Kuhloswe ukuthi kusetshenziselwe ukuqinisa izicubu, okuhlanganisa i-ligament noma i-tendon kuya ethanjeni, noma ithambo / i-tendon kuya ethanjeni.Ukulungiswa kokuphazanyiswa kufanelekile ekuhlinzweni kwedolo, ihlombe, indololwane, iqakala, unyawo, nesandla/isihlakala lapho osayizi abanikezwayo befaneleka khona ngesineke.
Isistimu ye-screw ne-sheath ivame ukusetshenziswa ekuhlinzeni amathambo ezinhlelo zokusebenza ezihlukahlukene, ezifana nokulungisa ukuphuka kwethambo noma ukulungiswa kwemisipha. Nansi umbono ojwayelekile wokusebenza kwesikulufu kanye nesistimu ye-sheath:Ukuhlela ngaphambi kokuhlinzwa: Udokotela ohlinzayo uzohlola isimo sesiguli, abuyekeze izithombe zezokwelapha (ezifana nama-X ray noma izikena ze-MRI), futhi anqume usayizi ofanele nohlobo lwezikulufu nemisheko edingekayo ukuze kwenziwe inqubo.Ukusika nokuchayeka: Udokotela ohlinzayo uzokwenza imbobo endaweni yokuhlinza ethintekile. Izicubu ezithambile, imisipha, nezinye izakhiwo zihanjiswa ngokucophelela eceleni noma zihoxiswe ukuze kuvezwe ithambo noma umsipha odinga ukulungiswa.Ukubhoboza izimbobo zokuhlola: Ngokusebenzisa imishini yokuhlinza okukhethekile, udokotela ohlinzayo uzodala ngokucophelela izimbobo zomshayeli ethanjeni ukuze afake izikulufu. Lezi zimbobo zokuhlola ziqinisekisa ukubekwa okufanele nokuzinza kwezikulufu.Ukufaka umgodla: Igobolondo liyisakhiwo esinjengeshubhu esingenalutho esishuthekwa embotsheni yokuhlola. Isebenza njengomhlahlandlela, ivikela izicubu ezithambile ezizungezile futhi ivumele ukubekwa okunembayo kwesikulufu.Ukubekwa kwesikulufu: Isikulufu, ngokuvamile esenziwe nge-titanium noma insimbi engagqwali, sifakwa emgodleni kanye nasembobeni yokuhlola. Isikulufu siyaluliwe futhi singaqiniswa ukuze kuqiniswe ithambo noma kuxhunywe izingcezu ezimbili zethambo ndawonye.Ukuvikela isikulufu: Uma isikulufu sesifakwe ngokugcwele, udokotela ohlinzayo angase asebenzise i-screwdriver noma amanye amathuluzi afanelekile ukuze avikele isikulufu endaweni yaso yokugcina. Lokhu kungase kuhlanganise ukuqinisa isikulufu ukuze kufinyelelwe ukuminyanisa okufunayo noma ukuzinzisa.Ukuvalwa: Uma isikulufu nesheath sezibekwe kahle futhi zivikelekile, udokotela ohlinzayo uzovala i-incision esebenzisa ama-sutures noma ama-staples. Isilonda sibe sesihlanzwa futhi siyagqokiswa.Kubalulekile ukuqaphela ukuthi ukusebenza kwe-screw kanye ne-sheath system kungahluka kuye ngenqubo ethile kanye nendawo ye-anatomical ehilelekile. Ubuchwepheshe kanye nolwazi lukadokotela ohlinzayo kubalulekile ekuqinisekiseni ukubekwa okunembile kanye nemiphumela efanele.