I-Distal Clavicle yokuTshixa i-Clate yokuNxibelela

I-Distal Clavicle Locking Compression Plate (DCP) yindlela yokuhlinzwa esetyenziselwa ukunyanga iifractures okanye ezinye iingozi ze-distal end of clavicle (collarbone).Nantsi isishwankathelo sotyando:Uvavanyo lwaphambi kotyando: Phambi koqhaqho, isigulane siya kuvavanywa ngokucokisekileyo, kuqukwa novavanyo lomzimba, uphononongo lwemifanekiso (umzekelo, iiX-reyi, iiCT scan), kunye nophononongo lwembali yonyango.Isigqibo sokuqhubeka nomsebenzi we-DCP siya kuxhomekeka kubunzima kunye nendawo yokuphuka, impilo yonke yesigulane, kunye nezinye izinto.I-Anesthesia: Umsebenzi wenziwa ngokuqhelekileyo phantsi kwe-anesthesia jikelele, kodwa kwezinye iimeko, i-anesthesia yengingqi okanye i-anesthesia yendawo kunye ne-sedation. inokusetyenziswa.I-Incision: I-incision yenziwa ngaphaya kwesiphelo esikude se-clavicle ukuveza indawo yokuphuka.Ubude kunye nokuma kwe-incision kunokuhluka ngokuxhomekeka kukhetho logqirha kunye nephethini ethile yokuphuka.Ukunciphisa kunye nokulungiswa: Iziphelo eziqhekekileyo ze-clavicle zilungelelaniswa ngononophelo (zincitshiswe) kwindawo yazo efanelekileyo ye-anatomical.Isixhobo se-DCP emva koko sisetyenziswe kwi-clavicle ngokusebenzisa izikrufu kunye neendlela zokutshixa ukuzinzisa ukuphuka.Izikrufu zokutshixa zibonelela ngokulungiswa okuphuculweyo ngokukhusela ipleyiti kunye nethambo kunye.5.Ukuvalwa: Emva kokuba i-DCP igxininiswe ngokukhuselekileyo endaweni, i-incision ivalwe ngokusebenzisa i-sutures okanye i-staples yokuhlinzwa.Kusetyenziswa ukunxitywa okungenazintsholongwane phezu kwenxeba.Ukhathalelo lwasemva kotyando: Emva kotyando, isigulane sijongwa ngononophelo kwindawo yokuchacha ngaphambi kokuba sidluliselwe kwigumbi lasesibhedlele okanye sikhutshwe ekhaya.Amayeza eentlungu kunye ne-antibiotics inokumiselwa ukulawula intlungu kunye nokuthintela usulelo.Unyango lomzimba kunye nokuzivocavoca umzimba kunokucetyiswa ukuba ubuyisele uluhlu lwentshukumo kunye namandla kwi-joint joint.Kubalulekile ukuba uqaphele ukuba iinkcukacha ezithile zokusebenza zingahluka ngokuxhomekeka kwimeko yesigulane kunye nokukhethwa kogqirha.Ugqirha uya kuxubusha inkqubo, imingcipheko, kunye neziphumo ezilindelekileyo ngokweenkcukacha kunye nesigulane ngaphambi kokuqhubeka nokusebenza.