Nailing - abin da yake da shi? M repositioning daga kashi, niƙaƙƙun gaɓãɓuwa yin amfani da daban-daban kayyade Tsarin

Fili na karya kasusuwa ta amfani da aiki zai gaggauta habaka waraka tsari, da kuma fi na marasa lafiya da rikitarwa samu karaya. A karo na farko a hanya kamar kam na kasũsuwa, ashe, da aka gudanar a cikin karni na 19th, amma saboda da zargin sosai tsanani da rikitarwa surkin jini likitoci aka tilasta su daina yin ta. Sabunta yunkurin bayan gabatarwar a yi na aseptic da antiseptic magani.

Mene ne kam?

Mutane da yawa marasa lafiya da hadaddun samu karaya likitoci bayar da rike osteosynthesis. Mene ne wannan? Wannan fili kashi, niƙaƙƙun gaɓãɓuwa ta wajen aiki. Yawanci wajabta shi a lura da hadaddun gidajen abinci, yadda ya kamata Fused ko sabo ne da ba-united samu karaya. Amfani osteosynthesis kam auku dace da wani ɓaɓɓake. Wannan halitta manufa yanayi na su Fusion, kazalika da maido da mutunci da wani reshe.

Akwai biyu main irin osteosynthesis:

• nutsewa (extramedullary, intramedullary, transosseous).
• m (extrafocal).

Sai ya faru more kuma ultrasonic osteosynthesis. Mene ne wannan? Shi ne wani fili na kananan kashi, niƙaƙƙun gaɓãɓuwa.

Ayyuka suna da za'ayi amfani da daban-daban fixatives. Ga nutsewa intraosseous osteosynthesis dari da kusoshi amfani ga na farantin - farantin da sukurori, domin transosseous - spokes da sukurori. Wadannan shafuka suna sanya daga wani chemically, a zahirance da kuma ilimin tsaka tsaki abu. Fiye amfani karfe Tsarin vitalliya, bakin karfe, titanium, da yawa kasa - daga inert roba da kuma kashi. Spacers sanya daga karfe bayan karaya srastetsja yawanci cire. Ilizarov na'ura a kafar amfani da na waje osteosynthesis. Godiya ga shi, kashi, niƙaƙƙun gaɓãɓuwa bayan gwada sandararru. Marasa lafiya za su iya tafiya kullum tare da cikakken load.

shaidar

Operation osteosynthesis nuna matsayin farko dawo da dabara a lokacin da:

• Wannan karaya, wanda bai girma tare ba tare da taimakon rauni.
• lalacewar Yiwuwar perforation da fata (a lokacin da rufaffiyar karaya ne iya shiga jama'a).
• karaya wuya da lalacewar wata babbar jijiya.

contraindications

M baki ba da shawarar ga wadannan yanayi:

• idan haƙuri ne unwell.
• akwai bude m lalacewa.
• a kan kamuwa da abin ya shafa site.
• Idan akwai wani magana na Pathology na wani sashin jiki ciki.
• a cikin ci gaban tsari cutar daga kashi.
• da mãsu haƙuri yana da reshe venous insufficiency.

iri faranti

A faranti wanda ake amfani da lokacin aiki, da aka sanya na daban-daban karafa. A mafi kyau gane titanium faranti, kamar yadda wannan abu yana da ban sha'awa alama: iska fim da aka kafa a kan shi nan da nan, wanda a wata hanya ba, ba za hulɗa tare da jikin kyallen takarda. A wannan yanayin, bãbu tsõro a kansu daga metallosis. Wannan shi ne dalilin da ya sa da yawa daga cikin wadannan faranti ba cire kuma aka bar for rayuwa.

Submersible intraosseous osteosynthesis

Wani sunan ga aiki - intramedullary osteosynthesis. Shi ne bude da kuma rufe. A cikin farko case, wani karaya zone ne fallasa, sa'ilin da wani kwatanta da, niƙaƙƙun gaɓãɓuwa kuma a cikin medullary canal na lalace kashi allura inji sanda. Outdoor kam ba ya bukatar da amfani da musamman kayan aiki to connect da, niƙaƙƙun gaɓãɓuwa, wannan dabara ne sosai sauki kuma mafi m rufaffiyar aiki. Duk da haka, a cikin wannan yanayin yana kara hadarin taushi nama kamuwa da cutar.

