![Luluphi utyando lwamathambo olusebenzisa isixhobo sokulungisa sangaphandle?]( "What orthopedic surgery uses an external fixation device?")
Unokufuna isixhobo sokulungiswa kwangaphandle ukuba uyaphula umlenze wakho, i-ankle, okanye unyawo. Oku kuqhelekileyo xa ukwenzakala kunzima okanye ulusu kunye nezicubu ezithambileyo zibuhlungu. Oogqirha basebenzisa izilungisi zangaphandle ukuze babambe amathambo akho. Banceda amathambo akho aphile emva kwengozi embi. Izifundo zamva nje zithi ukulungiswa kwangaphandle kusebenza kakuhle kwi-tibial pilon fractures, iifractures ezivulekileyo, kunye nokulimala okunamandla. Olunye unyango lusenokungakhuseleki kwezi meko. I-XC Medico inika izisombululo eziphambili njengesixhobo sokulungiswa komlenze owaphukileyo wangaphandle. Ezi zixhobo zikunceda ukuba uphilise ngokukhuselekileyo nangokufanelekileyo.
Izinto eziphambili zokuThatha
Izixhobo zokulungisa zangaphandle zibamba amathambo aphukileyo ngaphandle komzimba. Banceda ngokuqhekeka okunzima kunye nokulimala kwesikhumba okanye izicubu ezithambileyo.
Ezi zixhobo zinokunceda amathambo aphole ngokukhawuleza. Zinokubangela iingxaki ezimbalwa kuneendlela zokulungiswa kwangaphakathi. Bayehlisa umngcipheko wosulelo kwaye bancede abantu baphile ngokukhawuleza.
Izilungisi zangaphandle zisebenzela ukulimala okuninzi. Banokunceda xa kwaphuke imilenze, amaqatha neenyawo. Banika inkxaso kodwa bakuvumela ukuba uhambe kancinci ngelixa uphilisa.
Kubalulekile ukubukela kunye nokunyamekela isixhobo emva kotyando. Izigulane kufuneka zigcine iindawo zokukhonkxa zicocekile. Kufuneka bajonge iimpawu zosulelo ukuze baphile ngokukhuselekileyo.
Ukukhetha isixhobo esilungileyo sokulungiswa kwangaphandle kunceda ukubuyisela. Ukhetho olufana nesixhobo se-Ilizarov kunye neemveliso ze-XC Medico zihambelana neemfuno ezahlukeneyo zamathambo.
Utyando olusebenzisa iiFixators zangaphandle
![Utyando olusebenzisa iiFixators zangaphandle]( "Surgeries Using External Fixators")
Umlenze owaphukileyo Izicelo zeSixhobo sokuLungisa ngaphandle
Unokufuna i umlenze owaphukileyo isixhobo sokulungiswa kwangaphandle ukuba ukuphuka kwakho kuyinkimbinkimbi okanye unokulimala okubi. Oogqirha basebenzisa izilungisi zangaphandle xa ulusu lwakho kunye nezicubu ezithambileyo zibuhlungu. Ezi zixhobo zigcina amathambo akho eqinile ngaphandle komzimba wakho. Izikhonkwane zetsimbi kunye neentonga zidibanisa kwisakhelo esibambe umlenze wakho. Oku kunceda amathambo akho aphile kwaye akhusele ulusu lwakho kunye nezihlunu.
Izilungisi zangaphandle zisebenza kakuhle kwi-tibial diaphyseal fractures kunye neefractures ezivulekileyo. Uphononongo lubonisa ukuba ukusebenzisa ukulungiswa kwangaphandle nge-K-wire intramedullary fixation kwenza utyando lukhawuleze kwaye luphole ngokukhawuleza. Ukwanazo iingxaki ezimbalwa kwaye uchithe imali encinci kunezinye unyango. Izixhobo ze-Ilizarov ezivela kwi-XC Medico zinika inkxaso eyomeleleyo kwaye ikuvumela ukuba uhambe kwangoko. Ufumana ukuncitshiswa okuvaliweyo, ke izicubu zakho ezithambileyo zikhuselekile. Oogqirha banokususa isixhobo ngokulula xa ithambo lakho liphilisiwe.
