Ipuleti lokukhiya idivayisi yokulungisa ukuphuka enembobo enentambo.Uma isikulufu esinekhanda elinentambo sijikijelwa embobeni, ipuleti liba idivayisi (isikulufu) yokulungisa i-engeli.Amapuleti ensimbi akhiyayo (aqinile) angaba nazo zombili izimbobo zezikulufu zokukhiya nezingakhiyiyo ukuze kufakwe izikulufu ezihlukene (ezibizwa nangokuthi amapuleti ensimbi ahlanganisiwe).
1.Umlando nentuthuko
Amapuleti okukhiya aqala ukwethulwa cishe eminyakeni engama-20 edlule ukuze asetshenziswe ekuhlinzweni komgogodla kanye ne-maxillofacial.Ngasekupheleni kwawo-1980 nawo-1990, izifundo zokuhlola ezinhlotsheni ezihlukene zemishini yokulungisa yangaphakathi yethula amapuleti okukhiya ekwelapheni ukuphuka.Le ndlela yokulungisa evikelekile yasungulwa ekuqaleni ukuze kugwenywe ukuhlukaniswa kwezicubu ezithambile.
Kunezici eziningana ezikhuthaze ukusetshenziswa komtholampilo kwaleli plate, okuhlanganisa:
Izigameko zokuphulwa kwe-fractures ziyaqhubeka zanda njengoba izinga lokusinda lithuthuka ezigulini ezinokulimala okunamandla amakhulu kanye nenani leziguli esezikhulile ezine-osteoporosis landa eNtshonalanga Yurophu naseNyakatho Melika.
Odokotela kanye neziguli abanelisekile ngemiphumela yokwelashwa kwe-periarticular fractures.
Ezinye izinto ezingezona ezokwelashwa zingafaka: ukuthuthukiswa kwemboni yobuchwepheshe obusha kanye nezimakethe ezintsha;ukuduma kancane kancane kokuhlinzwa okungavamisile, njll.
2.Izici nezimiso ezingashintshi
Umehluko omkhulu we-biomechanical phakathi kwamapuleti okukhiya kanye namapuleti endabuko ukuthi lakamuva lincike ekungqubuzaneni kwe-bone-plate interface ukuqedela ukuminyanisa kwethambo ngepuleti.
Ukukhubazeka kwe-biomechanical kwamapuleti ensimbi endabuko: cindezela i-periosteum futhi kuthinte ukunikezwa kwegazi ekugcineni kokuphuka.Ngakho-ke, i-osteosynthesis yepuleti egxilile yendabuko (efana nokuminyanisa i-interfragmentary kanye nezikulufu zokusalele) inezinga eliphezulu lokuxakaxaka uma kuqhathaniswa, okuhlanganisa ukutheleleka, ukuphuka kwepuleti, inyunyana ebambezelekile, nokungahlangani.
Njengoba umjikelezo womthwalo we-axial ukhula, izikulufu ziqala ukuxega futhi zenze ukungqubuzana kwehle, ekugcineni kubangele ukuba ipuleti lixege.Uma ipuleti lixega ngaphambi kokuba ukuphuka kuphole, isiphetho sokuphuka ngeke sizinze futhi ekugcineni ipuleti lizophuka.Uma kunzima kakhulu ukuthola nokugcina ukulungiswa okuqinile kwesikulufu (njenge-metaphysis kanye ne-osteoporotic bone ends), kuba nzima nakakhulu ukugcina ukuzinza kokuphela kokuphuka.
Umgomo ogxilile:
Amapuleti okukhiya awanciki ekungqubuzaneni phakathi kwe-bone-plate interface.Ukuzinza kugcinwa isixhumi esibonakalayo esime kancane phakathi kwesikulufu nepuleti lensimbi.Ngenxa yokuthi lolu hlobo lokukhiya lwangaphakathi lunobuqotho obuzinzile, amandla okukhipha isikulufu sekhanda lokukhiya aphakeme kakhulu kunezikulufu ezijwayelekile.Ngaphandle uma zonke izikulufu ezizungezile zikhishwa noma ziphukile, kunzima ukuthi isikulufu sikhishwe noma siphuke sodwa.
3.Izinkomba
Ukuqhekeka okuningi okulashwe ngokuhlinzwa akudingi ukulungiswa kwepuleti lokukhiya.Uma nje izimiso zokuhlinzwa kwamathambo zilandelwa, ukuphuka okuningi kungelashwa ngamapuleti endabuko noma izipikili ze-intramedullary.
Kodwa-ke, kukhona ngempela ezinye izinhlobo ezikhethekile zokuphuka ezithambekele ekulahlekelweni ukuncishiswa, ukuphuka kwepuleti noma isikulufu, kanye nokungasho lutho kwethambo okulandelayo.Lezi zinhlobo, ezivame ukubizwa ngokuthi "okungaxazululiwe" noma "inkinga" ukuphuka, kufaka phakathi ukuhlukana kwe-intra-articular comminuted, i-periarticular short bone fractures, kanye nokuphuka kwe-osteoporotic.Ukuphuka okunjalo kuyizinkomba zokukhiya amapuleti.
4.Uhlelo lokusebenza
Inani elikhulayo labakhiqizi linikeza namapuleti e-anatomical anezimbobo zokukhiya.Isibonelo, amapuleti e-anatomic amise okwengaphambili we-proximal ne-distal femurs, i-proximal ne-distal tibias, i-proximal ne-distal humerus, ne-calcaneus.Idizayini yensimbi yensimbi inciphisa kakhulu ukuthintana phakathi kwepuleti lensimbi nethambo ezimweni eziningi, ngaleyo ndlela ilondoloze ukunikezwa kwegazi kwe-periosteal kanye nokugcwaliswa kwesiphetho sokuphuka.
I-LCP (ipuleti lokucindezela lokukhiya)
Ipuleti lokuminyanisa lokukhiya elisungulayo lihlanganisa ubuchwepheshe obubili bokulungisa bangaphakathi obuhluke ngokuphelele ku-implant eyodwa.
I-LCP ingasetshenziswa njengepuleti lokucindezela, ubakaki wangaphakathi wokukhiya, noma inhlanganisela yakho kokubili
Ihlasela kancane:
Inani elikhulayo lamapuleti okukhiya anezibambo ze-stent zangaphandle, izibambi, nemiklamo yamathiphu angacacile avumela odokotela ukuthi babeke ipuleti ngaphansi kwe-submuscularly noma ngaphansi kwesikhumba ngezinjongo zokuhlasela kancane.
Uma ufuna ukwazi ngemikhiqizo yethu, sicela uthinte:
Yoyo
Whatsapp/Tel: +86 15682071283
Isikhathi sokuthumela: Sep-25-2023
