Li-screws tse kentsoeng ka makotikoti li fetohile e 'ngoe ea lisebelisoa tse feto-fetohang le tsa bohlokoa tsa ho lokisa tšebetsong ea sejoale-joale ea masapo. Li-screws tsena li entsoe ka kanale e sekoti e bohareng e lumellang ho kenngoa holim'a terata ea tataiso, li-screws tsena li etsa hore motho a behoe ka nepo, a lokisoe ka mokhoa o tsitsitseng, le mekhoa ea ho buoa e fokolang haholo.
Bokhoni ba bona ba ho fana ka khatello e laoloang ho pholletsa le mela ea fracture e ba etsa hantle bakeng sa ho laola fractures libakeng tse hatelletsoeng kapa tse teteaneng, haholo-holo letheka, leqaqailaneng le masapo a manyenyane a letsoho le leoto. Sengoliloeng sena se lekola lits'ebetso tsa mantlha tsa kliniki tsa li-screws tse kentsoeng ka makotikoti mme se totobatsa kamoo li ntlafatsang liphetho tsa opereishene libakeng tse fapaneng tsa anatomical.
Opereishene ea Hip: Tokiso e tsitsitseng bakeng sa ho robeha ha Molala oa Basali
Ho robeha ha molala oa basali-e tloaelehileng har'a batho ba baholo ba hōlileng le bakuli ba nang le ts'oaetso e matla-e hloka ho lokisoa ka hare ho ka tšeptjoang ho tsosolosa ho tsamaea le ho thibela mathata a kang nonunion kapa avascular necrosis.Li-screw tsa compression tsa cannulatedke tharollo e tloaelehileng ka lebaka la ho nepahala ho phahameng le tsela ea ho kenya e fokolang haholo.
Mohlala oa Clinical:
Mokuli ea lilemo li 65 ea robehileng molala oa botšehali o koetsoe o ile a fokotsoa 'me a lokisoa ka hare ka li-screws tse tharo tse bapileng. E tataisoa ke lithapo tsa K, li-screws li ile tsa behoa ka har'a tlhophiso ea kgutlotharo e inverted ho eketsa botsitso ba biomechanical. Li-X-rays tsa postoperative li bonts'itse ho tsamaisana hantle le ho boloka khatello. Libekeng tsa 12, mokuli o ile a bontša bokhoni bo feletseng ba ho jara boima ba 'mele ka bonngoe bo tiileng ba radiographic.
Hobaneng ba sebetsa hantle bakeng sa ho robeha ha Hip:
Ho beoa ka thuso ea li-guide ho tiisa hore ho na le sekoti se nepahetseng.
Khatello e laoloang e ntlafatsa botsitso ba mantlha le pholiso ea masapo.
Mokhoa o fokolang oa ts'oaetso o fokotsa ts'oaetso ea lisele tse bonolo le ho potlakisa ho hlaphoheloa.
Litlhophiso tsa li-screw tse ngata li eketsa botsitso ba ho potoloha le axial.
Opereishene ea Ankle: Ho Lokisoa bakeng sa Malleolar le Talar Fractures
Sebopeho se rarahaneng sa motsoako oa maqaqailana le litlhoko tsa boima ba 'mele li hloka li-implants tsa ho lokisa tse fanang ka khatello e matla le ho boloka ho lumellana tlas'a khatello ea mochine. Li-screw tsa compression tsa cannulated li sebelisoa haholo bakeng sa ho robeha ha malleolus medial, lateral malleolus avulsion fractures, le likotsi tsa 'mele kapa molala.
Mohlala oa Clinical:
Moatlelete ea lilemo li 30 o ile a robeha bohareng ba malleolus nakong ea kotsi ea lipapali. Lingaka li ile tsa fokotsa ho robeha 'me tsa kenya li-screw tse peli tse tšetsoeng karoloana e le hore li fihlele sebaka sa ho robeha. Mokhoa o tataisoang o ile oa fokotsa ho ferekana ha lisele tse bonolo-haholo-holo tsa bohlokoa ho pota-pota leqaqailaneng, moo mehaho ea methapo ea methapo e leng e teteaneng. Mokuli o ile a khutlela koetlisong nakong ea likhoeli tse 'nè, a tšehetsoa ke ho lokisoa ho tsitsitseng le ho bokella pele.
