Osteosynthesis - he aha ia? 'O ke kau'ana o ka iwi i nā'āpana iwi me ke kōkua'ana o nā hanana pa'a

'O ka pilina o nā iwi ha'iha'i me ke kōkua'ana i ke kāpili i hiki ai ke ho'olō'ihi i ka hana o ka lapa'au a me ka ho'oponopono hou'ia o nā ma'i me nā pu'upu'u pa'akikī. No ka manawa mua i hana'ia ai kēlā'ano hana e like me ka osteosynthesis o nā iwi i ka seneturi 19, akā, no ka'ike'ia o nā pilikia nui loa o ke'ano o ka purulent, ua ho'okau'ia nā kauka e kāpae. Ho'omau hou i nā ho'ā'o'ana ma hope o ka hō'ea'ana o ka hō'ailona a me ka mālama'ana i ka lā'au.

He aha ka osteosynthesis?

Ho'opa'a'ia nā ma'i he nui me nā'āpana pa'akikī e hana i ka osteosynthesis. He aha ia? Kēia hui iwi hakina ma ke kumu o ka hana. 'O ka mea ma'amau, ua kau'ia no ka ho'oma'ama'a'ana i nā hui li'ili'i, nā kīwae'ole i ho'opa'a'ia me ka pololei'ole. Me ke kōkua o ka osteosynthesis aia kahi ho'onohonoho'ana i nā'āpana juxtaposed. No laila, ua hana'ia nā hana kūpono no ko lākou pilina, a me ka ho'iho'i'ana i ka pono o ka lālā.

'Elua'ano nui o ka osteosynthesis:

• Māku'u (iwi, intraosseous, transosseous);
• Wahi waho (ho'opau hou).

Aia kekahi ultrasonic osteosynthesis. He aha ia? He He huina lakou o ko ka poe liilii, iwi koena ai.

Hana'ia nā hana me ke kōkua o nā mea kūikawā like'ole. No nā'ano osteosynthesis intraosseous, nā kui a me nā kui e ho'ohana'ia ana, no ka iwi - pāpale me nā pale, no nā kolekolo like'ole - a me nā ku'iku'i. Ho'okumu'ia kēia mau mea mai nā papa hana kino, nā kumuhana biologically a me nā mea'oi'ole. 'O ka ho'ohana nui'ia, he mau mea hao i hana'ia e ka vitallium, he kila kila, he hao, he'u'uku ka nui - o nā pila pila a me ka iwi. 'O nā mea hana i hana'ia i ke kila, ma hope o ka ho'ohui'ia'ana o ka moku, e wehe mau'ia. Ilizarov nakeke ma ka uha hoʻohana no mawaho osteosynthesis. Mahalo iā ia, ua ho'okumu'ia nā'āpana iwi ma hope o ka ho'ohālikelike'ana. Hiki i nā ma'i ke hele a me ka piha piha.

Hō'ike

Ke hō'ike'ia nei ka hana osteosynthesis ma ke'ano hō'ano ho'āla nui no:

• 'O kēlā'ano'eha'ole i ulu like'ole me ke kōkua'ole'ia o kahi traumatologist;
• 'O kahi'eha me kahi kūpono o ka holoi'ia'ana o ka'ili (hiki ke komo i ka puka āpau);
• 'O ka'eha, pa'akikī ma muli o ka hō'ino'ana i ke kelehe nui.

Kū'ē

'A'ole i'ae'ia ka'aha'ana o ka'aha'elele no nā kūlana i lalo:

• Inā ma'i'ole ka mea ma'i;
• Loa'a nā pohō nui;
• Ka ho'oponopono'ana i kahi i ho'opilikia'ia;
• Inā loa'a nā ma'i'ino o nā'ōpū i loko;
• Me ka pi'i'ana o ka ma'i'eha o ka ma'i'ōpū;
• 'O ka mea ma'i nui ka māmā o ka lima.

Nā'ano o nā papa

'O nā pāpale, kahi i ho'ohana'ia i ka wā o ka hana, hana'ia e nā'ano metala. 'O nā pāpa'i keleawe maika'i loa, no ka mea, he'ano hoihoi nui kēia mea: i ka lewa ma luna o laila e ho'omaka koke i kahi ki'i,'a'ole loa e pili me nā'ōpiko o ke kino. I kēia hihia,'a'ole hiki iā'oe ke maka'u i ke kūkulu'ana o nā mea kila. 'O ia ke kumu i ho'one'e'ole'ia ai nā papa he nui, akā, ua waiho'ia no ke ola.

Pau'ia ka osteosynthesis intraosseous

'O kekahi inoa no ka hana he intramedullary osteosynthesis. Wehe a pani'ia. I ke kumu mua, ua hō'ike'ia ka'āpana'āpana, a ma hope iho ua ho'ohālikelike'ia nā'āpana, a ua ho'okomo'ia ke ko'oko'o mechanical i loko o ka pū'ā iwi iwi o ka iwi'eha. 'A'ole hiki ke wehe i ka osteosynthesis i ka ho'ohana'ana i nā pono kūikawā no ka ho'ohui'ana i nā'āpana,'o ia ke ma'alahi a ma'alahi a hiki ke loa'a ma mua o ka hana pani. Eia nō na'e, ma kēia'ano, ho'omāhuahua ka pilikia o ka ma'i lolo.

