Chiyambi cha mafupa ndi malingaliro a sutures
The sutures angagwiritsidwe ntchito mmenemo mulingo wa mafupa
Nthawi yovuta ya machiritso a bala
Khungu
- Khungu labwino komanso kukongola kwapambuyo pa opaleshoni ndizofunikira kwambiri.
-Pali chipwirikiti chochuluka pakati pa kutuluka kwa magazi pambuyo pa opaleshoni ndi khungu, ndipo sutures ndi yaying'ono komanso yaying'ono.
● malingaliro:
Ma sutures osayamwa opangira opaleshoni:
WEGO-Polypropylene - yosalala, kuwonongeka kochepa P33243-75
Ma sutures opangira opaleshoni:
WEGO-PGA -Simuyenera kutenga ma sutures, kufupikitsa nthawi yogonekedwa m'chipatala,Kuchepetsa chiopsezo chotenga matenda. G33243
Minofu ya subcutaneous
-Kuchepetsa mwayi wakufa ndi matenda, zabwino komanso zamphamvu ndiye njira yabwino kwambiri yochepetsera kusweka kwa khungu.
-Nthawi zambiri zimachitika pamene suture yachilendo thupi anachita kumabweretsa matenda ndi xenogenous cysts.
Tumizani: Ma suture opangira opaleshoni -2/0 WEGO-PGA ma sutures opangira opaleshoni (Taper point)G21402-75,G21372-75
Fascia, Minofu wosanjikiza
-Fascia-Mchimake wandiweyani wa minofu, umaphimba pamwamba pa minofu. Itha kuchira 40 peresenti ya zovutazo m'miyezi iwiri, Kupanikizika kwakukulu kwa miyezi 12.
Koma sichingabwererenso kupsinjika kwake koyamba.
-Minofu-yowundana ndi ulusi.
- Ma sutures othamanga kwambiri amayenera kugwiritsidwa ntchito popereka chithandizo champhamvu chomwe chikufunika panthawiyi
nthawi yovuta ya machiritso a chilonda.
Mulimbikitseni:
Ma suture opangira opaleshoni -2/0 WEGO-PGA ma sutures opangira opaleshoni (Taper point)G21402-75,G21372-75
Zofunikira zofunika za mafupa ndi suture
• Mgwirizano: Zochita ndi zamphamvu, zimafuna kukangana kwakukulu.
• Mafuta a subcutaneous
- Malo owonda (mwachitsanzo. Ulna olecranon, patellar)Osakhudza mfundo pambuyo pa opaleshoni.
- Malo okhuthala (mwachitsanzo. Hip)Osadula bungwe mu suturing, Pewani kutulutsa mafuta.
- Mafuta a subcutaneous amatha kutenga matenda.
Kusakwanira kwa magazi
• Kusakhazikika kwa bungwe,Sikoyenera kukhala wolondola,Tissue ndi
zofewa komanso zosavuta kung'ambika .
• Kukokera kwambiri, kudula magetsi, Mosavuta liquefied.
• Mafuta amakhala ochuluka m'madzi, Ulusi wa silika ndiwotheka kuswana mabakiteriya.
Tendoni
• Kuphulika kwamtundu: nthawi ya machiritso ya kukonzanso kwa tendon ndi yaitali. Gawo loyamba liyenera kuchita masewera olimbitsa thupi. Ngati vuto la ulusi ndi
osakwanira, kuthyoka kumachitika ndipo ntchitoyo iyenera kuchitidwanso.
• Kutsekemera kwa tendon: pambuyo pa kuvulala kwa tendon kapena opaleshoni, nthawi zambiri kumamatira ndi minofu yozungulira, kutsekemera kwa tendon, kuwala kumakhudza kutsetsereka kwa tendon, ndipo opaleshoni yokonza tendon inalephera.
• Kwa ma sutures: 1. Kukanika kwamphamvu
• 2. Zovala zosalala ndi zowonongeka zazing'ono
• Suture ya polypropylene yovomerezeka: 2/0-5/0 (pini yozungulira mutu wapawiri)
Nervus vascularis
•Za stitches:
• 1. Zovala zosalala ndi kuwonongeka kwa minofu yaying'ono
• 2. Kukanika kwa kusokera kumakhala kokhazikika ndipo sikungaswe mzere.
• 3. Thandizo losatha
• Mitutu yovomerezeka:
• Mitsempha yamagazi -- WEGO-polypropylene kusoka ulusi 6/0-10/0
• Mitsempha - WEGO-polypropylene kusoka ulusi 8/0– 10/0
M'chiuno m'malo
Mulingo wosoka umachokera mkati kupita kunja
1.Joint capsule: postoperatively, kufunika kochita masewera olimbitsa thupi koyambirira kumafuna nsonga zazikulu; Ndikofunikira kutseka cholumikizira ndikuletsa kuti pabowo lisagwirizane ndi kunja, zomwe zimayambitsa matenda (WEGO-PGA).
2. Gulu la minofu yozungulira kunja kuti muteteze postdislocation: 1 # (WEGO-PGA anti-angle singano) ikufunika
3. Minofu fascia: imafuna kupsinjika kwakukulu (WEGO-PGA)
4. Mafuta a subcutaneous: mafuta a matako ndi ochuluka, suture sadula bungwe. Suture wosanjikiza, kuwonongedwa kwa zibowo zakufa (WEGO-PGA)
5. Khungu: matenda apakhungu owoneka bwino amathanso kuyambitsa matenda akuya, zomwe zimapangitsa kulephera kwa opaleshoni (WEGO-PGA)