Phawula: Ukulungiswa kwangaphandle kwepleyiti etshixiweyo kunokunyanga iifractures ezinzima ezivulekileyo ze-tibial plateau. Le ndlela inceda ukugcina idolo lakho lisebenza kwaye inceda ithambo lakho liphile.
Ukuba ulimaza unyawo lwakho okanye i-ankle, izilungisi zangaphandle zinokukunceda ukugcina amathambo akho eqinile. Ezi zixhobo zijija kumathambo akho aphukileyo kwaye ziqhagamshele kwifreyimu engaphandle kwesikhumba sakho. Oogqirha bawasebenzisela ukwenzakala okubi okanye xa olunye unyango lungakhuselekanga. Izixhobo zokulungisa zangaphandle ze-ankle kunye nonyawo zivumela oogqirha ukuba batshintshe indawo yakho yamathambo ngelixa uphilisa.
Unokuba neengxaki ezincinci malunga ne-44% yamatyala kunye neengxaki ezinkulu kwi-9%. Uninzi lweengxaki ezincinci zenzeka emva kweeveki ezine. Iingxaki ezinkulu zidla ngokuvela malunga neeveki ezi-3.7. Iingcingo kunye nezikhonkwane zesiqingatha zinokubangela imiba, kodwa oogqirha bakujonge ngokusondeleyo ukuze bakugcine ukhuselekile. I-XC Medico inesixhobo esikhethekileyo sokulungiswa kwangaphandle kwe-ankle kunye neemveliso zeenyawo zesixhobo sokulungiswa kwangaphandle. Ezi ziquka i-radiolucent fixators, ngoko oogqirha banokubona amathambo akho ngokucacileyo ngexesha lonyango.
Icebiso: Izilungisi zangaphandle zibalulekile ngenxa yokulimala kweenyawo kunye ne-ankle kuba zinika uzinzo kunye nokuguquguquka. Unokuphilisa ngokukhuselekileyo nokuba kunzima ukunyanga ukwenzakala kwakho.
Ukwandiswa kwamalungu kunye noLuleko lokuKhubazeka
Unokufuna izilungisi zangaphandle ukwenza ilungu lakho libe lide okanye ulungise iingxaki zemilo yethambo. I Isixhobo se-Ilizarov sisixhobo esiqhelekileyo kolu tyando. Oogqirha bayisebenzisela ukolula kancinane ithambo lakho kwaye balungise imilo yalo. Uninzi lwabantu lufumana iziphumo ezintle okanye ezintle zethambo kwi-95.2% yamatyala. Izigulana ezininzi zithi ziziva ngcono kwaye zinokushukuma ngokulula.
I Uchungechunge lwe-Mini Fixator oluvela kwi-XC Medico lunokukhetha okuninzi kunyango lwesiko. Ungasebenzisa iintlobo zokwandiswa kwe-universal compression kunye neentlobo zentshukumo ezidibeneyo. Olu khetho lukunceda ukuba uphile ngokukhawuleza kwaye uhambe ngcono.
Nantsi itheyibhile ethelekisa izilungisi zokulungiswa kobunzima:
Ipharamitha |
I-Smart Correction Fixator |
Ilizarov Fixator |
Ixesha loLungiso (iintsuku) |
49.05 ± 35.6 |
66.53 ± 47.7 |
Ukukhubazeka okushiyekileyo |
Ngaphantsi kakhulu |
Phezulu |
I-Bone Healing Index |
Ayidweliswanga |
Kungcono noko |
Uyakwazi ukubona i-Smart Correction fixator ilungisa iziphene ngokukhawuleza nangokuchanekileyo ngakumbi. I-Ilizarov fixator inceda ithambo lakho liphile ngcono. Zombini iinketho zikunika iziphumo ezilungileyo.
Itheyibhile: I-XC Medico ineentlobo ezininzi zokulungiswa kwangaphandle kwiimfuno ezahlukeneyo.
