Ki rahaki - he aha te mea te reira? repositioning hāparapara o wheua whatiwhatinga te whakamahi i ngā hanganga whakatika

Pūhui o wheua whati te whakamahi i mahi ka whakatere i te tukanga whakaora, me te whakanohonoho o tūroro ki piere uaua. Hoki te wā tuatahi i te tukanga pērā i te warea o wheua, puritia i roto i te rau tau 19, engari e tika ana ki te putanga o pōauautanga rawa nui tākuta purulent i takoha ki te mutu te mahi i te reira. nganatanga whakahou anō i muri i whakataki i roto i te mahi o te maimoatanga iroiti, me te rongoā horoi.

He aha te mea warea?

He maha tūroro ki piere matatini tākuta whakahere ki te pupuri osteosynthesis. He aha te mea te reira? Tenei pūhui wheua whatiwhatinga i te tikanga o te mahi. Tikanga whakaritea ki a ia i roto i te maimoatanga o hononga matatini, tika tauta hou piere kore-kotahi ranei. Mā te osteosynthesis warea puta whatiwhatinga ki āu. hanga tenei tikanga pai mo ratou hononga, me te te faaho'iraa mai o te tapatahi o te alangá.

E rua ngā momo matua o osteosynthesis:

• rumaki (extramedullary, intramedullary, transosseous);
• waho (extrafocal).

tupu te reira i atu me ultrasonic osteosynthesis. He aha te mea te reira? Ko reira he pūhui o whatiwhatinga wheua iti.

E kawea Operations i te whakamahi i fixatives rerekē. Hoki rumaki intraosseous titi osteosynthesis me whao whakamahia hoki o paraharaha - paraharaha ki te tīwiri, mo te transosseous - titi, me pokekore. E hanga ēnei ripa o te rauemi kūpapa matū, i te pae tino, me te biologically. whakamahia nuitia ngā hanganga whakarewa o vitalliya, he kowiri tira, Titanium, nui iti - i kirihou e mangere me te wheua. Spacers hanga o te whakarewa i muri i te whati srastetsja te tikanga nekehia. Ilizarov taputapu i runga i te waewae whakamahia mō te osteosynthesis waho. Ngā mihi ki a ia, nga whatiwhatinga wheua i muri i te whakatairite whakaritea mau. Ka taea e tūroro haere tikanga ki te kawenga tonu.

iteraa papû

Operation osteosynthesis whakaaturia rite whakaora tuatahi technique ka:

• Tenei whatinga, kihai i nei tupu tahi waho te āwhina o te whētuki;
• kino tūponotanga o perforation o te kiri (ka whati kati e taea ki te haere ki roto ki te iwi whānui);
• whati uaua e te kino ki te uaua nui.

contraindications

e kore te wawaotanga hāparapara tūtohutia hoki nga tikanga e whai ake nei:

• ki te he te mate te manawanui;
• i reira e tuwhera kino whānui;
• ki runga ki te mate o te pae pāngia;
• Ki te kahore he he faaiteraa o māuiuitanga o tetahi okana ā-;
• i roto i te ahunga whakamua o te mate pūnahanaha o wheua;
• te manawanui he alangá iti hoki venous.

momo o mau api

Ko te mau api e kua whakamahia i roto i te mahi kua hanga, o konganuku rerekē. Ko te mau api Titanium pai mohio, hei āhuatanga ngā tenei rauemi kua: i hanga i te kiriata rangi kei runga reira tonu, i roto i kore ara e kore e taunekeneke ki te kopa tinana. I roto i tenei take, kahore he wehi o te metallosis. Ko te aha e rave rahi o teie mau papaa parau e kore e nekehia atu me te mahue hoki te ora.

osteosynthesis intraosseous Submersible

Tētahi atu ingoa mō te mahi - osteosynthesis intramedullary. He tuwhera, me te kati ia. I roto i te take tuatahi, kua kitea he rohe whati, taunga nei te whakarite o nga whatiwhatinga, me i roto i te awa medullary o te wheua pakaru patia tokotoko aunoa. e kore e warea Outdoor rapua e te whakamahi o te taputapu motuhake ki te hono i te whatiwhatinga, he nui ohie me atu wātea mahi kati tenei tikanga. Heoi, i roto i tenei take faarahi te reira i te mōrea o te mate kiko ngohengohe.

