Ukutshixwa kwe-Plates Plates kunye nokusikelwa umda

Ukusetyenziswa kwe Ukutshixa iipleyiti zandise ubukhulu bokusetyenziswa kwesicelo seplate yangaphakathi yokuqhekeka. Nangona kunjalo, ukusetyenziswa kwabo kufuneka kulungiswe kwaye kulungiselelwe ngenxa yemingxunya enokubakho kunye nokusikelwa umda. Kweli nqaku, siza kujonga ukuthathelwa kwezicelo, imiceli mngeni yokukhupha, kunye nokusikelwa umda, iinxalenye ezi-3 zokutshixa kweplate.

01.Intoni izinto ezikhethekileyo kunye nobunzima ekufuneka uqatshelwe ekusebenziseni iipleyiti zokutshixa?

Amanyathelo nemiceli mngeni ekunciphiseni iqhekeza elineplate zokuvalela

Amanyathelo okubuyisela i-phraction amiselwayo. Ukutshixa iipleyiti azisetwanga uqhekezwe. 

Nje ukuba ibekwe kwicandelo lethambo, ukongeza izikrelemnqa ezingaphezulu akuyi kuyishukumisa. Ukuba ipleyiti yokutshixa eyamkela izikhonkwane ezivaliweyo isetyenzisiwe, 

Oku kuthetha ukuba ipleyiti inokuvalelwa kuphela emva kokuba iqhekeza.

Kuba ukuntywila iipleyiti zivumela ukuphiliswa kwethambo ngaphandle kokuphulukana nokuqalwa kokuqala, 

eyona nto iphambili yentlukhwe yokutshixa kukungachanekanga kokuqala. 

Kwaye, ukwenziwa ngokungekho mthethweni ngenxa yokuba oomatshini abangafezekanga banokukhokelela ekuphilisweni okungalunganga njenge-bone plates ngenxa yokuphilisa ukuphiliswa okanye ukungazithembi.

Ukuphinda usebenze ngaphandle kokusetyenziswa kweeplate zokutshixa kunzima kakhulu xa usenza uhlaselo oluncinci

 Inkqubo kuba ukuvezwa kwethambo kunqongophele kakhulu. Ifuna iinkqubo ezahlukeneyo zokulandelwa (iitafile zomkhwa, iirejista),

 I-proceling eyahlukileyo yokuphinda isebenze kwakhona, kunye neekhonkwane zeKirschner ukuba zixhase iziqwenga zethambo kunye nokulungiswa okwethutyana. 

Phambi kokusetyenziswa kweepleyiti zokutshixa kunye nezikhonkwane zokutshixa, kubalulekile ukukhangela kwakhona i-fluoroscopy.

Ngokuchaseneyo, xa usebenzisa ipleyiti yokutshixa enaba nemingxunya esemgangathweni, 

Isikhafu esisesikweni esisezantsi sinokubekwa kwimingxunya emiselweyo yokuqalisa okokuqala kwiplate.

 Iziqwenga zethambo zibekwe kwiplate. Ukuba iplate ihambelana ne-anatomy, inokusetyenziswa njengesikhokelo seseti kwakhona. 

Izipikili zokutshixa Qinisekisa ukuba iziphumo ezizinzileyo ngaphandle kokutshintsha kwakhona kwakhona kwakhona. Lo myalelo wokufakelwa (izikati eziqhelekileyo, emva koko i-screws screws) ibalulekile (umzobo 4).

Umzobo 4 faka i-Screen esiqhelekileyo kwaye uzinze.

Ukunqongophala kwempendulo ye-Tactile xa kuqinisa izikhonkwane zokuvalela

Akukho ngxelo yengqondo xa uqinisekisa isikrelemnqa okutshintshileyo. Inyaniso, 

Ukuqina kwepikili evaliweyo yenzeka ngaxeshanye kwithambo le-cortical okanye elinqamlezileyo kunye nentsimbi yeplate yokuvalwa. Ngesi sizathu,

 Kulula ukuba ugqirha ukuba acinge ukuba ngempazamo athathe ipikili etshixiweyo ibambe kakuhle kwi-cortical okanye etyeni (umzobo 3).

Umzobo 3 ubude bokusebenza kwezikrelemnqa ngokusekwe kuhlobo lwethambo kunye nenani lamacandelo.

