Waa maxay qalab Ilizarov ah?

In 1951 wuxuu la abuuray been abuurtay kacaanyahan ah ee traumatology iyo lafaha - qalab Ilizarov. Sida oo kale waa ilaa wakhtiga la joogo, ma jirto hab kale ee dhaawacyada lafaha ma helin wareegga balaadhan oo sida la alifay ee Gavriil Abramovich Ilizarov.

qalab Ilizarov waxaa wakiil laba siddo oo bir ah iyo laba lammaane oo Afayeen. Dhajinta in lafta waaxda qalab metaphyseal ka via intersecting fiilooyin biraha of dhexroor kala duwan.

In ka konton konton ah ee qarnigii labaatanaad, saynisyahano badan ayaa isku dayay in la abuuro qalab ka chreskostnogo osteosynthesis, laakiin waxaa la aasaasay ka mid ah oo keliya - qalab Ilizarov ah. Dhibaatooyinka rakibidda qalabka la yareeyo tan iyo cutubkan bixisaa joojin tayada addinka dhaawacan.

Bixinta shaqaynaya qayb ka mid ah aagga dhaawacan (celinta uu dhalista iyo hawlaha kale), farsamadaa waxa loo oggol yahay in ay isticmaalaan inta lagu jiro muddada daawaynta muruqyada addimada in ma aha oo kaliya kor u falkaasi habka dhaqancelinta, laakiin sidoo kale keentay in xawaaraha ee geedi socodka of isuga jajabkii. Habkaani waxaa sabab u ah xaqiiqada ah in howlgalka of socodka dhiigga addinka dhaawacmay waxaa hagaagay ma aha oo kaliya in ay unugyada muruqa, laakiin sidoo kale si formation lafaha ah. Kordhinta qulqulka dhiigga callus kor u isuga hore jajabkii iyo Caafimaadka unugyada.

feature A ee kala duwan ee hay'adaha Ilizarov waa ay kala duwanaanshaha iyo miday. Sababo la xiriira beddelka iyo qalab dheeraad ah oo kala duwan, farsamo this of osteosynthesis ayaa helay codsi ballaaran ku dhaqanka caafimaad oo casri ah.

Bixinta tayo sare qamaar addinka dhaawacan, qalab Ilizarov si ay u abuuraan ugu yaraan (variable) jajabkii lafta diastasis iyo unugyada in kobcitaanka unugyada. Habkaani loo ogol yahay in ay isticmaalaan oo keliya ma aha, waayo, daaweynta ee jab, laakiin sidoo kale dib u soo kabashada ee aan caadi ahayn oo kale jidh (inta badan dherer kala duwan ee addimaha).

shaqada weyn iyo Ilizarov group oo dhan saynisyahano iyo dhakhaatiirta ka shaqeeya hay'adaha abuurista, soo bixitaankii been abuurtay waa mid fiican, ma analogues taariikhda. qalab Tan waxaa maanta inta badan la isticmaalo, laan this of daawo sida a "trauma". qalab Ilizarov ayaa nuugo ugu wanaagsan oo dhan in loo isticmaali karo in osteosynthesis.

Maanta, qalab this heshay beddelka qaar ka mid ah. Sidaas daraaddeed, saynisyahano sameeyay tiro ka mid ah diraasado ah ayaa muujiyay in sifooyinka qamaar ka mid ah qalabka in meesha ugu horeysa ay sabab u tahay Afayeen, oo waxaa go'aamiyo ma aha oo kaliya by ay qallafsanaan (dhexroor iyo ciidamada jiidaya on siddo dhalista ah), laakiin sidoo kale perekrestov xagal. Oo rigidity ugu weyn arkay perekrestov hadlay xagal sagaashan digrii. Intaa waxaa dheer, si loo yareeyo unugyada dhaawac lafta metaphyseal (maraya Afayeen) tip kala duwan (warmo triquetrous oo u qaabeysan) la abuuray. Si loo kordhiyo load ee suurto gal on qalab Ilizarov ee meelaha marinka ee Afayeen si toos ah iyada oo loo marayo unugyada lafta goobaha gaarka ah ee la abuuray oo la kordhiyo qalabka dusha taageeraya. suufka riixdaan noocan oo asal ahaan ku yaalla qaybta dhexe ee Afayeen u. Doorka pads riixdaan waxay samayn karaan nooc kasta oo qalloocinaya Afayeen kabida iyo fidsanaan doonana on.

cilmi Modern ayaa ka dhigtay in ay suurto gal ah in la abuuro Afayeen-dahaarka leh daahan gaar ah, oo wuxuu kobciyaa waxqabad ee lafta dardaro ah.

Si aad u taariikhda, qalab Ilizarov waa fiican ee rogista jajabkii lafaha, iyo laga yaabee ah mida keliya ee qalab noocan for osteosynthesis KORONARKAR.