An Rufe intramedullary kam shi ne halin da cewa sun samar da wani kwatanta da, niƙaƙƙun gaɓãɓuwa, sa'an nan yin kananan incision daga karaya site. Karkashin X-ray iko ta hanyar wannan incision amfani na musamman na'ura da aka gabatar a cikin medullary canal na wani lalace kashi shugaba wajen dogon ƙarfe m sanda na dace diamita. Bayan haka, shugaba shi ne cire da kuma rauni ne sutured.

Submersible osteosynthesis

Mene ne wannan? Wannan hanya kashi, niƙaƙƙun gaɓãɓuwa fili ne amfani a daban-daban samu karaya (comminuted, helical, periarticular, QFontDatabase, a kaikaice, intraarticular), ko da kuwa lankwasawa da siffar da medullary canal. Clamps, wanda ake amfani da irin wadannan ayyuka aka nuna a cikin nau'i na faranti na daban-daban kauri da kuma siffar, a haɗa zuwa kashi amfani da sukurori. Mutane da yawa zamani faranti aka kawo tare da wani musamman na'urar, ciki har da m da wadanda ba m. Wadannan hanya, sau da yawa kallafa ko da wani filastar simintin gyaran kafa.

Lokacin da helical QFontDatabase samu karaya kuma osteosynthesis mafi yawa ana yi ta wajen karfe tube da kuma waya, kazalika da musamman zobba da kuma bakin karfe rabin zobba. Wannan hanya kashi fili, musamman a waya, yana da wuya amfani da matsayin mai zaman kanta saboda kam ba ma da karfi da kuma sau da yawa hidima a matsayin kari ga sauran nau'o'in osteosynthesis.

Wannan aiki ne sosai da wuya amfani da taushi dinki (siliki, catgut, dacron), domin irin wannan filaments ba su iya tsayayya da murdede gogayya da kuma kawar da na niƙaƙƙun.

Submersible transosseus osteosynthesis

Irin m repositioning ta hanyar kusoshi, sukurori, spokes, kuma wadannan clamps ne da za'ayi a kosopoperechnom ko transversely ta cikin kashi bango cikin site rauni. A musamman irin osteosynthesis chreskostnogo wani kashi hadin gwiwa - wannan shi ne lokacin da, niƙaƙƙun gaɓãɓuwa ake fadi na sukar tashoshi da kuma ta hanyar su ciyar ligatures (catgut, siliki, waya), wanda sai ya yi ƙunci kuma taye. Ana amfani da lokacin da kashi hadin gwiwa karaya na olecranon ko patella. Transosseous osteosynthesis samar ga danniyan daga cikin simintin gyaran.

Outdoor kam

Wannan repositioning aka yi ta hanyar musamman na'urorin (Ilizarov na'ura, Volkova - Oganessian). Wannan damar kwatanta da, niƙaƙƙun gaɓãɓuwa ba tare da daukan hotuna na karaya site da kuma gyara su da tabbaci. Wannan dabara ne da za'ayi ba tare da danniyan daga gypsum, da kuma Ilizarov na'ura a kafa ba ka damar tafiya zuwa haƙuri tare da cikakken load.

rikitarwa

Bayan da aiki zai iya sa tsanani da rikitarwa. Wadannan sakamakon:

• ba daidai ba selection dabara kam na kashi, niƙaƙƙun gaɓãɓuwa.
• rashin zaman lafiya dace kashi tarkace.
• m magani daga m nama.
• kuskure tsince da kulle.
• ba yarda da aseptic da antiseptic.

Wadannan matsalolin da taimakawa ga ba daidai ba karaya waraka, shi fester ko cikakken nonunion.

Tun da submersible osteosynthesis amfani da dogon m faranti da bijirar da kashi ga wannan na dogon nesa, shi ne sau da yawa gaji da damuwa da jini ya kwarara, wadda take kaiwa zuwa rage waraka da kyau. Bayan cire sukurori suna da yawa ramukan, wanda raunana kashi.

ƙarshe

Saboda haka, mun tattauna da wata dabara kamar osteosynthesis. Mene ne wannan? Shi ne mafi zamani hanya a haɗa shi da kashi da wani ɓaɓɓake bayan wani karaya. Godiya ga shi, aiwatar da magani da kuma fi na marasa lafiya da kara muhimmanci. Aiwatar osteosynthesis yin amfani da daban-daban fixatives. An dauke da mafi m titanium faranti, wanda ba ma iya harba.