Isitya sokutshixa isifuba seTitanium

Inkcazelo emfutshane:


Iinkcukacha zeMveliso

Iithegi zeMveliso

Iipleyiti zokuvala isifuba ziyingxenye yeemveliso ze-THORAX.Tshatisa nge Φ3.0mm isikrufu sokutshixa.

iinkcukacha-(1)

Iimbonakalo:

1. Indlela yokutshixa isikhokelo somsonto ithintela ukwenzeka kokurhoxa kwesijivu.(isikrufu siya kuba 2. sitshixelwe kanye i-1stiluphu itshintshelwa kwipleyiti).
3. Uyilo lweprofayili ephantsi lunceda ukunciphisa ukucaphuka kwezicubu ezithambileyo.
4. Zombini uhlobo oludibeneyo kunye nohlobo lokwahlula luyafumaneka.
5. Ikliphu ye-U-shape isetyenziswe kwipleyiti yohlobo lokwahlula, inokukhutshwa kwimeko engxamisekileyo.
6. Ipleyiti yokutshixa yenziwe nge-titanium yonyango yeBakala 3.
7. Izikrufu zokumatanisa zenziwe nge-titanium yonyango yeBakala 5.
8. Ukuthenga i-MRI kunye ne-CT scan.
9. Umphezulu anodized.
10.Iinkcukacha ezahlukeneyo ziyafumaneka.

iinkcukacha (2)
iinkcukacha (3)

SUchazo:

Umbambo lokutshixa ipleyiti

Umfanekiso wepleyiti

Inombolo yomba.

Inkcazo

iinkcukacha (1) 

10.06.06.04019051

Uhlobo oludibeneyo, imingxuma emi-4

iinkcukacha (4) 

10.06.06.06019051

Uhlobo oludibeneyo, imingxunya emi-6

 iinkcukacha (6)

10.06.06.08019051

Uhlobo oludibeneyo, i-8 Holes

 iinkcukacha (7)

10.06.06.10019151

Uhlobo oludibeneyo I, i-10 Holes

 iinkcukacha (8)

10.06.06.10019251

Uhlobo oludibeneyo II, iiHole ezili-10

iinkcukacha (1) 

10.06.06.12011051

Uhlobo oludibeneyo, i-12 Holes

iinkcukacha (2) 

10.06.06.20011051

Uhlobo oludibeneyo, i-20 Holes

 iinkcukacha (11)

10.06.06.04019050

Uhlobo lokwahlula, imingxuma emi-4

iinkcukacha (12) 

10.06.06.06019050

Uhlobo lokwahlula, imingxunya emi-6

 iinkcukacha (13)

10.06.06.08019050

Uhlobo lokwahlula, imingxuma eyi-8

 iinkcukacha (14)

10.06.06.10019150

Uhlobo lokwahlula I, imingxunya eli-10

 iinkcukacha (15)

10.06.06.10019250

Ukwahlula uhlobo II, 10 Imingxunya

 iinkcukacha (3)

10.06.06.12011050

Uhlobo lokwahlula, imingxunya eyi-12

 iinkcukacha (4)

10.06.06.20011050

Uhlobo lokwahlula, imingxunya engama-20

 

Φ3.0mm isikrufu sokutshixa(Quadrangle drive)

Screw umfanekiso

Inombolo yomba.

Iinkcukacha (mm)


iinkcukacha (5)

2819

Φ3.0*6mm

2820

Φ3.0*8mm

2821

Φ3.0*10mm

2822

Φ3.0*12mm

2823

Φ3.0*14mm

2824

Φ3.0*16mm

I-Median sternotomy ihlala iyeyona isetyenziswa ngokuqhelekileyo kwizigulane ezenza utyando lwentliziyo.Usulelo lwenxeba elinzulu langaphakathi (DSWI) yingxaki enkulu emva kwe-sternotomy.Nangona iireyithi ze-DSWI ziphantsi kakhulu (uluhlu lwe-0.4 ukuya kwi-5.1%), ludibene nokufa okuphezulu kunye nezigulo, ukuhlala ixesha elide esibhedlele, kunye nokunyuka kwezigulane kunye neendleko.Unyango oluqhelekileyo lwe-DSWI lubandakanya ukuchithwa kwenxeba, unyango lwe-vacuum yenxeba (VAC) kunye nokuphinda kufakwe i-sternal rewiring.Nangona kunjalo, ii-sternums ezikhutshiweyo kunye nezosulelekileyo ngamanye amaxesha zibuthathaka kakhulu kangangokuba ukuphinda kusebenze, ngakumbi kwizigulana ezinokugula okuninzi.Utyando lwePlastiki kudla ngokuboniswana malunga nokwakhiwa kwakhona kodonga lwesifuba ukuba ukuphinda kufakwe iintambo kusilele ukuzinzisa i-sternum.

I-akhawunti ye-Sternal fracture malunga ne-3-8% yokungeniswa kwe-thoracic trauma.Akuqhelekanga kwaye kaninzi kubangelwa ukwenzakala okuthe ngqo, okungaphambili, okubuhlungu kwi-sternum.Uninzi lweefractures zangaphandle ziphilisa ngolawulo olulondolozayo, kodwa iimeko ezimbalwa zokungazinzi okanye ukufuduka okucacileyo kunokukhokelela kwiimeko ezinzima zokukhubaza, kubandakanya intlungu yesifuba esibuhlungu, i-dyspnea, ukukhohlela okuqhubekayo, kunye nodonga lwesifuba.

Unyango olusetyenziswa rhoqo kule meko kukulungiswa kwe-corset kunye nokuphumla kombhede kwiinyanga, okanye ukulungiswa kwentsimbi yentsimbi.Unyango luhlala lusilela ngenxa yokuphelelwa ngamandla okanye isiphumo sokusika ucingo.Ababhali abaninzi bachaza umphumo onenzuzo weplate yokulungiswa kwangaphakathi kwintsholongwane yangasese okanye i-nonunion emva kwe-sternotomy.I-Sternal plating ibonakala iyindlela yonyango esebenzayo kwi-dehiscence yesilonda ehambelana nokungazinzi okungapheliyo.Ubuchwephesha bokutywinwa kocingo lwentsimbi bufanelekile kwi-sternotomy ye-longitudinal, kodwa uninzi lweefractures zangaphakathi ezibuhlungu ziziqhekeza ezinqamlezayo okanye ezingezizo iimanyano.Kule meko, ukulungiswa kwangaphakathi kunye nesitya sokutshixa i-titanium kukhetho olungcono

Ukulungiswa kwepleyiti ye-Titanium kubonakala kuyindlela esebenzayo kunyango lotyando lwangaphandle.Xa kuthelekiswa nonyango oluqhelekileyo, ukulungiswa kweplate ye-sternal kudibaniswa neenkqubo ezingaphantsi kwe-debridement kunye nokungaphumeleli kwonyango.Ngeli xesha ikliphu ye-U-shape isetyenziswa kwipleyiti yohlobo lokwahlula, inokukhutshwa kwimeko yonxunguphalo.


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