Iplate yokuvalela sisixhobo sokulungisa esiphucukileyo esinomngxunya oxhonyiweyo. Xa isikhafu sentloko esinentambo sikhutshiwe emngxunyeni, iplate iba sisixhobo se-Angle. Ukutshixa
I-1.History kunye nophuhliso
Ukutshixa iipleyiti zaziselwe kuqala kwiminyaka engama-20 eyadlulayo ukuze isetyenziswe kwi-spinal kunye ne-maxillofacial utyani. Ngasekupheleni kweminyaka yee-1980s kunye no-1990, izifundo zovavanyo kwiintlobo ezahlukeneyo zezixhobo zokulungisa zangaphakathi eziye zazisa iipleyiti zokutshintshiselana kunyango. Le ndlela ekhuselekileyo yendlela yaqulunqwa ukunqanda ukuhlaselwa ziziculi ezithambileyo.
Izinto ezininzi zikhuthaza ukusetyenziswa kweklinikhi yale plate, kubandakanya:
Isimo sezinto ezikhutshelweyo ziyaqhubeka sikhula njengamaxabiso ahlala esiphelweni siphuculwe kwizigulana ezinokonzakala okuphezulu kunye nenani labaguli abalupheleyo benyuka kwiNtshona Yurophu naseMntla Melika.
Oogqirha kunye nezigulana awonelisekanga ziziphumo zonyango lwezinto ezithile ze-uperaricular.
Ezinye izinto ezingekho mthethweni zinokubandakanya: ukukhuthaza iteknoloji entsha kunye neemarike ezintsha; ukuthandwa kancinci konyango olungaphantsi kakhulu, njl.
2.Charactestics kunye nemigaqo emiselweyo
Umahluko ophambili webhayoloji phakathi kweepleyiti zokutshixa kunye neepleyiti zemveli kukuba le yokugqibela ixhomekeke kwingqungquthela kwi-Bone-Poex yokugqiba kwethambo lethambo.
Iziphene ze-biomechanical zepleyiti zentsimbi zemveli: Confel i-periosteum kwaye ichaphazele ukubonelela ngegazi kwisiphelo sokuphela. Ke ngoko, iplastithi yemveli ye-osteosynthesis (efana nokucinezelwa kwamanye amazwe kunye nezikrelemnqa) inezinga lokulinganisa, kubandakanya ukosuleleka, ukulibaziseka kweplate, kunye nezinto ezibaliweyo.
Njengoko umjikelo womthwalo we-Axial unyuka, izikrikhi ziqala ukukhulula kwaye zibangele ukuncipha, ekugqibeleni kwenza ipleyiti ukukhulula. Ukuba iplate ikhulula ngaphambi kokuphosa amadlelo, isiphelo sokuqhekeka siyazinza kwaye ekugqibeleni ipleyiti izakuqhekeza. Kunzima ngakumbi ukufumana kwaye ugcine ulungiso lwe-screw oluqinileyo (njenge-metaphysis kunye nethambo le-osteoporothorotic), kokukhona kunzima ngakumbi ukugcina uzinzo lokuphela kokuphela.
Umgaqo omisiweyo:
Ukutshixa iipleyiti azixhomekeki kwifreyithi phakathi kwe-bone-the plates. Uzinzo lugcinwa ngumboniselwano oluzinzileyo phakathi kwescrew kunye neplate yentsimbi. Kuba olu hlobo lokutshixa i-fall Apper lwangaphakathi lunengqibelelo elizinzileyo, amandla okutsala isikhafu esitshixwayo siphezulu kakhulu kuneso sezikrelem eziqhelekileyo. Ngaphandle kokuba zonke izikrelem ezijikelezileyo zikhutshiwe okanye zaphukile, kunzima kwisikali ukuba sikhutshelwe okanye siphulwe sodwa.
3.izi
Uninzi lwamaqhekeza atyhutywe nge-subred ayifuni ukulungiswa kweplate yokutshixa. Logama nje imigaqo-siseko yonyango lobuncwane ilandelwa, uninzi lwamanzi lunokuphiliswa ziipleyiti zemveli okanye izikhonkwane ze-intramellary.
Nangona kunjalo, kukho ezinye iintlobo ezikhethekileyo zefract eziye zaphulukana nokuncitshiswa kwendlela yokuncitshiswa, iplate okanye ukwaphula inkunkuma, kunye nethambo elilandelayo. Ezi ntlobo, zihlala zibizwa ngokuba "njengeyona ngxaki" okanye "ingxaki", zibandakanya ukwaphuka kwe-Intra, i-Peiaricar yethambo le-Intra, ithambo elifutshane lethambo, kunye ne-osteoporothoro. Amanzi anjalo abonisa iipleyiti zokutshixa.
4.Ukusebenza
Inani elandayo labavelisi likwabonelela ngeepleyiti ze-anatomical enemingxunya yokutshixa. Umzekelo, iipleyiti ze-anatomic ezichongiweyo ze-proximal kunye ne-festilemal kwaye i-timias ye-tibias, i-theatal kunye ne-humersus, kunye ne-humeraus. Uyilo lwepleyiti yentsimbi lunciphisa kakhulu umfowunelwa phakathi kweplate yentsimbi kunye nethambo kwiimeko ezininzi, ngaloo ndlela lulondoloze igazi lokubonelela ngegazi kunye nokuphela kokuphela kokuphela.
I-LCP (ipleyiti yokutshixa)
Iplate yoxinzelelo lokutshixa idibanisa itekhnoloji ezimbini zangaphakathi ezahlukeneyo zangaphakathi zokulungisa ngaphakathi.
I-LCP inokusetyenziswa njengeplate yoxinzelelo, i-bracket yangaphakathi engaphakathi, okanye indibaniselwano yezibini
Ukuhlaselwa kancinci:
Inani elandayo leepleyiti zokutshixa zineziphatho zangaphandle, abanini mpahla, kunye nokuqaqamba kwengcebiso evumela oogqirha ukuba babeke kancinci iplate okanye ngokungathamsaliyo ngeenjongo ezincinci.
Ukuba ufuna ukwazi ngeemveliso zethu, nceda uqhagamshelane:
Yoyo
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IXESHA LOKUQALA: UPE-25 ukuya ku-2023