ACPS Anterior Cervical Plates
Zizindikiro
Chophimba cha khomo lachiberekero ndi mankhwala opangidwa ndi mankhwala omwe amagwiritsidwa ntchito panthawi ya zida za msana ndi njira zophatikizira kuti khosi likhale lokhazikika.Mitsempha ya khomo lachiberekero imakulitsa kuchuluka kwa kuphatikizika ndipo, nthawi zina, imatha kuchepetsa kufunikira kwa kulimba kwakunja pambuyo pa opaleshoni.
Zizindikiro za opaleshoni zimaphatikizapo kupweteka kosalekeza, kuperewera kwa ubongo kwapang'onopang'ono, ndi kupanikizana kolembedwa kwa mizu ya minyewa kapena msana zomwe zimatsogolera ku zizindikiro zowonjezereka.Kuchita opaleshoni sikunatsimikizidwe kuti kumathandiza kupweteka kwa khosi ndi / kapena kupweteka kwa suboccipital.
Zamalonda Ubwino
Anterior Cervical Plate
●Mapangidwe a groove pakati pa mzere wa mzere
●Zenera lalikulu la kumezanitsa mafupa kuti muwone mosavuta kumezanitsa mafupa
●Chipinda chachitsulo chokhotakhota chisanakhale, chogwirizana ndi kupindika kwa thupi la msana wa khomo lachiberekero
●Mapangidwe otsika otsika, makulidwe 2.2mm
Anterior Cervical Screw
●Zomangira tokha kuti muchepetse kugwiritsa ntchito matepi a waya
●Kusiyanitsa zomangira ndi mtundu, mwamsanga kusiyanitsa awiri ndi mtundu
●Zomangira zokhazikika ndi zomangira zosinthika zimagwiritsidwa ntchito palimodzi pazowonetsa zosiyanasiyana
Malangizo Achipatala
The zikuchokera khomo lachiberekero msana
Mitsempha ya khomo lachiberekero ndi chigaza zimapanga mgwirizano wa occipital-khomo lachiberekero, ndi physiological lordosis, logawidwa kukhala pamwamba pa khomo lachiberekero (C1, C2) ndi pansi pa khomo lachiberekero (C3-C7)
Mbiri yachitukuko cha ACPS
Mu 1964, Bohler adanena za mlandu woyamba wa khomo lachiberekero kugwiritsa ntchito zomangira zomangira pochiza zosweka za msana.
M'zaka za m'ma 70s m'zaka za m'ma 1900, Orzco ndi Tapies anagwiritsa ntchito mbale ya AO yachidule ya H-gawo lachidule la AO kukonzanso khomo lachiberekero.
Mu 1986, Morsche ndi akatswiri ena a AO anayamba kupanga Cervical spine locking plate (CSLP).
Zizindikiro (C2-T1)
Kupwetekedwa mtima, matenda opweteka a khomo lachiberekero, chotupa, kupunduka, kupanga mafupa abodza, opaleshoni yophatikizira kumbuyo ndi kumbuyo.
Maluso
Msonkhano wokhazikika wa misomali: Dongosolo loletsa ndiloyenera kukonza mwamphamvu zovulala ndi zotupa.
Kusonkhana kwa misomali yosinthika ndi mbale: dongosolo lochepetsetsa, lomwe limatha kuyika zomangira pamakona angapo molingana ndi ma intraoperative anatomy, ndikulola kugawana katundu pakati pa chipika cha fupa ndi kapangidwe ka mbale ya msomali;oyenera postoperative fixation wa khomo lachiberekero osachiritsika matenda.
Msonkhano wosakanikirana ndi mbale zachitsulo:
Mtundu wa kapangidwe kake ukhoza kuzindikirika molingana ndi ma anatomy kapena zisonyezo pakugwira ntchito.
Wonjezerani kusinthasintha kwa magwiridwe antchito ndikusintha bwino pazosowa za opaleshoni.