Kusiyana pakati pa a mbale yotsekera ndi mbale yosatseka imabwera ku lingaliro limodzi lamakina: momwe screw imalumikizirana ndi mbale . Mu mbale yotsekera, screwhead yokhomerera imalowa mu dzenje la mbale, motero zomangira ndi mbale zimakhala ngati gawo limodzi lolimba, lokhazikika lomwe silidalira kukangana ndi fupa. Mu mbale yosatsekera (yachizoloŵezi), zomangira zimakanikizira mbaleyo pafupa, ndipo kukhazikika kumabwera chifukwa cha kukangana kwa mawonekedwe a fupa la mbale.
Kusiyanitsa kumodzi kumeneku kumadutsa mu china chilichonse - kukhudza mafupa, magazi a periosteal, kupanikizana pamalo ophwanyika, machitidwe a osteoporotic bone, mitengo yochotsera zida, ndi mtengo womanga. Bukuli likuyerekeza kutseka ndi mbale zosatsekera pamakina, biomechanics, zisonyezo zachipatala, ndi kugula, kotero implant imagwirizana ndi kusweka komanso wodwala.
Kutseka vs Mbale Osatseka Pang'onopang'ono
Ngati mungowerenga gawo limodzi la tsambali, werengani tebulo ili. Ikufotokoza mwachidule kusiyana komwe kumasintha zosankha zachipatala.
| Mbali |
Yotseka mbale |
Yosatseka mbale |
| Kulumikizana kwa screw-plate |
Maloko okhala ndi ulusi wopindika mu dzenje la mbale |
Mutu wopanda phula; mbale imagwiridwa ndi kukangana kokha |
| Mfundo yokhazikika |
Kumanga kokhazikika (kwangular khola); zomangira sizingasinthe |
Kutumiza katundu kudzera mu kupanikizana kwa mbale-fupa |
| Plate-fupa kukhudzana |
Safuna contouring yeniyeni kapena psinjika olimba |
Ayenera kuzunguliridwa kuti akhale pansi pa fupa |
| Mphamvu ya magazi |
Periosteum pansi pa mbale imasungidwa; machiritso osalunjika ndi callus |
Mbale compresses kotekisi; Periosteal perfusion ikhoza kuchepetsedwa |
| Kupsinjika kwa malo ophwanyika |
Osapangidwa kudzera m'mbale (imafuna phula losiyana) |
Amapangidwa ndi eccentric screw placement |
| Osteoporotic kapena comminuted fupa |
Imasunga ndi kukana kumasula zomangira |
Chiwopsezo chokoka wononga ndi kutaya kuchepetsedwa |
| Zizindikiro zofananira |
Metaphyseal, peri-articular, periprosthetic, osteoporotic, comminuted fractures |
Ma fractures osavuta a diaphyseal mu mafupa abwino |
| Mtengo wofananira pakumanga |
Zapamwamba |
Pansi |
| Kuchotsa zida |
Zocheperako pamapikisano ambiri ofananiza |
Nthawi zambiri |
Zolemba patebulo: ziwerengero zamtengo, zochotsa ndi zovuta zimasiyanasiyana malinga ndi mtundu wa fracture, implant system ndi dongosolo laumoyo. Chitani mizere itatu yomaliza ngati yolunjika, osati yapadziko lonse lapansi.
Zofunika Kwambiri
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Mechanism imasankha chilichonse. Zomangira zokhoma zimapanga chomangira chokhazikika; zomangira zosatseka zimadalira kukangana pakati pa mbale ndi fupa.
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Zokhoma mbale zimalekerera kukwanira kopanda ungwiro. Iwo safuna contoured ndendende ku fupa, amene amathandiza kusunga magazi ndi kufewetsa opaleshoni mu comminuted fractures.
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Mambale osatseka amafunikira mikombero yolondola. Amagwira ntchito bwino m'mafupa olimba ndi njira yosavuta yothyoka, komwe amatha kupanganso kuponderezana.
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Zotsatira nthawi zambiri zimakhala zofanana; zovuta zimasiyana. Zofananitsa zosindikizidwa pamitundu yodziwika bwino yosweka zimawonetsa zotsatira zofananira, zomwe zimasiyana kwambiri ndi zovuta za bala, kuyambiranso ndi kuchotsedwa kwa hardware.
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Sankhani ndi mtundu wa fupa ndi mawonekedwe osweka poyamba, mtengo wachiwiri. Mafupa ofooka kapena ophwanyidwa amakonda kutseka; kuthyoka kosavuta m'mafupa athanzi kumakonda kusatseka.
