Izvo zviviri zvemashiripiti zvombo zve trauma orthopedics, ndiro uye intramedullary chipikiri. Mahwendefa ndiwo zvakare anonyanya kushandiswa mukati mekugadzirisa michina, asi kune marudzi akawanda emahwendefa. Kunyange zvazvo vose vari chidimbu chesimbi, kushandiswa kwavo kunogona kuonekwa sechiuru cheAvalokitesvara, izvo zvisingatarisirwi. Unoziva zvose izvi here?
- Tesion Band Tension Band
Iyo ndiro ibhendi rekumanikidza here?
Kana ma mechanics emamwe mapfupa achiendeswa kune eccentric fixation, ndiro yesimbi ndiyo bhendi rekumanikidza, senge femur, uye ndiro yesimbi inofanira kuiswa padivi rekunetsana.
2. Compression Mode
Iyo ndiro yakadzvanywa inoitwa nekupuruzira sikuruu mukati mekiyi yekukiyira, inova yemusimboti wekutenderera kutsvedza.
Zvisinei, kudzvinyirirwa kuchaita kuti kumanikidzwa pakati peplate uye pfupa kuve kwakanyanya, uye dzimwe nguva kunokanganisa kuporesa kwepfupa. Naizvozvo, yakaganhurwa ndiro yekumanikidza ine poindi yekubata inogadzirwa, inova ndiyo yatinowanzo kudaidza kuti LCP.
Kana iwe uchida kumanikidzira, paunenge uchichera, unofanirwa kubhadhara kune chokwadi chokuti kuchera kunoda kuva pedyo nedivi rekiyi (yepamusoro), uye kuchera munzvimbo yepakati hakuzove nemigumisiro yekudzvinyirira kupera kwakaputsika (pasi). Mhedzisiro yacho inogona kungowedzerwa neinenge 1mm.
- Kukiya ndiro
Kukiya ndiro, ndiko kuti, screw nendiro zvakambobatanidzwa mune yakavharwa fomu. Kazhinji gomba rekuvhara uye gomba rekumanikidza zvinosanganiswa, asi mabasa ezviviri zvakasiyana zvachose.
Locking screws inogona zvinobudirira kuwedzera mukati mekugadzirisa simba, uye yavo yekudhonza-kunze kuramba iri nani, kunyanya angle-kudzikamisa yekuvhara screws, inonyanya kuzivikanwa iri proximal humeral philos yekuvhara ndiro.
- Neutralization Mode
Iyo neutralization ndiro haiburitse compression pamagumo ekutyoka, asi ingori yekubatanidza mhedzisiro pakutyoka kunopera. Nekuti magumo ekutyoka anomanikidzwa nema lag screws, asi kusimba kwema lag screws kupeta, kutenderera, uye kugera masimba ane mashoma, saka ndiro yesimbi inodiwa kubatsira.
Mundiro yesimbi isina kusimba, simba guru ndiro lag screw. Kana mutsara wekutyoka wakura uye wakareba, 2-3 lag screws inogona kushandiswa kudhonza perpendicular kumutsara wekutyoka, wozobatsirwa ne neutralization plate fixation.
Neutralization mahwendefa anonyanya kushandiswa kugadzirisa lateral malleolus uye clavicle.
- Buttress plate
Nzira yekushandisa sei buttress mune orthopedics? Kunyanya kunyorera ndeyekutyoka kunopesana neshear mauto, akaiswa munzira yehama kufamba. Iyo simbi inotsigira ndiro haidi kuve yakakora zvakanyanya kana ichienzaniswa neyakajairwa simbi mahwendefa, uye haifanirwe kuzadzwa nema screws.
Sirairi inoda kuve yakabhenda kare, sikuruwa mumakorikori ekoriki uchichinjana kubva kure kuenda pedyo, uye shandisa masiruu ecortical kubatirira ndiro yesimbi. Nekuda kweiyo elastic recoil, ndiro yesimbi ine tsika yekutanga kukotama, uye simba iri rinoshandiswa kuita buttress basa.
- Antiglide Plate
Mushure mekugadzirisa ndiro yesimbi, dzivirira kuti chivharo chekutsemuka chirege kutsvedzerera kunze pasi pesimba rerefu. Inonyanya kushandiswa mu distal end ye fibula.
- Span Plating kana Bridge Plating
Iyi ishanduro yakagadziridzwa yeplate ye neutralization, inotarirwa kune comminuted fracture of the cadre, kuburikidza ne fluoroscopy monitoring, ndiro inoyambuka nzvimbo yekuputsika uye inogadzirisa magumo ekupedzisira uye kureba kwekuputsika, uye nzvimbo yekuputsika haina kugadziriswa.
Mhando iyi yetekinoroji inonyanya kusimbisa kurongeka, kurongeka, kureba, uye kutenderera. Kupwanya kwepakati kunogona kuitwa pasina kurapwa, iyo inogona kunyatsodzivirira kugoverwa kweropa kwekuputsika kwekuguma kwekuputsika. Zvisinei, zvinofanira kuonekwa kuti ndiro yesimbi inofanira kuva nehurefu hwakakwana, uye nhamba yezviputi pamigumo miviri inofanirawo kukwana. . Parizvino, mamwe mapfupa emapfupa anowanzoitika, izvo zvinoda kurapwa nekuchenjerera
Nguva yekutumira: Aug-28-2023
