The History of External Fixation

Orthopedic bracket fixation irashobora gukosora imvune no gukosora ubumuga bwamagufwa.Nibikoresho byingenzi muri orthopedie.Igitekerezo cyo gukosora hanze cyatangiye mu 1840 n’umuganga w’Ubufaransa Malgaigne, wakoresheje umusumari kugira ngo yinjire mu buryo butaziguye ku mpera imwe y’igice cyavunitse, kandi umurizo w’umusumari wo hanze washyizwe ku mukandara w'icyuma, hanyuma ugahuzwa n'umukandara hamwe umuzenguruko.Hindura ibice byavunitse hejuru.

Kandi ni Parknin muri Amerika na Lambotte mu Bubiligi, uzwi nka se wo kubaga kuvunika kuvunika, bateza imbere ikoreshwa rya clinique yo gukosora hanze.Bigenga bashizeho ibyabo bikosora hanze, kandi babitangaza cyane kandi babiteza imbere.Mu 1902, umuganga w’Ububiligi Lambotte yasobanuye ku nshuro ya mbere gahunda yo gukosora impande zombi kandi ayikoresha mu buvuzi.Ikoresha inkoni zihuza hanze hamwe no gukosora clips kugirango uhindure urushinge rwicyuma rushyizwe kumagufa kugirango ugere ku gitekerezo cyo guhagarika impera.Gukosora hanze bikoreshwa muburyo busa.Mu 1938, Hoffman yarushijeho guteza imbere clamp yisi yose ashingiye kuri ibyo, yatahuye kugabanuka kubice bitatu hamwe nibisobanuro byo hanze.

Ariko, kubera aho ibikoresho bigarukira, umutekano wogukosora hanze ntushobora kwizerwa.Muri icyo gihe, ibibazo byinshi byavumbuwe buhoro buhoro, nko kwandura inshinge, ingorane zo guhinduka, nibindi, ibyo bigatuma gukosora hanze bimaze kunengwa kandi bigoye kumenyekana no kubishyira mubikorwa.Nubwo abaganga benshi bagize ibyo bahindura, tekinoroji yo gukosora hanze yamye ihezwa mubijyanye na orthopedie.

Icyatumye rwose kuvura imvune hamwe nabashinzwe gukosora hanze uburyo bwemewe bwakagombye kwitirirwa Ilizarov, intiti mu karere ka Balkans yahoze ari Leta Zunze Ubumwe z'Abasoviyeti mu gihe cy’intambara y'ubutita mu kinyejana cya 20.Yabanje kuvumbura ihame ryo kurangaza osteogenezi hanyuma ayishyira mubikorwa bya tekinoroji yo hanze.

Ihame ryo kurangaza osteogenezi ni ugukoresha ibiranga ingirangingo zamagufa, arirwo rugingo rushya rwose, kugirango utange imbaraga nke zo gukurura imashini nyuma yimvune, kugirango igice cyangiritse gishobore gusanwa byuzuye.

Umuyoboro wuzuye wuzuye wo gutunganya ibintu yahimbwe na we akoresha inshinge zicyuma (15mm zumurambararo) kugirango akosorwe mugihe gihangayikishije cyane, ibyo bikemura neza ibibazo bibiri byingenzi byamagufwa yo hanze atunganijwe neza hamwe no kwandura inshinge.

Byongeye kandi, Ilizarov yanashyize ahagaragara amahame yo gukoresha utwuma two hanze kugira ngo tuvure imvune: kurinda amaraso y’uturemangingo dukikije kuvunika bishoboka, kurinda ingirabuzimafatizo ya osteogeneque, kugabanya anatomique, gukosorwa gukomeye, no gukangurira hakiri kare, bityo bigashingwa. urutonde rwuzuye rwo gutondekanya hanze yo kuvura kuvunika.Sisitemu yubumenyi bwa clinique yubumenyi bwindwara zifitanye isano na orthopedie, theorie na tekinoroji yo kuvugurura ingirabuzima fatizo zishingiye ku mategeko agenga impagarara zemewe nkimwe mu ntambwe y’amagufwa y’amagufwa mu kinyejana cya 20, kandi inatanga ibimenyetso byerekana ko hashyirwaho udushya n’iterambere. Bya hanze byo gutunganya ibisekuruza bizaza.

Igihe cy'Intambara y'ubutita kirangiye, tekinoroji ya Ilizarov yo hanze yakwirakwiriye ku isi hose kandi ikomeza kunozwa no gutezwa imbere, bituma ikoranabuhanga ryo gukosora hanze rirushaho gukora neza mu kuvura imvune zikomeye, kwandura amagufwa, ubumuga bw'amaguru, kurambura ingingo. , inenge zamagufa, nibirenge bya diyabete.Iterambere ryateye imbere muri kariya gace, kandi ryongerewe no mu mirima myinshi nko kurambura uruhu no kurambura imyenda yoroshye.