Momwe Mbale Zokhoma ndi Zosatseka Zimagwirira Ntchito
Momwe mbale yotsekera imagwirira ntchito
Chophimba chotsekera chimagwiritsidwa ntchito pamene chomanga chokha chiyenera kupereka bata. screw head imanyamula ulusi womwe umayenderana mu plate hole, motero screw ndi mbale zimalumikizidwa mwamakina. Mphepete ndi malo zimakhazikika ndi mbale, osati ndi momwe wononga imaluma mwamphamvu fupa.
Zotsatira zitatu zimatsatira. Choyamba, mbaleyo siyenera kukanikizidwa pa fupa, kotero ikhoza kusiyidwa pang'ono pamwamba ndipo magazi a periosteal pansi pake amakhalabe ndi moyo. Chachiwiri, chifukwa chopukutiracho sichingasunthike, chomangacho chimakana kutulutsa ngakhale fupa litakhala losauka kapena kusweka kuli m'zidutswa zambiri. Chachitatu, kuwongolera ma micromotion pa mpata wosweka kumalimbikitsa kutsekereza callus - mfundo yochiritsira mosalunjika.
Langizo: Chotsekera mbale ndi chisankho chachilengedwe pamene fupa silingadaliridwe kuti likhale ndi wononga - kufooka kwa mafupa, comminution, kapena periprosthetic fracture.
Gome ili m'munsiyi limatchula mfundo za biomechanical kumbuyo kwa ubwino umenewo.
| Mfundo / ubwino |
Kufotokozera |
| Kukhazikika kwamakina |
Plate ndi screw zimapanga gawo limodzi lonyamula katundu lomwe silidalira thandizo la mafupa |
| Kudziimira pa fupa pamwamba |
Palibe kufunika kokwanira bwino kwa anatomical; Periosteal perfusion imasungidwa |
| Kupewa kumasula zomangira |
Ulusi wokhoma umagwira ma screw angle panthawi yonse yochira, ngakhale pansi pa katundu wozungulira |
| Angular bata |
Imakana kugwedezeka, kupindika ndi kulephera kwa torsion mu fupa lofooka kapena lokhazikika |
Momwe mbale yosatseka imagwirira ntchito
A mbale yosatseka - yolembedwanso 'mbale yosatseka', ndipo nthawi zambiri imatchedwa mbale wamba kapena yopondereza - imagwira ntchito mosiyana. Zomangira zimadutsa m'mbale ndi kulowa mu fupa, ndikukokera mbaleyo pansi pa kotekisi. Kukhazikika kumabwera chifukwa cha kukangana kwa mbale-fupa mawonekedwe: kukanikizana kwakukulu, kumapangitsanso kukana kuyenda.
Makinawa ali ndi zabwino zenizeni. Imasamutsa katundu pamodzi ndi mbale ndikupanga kuponderezana kudutsa mzere wosweka, zomwe zimalimbikitsa machiritso oyambirira a mafupa m'njira zosavuta. Zimawononganso ndalama zochepa ndipo zimafuna palibe zida zapadera zotsekera. Koma ili ndi chofunikira chimodzi chovuta: mbaleyo iyenera kuzunguliridwa molondola. Ngati mbaleyo sikhala pansi, mikangano yomwe imagwirizanitsa chomangacho imatayika ndipo kuchepetsa kungathe kutayika nayo.
Chidziwitso: Mbale zosatseka zimagwira bwino ntchito m'mafupa athanzi ndikuthyoka kosavuta. Olondola contouring si kusankha - ndi limagwirira.
Gome ili m'munsili likufanizira momwe mitundu iwiri yomanga imagawira katundu.
