Ubuyobozi bw'ihungabana rya orthopedic | Ibimenyetso byo gukosora hanze hamwe nubwoko bwikadiri
Abaganga babaga amagufa bakoresha ibikoresho byo gukosora hanze kugirango bavunike byafunguwe, ibikomere byoroheje-tissue, guhungabana byihuse byigihe gito, kuvunika hafi yingingo, kongera kubaka ingingo, gukosora ubumuga, kurambura ingingo hamwe nuburyo bwatoranijwe bwo guhuza. Ukurikije ibikomere na gahunda yo kuvura, ikadiri irashobora kuba ikiraro cyigihe gito cyo gukosora imbere cyangwa uburyo busobanutse bwakoreshejwe mugihe amagufwa akize.
Niki Igikoresho cyo Gutunganya hanze?
Igikoresho cyo gutunganya hanze ni orthopedic ikadiri ikoreshwa muguhindura cyangwa gukosora buhoro buhoro imyanya yamagufwa. Amapine cyangwa insinga bishyirwa mumagufwa kandi bigahuzwa n'utubari, impeta, clamp cyangwa ibindi bice hanze yumubiri. Kuberako ikadiri nyamukuru iguma hanze, kubaga barashobora kubona imyenda yoroshye kandi, hamwe na sisitemu zatoranijwe, bahindura guhuza mugihe cyo kuvura.
Gukosora hanze bisobanura uburyo bwo kuvura aho kuba ibicuruzwa rusange. Frames itangirira kubikoresho byoroheje kubiganza cyangwa kuboko kugeza kumubari umwe hamwe na sisitemu yumuzingi ikoreshwa muguhahamuka-amaguru no kwiyubaka. Igishushanyo cyibikoresho, iboneza rya pin hamwe nubuyobozi bwa nyuma yibikorwa bigomba guhuza anatomiya yihariye, igenewe gukoreshwa hamwe na sisitemu yemewe.
Itandukaniro ryingenzi: gukosora hanze ntabwo byikora igikoresho cyigihe gito. Irashobora gukoreshwa by'agateganyo mu kuvura ihahamuka, cyangwa irashobora kuba uburyo bwo gukosora neza kugeza igihe gukira cyangwa gukosorwa bihagije.
Ni ubuhe buryo bwo kubaga amagufwa bukoresha ibyuma byo hanze?
Igisubizo cyumvikana neza ni uko gukosora hanze bikoreshwa mugihe abaganga babaga bakeneye skelete itajegajega mugihe hagabanijwe guhungabana bikabije ahantu hakomeretse cyangwa hubatswe. Ni ingirakamaro cyane cyane mugihe hagomba kubikwa ibikomere cyangwa ingirangingo zoroshye, mugihe bikenewe byihutirwa byihutirwa, cyangwa mugihe gukosorwa buhoro buhoro biri muri gahunda yo kuvura.
Kumeneka gukabije no gukomeretsa byoroshye
Kuvunika gukinguye kuvugana nigikomere kandi birashobora kuba birimo kwanduza, kwangirika kwinyama hamwe ningaruka zo kwandura. Gukosora hanze birashobora gutanga ituze mugihe abaganga babaga bakora debridement, gucunga ibikomere no kwiyubaka byoroshye. Mubyiciro byateguwe, ikadiri yambere irashobora gusimburwa nubundi buryo bwo gukosora nyuma yumubiri nu murwayi biteguye.
Gukosora hanze birashobora nanone gusuzumwa mugihe kubyimba, gukomeretsa uruhu cyangwa kubangamiwe byoroheje bituma gukosora imbere bidakenewe. Ntabwo irinda ubwigenge kwandura cyangwa kwemeza gukira; imyanda ikwiye, antibiotike iyo yerekanwe, kuvura ibikomere, gukosorwa neza no gukurikirana byose bigira uruhare mukuvura.
