Amalungu Esihlakala Isilungisi sangaphandle - Uhlobo F

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.

Amalunga Esihlakala Isilungisi sangaphandle : Uhlolojikelele

Isihlakala siyilunga elibalulekile elihlanganisa ingalo nesandla futhi linikeze ukusekela nokuvumelana nezimo ukwenza imisebenzi ehlukahlukene. Ngeshwa, ukulimala esihlakaleni kuvamile futhi kungabangelwa izici ezihlukahlukene njengokuwa, ukulimala kwezemidlalo, nezingozi zezimoto. Ezimeni ezimbi kakhulu, lokhu kulimala kungase kudinge ukungenelela kokuhlinzwa, futhi ilunga lesihlakala Isilungisi sangaphandle liyindlela yokwelapha edumile yokuphuka kwesandla okukhulu. Kulesi sihloko, sizoxoxa ngokuhlanganyela kwesihlakala Isilungisi sangaphandle ngokuningiliziwe, okuhlanganisa incazelo, izinhlobo, izinkomba, kanye nezinkinga.

Isingeniso

Ilunga lesihlakala Isilungisi sangaphandle liyithuluzi lezokwelapha elisetshenziselwa ukuzinzisa amathambo aphukile esihlakaleni. Idivayisi iqukethe izikhonkwane zensimbi noma izikulufu ezixhunywe emathanjeni nhlangothi zombili zokuphuka futhi zixhunywe ngohlaka lwensimbi ngaphandle kwesikhumba. Lolu hlaka lugcina amathambo esendaweni futhi luwavumela ukuthi alulame ngendlela efanele.

Izinhlobo ze- Izilungisi zangaphandle

Kunezinhlobo ezahlukahlukene ze Izilungisi zangaphandle ezisetshenziselwa ukwelapha ukuphuka kwesihlakala. Ezinye izinhlobo ezijwayelekile zihlanganisa:

I-Uniplanar Izilungisi zangaphandle

I-Uniplanar Izilungisi zangaphandle iwuhlobo olulula kakhulu lwesilungisi futhi luhlanganisa indiza eyodwa yosekelo. Lezi zilungisi zisetshenziswa ekuqhekekeni okulula futhi zinikeza ukuzinza okulinganiselwe.

Isiyingi Izilungisi zangaphandle

Isiyingi Izilungisi zangaphandle iqukethe izindandatho ezimbili noma ngaphezulu ezixhunywe ngezintambo noma izinduku. Lawa ma-fixators asetshenziswa ekuqhekekeni okuyinkimbinkimbi futhi anikeze ukuzinza okuphezulu.

I-Hybrid Izilungisi zangaphandle

I-Hybrid Izilungisi zangaphandle iyinhlanganisela yezilungisi ze-uniplanar neziyindilinga. Lezi zilungisi zisetshenziselwa ukuhlukana okuyinkimbinkimbi lapho kudingeka khona inhlanganisela yokuzinza nokuguquguquka.

Izinkomba zokusetshenziswa kwe Isilungisi sangaphandle

Izilungisi zangaphandle asetshenziswa kakhulukazi ukwelapha ukuphuka kwesihlakala okunzima okungakwazi ukwelashwa ngezinsimbi noma izinsimbi. Ezinye izinkomba ezijwayelekile zokusetshenziswa kwe Isilungisi sangaphandle zifaka:

Vula ama-Fractures

Ukuphuka okuvulekile kwenzeka lapho ithambo eliphukile lingena esikhumbeni, okwandisa ingozi yokutheleleka. Izilungisi zangaphandle ingasetshenziselwa ukuzinzisa ukuphuka nokunciphisa ingozi yokutheleleka.

Ukuqhekeka Okuhlanganisiwe

Ukuphuka okuphindaphindiwe kwenzeka lapho ithambo liphulwa libe yizicucu eziningana. Izilungisi zangaphandle ingasetshenziselwa ukuzinzisa ithambo nokukhuthaza ukuphulukiswa okufanele.

Ukuphuka Ngokulimala Kwezicubu Ezithambile

Ukuqhekeka okubandakanya ukulimala kwezicubu ezithambile ezizungeze ithambo kungaba inselele ukwelapha. Izilungisi zangaphandle ingasetshenziselwa ukuzinzisa ithambo ngenkathi ivumela izicubu ezithambile ukuthi ziphole.

Izinkinga zokusetshenziswa kwe Isilungisi sangaphandle

Njenganoma iyiphi idivayisi yezokwelapha, Izilungisi zangaphandle ingabangela izinkinga. Ezinye zezinkinga ezijwayelekile zihlanganisa:

Ukutheleleka

Izilungisi zangaphandle ingakhuphula ingcuphe yokutheleleka, ikakhulukazi uma idivayisi inganakekelwa kahle.

Pin Site Ukuvuvukala

Izikhonkwane noma izikulufu ezisetshenziswe kokuthi Izilungisi zangaphandle zingacunula isikhumba futhi zibangele ukuvuvukala.

Ukulahleka Kwebanga Lokunyakaza

I Izilungisi zangaphandle ingakhawulela ububanzi bokunyakaza esihlakaleni esithintekile, okungaba inselele ukukuphinda ngemva kokukhishwa kwedivayisi.

Isiphetho

Ilunga lesihlakala Isilungisi sangaphandle liyinketho yokwelapha esebenzayo yokuphuka okukhulu kwesihlakala. Inikeza ukuzinza emathanjeni aphukile, okuwavumela ukuba alulame ngendlela efanele. Nokho, njenganoma iyiphi idivayisi yezokwelapha, Izilungisi zangaphandle ingabangela izinkinga. Iziguli kufanele zisebenzisane eduze nabahlinzeki bazo bezempilo ukuze baqinisekise ukuthi idivayisi inakekelwa kahle futhi noma yiziphi izinkinga zilungiswa ngokushesha.