Uhlobo lweSixhobo |
Isicelo seKlinikhi |
I-Monolateral Fixators |
Isetyenziselwa ukuphuka okulula, ukunika inkxaso efanelekileyo kunye nohlengahlengiso olulula ngelixa uphilisa. |
ISetyhula kunye neRingi Fixators |
Eyona nto ingcono kwiifractures ezinzima, ukunika inkxaso eqinile evela kumacala onke, ngakumbi kwiimeko ezinzima. |
Isixhobo soLungiso lwangaphandle lweBi-Frame |
Ilungele iifractures ezifuna inkxaso eyongezelelweyo, inokutshintsha njengoko uphilisa. |
IiNkqubo zeHybrid kunye neModyuli |
Iinkqubo eziguquguqukayo ezixuba iimpawu ezivela kwizilungisi ezahlukeneyo, ezincedo kwiintlobo ezininzi zokuphuka, ngokukodwa kufuphi namalungu. |
Unokukhetha esona sixhobo sangaphandle sokulungiswa kokulimala kwakho kunye nesicwangciso sonyango. Iimveliso ze-XC Medico zigubungela zonke iimfuno eziphambili kutyando lwamathambo.
Kutheni Khetha Ulungiso lwangaphandle
Izinto eziluncedo ngaphezu koLungiso lwangaphakathi
Ngamanye amaxesha oogqirha bakhetha izilungisi zangaphandle endaweni yokulungiswa kwangaphakathi. Izilungisi zangaphandle zikunceda uphile ngokukhawuleza. Azonzakalisi iithishu zakho kakhulu. Uchitha ixesha elincinci esibhedlele. Uneengxaki ezimbalwa emva kotyando. Abantu abaninzi abanokulimala kweenyawo kunye ne-ankle bafumana ngcono ngokulungiswa kwangaphandle. Yehlisa amathuba osulelo kunye nokufa kwezicubu.
Nantsi itheyibhile ethelekisa ukulungiswa kwangaphandle nangaphakathi:
Inzuzo |
Ukulungiswa kwangaphandle |
Ukulungiswa kwangaphakathi |
Ixesha lokuBuyisa |
Idla ngokuba mfutshane |
Ixesha elide |
Amaxabiso okuHluba |
Ngaphantsi, ngakumbi kusulelo |
Ephakamileyo, ngakumbi ngezicubu ezibuthathaka |
Oogqirha basebenzisa izilungisi zangaphandle xa ulusu okanye izihlunu zakho zibuhlungu. Ufumana iziphumo ezingcono kunye nosulelo olunzulu olumbalwa. Ngokomzekelo, kuphela i-10% yezigulane ezinosulelo olunokulungiswa kwangaphandle. Kwelinye iqela, i-24% yayinosulelo. Oku kuthetha ukuba ukhuselekile ngelixa uphilisa.
Xa i-Fixators yangaphandle ikhethwa
Unokufuna izilungisi zangaphandle kwiimeko ezikhethekileyo. Oogqirha bakhetha ukulungiswa kwangaphandle ngenxa yokulimala kakhulu kwezicubu ezithambileyo okanye izifo ezisebenzayo. Ukuba une-osteoporosis, izilungisi zangaphandle zisebenza ngcono. Akudingi thambo lomelele ukuze libambe. Izahlulo ezivulekileyo zamandla aphezulu zihlala zifuna izilungisi zangaphandle. Olunye unyango lusenokungakhuseleki.
Nazi izizathu eziqhelekileyo zokusebenzisa izilungisi zangaphandle:
Ukwenzakala kakhulu kwezicubu ezithambileyo
Usulelo olusebenzayo
I-osteoporosis enzima
Ukuqhekeka okuvulekileyo kwamandla aphezulu
Ukungazinzi kwesigulane okanye ezinye iingxaki
Abantu abakumazwe asakhasayo, abantu abadala, kunye nabo benzakele emfazweni bahlala befuna izixhobo zokulungisa zangaphandle. Ezi zilungisi zikunceda ukuba uphilise xa izibhedlele zinezixhobo ezimbalwa. Bakwanceda xa ufuna ukuhlala ixesha elifutshane esibhedlele. Ukuba ulimaza unyawo lwakho okanye i-ankle, izilungisi zangaphandle zinika inkxaso yokuphilisa ngokukhuselekileyo.
Izixhobo zokulungiswa kwangaphandle njengesixhobo sokulungiswa kwangaphandle komlenze ophukileyo, i-ankle yesixhobo sokulungiswa kwangaphandle, kunye nonyawo lwesixhobo sokulungiswa kwangaphandle lunokunceda iintlobo ezininzi zokulimala. Unokuthembela ezi zixhobo ukugcina amathambo akho eqinile kwaye akuncede uphilise kakuhle.