Ibyangiritse by'agateganyo-Igenzura ry'amagufwa
Ku barwayi bafite ibikomere byinshi cyangwa ihungabana rya physiologique, ikoreshwa ryihuse ryimbere rishobora guhagarika by'agateganyo imvune ndende cyangwa amagufwa mugihe itsinda ryihungabana rikemura ibibazo byangiza ubuzima. Ubu buryo bakunze kwita kwangiza-kugenzura imitekerereze.
Icyemezo cyo guhindura imikorere yimbere, kuvugurura ikadiri cyangwa kugumana ibyakosowe hanze biterwa no gukira k'umurwayi, kwanduza, imiterere yoroheje-tissue, guhuza hamwe nuburyo rusange bwo kubaga. Nta tariki yo guhindura isi yose ikoreshwa kuri buri gikomere.
Ibibaya bya Tibial, Pilon nandi Mavunika yigihe
Kumeneka kwingufu nyinshi hafi yivi cyangwa kuguru birashobora guherekezwa no kubyimba cyane no gukomeretsa-tissue. Ikomatanyirizo-rishobora kugumana uburebure no guhuza mugihe kubyimba bitera imbere kandi igenamigambi rihamye rirakomeza. Mu bihe byatoranijwe, uruziga, uruvange cyangwa ubundi buryo bwo hanze bushobora kuba igice cyo kwiyubaka byuzuye.
Kuberako ikizunguruka gishobora kugabanya urujya n'uruza, umwanya wa pin, ikadiri ya geometrie, yoroshye-tissue yinjira kandi icyiciro gikurikira cyo kuvura kigomba gusuzumwa mbere yo gusaba.
Kurambura ingingo no gukosora
Uruziga ruzengurutse kandi rwihariye rushobora gukoreshwa nyuma yo guteganya amagufwa kugirango uhindure buhoro buhoro uburebure, guhindagurika, kuzunguruka cyangwa guhindura. Gahunda yo gukosora yashyizweho nitsinda rishinzwe kuvura ingingo-yubaka kandi ihindurwa ukurikije amaradiyo, imiterere yamagufwa, kwihanganira ingirabuzimafatizo, imikorere yumutima hamwe no kugenda.
Igipimo gikunze kuganirwaho cyo kurangaza ntigomba gufatwa nkinyigisho zumurwayi rusange. Igipimo gikwiye nigitekerezo kiratandukanye na anatomy, imyaka, intego yo gukosora hamwe nibisubizo byibinyabuzima.
Kwishyira hamwe, Kwiyunga no Kwubaka ingingo
Gukosora hanze birashobora gukoreshwa muburyo bwatoranijwe bwa arthrodezi, kwandura cyangwa kuvura indwara zidahuye, gutwara amagufwa no kwiyubaka nyuma yo gutakaza amagufwa. Ibi nibimenyetso byinzobere bisaba igenamigambi ryitondewe ryumutekano, kwikuramo cyangwa kurangara, ibinyabuzima byamagufwa, gucunga indwara no gusubiza mu buzima busanzwe.
Sisitemu ntoya yo gukosora irashobora kandi gukoreshwa mubice byatoranijwe, gutandukana cyangwa uburyo bwo kwiyubaka burimo ukuboko, ukuboko, ikirenge cyangwa amaguru mugihe ibicuruzwa bigenewe gukoreshwa hamwe na gahunda yo kubaga ishyigikira iyo porogaramu.
