Ipuleti lokukhiya liyidivayisi yokubopha ama-fracture enembobo enentambo. Uma isikulufu esinekhanda elinentambo sifakwe emgodini, ipuleti liba yidivayisi yokubopha i-engeli (isikulufu). Amapuleti ensimbi akhiyayo (azinzile) angaba nezimbobo zesikulufu ezikhiyayo nezingakhiyi ukuze kufakwe izikulufu ezahlukene (ezibizwa nangokuthi amapuleti ensimbi ahlanganisiwe).
1. Umlando nentuthuko
Amapuleti okukhiya aqala ukwethulwa eminyakeni ecishe ibe ngu-20 eyedlule ukuze asetshenziswe ekuhlinzeni komgogodla kanye nokuhlinzwa kwe-maxillofacial. Ngasekupheleni kweminyaka yama-1980 kanye nama-1990, izifundo zokuhlola ezinhlobonhlobo zamadivayisi okubopha angaphakathi zaletha amapuleti okukhiya ekwelapheni ukwaphuka. Le ndlela yokubopha evikelekile yasungulwa ekuqaleni ukuze kugwenywe ukuhlukaniswa kwezicubu ezithambile okubanzi.
Kunezici eziningana ezikhuthaze ukusetshenziswa kwaleli plate emtholampilo, okuhlanganisa:
Ukwanda kokuqhekeka kwamathambo okubangelwa yi-fracture kuyaqhubeka nokwanda njengoba amazinga okusinda ethuthuka ezigulini ezinokulimala okunamandla amakhulu kanye nenani leziguli ezindala ezine-osteoporosis likhuphuka eNtshonalanga Yurophu naseNyakatho Melika.
Odokotela neziguli abanelisekile ngemiphumela yokwelashwa kokuqhekeka okuthile kwe-periarticular.
Ezinye izici zokukhuthaza ezingezona ezezokwelapha zingafaka: ukukhuthazwa kobuchwepheshe obusha kanye nezimakethe ezintsha embonini; ukuthandwa kancane kancane kokuhlinzwa okungangenisi kakhulu, njll.
2. Izici kanye nezimiso eziqinile
Umehluko omkhulu we-biomechanical phakathi kwama-lock plate nama-plate endabuko ukuthi lawa agcina ethembele ekungqubuzaneni endaweni ehlangana ne-bone plate ukuze kuqedwe ukucindezelwa kwethambo yi-plate.
Amaphutha e-biomechanical amapuleti ensimbi endabuko: cindezela i-periosteum futhi athinta ukunikezwa kwegazi kuze kube sekugcineni kokuqhekeka. Ngakho-ke, i-osteosynthesis ye-plate eqinile yendabuko (njengokucindezela okuphakathi kwezingxenye kanye nezikulufo zokulaxaza) inesilinganiso esiphakeme kakhulu sezinkinga, okuhlanganisa ukutheleleka, ukuqhekeka kwepuleti, ukuhlangana okulibazisekile, kanye nokungahlangani.
Njengoba umjikelezo womthwalo we-axial ukhula, izikulufo ziqala ukukhululeka futhi zibangele ukungqubuzana kwehle, ekugcineni kubangele ukuthi ipuleti likhululeke. Uma ipuleti likhululeka ngaphambi kokuba ukuqhekeka kuphole, ingxenye yokuqhekeka izobe ingazinzile futhi ekugcineni ipuleti lizophuka. Lapho kunzima kakhulu ukuthola nokugcina ukuqina kwezikulufo (njenge-metaphysis kanye ne-osteoporotic bone ends), kulapho kunzima kakhulu ukugcina ukuqina kwengxenye yokuqhekeka.
Isimiso esiqinile:
Amapuleti okukhiya awanciki ekungqubuzaneni phakathi kwesixhumi esibonakalayo se-bone-plate. Ukuzinza kugcinwa yi-interface ezinzile e-angled phakathi kwesikulufu nepuleti lensimbi. Ngenxa yokuthi lolu hlobo lwe-fixator yangaphakathi yokukhiya lunobuqotho obuzinzile, amandla okukhipha esikulufu sekhanda lokukhiya aphezulu kakhulu kunalawo ezikulufu ezivamile. Ngaphandle kokuthi zonke izikulufu ezizungezile zikhishwe noma ziphukile, kunzima ukuthi isikulufu sikhishwe noma siphuke sodwa.
3. Izinkomba
Iningi lama-fracture alashwe ngokuhlinzwa awadingi ukufakwa kwe-locking plate. Uma nje kulandelwa izimiso zokuhlinzwa kwamathambo, ama-fracture amaningi angaphulukiswa ngama-plate endabuko noma izinzipho zangaphakathi kwe-medullary.
Kodwa-ke, kunezinhlobo ezithile ezikhethekile zokuphuka kwethambo ezivame ukulahlekelwa ukuncipha, ukuphuka kwepuleti noma isikulufu, kanye nokungahlangani kwethambo okulandelayo. Lezi zinhlobo, ezivame ukubizwa ngokuthi ukuphuka “okungaxazululiwe” noma “okuyinkinga”, zifaka phakathi ukuphuka kwethambo okuhlanganisiwe ngaphakathi kwe-articular, ukuphuka kwethambo elifushane le-periarticular, kanye nokuphuka kwe-osteoporotic. Ukuphuka okunjalo kuyizinkomba zamapuleti akhiywayo.
4. Isicelo
Inani elikhulayo labakhiqizi liphinde linikeze amapuleti okwakheka komzimba anezimbobo ezikhiyayo. Isibonelo, amapuleti okwakheka komzimba akhiwe ngaphambilini ama-femur aseduze nakude, ama-tibia aseduze nakude, ama-humerus aseduze nakude, kanye ne-calcaneus. Ukwakheka kwepuleti lensimbi kunciphisa kakhulu ukuxhumana phakathi kwepuleti lensimbi nethambo ezimweni eziningi, ngaleyo ndlela kulondolozwa ukunikezwa kwegazi kwe-periosteal kanye nokugeleza kwegazi ekugcineni kokuqhekeka.
I-LCP (ipuleti lokucindezela elikhiyayo)
Ipuleti lokucindezela elikhiyayo elisha lihlanganisa ubuchwepheshe obubili obuhlukene ngokuphelele bokunamathela kwangaphakathi kube yi-implant eyodwa.
I-LCP ingasetshenziswa njengepuleti lokucindezela, ibhulakhethi yangaphakathi ekhiyayo, noma inhlanganisela yakho kokubili
Okungahlaseli kakhulu:
Inani elikhulayo lamapuleti okukhiya anezibambo zangaphandle ze-stent, izibambo, kanye nemiklamo ye-tip e-blunt evumela odokotela ukuthi babeke ipuleti ngaphansi kwemisipha noma ngaphansi kwesikhumba ukuze bangazihlaseli kakhulu.
Uma ufuna ukwazi ngemikhiqizo yethu, sicela uxhumane nathi:
I-Yoyo
I-Whatsapp/Ucingo: +86 15682071283
Isikhathi sokuthunyelwe: Septhemba-25-2023