āhuatanga Kati warea intramedullary e te meka e hua ratou he whakarite o nga whatiwhatinga, a ka meinga atu i te pae whati te kokoti iti. Kei te whakaurua i raro i X-ray mana i roto i tenei kokoti whakamahi i te taputapu motuhake ki te awa medullary o te kaiwhakahaere wheua pakaru konganuku kaua roa tokotoko ateatenga o te diameter tika. I muri i taua, ko tango te kaiwhakahaere, me te sutured te marutanga te.

osteosynthesis Submersible

He aha te mea te reira? tono i tēnei tikanga wheua whatiwhatinga pūhui te i ngā piere (comminuted, helical, okolosustavnyh, matahao, lateral, intraarticular), ahakoa o piko me āhua o te awa medullary. E whakaaturia hononga, e kua whakamahia hoki taua ngā mahi i roto i te puka o paraharaha o matotoru rerekē me te āhua, tūhono ki te wheua te whakamahi i pokekore. Kei te mau mai i tahi maha paraharaha hou te pūrere motuhake, tae atu tango, me te kore-te tango. I muri i te tukanga, maha tangohia ara te maka te raima.

A, no te te nuinga o te wā mahi piere matahao helical me osteosynthesis i te tikanga o takai whakarewa me te waea, me te mowhiti motuhake, me te kowiri tira hawhe-mowhiti. Tenei pūhui tikanga wheua, he rawa waea, Kei te uaua whakamahia hei motuhake e tika ana ki te warea o kore he kaha rawa, me te maha tavini rite te tāpiritanga ki ētahi atu momo o te osteosynthesis.

Kei te tino uaua whakamahia tenei mahi ngohengohe suture (hiraka, catgut, takaaku), no te mea kahore e taea e ki te tu atu i te umeraa uaua, me te displacement o whatiwhatinga taua kakawaea.

osteosynthesis transosseus Submersible

kawea taua repositioning hāparapara i te tikanga o raka, pokekore, tuara, me enei hononga i roto i roto i te kosopoperechnom transversely ranei i roto i te taiepa wheua ki te pae o te whara. chreskostnogo He momo motuhake o te osteosynthesis te tahi wheua - ko tenei, ina e tāne nga whatiwhatinga takere me i roto i te whakapau a ratou mālohi (catgut, hiraka, waea), e ka whakakikī me te here. Kei te whakamahia te reira i ka te wheua whati tahi o te olecranon popoki ranei. osteosynthesis Transosseous whakarato mo te whakapanga o te maka.

warea Outdoor

meatia ana tēnei repositioning e te tikanga o ngā pūrere motuhake (Ilizarov taputapu, Volkova - Oganessian). Tenei taea te whakarite o nga whatiwhatinga, kahore te rongo o te pae whati, me whakatika mau ratou. kawea ana tēnei tikanga i roto i waho te whakapanga o gypsum, me te taputapu Ilizarov i waewae taea ki a koe haere ki te manawanui ki te kawenga tonu.

pōauautanga

I muri i te mahi e taea meinga pōauautanga nui. Ēnei hua:

• hē warea kōwhiringa technique o wheua whatiwhatinga;
• tapepe otaota wheua āu;
• maimoatanga ware o te kiko ngohengohe;
• hē mau te maukati;
• hanganga ture-kore ki te iroiti, me te rongoā horoi.

whai wāhi ēnei pōauautanga ki whakaora whati hē, kua pirau i reira nonunion oti ranei.

Mai whakamahia te osteosynthesis submersible paraharaha nui roa, me te whakakite hoki i te wheua mo tenei mo te tawhiti roa, kei te maha ohorere reira rere toto, e tika ana ki te pōturi pai whakaora. I muri i te tango i te tīwiri he maha rua, e haaparuparu i te wheua.

mutunga

Na, kōrero matou he tikanga pērā i osteosynthesis. He aha te mea te reira? Ko reira te ara tino hou ki te hono i te whatiwhatinga wheua i muri i te whati. Ngā mihi ki a ia, te tukanga o te maimoatanga me te whakanohonoho o tūroro ki tino whakatere. osteosynthesis whakatinana te whakamahi i fixatives rerekē. Kei te whakaaro te reira i te mau api Titanium tino roa, e kore e taea ara kopere.