Ndeapi Maplate Anonyanya Kushandiswa muTrauma Orthopedics?

Zvombo zviviri zvemashiripiti zvekurapa maronda, ndiro uye nzara dzemukati memedullary. Maplate ndiwo anonyanya kushandiswa pakugadzirisa mukati, asi kune marudzi akawanda emaplate. Kunyangwe ese ari chidimbu chesimbi, mashandisirwo awo anogona kuonekwa seAvalokitesvara ine zvombo chiuru, izvo zvisingafungidzike. Unoziva zvese izvi here?

1. Bhendi reTesion Bhendi reTinha

Ndiro yacho ibhendi rekumanikidza here?

Kana mashandiro emamwe mapfupa akachinjirwa kune eccentric fixation, ndiro yesimbi ndiyo tension band, senge femur, uye ndiro yesimbi inofanira kuiswa parutivi rwe tension.

2. Maitiro Ekudzvanya 

Ndiro yakamanikidzwa inoitwa nekukwevera sikuruu mu slope lock, iyo iri yenheyo yekutsvedza kwespirali.

Zvisinei, kumanikidzwa uku kunoita kuti kumanikidzwa kuri pakati peplate nepfupa kuve kukuru, uye dzimwe nguva kunokanganisa kuporeswa kwepfupa. Saka, plate yekumanikidza ine point contact yakagadzirwa, iyo yatinowanzodaidza kuti LCP.

Kana uchida kudzvanya, paunenge uchiboora, unofanirwa kutarisisa kuti kuboora kunofanira kunge kuri pedyo nepadivi peburi rekiyi (kumusoro), uye kuboora pakati hakuzove nemigumisiro yekudzvanya mugumo wakatyoka (pasi). Mhedzisiro yacho inogona kuwedzerwa ne1mm chete.

1. Ndiro yekukiya  

Purati yekukiya, kureva kuti, sikuruu nepurati, zvinosanganiswa kare muchimiro chakakiyiwa. Kazhinji gomba rekukiya negomba rekumanikidza zvinosanganiswa, asi mabasa ezviviri zvakasiyana zvachose.

Zvikuruu zvinokiya zvinogona kuwedzera simba rekugadzirisa mukati, uye kuramba kwadzo kudhonzwa kuri nani, kunyanya zvikuruu zvinokiya zvinosimbisa angle, chinonyanya kuzivikanwa chiri chipureti chinokiya cheproximal humeral philos.

1. Nzira yeKusapindirana 

Purati yekudzikamisa haikonzeri kudzvanywa kwemagumo ekutyoka, asi inongobatanidza chete magumo ekutyoka. Nekuti magumo ekutyoka anomanikidzwa ne screws dzekutyoka, asi simba re screws dzekutyoka pakukombama, kutenderera, uye kuchekwa kwesimbi rakaganhurirwa, saka plate yesimbi inodiwa kuti ubatsirwe.

Muplate yesimbi isina kusimba, simba guru ndiro sikuruu yekunonoka. Kana mutsetse wekutyoka wakakura uye wakareba, masikuruu maviri kusvika matatu ekupedzisira anogona kushandiswa kudhonza akatwasuka zvakananga kumutsetse wekutyoka, uye obva abatsirwa nekusimbisa plate yekudzora.

Maplate ekudzivirira anonyanya kushandiswa pakugadzirisa lateral malleolus neclavicle.

1. Ndiro yesimbi 

Maitiro ekuisa mabuttress mukurapa maorthopedics? Chinonyanya kushandiswa ndechekuisa mavanga pakurwisa simba rekuchekwa, rakaiswa munzira inoenderana nekufamba. Plate yesimbi inotsigira haifanirwe kunge yakakora zvakanyanya kana tichienzanisa nemaplate esimbi akajairwa ane pressurized, uye haifanirwe kuzadzwa nemasikuruu.

Pureti yesimbi inofanira kukotama, kukwesha screws dze cortical kubva kure kuenda pedyo, uye kushandisa screws dze cortical kubatanidza plate yesimbi. Nekuda kwekudzokesa kwayo, plate yesimbi ine katsika kekudzokera shure, uye simba iri rinoshandiswa kuita basa rebuttress.

1. Puratifomu yeAntiglide  

Mushure mekugadzika ndiro yesimbi, dzivirira chidimbu chekupwanyika kuti chisatsvedzerere kunze nesimba renguva refu. Chinonyanya kushandiswa kumagumo ekupedzisira e fibula.

1. Kuisa mapuratifomu eSpan kana kuti Kuisa mapuratifomu eBridge 

Iyi ishanduro yakagadziriswa yeplate ye neutralization, yakanangana nekutyoka kwakapwanyika kwecadre, kuburikidza ne fluoroscopy monitoring, plate inoyambuka nzvimbo yekutyoka uye inogadzirisa magumo ekutyoka ari pedyo neari kure, uye nzvimbo yekutyoka haina kugadziriswa.

Rudzi urwu rwetekinoroji runonyanya kusimbisa kurongeka, kurongeka, kureba, uye kutenderera. Kupwanya kwepakati kunogona kuitwa pasina kurapwa, izvo zvinogona kudzivirira zvinobudirira ropa rinobuda muchikamu chakatyoka chekutyoka. Zvisinei, zvinofanira kucherechedzwa kuti ndiro yesimbi inofanira kunge yakareba zvakakwana, uye huwandu hwezvikururu kumativi ese hunofanirawo kukwana. Parizvino, mamwe mapfupa asina kubatana anowanzoitika, ayo anofanira kurapwa nekungwarira.