| Pangani mtundu Katundu |
Kugawa Kwachibadwa fupa |
chitsanzo |
Osteoporotic fupa chitsanzo |
| Ma mbale osatseka |
Kukangana kwa mbale-fupa mawonekedwe; kumeta ubweya wa nkhawa kumakhazikika pa mawonekedwe a screw-bone |
Kuuma kwakukulu komanso kuzungulira kochulukirapo mpaka kulephera |
Magwiridwe ake akuipiraipira kwambiri |
| Kutseka mbale |
Kumeta ubweya wa tsitsi kumasinthidwa kukhala kupsinjika, komwe fupa limalekerera bwino |
Kutsika kukanika pakudzipatula |
Kukana kwakukulu kwa kusamuka ndi torque |
Kusiyana kwakukulu kwaukadaulo pang'onopang'ono
| Mbali |
Zokhoma mbale |
Zosatsekera mbale |
| Screw design |
Ulusi wa screw-head umagwirizana ndi bowo la mbale |
Zomangira zokhazikika; palibe kugwirizana kwa ulusi ndi mbale |
| Njira yothetsera |
Kumanga kokhazikika; zomangira mbale |
Kuzungulira kolondola kwa fupa; kukhazikika mwa kukangana |
| Machiritso a mafupa |
Machiritso osalunjika ndi callus; magazi a periosteal asungidwa |
Kuchiritsa kwachindunji; kupsinjika kwa cortical kungachepetse kutulutsa |
| Kukhazikika mu fupa losauka bwino |
Pamwamba - kapangidwe kake kokhazikika sikudalira mphamvu ya fupa |
Pansi - zomangira zimatha kumasula kapena kutulutsa |
| Compress pa malo ophwanyika |
Zosatheka kupyolera mu mbale |
N'zotheka, koma otayika ngati mbale si contoured ndendende |
Nthawi Yomwe Mungagwiritsire Ntchito Chotsekera ndi Nthawi Yomwe Mungagwiritsire Ntchito Mbale Yosatseka
Zizindikiro za mbale zokhoma
Ma mbale okhoma amagwiritsidwa ntchito pomwe fupa silingadalirike kuti likhale ndi screw. Zomwe zimachitika zimaphatikizira kuthyoka kwa humerus kwa wodwala wokalamba, kuphulika kwa distal kapena distal radius ndi metaphyseal comminution, kupasuka kwa periprosthetic mozungulira m'chiuno kapena m'malo mwa bondo, ndi kusweka kotseguka komwe kuwonongeka kwa minofu yofewa kumalepheretsa njira ya opaleshoni.
Zikatere mbale imanyamula katundu osati fupa. Chifukwa ma screw angle amakhazikika ndi mbale, chopangacho chimalimbana ndi kupindika ndi kugwedezeka ndipo chimapangitsa mikombero kuti isalephereke - zomwe zimafunikira kuti kuchira kuchedwe. Zotsekera mbale zimathandizanso ngati mbale yosatseka ingafunike kupindika kwambiri, chifukwa imalekerera kusiyana kochepa pakati pa mbale ndi fupa.
Lamulo la chala chachikulu: sankhani mbale yotsekera kuti ikhale yosweka kwambiri kapena yosakhazikika, fupa losakhazikika bwino, kapena kukhazikika sikuyenera kudalira kugula wononga.
Zizindikiro za mbale zosatseka
Ma mbale osatseka amakhalabe yankho lolondola la fractures zosavuta mu fupa labwino. Kuphulika kwapang'onopang'ono kapena kofupikitsa kwa diaphyseal kwa munthu wamkulu wathanzi ndi chizindikiro chapamwamba: mbaleyo imatha kupindika ku cortex, kupanga kupanikizana kudutsa mzere wosweka, ndikuthandizira machiritso oyambirira.
Iwonso ndi kusankha pragmatic kumene chuma ndi zochepa. Kuyikako kumawononga ndalama zochepa, njirayo ndi yodziwika bwino, zida zapadera zotsekera sizikufunika, ndipo kuchotsa - ngati kuli kofunikira - ndikosavuta. Kuti muchepetse molunjika fupa lolimba, mbale yosatseka nthawi zambiri imakhala yosavuta komanso yotsika mtengo kuposa yomanga yotseka.
Zindikirani: sankhani mbale yosatseka kuti ikhale yosavuta yothyoka, fupa lathanzi, ndi milandu yomwe kuponderezana kapena kutsika mtengo ndikofunikira.
Kufananiza mbale kusankha kwa wodwala ndi wosweka
Zinthu za odwala ndizofunikira kwambiri monga mzere wosweka. Odwala okalamba omwe ali ndi kuchepa kwa mchere wa mafupa amatha kupindula ndi kukhazikika kwa angular; odwala ang'onoang'ono omwe ali ndi mawonekedwe osavuta sasowa. Gome ili m'munsili likufotokozera mwachidule za malonda.