Ukuzifaka

Ukusetyenziswa kwezikrelemnqa ozitshitshileyo kuthetha ukuba akukho ngxelo i-tactile ngexesha lokuqhuba okanye ukuqinisa njengoko kusenzeka ngaxeshanye.

Iipropathi zabo zoomatshini ziyafana nezikati ze-cortex enye ngexesha lokutyikitywa kwe-cortex enye. Ukuba zide kakhulu, 

Baza kuqhagamshelana ne-cortex yesibini engafakwanga, ekhokelela ekubekweni okungachanekanga kwekhonkco lokutshixa kwiplate yokutshixwa.

Ngexesha lezicelo zebhayisikile, zinokuba mfutshane kakhulu, zibenze balingane ngoomatshini bokutshixwa kwezikhonkco okutshintshiselanayo. 

Ukuba zide kakhulu, ziya kongeza ngaphaya kwe-cortex kwaye zinokulimaza izakhiwo ezibalulekileyo kwelinye icala leplate.

Ubude obutshintsho obuchanekileyo bunokufumaneka kuphela ngokulinganisa ubude obufunayo emva kokuqhuba okanye ukuqinisekisa nge-fluoroscopy.

Iimpawu zezikrelemnqa ezivaliweyo

Eyona nto iphosakeleyo kwizikhonkwane zokuvalela ezivaliweyo kukuba ukuqhelwa kwazo kwangaphambili. 

Banokuba nenye ifakwe okanye i-prosthetic ye-prosthetic kwindlela yabo, esenza ukuba ifake ingenakwenzeka okanye ibabekeke endaweni yokulungiswa ngokungacacanga.

Iipleyiti zokutshixa kwe-anatomical ezisetyenziselwa imilenze enezipikili zokuvalela ezingundoqo nge-onrial enesiqhelo, 

I-indelelwe i-anatomical nezizathu ze-biomechacalchancal, kukho umngcipheko wokubekwa kwe-Intra-ye-Intra. 

Umzekelo oqhelekileyo kukugqatswa kwenkunkuma. Lo mngcipheko mkhulu nangakumbi xa ipleyiti yokutshixa isondele kwi-joyint okanye xa i-anatomy iphantsi. 

Ukungabikho komgangatho wobugcisa we-intra kufuneka kuqinisekiswe yi-fluoroscopy.

I-MIP Technologies

I-oscane engahlaseli i-ostesynthesis (i-MOO) I-MIPO) Ibandakanya i-SubCutaneous kunye / okanye i-submuscular 

kunye nokufakelwa kwe-notperpeiosteis yeplate yethambo ngokuvula kancinci kwithambo emva kokutyibilika, ngaphandle kokubonisa

 indawo yokuqhekeka. Oku kuvumela izithuba ezincinci, indawo engaphantsi koqhaqho-utyala i-morbidity, kwaye yenza inkqubo ngakumbi 'biologic '

 Kuba akukho sidingo sokuveza isiqwengana ngasinye kwaye akukho nto iphazamisayo kunye nezicubu ezithambileyo, i-bisciolsterication ye-periosterial, okanye i-famatoma.

Inokufezekiswa ngeplate etshixwayo kunye nesixhobo esenzelwe ngokukodwa esivumela iplate 

ukuba i-pubinad kwaye idlulile kulusu ukufumana ngokulula ukufumana imingxunya yokutshixa kwiplate. 

Imifanekiso ye-fluoroscopic kufuneka ithathwe kwinyathelo ngalinye ukuqinisekisa inkqubela phambili. Inqanaba ngalinye lolu buchule lucelomngeni. Umceli mngeni wokuqala kukuseta ukuqhekeka ngaphambi kokulungiswa.

 Iplate yokuvalela kufuneka emva koko igxile ngokufanelekileyo kubude bethambo, kungenjalo kulungelelwaniso lweplate yokutshixa kuya kuba yi-asymmetric (umzobo 5). Ukwengeza, 

Iplate yokutshixa kufuneka ihambelane ngokugqibeleleyo kwi-cortex yethambo yenzelwe ukulandela kwaye isondele kwithambo njengoko 

kunokwenzeka ukunganciphisi kakhulu ukuqina kwesakhiwo. Ngexesha lokugqibela lokutshixa, kunzima ukuqinisekisa ukuba

 Iimeko zesikrikhi zihambelana ngokufanelekileyo kwiplate yokutshixa kwaye ukuba izikhonkwane ezivaliweyo zizibandakanya ngokufanelekileyo ngexesha lokuqiniswa.

