Isilungisi sangaphandle seLeg & Knee Spanning Ex Fix

1. Intshayelelo

Ukulungiswa kwangaphandle kuyindlela eguquguqukayo, encinci yokuhlasela ukuzinzisa iifractures kunye nokulawula ukulimala kwezicubu ezithambileyo. Ihlala isetyenziselwa iifractures ezivulekileyo , i-nonunion ezosulelekileyo, ulawulo lomonakalo kwi-polytrauma, ukulungiswa kokukhubazeka, kunye nokwandisa imilenze.

2. Kutheni usebenzisa ukulungiswa kwangaphandle?

2.1 Izinto eziluncedo

• Inciphisa ukuphazamiseka kwithambo legazi kunye nokugubungela izicubu ezithambileyo.

• Ukusetyenziswa ngokukhawuleza kwiimeko ezingxamisekileyo okanye zokulawula umonakalo.

• Iluncedo kwiifractures ezivulekileyo / ezingcolileyo kunye nethambo elosulelekileyo apho ukufakelwa kwangaphakathi kuyingozi.

• Ivumela ulwakhiwo ngokutsha olunezigaba (uzinzo lwexeshana → ukulungiswa okuqinisekileyo).

• Iququzelela ukuphatha amathambo, ukuphazamiseka kwe-osteogenesis, kunye nokulungiswa kokukhubazeka.

2.2 Iimpawu

Iimeko eziqhelekileyo zeklinikhi apho ukulungiswa kwangaphandle kubonisiwe:

• Izaphulelo ezivulekileyo ezinomonakalo omkhulu wezicubu ezithambileyo okanye ungcoliseko.

• Ukuqhekeka okuvaliweyo kwizigulane ze-polytrauma ezifuna ukuzinza kwexeshana.

• I-intra-articular fractures xa izicubu ezithambileyo zingakwazi ukunyamezela ukulungiswa kwangaphakathi (isandla, idolo , iqatha).

• Ukulahleka kwethambo okanye iziphene zezicubu ezithambileyo ezilawulwa ngokunciphisa okuhleliweyo kunye nokuphazamiseka.

• Ukosuleleka / ukosuleleka nonunion — izikhonkwane zinokubekwa kude neendawo ezosulelekileyo.

• I-Joint spanning (ibhulorho) yakha ukwenzakala okumandundu kwe-peri-articular okanye amalungu angazinzanga.

3. Imigaqo yesicelo sokulungiswa kwangaphandle

3.1 Izitshixo zeBiomechanical

• Sebenzisa ubuncinane izikhonkwane ezibini kwiqhekeza elikhulu elibekwe kwiindawo ezikhuselekileyo ze-anatomic.

• Beka izikhonkwane ngokusondeleyo kwi-fracture (kodwa ngaphandle kwe-hematoma / ukuphuka kwesikhumba) ukwandisa ukuzinza.

• Gcina iintonga zokudibanisa kufutshane nethambo kwaye wandise ukusasazeka kwepini ngaphakathi kweqhekeza ngalinye.

• Iinduku ezininzi kunye nokwakhiwa kweenqwelomoya ezininzi zonyusa ukuqina.

4. Amacandelo — ireferensi ekhawulezayo

5. Izicelo ezikhethekileyo

5.1 Ukudityaniswa okudityanisiweyo kunye nokudibanisa ngokudibeneyo

Ukulungiswa kwangaphandle kungasetyenziselwa ukudibanisa ngokubambisana okanye njengefreyimu edibeneyo yokukhusela izicubu ezithambileyo ngelixa ugcina ukulungelelaniswa kwemilenze (umzekelo, ukuphuka okukhulu kwe-ankle).

6. Ukusetyenziswa, izalathisi kunye nokhathalelo lwasemva kotyando

6.1 Njani i i-fixator  isetyenziswa

1. Cwangcisa isikhonkwane/iindlela zocingo usebenzisa iindawo ezikhuselekileyo.

2. Faka izikhonkwane okanye iingcingo phantsi kwesikhokelo somfanekiso.

3. Qhoboshela iintonga kunye neeclamps; lungisa ulungelelwaniso.

4. Ukubonelela ngemfundo yesigulana malunga nokhathalelo lwe-pin tract.

6.2 Iimpawu eziqhelekileyo

• Iifractures zeTibial - zihlala zisebenzisa izikhonkwane ze-tibial.

• I-Ankle fractures kunye nokulimala kwezicubu ezithambileyo - kunokufuna kwe-joint spanning . ukulungiswa

• I-peri-articular fractures xa ukulungiswa kwangaphakathi kungenakwenzeka.

6.3 Ukhathalelo lwasemva kotyando

• Ukucoca iphecana lePin: qala usuku emva kotyando . Coca iphecana ngalinye lephini 1-2 ngamaxesha ngosuku.

• Ukulawula iintlungu: i-analgesia elula kunye neengubo ezomileyo.

• Ukuqwalaselwa: jonga ububomvu, intlungu, amanzi, okanye umkhuhlane.

• Ukuhlanganiswa: ukuthwala ubunzima obungaphelelanga buhlala buvunyelwa.

• Ishedyuli yokulandelela: ukuhlolwa kweklinikhi rhoqo.

7. Ubude bexesha lokulungiswa kwangaphandle kunye nokuguqulwa

• Unyango oluchanekileyo kude kube nokuqiniswa kwe-fracture.

• Ukuguqulwa kwangethuba kulungiso lwangaphakathi xa izihlunu ezithambileyo zivuma.

• Ukutshintshela kwi-plaster / orthosis apho kufanelekileyo.