I-osteosynthesis ye-clavicle yindlela yokuxhuma amathambo awonakele. Kule ndlela yokwelapha isetshenziselwa ukwehlukana kwe-clavicle , ehambisana nokucindezela okuqinile kwesigxobo sezinzwa, ngokuhamba okuphawulekayo kweziqephu noma ngokusongelwa kwe-perforation yesikhumba.
Izici ze-osteosynthesis ye-clavicle
Eminyakeni yamuva, odokotela abaningi baye bashiya ama-graft noma ama-spokes ngesikhathi se-osteosynthesis ye-clavicle. Okuvame ukusetshenziswa:
- Isipikili se-Bogdanov sisetshenziselwa le nail-bolt ubude kusuka ku-8-12 cm. Isiguli sinikezwa i- anesthesia , izingcezu ze-clavicle zivezwe futhi emva kokuhlukaniswa kwazo imithi yokugcoba ihlanganiswe ne-drill okulingana nobubanzi be-nail-bolt. Ngomgodi ohlangothini olungaphambili lwesigatshana, i-nail ingeniswa esiteshini, i-debris ifaniswa, futhi i-bolt iyaqhubeka. Esikhathini sokuphela kwesiphambano sesilungiso sokulungisa ukufaka isikhuni kuze kube sekupheleni kwezingcezu phakathi kwabo.
- Ipule ekhethekile - le divayisi iqukethe ipulethi ende futhi emfushane, exhunywe yi-jumpers ezimbili. Zihlukaniswa ngehora elide ngokusebenzisa umgodi. Ngakho-ke, phakathi ne-osteosynthesis ye-clavicle ne-plate, kungenzeka ukuthi wenze ukubuka kwe-X-ray kokuhlanganiswa kwezingcola. Ukulungiswa okuhlangene kwenziwa ngaphansi kwe-anesthesia jikelele. Ukususwa kweplate emva kwe-osteosynthesis ye-clavicle kwenzeka ngemva kwamasonto amabili kuya kwangu-4.
Izimo ze-clavicle osteosynthesis
Lapho ukhetha izinkomba ezifanele kanye nokuhlinzwa okusemandleni, imiphumela ye-osteosynthesis ye-clavicle ne-nail noma ipuleti kaBegdanov ihlale ihle. Kodwa uma izikhonkwane ezimfushane kakhulu zisetshenzisiwe noma uma ziboshwe ngezinsimbi ezinzima kakhulu zamathambo omnkantsha, izingcezu zingase zingabi nakwanele ngokuqinile noma ukungabi nendawo okuyikho okumele kuqinisekiswe kuzoqinisekisa. Ngakho-ke, ubukhulu be-drill ne-pin kufanele kukhethwe ngokucophelela.
Nakuba emkhakheni wokufinyelela okuhlinzekwayo ekusebenzeni akuhambisani ne-sosudiki enkulu, kufanele uqaphele ukulimala kwemikhumbi etholakala ngaphansi kwe-clavicle. Uma behlukumezekile, kuzoba negazi eliyingozi.