Umzobo o-5 we-Eccentric Supeces yeplate yokuvalela kunye nokungabikho kwengxelo ye-haptic ngexesha lokuqiniswa.

Ukulimala kolusu olunokubakho xa usebenzisa ipleyiti yokutshixa

Ukusetyenziswa kweepleyiti zokuvalela ukulungisa amaqhekeza angaphandle e-Ankle adibene namazinga aphezulu aphezulu olusu. 

Ubungqingqwa bezipleyiti zokutshixa ezitshitshisiweyo zibeka uxinzelelo kulusu kwaye ziphazamisane nokusasazwa kwayo kunye nokuphiliswa kwayo. 

Kwenzeka into efanayo xa ipleyiti isetyenziselwa ukwaphulwa kwe-hawksbill.

Umngcipheko we-osteoporousis kunye nokukhupha isikrikhi

Kwithambo le-Osteoporotic yethambo, ukutshixa izipikili zoncedo ukunciphisa umngcipheko wokukhupha isikroba okanye ukurhoxa. 

Ukwakhiwa akuqinanga ngokwaneleyo ngenxa yethambo le-bone cortex kunye nokuncitshiswa kwe-trambeculae.

Kule meko, ukulungiswa kweplate yeplate kuhlala kunamandla kwaye kubhetele xa usebenzisa i-Evanescent okanye i-conolithic ye-monolithic yoma (umzobo 3).

ISISHWANKATHELO:

I-1. Ukutshixa izikrelemnqa musa ukuvumela ukuqhekeka kwiplate yethambo ukuba iphinde isebenze kwakhona.

2. Ukuqhekeka kufuneka kusekwe kwakhona ngaphambi kongeza isikrini sokutshixa.

I-3. Ukulungiswa kwe-percutaneous yokuphuculwa kwe-friction kufuna ukuba kubekho isixhobo sokutshixa. I-MIPOPE ifuna ngakumbi.

I-02. Imiceli mngeni yokususa iiplati zokutshixa

Ukususa iplate yokutshixa xa sele kuphilisiwe kunzima kwaye kungalindelekanga, 

Kodwa imeko inokusonjululwa. Owona mceli mngeni mkhulu kukhulula isikhafu sokutshixa.

Ngamanye amaxesha, intambo entloko yesapi sepeyinti iyonakalisiwe ngexesha lokufakelwa 

(Uninzi lokuqinisa kwaye ukhulule, ipateni ye-screwdriver yonakalisiwe kwaye ayilunganga, i-screw yokufakelwa yenziwa nge-drill yamandla), 

Oko kuthetha ukuba akunakubakho. Ke ngoko, kungcono ukuthintela oku kunyanzeliswa ngokukhawuleza nakuphi na isikhafu nge 

Imodeli yentloko elonakalisiweyo, usebenzisa i-screwdriver epheleleyo kunye nokuqinisa isikhafu ngesandla (hayi nge-drill yombane).

 Sebenzisa izikrikhi ezenziwe ngezinto ezomeleleyo kunokunceda ukunciphisa le ngxaki.

Kwiimeko ezininzi, kukho indlela yokutshixa okanye i-jamming phakathi komtya wokutshixa wezipikikhi kunye nomngxunya otyunjiweyo kwiplate yokutshixa. 

Oku kuhlala kubonakala nge-3.5mm diameter titanium hex pakethi ye-Shaft ye-Shaft. Akukho ndlela enye

 ukuphazamiseka. Izikrelem zihlala ziqiniswe ngaphezulu ngenxa yokungaphumeleli ukusebenzisa i-Torque Wrewch ebonelelweyo kwikhithi yesixhobo, 

enokutshintsha imisonto kwi-peg yokutshixa kunye neplate yokutshixa. Ngamanye amaxesha, 

Ukusilela ukusebenzisa okanye ukusetyenziswa kwesikhokelo esingalunganga se-drill kubangele ukuba izikrikhi zingangqinelani nangokuqinalwa, 

ebangele i-screws kwi-jam. Ukuze unciphise umngcipheko wokutsalwa ngexesha lenkqubo yokuqala yokulungisa,

 Kubalulekile ukusebenzisa zonke izixhobo ezikhoyo: Izikhokelo ze-Drill kunye neziseko, ukuqina, ukonakala kwe-torque kwimowudi epheleleyo xa kuqinisa izikhonkwane ezivaliweyo.

