Plate yekuvhara ndeyekukona chidimbu chekugadzirisa chine gomba rakarukwa. Kana banga racho riine musoro wakarukwa rakakwenenzverwa mugomba, iyo ndiro inova (screw) kona yekugadzirisa mudziyo. Kuvhiya
1.History uye Budiriro
Mahwendefa ekuvhara akatanga kuunzwa anenge makore makumi maviri apfuura kuti ashandiswe mumuzongoza uye maxillowofcies. Mukupera kwema1980 uye 1990s, muedzo wekuyedza pamhando dzakasiyana dzemukati dzeMukati Fixation zvishandiso zvakaburitsa mahwendefa ekurapa. Iyi nzira yakachengetedzeka yakagadziriswa yakatanga kudziviswa kuti vadzivise zvakapfava zvakapfava tissuction.
Zvinhu zvinoverengeka zvakasimudzira kushandisirwa kwekiriniki kweplate, kusanganisira:
Zvakaitika zvekutaurirana zvinokamanikana zvichiramba zvichienderera nekuponeswa kwekuponeswa nekukuvara kwakanyanya uye huwandu hwevarwere vezvevarwere vane esteoporosis kuWestern Europe neNorth America.
Vanachiremba nevarwere havagutsikane nemhedzisiro yekurapa kwemamwe maPerticular fractures.
Zvimwe zvisiri zvisingamiriri zvinosimudzira zvinogona kusanganisira: Kusimudzira kwesisitiri kwehunyanzvi hutsva uye misika mitsva; Kuzivikanwa zvishoma nezvishoma kwekuvhiya kushoma kwekuvhiya, nezvimwe.
2.characteristists uye yakatarwa nheyo
Musiyano mukuru Biomechancal musiyano weplayers uye mahwendefa echinyakare ndedzekupedzisira dzinovimba nekupokana kuPfupa-Plate Enterface kupedzisa kumanikidza pfupa nepfupa.
Iyo biomechancal urema hwechinyakare simbi mahwendefa: compress iyo periostum uye kukanganisa iyo ropa rekupa reropa kusvika pakupera kweropa. Naizvozvo, tsika dzakasarudzika dzakasimba
Sezvo axial mutoro wekutakura anowedzera, zviyero zvinotanga kusunungura uye kukonzera kukanganisika kuderera, pakupedzisira kukonzera ndiro yekusunungura. Kana iyo ndiro yakasunungura pamberi pekupwanya zvipenga, kupera kwekupwanya kuchave kusasimba uye pakupedzisira ndiro ichatyora. Zvichanyanya kuomera kuwana uye kuchengetedza yakasimba screw chigadzika (senge metaphysis uye osteoporotic pfupa rinopera), zvakanyanya kuoma kuchengetedza kugadzikana kwekuputsika kwekupwanya.
Yakatemerwa Nheyo:
Mahwendefa ekuvhara haavimbi nekupokana pakati pefuma-mundiro yemapapu. Kugadzikana kunochengetwa neyenjivha inogadzikana pakati peiyo screw uye simbi ndiro. Nekuti rudzi urwu rwekuvhara chimiro chemukati chine kutendeka kwakagadzikana, simba rekudhirowa rekuvhara musoro wakakwira zvakanyanya kupfuura izvo zvezvakajairwa screws. Kunze kwekunge zvese zviyero zvakakomberedzwa zvinobva zvabuda kunze kana kutyorwa, zvakaoma kuti chikwangwani chaburitswa kunze kana kutyorwa wega.
3.Ndications
Vazhinji vanobatwa zvakabatwa fractures hazvidi kuvharira plate fixation. Chero bedzi nheyo dzekuvhiya kweOrthopedic inoteverwa, zvidimbu zvakawanda zvinogona kuporeswa nemapuranga echinyakare kana zvipikiri zvemukati.
Nekudaro, pane zvechokwadi mamwe marudzi akakosha emapango ayo anowanzo kurasikirwa nekudzikiswa, ndiro kana screw kuputsa, uye inotevera pfupa nonunion. Aya marudzi, anowanzonzi "asina kugadziriswa" kana "dambudziko" bractures, anosanganisira mapepa ekutungamira akafambiswa, mapepa emapere mapfupi, uye esteoporotic zvikamu. Zvidimbu zvakadaro zvinoratidza mahwendefa ekuvhara.
4.Application
Nhamba inowedzera yevanogadzira iri zvakare kupa anatomical mahwendefa nemakomba ekuvhara. Semuenzaniso, preshaed aratomic mahwendefa uye distal fempress, distal uye distal tibias, proximal uye distal humreus, uye calcaneus. Kugadzirwa kweiyo simbi ndiro kunoderedza zvakanyanya pakati pebwe resimbi uye pfupa mune dzakawanda kesi, nekukasira perixteal ropa uye nekunhuhwirira kwekupedzisira.
LCP (Locking compression plate)
Iyo yekuvhara inovhara concepres complate inosanganisa maviri maviri akasiyana emukati matekinoroji ehunyanzvi mune imwe misplant.
LCP inogona kushandiswa seyekumanikidza ndiro, kuvhara kwemukati bracket, kana musanganiswa wevaviri
Zvishoma zvinosangana:
Nhamba inowedzera yemapuranga ekuvhara ine matanho ekunze ane zvigaro zvekunze, uye anogadzira, uye akajeka tip magadzirirwo anobvumira varapi kuti vaise iyo ndiro submuscularly kana subcutaneous yezvibodzwa zvisingabvumirani.
Kana iwe uchida kuziva nezve zvigadzirwa zvedu, ndapota taura:
Yoyo
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Kutumira Nguva: Sep-25-2023