I-Fixator Yangaphandle Yamajoyinti Esihlakala - 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. 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-Wrist Joints Fixator yangaphandle: 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. Ezimweni ezimbi kakhulu, lokhu kulimala kungase kudinge ukungenelela kokuhlinzwa, futhi i-fixator yangaphandle ehlangene yesihlakala iyindlela yokwelapha ethandwayo yokuphuka okukhulu kwesihlakala. Kulesi sihloko, sizoxoxa nge-fixator yangaphandle ehlangene yesandla ngokuningiliziwe, okuhlanganisa incazelo yayo, izinhlobo, izinkomba, kanye nezinkinga.

Isingeniso

I-fixator yangaphandle ehlangene yesihlakala iyisisetshenziswa sezokwelapha esisetshenziselwa 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-Fixators zangaphandle

Kunezinhlobo ezahlukene zezilungisi zangaphandle ezisetshenziselwa ukwelapha ukuphuka kwesihlakala. Ezinye izinhlobo ezijwayelekile zihlanganisa:

I-Uniplanar External Fixators

Izilungisi zangaphandle ze-Uniplanar ziwuhlobo olulula kakhulu lwesilungisi futhi luhlanganisa indiza eyodwa yokusekelwa. Lezi zilungisi zisetshenziswa ekuqhekekeni okulula futhi zinikeza ukuzinza okulinganiselwe.

Izilungisi zangaphandle eziyindilinga

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

I-Hybrid External Fixators

I-Hybrid fixator yangaphandle iyinhlanganisela ye-uniplanar kanye ne-circular fixator. Lezi zilungisi zisetshenziselwa ukuhlukana okuyinkimbinkimbi lapho kudingeka khona inhlanganisela yokuzinza nokuguquguquka.

Izinkomba Zokusetshenziswa Kwe-Fixator Yangaphandle

Izilungisi zangaphandle ngokuyinhloko zisetshenziselwa ukwelapha ukuphuka kwesihlakala okunzima okungenakulashwa ngezinsimbi noma izinsimbi. Ezinye izinkomba ezijwayelekile zokusebenzisa isilungisi sangaphandle zifaka:

Vula ama-Fractures

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

Ukuqhekeka Okuhlanganisiwe

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

Ukuphuka Ngokulimala Kwezicubu Ezithambile

Ukuqhekeka okubandakanya ukulimala kwezicubu ezithambile ezizungeze ithambo kungaba inselele ukwelapha. Ama-fixators angaphandle angasetshenziswa ukuzinzisa ithambo ngenkathi evumela izicubu ezithambile ukuba zipholise.

Izinkinga Zokusetshenziswa Kwe-Fixator Yangaphandle

Njenganoma iyiphi idivayisi yezokwelapha, izilungisi zangaphandle zingabangela izinkinga. Ezinye zezinkinga ezijwayelekile zihlanganisa:

Ukutheleleka

Izilungisi zangaphandle zingandisa ingozi yokutheleleka, ikakhulukazi uma idivayisi inganakekelwa kahle.

Pin Site Ukuvuvukala

Izikhonkwane noma izikulufu ezisetshenziswa ku-fixator zangaphandle zingacasula isikhumba futhi zibangele ukuvuvukala.

Ukulahleka Kwebanga Lokunyakaza

Izilungisi zangaphandle zingakhawulela ububanzi bokunyakaza esihlakaleni esithintekile, okungaba inselele ukubuya ngemva kokukhishwa kwedivayisi.

Isiphetho

Isilungisi sangaphandle esihlanganyelwe sesihlakala siyindlela yokwelapha esebenzayo yokuphuka kwesihlakala okunzima. Inikeza ukuzinza emathanjeni aphukile, okuwavumela ukuba alulame ngendlela efanele. Kodwa-ke, njenganoma iyiphi idivayisi yezokwelapha, izilungisi zangaphandle zingabangela izinkinga. Iziguli kufanele zisebenzisane eduze nabahlinzeki bazo bezempilo ukuze baqinisekise ukuthi idivayisi inakekelwa kahle futhi noma yiziphi izinkinga zilungiswa ngokushesha.