Uhlobo lwe-MIPOAIX ukhathalela umngcipheko omkhulu wokubekwa ngokuchanekileyo kwesikhokelo solingano, 

njengoko kungekho mbono ngqo ngeplate yokutshixa. Ukulungelelaniswa okungachanekanga kwesikhokelo se-drill kuthetha ukuba umngxunya wenziwe 

ipikili evaliweyo kunye nokufakwa kwesipikili sokutshixa kuya kubachanekanga. Kukho umngcipheko wokonakalisa iphethini yentloko ye

 Ukutshixwa kwesamente xa i-screwdriver ayizibandakanye kakuhle kwisikhafu.

Ngezi zizathu, ngaphambi kokususa ipleyiti yokutshixa, ugqirha utyando kufuneka azi ukuba ingabi 

kunokwenzeka ukukhulula isikhonkwane esitshixwayo, ngaloo ndlela efuna ukusetyenziswa kwe-screwdriver yomgangatho we-hexagonal ephezulu kunye nesixhobo esongeziweyo.

Xa isikhonkwane esitshixwayo asinakukhululwa, okanye ipatheni yentloko yonakalisiwe, 

Inyathelo lokuqala kukubeka isikhuseli sokuqala

 Oku kunokwanela ukukhulula isikere. Olunye ukhetho kukusika ipleyiti yokutshixa kwelinye icala lezipikili zokutshixa kunye nokusetyenziswa

 njenge-screwdriver ukukhulula yonke imo. Ukuba i-screw ayinakukhululwa, iplate yokuvalwa inokukhululwa ngu 

Ukuyinxila nge-drill, ukutshabalalisa intloko yesipikili sokutshixa, okanye ngokusika ipleyiti ukukhulula isikhonkwane. Emveni kwalonto, 

I-vise isetyenziselwa ukususa izibonda ze-pegs ezivaliweyo. Ukuba ayinakukhululwa (kuba idityanisiwe kwithambo okanye ayikuqondi ngokwaneleyo), 

Ingasuswa nge-drill yeringi (fig. 6).

Umzobo o-6 weengcebiso kunye neengcebiso zokususa isikreqo sokutshixa esibambeke ebhodini.

Zonke ezi ngxaki zinokwandisa utyando, zinokubangela i-tissuon ethambileyo i-abrasion ngenxa yokukhululwa kwentsimbi, kwaye baphathe umngcipheko wokosuleleka. 

Ukusetyenziswa kwe-ring yerill yonyusa umngcipheko wefraioperaive.

ISISHWANKATHELO:

1. Umceli mngeni wokususa izikhonkwane ezivaliweyo zenzeka ngokuyintloko nge-3.5mm hex i-tetanium screws.

2.Ukuba nendlela elungileyo yokuphepha le ngxaki kukusebenzisa zonke izixhobo ezinikiweyo xa ufaka isikhafu. Obu bunzima bunokusonjululwa ngokusebenzisa izixhobo ezifanelekileyo.

03. Zithini izidalwa zesicelo seplate yokuvalela?

Ipleyiti ye-clavicle ye-clat

Ngokuqinisekisa ukuba ulwakhiwo luqinile ngenxa yobude bokusebenza obungapheliyo kwiplate yokuvalela okanye inani eligqithileyo lokutshixwa kweplate (umngcipheko weplate yokutshixwa okanye kwi-screw / bone cuction inokuncitshiswa.

Umzobo 7 I-Bone Ukuphilisa iphilisiwe emva kweentsuku ezingama-60 ngokutshintsha inani kunye nendawo yokutshixa izikrelemnqa kunye nokonyusa i-elasticy yezakhi ezikhulu kakhulu.

Ukuxilongwa kwethambo le-none kuhlala kuqinisekiswa ngokuqhawuka kweplate. 

Ukuqhekeka kade kweplate yokuvalela okanye i-Natick Nail ngexesha elifanelekileyo njengoko i-nivamotion inokuthi yenzeke ekuphiliseni ithambo.

Kwizityholo ezilula ezifuna uxinzelelo, oluxhomekeke kuhlobo lokuqhekeka endaweni yethambo elichaphazelekayo, 

Isakhiwo esingqongqo apho iziqwengana ezibini ezingachukumisi zinokukhokelela ekungaphumleni okungafunekiyo kunye nokungakhathali kweplate. 

