Iphrofayela ephansi kakhuluUkwakhiwa kabushaUkukhiyaIpuleti
Iphrofayili ephansi kakhuluipuleti lokwakha kabushakuyintoukufakwa kwe-orthopedic internal fixationNgokusebenzisa ukuthuthukiswa okuphindaphindiwe, imikhiqizo evamile inephrofayili ephezulu, okubangela ukucasuka okukhulu kwezicubu ezithambile kanye nesilinganiso esiphezulu sokususwa kokufakelwa. Imizamo yokuqala ephansi yehlisa ukujiya kwepuleti ukuze kuncishiswe umuzwa womzimba wangaphandle. Umklamo wephrofayili ephansi kakhulu unikeza ipuleti elincane kakhulu nelincane elinemiphetho eyindilinga kanye nezimbobo zesikulufu se-coaxial. Amasu okukhiqiza athuthukile njengokuhlanganiswa kombhede we-laser powder afinyelela kokubili ukucasuka kwezicubu eziphansi kanye namandla omshini, kunqobe imikhawulo yezokwelapha yangaphambilini. Isici sayo esichazayo ukuthi ingxenye yokuxhumana kwamathambo incane kakhulu kunepuleti evamile, yakha ukucushwa okuphelele okusicaba okwenziwe ngcono ukunciphisa ukuvelela kokufakelwa. Isibonelo, amapuleti amalunga esihlakala anobukhulu obumaphakathi obungu-2-3 mm kuphela, cishe ingxenye yamapuleti ajwayelekile.
Ukwakheka okungabonakali kunciphisa kakhulu umuzwa womzimba wangaphandle ngemva kokuhlinzwa futhi kunciphisa ingozi yokuhuzuka kwemisipha ngamaphesenti angaphezu kuka-60, umphumela ophawuleka kakhulu ezimweni zokuphuka kwe-olecranon. Kuphinde kunciphise izinkinga ezihlanganisa ukuphuka kwesikhumba futhi kuthuthukise induduzo yeziguli ngemva kokuhlinzwa.
Lo mklamo wenza kube lula ukuzivocavoca kwangemva kokuhlinzwa. Isibonelo, iziguli eziphukile amaqakala ezelashwe ngama-plate aphansi zifinyelela ukunyakaza okuvamile kwamalunga isilinganiso samasonto amabili ngaphambili, okusheshisa ukuvuselelwa.
Umklamo Wesakhiwo Sephrofayili Ephansi KakhuluUdokotela WamathamboIpuleti
I. Umzimba omncane futhi omncane Umklamo womzimba oyinhloko
Uma kuqhathaniswa nokuvamileoi-rthopediclukugoqapama-late, ipuleti elincanyana kakhulu lithatha isakhiwo somzimba esincanyana nesincane kakhulu. Ubukhulu obuphelele bephrofayili ephansi kakhulumezokwelaphapsekwephuzilecishe ingu-60% waleyo yamapuleti okwakha kabusha avamile, ububanzi bayo buncishiswe ngo-20%, okunciphisa kakhulu ukuvelela kwe-implant ngemva kokufakelwa.
II. Ukwelashwa Komphetho Ogobile Oyindilinga
Ukuhlanganisa imiphetho eyindilinga egobile nomklamo wephrofayili ephansi kakhulu, iphrofayili ephansi kakhulusukuhlinzwapsekwephuzileInikeza izinzuzo ezintathu zezokwelapha eziphindwe kabili:
Ukunciphisa ukucasuka: Ukungqubuzana okuncane kanye nokucindezelwa kwemisipha, kunciphisa ingozi yokukhubeka kwemisipha ngaphezu kuka-60%;
Ukuphepha okuthuthukisiwe: Kuvimbela ukuqhekeka kwezicubu ngesikhathi sokuhlinzwa futhi kwenza kube lula ukuzivumelanisa nezimo kangcono uma kufakwa ezindaweni eziyinkimbinkimbi zomzimba;
Izinkinga ezimbalwa: Kunciphisa kakhulu ukuwohloka kwesikhumba, ukuzwa komzimba wangaphandle kanye nesilinganiso sokususwa kwesimila. Izinga lezinkinga zesikhumba ezindaweni ezingacacile lingalawulwa ngaphansi kuka-3%.
III. Isigaba Esifanayo Esiphambeneyo kanye Nokuguquguquka Okulula
Umklamo wesigaba esilinganayo wenza kube lula ukugoba kanye nokwakheka kwe-contour ngisho naphakathi kokuhlinzwa ukuze kuhambisane nokwakheka kwamathambo okuyinkimbinkimbi. Isibonelo, ipuleti lokwakha kabusha i-pelvic elinobubanzi obuphansi lingacindezelwa ligubungele ubuso bethambo kusetshenziswa izikulufo ezikhanseliwe ukuze kufezwe ukuqina okuvumelana nokwakheka kwamathambo.
IV. Izimbobo Zesikulufu Zokuqiniswa Kwe-Co Axial
Izimbobo zezikulufo zivumela kokubili izikulufo ezikhiyayo kanye nezikulufo ze-cortical ezivamile zokuqinisa i-co axial, okuthuthukisa ukuguquguquka kokusebenza.
I-Beijing ZhongAnTaiHua Technology Co., Ltd. (ZATH) Imikhiqizo Ephansi kanye Nezithombe Zangemva Kokuhlinzwa
Ekwenzeni kwezokwelapha ukulimala kwamathambo, iphrofayili ephansi kakhulumezokwelaphalukugoqapsekwephuzile, ngezinzuzo zazo eziyingqayizivele, sezibe yizifakelo ezibalulekile zokuphatha ukulimala kwamathambo okuyinkimbinkimbi. Njengoba zinemiphetho yepuleti eqediwe kahle kakhulu, zinciphisa kakhulu ukucasuka nokungqubuzana kwezicubu ezithambile ezizungezile, zinciphisa ingozi yezinkinga zangemva kokuhlinzwa njengokunamathela kwemisipha kanye nokungakhululeki kwendawo. Zifaneleka kakhulu ukulungiswa kokuqhekeka ezindaweni ezinezifakelo zezicubu ezithambile ezincane, kufaka phakathi izindawo ze-peri articular kanye ne-bone diaphyses. Lezi zifakelo zinikeza inketho yokwelapha ephephile nephumelelayo kakhulu yeziguli eziningi ezinezinxephezelo zamathambo, futhi zithuthukisa amasu okuhlukumezeka kwamathambo ukuze kuthuthukiswe kakhulu futhi kuncishiswe ukuhlasela.
Uma ufuna ukufunda kabanzi mayelana ne-Amapuleti Okwakha Kabusha Amathambo, ngicela ukhululekeXhumana nathi, ukuthengisa kwethu kuzokunikeza ukwesekwa kobungcweti.
Isikhathi sokuthunyelwe: Agasti-06-2026