Suprapatellar Ɔkwan Tibial Intramedullary Nnadewa Nnwinnade Set

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Suprapatellar Ɔkwan Tibial Intramedullary Nail Instrument Set: Biribiara a Ɛsɛ sɛ Wuhu

Sɛ wode wo ho hyɛ nnompe oprehyɛn mu a, ɛda adi sɛ wunim adwene a ɛne sɛ wɔde nnadewa bɛbɔ tibial intramedullary nailing no. Wɔtaa de saa kwan yi sa tibia a abubu, nnompe abien a ɛwɔ nan ase no mu biako. Wɔ nnansa yi mfe mu no, suprapatellar kwan a wɔfa so de nnadewa bɔ tibial intramedullary no agye din sɛ ɔkwan foforo a wɔfa so yɛ atetesɛm kwan no.

Wɔ saa asɛm yi mu no, yɛbɛhwehwɛ suprapatellar kwan a wɔfa so de tibial intramedullary nailing no mu kɔ akyiri, a nea ɛyɛ, sɛnea ɛyɛ adwuma, ne nnwinnade a wɔde yɛ adwuma a ɛho hia na wɔde ayɛ ka ho.

Dɛn ne Suprapatellar Ɔkwan a Wɔfa so Yɛ Tibial Intramedullary Nailing?

Suprapatellar kwan no yɛ ɔkwan foforo koraa a wɔfa so yɛ tibial intramedullary nailing. Sɛ́ anka oduruyɛfo a ɔyɛ oprehyɛn no bɛfa ɔkwan a wɔfa so yɛ no anim anaa akyi no so bɛhyɛn asen no mu no, ɔtwitwa ketewaa bi wɔ patella, anaa kotodwe no atifi pɛɛ. Eyi ma wotumi fi soro kɔ tibia no mu ntini a ɛwɔ akyi no mu, sen sɛ wobefi anim anaa nkyɛn.

suprapatellar kwan no wɔ mfaso pii a ebetumi aba sen atetesɛm akwan no, a nea ɛka ho ne sɛnea wotumi hu ade yiye, ntini a ɛyɛ mmerɛw a ɛsɛe no so tew, ne asiane a ɛwɔ hɔ sɛ wobepira nneɛma a ɛho hia te sɛ anterior cruciate ligament (ACL) no so tew.

Ɔkwan Bɛn so na Suprapatellar Ɔkwan no Yɛ Adwuma?

Nea ɛbɛyɛ na oduruyɛfo a ɔyɛ oprehyɛn no ayɛ suprapatellar kwan a wɔfa so de nnadewa bɔ tibial intramedullary no, ɔtwitwa ketewaa bi wɔ patella no atifi pɛɛ. Afei wɔde adwinnade titiriw bi a wɔfrɛ no patellar awl na ɛyɛ ɔkwan ketewaa bi fa patellar tendon no mu. Sɛ wɔyɛ ɔkwan a wɔfa so fa mu no wie a, oduruyɛfo a ɔyɛ oprehyɛn no betumi afi soro de nnadewa a ɛwɔ asen no mu no ahyɛ asen no mu.

Mfaso biako a ebetumi afi suprapatellar kwan no so ne sɛ ɛma oduruyɛfo a ɔyɛ oprehyɛn no kwati sɛ ɛho nhia sɛ ɔbɔ kotodwe no bere a wɔreyɛ oprehyɛn no. Eyi betumi ayɛ nea mfaso wɔ so titiriw wɔ ayarefo a wɔapirapira wɔn kotodwe anaa wɔn ntini mu yare, a ebia wɔbɛte ɛyaw anaasɛ wɔn ho nyɛ wɔn dɛ bere a wɔabɔ wɔn kotodwe no.

Nnwinnade Bɛn na Ɛho Hia ma Suprapatellar Approach Tibial Intramedullary Nailing?

Sɛ wɔde suprapatellar kwan no bɛyɛ tibial intramedullary nailing a, ɛhwehwɛ sɛ wɔde nnwinnade titiriw bi di dwuma. Nnwinnade atitiriw a ebia wɔde bɛka saa nhyehyɛe yi ho no bi ne:

1. Patellar Awl a ɛwɔ hɔ

Patellar awl yɛ adwinnade titiriw bi a wɔde yɛ ɔkwan a wɔfa so fa patellar tendon no mu bere a wɔreyɛ oprehyɛn no.

