Ipleyiti yokutshixa sisixhobo sokuqingqa ukwaphuka esinomngxuma oneentambo. Xa isikrufu esinentloko enentambo sifakwe kwisikrufu emngxunyeni, ipleyiti iba sisixhobo sokuqingqa i-engile (isikrufu). Iipleyiti zentsimbi ezitshixayo (ezizinzileyo) zinokuba nemingxunya yezikrufu ezitshixayo nezingetshixayo ukuze kufakwe izikrufu ezahlukeneyo (ezikwabizwa ngokuba ziipleyiti zentsimbi ezidibeneyo).
1. Imbali nophuhliso
Iipleyiti zokutshixa zaqala ukuveliswa malunga neminyaka engama-20 eyadlulayo ukuze zisetyenziswe kutyando lomqolo kunye nolwe-maxillofacial. Ngasekupheleni kweminyaka yoo-1980 kunye noo-1990, izifundo zovavanyo kwiintlobo ezahlukeneyo zezixhobo zokutshixa zangaphakathi zazisa iipleyiti zokutshixa ekunyangeni ukwaphuka. Le ndlela yokutshixa ekhuselekileyo yaphuhliswa ekuqaleni ukuze kuthintelwe ukuqhekeka okukhulu kwezicubu ezithambileyo.
Zininzi izinto eziye zakhuthaza ukusetyenziswa kwale pleyiti kwezonyango, kuquka:
Ukwanda kwamalungu omzimba aqhekekileyo kuyaqhubeka njengoko amazinga okusinda ephucuka kwizigulane ezenzakeleyo ngamandla aphezulu kwaye inani lezigulane ezindala ezine-osteoporosis liyanda eNtshona Yurophu naseMntla Melika.
Oogqirha kunye nezigulane abanelisekanga ziziphumo zonyango lwezinye iintlungu ezibangelwa kukwaphuka kwemisipha engaphantsi kwethambo.
Ezinye izinto ezingezizo ezokukhuthaza unyango zingabandakanya: ukukhuthaza ubuchwepheshe obutsha kunye neemarike ezintsha kushishino; ukuthandwa kancinci kancinci kotyando olungenalo unyango, njl.
2. Iimpawu kunye nemigaqo esisigxina
Umahluko ophambili we-biomechanical phakathi kwee-locking plates kunye nee-traditional plates kukuba ezi zokugqibela zixhomekeke ekungqubaneni kwindawo edibanisa i-bone-plate ukuze kugqitywe ukucinezelwa kwethambo yi-plate.
Iziphene ze-biomechanical kwiipleyiti zentsimbi zemveli: zicinezela i-periosteum kwaye zichaphazela ukuhanjiswa kwegazi ukuya ekupheleni kokuqhekeka. Ke ngoko, i-osteosynthesis ye-plate eqinileyo (efana nokucinezelwa kwe-interfragmentary kunye nee-lag screws) inezinga eliphezulu leengxaki, kubandakanya usulelo, ukuqhekeka kwepleyiti, i-delayed union, kunye ne-nonunion.
Njengoko umjikelo womthwalo we-axial usanda, izikrufu ziqala ukukhululeka zize zibangele ukungqubana kunciphe, ekugqibeleni kubangele ukuba ipleyiti ikhululeke. Ukuba ipleyiti ikhululeke ngaphambi kokuba ukwaphuka kuphole, isiphelo sokuqhekeka siya kuba singazinzi kwaye ekugqibeleni ipleyiti iya kwaphuka. Okukhona kunzima ukufumana nokugcina ukuqina kweskrufu (ezifana ne-metaphysis kunye ne-osteoporotic bone ends), kokukhona kunzima ukugcina uzinzo lwesiphelo sokuqhekeka.
Umgaqo ozinzileyo:
Iipleyiti zokutshixa azixhomekekanga ekungqubaneni phakathi kojongano lwethambo nepleyiti. Uzinzo lugcinwa lujongano oluzinzileyo olujikeleze isikrufu kunye nepleyiti yentsimbi. Ngenxa yokuba olu hlobo lwe-locking internal fixator lunesidima esizinzileyo, amandla okutsala isikrufu sentloko yokutshixa aphezulu kakhulu kunee-screws eziqhelekileyo. Ngaphandle kokuba zonke izikrufu ezijikelezileyo zikhutshiwe okanye zaphukile, kunzima ukuba isikrufu sikhutshiwe okanye saphulwe sodwa.
3.Iimpawu
Uninzi lwezaphuko ezinyangwa ngotyando azifuni ukufakwa kwepleyiti etshixwayo. Ukuba nje imigaqo yotyando lwamathambo iyalandelwa, uninzi lwezaphuko lunokuphiliswa ngeepleyiti zesintu okanye iinzipho zangaphakathi.
Nangona kunjalo, kukho iintlobo ezithile ezikhethekileyo zokuqhekeka ezinokuthi zilahlekelwe kukuncipha, ukwaphuka kwepleyiti okanye isikrufu, kunye nokungadibani kwamathambo okulandelayo. Ezi ntlobo, ezidla ngokubizwa ngokuba “ziingxaki” okanye “ziingxaki”, ziquka ukwaphuka kwamathambo angaphakathi kwe-articular, ukwaphuka kwamathambo amafutshane kwe-periarticular, kunye nokuqhekeka kwamathambo angasemva kwe-osteoporotic. Ukuqhekeka okunjalo kuyimpawu zokutshixa iipleyiti.
4. Isicelo
Inani elikhulayo labavelisi likwanikezela ngeepleyiti ze-anatomical ezinemingxuma yokutshixa. Umzekelo, iipleyiti ze-anatomical ezimile kwangaphambili ze-proximal kunye ne-distal femurs, i-proximal kunye ne-distal tibias, i-proximal kunye ne-distal humerus, kunye ne-calcaneus. Uyilo lwepleyiti yentsimbi lunciphisa kakhulu unxibelelwano phakathi kwepleyiti yentsimbi kunye nethambo kwiimeko ezininzi, ngaloo ndlela kugcinwa ukuhanjiswa kwegazi kunye nokuphuma kwegazi kwisiphelo sokuqhekeka.
I-LCP (ipleyiti yokucinezela etshixayo)
Ipleyiti yokucinezela etshixwayo entsha idibanisa iiteknoloji ezimbini ezahlukeneyo zokulungisa ngaphakathi kwi-implant enye.
I-LCP ingasetyenziswa njengepleyiti yokucinezela, ibracket yangaphakathi etshixayo, okanye indibaniselwano yezi zimbini
Ayingeni kakhulu:
Inani elikhulayo leepleyiti zokutshixa zineziphatho zangaphandle ze-stent, izibambi, kunye noyilo lwe-blunt tip oluvumela oogqirha ukuba babeke ipleyiti phantsi kwemisipha okanye ngaphantsi kwesikhumba ukuze ingangeni kakhulu.
Ukuba ufuna ukwazi malunga neemveliso zethu, nceda unxibelelane nathi:
I-Yoyo
I-Whatsapp/Umnxeba: +86 15682071283
Ixesha lokuthumela: Septemba-25-2023
