Izikrufu zokucinezela ezifakwe enkonkxeni zibe sesinye sezona zixhobo zisebenza ngeendlela ezininzi nezibalulekileyo zokulungisa kuqhaqho lwanamhlanje lwamathambo. Iyilwe ngomjelo osembindini onomgongxo ovumela ukufakwa phezu kwentambo yesikhokhelo, ezi zikrufu zenza ukuba kubekwe ngokuchanekileyo, ukulungiswa okuzinzileyo, kunye neendlela zotyando ezingenelelayo kancinci.
Ukukwazi kwabo ukuhambisa uxinzelelo olulawulwayo kwimigca yokwaphuka kubenza balungele ukulawula iifractures kwiindawo ezixineneyo okanye ezithambileyo, ngakumbi isinqe, iqatha, kunye namathambo amancinci esandla nonyawo. Eli nqaku liphonononga usetyenziso oluphambili lweklinikhi lwezikrufu zokucinezelwa ezinkonkxiweyo kwaye liqaqambisa indlela eziphucula ngayo iziphumo zotyando kwimimandla eyahlukeneyo ye-anatomical.
Utyando lwe-Hip: Ukulungiswa okuZinzileyo kwiiNtalo zeNtanye ye-Femoral
I-Femoral neck fractures-eqhelekileyo phakathi kwabantu abadala abadala kunye nezigulane ezinobungozi obunamandla-zifuna ukulungiswa okuthembekileyo kwangaphakathi ukubuyisela ukuhamba kunye nokukhusela iingxaki ezifana ne-nonunion okanye i-avascular necrosis.Izikrufu zokucinezela ezinkonkxiweyozisisombululo esisemgangathweni ngenxa yokuchaneka okuphezulu kunye nendlela yokufaka encinci.
Umzekelo weKlinikhi:
Isigulana esineminyaka engama-65 ubudala esinentamo ye-femoral engeyiyo indawo esaphukileyo siye sancitshiswa kunye nokulungiswa kwangaphakathi kunye nezikhonkwane ezintathu ezihambelanayo. Ukukhokelwa yi-K-ingcingo, izikhonkwane zafakwa kwisimo senxantathu eguqulweyo ukuze kwandiswe uzinzo lwe-biomechanical. I-X-ray ye-postoperative ibonise ukulungelelaniswa okugqwesileyo kunye noxinzelelo olugciniweyo. Kwiiveki ze-12, isigulana sibonise amandla okuthwala ubunzima kunye nomanyano oluluqilima lwe-radiographic.
Kutheni zisebenza kakuhle kwiiFrectures zeHip:
Ukubekwa kwe-Guidewire-assisted place iqinisekisa i-screw trajectory echanekileyo.
Ukunyanzeliswa okulawulwayo kuphucula ukuzinza okuphambili kunye nokuphulukiswa kwamathambo.
Indlela ehlaselayo encinci inciphisa ukwenzakala kwezicubu ezithambileyo kunye nokukhawuleza ukubuyiswa.
Ukucwangciswa kwe-screw ezininzi kwandisa ukuzinza okujikelezayo kunye ne-axial.
Utyando lwe-Ankle: Ukulungiswa kweMalleolar kunye neTalar Fractures
I-anatomy eyinkimbinkimbi ye-ankle kunye neemfuno ezithwala ubunzima zifuna ukufakelwa kokulungiswa okubonelela ngoxinzelelo oluqinileyo kunye nokugcina ukulungelelaniswa phantsi koxinzelelo lomatshini. Izikrufu zokucinezelwa ezifakwe kwi-cannulated zisetyenziswa ngokubanzi kwi-medial malleolus fractures, i-lateral malleolus avulsion fractures, kunye nokulimala komzimba we-talar okanye intamo.
Umzekelo weKlinikhi:
Umdlali oneminyaka engama-30 ubudala ugcine ukuphuka kwe-malleolus ephakathi ngexesha lokulimala kwezemidlalo. Oogqirha botyando banciphise ukwaphuka kwaye bafakela izikrufu ezibini ezinemisonto enkonkxiweyo ezingaphelelanga ukuphumeza uxinzelelo kwindawo yokwaphuka. Indlela ekhokelwayo yanciphisa ukuphazamiseka kwezicubu ezithambileyo-ibaluleke ngakumbi malunga ne-ankle, apho izakhiwo ze-neurovascular zixinene. Isigulane sibuyele kuqeqesho kwiinyanga ezine, sixhaswa ukulungiswa okuzinzile kunye nokuhlanganiswa kwangaphambili.