Inkqubo yoLungiso lwangaphandle
Ukubekwa kwesixhobo kunye noLungiso
Izilungisi zangaphandle zisetyenziselwa utyando oluninzi lwamathambo. Oogqirha baqala ngokukubeka emqolo kwitafile ekhethekileyo. Le theyibhile ibavumela ukuba babone imifanekiso ecacileyo ngexesha lotyando. Iqela lizilungiselela zonke izixhobo, njengezikhonkwane, iinduku, kunye neeclamp. Izikhonkwane zibekwe kufutshane nethambo elophukileyo. Ngamanye amaxesha, oogqirha benza amanxeba amancinci okanye bafake izikhonkwane esikhumbeni. Emva kokuba izikhonkwane zingenile, iintonga kunye ne-clamps zongezwa ukwenza isakhelo esomeleleyo.
Nantsi indlela inkqubo ehamba ngayo inyathelo ngenyathelo:
Ungqengqe phezu kwetafile enceda oogqirha babone ngaphakathi.
Zonke iinxalenye ezifunekayo ziqokelelwa ngaphambi kokuba kuqaliswe.
Izikhonkwane zibekwe kwiindawo ezifanelekileyo emzimbeni wakho.
Iinduku kunye ne-clamps ziqhotyoshelweyo ukuze zibambe yonke into.
Iiclamps ziqiniswa emva kokuba ithambo lifakwe umgca.
Oogqirha bajonga kwaye banakekele ulusu olujikeleze izikhonkwane.
Oogqirha basebenzisa imifanekiso ukuqinisekisa ukuba izikhonkwane kunye nezilungisi zikwindawo efanelekileyo. Le theyibhile ingezantsi ibonisa iindlela oogqirha abajonga ngayo ukubekwa kwephini:
Ubuchwephesha |
Inkcazo |
Isiqinisekisi somfanekiso |
Unceda oogqirha bafake izikhonkwane ngokukhuselekileyo nangokuchanekileyo. |
Ulawulo Lokwandiswa Komfanekiso |
Ijonga indawo yephini kwii-engile ezimbini ezahlukeneyo. |
Emva kokuhlinzwa, oogqirha banokudinga ukutshintsha izilungisi zakho zangaphandle. Olu tshintsho lunceda amathambo akho alungelelanise kakuhle kwaye aphilise kancinci. Ukulungiswa kweesetyhula, utshintsho luhlala luqala i-5 kwiintsuku ze-14 emva kokuhlinzwa. Ugqirha wakho uya kukuxelela indlela yokulungelelanisa ubude kunye nokuba kaninzi kangakanani. Ii-X-reyi zisetyenziswa rhoqo ukujonga ukuba ithambo lakho liphila njani.
Ukubeka iliso kunye noBude bexesha
Kufuneka ulandele imithetho yokugcina isilungisi sakho sangaphandle sikhuselekile. Oogqirha kunye nabongikazi bajonga kwiindawo ze-pin zosulelo. Ufunda ukujonga ububomvu, ukudumba, okanye ukuvuza. Iqela lamathambo lihlola indlela ophilisa ngayo kwaye ukuba isakhelo sisenamandla. Abongikazi babhala phantsi oko bakubonayo kwaye baxelele oogqirha ukuba kukho into eguqukayo.
IiProtocol zokubeka iliso kwiZixhobo zoLungiso lwangaphandle |
Inkcazo |
Pin Site Care |
Funda ukubona usulelo kwaye ugcine iindawo zephini zicocekile. |
Uvavanyo lwarhoqo |
Oogqirha bajonga ukuphiliswa kunye namandla esakhelo rhoqo. |
Amaxwebhu kunye noNxibelelwano |
Abahlengikazi babhala utshintsho kwaye baxelele oogqirha ngokukhawuleza. |
Unokufuna izilungisi zangaphandle kwiimali ezahlukeneyo zexesha. Ukwandisa amalungu, isixhobo sihlala sisebenza malunga neenyanga ezi-4.5 ukuya kwezi-6.2. Ithambo likhula malunga ne-1.0 mm ngosuku ngalunye ngexesha lokwelula. Emva koko, ithambo liya liqina kwisigaba esilandelayo. Ngokulimala kweenyawo kunye ne-ankle, ixesha lixhomekeke kwindlela ophilisa ngayo ngokukhawuleza. Ugqirha wakho uya kuthatha isigqibo sokuba uzikhuphe nini izilungisi.
