Xa ukhangela ukufakelwa kwamathambo, uthatha njani isigqibo sokuba yeyiphi inkqubo yepleyiti ebonelela ngeyona ndlela ilungileyo yokuzinza, ukhuseleko, kunye nokusebenza kwexesha elide?
Abathengi abaninzi bayazibuza ukuba ngaba iipleyiti zemveli zithembekile ngokwaneleyo, okanye ukuba iiplati zokutshixa zamathambo zanamhlanje zibonelela ngesisombululo esisebenzayo.
Ngapha koko, itekhnoloji yokutshixa itekhnoloji yepleyiti yokutshixa ngokukhawuleza ibe lolona khetho luthandwayo kutyando lwamathambo ngenxa yeenzuzo zayo ezizodwa zobugcisa kunye nolwakhiwo.
Ukuqonda i-Orthopedic Locking Plate
Iplati yokukhiya i-orthopedic sisixhobo sokulungiswa esilungiselelwe ngokukodwa esisetyenziselwa unyango lwamathambo amathambo. Ngokungafaniyo neepleyiti eziqhelekileyo, apho uzinzo luxhomekeke ikakhulu kwingxabano phakathi kwepleyiti kunye nomphezulu wethambo, iipleyiti zokutshixa zibonisa imingxunya ye-screw enemisonto evumela izikrufu ukuba "zitshixe" ngqo kwipleyiti. Oku kudala ukwakhiwa kwe-angle esisigxina esebenza njengeyunithi enye ezinzileyo, enikezela ngenkxaso ephezulu yomatshini, ngakumbi kwiimeko ezinzima zokuphuka.
Izinto eziluncedo eziPhambili ngaphezu kweePleti zesiNtu
1. Uzinzo oluphuculweyo lweMechanical
Amacwecwe emveli athembele kakhulu kuqhagamshelwano oluchanekileyo phakathi kwepleyiti kunye nomgangatho wethambo. Kwiimeko apho ithambo i-osteoporotic, i-comminuted, okanye inomgangatho ophantsi womphezulu, oku kulungiswa kwe-frictional kunokuba buthathaka ngokulula, okukhokelela ekukhululweni okanye ekufakeni ukusilela.
Ngokwahlukileyo, indlela yokutshixa yeepleyiti zokutshixa zamathambo iguqula ulwakhiwo lube “yi-exoskeleton” yangaphakathi. Isikrufu ngasinye sitshixa ngokuqinileyo kwipleyiti, senza isakhelo esiqinileyo esingadingi kucinezelwa kweplate yethambo. Oku kuzinza kwe-angle-angle kunciphisa umngcipheko wokufuduka kwesibini kwaye kunika inkxaso enamandla kwiifracture ezinqabileyo okanye ezininzi.
2. UkuLondolozwa kweGazi
Enye yeengxaki ezinkulu zeepleyiti zendabuko yimfuneko yoqhagamshelwano olusondeleyo lwethambo-ipleyiti. Oku kunokuphazamisa ukuhamba kwegazi kwe-periosteal, ukucotha ukuphiliswa okanye ukwandisa umngcipheko wokungabikho.
Iipleyiti zokutshixa, nangona kunjalo, zisebenza njengezilungisi zangaphakathi. Ekubeni bengathembeli ekunyanzeliseni ukufezekisa uzinzo, oogqirha bogqirha banokuzibeka kancinci kude nethambo, ukunciphisa ukuphazamiseka kwimizila yegazi ejikelezileyo. Ukugcinwa kwe-periosteal circulation kukhokelela ekuphulukisweni kwamathambo ngokukhawuleza kunye nokunciphisa iingxaki.
3. Ukusebenza okuphezulu kwi-Osteoporotic Bone
Ukunyanga iifractures kwizigulane ezisebekhulile ezine-osteoporosis ngumngeni oqhelekileyo kwi-orthopedics. Iipleyiti zemveli zihlala zisilela kwiimeko ezinjalo ngenxa yomgangatho ophantsi wamathambo angakwaziyo ukubamba izikrufu ngokuqinileyo.
Uyilo lwamacwecwe okutshixa amathambo luqinisekisa ukuba ukuzinza akuxhomekanga kuphela ekuxineni kwamathambo. Ujongano lwe-screw-plate olutshixiweyo lubonelela ngolungiso oluthembekileyo nakwithambo le-osteoporotic, lwenza olu fakelo lube lolona khetho lukhethiweyo kunyango lokwaphuka kwe-geriatric.
