Zida ziwiri zamatsenga za trauma orthopedics, mbale ndi intramedullary misomali. Mbale ndizomwe zimagwiritsidwanso ntchito kwambiri zopangira mkati, koma pali mitundu yambiri ya mbale. Ngakhale kuti onse ndi chitsulo, ntchito yawo ikhoza kuonedwa ngati Avalokitesvara ya zida za chikwi, zomwe sizikudziwika. Kodi mukudziwa zonsezi?
- Tesion Band Tension Band
Kodi mbaleyo ndi gulu lamphamvu?
Pamene makina a mafupa ena amasamutsidwa ku eccentric fixation, mbale yachitsulo ndi bandi yolimbana, monga femur, ndipo mbale yachitsulo iyenera kuikidwa pambali yotsutsana.
2. Compression Mode
Mbale yopanikizidwa imayendetsedwa ndi wononga wononga mu loko yotsetsereka, yomwe ili m'gulu la spherical sliding.
Komabe, kupanikizika kumapangitsa kuti kupanikizika pakati pa mbale ndi fupa kukhala kwakukulu kwambiri, ndipo nthawi zina kumakhudza kuchiritsa kwa fupa. Chifukwa chake, mbale yopondereza yocheperako yokhala ndi mfundo imapangidwa, zomwe nthawi zambiri timatcha LCP.
Ngati mukufuna kukakamiza, pobowola, muyenera kulabadira mfundo yakuti kubowola kuyenera kukhala pafupi ndi mbali ya keyhole (pamwamba), ndi kubowola pakati pa malo sikudzakhala ndi zotsatira za pressurizing mapeto osweka (pansi). Zotsatira zitha kuonjezedwa pafupifupi 1mm.
- Locking mbale
Chotsekera mbale, ndiko kuti, screw ndi mbale zimaphatikizidwa kale mu mawonekedwe okhoma. Kawirikawiri dzenje lotsekera ndi dzenje lokakamiza zimaphatikizidwa, koma ntchito za awiriwa ndizosiyana kwambiri.
Zomangira zokhoma zimatha kuwonjezera mphamvu yokhazikika yamkati, ndipo kukana kwawo kokoka kumakhala bwino, makamaka zomangira zokhazikika zokhoma, chodziwika kwambiri ndi mbale yotseka ya humeral philos.
- Neutralization Mode
The neutralization mbale samatulutsa psinjika pa fracture malekezero, koma kokha kulumikiza zotsatira fracture umatha. Chifukwa malekezero othyoka amakhala opanikizidwa ndi zomangira za lag, koma kulimba kwa zomangira zokhotakhota motsutsana ndi kupindika, kuzungulira, ndi kumeta ubweya ndizochepa, kotero mbale yachitsulo imafunika thandizo.
Mu mbale yachitsulo yosasunthika, mphamvu yayikulu ndi wononga zotsalira. Pamene mzere wosweka ndi wawukulu komanso wautali, 2-3 lag screws angagwiritsidwe ntchito kukoka perpendicular kwa fracture mzere, ndiyeno kuthandizira neutralization mbale fixation.
Ma mbale osalowerera ndale amagwiritsidwa ntchito kwambiri pokonza lateral malleolus ndi clavicle.
- Chipinda chogona
Momwe mungagwiritsire ntchito buttress mu orthopedics? Makamaka ntchito ndi fractures motsutsana kukameta ubweya mphamvu, anaika molunjika wa kayendedwe wachibale. Chitsulo chothandizira sichiyenera kukhala chokhuthala kwambiri poyerekeza ndi mbale zachitsulo zopanikizidwa, ndipo sichiyenera kudzazidwa ndi zomangira.
Chitsulo chikuyenera kupindikatu, kulunganira zomangira zokhotakhota motsatana kuchokera kutali kupita kufupi, ndi kugwiritsa ntchito zomangira zomangira zitsulo. Chifukwa cha zotanuka zake, mbale yachitsulo imakhala ndi chizolowezi choyambiranso kupinda, ndipo mphamvuyi imagwiritsidwa ntchito pochita ntchito ya buttress.
- Antiglide Plate
Mukakonza mbale yachitsulo, tetezani chipika chophwanyika kuti chisasunthike panja ndi mphamvu yayitali. Amagwiritsidwa ntchito makamaka kumapeto kwa fibula.
- Span Plating kapena Bridge Plating
Ichi ndi kusinthidwa Baibulo mbale neutralization, umalimbana comminuted fracture wa cadre, kudzera fluoroscopy polojekiti, mbale kuwoloka fracture m'dera ndi kukonza proximal ndi distal malekezero a fracture, ndi fracture m'dera si lokhazikika.
Ukadaulo wamtunduwu umagogomezera makamaka kulinganiza, kuwongolera, kutalika, ndi kuzungulira. Kuphwanyidwa kwapakati kungatheke popanda chithandizo, chomwe chingateteze bwino magazi a mapeto osweka a fracture. Komabe, ziyenera kukumbukiridwa kuti mbale yachitsulo iyenera kukhala ndi kutalika kokwanira, ndipo chiwerengero cha zomangira pamapeto onse awiri chiyenera kukhala chokwanira. . Pakalipano, zina zosagwirizana ndi mafupa zimakhala zosavuta kuchitika, zomwe ziyenera kuchitidwa mosamala
Nthawi yotumiza: Aug-28-2023
