Iipleyiti zokuvala isifuba ziyingxenye yeemveliso ze-THORAX.Tshatisa nge Φ3.0mm isikrufu sokutshixa.
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.
SUchazo:
Umbambo lokutshixa ipleyiti
Umfanekiso wepleyiti | Inombolo yomba. | Inkcazo |
10.06.06.04019051 | Uhlobo oludibeneyo, imingxuma emi-4 | |
10.06.06.06019051 | Uhlobo oludibeneyo, imingxunya emi-6 | |
10.06.06.08019051 | Uhlobo oludibeneyo, i-8 Holes | |
10.06.06.10019151 | Uhlobo oludibeneyo I, i-10 Holes | |
10.06.06.10019251 | Uhlobo oludibeneyo II, iiHole ezili-10 | |
10.06.06.12011051 | Uhlobo oludibeneyo, i-12 Holes | |
10.06.06.20011051 | Uhlobo oludibeneyo, i-20 Holes | |
10.06.06.04019050 | Uhlobo lokwahlula, imingxuma emi-4 | |
10.06.06.06019050 | Uhlobo lokwahlula, imingxunya emi-6 | |
10.06.06.08019050 | Uhlobo lokwahlula, imingxuma eyi-8 | |
10.06.06.10019150 | Uhlobo lokwahlula I, imingxunya eli-10 | |
10.06.06.10019250 | Ukwahlula uhlobo II, 10 Imingxunya | |
10.06.06.12011050 | Uhlobo lokwahlula, imingxunya eyi-12 | |
10.06.06.20011050 | Uhlobo lokwahlula, imingxunya engama-20 |
Φ3.0mm isikrufu sokutshixa(Quadrangle drive)
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.