Ukudityaniswa kwe-splid splint + itshixa i-Nail + Itreyini kwindawo yokuqhekeka iziphumo kwithambo.

Umahluko woku kukuphazamisa ngaxeshanye kwisikhonkwane esitshixwayo Ngaphantsi kokungeniswa kwayo kwiplate, 

okoko ngenxa yesakhiwo esingqongqo kakhulu. Oku kubangela ukuphela kweplate ukuze ukhuphe 'kwi-' kunye nokuphiliswa akufumaneki (umzobo 8).

Umzobo 8 ukusilela kwesibini senqanaba eliqinileyo kunye nesakhiwo esingalinganiyo

Ke ngoko, ukulungisa kwe-intraphapsure ye-Intraphapsiund ye-hip eneplate zokuvalela kunokukhokelela kwi-bone engapheliyo kuba isakhiwo singqongqo kakhulu ukuba ifake kwindawo yokuqhekeka. 

Ngaphandle kwe-micromotion efunekayo ukuze iphilise, wonke umthwalo uphethwe yimpahla yokufakelwa kwaye ekugqibeleni iyasilela.

I-asymmetric yokuphilisa izicubu

I-Persiosteal Bone i-Asymmetric, 

Ingakumbi kwi-quaster ye-distal 1/3 ye-femur. I-roacition ngenxa ye-raistity ivumela i 

Ukuphuhliswa kweyunifomu yokuqhekezwa kokuphilisa izicubu ezivela kwindawo ehambelana nayo yeplate yokutshixa / yepeyile yokwakha.

 Ukulawula lo mngcipheko, ubude beplate yokuvalela kufuneka bunyuswe, nokuba usebenzisa iipleyiti ze-titanium eziguquguqukayo zeTitanium okanye usebenzisa uyilo olutsha lwezipikili. 

Kwelinye icala, ukwakha ngokugqithileyo kuya kukhokelela kwi-hyperttrophic bone.

Isiphoso seplastiki yeepleyiti zentsimbi

Ukubeka iplate kufutshane ne-cortex njengoko kunokwenzeka ukunciphisa umngcipheko weplastiki embindini weplate;

 Xa umgama phakathi kwepleyiti kunye ne-cortex ingaphezulu kwe-5 mm,

 Amandla olwakhiwo ancitshiswa kakhulu kwaye umngcipheko weplastiki yeplate kunye nokusilela kweplate ye-titanium ephezulu.

I-quaphysis kade ye-diaphysis okanye iMetaphysis ekupheleni kweplate yokutshixa

Umngcipheko wokuqhekeka kade ekupheleni kwe-plati yokutshixa i-Dayfsis okanye iMetaphysis, 

ngakumbi kwithambo le-osteoporotic, linokuncitshiswa ngokufaka isikhonkwane esinye esitshixwayo okanye isikhafu esisezantsi se-bicictorical ekupheleni kweplate ukunciphisa uxinzelelo kulo mmandla.

Ukusilela koomatshini

Ezi meko zilandelayo zanyusa umngcipheko wokungaphumeleli kweplate yokutshixwa:

1. Ukulungiswa kweHimeral Deaphysis Fractures kufuna ukusetyenziswa kwezipikili ezine zokutshixa kwelinye icala lendawo yokuqhekeka ukuxhathisa i-torsion kwaye kwandise ukusilela koomatshini; kwaye

2. Ukulungiswa kwe-epiphyseal quatures kunzima kuba zihlala zingazinzi, 

ngakumbi kuba indawo yokuqhekeka ayinakunyanzelwa zizikhonkwane zokutshixwa kunye nethambo le-osteopororoctic;

I-3. I-Intra-Artical Artracular kunye ne-Arturical eyongezelelweyo ye-ofisi ye-epiphyeysis ayizinzanga

 .

I-4. I-Oneint ye-Adint ye-MetaphyseAl Fractures ifudula ukuba ilahlekile kwi-Presions (umzekelo, i-roximal humer, i-feximal furs, kunye ne-proximal tibia fisias).

 Ukutshixa iipleyiti ezinamachaphaza angena kwi-pattelity yethambo libonelela ngesakhiwo esomeleleyo esaneleyo 

Ukuzinzisa ezi qhekeza ngaphandle kwesidingo songeza iipleyiti zohlobo lweConsole ngokuthembekileyo okanye ukongeza ithambo ngelixa ugcina imeko yebhayoloji yebhayoloji. 

