Ilizarov apparatus, ntau mistakenly hu ua 'tshuab Elizarova'

Ilizarov apparatus (ib co hu nws "tus ntaus ntawv Elizarova") rau ib ntev lub sij hawm thiab yog dav siv nyob rau hauv traumatology. Nyob rau hauv no tsab xov xwm, peb yuav kub siab rau dab tsi yog qhov Ilizarov apparatus thiab thaum muaj. Yuav ua li cas yuav tu nws thiab ua li cas mob yuav tshwm sim thaum uas siv cov qauv.

Ilizarov apparatus, ntau hais "Elizarova apparatus" yog dab tsi no?

Tus ntaus ntawv yog invented nyob rau hauv 1953 los ntawm ib tug zoo kawg paub txog, ib tug kws kho mob Ilizarov. Txij thaum ntawd los, ua tsaug rau qhov no discovery, pib lwm era nyob rau hauv orthopedics thiab traumatology.

Ilizarov apparatus - ib tug compression-distraction tsim npaj rau kev kho ntev pob txha lov thaum lawv fittings thiab distraction (elongation) los yog compression (compression).

Lub apparatus yog ib tug kev tsheb nqaj hlau qauv muaj rings. Cov tsau spokes uas dai los ntawm cov pob txha ntawm ib kaum ntawm 90 degrees. Lub rings sib thooj, los ntawm txoj kev tshwj xeeb rods, uas yuav tau kho cov yuav tsum tau elongation los yog contraction ntawm lub limb.

destiny

Ilizarov apparatus (cov "ntaus ntawv Elizarova") yog ntawm kuj zoo kawg siv nyob rau hauv ntau qhov chaw ntawm niaj hnub tshuaj:

- nyob rau hauv orthopedics - mus tshem tawm cov ntau yam Acquired los yog congenital tsis xws luag, pob txha shortening thiab povtseg deformation puas txim (cuav pob qij txha raug fused lov thiab lwm yam tsis xws luag);

- nyob rau hauv traumatology - splicing complex thiab qhib pob txha lov;

- nyob rau hauv Me nyuam yaus Orthopedics - nyob rau hauv mauj skeletal deformations (txoj kev loj hlob nce), leveling ob txhais ceg ntawm txawv lengths;

- nyob rau hauv zoo nkauj phais - mus kom txoj kev loj hlob los ntawm lengthening lub ncej puab thiab drumsticks, ob txhais ceg pov tseg ntawm curvature.

Daim ntawv thov ntawm cov pob txha lov

Ilizarov apparatus (los yog "Elizarova apparatus"), tab sis nws muaj ib tug ncaj yooj yim tsim, tab sis nws tsuas yog irreplaceable nyob rau hauv cov kev kho mob ntawm ntau cov neeg. Daim ntawv thov kev tsim kho mob tau pab ntau nyob rau hauv lub accretion ntawm complex cov pob txha lov, wires deformed cov pob txha, leveling ko taw.

Thaum kho tej puas tsim yog nyob rau hauv extremity ntawm tsawg kawg yog ob lub hlis. Tom qab ob lub lis piam rau cov cov povtseg yuav tsum tau muab tag nrho cov tau load. Piv txwv li, thaum ib tug tawg ceg tus neeg mob yuav taug kev heev feem ntau, nrog ib tug tawg caj npab - mus muab tej yam yooj yim.

ua

Tu ntawm tus tsim yuav pab tsis txhob muaj ntau teeb meem thiab yuav cuam tshuam rau kev vam meej txog txoj kev kho cov txheej txheem. Yog hais tias lub Ilizarov apparatus (erroneously hu ua "apparatus Elizarova ") nyob rau hauv tes, nws tseem tau mus rau lub hnav khaub ncaws mus rau ib tug hauv zos lub tsev kho mob. Ntau npaum li cas tsis yooj yim mus kawm ib lub chaw kho mob nrog ib tug tawg ceg. Nyob rau hauv cov ntaub ntawv no, nws tseem tau mus ua qhov tsim nyog kho mob nyob rau hauv tsev los ntawm koj tus kheej.

Feem ntau xav tau txhua txhua hnub kev kho mob spokes. Spitz yog ib txwm ib tug txawm tooj, mus txog 12 units, ntsig txog, mus txog rau 24 outputs. Txhua tso zis yuav tsum daws cov spokes 50% cawv tov (ntshiab haus cawv, diluted nyob rau hauv ib nrab nrog distilled dej) los yog cov pa vodka zoo zoo.

Txheej txheem yuav tsum tsis txhob tsuas nyob ib sab mus rau lub Tau qhov chaw, tab sis kuj rau tag nrho cov koob kiag li. Tom qab qhov kev nyob rau hauv qhov chaw ntawm lub qhov zis spokes superimposed gauze daim ntaub, wetted nrog ib tug daws ntawm dej cawv los yog chlorhexidine.

siv cov teeb meem

Yeej, teeb meem tshwm sim thaum uas ib tug neeg muaj mob povtseg pib tsav ib tug load. Feem ntau cov feem ntau teeb meem tshwm sim thaum uas ib tug tawg ceg thaum tus neeg mob pib taug kev, kub lug nqaij mos nyob rau hauv lub cheeb tsam ntawm lub spokes. Nws hais kab mob. Nws yog ib qho tseem ceeb kom tsis txhob khiav ib yam tab kaum.

Nyob rau hauv cov kev tshwm sim ntawm lub spokes nyob ib ncig ntawm lub qog, lossis puas liab liab, mob, purulent kua yog tsim nyog los muab txim rau lub cheeb tsam ntawm o daim ntaub soaked nyob rau hauv Dimexidum tshuaj diluted nyob rau hauv ib nrab nrog distilled dej. Muaj ib txoj kev - los ntawm txoj kev ntawm ib tug hypertonic tshuaj (sodium chloride 10%), uas yuav tsum tau rau moisten cov ntaub thiab kom nyob ib ncig ntawm inflammatory. Hypertonic tshuaj yuav pab txo tau o, rub lub kua paug. Thaum teeb meem tsa tshuaj tua kab mob nrog rau hauv zos ntaub qhwv.

tom qab tshem tawm cov

Tom qab lub Ilizarov apparatus (erroneously - "Elizarova apparatus") yuav tau txhaj rau ntawm qhov chaw tso me me qhov txhab nyob twj ywm spokes. Lawv yuav tsum tau kho nrog tua kab mob cov neeg ua hauj mus ua kom tiav zoo. Ob peb hnub tom qab lub qhov txhab nruj, thiab rau qhov raug mob ceg zaws yuav tsum muaj ntaub ntawv nrog rau kev siv tshuaj pleev thiab cream kev tshem tawm cov edema (Lioton, Troxevasin, Troxerutin thiab lwm tus).