| Mtundu wa mbale |
Woyenerana bwino ndi |
mtengo wachibale |
Nthawi yogwirira ntchito |
Kukhazikika mu fupa lofooka |
Kuchotsa zida |
| Locking mbale |
Odwala okalamba, osteoporotic bone, comminuted kapena peri-articular fractures |
Zapamwamba |
Nthawi zambiri kutalika |
Wapamwamba |
Ochepa pafupipafupi |
| mbale yosatseka |
Odwala ang'onoang'ono, mafupa abwino, fractures yosavuta ya diaphyseal |
Pansi |
Nthawi zambiri zazifupi |
Pansi |
Nthawi zambiri |
Ubwino ndi Kuipa kwa Mtundu Uliwonse Wambale
Ubwino ndi kuipa kwa mbale zokhoma
Chipinda chotsekera chimapereka chithandizo champhamvu, chokhazikika popanda kufunikira kokwanira bwino kwa thupi kapena kukakamiza kolimba kolimba, komwe kumapangitsa kuti ikhale yodalirika pafupa lovuta. Mapangidwe omwewo, komabe, amabweretsa kusinthana. Ma mbale otsekera amakhala okhuthala komanso owoneka bwino, ndipo zolembedwazo zikuwonetsa kuchuluka kwa zovuta za mabala ndikuyambiranso kwa mitundu ina yosweka - makamaka mozungulira ma distal radius. Kafukufuku woyerekeza angapo adapezanso kuti palibe mwayi wogwira ntchito kuposa mbale zosatsekera ngakhale kukwera mtengo.
| Ubwino wokhoma mbale |
Zoyipa zokhoma mbale |
| Zapamwamba za biomechanical mu fupa lofooka |
Zovuta zambiri zamabala pamindandanda ina |
| Kukhazikika kwabwino mu osteoporotic bone |
Chiwopsezo chowonjezereka cha opaleshoni yowunikiridwayo chimanenedwa m'ziwonetsero zina |
| Fixed-angle fixation imalimbana ndi screw toggling |
Palibe phindu lodziwika bwino mumitundu ina yosweka |
| Palibe chifukwa chokwanira bwino fupa; kusungidwa kwa periosteum |
Kukula kwakukulu kwa mbale ndi kutchuka |
| Zodalirika pamachitidwe ovuta komanso ophatikizidwa |
Kukwera mtengo kwa implants ndipo, m'malipoti ena, kuwonjezereka kwa magwiridwe antchito |
Mavuto omwe adanenedwa amawunjikana mozungulira kutchuka kwa zida, machiritso a zilonda komanso - pakupanga ma radius - zizindikiro za carpal. Kambiranani za malondawo momveka bwino posankha malo otsekera.
Ubwino ndi zolephera za mbale zosatseka
Chovala chosatsekera ndi chosavuta kugwiritsa ntchito, chosavuta kuwongolera komanso chosavuta kuchotsa, ndipo chimagwirizana ndi mitundu ingapo yoduka. Zimawononga ndalama zochepa, sizifunikira zida zotsekera, ndipo zimalola dokotalayo kuti agwiritse ntchito kukakamiza pamalo ophwanyika. Kwa zipatala zomwe zimagwira ntchito ku bajeti, kuphatikiza kumeneko kumakhala kovuta.
Njira yosavuta: zida zodziwika bwino, kuyika molunjika ndikuchotsa.
Zosiyanasiyana: zoyenera pamapangidwe ambiri osavuta othyoka ndi mawonekedwe a mafupa.
Kutsika mtengo: mtengo wotsika wa unit, wotanthawuza pa kuchuluka kwake.
Zolepheretsa ndi zomveka bwino. Kukonzekera kosatsekera kumadalira kukangana, kotero kumadalira khalidwe la mafupa. Mu osteoporotic kapena comminuted bone, zomangira zimatha kutulutsa ndipo kuchepetsa kumatha kutayika; mbale imalephera nthawi zambiri. Kuponderezana pansi pa mbale kungathenso kusokoneza cortical perfusion. Ngati mbaleyo siinapangidwe molondola, chomangacho sichimakwaniritsa kukangana komwe kumadalira.
Langizo: Fananizani mbaleyo ndi mawonekedwe osweka komanso mtundu wa fupa. Kukonzekera kopanda kutseka kumalephera nthawi zambiri pamene kumagwiritsidwa ntchito kunja kwa chizindikiro chake, osati chifukwa chakuti mapangidwe ake ndi olakwika.