Uzinzo luxhomekeke kuphela kwipleyiti yokutshixa / yokutshixa, 

Yeyiphi eyona nto igxininisiweyo emva kokuseta kwakhona xa i-epiphyeysis ihlala ihlawulwe okanye xa i-medial console ingakhiwa kwakhona. Iplate yokutshixa inokusilela kwisibini sokudinwa.

Ke ngoko, ukulungiswa kwe-bicual tibial racteau iqhekeza lisebenzisa iipleyiti zokutshixa kuphela kwicala elilandelayo kufuneka kuthathelwe ingqalelo kuhlobo.

 Kwimixhuzula ye-proximal humerus, inani leebhloko zokuqhekezwa, ukuphulukana nenkxaso ye-Medial,

 Kwaye ukungakhathali kwe-epiphysis yokulungisa imiba yomngcipheko eyaziwayo. Ukunciphisa umngcipheko wokukhetha ukungaphumeleli, 

Ezinye izikhonkwane ezivaliweyo ziya kuxhaswa ngobugcisa ukubuyisa ukungabikho kwenkxaso ye-odolo ekunciphiseni kwesahlulo esiguqulelwe ngaphandle

Ukusilela kwe-biological yokutshixa iipleyiti

Iindlela zokungapheliyo zokungafezeki kwe-biologional yeepleyiti zokutshixa zisikiwe kwaye ziqhekezwe okanye zithintele isikhonkwane sokutshixa. 

Ezi ngcipheko zinkulu xa ithambo le-osteoporosis ikhoyo kwi-skeleton, 

Oko kuthetha ukuba ukuhlaziywa kwangoko kwaye kubuyela kubunzima obunengxaki kufuneka kwenziwe ngononophelo ngaphambi kokuphilisa ithambo kufezekisiwe.

(1) Ukususwa kwezikrelemnqa okutshixayo

I-screw yokukhupha ihambelana ne- 'iyonke ' kwaye isuswe ngaxeshanye kwisikhonkwane esivaliweyo ukusuka kwithambo elinye okanye omabini amaplanga. Ngamanye amaxesha, 

Ipikili evaliweyo ikhutshwe ngesiqwenga sethambo elijikelezileyo.

Kwingingqi ye-epiphyseal, isakhiwo sokutshixshwa kweplate enye sibonelela ngokuzinza okwaneleyo ngenxa yokutshixwa kwepikisi okanye i-wivelgent ye-valent ye-anchorage, 

Kwaye isakhiwo esinemilinganiselo emithathu yonyusa ukumelana nokukhupha isikrelemnqa kwithambo elinzima.

Kwingingqi yedayaphyse, i-distering kunye nezikhonkwane ezivaliweyo kunye nokwakha iipleyiti ezinde eziphezulu zinemikhono engcono. 

Olu hlobo lolwakhiwo lulungele ngakumbi ukwaphuka kwe-peripprosthetic. Kwithambo le-osteoporotic, 

Ukulungiswa kwe-bicuortical sth sth sthrew iphezulu kakhulu kulungiso lwe-monocorical. Kwiziqwengana ze-peripprosthethetitic, isikroba esineflethi esineflethi esinceda ukunqanda ukunxibelelana nempahla ye-intramellary.

Olu hlaselo lokulungisa lunxulunyaniswa nomgangatho wethambo olithambo, nokuba ulwakhiwo lungasebenzi kakuhle.

(2) Sika okanye ukubambelela kwizikrelemnqa

Sika okanye ukubambelela kwizikhonkwane zokutshixa ngokungena kwi-intra-Articular kungavela kwingingqi e-Epphyseal.

Olu subupeces zisungulwa ze-epiphyseal rags zethambo eliphezulu eliphantsi elinikezelweyo malunga nesipikili sokutshixa.

 Oku kukhokelela ekuphumeni kwe-epiphyseal fection. Kwimeko ebalaseleyo, i-epiphyseal yokutshixiza ifakiwe kwaye

 Ngena ithambo elinzima. Kwimeko embi kakhulu, i-epiphyseal yokutshixa i-epiphysis kunye neendawo zokuhamba ziye kwiNtlawulo.

Ezi ngxaki zimbini zenzeka rhoqo kwi-proximal humers kunye nerediyo yerediyo ye-distal. 