Izixhobo zokulungiswa kwangaphandle ezifana nesixhobo sokulungiswa kwangaphandle komlenze ophukileyo, i-ankle yesixhobo sokulungiswa kwangaphandle, kunye nonyawo lwesixhobo sokulungiswa kwangaphandle ukusuka kwi-XC Medico kukunceda ube ngcono. Ezi zixhobo zivumela oogqirha ukuba bahlole ukuphiliswa kwakho kwaye benze utshintsho ngokulula.
Ukubuyisela kunye neengozi
![Ukubuyisela kunye neengozi]( "Recovery and Risks")
Ulindelo Lwesigulane
Uya kuqalisa ukuba ngcono esibhedlele emva kotyando. Uninzi lwabantu luhlala esibhedlele intsuku enye ukuya kwezisixhenxe. Oogqirha kunye nabongikazi bajonga umlenze wakho rhoqo kwaye bancede ngeentlungu. Xa ubuyela ekhaya, kufuneka uhambe ngokukhuselekileyo kwaye ugcine iindawo zakho zephini zicocekile. Unokuziva udiniwe ekuqaleni, kodwa uya kufumana amandla angakumbi kungekudala. Itheyibhile engezantsi ibonisa okwenzekayo ngexesha ngalinye lokuchacha:
Iqonga |
Ubude bexesha |
Inkcazo |
Ukuhlala esibhedlele |
Usuku 0-7 |
Uhlala esibhedlele ukuze uchache kwaye ujongwe. |
Ukubuyiselwa ekhaya |
Iveki 1-4 |
Ulawula intlungu, ukuyeka iingxaki, kwaye uqale ukuhamba. |
UBuyiselo phakathi |
Iveki 4-12 |
Uziva unamandla kwaye unamandla. |
Emva kokuba ugqirha wakho ethatha isixhobo sokulungiswa kwangaphandle, unokufuna i-rehab. Akukho mgaqo ongqongqo wokubuyisela emva kokulungiswa kwangaphandle. Oogqirha abaninzi bacinga ukuba i-rehab ikunceda ukuba uhambe ngcono kwaye uphile ngokukhawuleza. Kufuneka umamele ugqirha wakho kwaye ubuze malunga nokuzivocavoca okufanelekileyo kuwe.
Unyango lomzimba lunokukunceda.
Kufuneka ugcine izihlunu zakho zomelele kwaye zibhetyebhetye.
Qaphela iintlungu okanye ukudumba.
Uninzi lwabantu ababenokulungiswa kwangaphandle ngenxa yokuphuka okubi bayavuya ngeziphumo zabo. Abaninzi bathi bangakhetha unyango olufanayo kwakhona. Abanye abantu baziva iintlungu okanye banengxaki yokuhamba, kodwa uninzi lubangcono.
Iingxaki kunye noKhuseleko
Kufuneka wazi malunga neengozi kunye nezilungisi zangaphandle. Usulelo lwendawo ye-pin lwenzeka rhoqo. Unokubona ububomvu okanye ukudumba kufutshane nezikhonkwane. Ngamanye amaxesha, ukulungiswa kunokukhululeka kwaye kuphazamise izicubu zakho ezithambileyo. Eminye imingcipheko lusulelo lwe-pin tract, i-nonunion, i-malunion, umanyano olulibazisekileyo, ukusilela kwe-hardware, kunye neengxaki zemithambo-luvo okanye imithambo yegazi.
