Kuvhiya staple removeruye kushandiswa kwayo
Munda wehunyanzvi
[0001] chigadzirwa chiripo ndechemudziyo wekuvhiya wekuvhiya, kunyanya wemudziyo wekuburitsa tsono yakagadziriswa.
Background tekinoroji
[0002] masiruu esimbi anowanzo shandiswa kugadzirisa mapfupa.Muchiito chekiriniki, kugadzirisa kuputsika kunowanzoputsika (kutsvedza) zvipikiri.Kana zvipikiri zvakatyoka (kutsvedza) zvikaitika, kuvhiyiwa kunomanikidzwa kumira, uye iyo yese yekutyoka kugadzirisa kunofanirwa kutanga kubva pakutanga.Kubviswa kwezvipikiri zvakaputsika (kutsvedza) inyaya yakaoma kwazvo, iyo inotora nguva nesimba.Chishandiso chechinyakare chekubvisa zvipikiri zvakatyoka idenderedzwa saha, iyo isina kunaka yekubvisa zvipikiri, inotora nguva yakareba, uye ine kukuvara kukuru pabhonzo.Uyezve, zvipikiri zvinoda kubviswa mushure mokunge ndiro yesimbi yabviswa zvachose.Iyo yepakutanga pfupa gomba haigoni kushandiswa zvakare, uye ndiro yesimbi inoda kuendeswa kune imwe nzvimbo, iyo inounza kusagadzikana kukuru kumabasa ose, inowedzera njodzi ye iatrogenic re fracture, inowedzera nguva yekushanda, uye inokonzera kubuda ropa kuvarwere, The rate of postoperative chirwere chakawedzera.Mamwe ega ega akatyoka zvipikiri anodonhedza ane hurombo kuchinjika uye anotadza kuzadzisa chinangwa chekureruka nekumhanya.
Pfupiso yezvakagadzirwa
[0003] kuitira kuti akunde kukanganisa kwekushandiswa kusina kunaka kweiyo iripo yakaputsika mbambo yezvipikiri, chigadzirwa chemazuva ano chinopa orthopedic yakatyoka mbambo yekudhonza uye nzira yekushandisa kwayo.Iyo orthopedic yakatyoka mbambo inodonhedza haisi nyore nyore kuwana nemazvo, asi zvakare ine kukuvara kushoma kumuviri panguva yekubvisa.[0004] mhinduro yehunyanzvi yakagamuchirwa neyakagadzirwa ikozvino kugadzirisa dambudziko rehunyanzvi ndeiyi: orthopedic yakatyoka mbambo yezvipikiri, iyo inoratidzirwa ne: inoumbwa negwara rekuchera, dhiri uye screw extractor.Imwe magumo edhiraivha yedhiraivha mubato wekutungamira, uye imwe inoperera ine musoro wegwara wakaita fekitari.Chikamu chakachinjika chemusoro wegwaro chinopihwa gomba rekuisa chibooreso, uye chikamu chakarerekera chemusoro wegwaro chinopihwa pini yekumisikidza yekubatsira, Iyo mbambo yezvipikiri ine T-yakaita T, iyo yepamusoro yekupedzisira yembambo yekudhonza. tsvimbo yakashongedzerwa nechipikiri chekudhonza mubato perpendicular kwachiri, kumucheto kwezasi ndeye truncated conical sikuruu extractor shinda musoro, uye shinda yayo shinda reverse, kureva kuruboshwe-kurudyi.
[0005] pini yekumisikidza yekubatsira inoiswa weld uye inogadziriswa pamusoro wegwaro.
[0006] iyo yebetsero yekumisikidza tsono inosungirirwa neshinda nemusoro wegwara.
[0007] mubato wekudhonza mbambo uri muchimiro chemaoko, uye mubato wemubato wembambo unoiswa muruoko.