Melemo sebakeng sa Ankle:
E ntle bakeng sa likhechana tse nyane, tse oblique kapa tse thata ho fihlella.
Khatello e khothalletsa ho kopanya ka potlako ha lesapo la ho hlakola.
Ho fokotseha ha boholo ba ho seha ho fokotsa kotsi ea mathata a ka morao ho opereishene.
E lumellana le mekhoa e meng ea ho lokisa (mohlala, li-plate-screw constructs) bakeng sa fractures e rarahaneng.
Ho Lokisoa ha Lesapo le Lenyenyane: Ho robeha ha Letsoho, Letsoho le Maoto
Masapo a manyenyane a hloka hardware e bonolo e fanang ka botsitso ntle le bongata bo feteletseng. Li-screws tse entsoeng ka makotikoti-tse atisang ho fumaneha ka li-diameter tse nyenyane-li loketse bakeng sa ho robeha ha scaphoid, fractures ea metacarpal, le likotsi tsa proximal phalanx, hammoho le ho robeha ha leoto, joalo ka navicular le metatarsal ea bohlano.
Mohlala oa Clinical:
Mokuli ea lilemo li 22 ea robehileng thekeng ea scaphoid o ile a lokisoa ka percutaneous a sebelisa sekoti sa compression sa cannulated se sena hlooho. Sekurufu se ile sa fana ka khatello e tsoelang pele karolong e robehileng, e nolofalletsang ho sisinyeha ha letsoho kapele. Ka libeke tse robeli, CT scans e ile ea tiisa hore masapo a kopana, 'me mokuli o ile a tsosolosa mesebetsi e tloaelehileng ntle le ho satalla.
Ke Hobane'ng ha Li sebetsa Hantle Masapong a Manyane:
Meralo ea li-screw tse se nang hlooho e felisa ho hlahella ha hardware le ho teneha.
Ho beha ka nepo ho sireletsa li-tendon tse potolohileng le libaka tse kopaneng.
Khatello e sa khaotseng e ntlafatsa maemo a bonngoe masapong a nang le mali a fokolang (mohlala, scaphoid).
Mekhoa e fokolang ea mekhoa e fokolang e fokotsa nako ea ho senya le ho hlaphoheloa.
Melemo ea Setsebi Ho Khanna Liphetho tse Molemo tsa ho Buoa
Ho pholletsa le libaka tse fapaneng tsa anatomical, li-screws tse kentsoeng ka makotikoti li arolelana melemo e mengata ea tekheniki e etsang hore li ratoe ke lingaka tsa masapo:
Ho Nepaha ha Sebaka se Phahameng:
Ho kenngoa ka tataiso ea tataiso ho fokotsa kotsi ea ho se lumellane.
Compression e tsitsitseng:
Meralo e nang le khoele e sa fellang kapa e se nang hlooho e fana ka khatello e laoloang ea interfragmentary e hlokahalang bakeng sa pholiso e tsitsitseng.
Mekhoa e sa tšoaneng ea ho Atamela:
E loketse liopereishene tse bulehileng le tsa percutaneous bonyane tse hlaselang.
Ho Fokotsa Tlhekefetso ea Karo:
Likarolo tse nyane li lebisa ho nako e khuts'oane ea ts'ebetso le ho khutlisa kapele.
Matla a Biomechanical:
E etselitsoe ho mamella meroalo ea ho potoloha le ea axial, esita le libakeng tse jereng boima ba 'mele joalo ka letheka le leqaqailaneng.
Qetello:
Likurufu tsa khatello tse kentsoeng ka makotikoti li bapala karolo ea bohlokoa taolong ea ho robeha ha masapo, ho fana ka ho nepahala, botsitso, le melemo e fokolang haholo maemong a fapaneng a bongaka. Ebang li sebelisoa bakeng sa ho robeha ha molala oa botšehali, likotsi tsa malleolar, kapa ho lokisa masapo a manyenyane letsohong le leoto, li-screws tsena li lula li ntlafatsa liphello tsa mokuli le litekanyetso tsa pholiso. Ho ikamahanya le maemo ho latela litlhoko tse fapaneng tsa tlhaho le mekhoa ea ho robeha ho etsa hore e be karolo ea bohlokoahali ea ts'ebetso ea sejoale-joale ea masapo.
Nako ea poso: Nov-27-2025