I-IM Rod nama-Nails asetshenziselwa ukuhlukunyezwa kwe-Bone
Izintambo ze-Intramedullary (IM) zisetshenziselwa ukuvumelanisa nokuqiniswa kwezinhlanzi. Izinduku ze-IM zifakwe emngceleni wamathambo emkhathini phakathi kwamathambo amade omkhawulo. Zingase zisetshenziswe ku- femur (ithambo lesithambo) noma i- tibia (ithambo lesifuba), isibonelo. Zibizwa nangokuthi izipikili ze-intramedullary.
Enye yezinzuzo eziphawulekayo ze-IM izindinganiso ngaphezu kwezinye izindlela zokulungisa ukuphulwa yilapho ama-rod we-IM abelana ngomthwalo ngethambo, kunokuba asekele ngokuphelele ithambo.
Ngenxa yalokhu, iziguli zikwazi ukusebenzisa umkhawulo ngokushesha.
Izinduku ze-IM azikwazi ukusetshenziselwa zonke izifucu, futhi zivame ukukhononda okuhambisanayo nobuhlungu nezinye izimpawu esiteshini i-IM izinduku zifakiwe. Ngenxa yalesi sizathu, ukuhlinzwa kwesibili kungadingeka ukususa idivayisi ye-IM uma unempawu ezibuhlungu. Uma kungenjalo, intambo ye-IM iklanyelwe ukuhlala ngaphakathi kwethambo lakho kuze kube phakade.
I-Bone Healing ne-Intramedullary Rods
Kubalulekile ukuqaphela ukuthi lezi zinhlobo zezimpilisi aziphuthuli kakhulu ukuphulukiswa kwethambo futhi azithathi indawo yokuphulukisa amathambo. Noma yikuphi ukufakelwa kwensimbi okusetshenziselwa ukuzinza ukuhlukana kwenzelwe ukubamba ukuhlukana kokulungiswa okulungile ngenkathi inqubo yokuphulukisa evamile kwenzeka.
Ngenkathi ukuphulukiswa kwamathambo kungase kungasheshisi, ezinye izindonga ze-IM zenzelwe ukuba namandla anele ukuthwala umthwalo womzimba, yingakho abantu bengakwazi ukubeka isisindo ekupheleni kwesikhathi kunokuba ngabe kufanele ulinde ukuphulukiswa okuphelele kwethambo .
Ukusetshenziswa kwe-Intramedullary Rods
Ukuqhekeka kwe-femoral shaft (iphukile ethangeni lesifuba) kuvame ukuphathwa nge-intramedullary nailing. Ngokuvamile, induku yenziwa nge-titanium futhi ifika ngobude obuhlukene namadayimitha ukulingana neziguli zonyaka nobude obuhlukile. Ukucubungula okuncane kwenziwa kwenzani noma emadolweni kanye nenduku ifakwe emgodini womnkantsha.
Izikrini zisetshenziselwa ukuyibeka esimweni ngasinye ekugcineni.
I-Shinbone fractures nayo ivame ukuphathwa nge-intramedullary nailing. Ufakwe emgodini womnyobho we-tibia ovela emadolweni, uwela endaweni yokuphuka ukulungiswa ubude obugcwele. Izikrini zifakwa kuzo zombili iziphetho ukuze zihlale zikhona ngesikhathi sokuphulukiswa. Induku iqinisekisa ukuthi isikhundla sizogcinwa kangcono kunokusebenzisa nje ukulungiswa noma ukulungiswa kwangaphandle. Kodwa-ke, lokhu kuvame ukugwema ezinganeni ngoba induku yayizowela amapulangwe okukhula kwethambo futhi ingaba nethonya ebude bomlenze.
Izintambo ze-intramedullary nazo zingasetshenziswa ezimweni zesifo se-metastatic bone emdlalweni wokulungisa nokusekela ithambo ngemva kokususwa kwe-tumor. Lokhu kungenziwa ngamathambo asengozini yokuphulwa.
Esikhathini se-genetic disorder osteogenesis imperfecta, noma isifo se-bone esibulalayo, ukuhlinza ngenduku kungasetshenziselwa ukuvimbela ukuqhuma nokubola okuqhubekayo kwamathambo ende. Izindinganiso ze-telescoping zingasetshenziselwa izingane ezikhulayo. Ziyanda njengoba ithambo likhula.
> Imithombo:
> Femur Shaft Fractures (Broken Thighbone). I-American Academy Yabahlinzeki Bama-Orthopedic. http://orthoinfo.aaos.org/PDFs/A00521.pdf.
> I-Metastatic Bone Bone. I-American Academy Yabahlinzeki Bama-Orthopedic. http://orthoinfo.aaos.org/PDFs/A00093.pdf.
> Ukuguqulwa kwe-Rodding. I-Osteogenesis Imperfecta Foundation. http://www.oif.org/site/DocServer/Fact_Sheet_Rodding_Surgery.pdf?docID=17867.
> Tibia (Shinbone) I-Shaft Fractures. I-American Academy Yabahlinzeki Bama-Orthopedic. http://orthoinfo.aaos.org/PDFs/A00522.pdf.