Izinto eziluncedo kwiNgingqi ye-Ankle:
Igqwesileyo kumaqhekeza amancinci, anqabileyo, okanye anzima ukufikelela.
Uxinzelelo lukhuthaza ukuqiniswa ngokukhawuleza kwethambo elirhoxisayo.
Ubungakanani obuncitshisiweyo bokusika buthoba umngcipheko weengxaki zasemva kotyando.
Iyahambelana nezinye iindlela zokulungisa (umzekelo, iplate-screw constructs) kwiifracture ezinzima.
Ukulungiswa kwamathambo amaNcinci: Isandla, iWrist, kunye neFoot Fractures
Amathambo amancinci afuna i-hardware ethambileyo enika uzinzo ngaphandle kobuninzi obuninzi. Izikrufu ze-canulated compression-ezihlala zifumaneka kwii-diameters ezincinci-zilungele i-scaphoid fractures, i-metacarpal fractures, kunye nokulimala kwe-phalanx ehamba phambili, kunye nokuphuka kweenyawo, ezifana ne-navicular and five metatarsal.
Umzekelo weKlinikhi:
Isigulane esineminyaka engama-22 ubudala esine-scaphoid esinqeni sokuphuka safumana ukulungiswa kwe-percutaneous usebenzisa i-screw compression compression screw engenantloko. Isikrufu sizise ucinezelo oluqhubekayo ngapha kokwaphuka, senza ukuba isihlahla sishukume kwangoko. Kwiiveki ezisibhozo, i-CT scans yaqinisekisa umanyano lwamathambo, kwaye isigulane saphinda saqalisa imisebenzi eqhelekileyo ngaphandle kokuqina.
Kutheni besebenza kakuhle kumathambo amancinci:
Uyilo lwezikrufu ezingenantloko lususa ukuvelela kwehardware kunye nokucaphuka.
Ukubekwa ngokuchanekileyo kukhusela iintambo ezijikelezayo kunye neendawo ezidibeneyo.
Uxinzelelo oluqhubekayo lonyusa izinga lomanyano emathanjeni anegazi eliphantsi (umzekelo, i-scaphoid).
Iindlela ezincinci ezihlaselayo zinciphisa ukukrala kunye nexesha lokubuyisela.
Izinto eziluncedo zobuGcisa zokuqhuba iziphumo ezingcono zotyando
Kuyo yonke imimandla eyahlukeneyo ye-anatomical, izikrufu zokucinezelwa ezinkonkxiweyo zabelana ngeenzuzo ezininzi zobugcisa ezibenza bathandwe ngoogqirha bamathambo:
Ukuchaneka kokubekwa okuphezulu:
Ukufakwa okusekelwe kwi-Guidewire kunciphisa umngcipheko wokungahambi kakuhle.
Uxinzelelo oluhambelanayo:
Uyilo olutsalwa ngokuyinxenye okanye olungenantloko luzisa ucinezelo olulawulwayo lwe-interfragmentary oluyimfuneko ukuphiliswa okuzinzileyo.
Ukuguquguquka kwindlela yokuSebenza:
Ilungele zombini utyando oluvulelekileyo kunye noluncinci.
Ukwenzakala okuNciphisiweyo kuTyando:
Ukusikwa okuncinci kukhokelela kumaxesha amafutshane otyando kunye nokuvuselelwa ngokukhawuleza.
Amandla eBiomechanical:
Yenzelwe ukumelana nemithwalo ejikelezayo kunye ne-axial, nakwiindawo ezinobunzima ezifana ne-hip kunye ne-ankle.
Ukuqukumbela:
Izikrufu zokucinezelwa ezifakwe enkonkxiweyo zidlala indima ebalulekileyo kulawulo lokwaphuka kwamathambo, zibonelela ngokuchanekileyo, uzinzo, kunye nezibonelelo ezingenelelayo ezingephi kuluhlu lweemeko zeklinikhi. Ingaba isetyenziselwa ukuphuka kwentamo ye-femoral, ukulimala kwe-malleolar, okanye ukulungiswa kwamathambo amancinci kwisandla kunye nonyawo, ezi zikrini zihlala ziphucula iziphumo zesigulane kunye namazinga okuphilisa. Ukuziqhelanisa neemfuno ezahlukeneyo ze-anatomical kunye neepateni zokwaphuka kubenza babe yinxalenye ebalulekileyo yenkqubo yamathambo yangoku.
Ixesha lokuposa: Nov-27-2025