njengenye yezimpawu zokungazi; Kulokhu, kuyadingeka ukususa isipikili esijwayelekile sokuthi ukwelashwa okwengeziwe.

Abanye odokotela bakholelwa ukuthi ukuqhekeka kwezikulufo ezihlanganayo kuwukubonakaliswa kwe- 'autodynamic ' futhi kuyasiza ukwelashwa kokuphulukisa. Kufanele kucace, nokho, ukuthi ukuthuthuka kusebenza kuphela kwinqubo yokuqala yokuphulukisa yamahlaya alula ukwandisa ukungcola kwe-axial kwesiqephu se-fracture. Kwezinye izimo, ukwaphuka kwezikulufo ezihlanganayo kuhlala kuyinkomba yokuvuselelwa kokuhlinzwa. Ngalesi sikhathi, ukuphela kokuphuka kufanele kuhlolwe ngokucophelela futhi kubhekwe.

• Habulisa

Isigameko sokutheleleka okujulile ngemuva kokufakwa kwezikhala zomculo ezihlathini ezivaliwe kuphansi, cishe nge-1%. Izinga lokutheleleka ngemuva kokuqhekeka okuvulekile kungaba phezulu njengo-17%. Ukutheleleka okujulile kuvame ukudinga ukususwa kwezipikili ezihlanganayo. Kuyasiza ukubambezela ukususwa kwezipikili ezihlangene futhi alinde ukuqhekeka ukukuphilisa. Kodwa-ke, ukutheleleka ngemuva kokukhala okuhlangenwe nakho okungahle kube lula ukwelashwa kokuphulukisa, kwesinye isikhathi kudinga ukudonswa kwemali nokubukeza ngaphambi kokuphulukiswa kokuphulukisa. Ukudonswa kokugcina okuphelele kufanele kwenziwe ngemuva kokususwa kwezipikili zomhlaba, futhi ukugcwala kungasiza ukususa izicubu ezinegciwane.

Unonion of Fracture

Lapho ukuxilongwa kwe-nonnosis sekusunguliwe, ukususwa kwezipikili ezihlekisayo kufanele kubhekwe ngaphambi kokuqhuma. Ukunquma lapho ukuphazamiseka kwezipikili okuhlangene kuvame ukuba nzima, ngakho-ke ungasusa nini i-intramerary nail iyimpikiswano. Kodwa-ke, ukususwa kwe-intect entramentary nail kulula kakhulu kunokususwa kwe-nail ephukile, ngakho-ke udokotela ohlinzayo kufanele athathe lesi sici ekuhlolweni kwezinketho ezalandela zokwelashwa.

Ukuhlinzwa okulandelayo okuhlanganisiwe okulandelayo

Ukususa isipikili esihlangene ngemuva kweminyaka eminingi kungaba nzima. Ukukhohlisa okwengeziwe okuphathelene nokuhlanganiswa ngesikhathi sokubuyiselwa okuhlangene kwandise ubungozi bokutheleleka kwe-postoperative, kanye nezinkinga ezivela ekususweni kwezipikili ze-intramentundary kungalimaza ukuhlinzwa okuhlangene. Lezi zinto ziholela odokotela bakholelwa ukuthi zonke izipikili zomculo kufanele zisuswe uma isiguli singadinga ukuhlinzwa okulandelayo okuhlangene. Kodwa-ke, lo mqondo awusekelwa ubufakazi bezincwadi.

Ukuqhekeka komile noma ukukha kwezintambo kwe-intramenduvationary kwakuyizinto ezingozini zokuhlinzwa okulandelayo okuhlangene, kanti i-intra-articular trauma ibingenye yezici. Iziguli ezinesifo esihlangene sokuvuvukala zingadinga nokwelashwa okulandelayo okuhlangene. Ngakho-ke, ezigulini ezinjalo, kungahle kube khona inkomba yokususwa kwezimpilo zangaphakathi okuhambisana nalokhu.

Ungayithenga kanjani izimila zamathambo namathuluzi ama-orthopedic?

Ingomane I-CZMeditech , sinomugqa womkhiqizo ophelele we-Orthopedic Surgery izimila nezinsimbi ezihambisanayo, imikhiqizo kubandakanya izimila ze-spine, Izipikili ze-intramentundary, Ipuleti le-Trauma, Ukukhiya ipuleti, I-Cranial-maxillofacial, UProsuthesis, Amathuluzi Amandla, Finators yangaphandle, I-Arthroscopy, ukunakekelwa kwezilwane kanye nezinsimbi zabo ezisekelayo.

Ngaphezu kwalokho, sizibophezele ekuthuthukiseni ngokuqhubekayo imikhiqizo emisha kanye nokwandisa imigqa yomkhiqizo, ukuze sihlangabezane nezidingo zokuhlinzwa zodokotela neziguli eziningi, futhi zenze inkampani yethu icindezele ngokwengeziwe ezindaweni zonke zemboni yama-orthopedic kanye nemboni yezinsimbi.

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