| Imiterere yubuvuzi | Uruhare rushoboka rwo gukosora hanze | Ibitekerezo rusange |
|---|---|---|
| Fungura kuvunika hamwe no kwangirika-tissue | Guhagarika by'agateganyo cyangwa byatoranijwe gukosorwa | Kubona ibikomere, kwanduza, guhuza no gukwirakwiza ingirabuzimafatizo |
| Polytrauma cyangwa umurwayi udahungabana | Kwangiza byihuse kugenzura | Imiterere ya physiologique, nyuma yo guhindura ingamba no kugera kumurongo |
| Kumeneka kwingufu nyinshi | Gufatanya-gutandukanya by'agateganyo cyangwa byatoranijwe byubaka | Kubyimba, gukomeretsa hejuru, gushira pin hamwe nibihe bizaza |
| Gukosora ubumuga cyangwa kurambura ingingo | Buhoro buhoro nyuma yo gukosorwa | Gahunda yo gukosora, kuvugurura amagufwa, imitsi, imitsi hamwe no kugenda |
| Kudashyira hamwe, kwandura cyangwa gutakaza amagufwa | Guhagarara, kwikuramo, gutwara amagufwa cyangwa kwiyubaka | Amagufwa ya biologiya, kurwanya infection, ingano yinenge no kwihanganira abarwayi |
| Guhitamo guhuza | Gucomeka no kubungabunga guhuza | Guhuza amagufwa, ikadiri itajegajega, imyenda yoroshye hamwe na gahunda yo gutwara ibiro |
Byigihe gito na Definitive External Fixation
Byakoreshejwe kugirango ubone ituze hakiri kare mugihe umurwayi, igikomere cyangwa imyenda yoroshye yakira. Gahunda yo kuvura irashobora guhinduka nyuma mugukosora imbere cyangwa ubundi buryo bwo kubaka.
Ikadiri ikomeza kuba ibyingenzi byubaka mugihe cyo gukiza kuvunika, guhuza cyangwa gukosorwa buhoro buhoro kandi bivanwaho mugihe itsinda rivura ryemeje ko intego yo kuvura yujujwe.
By'agateganyo ntabwo bivuze ko bidafite akamaro, kandi bisobanutse ntibisobanura guhoraho. Izi ngamba zombi zisaba gushyira pin neza, gushira ahagije, guhuza bikwiye hamwe na gahunda yo gukurikirana.
AAOS ivuga ko gukosora hanze bishobora gukoreshwa mugihe uruhu nuduce tworoshye byangiritse cyane kugeza umurwayi ashobora kwihanganira kubagwa, mugihe mubindi bihe bishobora kuba ubuvuzi bwuzuye. Inzira nyayo rero irasobanutse aho kugenwa nizina ryibikoresho byonyine.
Ubwoko bwa Framisiyo yo hanze
Ubwoko bwa frame bwatoranijwe ukurikije akarere ka anatomique, kuvunika cyangwa kwiyubaka, bisabwa gutekana, gukenera guhinduka nibicuruzwa byihariye bigenewe gukoreshwa. XC Medico itsinda ibicuruzwa byayo biboneka muri yo orthopedic sisitemu yo gutunganya sisitemu.
Monolateral External Fixator
Ikadiri imwe ihuriweho cyane cyane kuruhande rumwe rwigihimba. Ukurikije sisitemu, irashobora gutanga igereranya igororotse bar-na-clamp iboneza kandi ikagera hafi yingingo zose. Irashobora gukoreshwa muburyo bwatoranijwe bwo guhahamuka no kwiyubaka mugihe hashobora kugerwaho umutekano uhagije.
Abaguzi babigize umwuga barashobora gusuzuma ibihari sisitemu yo hanze ikosora , ariko ibyerekana neza nibisobanuro bigomba kwemezwa uhereye kubirango byubu hamwe nubuhanga bwo kubaga.
Uruziga na Ilizarov
Amakadiri azenguruka akoresha impeta zifitanye isano ninsinga zinanutse, igice cya pin hamwe ninkoni cyangwa imigozi. Uburinganire bwabo bushobora gushyigikira ituze ryinshi no gukosorwa buhoro buhoro, bikagira akamaro kubijyanye no kuvunika kwatoranijwe, gukosora ubumuga, gutwara amagufwa no kwiyubaka.
Ilizarov izenguruka hanze ikosora ni umuryango umwe muriki cyiciro. Amateraniro yo gukosora no gukosora bisaba amahugurwa yinzobere kandi ntagomba gusuzumwa kumafoto yibicuruzwa rusange.
