He aha te mea te taputapu Ilizarov?

I te tau 1951 i hanga e ia he tenenga hou i roto i traumatology, me orthopedics - taputapu Ilizarov. Ka rite ki taua he reira ki runga ki te wa nei, e kore kua kore atu tikanga o te wheua whētuki riro taua tohanga whānui rite te tenenga o Gavriil Abramovich Ilizarov.

kanohi Ilizarov taputapu e mowhiti whakarewa rua me rua o titi takirua. Mounted ki te wheua metaphyseal tari taputapu mā rīpeka waea whakarewa o diameter rerekē.

I roto i te rima tekau o te rau tau rua tekau, kua tamata maha aivanaa ki te hanga i tētahi pūrere mo osteosynthesis chreskostnogo, engari i whakapumautia kotahi anake - te taputapu Ilizarov. whakaitihia fifi tāutanga o te pūrere e mai wae tenei whakarato kounga immobilization o te alangá pakaru.

Whakarato mahi te kanohi o te rohe kafó (te whakaora tona whanau, me te tahi atu mahi), tenei tikanga whakaaetia ki te whakamahi i roto i te wā maimoatanga nga uaua o nga wahi e kore anake i tupono atu ake te tukanga o te whakanohonoho, engari arahina ano hoki ki te whakatere o te tukanga o te hononga o nga whatiwhatinga. Tēnei āhuatanga ko e tika ana ki te meka e te pai ake te mahi o te rere e alangá toto papaka i roto i ona kore anake kiko uaua, engari ano hoki ki te hanganga wheua. Nui haere supply toto callus whakatairanga hononga wawe o whatiwhatinga me whakaora kiko.

He āhuatanga motuhake o te taputapu Ilizarov ko tona rerenga kētanga me ringa rehe e. Nā ki ngā whakarerekētanga, me ngā pūrere atu, kua kitea tenei tikanga o te osteosynthesis whānui tono i roto i te mahi hauora hou.

Whakarato-kounga tiketike whakatika te alangá papaka, ki Ilizarov taputapu waihanga i tētahi iti (tāupe) whatiwhatinga diastasis wheua, me te kikokiko ki te whakaongaonga tipu kiko. Tēnei āhuatanga whakaaetia ki te whakamahi i te reira mo te maimoatanga o piere kore anake, engari ano hoki mo te ora o te tahi atu abnormalities kikokiko (te nuinga o maha ki te roa rerekē o wahi).

he pai nui mahi me Ilizarov rōpū katoa o pūtaiao me rata mahi i runga i te hanga taputapu, whakaurua ki roto ki te tenenga, kahore analogues ki te rā. Kei te tino whakamahia nuitia tenei pūrere tenei ra, i tenei peka o te rongoa rite te "whētuki". Kua riro Ilizarov taputapu te pai katoa e taea te whakamahi i roto i te osteosynthesis.

I teie mahana, kua riro tenei pūrere ētahi whakarerekētanga. Na, kua whakaaturia he maha o rangahau e nga āhuatanga whakatika o te pūrere i roto i te wahi tuatahi e tika ana ki nga tuara, a kua whakaritea e kore anake e ratou pakeke (diameter me te kaha kukume i runga i nga mowhiti whanau), engari ano hoki nga perekrestov koki pūtaiao whakahaere. Na ka korero te rigidity rahi kitea i roto i te perekrestov i te koki o iwa tekau nga nekehanga. I tua atu, ki te whakaiti i kiko wharanga metaphyseal wheua (na roto i te haere titi) matamata rerekē (tao triquetrous me ahuahu) i hanga. I roto i te tikanga ki te whakapiki ake i te kawenga taea i runga i te taputapu Ilizarov i nga wahi i te wahi o nga titi tika i roto i te kiko wheua i hanga pae tauwhāiti e whakanui i te tautoko pūrere mata. papa aki taua waiwai kei roto i te wahi pokapū o te titi. Ko te tūranga o te Pads aki e taea te mahi i katoa o koropiko e titi whakapiringa runga taua mea me te flattening o te muri.

hanga rangahau Modern kua reira taea ki te hanga i te titi-pani ki te paninga motuhake, e whakaihiihi ana te mahi o te wheua waihanga.

Ki te rā, he pai hoki repositioning wheua whatiwhatinga te taputapu Ilizarov, a pea anake nga tetahi o ona pūrere atawhai mō te osteosynthesis percutaneous.