Intambo ye-Kirschner (ebizwa nangokuthi i-K-wire) yinkambo encane noma ipini engasetshenziswa ukuzinzisa izingcezu zethambo . Lezi zingcingo zingafakwa ngethambo ukuze zibambe izingcezu ezikhona. Zingafakwa ngephambane (ngesikhumba) noma zingcwatshwe ngaphansi kwesikhumba.
Ama-K-wires afika ngobukhulu obuhlukahlukene, futhi njengoba ekhuphuka ngosayizi, aphenduka kancane kancane.
I-w-wires ijwayele ukusetshenziselwa ukuzinzisa ithambo ephukile bese isuswe ehhovisi uma ukuphuka sekuphulukisiwe. Izintambo zingasetshenziswa futhi ukusiza ukuvimbela ukunyakaza noma ukusekela ngaphandle kwecingo, nakuba lokho kungabenza kube nzima nakakhulu ukususa.
Ama-K-wires asetshenziselwa ukusetshenziselwa ngokujwayelekile lapho ukulandelana kwakuyindlela yokwelapha evamile ngezinhlobo ezithile zokuhlukana. Uma ukusetshenziselwa kusetshenziselwa, i-K-wire ivame ukungena emathanjeni ukuze inikeze ihange eliqinile emthanjeni, bese isisindo sidonsa ethangeni (ngokusebenzisa ucingo) ukudonsa umkhawulo ophukile ekuhloliseni.
Izinkinga Ngezikhonkwane
Kunezinkinga ezikhona ezihlobene nokusetshenziswa kwama-K-wires:
- Ukwelashwa : Indawo yokufakwa kwephini ingaba umthombo wokutheleleka ukungena emzimbeni. Uma ushiywe esikhumbeni, amabhaktheriya angakwazi ukuhamba eceleni kwepini bese ejula emzimbeni, mhlawumbe nasetheni. Ngenxa yalesi sizathu, iziguli ezinezintambo ze-K ezisele zidalulwe ngokuvamile ziyalwe ngamasu wokunakekelwa kwephini ukuvimbela ukutheleleka.
- Ukuqhekeka : Izikhonkwane zinganikeza ukulungiswa okuqinile kwesiphambano, kodwa izikhonkwane eziningi zilingana nobubanzi obukhulu futhi zingakwazi ukuphuka uma kunokunamandla okwanele ukusekela ithambo eliphukile.
- Ukuhamba kwe-Fracture : I-K-wires ngokuvamile inikeza ukulungiswa okuncane okunamandla kokuhlukana kunamanye amasu afana namacwecwe nezikuluvu, namathonga ensimbi. Ngakho-ke, ngezinye izikhathi kungenzeka ukuthi i-fracture ishintshe isikhundla sayo lapho kuphela izintambo ze-K ezisetshenziselwa ukulungiswa.
- Ukufuduka : Enye yezinkinga eziningi kakhulu ukuhamba kwamaphini. Ngenxa yalesi sizathu, ukunakekelwa ngokweqile kufanele kusetshenziswe ikakhulukazi uma usebenzisa ama-K-wesikhumba esifubeni noma endaweni yesisu. Kukhona imibiko yesikhala sokubeka ama-K-winshe emathanjeni azungeze ehlombe kuphela ukuthola ukuthi befuduka emasontweni amathumba noma ezinyangeni kamuva.
Ukususwa kwe-Pin
Ngokuvamile, i-K-wires isuswa isikhathi esithile ngemuva kokuba ithambo seliphulukile ngokwanele. Kukhona okungafani uma ucingo lungcwatshwe ngaphakathi ngaphakathi kwethambo, kodwa iningi lezikhonkwane lisuswa uma ukuphulukiswa sekuphelile (noma okungenani kuze kube lapho iphuzu eliphukile lizinzile). Izikhonkwane ezibushelelezi zingasuswa emahhovisi ngaphandle kwe-anesthesia ekhethekile. Ukususwa kwe-pin akufanele kubangele ukukhathazeka kakhulu kweziguli eziningi. Noma kunjalo, izikhonkwane ezingaphansi kwesikhumba, izinsimbi ze-K ezifakiwe, noma izikhonkwane ezingenakunzima ukususa zingase ziphume ekamelweni lokusebenza ngaphansi kobuchopho.
Futhi eyaziwa njenge: K-Wire