Moderi na Hybrid
Sisitemu ya modular yemerera ibice gutondekanya ahantu hatandukanye no kuvunika bikenewe. Hybrid yubaka irashobora guhuza impeta, insinga, igice kimwe cya kabiri cyangwa ibice bimwe kugirango byuzuze ihitamo ryatoranijwe hamwe na anatomy.
Mini na Joint-Spanning Fixator
Amakadiri ntoya arashobora gushyirwaho kubihitamo byatoranijwe bikomeretsa amagufwa, mugihe inyubako ihuriweho irashobora guhuza by'agateganyo ivi, amaguru, ukuboko cyangwa urundi rugingo. Ikirangantego gishobora gufasha gukomeza guhuza ariko birashobora kugabanya icyerekezo, bityo gahunda yigihe na reabilité bisaba gukurikiranirwa hafi.
Amagufwa meza yibintu: ibyuma byo gutunganya hanze hamwe ninsinga bigomba kubona kugura bihagije mumagufwa. Osteoporose ntabwo ihita ituma gukosorwa hanze bikundwa; kutagira amagufwa meza birashobora kugorana gukosorwa kandi bigomba gutekerezwa muguhitamo ibikoresho, ingamba za pin hamwe na gahunda rusange yo kuvura.
Nigute Ikosora yo hanze ikoreshwa?
Gukosora hanze bikorerwa mubyumba byo gukoreramo ukoresheje anesthesia ikwiye na gahunda yo gufata amashusho. Intambwe nyayo itandukanye ukurikije akarere k'umubiri, igishushanyo mbonera kandi niba intego ari uguhagarika by'agateganyo, gukosora neza cyangwa gukosorwa buhoro buhoro.
Gushyira pin bigomba kwirinda imitsi yingenzi, imiyoboro, ingingo hamwe nuduce tworoshye. Mugihe ikindi gikorwa giteganijwe, imbuga za pin nazo zigomba gutegurwa kugirango zitabangamira ibice cyangwa nyuma. Ibisobanuro birambuye bigenwa nitsinda ryo kubaga kandi ntibishobora gusimburwa nubuyobozi rusange kumurongo.
Nigute abaganga bahitamo sisitemu yo gukosora hanze?
Nta numwe 'mwiza ' ukosora hanze kuri buri kubaga amagufwa. Guhitamo bigomba gukurikiza ibyerekana, anatomiya hamwe nimyitwarire yubukanishi bwubaka bwuzuye.
Urupapuro rwibicuruzwa nka imigeri ihuriweho hanze ikosora irashobora gufasha abakoresha babigize umwuga kumenya umuryango wibicuruzwa. Ntibasimbuza ibimenyetso byashyizweho, tekiniki yo kubaga, kwiyandikisha kwaho cyangwa guca imanza z’abarwayi.
Kugarura, Kwikorera Ibiro hamwe na Frame Igihe
Gukira biratandukanye cyane. Ikiringo cyigihe gishobora guterwa nuburyo bwavunitse, gukiza amagufwa, kwiyubaka-byoroshye-kwiyubaka, kwandura, intego yo gukosora, imyaka, ubuzima hamwe n’ibidukikije. Umubare uteganijwe wibyumweru cyangwa ukwezi ntugomba gusezeranwa kubarwayi bose.
Amabwiriza yo gutwara ibiro nayo yihariye. Inyubako zimwe zagenewe kwemererwa gupakira ibintu, mugihe izindi zisaba gutwara igice cyangwa kidafite uburemere. Abarwayi bagomba gukurikiza amabwiriza yanditse yitsinda ryamagufwa yabo nogusubiza mu buzima busanzwe aho gutekereza ko kuba hari ikadiri ituma kugenda neza.