2. Suprapatellar Cannula a ɛwɔ soro

Suprapatellar cannula yɛ afiri tenten a ɛyɛ tratraa a wɔde fa baabi a wɔatwa wɔ patella no atifi no mu de hyɛ kotodwe nkwaa no mu. Saa cannula yi ma oduruyɛfo a ɔyɛ oprehyɛn no tumi yɛ intramedullary canal no ho mfonini wɔ n’adwenem na ɔde nnadewa no fi soro hyɛ mu.

3. Nnadewa a Ɛwɔ Ntini Mu

Intramedullary nail no ne ade titiriw a ɛwɔ adwinnade no mu. Wɔde saa nnadewa yi hyɛ asen no mu na ɛyɛ ade a ɛyɛ den a wɔde si nipadua no mu na ɛboa ma akisikuru no sa.

4. Reamer a ɔhwɛ nneɛma so

Reamer yɛ adwinnade titiriw bi a wɔde siesie intramedullary canal no ma wɔde hyɛ nnadewa no mu.

5. Nneɛma a Wɔde Toto Nneɛma Mu

Wɔde nkɔnsɔnkɔnsɔn a wɔde to mu na ɛkyekyere nnadewa a ɛwɔ medullary no mu bere a wɔde ahyɛ asen no mu pɛn no.

Mfaso bɛn na Ebetumi Anya Sɛ Wɔde Suprapatellar Ɔkwan no Di Dwuma?

Mfaso pii wɔ hɔ a ebetumi aba sɛ wɔde suprapatellar kwan no bedi dwuma de abɔ tibial intramedullary nailing. Eyinom bi ne:

1. Nneɛma a Wɔde Hwɛ Nneɛma a Wɔatu mpɔn

Ɔkwan a wɔfa so yɛ oprehyɛn a ɛwɔ soro no ma oduruyɛfo a ɔyɛ oprehyɛn no tumi fi soro hwɛ intramedullary canal no, na ɛma otumi hu ade yiye bere a wɔde toto akwan a wɔfa so yɛ oprehyɛn no ho no. Eyi betumi aboa oduruyɛfo a ɔyɛ oprehyɛn no ma ɔde nnadewa a ɛwɔ medullary no mu no asi hɔ pɛpɛɛpɛ na wakwati sɛ ɔbɛsɛe nneɛma a ɛho hia.

2. Ntini a Ɛyɛ mmerɛw a Ɛsɛe no so tew

Ɔkwan a wɔfa so yɛ suprapatellar no hwehwɛ sɛ wotwa ntini ketewaa bi na wɔtwitwa ntini a ɛyɛ mmerɛw no mu pii bere a wɔde toto akwan a wɔfa so yɛ no tete no ho no. Eyi betumi aboa ma ɛyaw a ɛba wɔ oprehyɛn akyi, ɛho ahonhon, ne akuru a ɛba no so atew.

3. Asiane a Ɛwɔ ACL Opira a Ɛtew So

Sɛ wɔreyɛ tibial intramedullary nailing denam anim anaa akyi kwan so a, asiane wɔ hɔ sɛ wobepira anterior cruciate ligament (ACL). Eyi te saa efisɛ ACL no tu mmirika bɛn baabi a wɔde nnadewa no bɛhyɛ mu no yiye. Suprapatellar kwan no ma oduruyɛfo a ɔyɛ oprehyɛn no kwati asiane yi denam tibia a ofi soro bɛn no so.

Asiane ne Anohyeto Bɛn na Ɛwɔ Suprapatellar Ɔkwan no Mu?

Bere a suprapatellar kwan no wɔ mfaso pii a ebetumi aba no, ɛwɔ asiane ne anohyeto ahorow bi nso. Eyinom bi ne:

1. Asiane a Ɛwɔ Patellar Fracture a Ɛkɔ Anim

Sɛ wɔde patellar awl yɛ ɔkwan a wɔfa so fa patellar tendon no mu a, ebetumi ama asiane a ɛwɔ hɔ sɛ patellar no bɛpaapae no ayɛ kɛse. Wobetumi atew asiane yi so denam awl a ne kɛse yɛ ketewaa a wɔde bedi dwuma na wɔahwɛ yiye na wɔakwati ahoɔden a ɛboro so bere a wɔreyɛ oprehyɛn no so.

