Letlapa la ho notlela ke sesebelisoa sa ho lokisa fracture se nang le lesoba le khoele.Ha screw e nang le hlooho e khoele e kengoa ka mokoting, poleiti e fetoha sesebelisoa sa ho lokisa (screw) angle angle.Lipoleiti tsa tšepe tse notlelang (tse tsitsitseng) li ka ba le likoti tse notlelang le tse sa notleleng bakeng sa likurufu tse fapaneng tse tla kengoa ka har'a tsona (tseo hape li bitsoang lipoleiti tsa tšepe tse kopaneng).
1.Nalane le tsoelopele
Lipoleiti tsa ho notlela li ile tsa hlahisoa ka lekhetlo la pele hoo e ka bang lilemo tse 20 tse fetileng bakeng sa ho sebelisoa ho buoa lesapo la mokokotlo le maxillofacial.Ho elella bofelong ba lilemo tsa bo-1980 le bo-1990, liphuputso tsa liteko ka mefuta e fapaneng ea lisebelisoa tsa ho lokisa ka hare li ile tsa hlahisa lipoleiti tsa ho notlela kalafo ea ho robeha.Mokhoa ona o sireletsehileng oa ho lokisa o ile oa qaptjoa ho qoba ho aroloa ha lisele tse bonolo.
Lintlha tse 'maloa li khothalelitse tšebeliso ea kliniki ea poleiti ena, ho kenyelletsa:
Ketsahalo ea fractures e tsoelang pele e ntse e eketseha ha litekanyetso tsa ho pholoha li ntlafala ho bakuli ba nang le likotsi tse matla haholo 'me palo ea bakuli ba tsofetseng ba nang le lefu la masapo e eketseha Europe Bophirimela le Amerika Leboea.
Lingaka le bakuli ha ba khotsofatsoe ke liphello tsa phekolo bakeng sa fractures e itseng ea periarticular.
Lintlha tse ling tseo e seng tsa kliniki li ka kenyelletsa: nts'etsopele ea indasteri ea theknoloji e ncha le limmaraka tse ncha;ho tuma butle-butle ha opereishene e fokolang haholo, joalo-joalo.
2.Litšobotsi le melao-motheo e tsitsitseng
Phapang e kholo ea biomechanical pakeng tsa lipoleiti tsa ho notlela le lipoleiti tsa setso ke hore ea morao-rao e itšetlehile ka ho ferekanngoa ha sebopeho sa lesapo la lesapo ho phethela ho hatelloa ha lesapo ka poleiti.
Litšitiso tsa biomechanical tsa lipoleiti tsa tšepe tsa setso: hatella periosteum le ho ama phepelo ea mali ho isa pheletsong ea fracture.Ka hona, mokhoa oa setso o tsitsitseng oa "plate osteosynthesis" (joalo ka "interfragmentary compression and lag screws") o na le sekhahla se batlang se phahame, ho kenyelletsa tšoaetso, ho robeha ha poleiti, ho lieha ho kopana, le ho se kopane.
Ha potoloho ea axial load e ntse e eketseha, li-screws li qala ho lokoloha 'me li etsa hore khohlano e fokotsehe, qetellong e etsa hore poleiti e fokotsehe.Haeba poleiti e lokoloha pele ho robeha ho fola, ntlha ea ho robeha e tla fetoha e sa tsitsang 'me qetellong poleiti e tla robeha.Ho thata le ho feta ho fumana le ho boloka li-screw fixation tse tiileng (tse kang metaphysis le osteoporotic bone ends), ho thata le ho feta ho boloka botsitso ba qetello ea fracture.
Molao-motheo o tsitsitseng:
Lipoleiti tse notlelang ha li itšetlehe ka likhohlano lipakeng tsa sebopeho sa lesapo la lesapo.Botsitso bo bolokoa ke sebopeho se tsitsitseng sa angularly pakeng tsa screw le poleiti ea tšepe.Hobane mofuta ona oa ho notlela ka hare o na le bots'epehi bo tsitsitseng, matla a ho hula a sekoti sa hlooho se notlelang a phahame haholo ho feta a li-screws tse tloaelehileng.Ntle le haeba li-screw tsohle tse potolohileng li ntšoa kapa li robehile, ho thata hore sekurufu se ntšoe kapa se robehe se le seng.
3.Lipontšo
Boholo ba fractures tse phekoloang ka ho buuoa ha li hloke ho lokisoa ha poleiti ea ho notlela.Hafeela melao-motheo ea ho buuoa ka masapo e lateloa, ho robeha ha masapo ho ka phekoloa ka lipoleiti tsa setso kapa lipekere tsa intramedullary.
Leha ho le joalo, ho hlile ho na le mefuta e meng e khethehileng ea fractures e atisang ho lahleheloa ke ho fokotseha, ho robeha ha poleiti kapa screw, le ho se kopane ha masapo.Mefuta ena, e atisang ho bitsoa "ho sa rarolloe" kapa "bothata" fractures, e kenyelletsa fractures ea intra-articular comminuted, periarticular short bone fractures, le osteoporotic fractures.Ho robeha ho joalo ke matšoao a ho notlela lipoleiti.
4.Kopo
Palo e ntseng e eketseha ea bahlahisi e boetse e fana ka lipoleiti tsa anatomical tse nang le masoba a koalang.Ka mohlala, lipoleiti tsa anatomic tse entsoeng esale pele bakeng sa proximal le distal femurs, proximal le distal tibias, proximal le distal humerus, le calcaneus.Moralo oa poleiti ea tšepe o fokotsa haholo kamano pakeng tsa poleiti ea tšepe le lesapo maemong a mangata, ka tsela eo e boloka phepelo ea mali ea periosteal le perfusion ea pheletso ea fracture.
LCP (notlolo ea compression plate)
Letlapa le lecha la ho notlela la ho notlela le kopanya litheknoloji tse peli tse fapaneng ka ho felletseng tsa ho lokisa kahare ho implant e le 'ngoe.
LCP e ka sebelisoa e le poleiti ea khatello, bracket e notlellang ka hare, kapa motsoako oa tse peli
E hlasela hanyane:
Palo e ntseng e eketseha ea lipoleiti tsa ho notlela li na le maqhama a stent a kantle, litšepe, le meralo e mebe e lumellang lingaka ho beha poleiti ka tsela e sa sisinyeheng kapa ka mokhoa o tlase bakeng sa merero e fokolang.
Haeba u batla ho tseba ka lihlahisoa tsa rona, ka kopo ikopanye le:
Yoyo
Whatsapp/Tel: +86 15682071283
Nako ea poso: Sep-25-2023