4. Ukusasazwa komthwalo ongcono
Ngenxa yokuba izikrufu kunye nepleyiti ziqhagamshelwe ngoomatshini, umthwalo usasazwa kulo lonke ulwakhiwo lolungiso kunokuba ugxininiswe kujongano lweplate yethambo. Oku kuthintela ukugoba isikrufu kunye nokufakelwa ukukhulula ngelixa uqinisekisa ukudluliselwa koxinzelelo okungaguqukiyo. Ukwabiwa komthwalo olinganayo kubaluleke kakhulu kumathambo anobunzima obufana ne-femur okanye i-tibia.
5. Ukunciphisa uMngcipheko woTyando lweSekondari
Ukusilela kofakelo, ukukhulula izikrufu, okanye ukulibaziseka ukuphiliswa kudla ngokufuna utyando oluhlaziyiweyo xa kusetyenziswa iipleyiti zesintu. Ngokunika uzinzo olukhulu, ukuphazamiseka okuncinci kwebhayoloji, kunye nokulungiswa okuthembekileyo kwithambo elisengozini, iipleyiti zokutshixa zamathambo ziwathoba kakhulu amathuba okuba neengxaki. Oku kunciphisa umthwalo kwizigulana zombini kunye neenkqubo zokhathalelo lwempilo.
Izicelo zeklinikhi kunye nokwandisa ukusetyenziswa
Iipleyiti zokutshixa i-Orthopedic ngoku zisetyenziswa ngokubanzi kwi-trauma utyando, kubandakanywa ukuphuka kwe-humerus ehamba phambili, i-distal radius, i-tibial plateau, kunye ne-femoral shaft. Ukusebenza kwabo kwiipatheni eziyinkimbinkimbi zokuqhekeka kuye kwaqinisekiswa ngazo zombini iziphumo zeklinikhi kunye nezifundo ze-biomechanical.
Ngaphaya koko, iinkqubo zeplate yokutshixa zihlala zivela ngezixhobo eziphuculweyo, unyango olungaphezulu, kunye noyilo lwe-anatomical eyenzelwe amathambo athile. Iialloyi ze-Titanium, umzekelo, zibonelela nge-biocompatibility kunye nokunciphisa ukhuseleko loxinzelelo, ngelixa uyilo lweplate yeprofayile ephantsi yonyusa intuthuzelo yesigulana kunye nokunciphisa ukucaphuka kwezicubu ezithambileyo.
Kutheni ooGqirha bekhetha iipleyiti zokutshixa
Oogqirha botyando bathanda iipleyiti zokutshixa kungekuphela nje ngenxa yokuphakama kwabo kobugcisa kodwa nangenxa yokuba benza lula iinkqubo kwiimeko ezinzima. Ukukwazi ukufezekisa ukulungiswa okuzinzileyo ngaphandle kokufuna uqhagamshelwano olugqibeleleyo lwethambo-ipleyiti kuthetha ukuba oogqirha botyando banokuqhelana neentlobo ezahlukeneyo ze-fracture morphologies ngokuzithemba okukhulu. Oku kulungelelaniswa ekugqibeleni kuguqulela kwiziphumo ezingcono kwizigulane, ngokukodwa kumaqela asemngciphekweni afana nabantu abadala okanye abo baneziqhekeza ezininzi eziqhekezayo.
Ukuqukumbela
Ipleyiti yokutshixa i-orthopedic imele inyathelo elikhulu eliya phambili ekulawuleni ukwaphuka xa kuthelekiswa neenkqubo zokucwenga zemveli. Ngokudibanisa ukuzinza kwe-angle-angle, ukugcinwa kwezinto eziphilayo, kunye nokulungelelaniswa kweemeko ze-osteoporotic, iiplati zokutshixa ziye zachaza kwakhona imigangatho yokulungiswa kwangaphakathi. Iinzuzo zabo kwisakhiwo kunye nobugcisa zichaza ukuba kutheni bethandwa ngakumbi kuqhaqho lwanamhlanje lwamathambo.
Njengomvelisi oyingcali kunye nomthengisi wokufakelwa kwamathambo, sizimisele ukubonelela ngomgangatho ophezuluiipleyiti zokutshixa zamathamboeyilelwe ukuhlangabezana nemigangatho yamazwe ngamazwe. Ngobuchwephesha bemveliso ephucukileyo, izisombululo ezinokwenziwa, kunye nolawulo olungqongqo lwekhwalithi, siqinisekisa ukusebenza okuthembekileyo koogqirha botyando kunye neziphumo ezingcono zokuphilisa izigulana kwihlabathi liphela.
Ixesha lokuposa: Sep-10-2025