Yintoni na izixhobo Ilizarov?

Ngowe-1951 yena wadalwa yenziwe olululo traumatology kunye amathambo - nezixhobo Ilizarov. Ngenxa yoko kuxhomekeke kwixesha langoku, akukho indlela enye emphefumlweni bone akakakwamkeli ezifana ejikeleza sobubanzi kusungulwe Gavriil Abramovich Ilizarov.

Ilizarov izixhobo imelwe ngamakhonkco yesinyithi amabini kunye ngambini kuzo kwaphuma izinto zokubamba. Onyuswe kwisebe isixhobo metaphyseal ithambo nge ezidibanayo iingcingo ezibengezelayo ubudeki ezahlukeneyo.

Xa amahlanu zenkulungwane yamashumi amabini, izazinzulu ezininzi baye bazama ukwenza isixhobo osteosynthesis chreskostnogo, kodwa kwasekwa enye kuphela - izixhobo Ilizarov. Kwiingxaki ufakelo ifowuni inciphisiwe ukususela kule yunithi inika umgangatho immobilization alo mlenze eyonakeleyo.

Ukunika ukusebenza kwenxenye endaweni elimele (nokubuyisela ukuzala kwakhe kunye neminye imisebenzi), le ndlela uvunyelwe ukusebenzisa ngexesha imithi izihlunu imilenze ukuba nje wababhali nabaguquleli unokukhawuleza inkqubo yesiqhelo, kodwa kwakhokelela ekukhawuleziseni inkqubo ngxubevange iziqwenga. Olu phawu kungenxa yokuba ukusebenza ezonakele ukuhamba kwegazi lomzimba kakuhle nje kuphela kwayo esiqwini kwezihlunu, kodwa ekwakhiweni ithambo. Ukwanda igazi callus ikhuthaza fusion kwangoko ngamaqhekeza kunye inyama impiliso.

A isici esasenza izixhobo Ilizarov azifani yayo nsimbi. Ngenxa ukuguqulwa kunye nezixhobo ezongezelelweyo ezahlukeneyo, le ubuchule osteosynthesis ifumene isicelo liphela yezonyango mihla.

Ukunika ezikumgangatho ophezulu ukulungisa umlenze eyonakeleyo, Ilizarov izixhobo ukwenza ubuncinane (variable) iziqwenga bone diastasis kunye zomzimba ukukhuthaza ukukhula inyama. Olu phawu awavumelekanga ukuzisebenzisela hayi kuphela kunyango kwizaphuko, kodwa ngenxa ukufunyanwa kwezinye ukungaqheleki yokwakheka (kaninzi ngobude ezahlukeneyo amalungu omzimba).

yabasebenzi kakhulu and Ilizarov iqela lonke izazinzulu oogqirha abasebenza ekudaleni izixhobo, eziqulethwe wayila sidima, akukho analogue ukuza kuthi ga ngoku. Esi sixhobo ezininzi eziqhele ukusetyenziswa namhlanje, eli sebe lezamayeza njenge "trauma". Ilizarov izixhobo iye sathatha bonke ilungileyo enokusetyenziswa osteosynthesis.

Namhlanje, le ifowuni yakho ifumene iinguqulelo. Ngoko ke, oosonzululwazi baqhuba inani lezifundo luye lwabonisa ukuba iimpawu ukulungiswa kwefowuni kwindawo yokuqala ngenxa iiasi, kwaye sizimisele kuphela ukuqina yabo (ubukhulu kunye okuwisa ukusebenza kwi emakhonkcweni ukuzala), kodwa ke perekrestov ekujikeni. Kunye nokoma mkhulu awayezibona perekrestov wathetha kwi-engile degrees asithoba. Ukongeza, ukunciphisa izicwili kukwenzakala metaphyseal ithambo (ngokugqithisela iiasi) incam ezahlukeneyo (incula triquetrous okuyiyo) zadalwa. Ukuze kwandiswe kwiindawo umthwalo kunokwenzeka kwi izixhobo Ilizarov elingaphesheya iiasi ngqo nge inwebu ithambo sites ezithile zadalwa leyo ukwandisa izixhobo kumphezulu axhasayo. Ezo lugxile pad ngokusisiseko luphezulu kwinxalenye engundoqo ye iiasi. Indima kwamagqabi saliphosa unako ukwenza zonke iintlobo ilenze iiasi ngelotha kuyo kunye flattening le yokugqibela.

Uphando lwakutshanje wenze kube lula ukwenza izinto zokubamba-isale yayisoma okhethekileyo, ekhuthaza umsebenzi wethambo zokwenziwa.

Ukuza kuthi ga ngoku, izixhobo Ilizarov ezilungele Ukumiswa iziqwenga ithambo, mhlawumbi omnye kuphela yesixhobo yayo hlobo ukuze osteosynthesis percutaneous.