I-Fixator Yangaphandle Ye-Leg & Knee Spanning Ex Fix

1. Isingeniso

Ukulungiswa kwangaphandle kuyindlela eguquguqukayo, engenelela kancane yokusimamisa ukuphuka nokulawula ukulimala kwezicubu ezithambile eziyinkimbinkimbi. Ivame ukusetshenziselwa ukuphuka okuvulekile , okungezona ezithelelekile, ukulawula umonakalo ku-polytrauma, ukulungiswa kokukhubazeka, nokwelulwa kwezitho.

2. Kungani usebenzise ukulungiswa kwangaphandle?

2.1 Izinzuzo

• Inciphisa ukuphazamiseka kokunikezwa kwegazi kwamathambo kanye nokumbozwa kwezicubu ezithambile.

• Isicelo esisheshayo ezimeni eziphuthumayo noma zokulawula umonakalo.

• Iwusizo ekuqhekekeni okuvulekile/okungcolile kanye nethambo elinegciwane lapho izimila zangaphakathi ziyingozi.

• Ivumela ukwakhiwa kabusha okufakwe kusiteji (ukuzinzisa kwesikhashana → ukulungiswa okuqondile).

• Isiza ukuphatha amathambo, ukuphazamiseka kwe-osteogenesis, nokulungiswa kokukhubazeka.

2.2 Izinkomba

Izimo zomtholampilo ezivamile lapho ukulungiswa kwangaphandle kuboniswa khona:

• Ukuphuka okuvulekile ngokulimala okukhulu kwezicubu ezithambile noma ukungcoliswa.

• Ukuqhekeka okuvaliwe ezigulini ze-polytrauma ezidinga ukuzinza kwesikhashana.

• Ukuphuka kwe-intra-articular lapho izicubu ezithambile zingakwazi ukubekezelela ukulungiswa kwangaphakathi (isihlakala, idolo , iqakala).

• Ukulahleka kwethambo noma ukukhubazeka kwezicubu ezithambile ezilawulwa ngokufinyezwa kwesiteji nokuphazamiseka.

• Infection/infected nonnunion — izikhonkwane zingabekwa kude nezindawo ezinegciwane.

• Ukuhlanganisa (ibhuloho) kwakha ukulimala okukhulu kwe-peri-articular noma amalunga angazinzile.

3. Izimiso zohlelo lokusebenza lokulungiswa kwangaphandle

3.1 Okhiye be-Biomechanical

• Sebenzisa okungenani izikhonkwane ezimbili ngesiqephu ngasinye esikhulu esibekwe ezindaweni eziphephile ze-anatomic.

• Beka izikhonkwane eduze nokuphuka (kodwa ngaphandle kwe-hematoma/ukuphuka kwesikhumba) ukuze ukhulise ukuzinza.

• Gcina izinti zokuxhuma eduze kwethambo futhi wandise ukusabalala kwephini phakathi kwesiqephu ngasinye.

• Izinduku ezengeziwe kanye nokwakhiwa kwezindiza eziningi kwandisa ukuqina.

4. Izingxenye — inkomba esheshayo

5. Izicelo ezikhethekile

5.1 Ukuhlanganiswa okuhlangene nokuhlanganisa ukuhlanganisa

Ukulungiswa kwangaphandle kungasetshenziselwa ukuhlanganiswa kwamalunga noma njengohlaka oluhlanganisayo oluhlanganisayo ukuze kuvikelwe izicubu ezithambile kuyilapho kugcinwa ukuqondisa kwezitho zomzimba (isb., ukuphuka okukhulu kweqakala).

6. Ukusetshenziswa, Izinkomba Nokunakekelwa Kwangemva Kokuhlinzwa

6.1 Kanjani i-fixator  isetshenziswa

1. Hlela ama-pin/wire trajectories usebenzisa izindawo eziphephile.

2. Faka izikhonkwane noma izintambo ngaphansi kokuqondisa kwesithombe.

3. Namathisela izinduku nama-clamps; lungisa ukuqondanisa.

4. Nikeza imfundo yesiguli mayelana nokunakekelwa kwe-pin tract.

6.2 Izinkomba ezijwayelekile

• Ukuphuka kwe-Tibial - ngokuvamile kusetshenziswa izikhonkwane ze-tibial.

• Ukuphuka kweqakala ngokulimala kwezicubu ezithambile - kungase kudinge okuhlangene kokuhlanganisa . ukulungiswa

• I-Peri-articular fractures lapho ukulungiswa kwangaphakathi kungenakwenzeka.

6.3 Ukunakekelwa kwangemva kokuhlinzwa

• Ukuhlanzwa kwepheshana lokuphina: qala usuku lwangemva kokuhlinzwa . Hlanza ipheshana ngalinye lephinikhodi izikhathi ezingu-1-2 ngosuku.

• Ukulawula ubuhlungu: i-analgesia elula nezingubo ezomile.

• Ukubheka: qaphela ububomvu, ubuhlungu, ukuphuma kwamanzi, noma umkhuhlane.

• Ukuhlanganisa: ukuthwala isisindo kancane kuvame ukuvunyelwa.

• Uhlelo lokulandelela: ukuhlolwa okuvamile emtholampilo.

7. Ubude besikhathi sokulungiswa nokuguqulwa kwangaphandle

• Ukwelashwa okuqondile kuze kuhlanganiswe ukuphuka.

• Ukuguqulelwa kusenesikhathi ekulungiseni kwangaphakathi uma izicubu ezithambile sezivuma.

• Ukushintshela ku-plaster/orthosis lapho kufanele khona.