Izixhobo ezimbini zomlingo ze-trauma orthopedics, ipleyiti kunye ne-intramedullary nail. Iipleyiti zikwazezona zixhobo zokubopha zangaphakathi ezisetyenziswa kakhulu, kodwa kukho iintlobo ezininzi zeepleyiti. Nangona zonke ziyintsimbi, ukusetyenziswa kwazo kunokuthathwa njenge-Avalokitesvara enezixhobo eziliwaka, into engenakuqikelelwa. Ngaba uyazazi zonke ezi?
- Ibhendi yeTesion Ibhendi yeTesion
Ingaba ipleyiti yibhendi yokuxinanisa?
Xa indlela esebenza ngayo amathambo athile idluliselwa kwi-eccentric fixation, ipleyiti yentsimbi yi-tension band, efana ne-femur, kwaye ipleyiti yentsimbi kufuneka ibekwe kwicala le-tension.
2. Imo yoXinzelelo
Ipleyiti ecinezelweyo yenziwa ngokufaka isikrufu kwisitshixo seslope, esisebenza kumgaqo wokutyibilika okungqukuva.
Nangona kunjalo, uxinzelelo luya kwenza uxinzelelo oluphakathi kwepleyiti nethambo lube lukhulu kakhulu, kwaye ngamanye amaxesha luchaphazele ukuphiliswa kwethambo. Ke ngoko, kuqanjwe ipleyiti yokucinezela encinci ene-point contact, nto leyo esidla ngokuyibiza ngokuba yi-LCP.
Ukuba ufuna ukucinezela, xa ugqobhoza, kufuneka uqaphele into yokuba ukugqobhoza kufuneka kube kufutshane necala lomngxuma wesitshixo (phezulu), kwaye ukugqobhoza kwindawo ephakathi akuyi kuba nefuthe lokucinezela isiphelo esiqhekekileyo (ezantsi). Isiphumo sinokunyuswa kuphela malunga ne-1mm.
- Ipleyiti yokutshixa
Ipleyiti yokutshixa, oko kukuthi, isikrufu kunye nepleyiti zidibene ngaphambili ngendlela yokutshixa. Ngokwesiqhelo umngxuma wokutshixa kunye nomngxuma oxinzelelayo ziyadityaniswa, kodwa imisebenzi yezi zimbini yahlukile ngokupheleleyo.
Izikrufu zokutshixa zinokunyusa ngokufanelekileyo amandla okubambelela ngaphakathi, kwaye ukumelana kwazo nokutsalwa ngaphandle kungcono, ingakumbi izikrufu zokutshixa ezizinzisa i-engile, eyona iphawulekayo yi-proximal humeral philos locking plate.
- Imo yokungathathi cala
Ipleyiti yokuthomalalisa ayivelisi ucinezelo kwiziphelo zokuqhekeka, kodwa ivelisa kuphela impembelelo yokudibanisa kwiziphelo zokuqhekeka. Ngenxa yokuba iziphelo zokuqhekeka zicinezelwa zizikrufu zokulaxaza, kodwa amandla ezikrufu zokulaxaza ngokuchasene nokugoba, ukujikeleza, kunye namandla okucheba anqongophele, ngoko ke kufuneka ipleyiti yentsimbi ukuze kuncedwe.
Kwipleyiti yentsimbi engashukumiyo, amandla aphambili sisikrufu sokulaxaza. Xa umgca wokuqhekeka umkhulu kwaye umde, izikrufu ezi-2-3 zokulaxaza zingasetyenziselwa ukutsala ngokuthe nkqo kumgca wokuqhekeka, zize zincediswe ekuqiniseni ipleyiti engashukumiyo.
Iipleyiti zokunganyamezeli zisetyenziswa kakhulu ekuqiniseni i-lateral malleolus kunye ne-clavicle.
- Ipleyiti ye-buttress
Ungayibeka njani i-buttress kwi-orthopedics? Ngokuyintloko le njongo isetyenziswa xa kuqhekeka imisipha ethintela ukucheba, ebekwe kwicala lentshukumo ethile. Ipleyiti yentsimbi exhasayo akufuneki ibe nkulu kangako xa ithelekiswa neepleyiti zentsimbi eziqhelekileyo ezixinzelelweyo, kwaye akufuneki izaliswe ngezikrufu.
Ipleyiti yentsimbi kufuneka igotywe kwangaphambili, ijijelwe izikrufu ze-cortical ngokujikajika ukusuka kude ukuya kufutshane, kwaye isebenzise izikrufu ze-cortical ukuncamathisela ipleyiti yentsimbi. Ngenxa yokujijeka kwayo okuthambileyo, ipleyiti yentsimbi ithambekele ekuqhubekeni nokugoba, kwaye la mandla asetyenziselwa ukwenza umsebenzi we-buttress.
- Ipleyiti ye-Antiglide
Emva kokufakelwa kwepleyiti yentsimbi, thintela ibhloko yokuqhekeka ukuba ingatyibiliki ngaphandle ngamandla angapheliyo. Isetyenziswa ikakhulu kwisiphelo esikude se-fibula.
- I-Span Plating okanye i-Bridge Plating
Olu luguqulelo oluhlengahlengisiweyo lwepleyiti yokunganyamezeli, ejoliswe ekuqhekekeni okuqhekekileyo kwe-cadre, ngokujonga i-fluoroscopy, ipleyiti iwela indawo yokuqhekeka kwaye ilungise iziphelo ezikufutshane nezikude zokuqhekeka, kwaye indawo yokuqhekeka ayilungiswanga.
Olu hlobo lobuchwephesha lugxininisa kakhulu ukulungelelaniswa, ukulungelelaniswa, ubude, kunye nokujikeleza. Ukutyumza okuphakathi kungenziwa ngaphandle konyango, olunokukhusela ngokufanelekileyo ukuhanjiswa kwegazi kwisiphelo esiqhekekileyo sokuqhekeka. Nangona kunjalo, kufuneka kuqatshelwe ukuba ipleyiti yentsimbi kufuneka ibe nobude obaneleyo, kwaye inani lezikrufu kuzo zombini iziphelo kufuneka lanele. Okwangoku, ezinye izinto ezingadibaniyo ngamathambo zinokwenzeka, ekufuneka ziphathwe ngononophelo.
Ixesha lokuthumela: Agasti-28-2023
