Ipuleti lokukhiya liyidivaysi yokulungiswa kwe-fracture enomgodi ofakwe intambo. Lapho isikulufa esinekhanda elinomucu sifakwe emgodini, ipuleti liba yi-Angle Fixtation device. Ukukhiya (ama-angle-ezinzile) amapuleti ensimbi angaba nokukhiya izimbobo zokukhiya nezilongelo ezikhiywe ngezikulufo ezihlukile ukuze ziboshwe ngaphakathi (ezibizwa nangokuthi zibizwa ngamapuleti ezinsimbi ezihlanganisiwe).
1.History and Development
Ukukhiya amapuleti okokuqala kwangeniswa cishe eminyakeni engama-20 eyedlule ukuze kusetshenziswe kumgogodla futhi maxillofacial ukuhlinzwa. Ngasekupheleni kwawo-1980s nango-1990, izifundo zokuhlola ezinhlotsheni ezahlukahlukene zamadivayisi wokuhlelwa kwangaphakathi aletha amapuleti okukhiya ekwelashweni kokuqhekeka. Le ndlela yokulungiswa ephephile yasungulwa ekuqaleni ukugwema ukudilizwa okubanzi kwezicubu ezithambile.
Kunezici eziningana ezikhuthaze ukusetshenziswa kwaleli puleti, kufaka phakathi:
Izigameko zokuqhekeka ezivuthiwe ziyaqhubeka nokukhuphuka njengamazinga okusinda zithuthuka ezigulini ezinokulimala kwamandla aphezulu kanye nesibalo seziguli ezikhulile ezine-osteoporosis zanda eNtshonalanga Yurophu naseNyakatho Melika.
Odokotela neziguli abanelisekile ngemiphumela yokwelashwa kwama-fractures athile e-periarticular.
Ezinye izinto ezingezona ezingezona ezomtholampilo zingafaka: Ukukhuthaza imboni yobuchwepheshe obusha nezimakethe ezintsha; Ukuthandwa kancane kancane kokuhlinzwa okuncane, njll.
Ama-2.Charoctiontrints kanye nezimiso ezinqunyelwe
Umehluko omkhulu we-biomechanical phakathi kwamapuleti okukhiya namapuleti endabuko ukuthi lokhu kuncipha ekungqubuzaneni esibonakalayo se-bone-plate interface ukuqedela ukucindezelwa kwethango ngepuleti.
Ukulimala kwe-biomechanical kwamapuleti ensimbi yendabuko: cindezela i-periosteum futhi kuthinte ukunikezwa kwegazi ekupheleni kokuphela. Ngakho-ke, iplanethi ehlelwe ngokuqinile yeplanethi ye-osteosynthesis (efana nokucindezela okungathiki kanye nezinsimbi ze-lag) inesilinganiso esiphakeme kakhulu, kufaka phakathi ukutheleleka, ukuqhekeka kwepuleti, inyunyana.
Njengoba umjikelezo womthwalo we-axial unyuka, izikulufo ziqala ukukhulula futhi zibangele ukungqubuzana ukwehla, ekugcineni kudala ipuleti ukuba lithukulule. Uma ipuleti liyakhulula ngaphambi kokuphulukiswa kokuphulukisa, ukuphela kokuphela kwayo kuzoba ongazinzi futhi ekugcineni ipuleti lizophuka. Kunzima kakhulu ukuthola nokugcina ukulungiswa kwesikulufu esiqinile (njengokuhlelwa kwe-metaphysis kanye ne-osteoporotic bone kugcina), kunzima kakhulu ukugcina ukuqina kokuphela kokuphela.
Isimiso Esilungisiwe:
Ukukhiya amapuleti akuthembeli ekuxineni phakathi kwesibonisi se-bone-polate. Ukuqina kugcinwa ngokuxhumeka okuzinzile phakathi kwesikulufa nepuleti lensimbi. Ngoba lolu hlobo lokukhiya i-Fishator yangaphakathi lunobuqotho obuzinzile, amandla okudonsa okukhiya ikhanda isikulufa liphakeme kakhulu kunaleso sikulungi esijwayelekile. Ngaphandle kokuthi zonke izikulufo ezizungezile zikhishwe noma ziphukile, kunzima ngesikulufa ukuze zikhishwe noma ziphule zodwa.
3.Imication
Ama-fractures aphathwe kakhulu ngokuhlinzwa awadingi ukukhiya ukulungiswa kwepuleti. Uma nje imigomo yokuhlinzwa kwamathambo iyalandelwa, ama-fractures amaningi angaphulukiswa ngamapuleti endabuko noma izipikili ezihlekisayo.
Kodwa-ke, kunezinhlobo ezithile ezikhethekile zokuqhekeka ezithambekele ekulahlekelweni kokuncishiswa, ipuleti noma ukuqhekeka kwesiko, kanye nethambo elilandelayo. Lezi zinhlobo, ezivame ukubizwa ngokuthi "inkinga" noma "yezinkinga", zifaka ama-fractures ahlanganisiwe we-intra-acticular, amathambo amathambo amafushane, kanye nama-osteoporotic fractures. Ukuqhekeka okunjalo kuyizimpawu zokukhiya amapuleti.
I-4.Application
Inani elikhulayo labakhiqizi liphinde linikeze amapuleti e-anatomical ngezimbobo zokukhiya. Isibonelo, ukhubaze amapuleti e-anatomic we-proximal and distal flemurs, ama-proximal kanye ne-dibias tibias, i-proximal ne-huthirus ye-distal, ne-calcaneus. Ukuqanjwa kwepuleti lensimbi kunciphisa kakhulu ukuxhumana phakathi kwepuleti lensimbi kanye nethambo ezimweni eziningi, ngaleyo ndlela kulondolozwe ukunikezwa kwegazi kwe-perioustoeal kanye nokuphela kokuphela kwegazi.
I-LCP (ukukhiya ipuleti yokucindezela)
Ipuleti lokucindezela elijikelezayo elivelayo lihlanganisa ubuchwepheshe obubili bokuhlelwa kwangaphakathi ngokuphelele kokufakelwa okukodwa.
I-LCP ingasetshenziswa njengepuleti lokucindezela, i-bracket yangaphakathi yokukhiya, noma inhlanganisela yalaba bobabili
Ukuhlasela okuncane:
Inani elikhulayo lamapuleti okukhiya linokukhubazeka kwangaphandle, abanikazi, kanye nemiklamo yethiphu yethiphu evumela odokotela bafaka izinjongo zokuhambisa ipuleti noma ngenhloso yokuzivikela kancane.
Uma ufuna ukwazi ngemikhiqizo yethu, sicela uthinte:
UYoyo
WhatsApp / Tel: +86 15682071283
Isikhathi sePosi: Sep-25-2023
