Mene ne Ilizarov na'ura?

A shekarar 1951 ne ya halicce wani sauyi da sabuwar dabara a traumatology da orthopedics - Ilizarov na'ura. Kamar yadda irin wannan shi ne har zuwa yanzu lokaci, babu sauran hanyar da kashi rauni bai samu irin wannan m wurare dabam dabam a matsayin sabuwar dabara na Gavriil Abramovich Ilizarov.

Ilizarov na'ura da aka wakilta biyu karfe zobba da kuma nau'i-nau'i biyu na spokes. Saka wa kayan aiki sashen metaphyseal kashi via intersecting karfe wayoyi na daban-daban diamita.

A hamsin na karni na ashirin, masana kimiyya da dama sun yi kokarin haifar da na'urar for osteosynthesis chreskostnogo, amma da aka kafa daya kawai - da Ilizarov na'ura. Matsalolin shigarwa na na'ura da aka rage girmanta tun da wannan na'ura na samar da ingancin immobilization na lalace reshe.

Samar da m aiki na da suka ji rauni area (tanadi da hali da kuma sauran ayyuka), wannan dabara da damar amfani da lokacin da magani lokaci tsokoki na wata gabar jiki da cewa ba kawai sped sama da tsari na fi, amma kuma ya haifar da hanzari na aiwatar da Fusion na da wani ɓaɓɓake. Wannan yanayin ne saboda gaskiyar cewa aiki na lalace reshe jini ya kwarara da aka inganta ba kawai a cikin tsoka nama, amma kuma zuwa kashi samuwar. Karuwan jinin samar callus inganta farkon Fusion na da wani ɓaɓɓake da nama waraka.

A rarrabe da Ilizarov inji shi ne ta bambancin da versatility. Saboda daban-daban gyare-gyare da kuma ƙarin na'urorin, wannan dabara na osteosynthesis ya sami fadi da aikace-aikace a cikin zamani likita yi.

Samar da high quality-kayyade da lalace reshe, Ilizarov na'ura don ƙirƙirar wani m (m) diastasis kashi, niƙaƙƙun gaɓãɓuwa da kuma nama a ta da nama girma. Wannan yanayin damar amfani da ita ba kawai domin lura da samu karaya, amma kuma ga dawo da wasu daga ilimin Halittar Jiki munanan (mafi sau da yawa tare da daban-daban tsawon wata gabar jiki).

Babban aiki da kuma Ilizarov dukan rukuni na masana kimiyya da kuma likitoci aiki a kan samar da inji, aiwatuwa a cikin sabuwar dabara ne m, babu analogues to date. Wannan na'urar da aka fi amfani da yau, wannan reshe na magani a matsayin "rauni". Ilizarov inji ta tunawa duk mafi kyau da za a iya amfani da a osteosynthesis.

Yau, wannan na'urar ta samu wasu gyare-gyare. Saboda haka, masana kimiyya gudanar da wani yawan karatu sun nuna cewa kayyade halaye na na'urar da fari saboda da spokes, kuma suna m ba kawai ta hanyar da stiffness (diamita da kuma ja da karfi a kan hali zobba), amma kuma da kwana perekrestov. Kuma mafi girma rigidity lura a perekrestov yi magana a wani kwana na casa'in digiri. Bugu da kari, don rage rauni metaphyseal kashi nama (ta wucewa spokes) daban-daban tip (triquetrous da siffa mashi) aka halicce su. Domin ya kara da yiwu load a kan Ilizarov na'ura a wuraren da nassi na magana da yawun kai tsaye ta hanyar da kashi nama takamaiman shafukan da aka halitta da kara goyon bayan surface na'urorin. Irin wannan dirka kushin m located a cikin tsakiyar rabo daga spokes. Da muhimmancin da dirka gammaye iya yin dukan twists spokes soldering a kan shi da kuma flattening na karshen.

Modern bincike ya sanya shi yiwuwa a ƙirƙirar spokes-mai rufi da musamman shafi, wanda stimulates na ayyuka na roba kashi.

A ranar, da Ilizarov inji shi ne manufa domin repositioning kashi da wani ɓaɓɓake, da kuma watakila daya kawai na irin na'urar for percutaneous osteosynthesis.