Lezi zikhali ezimbili zomlingo ze-trauma ama-orthopedics, ipuleti kanye ne-intramerary nail. Amapuleti nawo angamadivayisi wokulungiswa kwangaphakathi asetshenziswa kakhulu, kepha kunezinhlobo eziningi zamapuleti. Yize zonke ziyingxenye yensimbi, ukusetshenziswa kwazo kungathathwa njenge-avalokitesvara ehlomile eziyinkulungwane, okungalindelekile. Ngabe uyazi konke lokhu?
- Ibhendi ye-tesion band
Ngabe ipuleti lind thempetinsion?
Lapho imishini yamathambo athile idluliselwa ekuhlelweni kwe-eccentric, ipuleti lensimbi yibhendi yokungezwani, njenge-femur, neplate yensimbi kufanele ibekwe ohlangothini lwengxabano.
2. Imodi yokucindezela
Ipuleti elicindezelwe lenziwa ngokuhlanza isikulufa esigabeni se-slope, esingesisekelo sokuslayida okuyi-spirical.
Kodwa-ke, ingcindezi izokwenza ingcindezi phakathi kwepuleti nethambo likhulu kakhulu, futhi kwesinye isikhathi lithinte ukuphulukiswa kwethambo. Ngakho-ke, ipuleti elinqunyelwe elinenhlonipho elinokuxhumana kwamaphoyinti lisunguliwe, okuyilokho esivame ukubiza i-LCP.
Uma ufuna ukucindezela, lapho ukumba, udinga ukunaka iqiniso lokuthi ukumba kudinga ukusondela ohlangothini lwe-keyhole (phezulu), nokumba endaweni ephakathi ngeke kube nomphumela wokucindezela isiphetho (phansi). Umphumela ungakhuphuka kuphela nge-1mm.
- Ukukhiya ipuleti
Ukukhiya ipuleti, okungukuthi, isikulufa kanye neplate phambilini kuhlanganiswe ngefomu elikhiyiwe. Imvamisa umgodi wokukhiya kanye nomgodi wokucindezela kuhlanganiswe, kepha imisebenzi yalezi ezimbili ihluke ngokuphelele.
Izikulungisa ezikhiya zingakhulisa ngempumelelo amandla okulungiswa kwangaphakathi, futhi ukumelana kwazo kokukhipha kungcono, ikakhulukazi izikulufo ezilonke ezilongelisayo, okuphawuleka kakhulu ukuba yipuleti yokukhiya okuthe xaxa ye-Philos Plate.
- Imodi yokungathathi hlangothi
Ipuleti lokungathathi hlangothi alikhiqizi ukucindezelwa ku-Fracture liphela, kepha kuphela umphumela oxhumanisayo ku-Fracture Ends. Ngoba ama-Fracture Ends acindezelwa yizikulufo ze-lag, kepha amandla ezihlakala ze-lag ngokumelene nokugoba, ukujikeleza kanye namabutho okugunda kukhawulelwe, ngakho-ke kudingeka ipuleti lensimbi ukuze uthole usizo.
Epuletini lensimbi elingathathi hlangothi, amandla amakhulu yisikulufa se-lag. Lapho umugqa we-fracture ukhula futhi isikhathi eside, ama-2-3 we-lag screws angasetshenziswa ukudonsa i-perpendicular emgqeni we-fracture, bese usiza ngokulungiswa kwepuleti yokungathathi hlangothi.
Amapuleti angathathi hlangothi asetshenziselwa kakhulu ukulungiswa kwe-malleolus ye-latelal ne-clavicle.
- Ipuleti le-butterress
Ungayisebenzisa kanjani i-Butterss kuma-Orthopedics? Ngokuyinhloko uhlelo lokusebenza lwenzelwe ukuqhekeka ngokumelene namabutho ama-shear, abekwe ekuqondisweni kwenhlangano ehlobene. Ipuleti lensimbi elisekelayo alidingi ukuba ligxile kakhulu uma liqhathaniswa namapuleti ensimbi acindezelwe ajwayelekile, futhi akudingeki ukuthi ligcwaliswe ngezikulufo.
Iplate yensimbi idinga ukuba i-pre-bent, isikulufa kuma-cortical screws nayo isuka kude, bese usebenzisa izikulufo ze-cortical ukunamathisela ipuleti lensimbi. Ngenxa yokutholwa kwayo okubanzi, ipuleti lensimbi linokuthambekela kokuphinda ligobe, futhi leli Force lisetshenziselwa ukwenza umsebenzi we-butterss.
- Ipuleti le-antiglide
Ngemuva kokulungiswa kwensimbi yensimbi, vimba i-Fracture block kusuka ku-sliding ngaphandle ngaphansi kwamandla amade. Ikakhulukazi esetshenziswa ekugcineni kwe-fibula.
- Span plating noma i-bridge sliating
Le nguqulo elungisiwe yepuleti yokungathathi hlangothi, okuhloswe ngayo ukuqhekeka okususiwe kwe-cadre, ngokuqapha i-fluoroscopy, ipuleti liwela indawo yokuqhekeka futhi ilungisa imikhawulo ye-fracture futhi ilungisa iziphetho ze-fracture kanye ne-distal.
Lolu hlobo lobuchwepheshe lugcizelela kakhulu ukuqondanisa, ukuqondanisa, ubude, nokujikeleza. Ukuqhekeka okuphakathi kungenziwa ngaphandle kokwelashwa, okungavikela ngempumelelo ukuhlinzekwa kwegazi kokuphela okuphukile kokuqhekeka. Kodwa-ke, kufanele kuqashelwe ukuthi ipuleti lensimbi kumele libe nobude obanele, futhi inani lezikulufo ezinhlamvu zombili kumele futhi zanele. . Njengamanje, ezinye izithambisi zamathambo zithambekele ekwenzekeni, ezidinga ukuphathwa ngokuqapha
Isikhathi sePosi: Aug-28-2023
