Ke eng Ilizarov sethusathuto?

Ka 1951 o ne a ile a bōpa e qaptjoa Revolutionary ka traumatology le malwetse a - Ilizarov sethusathuto. E le joalo ho ke ke ho fihlela ho hona joale, ha ho na mokhoa tse ling tsa ho sithabela lesapo ha e fumaneng joalo lohle ajoa ka ho qaptjoa mechine ea Gavriil Abramovich Ilizarov.

sethusathuto Ilizarov e emeloang ke masale tšepe tse peli le lipara tse peli ya spokes. Mounted ho sesebelisoa lefapha metaphyseal lesapo dessyecik intersecting tšepe lithapo tsa bophara fapaneng.

Ka mashome a mahlano ea lekholo la mashome a mabeli, bo-rasaense ba bangata ba ile ba leka ho bōpa e sesebediswa bakeng osteosynthesis chreskostnogo, empa ho ile ha thehoa 'ngoe feela - ka Ilizarov sethusathuto. Mathata a hlongoa sesebediswa e fokotsa ho tloha unit trust ena e fana ka boleng immobilization ba leoto senyehileng.

Ho Fana ka leeme tshebetsong ya sebaka lemetseng (tsosolosa behang hae le mesebetsi e meng), mokhoa ona o ile a lumella ho sebelisa nakong kalafo le mesifa ea maoto le matsoho le hore, e seng feela sped fihlela tshebetso ya ho tsosoloso, empa hape lebisa ho matsapa ya tshebetso ya ho logan ea likhechana. Tsobotsi ena ke lebaka la hore tshebetso ya senyehileng phallo leoto mali e ntlafetse, eseng feela ka lona mesifa dinama tse nyenyane tse, empa hape hore ho thehoe masapo. Eketseha phepelo ea mali callus khothalletsa logan ea pele ea likhechana le dinama tse nyenyane tse ho folisa.

A tšobotsi e khethehileng ea sethusathuto le Ilizarov ke mefuta-futa ea eona le versatility. Ka lebaka diphetolo le lisebelisoa tse eketsehileng tse sa tšoaneng, mokhoa ona oa osteosynthesis o fumane kopo lohle ikatisetsa morao-rao tsa bongaka.

Ho fana ka boleng bo phahameng ho lokisa le leoto senyehileng, Ilizarov sethusathuto ho bopa bonyane (polygonal) diastasis lesapo likhechana le dinama tse nyenyane tse ho susumelletsa kgolo ya dinama tse nyenyane tse. Tsobotsi ena lumelloa ho sebelisa eseng feela bakeng sa ho phekola fractures, empa le bakeng sa tsa ho hlaphoheloa ea tsela e sa tloaelehang tse ling anatomical (hangata ka ho fetisisa ka bolelele e fapaneng ya maoto le matsoho).

mosebetsi o boima haholo le Ilizarov kakaretso sehlopha sa bo-rasaense le lingaka ho sebetsa ka ho bōpa sethusathuto, akarelelitsoeng ho ka qaptjoa ke babatsehang, ha ho na analogues ho letsatsi. sesebediswa sena se ho fetisisa e atisa ho sebelisoa kajeno, ea lekala ena ea phekolo e le "ho sithabela". Ilizarov sethusathuto e ananelang tsohle ho fetisisa e neng e ka sebelisoa ka osteosynthesis.

Kajeno, sesebediswa sena o ba amohetse ba bang ba diphetolo. Ho joalo, bo-rasaense ba khanna 'maloa tsa lithuto tsa li bontšitse hore ho lokisa sepeiti litšobotsi tsa sesebediswa le sebaka sa pele ka lebaka la ho spokes ea,' me ba ikemiselitse hore ba se feela ka ho satalla bona (bophara le hula a ba qobelle ho behang masale), empa e boetse e perekrestov le hlaha ka lehlakoreng le. Le se tenyetsehe moholo ka ho fetisisa o ile a re ka perekrestov buile a sa le hlaha ka lehlakoreng le ya likhato mashome a robong. Ho phaella moo, ho fokotsa ntsa kotsi metaphyseal lesapo dinama tse nyenyane tse (ka ho fetisa spokes) keletso fapaneng (triquetrous le bopehileng lerumo) tsa bōptjoa. E le hore ho eketsa mojaro khoneha ka sethusathuto le Ilizarov a leng libakeng tsa feta ha spokes ea ka ho toba ka ho lesapo dinama tse nyenyane tse libaka e itseng li ile tsa bōptjoa eo eketsa tšehetsa disebedisweng tse holim'a. Joalo sebaka qheletseng ha e le hantle sebakeng karolo e bohareng ea spokes ea. Karolo e phethoang ke mekatelo sepheo ka etsa batho ba mefuta eohle twists spokes kulo ka e le flattening ea bobeli.

lipatlisiso tsa kajeno e etsa hore ho khonehe ho bopa spokes-a tlotsitsoeng ka barbotage khethehileng, e leng di hlohleletsago mosebetsi oa lesapo a maiketsetso a.

Ho fihlela joale, ho Ilizarov sethusathuto ke loketseng bakeng sa ho repositioning likhechana lesapo, 'me mohlomong e le' ngoe feela ea sesebediswa lona mosa bakeng sa osteosynthesis percutaneous.