Gukurikirana bikunze gutekerezwa:
- guhuza radiografiya nibimenyetso byo gukiza cyangwa kuvugurura amagufwa;
- Ikadiri na pin ihamye;
- ububabare, kubyimba, imiterere yuruhu no kugaragara kuri pin-site;
- imikorere y'imitsi n'amaraso;
- kugenda kw'ingingo zegeranye n'imikorere y'imitsi;
- amajyambere agana ku ntego ziteganijwe zo gupakira no gusubiza mu buzima busanzwe.
Nyuma yo gukuraho ikadiri, abarwayi bamwe bakeneye kurindwa, gutondeka cyangwa gusubiza mu buzima busanzwe. Igihe nigihe ibikorwa bigenda biterwa nitsinda rishinzwe kuvura isuzuma ryamagufwa n'imikorere.
Ingaruka, Ingorane no Kwitaho Urubuga
Gukosora hanze birashobora gutanga inyungu zingenzi zo kuvura mubihe byatoranijwe, ariko kandi bifite ingaruka. Kurakara kurubuga cyangwa kwandura biri mubibazo bikunze kugaragara. Izindi ngorane zishoboka zirimo kurekura pin, gutakaza guhuza, gutinda ubumwe, kudahuza, malunion, gukomera hamwe, imitsi cyangwa imitsi ihambiriye, gukomeretsa imitsi cyangwa imiyoboro y'amaraso, kunanirwa ibyuma no kwandura cyane.
Porotokole ya pin-care itandukanye mubitaro hamwe nitsinda ryamakipe, kandi ibimenyetso ntibishyigikira uburyo bumwe bwo gukora isuku kuri buri kintu. Abarwayi bagomba gukoresha ibikoresho, inshuro na tekinike bigishijwe nitsinda ryabo ryubuvuzi.
Menyesha itsinda rishinzwe kuvura bidatinze kugirango wongere ububabare hafi ya pin, gukwirakwiza umutuku, kongera kubyimba, guswera cyangwa gusohora bidasanzwe, umuriro, kumva utameze neza, ingorane nshya zo kwihanganira ibiro, ibice bitagabanije, guhindura imyanya, ingingo nshya cyangwa igihuru cyijimye cyangwa gikonje. Ibimenyetso bikabije cyangwa bikekwa ko byumvikanisha ubwonko bisaba kwisuzumisha byihutirwa.
Amakadiri ntagomba guhindurwa, gukomera cyangwa gukurwaho numurwayi keretse itsinda rishinzwe kuvura ryatanze gahunda yihariye yo guhindura no guhugura. Ikintu cyose gitunguranye kigenda cyangwa ibyangiritse bigomba kumenyeshwa.
Sisitemu yo gukosora hanze kubitaro nababitanga
Kubitaro, abakwirakwiza hamwe nabafatanyabikorwa ba OEM / ODM, isuzuma rigomba gukurikiza sisitemu yuzuye aho kuba umurongo umwe, impeta cyangwa clamp. Ibyemezo byamasoko bigomba kugenzura iyandikwa ryihariye ryisoko, gukoreshwa kugenewe, inyandiko zerekana, gukurikiranwa, kugerageza imashini, kuranga, amabwiriza yo gukora isuku cyangwa kuboneza urubyaro, pin hamwe nibikoresho, ibikoresho byo gupakira hamwe ninkunga yo kugurisha.
XC Medico's Ibyuma byo gutunganya ibikoresho byo hanze birimo modular, monolateral, umuzenguruko na anatomy yihariye. Kuboneka no kugenzura imiterere irashobora gutandukana nisoko, bityo abaguzi bagomba gusaba ibyangombwa byerekana numero nyayo ya catalog hamwe nigihugu cyerekezo.
