Izixhobo zomlingo ezibini ze-trauma orthopedics, ipleyiti kunye nezikhonkwane ze-intramedullary.Amacwecwe abuye asetyenziswe ngokuqhelekileyo izixhobo zokulungiswa kwangaphakathi, kodwa kukho iintlobo ezininzi zeeplate.Nangona zonke ziyintsimbi yesinyithi, ukusetyenziswa kwazo kunokuthathwa njengewaka elixhobileyo i-Avalokitesvara, engalindelekanga.Uyazazi zonke ezi?
- Tesion Band Tension Band
Ngaba ipleyiti ibhendi yoxinzelelo?
Xa i-mechanics yamanye amathambo idluliselwa kwi-eccentric fixation, ipleyiti yensimbi yibhendi yoxinzelelo, efana ne-femur, kwaye ipleyiti yensimbi kufuneka ibekwe kwicala loxinzelelo.
2. Imo yoxinzelelo
Ipleyiti ecinezelekileyo iqhutywa ngokukrukra isikrufu kwisitshixo sethambeka, esisisikhokelo sokutyibiliza esisangqa.
Nangona kunjalo, uxinzelelo luya kwenza uxinzelelo phakathi kweplate kunye nethambo likhulu kakhulu, kwaye ngamanye amaxesha lichaphazela ukuphiliswa kwethambo.Ke ngoko, ipleyiti yoxinzelelo elinganiselweyo enento yokufowunelwa iyenziwa, nto leyo esihlala siyibiza ngokuba yiLCP.
Ukuba ufuna ukucinezela, xa ubhobhoza, kufuneka ubeke ingqalelo kwinto yokuba ukugaya kufuneka kube kufutshane necala lembobo yesitshixo (phezulu), kunye nokubhobhoza kwindawo ephakathi akuyi kuba nefuthe lokucinezela isiphelo esaphukileyo. (ezantsi).Isiphumo sinokunyuswa kuphela malunga ne-1mm.
- Isitya sokutshixa
Isitya sokutshixa, oko kukuthi, i-screw kunye nepleyiti zidibene ngaphambili kwifom etshixiweyo.Ngokuqhelekileyo umngxuma wokutshixa kunye nomngxuma woxinzelelo udibene, kodwa imisebenzi yezo zimbini zihluke ngokupheleleyo.
Izikrufu zokutshixa zinokwandisa ngokufanelekileyo amandla okulungisa angaphakathi, kwaye ukuxhathisa kwazo ukutsalwa ngaphandle kungcono, ngakumbi izikrufu zokutshixa ezizinzisayo, eyona iphawuleka kakhulu yipleyiti yokutshixa ye-humeral philos.
- Imowudi yokungathathi hlangothi
Ipleyiti ye-neutralization ayivelisi ukunyanzeliswa kwiiphelo zokuphuka, kodwa kuphela umphumo wokudibanisa kwi-fracture iphela.Ngenxa yokuba iziphelo zokwaphuka zicinezelwa zizikrufu ze-lag, kodwa amandla e-lag screws ngokuchasene nokugoba, ukujikeleza, kunye namandla okucheba alinganiselwe, ngoko ke ipleyiti yentsimbi iyafuneka ukunceda.
Kwipleyiti yentsimbi engathathi hlangothi, amandla aphambili yi-lag screw.Xa umgca wokuqhekeka ukhulu kwaye ude, i-2-3 lag screws ingasetyenziselwa ukutsala i-perpendicular kumgca wokuqhekeka, kwaye emva koko uncedise ukulungiswa kweplate ye-neutralization.
Iipleyiti ze-neutralization zisetyenziswa ngokuqhelekileyo ukulungiswa kwe-lateral malleolus kunye ne-clavicle.
- Ipleyiti yeButha
Indlela yokufaka i-buttress kwi-orthopedics?Ngokuyintloko isicelo sesaphukileyo ngokuchasene nemikhosi yokucheba, ebekwe kwicala lentshukumo ehambelanayo.Ipleyiti yentsimbi exhasayo ayifuni ukuba ngqindilili kangako xa kuthelekiswa neepleyiti zentsimbi eziqhelekileyo ezicinezelekileyo, kwaye akufuneki ukuba izaliswe ngezikrufu.
Ipleyiti yentsimbi kufuneka igotywe kwangaphambili, ijije izikrufu zecortical ukusuka kude ukuya kufutshane, kwaye usebenzise izikrufu zecortical ukuncamathisela ipleyiti yentsimbi.Ngenxa ye-elastic recoil, ipleyiti yentsimbi inomkhwa wokuqalisa ukugoba, kwaye la mandla asetyenziselwa ukwenza umsebenzi we-buttress.
- I-Antiglide Plate
Emva kokulungiswa kwepleyiti yentsimbi, thintela ibhloko yokuqhekeka ukuba ingatyibiliki ngaphandle phantsi kwamandla obude.Isetyenziswa kakhulu kwi-distal end ye-fibula.
- I-Span Plating okanye iBridge Plating
Olu luguqulelo olulungisiweyo lweplate ye-neutralization, ejoliswe kwi-fracture edibeneyo ye-cadre, ngokubeka iliso kwi-fluoroscopy, i-plate inqumla indawo yokuphuka kwaye ilungise iziphelo ezikufutshane kunye nezikude zokuphuka, kwaye indawo yokuphuka ayilungiswanga.
Olu hlobo lobuchwepheshe lugxininisa ikakhulu ukulungelelaniswa, ukulungelelaniswa, ubude kunye nokujikeleza.Ukutyunyuzwa okuphakathi kungenziwa ngaphandle kwonyango, enokukhusela ngokufanelekileyo ukunikezelwa kwegazi kwisiphelo esiphukileyo sokuphuka.Nangona kunjalo, kufuneka kuqatshelwe ukuba i-plate yensimbi kufuneka ibe nobude obaneleyo, kwaye inani le-screws kwiziphelo zombini kufuneka libe nokwaneleyo..Okwangoku, ezinye ii-nonnonion zamathambo zivame ukwenzeka, ekufuneka ziphathwe ngononophelo
Ixesha lokuposa: Aug-28-2023