Kuganizira za Mtengo, Zogulitsa ndi Zogula
Zosankha zogula sizili zofanana ndi zisankho zachipatala, ndipo ziwirizi ziyenera kuyanjanitsidwa. Ma mbale okhoma amakhala ndi mtengo wokwera wa unit, koma amatha kuchepetsa kukonzanso ndi kuchotsa ma hardware muzochitika zovuta, zomwe zimasintha mtengo kuchokera kumalo ochitira opaleshoni kupita ku bajeti yoyika. Ma mbale osatsekera ndi otsika mtengo pa unit imodzi ndipo amaphimba gawo lalikulu la zovuta zomwe zimachitika nthawi zonse.
Njira yabwino yogulira ndikuyika zonse ziwiri, zojambulidwa momveka bwino kuzizindikiro: zotsekera zopangira mafupa osteoporotic, metaphyseal ndi periprosthetic fractures; osatseka amamanga ntchito yosavuta ya diaphyseal. Kukhazikika pamakina omwe amapereka mitundu yonse ya mbale - yokhala ndi zida zogawana, mapulaneti ofananira ndi zolembedwa zofananira - kumachepetsa zovuta zazinthu, kufupikitsa nthawi yokhazikitsa ndikuchepetsa chiwopsezo chosowa choyikapo pakati.
Langizo: yesani mtengo wonse wa chisamaliro, osati mtengo wagawo. Factor in instrumentation, sterilization, set fullness, chiwopsezo chokonzanso ndi nthawi yotsogolera.
Kusankha Wopanga mbale
Kusankha mbale ndi theka la chisankho; theka lina ndi amene amapanga. Kuti choyikapo chovulala chikhale chodalirika, zinthu, kulolerana, kumaliza pamwamba ndi njira yotseketsa zonse ziyenera kuyendetsedwa - ndipo woperekayo ayenera kukhala ndi umboni wowongolera kudzera pa satifiketi.
XC Medico imapanga ma implants owopsa a mafupa kuphatikiza zokhoma mbale ndi mbale zosatsekera mkati mwadongosolo lolembedwa: ISO 13485 kasamalidwe kabwino ka zida zachipatala ndi ISO 10993 ya biocompatibility yazinthu zomwe zimalumikizana ndi minofu. Gulu lililonse limatha kutsatiridwa, ndipo zombo zilizonse zomwe zimakhala ndi zipatala zolembedwa ndi omwe amagawa zimafunikira zofunikira pakuwongolera komanso zachifundo.
| Zomwe muyenera kuyang'ana kwa ogulitsa |
Chifukwa chake ndizofunikira |
| Medical kalasi chuma ndi zonse traceability |
Kusasinthika kwamakina ndi zolemba zokonzekera zowerengera |
| ISO 13485 kasamalidwe kabwino |
Kuzindikiridwa ngati maziko a kutsata malamulo apadziko lonse lapansi |
| ISO 10993 biocompatibility kuyesa |
M'munsi chiwopsezo cha chokhwima minofu anachita |
| Kutsekereza kovomerezeka |
Ma implants amafika oyera komanso okonzeka kugwiritsidwa ntchito |
| Malizitsani zida zonse ndi kupitiriza kupereka |
Palibe zosokoneza zapakati komanso kubwezeredwa kodziwikiratu |
Kuti mupeze mbiri ya zoopsa zophatikizika komanso zolembedwa zosasinthika pamitundu yonse iwiri ya mbale, onaninso orthopaedic trauma system kapena Lumikizanani ndi XC Medico kuti mupeze zolemba zaposachedwa zokhoma komanso zosatsekera, kuchuluka kwa madongosolo ochepa komanso nthawi zotsogola.
FAQ
Kodi pali kusiyana kotani pakati pa mbale yotsekera ndi mbale yosatseka?
Mu mbale yotsekera, screw headed screw headlock mu bowo la mbale, kupanga chomangira chokhazikika chomwe sichitengera kukangana ndi fupa. Chimbale chosatsekera chimagwira fupa mwa kugundana: zomangira zimapanikiza mbale pa kotekisi, ndipo mbaleyo iyenera kuzunguliridwa kuti ikwane bwino.
Kodi zomangira zotsekera zili bwino kuposa zomangira zosatseka?
Osati konsekonse. Zomangira zotsekera zimakhala bwino ngati fupa silikuyenda bwino kapena kuthyokako kwachepetsedwa, chifukwa amakana kugwedezeka ndikutulutsa. Mu fupa lathanzi lokhala ndi fracture yosavuta, zomangira zosatsekera zimagwira ntchito bwino, zimalola kupsinjika ndi kutsika mtengo. Chizindikiro, osati wononga, chimatsimikizira chomwe chili bwino.