Nazi iingxaki eziphambili ekufuneka uzijonge:
Usulelo lwendawo yePin
Ukukhulula ukulungiswa
Nonunion okanye malunion
Ilibazisekile umanyano
Ukusilela kwehardware
Imiba ye-Neurovascular
Uphononongo lwakutsha nje lubonisa ukulungiswa kwangaphandle okuguquguqukayo kuneengxaki ezimbalwa kunokulungiswa kwangaphakathi kwendabuko. Itheyibhile engezantsi ithelekisa iireyithi:
Uhlobo loLungiso |
Inqanaba lokuNxina (%) |
Amanqaku |
Ukulungiswa kwaNgaphandle okuDynamic |
2.4 |
Amazinga asezantsi osulelo kunye nemiba embalwa |
Ukulungiswa kwangaphakathi kweNdabuko |
3.8 |
Umngcipheko ophezulu weengxaki |
Ungawunciphisa umngcipheko wakho ngokugcina iindawo zephini zicocekile kwaye wenze oko ugqirha wakho akuthethayo. Ukuba ulimaza unyawo lwakho okanye i-ankle, izilungisi zangaphandle zikunceda uphilise ngokukhuselekileyo. Abantu abaninzi abanezixhobo zokulungiswa kwangaphandle zokulimala komlenze okanye unyawo kunye ne-ankle bathi bayavuya ngeziphumo zabo. Uninzi lungakhetha olu nyango kwakhona.
Izixhobo zokulungiswa kwangaphandle ezifana nesixhobo sokulungiswa kwangaphandle komlenze ophukileyo, i-ankle yesixhobo sokulungiswa kwangaphandle, kunye nesixhobo sokulungiswa kwangaphandle kweenyawo ukusuka kwi-XC Medico kukunceda ukuba uphinde uhlale ukhuselekile. Unokuzithemba ezi zilungisi zokukunceda uphilise emva kokuphuka kakubi.
Izixhobo zokulungisa zangaphandle zikunceda ukuba uphilise ukuba waphula umlenze wakho, i-ankle, okanye unyawo. Banika inkxaso yamathambo akho kwaye bakuvumele ukuba uhambe kancinci. Ezi zixhobo zilungele ukwenzakala kanzima. Le theyibhile ingezantsi ichaza ukuba kutheni zisebenza kakuhle:
Uphawu |
Inzuzo |
Iinkqubo zeemodyuli |
Guqula isixhobo ngaphandle kokufuna iyeza lokulala |
Ulungiso olunamandla |
Lungisa amathambo aphukileyo ahamba kakhulu |
Iifreyimu zeHybrid |
Nceda wenze amathambo abe made okanye alungise imilo yawo |
Uchitha imali encinci kwaye uhlale ukhuselekile ngezi zixhobo. Oogqirha abaninzi bakhetha i-XC Medico kuba bayathenjwa kwaye banikezela ngokukhawuleza. Bakwanceda oogqirha ngayo nayiphi na imibuzo. Khetha i-XC Medico yesixhobo sakho sokulungiswa komlenze owaphukileyo wangaphandle, i-ankle yesixhobo sokulungiswa kwangaphandle, kunye nonyawo lwesixhobo sokulungiswa kwangaphandle.
FAQ
Yintoni isixhobo sokulungisa sangaphandle?
Izixhobo zokulungisa zangaphandle zigcina amathambo aphukileyo ezinzile. Oogqirha babeka izikhonkwane kunye neentonga ngaphandle kwesikhumba sakho. Ezi zixhobo zinceda amathambo aphilise emva kokuhlinzwa okanye ukulimala.
Ufuna nini umlenze owaphukileyo isixhobo sokulungiswa kwangaphandle?
Udinga esi sixhobo ukuze wenze iifractures ezinzima. Oogqirha bayisebenzisa xa ulusu okanye izihlunu zonzakele. Inceda umlenze wakho uphile kwaye ugcine amathambo kwindawo.
Unxiba ixesha elingakanani isixhobo sokulungisa sangaphandle iqatha okanye unyawo?
Unxiba isixhobo kwiiveki ezimbalwa. Ugqirha wakho ujonga ukuphiliswa kwakho rhoqo. Bagqiba ekubeni basisuse nini isixhobo.
Ngaba izixhobo zokulungisa zangaphandle zikhuselekile?
Ezi zixhobo zikhuselekile ukuba ulandela imithetho yokunyamekela. Kufuneka ugcine iindawo zephini zicocekile kwaye ujonge usulelo. Oogqirha kunye nabongikazi bakunceda ukuba uhlale ukhuselekile ngelixa uphilisa.
Ngaba unokuhamba ngesixhobo sokulungisa sangaphandle?
Unokuhamba nesixhobo ukuba ugqirha wakho uthi kulungile. Ezinye izixhobo zikuvumela ukuba uhambe kancinci. Hlala uphulaphule ugqirha wakho malunga nokuhamba kunye nomsebenzi.
