Izixhobo ezimbini zomlingo ze-orthopenics ye-onrai, iplate kunye nepipi ye-intramerary. Iipleyiti zezona zixhobo zisetyenziswayo zisetyenziswa kakhulu, kodwa zininzi iindidi. Nangona zonke ziyinxalenye yesinyithi, ukusetyenziswa kwabo kunokuthathwa njengewaka le-avalokitesvara, engalindelekanga. Ngaba uyazi zonke ezi zinto?
- Ibhendi ye-band testion
Ngaba ibhendi yeqela lenkohliso?
Xa oomatshini bamanye amathambo atshintshelwa kulungiso lwe-eccentric, ipleyiti yentsimbi yibhendi yengqumbo, njenge-femur, kwaye iplate yensimbi kufuneka ibekwe kwicala lendawo.
2. Imo yokucinezelwa
Ipleyiti exineneyo yenziwa ngokukhangela isikhafu kwi-screw kwi-slow lock, eyeya komgaqo wokuhamba-hlula.
Nangona kunjalo, uxinzelelo luya kwenza uxinzelelo phakathi kweplate kunye nethambo elikhulu kakhulu, kwaye ngamanye amaxesha luchaphazela ukuphiliswa kwethambo. Ke ngoko, iplate yoxinzelelo encinci ngoqhakamshelwano lwenqaku ifakwe, yiyo le nto sihlala siyibiza i-LCP.
Ukuba ufuna ukucinezela, xa kufuneka ukuqhuba, kufuneka unikele ingqalelo kwinto yokuba ukuqhuba kufuneka kube kufutshane ne-google (ephezulu), kwaye ukuntywila kwindawo ephambili (ezantsi). Iziphumo zinokunyuswa kuphela malunga ne-1mm.
- Ukutshixa iplate
Ukutshixa iplate, oko kukuthi, isikere kwaye iplate ibidityaniswe ngaphambili kwifom evaliweyo. Ngokwesiqhelo umngxunya otshixwayo kunye nomngxunya wokuvavanya zidityanisiwe, kodwa imisebenzi yezi zimbini zahluke ngokupheleleyo.
Ukutshixa izikrelemnqa kunokunyusa amandla angaphakathi, kwaye ukungachanekanga kwawo kungcono, ngakumbi i-Angle-i-Angle-i-Angle-I-Angle yokuThembisa i-screws, eyona ibalulekileyo kukuba ipleyiti ye-chilol pilos.
- Imowudi yokungathathi cala
Iplate yokungathathi hlangothi ayivelisi uthotyelo kwifuko liphela, kodwa kuphela ifuthe lokudibanisa ukuphela kwe-phracture. Ngenxa yokuba i-fackire iphela icinezelwa zizikrelemnqa, kodwa amandla e-screws ngokuchasene nokugoba, ukujikeleza, nokunikela imikhosi yokucheba, ke ipleyiti yentsimbi ifulelwe ukuba ifumane uncedo.
Kwipleyiti yentsimbi enamacala, amandla aphambili kukho i-lag screw. Xa umgca wokuqhekeka mkhulu kwaye ixesha elide, i-2-3 i-LIT SCRS inokusetyenziselwa ukutsala i-Prependicular kumgca wokuqhekeka, kwaye ke incedise ngokulandelwa kweplati yokungathathi cala.
Iiplate zokungathathi cala zihlala zisetyenziselwa ukulungiswa kwe-Mancural Malleous kunye ne-clavicle.
- I-Buttrass Plate
Ungayifaka njani i-buttress kwi-orthopedics? Ngokuyintloko kwenziwa isicelo se-quart nxamnye nemikhosi ye-Shear, ibekwe kwicala lokuhamba-hamba. Iplate exhasayo yensimbi ayifuni ukuba iphazanyiswe i-pite yentsimbi eqhelekileyo, kwaye akufuneki izaliswe zizikrelemnqa.
Iplate yensimbi kufuneka ibe gold, isikhafu kwizikrikhi ezithukayo isondela kude kusondele, kwaye sisebenzise isikhafu esithukayo ukuze sinamathisele iplate yentsimbi. Ngenxa yokuhlaziywa kwe-elastiki, ipleyiti yentsimbi inomkhwa wokuphinda ugobe, kwaye la mandla asetyenziselwa ukwenza umsebenzi we-buttress.
- Iplate ye-antiglide
Emva kokulungiswa kwentsimbi yentsimbi, thintela ibhlokhi ye-phraure ukusuka ekutyeleni ngaphandle komkhosi wexesha elide. Isetyenziselwa ikakhulu kwisiphelo se-fibula.
- Indawo yokubeka okanye ukubekwa ibhulorho
Le yinguqulelo eguqulweyo yeplate yokungathathi cala, ejolise ekuqhekekeni kwe-cadre, ngokujonga i-fluoroscopy, iplate iwela indawo yokuqhekeka kwaye ilungisa i-proximal kunye nendawo yokuqhekeza ayilungiswanga.
Olu hlobo lwetekhnoloji lugxininisa ulungelelwaniso, ulungelelwaniso, ubude kunye nokujikeleza. Ukuqhekeka okuphakathi kunokwenziwa ngaphandle konyango, nto leyo enokuthi ikhusele ngempumelelo isiphelo segazi sokuphela kokuqhekeka kwento yokuqhekeka. Nangona kunjalo, kufuneka kuqatshelwe ukuba iplate yensimbi kufuneka ibe nobude obaneleyo, kwaye inani lezikrelem zombini kufuneka kwanele. . Okwangoku, ezinye iithambo ezingezizo zithambekele ukuba zenzeke, ekufuneka ziphathwe ngononophelo
IXESHA LOKUQALA: AUG-28-2023
