Hoʻohana nui ʻia ʻo Syme prosthesis, i ʻike ʻia he kuʻekuʻe wāwae, ma hope o ka ʻoki ʻana o Syme, a ma nā hihia pākahi, hiki ke hoʻohana ʻia ma hope o ka trans-foot a me nā wāwae wāwae e like me ka ʻoki ʻana o Pirogov.Hiki ke manaʻo ʻia ka prosthesis Syme ma ke ʻano he prosthesis bipi kūikawā kūpono no ka ʻoki wāwae.
Hoʻohana maʻamau ʻia ka ʻoki ʻana o Syme no ka ʻoki wāwae a me nā kuʻekuʻe wāwae.Ma muli o ka waiho ʻana o ka piko o ka tibia a me ka fibula ma hope o ka ʻoki ʻia ʻana o ka hui kuʻekuʻe wāwae, ʻaʻole hiki i nā wēlau ke amo i ke kaumaha, no laila ʻaneʻane ʻaʻohe ʻoki kuʻekuʻe wāwae no ka ʻoki ʻana i ka wāwae.I ka wā ma mua, ua ʻōlelo ʻia ua kapa ʻia kēia ʻano prosthesis ʻo "ankle severed prosthesis", ʻo ia ka mea maopopo ʻole.
Eia kekahi, ʻaʻole i hoʻohana pinepine ʻia ka ʻoki ʻana o Pirogov, Boyd amputation a me Choppart joint amputation ma muli o ka hoʻololi pinepine ʻana o ka wāwae, ka ʻili ʻili, ka hopena maikaʻi ʻole a me nā mea ʻē aʻe..
Hiki i ka Syme prosthesis ke halihali i ke kaumaha o ka hopena o ke koena lālā a he hana hoʻopaʻi maikaʻi.Ma mua, ʻo ke ʻano kuʻuna o ka hana ʻana i nā prostheses Sym, ʻo ia ka hoʻohana ʻana i ka ʻili e hana i ke kumu slotted, a me ka hoʻohui ʻana i nā struts metala no kekahi hoʻoikaika.
I kēia manawa, hoʻohana ʻo Sym's prosthesis i ka resin composite material vacuum e hana i ke kumu pili piha, kahi e hoʻomaikaʻi nui ai i ka helehelena a me ka hana o ka prosthesis.
ʻO ka ʻoki ʻana ʻo Syme kahi ʻoki supracondylar o ka hopena mamao o ka tibia a me ka fibula.ʻO nā hiʻohiʻona o ka Syme prosthesis:
1. No ka lōʻihi o ke koena lālā, ʻaʻohe wahi e hoʻokomo ai i ka hui kuʻekuʻe wāwae, a hoʻohana mau ʻia ka wāwae kuʻekuʻe wāwae (SACH);
2. No ka mea, he puʻupuʻu pinepine ka hopena o ke koena lālā, ʻoi aku ka nui ma mua o ka hui, pono ka mālama kūikawā (e like me ka wehe ʻana i ka puka makani) i ka wā e hana ai i kahi lua hoʻokipa piha, a ʻaʻole maikaʻi loa ka helehelena;
3. He lōʻihi ka lālā i koe, ua piha nāʻiʻo bipi, a he lima lever lōʻihi, a he hopena maikaʻi ke koena i ka prosthesis;
4. ʻO ka hope o ka lālā i koe ke kaumaha.Ke hoʻohālikelikeʻia me ka prosthesis bipi,ʻoi aku ka kaumaha o ka hopena o ka lālā i koe ma mua o ka ligamenti patellar, iʻoi aku ka maikaʻi me nāʻano physiological o ke kino kanaka;
I mea e hoʻokō ai i ke kumu o ka ʻaʻahu a me ka wehe ʻana, ka hoʻokuʻu maikaʻi ʻana, a me ka hoʻomaikaʻi ʻana i ka helehelena, ke ʻano o ka loaʻa ʻana o ka lua o Syme prosthesis ke ulu mau nei, a i kēia manawa ua hoʻokumu ʻia nā ʻano aʻe.
(1) Sym prosthesis me ka wehe ʻana i loko: hana ʻia ka lua e loaʻa ana i nā mea resin, a koho ʻia ka prosthesis SACH, a wehe ʻia ka puka makani ma ka ʻaoʻao i loko.
(2) Syme prosthesis me ka wehe ʻana o ka ʻaoʻao hope: ʻo ka mea like me ka mea i luna, akā me ka puka makani ma hope.
(3) ʻO ka lua e loaʻa ana i ka lua ʻelua ʻO Syme prosthesis: ʻO ka lua hoʻokipa i loko he uhi koena lālā i hana ʻia i nā mea palupalu.Ma hope o ka hoʻokumu ʻana o ka vacuum, pono e hoʻopiha ʻia nā ʻaoʻao o waho a hoʻopaʻa ʻia, a laila hana ʻia ka lamination vacuum a me ka lua o waho.He ikaika ka prosthesis, akā paʻa loa ke ʻano.
⑷ Pākuʻi palupalu ʻāpana Syme prosthesis: ʻO ka pā pahu ma luna a ma hope o ka kuʻekuʻe wāwae i hana ʻia me ka resin palupalu, ʻo ia ka elastic a ʻaʻole pono e wehe i ka puka makani, e hoʻomaikaʻi ai i ke ʻano o ka prosthesis.
Ka manawa hoʻouna: ʻAukake-25-2022