Orthopedic introduction thiab sutures pom zoo
Cov sutures yuav siv tau nyob rau hauv uas qib orthopedics
Lub sijhawm tseem ceeb ntawm kev kho qhov txhab
Daim tawv nqaij
-Cov tawv nqaij zoo thiab kev zoo nkauj tom qab phais yog qhov kev txhawj xeeb tseem ceeb tshaj plaws.
-Muaj ntau qhov nro ntawm cov ntshav tom qab phais thiab daim tawv nqaij, thiab cov sutures yog me me thiab me.
● lus qhia:
Non-absorbable phais sutures:
WEGO-Polypropylene - du, tsis tshua muaj kev puas tsuaj P33243-75
Absorbable phais sutures:
WEGO-PGA -Tsis tas yuav tshem tawm cov sutures, txo lub sijhawm pw hauv tsev kho mob, txo qhov kev pheej hmoo kis mob.g33243 ua
Cov ntaub so ntswg subcutaneous
-Txo txoj kev tuag thiab kev kis kab mob, zoo thiab muaj zog txaus yog txoj hauv kev zoo tshaj plaws los txo cov tawv nqaij tawg.
-Nws yog feem ntau yuav tshwm sim qhov twg suture txawv teb chaws lub cev cov tshuaj tiv thaiv ua rau kis kab mob thiab xenogenous cysts.
Pom zoo: Absorbable surgical sutures - 2/0 WEGO-PGA phais sutures (Taper point) G21402-75, G21372-75
Fascia, Cov leeg nqaij
-Fascia-Ib ntom ntom ntom ntawm cov ntaub so ntswg, npog cov leeg nqaij.Nws tuaj yeem rov qab tau 40 feem pua ntawm qhov nro hauv 2 lub hlis, Qhov siab tshaj plaws rau 12 lub hlis.
Tab sis nws yeej tsis tuaj yeem rov qab tau nws qhov kev sib zog pib.
-Muscle-Dense fibrous cov ntaub so ntswg.
-High tension sutures yuav tsum tau siv los muab kev txhawb nqa tensile xav tau thaum lub sijhawm
lub sij hawm tseem ceeb ntawm kev kho mob.
Pom zoo:
Absorbable surgical sutures - 2/0 WEGO-PGA phais sutures (Taper point) G21402-75, G21372-75
Cov kev xav tau yooj yim ntawm orthopedics thiab suture
• Kev sib koom ua ke: Kev ua haujlwm muaj zog, xav tau kev nro loj.
• Subcutaneous rog
- Qhov chaw nyias (eg.Ulna olecranon, patellar) Tsis txhob kov lub pob caus tom qab phais.
- Qhov chaw tuab (eg.Hip) Tsis txhob txiav lub koom haum hauv suturing, Tiv thaiv kom tsis txhob muaj roj liquefaction.
- Cov rog subcutaneous yog qhov kis tau tus kab mob.
Cov ntshav tsis txaus
• Tsis zoo lub koom haum stability, Nws yog tsis tsim nyog kom raug, ntaub so ntswg yog
mos thiab yooj yim los tsim kua muag.
• Ntau tshaj traction, hluav taws xob txiav, yooj yim liquefied.
• Cov rog muaj dej ntau, cov xov paj ntaub yog feem ntau ua rau cov kab mob.
Tendon
• Suture fracture: lub sij hawm kho cov leeg yog ntev dua.Cov theem pib yuav tsum tau ua qhov kev ua haujlwm zoo.Yog hais tias cov xov nro yog
tsis txaus, qhov tawg tshwm sim thiab kev ua haujlwm yuav tsum tau rov ua dua.
• Tendon adhesion: tom qab raug mob los yog kev phais, feem ntau adhesion nrog cov ntaub so ntswg nyob ib puag ncig, tendon adhesion, lub teeb cuam tshuam rau qhov plam ntawm cov leeg, thiab kev phais kho cov leeg ua tsis tiav.
• Rau sutures: 1. Muaj zog nro
• 2. Cov seams du thiab puas me me
• Pom zoo polypropylene suture: 2/0-5/0 (ob lub taub hau puag ncig tus pin)
Nervus vascularis
•Rau stitches:
• 1. Cov seams du thiab cov ntaub so ntswg puas
• 2. Lub stitching nro yog ruaj khov thiab yuav tsis tawg txoj kab.
• 3. Kev txhawb nqa tas mus li
• Pom zoo stitches:
• Cov hlab ntsha —– WEGO-polypropylene xaws xov 6/0-10/0
• Nerve – WEGO-polypropylene xaws xov 8/0– 10/0
Hloov lub duav
Qib stitching yog los ntawm sab hauv tawm
1.Joint capsule: postoperatively, qhov xav tau rau kev ua haujlwm thaum ntxov yuav tsum muaj cov stitches loj;Nws yuav tsum tau kaw qhov sib koom ua ke thiab tiv thaiv cov kab mob sib koom ua ke los ntawm kev sib txuas nrog rau sab nraud, ua rau muaj kab mob (WEGO-PGA).
2. Tsau sab nraud kev sib hloov cov leeg nqaij los tiv thaiv postdislocation: 1 # (WEGO-PGA anti-angle koob) yuav tsum tau
3. Muscle fascia: yuav tsum tau loj nro (WEGO-PGA)
4. Subcutaneous rog: pob tw rog yog thicker, suture tsis txiav lub koom haum.Txheej suture, extermination ntawm cov kab noj hniav tuag (WEGO-PGA)
5. Daim tawv nqaij: kab mob ntawm daim tawv nqaij tuaj yeem ua rau muaj kab mob sib sib zog nqus, ua rau kev phais tsis ua haujlwm (WEGO-PGA)