2. Oprehyɛn a Wɔde Di Dwuma Kɛse

Ɔkwan a wɔfa so yɛ suprapatellar no mma oprehyɛn a wɔde yɛ adwuma no nyɛ kɛse bere a wɔde toto akwan a wɔfa so yɛ adwuma wɔ amanne kwan so no ho no. Eyi betumi ama ayɛ den kɛse sɛ wɔbɛyɛ oprehyɛn no afã horow bi, te sɛ reaming intramedullary canal.

3. Wɔde Di Dwuma Kakraa wɔ Ayarefo Bi Mu

Ebia ɔkwan a wɔfa so yɛ suprapatellar no remfata mma ayarefo nyinaa. Sɛ nhwɛso no, ebia ayarefo a wɔwɔ nkotodwe mu ntini mu yare a emu yɛ den no rentumi nnye oprehyɛn no ntom esiane ɛyaw anaa baabi a wontumi nkɔ baabiara nti.

Awie

Suprapatellar kwan a wɔfa so de nnadewa bɔ tibial intramedullary no yɛ ɔkwan foforo koraa a agye din wɔ nnansa yi mfe mu. Saa kwan yi wɔ mfaso pii a ebetumi aba sen atetesɛm akwan horow no, a nea ɛka ho ne sɛnea wotumi hu ade yiye, ntini a ɛyɛ mmerɛw a wɔsɛe no so tew, ne asiane a ɛwɔ hɔ sɛ ACL bepira no so tew. Nanso, ɛwɔ asiane ne anohyeto ahorow bi nso a ɛsɛ sɛ wosusuw ho ansa na wɔapaw saa kwan yi.

Nsɛm a wobisabisa nkurɔfo

1. So suprapatellar kwan a wɔfa so de nnadewa bɔ tibial intramedullary no fata ma ayarefo nyinaa?

Dabi, ebia suprapatellar kwan no renfata mma ayarefo nyinaa. Ebia ayarefo a wɔwɔ kotodwe mu ntini mu yare a emu yɛ den anaasɛ wɔn kotodwe mu apirakuru afoforo no rentumi nnye adeyɛ no ntom.

1. So suprapatellar kwan no ma asiane a ɛwɔ hɔ sɛ patellar bɛpaapae no yɛ kɛse?

Sɛ wɔde patellar awl yɛ ɔkwan a wɔfa so fa patellar tendon no mu a, ebetumi ama asiane a ɛwɔ hɔ sɛ patellar no bɛpaapae no ayɛ kɛse. Nanso wobetumi atew asiane yi so denam awl a ne kɛse ketewaa bi a wɔde bedi dwuma na wɔahwɛ yiye na wɔakwati ahoɔden a ɛboro so bere a wɔreyɛ oprehyɛn no so.

1. Nnwinnade bɛn na ɛho hia ma suprapatellar approach tibial intramedullary nailing?

Adwinnade a wɔde asi hɔ ama suprapatellar approach tibial intramedullary nailing no bi ne patellar awl, suprapatellar cannula, intramedullary nnadewa, reamer, ne nkɔnsɔnkɔnsɔn a wɔde to mu.

1. Ɔkwan bɛn so na suprapatellar kwan no yɛ soronko wɔ atetesɛm kwan a wɔfa so de nnadewa bɔ tibial intramedullary no ho?

Ɔkwan a wɔfa so yɛ suprapatellar no hwehwɛ sɛ wɔyɛ twa ketewaa bi wɔ patella no atifi na wɔyɛ ɔkwan bi a wɔfa patellar tendon no mu. Eyi ma oduruyɛfo a ɔyɛ oprehyɛn no tumi fi soro kɔ asen no mu ntini a ɛwɔ akyi no mu, sen sɛ obefi anim anaa nkyɛn sɛnea ɛte wɔ akwan horow a wɔfa so yɛ oprehyɛn no mu no.

1. Mfaso bɛn na ebetumi aba sɛ wɔde suprapatellar kwan a wɔfa so yɛ tibial intramedullary nailing bedi dwuma no so?

Mfaso a ebetumi aba sɛ wɔde suprapatellar kwan no bedi dwuma no bi ne sɛnea wotumi hu ade yiye, ntini a ɛyɛ mmerɛw a ɛsɛe no so tew, na ɛso tew.