Ndi liti pamene muyenera kusankha mbale yosatseka?
Sankhani mbale yosatsekedwa kuti ikhale yosavuta yothyoka mu fupa labwino - kupasuka kwa diaphyseal, mwachitsanzo - kapena pamene kupanikizana pa malo ophwanyidwa ndi kukwera mtengo ndizofunika kwambiri. Imagwirizananso ndi zoikamo pomwe zida zotsekera sizipezeka.
Kodi mbale zotsekera zimayenera kuzunguliridwa mpaka fupa?
Ayi. Umenewu ndi umodzi mwa ubwino wawo waukulu. Chifukwa kukhazikika kumachokera ku screw-plate interface m'malo mokangana, mbale yotsekera imatha kusiyidwa pang'ono pamtunda wa fupa. Izi zimateteza magazi a periosteal pansi pa mbale. Zosatsekera mbale, mosiyana, ziyenera kukhala pansi.
Kodi kutsekera mbale kuli bwino kwa osteoporotic bone?
Inde - ichi ndi chizindikiro chawo chomveka bwino. Zomangira zokhoma zimakhala ndi ngodya yawo ngakhale fupa lozungulira silingathe kugula zambiri, kotero kukonza sikungathe kulephera komanso zomangira sizimamasuka. Ichi ndichifukwa chake mbale zokhoma zimagwiritsidwa ntchito kwambiri kwa odwala okalamba komanso ma fractures a periprosthetic.
Ndi mbale iti yomwe ndiyotsika mtengo kwambiri ku chipatala?
Zimatengera kusakanikirana kwamilandu. Ma plates osatseka amawononga ndalama zochepera pa unit imodzi ndikuphimba ndi zoopsa zomwe zimachitika nthawi zonse. Kutsekera mbale kumawononga ndalama zambiri koma kumachepetsa maopaleshoni okonzanso ndikuchotsa ma hardware muzochitika zovuta. Malo ambiri opwetekedwa mtima amasunga zonse ziwiri ndikuyika mbale yamtundu uliwonse malinga ndi zomwe zikuwonetsa m'malo mokhazikika pa imodzi.
Kodi mbale zotsekera zikuyenera kuchotsedwa?
Nthawi zambiri ayi, ndipo kuchotsa sikochitika kawirikawiri kuposa ndi mbale zosatseka. Kuchotsa kumaganiziridwa pamene implant imakhala yotchuka ndipo imakwiyitsa minofu yofewa, pamene imayambitsa zizindikiro, kapena kwa odwala aang'ono kumene hardware sikufunikanso. Chisankho ndi chachipatala, osati mwachizolowezi.
Kodi mbale yomweyi ingagwiritsidwe ntchito pamtundu uliwonse wosweka?
Palibe mbale imodzi yomwe imakwanira chizindikiro chilichonse. Ma mbale okhoma komanso osatseka amathetsa zovuta zamakina osiyanasiyana, ndipo mkati mwa gulu lililonse pali mapangidwe apadera amtundu wa proximal humerus, distal radius, distal femur ndi masamba ena. Kufananiza kapangidwe ka fracture ndizomwe zimatsimikizira zotsatira.
Mapeto
Kusiyanitsa pakati pa mbale zokhoma ndi zosatseka ndi makina, koma zotsatira zake ndi zachipatala komanso zachuma. Ma mbale okhoma amapanga chokhazikika chokhazikika, chokhazikika chomwe chimakhala mu osteoporotic, comminuted ndi metaphyseal bone popanda kukanikiza periosteum. Ma mbale osatseka amagwiritsa ntchito mikangano ndi kuponderezana kuti akonze fractures zosavuta mu fupa lolimba, pamtengo wotsika komanso ndi njira yosavuta. Palibenso chopambana padziko lonse lapansi: zotuluka m'magulu ambiri ofananitsa ndizofanana, pomwe zovuta ndi mtengo zimasiyana. Sankhani mwa kusweka ndi mtundu wa mafupa poyamba, kenako gwirizanitsani chisankhocho ndi ndondomeko yanu yogula zinthu.
Onani XC Medico's locking plate ndi ma mbale osatseka , kapena lankhulani ndi gulu lathu za kufananiza mbiri ya mbale ndi kuchuluka kwa zoopsa zanu.
Zasinthidwa komaliza: Okutobala 2026. Nkhaniyi idalembedwera akatswiri a mafupa ndi magulu ogula zinthu ndipo siyoloŵa m'malo mwa chiweruzo chachipatala.