'O ke'ano o ka'ostososhesis o intramedullary ua pau i ka'ike'ia i ka hana'ana i ka ho'ohālikelike'ana i nā'āpana, a ma hope iho ua hana lākou i kahi li'ili'i li'ili'i mai kahi'ē a'e. Ma lalo o ke kelepona X-ray, e ho'okomo'ia ke ko'oko'o kokopi lō'ihi lō'ihi o ke anawaena kūpono ma waena o ke kuhi'ana ma o kekahi mākia kūikawā i ka iwi o ka iwi āpau o ka iwi'eha i ka'ao'ao o ka mea alaka'i. Ma hope o kēia, wehe'ia ka mea alaka'i a pepehi'ia ka'eha.

'Oe o ka osteosynthesis o ka honua

He aha ia? Ho'ohana'ia kēia'ano no ka ho'ohui'ana i nā'āpana iwi no nā'oko'a like'ole (ho'ohui'ia, he lolopa, circumwayicular, oblique, transverse, intraarticular), me ka nānā'ole i ka pāpālua a me ke'ano o ke alahaka medullary. 'O nā limahana i ho'ohana'ia no ia mau hana, ua hō'ike'ia ma ke'ano o nā papa o nā'ano mānoanoa a me nā'ano i pili me ka iwi me nā pale. Nui nā papahana hou he mau lako ho'olaha kūikawā, e like me ka lawe'ana a me ka hemo'ole. Ma hope o ke ka'ina hana, e ho'ohana pinepine'ia ka pilahi pila.

Me nā'ōlepa a me nā hō'ailona'ākau, e hana mau'ia ka osteosynthesis o ka iwi me nā kaula hao a me ka kaula, a me nā apo kūikawā a me nā hamo i hana'ia me ke kila kila. 'O ke'ano o ka ho'ohui'ana i ka iwi, i ka mea kelepona, ke ho'ohana'ole'ia ma ke'ano he kū'oko'a kū'oko'a no ka mea'a'ole i'oi aku ka ikaika ikaika a hana pinepine i mea kōkua i nā'ano osteosynthesis.

Keia hana ua loa kākaʻikahi hoʻohana pahee suture (silika, catgut, dacron), no ka mea, ua mau filaments mea e hiki ke ku imua o ka muscular traction a me ka pohupani hale o ke koena.

'O ke osteosynthesis o ka transosseous subcutaneous

Hiki ke ho'onohonoho hou'ia me ke kōkua o nā pale, nā kuhi, nā kī, e hana'ia kēia mau maka i kahi ala e'ākau ai'ole ka helehelena ma nā iwi iwi ma kahi e'eha ai. 'O kahi'ano kūikawā o ka osteosynthesis o ka iwi suture -'o kēia ka manawa e hopu'ia ai nā pūkuniahi i nā'āpana a me nā ligatures (ka pahu, silikō, kelepona) e halihali'ia ma waena o lākou, a laila e pa'a a ho'opa'a'ia. Ho'ohana'ia ka'ū iwi no ka ha'iha'i o ka ku'eku'e wāwae. 'O ka osteosynthesis o ka transosseous e komo i ka ho'okumu'ia'ana o kahi pilikili pila.

'O ka osteosynthesis waho

'O ia'ano ho'onohonoho'ana e hana'ia me ke kōkua'ana o nā mea hihihihi kūikawā ('o Ilizarov, Volkov -'Oganesyan). Hiki iā'oe ke ho'ohālikelike i nā'āpana me ka wehe'ole'ana i ka pūnaewele o ka haki a ho'opa'a pono. Hana'ia kēlā'ano hana me ka'ole o ka noi o ke kōpana, a me nā mea hana o'Ilizarov ma ka wāwae e hiki ai i ka mea ma'i ke hele me ka piha piha.

Nā pilikia

Ma hope o ka hana, hiki i nā pilikia ko'iko'i ke ala a'e. I nā hualoa'a:

• Ka hewa'ole o ka hana no ka ho'oponopono'ana i nā'āpana iwi;
• Ka pilikia o nā'āpana'āpana ho'ohui'ia;
• Ka ho'ohana pono'ana i nā mea lewa;
• Ka mea mālama pono i koho pono'ole'ia;
• 'A'ole mālama'ia me nā nīnaupsis a me nā hō'ailona.

'O kēia mau pilikia e hāpai i ka hō'eha hewa o ka'oki, ka suppuration a i'ole nā hō'ole'ole.

Ma muli o ka ho'ohana'ana o nā papa lō'ihi no ka osteosynthesis o ka iwi i ho'ohemo'ia, a no ka mea e'ike'ia kēia iwi ma kahi nui,'o ka loa'a'ana o ke koko, he mea mau loa ia, a hiki i kahi lohi lō'ihi. Ma hope o ka wehe'ana i nā'ala, nui nā lua e ho'onāwaliwali i ka iwi.

Ka Hopena

No laila, ua nānā mākou i ke'ano o ke'ano o ka osteosynthesis. He aha ia? He ka loa laekahi ala e hoʻohui i ka iwi hakina hope o ka fracture. Mahalo iā ia, ua pi'i nui ke'ano o ka lapa'au a me ka ho'oponopono'ana o nā ma'i. Ho'okumu'ia ka osteosynthesis me ke kōkua'ana o nā mea kūikawā like'ole. 'O nā papa ki'eki'e loa o Titanium,'a'ole hiki ke ho'one'e'ia.