External Fixator bakeng sa Leg & Knee Spanning Ex Fix

1. Selelekela

Ho lokisa ka ntle ke mokhoa o feto-fetohang, o fokolang haholo bakeng sa ho tsitsisa ho robeha le ho laola likotsi tse rarahaneng tsa lisele tse bonolo. Hangata e sebelisoa bakeng sa fractures e bulehileng , li-nonnunion tse nang le tšoaetso, taolo ea tšenyo ho polytrauma, ho lokisoa ha bokooa, le ho lelefatsa maoto.

2. Ke hobane'ng ha u sebelisa ho lokisa ka ntle?

2.1 Melemo

• E fokotsa tšitiso ea phepelo ea mali ea masapo le ho koahela lisele tse bonolo.

• Tšebeliso e potlakileng maemong a tšohanyetso kapa a taolo ea tšenyo.

• E thusa bakeng sa ho robeha ho bulehileng / ho silafalitsoeng le lesapo le tšoaelitsoeng moo li-implants tse ka hare li leng kotsi.

• E lumella kaho e ncha (ho tsitsisa ha nakoana → tokiso e hlakileng).

• E thusa ho sebetsana le masapo, ho sitisa osteogenesis, le tokiso ea bokooa.

2.2 Lipontšo

Maemo a tloaelehileng a kliniki moo ho lokisoang kantle ho naha:

• Maqeba a bulehileng a nang le tšenyo e matla ea lisele tse bonolo kapa tšilafalo.

• Ho koetsoe fractures ho bakuli ba polytrauma ba hlokang botsitso ba nakoana.

• Li-fractures tsa intra-articular ha lisele tse bonolo li sa khone ho mamella ho lokisoa ka hare (letsoho, lengole , leqaqailana).

• Ho lahleheloa ke masapo kapa bofokoli ba lisele tse bonolo tse laoloang ka ho khutsufatsa le ho sitisoa.

• Tšoaetso / ts'oaetso e sa tšoaelitsoeng - lithakhisa li ka behoa hole le libaka tse tšoaelitsoeng.

• Ho kopanya (ho kopanya) ho haha ​​​​likotsi tse matla tsa peri-articular kapa manonyeletso a sa tsitsang.

3. Melao-motheo ea kopo ea ho lokisa ka ntle

3.1 Linotlolo tsa biomechanical

• Sebelisa bonyane lithakhisa tse peli karolong e 'ngoe le e 'ngoe e kholo e behiloeng libakeng tse sireletsehileng tsa anatomic.

• Beha lithakhisa haufi le ho robeha (empa ka ntle ho hematoma / ho senyeha ha letlalo) ho eketsa botsitso.

• Boloka lithupa tse hokelang haufi le lesapo 'me u ntlafatse phini ka har'a sekhechana ka seng.

• Melamu e mengata le meaho e mengata ea lifofane e eketsa ho satalla.

4. Likarolo - referense e potlakileng

5. Likopo tse khethehileng

5.1 Kopanyo e kopaneng le ho pharalla ha manonyeletso

Ho lokisa ka ntle ho ka sebelisoa bakeng sa ho kopanngoa ha lenonyeletso kapa e le foreimi e kopanyang e sireletsang lisele tse bonolo ha ho ntse ho bolokoa ho lumellana ha maoto (mohlala, ho robeha ho matla ha maqaqailana).

6. Tšebeliso, Lipontšo & Tlhokomelo ea Kamor'a Ts'ebetso

6.1 Mokhoa oa ho fixator  e sebelisoa

1. Etsa moralo oa litselana tsa pin/terata u sebelisa libaka tse sireletsehileng.

2. Kenya lithapo kapa lithapo tlas'a tataiso ea setšoantšo.

3. Hokela lithupa le li-clamps; lokisa ho tsamaisana.

4. Fana ka thuto ea mokuli mabapi le tlhokomelo ea pin tract.

6.2 Lipontšo tse tloaelehileng

• Ho robeha ha Tibial - hangata ho sebelisa lithapo tsa tibial.

• Maqaqailana a maqaqailana a nang le leqeba le bonolo - a ka hloka ho lokisoa ha lenonyeletso .

• Peri-articular fractures ha ho lokisa ka hare ho ke ke ha khoneha.

6.3 Tlhokomelo ea kamora ho buuoa

• Ho hloekisa pampitšana: qala letsatsi ka mor'a ho buuoa . Hlatsoa pampitšana e 'ngoe le e' ngoe ea pini makhetlo a 1-2 ka letsatsi.

• Taolo ea bohloko: analgesia e bonolo le liaparo tse omeletseng.

• Tlhokomeliso: sheba bofubelu, bohloko, metsi, kapa feberu.

• Ho bokella: ho jara boima bo sa fellang hangata ho lumelloa.

• Kemiso ea ho latela: ho hlahlojoa khafetsa tleliniking.

7. Nako ea ho lokisa ka ntle le ho sokoloha

• Kalafo e tobileng ho fihlela ho kopanngoa ha fracture.

• Phetoho ea pele ea ho lokisa ka hare hang ha lisele tse bonolo li lumella.

• Phetolelo ho samente / orthosis moo ho loketseng.