External Fixator na Afɔ & Klo Spanning Ex Fix

1. Ŋgɔdonya

Gotagome nuléle nye mɔnu si woate ŋu azã le mɔ vovovowo nu, si me womewɔa nu boo aɖeke le o, si dzi woato ana lãmekawo ƒe gbagbãwo nali ke eye woatsɔ akpɔ abi siwo sesẽ le lãmeka falɛfalɛwo ŋu gbɔ. Wozãnɛ enuenu na gbagbãƒe siwo le ʋuʋu ɖi , nonunions siwo me dɔlékuiwo le, nusiwo gblẽ le ame ŋu dzi ɖuɖu le polytrauma me, deformity correction, kple abɔ kple afɔ didi.

2. Nukatae woazã gotagome fixation?

2.1 Viɖe siwo le eme

• Eɖea ƒuwo ƒe ʋu ƒe sisi kple lãkusi falɛfalɛwo ƒe xɔxlɔ̃ ƒe tɔtɔ dzi kpɔtɔna.

• Ezazã kabakaba le nɔnɔme kpata alo nusiwo gblẽ dzi ɖuɖu me.

• Viɖe le eŋu na ƒu gbagbã siwo le ʋuʋu/siwo me dɔlékui le kple ƒu si me dɔlékui le afisi afɔku le ememedede.

• Eɖea mɔ na nuwo gbugbɔgatu le ɖoɖo nu (ɣeyiɣi kpui aɖe ƒe liƒo → fixation definitive).

• Enaa ƒuwo ŋudɔwɔwɔ, ƒu ƒe dzɔdzɔ si hea susu ɖa, kple ƒu ƒe nɔnɔme madeamedzi ɖɔɖɔɖo nɔa bɔbɔe.

2.2 Nusiwo woatsɔ afiae

Dɔdamɔnu siwo bɔ siwo me woɖea gotagome fixation fiana le:

• Gbagbãƒe siwo le ʋuʋu ɖi siwo me lãmeka falɛfalɛwo gblẽ vevie alo ɖiƒoƒo le wo ŋu.

• Gbagbãƒe siwo wotu le dɔnɔ siwo ŋu nuveviwɔame geɖe le si hiã be woali ke hena ɣeyiɣi aɖe.

• Intra-articular fractures ne lãkusi falɛfalɛwo mete ŋu doa dzi le ememe ƒe ʋuʋu o (asibidɛ, . klo , afɔkpodzi).

• Ƒu ƒe bu alo lãmeka falɛfalɛwo ƒe gbagbã si wokpɔa egbɔ to kpuiƒe kple susuhenuwo wɔwɔ ɖe ɖoɖo nu.

• Dɔlékui / dɔlékui nonunion — woate ŋu aɖo pinwo ɖe teƒe didi tso teƒe siwo dɔlélea le.

• Joint spanning (bridging) constructs na abi sesẽ siwo le ƒunukpeƒetetedɔ alo ƒunukpeƒe siwo meli ke o.

3. Gɔmeɖose siwo ku ɖe gotagome fixation zazã ŋu

3.1 Biomechanical safuiwo

• Zã ya teti pin eve le kakɛ gã ɖesiaɖe si woda ɖe ŋutilã ƒe akpa siwo le dedie me.

• De pins siwo te ɖe gbagbãƒea ŋu (gake le gota hematoma/ŋutilã ƒe gbagbã) be woana woali ke ɖe edzi.

• Na kadodotiwo nate ɖe ƒu ŋu eye nàna pin nakaka ɖe kakɛ ɖesiaɖe me wòade edeƒe.

• Ati geɖe wu kple yameʋu geɖe ƒe xɔtunuwo dzia sesẽme ɖe edzi.

4. Components — quick reference

5. Dɔwɔwɔ tɔxɛwo

5.1 Ƒunukpeƒe ƒe fusion & ƒunukpeƒe ƒe spanning

Woate ŋu azã gotagome nuléle na ƒunukpeƒewo ƒe ƒoƒo alo abe ƒunukpeƒetetedɔ ƒe xɔtunu ene atsɔ akpɔ lãkusi falɛfalɛwo ta esime wole abɔ kple afɔ ƒe ƒoƒo ɖe ɖoɖo nu ta (le kpɔɖeŋu me, afɔkpodzi ƒe gbagbã sesẽwo).

6. Zãzã, Dzesiwo & Dɔwɔwɔ vɔ megbe Beléle

6.1 Alesi wowɔa... fixator  ye wozãna

1. Wɔ ɖoɖo ɖe pin/wire mɔzɔzɔwo ŋu to teƒe siwo le dedie zazã me.

2. De pin alo kawo eme le nɔnɔmetata ƒe mɔfiafia te.

3. Kpe atikplɔwo kple nusiwo wotsɔna léa nu ɖe ​​eŋu; trɔ asi le alesi woɖoe ɖe ɖoɖo nu ŋu.

4. Na hehe dɔnɔwo tso pin tract beléle ŋu.

6.2 Dzesi siwo wozãna zi geɖe

• Tibial fractures — zi geɖe la, wozãa tibial pins.

• Afɔkpodzi ƒe gbagbã kple lãmeka falɛfalɛwo ƒe abi — ate ŋu ahiã be woawɔ ƒunukpeƒe ƒe ʋuʋu .

• Peri-articular fractures ne ememe fixation mate ŋu adzɔ o.

6.3 Beléle na ame le dɔwɔwɔ vɔ megbe

• Pin tract dzadzɛnyenye: dze egɔme tso ŋkeke si kplɔ amekokoa ɖo dzi . Klɔ pin tract ɖesiaɖe zi 1–2 gbesiagbe.

• Vevesese dzi ɖuɖu: vevesesenutsitike bɔbɔe kple atike ƒuƒuwo.

• Kpɔkpɔ: lé ŋku ɖe eŋu be eƒe amadede biã, vevesese, tsi si le dodom, alo dzoxɔxɔ hã.

• Ʋuʋu: woɖea mɔ ɖe kpekpeme ƒe akpa aɖe tsɔtsɔ ŋu zi geɖe.

• Ðoɖowɔɖi si woatsɔ akplɔe ɖo: atikewɔƒe ƒe dodokpɔ edziedzi.

7. Ɣeyiɣi didi si gotagome fixation kple tɔtrɔ

• Atikewɔwɔ si ŋu kakaɖedzi le vaseɖe esime gbagbãƒea nasẽ ɖe edzi.

• Trɔtrɔ kaba ɖe ememe nuléle ŋu ne lãkusi falɛfalɛwo ɖe mɔ ko.

• Trɔ ɖe plaster/orthosis ŋu le afisi wòsɔ le.