[0008] musoro weshinda weiyo truncated conical chipikiri chinodonhedza, kumucheto kwemberi kwemusoro weshinda idiki 0.5-1mm pane dhayamita yegomba rekuchera, iyo yekumashure inosvika 1-2mm yakakura kupfuura dhayamita yegomba rekuchera, uye kureba kweshinda ndeye 15-25mm.
[0009] nzira yekushandisa orthopedic yakatyoka chipikiri inodonhedza, iyo inoratidzirwa pakuti inonyanya kusanganisa anotevera matanho:
[0010] A. positioning: gadzirisa gomba rechibooreso nemusoro wembambo yakatyoka, uye gadzirisa gomba rekutungamira kuti rive mugwara rakafanana nechipikiri chakatyoka, [0011] B. kuboora: isa bhoo. yemagetsi kudhiraivha mugomba rekutungamira, tanga dhiraivha yemagetsi kuti uboore pachipikiri chakatyoka, uye kudzika kwakadzika ndiko [0012] C. kutora mbambo yakaputsika: isa screw head of screw nail extractor mugomba rekuchera, tenderera. screw chipikiri kuruboshwe, ndiko kuti, tenderedza sikuruwa chipikiri chinodonhedza pakatarisana newachi, uye shinda kuseri kwegomba rezvipikiri rakatyoka, Chinodhonza chipikiri chiri pedyo nepedyo nembambo yakatyoka.Sezvo shinda yescrew head yescrew nail extractor iri shinda yekuruboshwe yakatarisana neshinda yezvipikiri yakadambuka, chipikiri chakatyoka chinogona kupepetwa kubva mumuviri wemunhu panguva yekutenderedzwa nekuruboshwe, kureva kutenderedzwa kwewachi.
[0013] nzira yekushandisa yechigadzirwa chazvino ndeyekugadzirisa gomba regwara rekuchera nemusoro wembambo yakatsemuka, gadzirisa gomba rekutungamira kuti rive munzira imwechete sembambo yakatsemuka, isa dhiri remagetsi. dhiririra mugomba rekutungamira, tanga chibooreso chemagetsi kuboora chipikiri chakatyoka, wobva waisa screw head ye screw chipikiri mugomba rekuchenera kuruboshwe (counterclockwise) screw nail extractor.Seri kwegomba rembambo rakatyoka rakarukwa reverse, uye chinodhonza chipikiri chiri pedyo nepedyo nembambo yakatyoka, Sezvo shinda yescrew head ye screw nail extractor iri kuruboshwe kuruboshwe kwakatarisana neshinda yembambo yakadambuka. , mbambo yakaputsika inogona kuvharwa kunze kwemuviri wemunhu panguva yekuruboshwe-kutenderera (counterclockwise rotation).Sezvo iyo yekubatsira yakagadziriswa tsono yegwaro rekuchera yakabatana neinotungamira musoro neshinda, kureba kwayo kunogona kugadziriswa zvinoenderana nezvinodiwa zvenzvimbo yekuvhiya, uye kona yegomba rakagadziriswa gomba rinogona kugadziridzwa zviri nyore uye nenzira kwayo kuti ive nechokwadi chekuti. nzira yekuchera inopindirana nemutsara wepakati wembambo yakaputsika, kuitira kuti uderedze kukanganisa kwemuviri panguva yekubvisa mbambo uye kuderedza marwadzo omurwere.
[0014] mhedzisiro inobatsira yekugadzirwa kwazvino ndeyekuti chipikiri chakatyoka chinogona kuiswa zvakanaka, kudhirowa nekuburitswa kunze.Chiridzwa chinogona kunyatso gadzirisa kona yegomba rakagadziriswa gomba zvinoenderana nezvinodiwa zvenzvimbo yekuvhiya kuti ive nechokwadi chekuti nzira yekuchera inopindirana nepakati mutsara wembambo yakaputsika, kuderedza kukuvadzwa kwemuviri panguva yekutora chipikiri uye kuderedza. kurwadziwa kwemurwere.
Nguva yekutumira: Aug-29-2022