| Kugenzura amasoko | Ibibazo byo kugenzura |
|---|---|
| Gukoresha | Ni ayahe magufa, inzira hamwe n'ibikoresho bikubiye mubirango byerekana ibicuruzwa? |
| Sisitemu yuzuye | Ese pin, insinga, clamp, inkoni, impeta, ibikoresho nibindi bikoresho bisimburwa birahari? |
| Inyandiko | Utanga isoko ashobora gutanga ibyemezo, inyandiko zipimisha, amabwiriza yo gukoresha hamwe nuburinganire-buke? |
| Imiterere ya Sterile | Nibihe bice bitangwa sterile cyangwa bidafite sterile, kandi ni ayahe mabwiriza yemewe yo gutunganya akoreshwa? |
| Amahugurwa n'inkunga | Ese kuyobora inteko, urutonde rwibikoresho, amahugurwa y'ibicuruzwa hamwe no gukemura ibibazo birahari? |
| Kubona isoko | Ibikoresho nyabyo byemewe byemewe kumasoko yerekanwe kandi byerekanwe? |
Kumasoko yumwuga: suzuma imiryango iboneka hanze ikosora hanyuma usabe urutonde rwubu, urutonde rwibigize hamwe ninyandiko zigenga isoko mbere yo guhitamo sisitemu.
Ibibazo Bikunze Kubazwa Kubijyanye no Gukosora hanze
Ni ubuhe buryo bwo kubaga amagufwa bukunze gukoreshwa hanze?
Gukosora hanze birashobora gukoreshwa kumeneka yatoranijwe ifunguye, gukomeretsa byoroheje-tissue, gukomeretsa-kugenzura ibyangiritse, kuvunika imbaraga za periarticular, kuvunika ingingo, gukosora ubumuga, kwiyubaka cyangwa gutakaza amagufwa, hamwe nuburyo bwatoranijwe bwo guhuza.
Ese gukosora hanze buri gihe byigihe gito?
Oya. Amakadiri amwe ni ibiraro byigihe gito kubindi bikorwa, mugihe ibindi bigenewe kuguma nkibikorwa byuzuye byubaka mugihe cyo gukiza cyangwa gukosorwa.
Umurwayi arashobora kugendana na fixeur yo hanze?
Gusa iyo umuganga ubaga hamwe nitsinda rishinzwe gusubiza mu buzima busanzwe barabimwemereye. Imiterere yibiro biterwa nigikomere, iboneza ryimiterere, ubwiza bwamagufwa, gukira hamwe na gahunda yo kuvura muri rusange.
Ikosora ryo hanze rimara igihe kingana iki?
Nta gihe cyigihe cyose. Ikadiri ikomeza gukurikiza intego yo kuvura, iterambere rya radiografiya, imiterere yoroheje-tissue, ituze hamwe nisuzuma ryitsinda rivura.
Ni ubuhe butumwa bukunze kugaragara mugihe cyo gukosora hanze?
Kurakara kurubuga cyangwa kwandura ni ibintu bisanzwe. Abarwayi bakeneye amabwiriza yihariye ya pin-care kandi bagomba kumenyesha ububabare bwiyongera, gukwirakwiza umutuku, kubyimba, ibibyimba, umuriro cyangwa kugabanuka vuba.
Ese gukosora hanze bifite umutekano kuruta gukosora imbere?
Nta buryo ubwo ari bwo bwose butekanye ku isi hose. Buriwese afite ibimenyetso bitandukanye, inyungu ningaruka. Guhitamo bikwiye biterwa no kuvunika, imyenda yoroshye, kwanduza, imiterere yumurwayi na gahunda yo kubaka.
Ubuvuzi nubuyobozi
- Ishuri Rikuru ry’Abanyamerika babaga amagufwa: kuvunika (Amagufwa yavunitse).
- Ubuyobozi bw’ibiribwa n’ibiyobyabwenge muri Amerika: Amabwiriza y’abasubiramo ibikoresho bya orthopedic ibikoresho byo hanze.
- Ibitaro bya Royal National Orthopedic: Gukosora hanze yo gukosora amagufwa no kuramba.
- Ibitaro bya Royal National Orthopedic: Ubuyobozi bwa Pin-Site.