Ukutshixwa kweplate yeplate ye-proximal humers, kuyacetyiswa ukuba ubude be 

I-Epiphyseal Lock I-Napile inqunyelwe ukunciphisa umngcipheko we-zunguam kunye ne-peting yesibini yokungena.

Ezi ntsilelo zokulungisa kungenxa yethambo elingaphelelanga kunye nokufuduka okukhulu kweziqwenga zokuqhekeza ngaphambi kokuncitshiswa, 

Nokuba isakhiwo sicocekile ngobugcisa.

Ukuhlaziywa ngokudibeneyo kunye nobunzima obukhawulezileyo

Ukubuyisela kwimeko yesiqhelo kunye nobunzima bavunyelwe kuphela emva kokulungiswa okugqibeleleyo kufezekisiwe kwaye kuqinisekisiwe kwii-X-rays ze-X-rays.

Izifundo zebhayoloji zibonisile ukuba kwithambo eliqhelekileyo, ukuba umsantsa phakathi kwamaqhekeza angaphantsi kwe-1 mm, 

Ubunzima bunokubakho ngaphandle komngcipheko. Emva kwemijikelezo eyi-1, ukuqina kwelukukufana nethambo eliqhelekileyo, elinele ukuze uphiliswe.

Xa isandi sesakhiwo, ipleyiti yokutshixa kunye nezikhonkwane ze-angle ezisisigxina zivumela ukubuyela kwangoko 

Ukungakhathazeki kuba umthwalo udluliselwe ngqo kwi-Natick Taire kwiplate yokutshixa, ngaphandle komngcipheko wokusilela kokulungiswa kwiplate ye-Natick Junction.

Nangona kunjalo, xa i-axis ye-pertimatial peg ayikho kwiplate yokutshixwa, ukuthwala ubunzima bomzimba akuvumelekile.

Kwi-MIPO, ubunzima bomzimba bokuqala bavunyelwa ukuba babe ngamagcisa angaphezulu, abalula kunye / okanye abalula. 

Izakhiwo ezide kakhulu ziguqulwe ngokwaneleyo ngokutshintsha iinzipho zokutshixwa kwe-bicucorical kunye nokuvulwa kokuvulwa komthwalo kunye nokusasazwa.

ISIQINISEKISO:

1.Izifundo ze-1.BimoGramochatical ziye zavavanya iintlobo ezahlukeneyo zokwakha kunye neempawu zabo zoomatshini.

Uncwadi lunceda ekuqinisekiseni amathemba athi theoreting olunxulumene nolu hlobo lokulungisa. 

Nangona kunjalo, uncwadi lwakutshanje lukwagxininisa ubunzima bezobuchwephesha kunye nokusilela okunxulumene neepleyiti zokutshixa.

2.Izizathu eziphambili zokungaphumeleli kukutshekishwa kwesongelelo, 

efuna kakhulu, ngakumbi xa usenza iinkqubo ezingahlambulanga.

3.Ukuqhekeka kufuneka kwenziwe kwakhona kuqala, ngaphandle kokutshixa izikrelem kwiplate,

Ukuseta ngokungathanga ngqo kwiplate ngokutshixa izikrelemnqa akunakwenzeka.

4.Isakhiwo kufuneka sibe nobude obuchanekileyo kunye namandla, 

Oko kuthetha ukuba ugqirha utyando kufuneka aqhelane nemigaqo kunye nemithetho ekhokela ukusetyenziswa kwezi plates. 

Isakhiwo kufuneka ke ngoko sibe ngamaxesha athile, ngenani eliqingqiweyo le-screen evaliweyo evaliweyo etshintshe ngemingxunya engenanto.

5.Sddete olona hlaselo luthe ngqiqweni lokutshixa, 

Ukulungiswa kwesakhiwo kunqunyelwe bubunzima bokwaphuka, umgangatho wokuncitshiswa, kunye nomgangatho webhayoloji yethambo.

6.Ukugqitha isakhiwo sine-metic, umgangatho wethambo ulungile kwaye iqhekeza lingaphezulu kwe-articular, 

Isigulana esinemigaqo eyoneleyo inokuvunyelwa ukuba ithwale ubunzima kwilungu eliphukileyo. Kwiimeko ezininzi, ukulungiswa kwephepha lokutshixa kuvumela ukuvuselela kwangaphambili.