Kujongwe ukuba kusetyenziswe ukunyanzeliswa kwezicubu, kubandakanywa i-ligament okanye i-tendon kwithambo, okanye ithambo / i-tendon ukuya kwithambo.Ukulungiswa kokuphazamiseka kuyafaneleka utyando lwamadolo, ihlombe, i-elbow, i-ankle, unyawo, kunye nesandla / isandla apho ubukhulu obunikezelwayo bufanelekile.
I-screw kunye ne-sheath system isetyenziswa ngokuqhelekileyo kwi-orthopedic utyando kwizicelo ezahlukeneyo, ezifana nokulungiswa kwamathambo okanye ukulungiswa kwe-ligament. Nantsi inkcazo jikelele yokusebenza kwe-screw kunye ne-sheath system:Ukucwangciswa kwangaphambili: Ugqirha uya kuvavanya imeko yesigulane, ahlolisise umfanekiso wezonyango (njenge-X-rays okanye i-MRI scans), kwaye anqume ubungakanani obufanelekileyo kunye nohlobo lwezikrufu kunye neeshethi ezifunekayo kwinkqubo. Ukusika kunye nokuvezwa: Ugqirha uya kwenza isiko kwindawo yotyando ukufikelela kwindawo echaphazelekayo yotyando. Izicubu ezithambileyo, izihlunu, kunye nezinye izakhiwo zihanjiswe ngokucokisekileyo ecaleni okanye zihoxiswe ukuze ziveze ithambo okanye i-ligament efuna ukulungiswa.Imingxuma yomqhubi we-Drilling: Ukusebenzisa i-drills ekhethekileyo yokuhlinzwa, ugqirha uya kudala ngokucophelela imingxuma yomqhubi kwithambo ukuze kuhlaliswe izikrini. Le mingxuma yokulinga iqinisekisa ukubekwa ngokufanelekileyo kunye nokuzinza kwezikrufu. Isebenza njengesikhokelo, ukukhusela izicubu ezithambileyo ezijikelezileyo kunye nokuvumela ukubekwa okuchanekileyo kwe-screw.Ukubekwa kwe-Screw: I-screw, ngokuqhelekileyo yenziwe nge-titanium okanye insimbi engenasici, ifakwe kwi-sheath kunye nomngxuma wokulinga. Isikrufu sifakwe imisonto kwaye sinokuqiniselwa ukulungisa ithambo okanye ukudibanisa iziqwenga ezibini zethambo kunye.Ukukhusela isikrufu: Sakuba isikrufu sifakwe ngokupheleleyo, ugqirha unokusebenzisa i-screwdriver okanye ezinye izixhobo ezifanelekileyo ukukhusela isikrufu kwindawo yaso yokugqibela. Oku kunokubandakanya ukuqinisa isikhonkwane ukufezekisa ukunyanzeliswa okufunayo okanye ukuzinzisa.Ukuvalwa: Emva kokuba i-screw kunye ne-sheath zibekwe ngokufanelekileyo kwaye zikhuselekile, ugqirha uya kuvala i-incision usebenzisa i-sutures okanye i-staples. Inxeba ke licocwe kwaye linxitywe.Kubalulekile ukuqaphela ukuba isikrufu kunye nokusebenza kwenkqubo yesheath kunokwahluka ngokuxhomekeke kwinkqubo ethile kunye nendawo ye-anatomical ebandakanyekayo. Ubungcali bogqirha wotyando namava ayimfuneko ekuqinisekiseni indawo echanekileyo kunye neziphumo ezizezona zilungileyo.