Izikhali ezimbili eziwumlingo ze-trauma orthopedics, ipuleti kanye ne-intramedullary nail. Amapuleti nawo angamathuluzi okulungisa angaphakathi asetshenziswa kakhulu, kodwa kunezinhlobo eziningi zamapuleti. Nakuba zonke ziyizingcezu zensimbi, ukusetshenziswa kwazo kungathathwa njenge-Avalokitesvara ehlome eyinkulungwane, okungalindelekile. Uyazazi zonke lezi?
- Ibhendi ye-Tension Band
Ingabe ipuleti liyibhendi ye-tension?
Uma izinsimbi zamanye amathambo zidluliselwa ekuqiniseni i-eccentric, i-steel plate iyibhande le-tension, njenge-femur, futhi i-steel plate kufanele ibekwe ohlangothini lwe-tension.
2. Imodi Yokucindezela
Ipuleti elicindezelweyo lenziwa ngokufaka isikulufu kusikhiya seslope, esingokwesimiso sokuslayida esiyindilinga.
Nokho, ukucindezela kuzokwenza ukucindezela phakathi kwepuleti nethambo kube kukhulu kakhulu, futhi ngezinye izikhathi kuthinte ukuphulukiswa kwethambo. Ngakho-ke, ipuleti lokucindezela elilinganiselwe elinokuxhumana kwamaphuzu liyasungulwa, okuyilokho esivame ukukubiza nge-LCP.
Uma ufuna ukucindezela, lapho ubhoboza, udinga ukunaka iqiniso lokuthi ukubhoboza kudinga ukusondela ohlangothini lwe-keyhole (phezulu), futhi ukubhoboza endaweni ephakathi ngeke kube nomphumela wokucindezela ukuphela okuphukile (phansi). Umphumela unganyuswa cishe ngo-1mm.
- Ipuleti lokukhiya
Ipuleti lokukhiya, okungukuthi, isikulufu nepuleti kuhlanganiswe ngaphambilini ngendlela ekhiyiwe. Ngokuvamile imbobo yokukhiya kanye nomgodi ocindezelayo kuhlangene, kodwa imisebenzi yalokhu kokubili ihluke ngokuphelele.
Izikulufu zokukhiya zingakhuphula ngempumelelo amandla okulungisa angaphakathi, futhi ukumelana kwazo nokukhipha kungcono, ikakhulukazi izikulufu zokukhiya eziqinisa i-engeli, okuphawuleka kakhulu ipuleti lokukhiya le-humeral philos.
- Imodi yokungathathi hlangothi
Ipuleti ye-neutralization ayikhiqizi ukucindezelwa emikhawulweni yokuphuka, kodwa kuphela umphumela wokuxhumanisa ekugcineni kokuphuka. Ngoba iziphetho zokuphuka zicindezelwa yizikulufu ze-lag, kodwa amandla ezikulufu zokugoba ngokumelene nokugoba, ukuzungezisa, namandla okugunda akhawulelwe, ngakho-ke ipuleti lensimbi liyadingeka ukuze uthole usizo.
Kupuleti lensimbi elingashintshiwe, amandla amakhulu isikulufu se-lag. Uma umugqa wokuphuka umkhulu futhi umude, izikulufu ze-lag ezingu-2-3 zingasetshenziswa ukudonsa i-perpendicular kumugqa wokuphuka, bese zisizwa ngokulungiswa kwepuleti lokungathathi hlangothi.
Amapuleti e-neutralization asetshenziswa kakhulu ukulungisa i-lateral malleolus ne-clavicle.
- Ipuleti le-buttress
Ungasifaka kanjani isicelo se-buttress ku-orthopedics? Ngokuyinhloko isicelo esokuqhekeka ngokumelene namandla okugunda, abekwe ohlangothini lokunyakaza okuhlobene. Ipuleti lensimbi elisekelayo alidingi ukuthi libe wugqinsi kakhulu uma liqhathaniswa namapuleti ensimbi acindezelwe ajwayelekile, futhi akudingekile ukuthi ligcwaliswe ngezikulufo.
I-steel plate idinga ukugotshwa ngaphambilini, igobe izikulufu zekhorotiki ngokushintshana ukusuka kude ukuya eduze, futhi isebenzise izikulufu zekhorotiki ukunamathisela ipuleti lensimbi. Ngenxa yokuhlehla okunwebekayo, ipuleti lensimbi linomkhuba wokuqalisa ukugoba, futhi la mandla asetshenziselwa ukwenza umsebenzi we-buttress.
- I-Antiglide Plate
Ngemva kokulungiswa kwepuleti lensimbi, vimbela ibhulokhi yokuphuka ukuthi ingasheleli iphumele ngaphandle ngaphansi kwamandla e-longitudinal. Isetshenziswa kakhulu ekugcineni kwe-distal ye-fibula.
- I-Span Plating noma iBridge Plating
Lena inguqulo eguquliwe yepuleti ye-neutralization, ehloswe ekuqhekekeni okuqhubekayo kwe-cadre, ngokusebenzisa ukuqapha kwe-fluoroscopy, ipuleti liwela indawo yokuphuka futhi lilungise iziphetho eziseduze nezikude ze-fracture, futhi indawo yokuphuka ayilungiswanga.
Lolu hlobo lobuchwepheshe lugcizelela ngokuyinhloko ukuqondanisa, ukuqondanisa, ubude, nokuzungezisa. Ukuchotshozwa okuphakathi kungenziwa ngaphandle kokwelashwa, okungavikela ngokuphumelelayo ukunikezwa kwegazi kokuphela okuphukile kokuphuka. Kodwa-ke, kufanele kuqashelwe ukuthi ipuleti lensimbi kufanele libe nobude obanele, futhi inani lezikrini kuzo zombili iziphetho kufanele futhi lanele. . Njengamanje, ezinye izinyunyana zamathambo zivame ukwenzeka, okudingeka ziphathwe ngokuqapha
Isikhathi sokuthumela: Aug-28-2023
