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Ndeapi mahwendefa anoshandiswa zvakanyanya mukurwara orthopedics?

Zvombo zviviri zvemashiripiti zvekutamba erthopediciccs, mundiro uye intramedullary mbambo. Mahwendefa zvakare anowanzo shandiswa kushandiswa kwemukati midziyo yemukati, asi kune akawanda marudzi emaplate. Kunyangwe ivo vari chimedu chesimbi, kushandiswa kwavo kunogona kutorwa sechiuru-vavalokichesa, izvo zvisingafungidziriki. Unoziva zvese izvi here?

  1. Tesion Band Tension Band

Ndiro ndiro tension tension?

Kana mechanics yemamwe mapfupa anoendeswa kuEccentric gadziriso, iyo simbi ndiro bhendi remawere, senge femur, uye ndiro yesimbi inofanirwa kuiswa padanho rekutambudzika.

Ndezvipi zvinonyanya kushandiswa1 

2. Compression mode 

Plate yakamanikidzwa inoitwa nekukanda banga muvharo wechando

  Ndezvipi zvinoshandiswa zvakanyanya Ndezvipi zvinonyanya kushandiswa Ndezvipi zvinonyanya kuwanzoshanda4

Nekudaro, kudzvinyirira kuchaita kudzvinyirira pakati peplate uye pfupa rakakura, uye dzimwe nguva zvinokanganisa kurapwa kwepfupa. Naizvozvo, nzvimbo shoma computer conate ine point yekuwoneka inogadzirwa, ndiro chii chatinowanzo fonera LCP.

 Ndezvipi zvinoshandiswa zvakanyanya

Kana iwe uchida kudzvanya, kana uchirovera, iwe unofanirwa kutarisisa kuti ichave ichitenderedza kuti ive pedyo nedivi rekiyi (pamusoro), uye kudhiraivha nzvimbo yepakati hakuzove nemhedzisiro yekudzvanywa magumo akaputsika (pasi). Mhedzisiro yacho inogona kungowedzerwa neinenge 1mm.

 Ndezvipi zvinonyanya kushandiswa Ndechipi chinonyanya kushandiswa kushandisa7

  

  1. Locking Plate  

Kuvhiya ndiro, ndiko kuti, iyo screw uye iyo ndiro yakambosanganiswa muchimiro chakakiiwa. Kazhinji gomba rekuvhara uye gomba rekumanikidza rakabatanidzwa, asi mabasa evaviri vakasiyana zvachose.

Ndezvipi zvinonyanya kushandiswa kushandisa8 Ndezvipi zvinonyanya kuwanzoshanda9

Kuvhiya zviyero kunogona kuwedzera simba rekutsikisa kwemukati simba, uye kupokana-kwekunze kuri nani

Ndezvipi zvinoshandiswa zvakanyanya10 Ndezvipi zvinonyanya kushandiswa kushandiswa11 Ndezvipi zvinonyanya kushandiswa zvinoshandiswa12 Ndezvipi zvinonyanya kushandiswa13

 

  1. Nzira yererection 

 Ndeipi inonyanya kushandiswa14

Plate yerarorization haina kuburitsa kumanikidzwa pane kupunzika kwemagumo, asi chete kubatanidza maitiro pane kupunzika kwemagumo. Nekuti magumo ekupunzika anomanikidzwa neLag screws, asi simba rekuputika rakatsemuka kubva kukotama, kutenderera, uye kubaya mauto ishoma, saka ndiro yesimbi inodiwa kuti ibatsirwe.

 

Mune iyo isina kwayakarerekera simbi ndiro, simba guru ndiyo lag screw. Kana mutsara wetsika wakakura uye wakareba, 2-3 lag screws dzinogona kushandiswa kudhonza perpendicular kune yakatsemuka mutsara, uye wobva wabatsirwa neyakagadziriswa isina kurerana.

 

Mahwendefa earralation anowanzo shandiswa kugadziriswa kweiyo Lalatellus uye Clavicle.

  1. Buttress ndiro 

Maitiro Ekushandisa Buttress muOrthopeicecs? Kunyanya kushandiswa ndekwekupatsanura kubva kumauto eShear, akaiswa munzira yekufamba kwehuwandu. Iyo inotsigira iyo simbi yesimbi haidi kuti ive gobvu yakafananidzwa neyakajairika yakamanikidzwa simbi mahwendefa, uye hazvifanirwe kuzadzwa nemakwenzi.

Ndezvipi zvinonyanya kuwanzoshandiswa15

Plate yesimbi inoda kuve pre-bent, screw mumakoronga ezvekutendeuka kuti urege kusvika kure kusvika kure, uye shandisa zviyero zvekoreti kuti ubatanidze ndiro yesimbi. Nekuda kweiyo elastic yedzorashi, iyo simbi ndiro ine tsika yekutangazve kukotama, uye iri simba rinoshandiswa kuita buttress basa.

 Ndezvipi zvinonyanya kushandiswa16

  1. Antiglide Plate  

 

Ndezvipi zvinonyanya kushandiswa17

Mushure mekunge simbi plate fixation, dzivirira block block kubva pakutsvedza kunze kweLongitudinal Force. Inonyanya kushandiswa mukupera kweiyo fibula.

  1. Span Plating kana Bridge Plating 

Ichi chinyorwa chakashandurwa chezvakarerekera mapuranga, chakanangana nekukanganiswa kweiyo cracre yeCadre, kuburikidza neFluoroscopy yekutarisa, inogadzirisa iyo proxomal nzvimbo uye inogadzirisa iyo migumo yekukanganisa, uye nzvimbo yekunyepedzera haina kugadziriswa.

Chii chinonyanya kushandiswa18

Rudzi urwu rwe tekinoroji runonyanya kuratidza kuwiriraniswa, kuwiriraniswa, kureba, uye kutenderera. Kupwanya kwepakati kunogona kuitwa pasina kurapwa, uko kunogona kubatsira zvinobudirira kugovera kweropa kwemugumo wakaputsika wekupwanya. Nekudaro, zvinofanirwa kucherechedzwa kuti ndiro yesimbi inofanira kunge iine hurefu hwakakwana, uye huwandu hwezvidimbu pamigumo miviri inofanirawo kuve yakakwana. . Parizvino, vamwe vapfupi pfupa vanowanzoitika, izvo zvinoda kurapwa nekuchenjerera


Kutumira Nguva: Aug-28-2023