Suprapatellar Ɔkwan a Wɔfa so Yɛ Tibial Nail

Suprapatellar Approach Tibial Nail: Akwankyerɛ a ɛkɔ akyiri

Tibia a ɛpaapae yɛ opira a ɛtaa ba a mpɛn pii no ɛhwehwɛ sɛ wɔyɛ no oprehyɛn. Akwan a agye din sen biara a wɔfa so yɛ oprehyɛn no mu biako ne nnadewa a wɔde hyɛ ntini mu. Suprapatellar approach tibial nail yɛ ɔkwan a agye din wɔ nnansa yi mfe mu esiane mfaso pii a ɛwɔ so nti. Wɔ asɛm yi mu no, yɛbɛka suprapatellar approach tibial nail no ho asɛm kɔ akyiri, a mfaso horow a ɛwɔ so, nea ɛkyerɛ, ɔkwan a wɔfa so yɛ oprehyɛn, oprehyɛn akyi ayaresa, ne nsɛnnennen a ebetumi aba ka ho.

Nsɛm a Wɔahyehyɛ

1. Nnianimu

2. Tibia no nipadua mu nkwaadɔm

3. Nsɛnkyerɛnne a ɛkyerɛ sɛ Suprapatellar Approach Tibial Nail

4. Mfaso a ɛwɔ Suprapatellar kwan a wɔfa so yɛ Tibial Nail so

5. Ahosiesie a Wɔyɛ ansa na Wɔreyɛ Oprehyɛn

6. Oprehyɛn Ɔkwan a Wɔfa so Yɛ Suprapatellar Approach Tibial Nail

7. Oprehyɛn akyi Dwumadi

8. Nsɛnnennen a Ebetumi Aba

9. Ntotoho a Wɔde Toto Akwan Afoforo Ho

10. Awie

11. Nsɛm a wobisabisa nkurɔfo

1. Nnianim asɛm

Tibia yɛ nnompe atenten a ɛtaa bubu wɔ nipadua no mu no mu biako. Mpɛn pii no, tibia a ɛpaapae no hwehwɛ sɛ wɔyɛ oprehyɛn esiane asiane kɛse a ɛwɔ hɔ sɛ ɛbɛka abom yiye na ɛnyɛ biako nti. Nnadewa a ɛwɔ medullary mu abɛyɛ sika kɔkɔɔ gyinapɛn a wɔde sa tibial a abubu esiane mfaso pii a ɛwɔ so, a nea ɛka ho ne sɛ ɛma ɛyɛ den sɛ ɛbɛkɔ so agyina pintinn ne bere a ɛsa ntɛmntɛm.

Suprapatellar approach tibial nail yɛ ɔkwan a agye din wɔ nnansa yi mfe mu esiane mfaso pii a ɛwɔ so sen akwan afoforo nti. Saa asɛm yi botae ne sɛ ɛde akwankyerɛ a edi mũ bɛma wɔ suprapatellar approach tibial nail no ho.

2. Anatomy a ɛwɔ Tibia no mu

Ansa na yɛbɛka suprapatellar approach tibial nail ho asɛm no, ɛho hia sɛ yɛte tibia no nipadua ase. Tibia yɛ nnompe atenten abien a ɛwɔ nan ase no mu kɛse na ɛsoa nipadua no mu duru dodow no ara. Tibia no awiei a ɛbɛn no ne asen no di nkitaho ma ɛyɛ kotodwe nkwaa no, bere a awiei a ɛwɔ akyirikyiri no ne fibula ne talus no di nkitaho ma ɛyɛ ankle nkwaa no.

Tibia no wɔ intramedullary canal a ɛnam ne tenten so. Asubɔnten no trɛw wɔ proximal awiei na ɛyɛ teateaa kɔ akyirikyiri awiei. Saa asubɔnten yi ne baabi a wɔde nnadewa a ɛwɔ medullary no mu no hyɛ mu.

3. Nsɛnkyerɛnne a ɛkyerɛ sɛ Suprapatellar Approach Tibial Nail

Wɔakyerɛ sɛ wɔmfa suprapatellar approach tibial nail no nyɛ tibial a abubu ahorow ahorow, a nea ɛka ho ne:

• Distal tibial a ɛto so abiɛsa a ɛpaapae

• Tibial a ɛbɛn a ɛpaapae

• Tibial shaft a ɛpaapae

• Oblique a ɛpaapae

• Nsu a ɛpaapae wɔ nkuruwankuruwa mu

• Akisikuru a ɛyɛ mmerɛw

• Abubuw a ɛwɔ cortical sintɔ kɛse bi

4. Mfaso a ɛwɔ Suprapatellar Approach Tibial Nail so

Suprapatellar approach tibial nail no wɔ mfaso pii sen akwan afoforo, a nea ɛka ho ne:

• Abubuw a wɔtew so yiye: Ɔkwan a wɔfa so yɛ suprapatellar no ma wotumi hu baabi a abubu no yiye, na ɛma wɔtew akisikuru no so yiye.

• Mogya a wɔhwere no so tew: Ɔkwan a wɔfa so yɛ suprapatellar no hwehwɛ sɛ wɔtwitwa ntini a ɛyɛ mmerɛw pii, na ɛma mogya a wɔhwere no so tew bere a wɔreyɛ oprehyɛn no.

• Asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no so tew: Ɔkwan a wɔfa so yɛ suprapatellar no ma asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no so tew denam kotodwe nkwaa a ɛyɛ nea ebetumi de ɔyare mmoawa no a wɔkwati no so.

• Asiane a ɛwɔ patellar tendon opira mu a ɛso tew: suprapatellar kwan no kwati patellar tendon no, na ɛtew asiane a ɛwɔ hɔ sɛ wobepira saa nhyehyɛe a ɛho hia yi so.

• Wɔn ho tɔ wɔn ntɛmntɛm: Ayarefo a wɔyɛ wɔn tibial nail oprehyɛn suprapatellar approach no taa ho tɔ wɔn ntɛmntɛm na wɔtra ayaresabea bere tiaa bi sɛ wɔde toto wɔn a wɔyɛ wɔn akwan foforo ho a.

5. Ahosiesie a wɔyɛ ansa na wɔayɛ oprehyɛn

Ansa na wɔbɛyɛ ayarefo no oprapatellar approach tibial nail oprehyɛn no, mpɛn pii no wɔbɛyɛ ahosiesie ahorow pii ansa na wɔayɛ oprehyɛn no. Nea ɛka eyi ho ne aduruyɛ ho abakɔsɛm a edi mũ, nipadua mu nhwehwɛmu, ne mfoniniyɛ ho nhwehwɛmu te sɛ X-ray, CT scan, anaa MRI scan a wɔde bɛhwɛ baabi a abubu no kodu ne beae a ɛwɔ.

Ayarefo nso betumi ayɛ mogya mu nhwehwɛmu ansa na wɔayɛ oprehyɛn ne nhwehwɛmu afoforo wɔ aduruyɛdan mu de ahwɛ wɔn akwahosan nyinaa na wɔahu aduruyɛ mu tebea biara a na ɛwɔ hɔ dedaw a ebetumi aka wɔn oprehyɛn ne wɔn ho atɔ wɔn.

Ɛho hia sɛ ayarefo bɔ wɔn oprehyɛn ho ɔbenfo amanneɛ wɔ nnuru biara a wɔrenom ho, a nnuru a wɔtɔn ne nnuru a wɔde ka ho ka ho, efisɛ ebia ɛho behia sɛ wogyae nnuru bi ansa na wɔayɛ oprehyɛn esiane asiane a ɛwɔ hɔ sɛ mogya bɛtu wɔn anaasɛ nsɛnnennen afoforo nti.

Wobetumi atu ayarefo fo nso sɛ wonnyae sigaretnom na wɔnkwati nsa wɔ adapɛn a edi oprehyɛn no anim no mu, efisɛ saa nneɛma yi betumi asiw ayaresa no kwan na ama asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow no ayɛ kɛse.

6. Oprehyɛn Ɔkwan a Wɔfa so Yɛ Suprapatellar Approach Tibial Nail

Wɔtaa yɛ suprapatellar approach tibial nail oprehyɛn no wɔ general anesthesia ase na ebetumi agye nnɔnhwerew pii ansa na wɔawie. Oprehyɛn kwan no hwehwɛ sɛ wɔyɛ nneɛma a edidi so yi:

1. Wɔde ɔyarefo no si oprehyɛn pon no so wɔ baabi a ɔda fam, na wɔma nan a ayɛ no yaw no so na wɔde nan a wɔde kura mu gyina akyi.

2. Wɔtwa honam ani fã ketewaa bi wɔ honam ani wɔ patella no atifi pɛɛ, na wɔde hama a ɛkyerɛ kwan fa honam ani na wɔde hyɛ asen no mu nsu a ɛwɔ asen no mu no mu.

3. Wɔde reamer siesie asubɔnten no ma wɔde nnadewa no bɛhyɛ mu.

4. Afei wɔde nnadewa no fa nea wɔatwa no mu na wɔde fluoroscope kyerɛ kwan kɔ asubɔnten no mu.

5. Sɛ nnadewa no si nea ɛwɔ so pɛ a, wɔde nkɔnsɔnkɔnsɔn a wɔde tow mu fa nnadewa no mu na ɛkɔ dompe no mu de hyɛ nea ɛwɔ hɔ no mu den.

6. Afei wɔto nea wɔatwa no mu, na wɔde afiri a wɔde hyɛ nan no mu anaasɛ wɔde hyɛ nan no mu ma ɛntumi nkɔ baabiara.

7. Oprehyɛn akyi Dwumadi

Wɔ suprapatellar approach tibial nail oprehyɛn akyi no, mpɛn pii no ayarefo bɛtra ayaresabea nna pii akɔhwɛ wɔn na wɔadi ɛyaw ho dwuma. Wɔbɛtu wɔn fo sɛ wɔmma nan a ayɛ basaa no nkɔ soro na wɔnkwati sɛ wɔde wɔn mu duru bɛto so adapɛn pii.

Wɔbɛma ayarefo no apɔw-mu-teɛteɛ nso sɛ wɔnyɛ na aboa ma ntini a atwa kotodwe no ho ahyia no mu ayɛ den na amma ayɛ den. Wobetumi akamfo apɔw-mu-teɛteɛ nso akyerɛ na aboa ayarefo ma wɔasan anya kankyee ne ahoɔden a edi mũ wɔ nan a ayɛ no yaw no mu.

Wɔbɛma ayarefo nnuru a wɔde sa ɛyaw ne nnuru a ekum ɔyare mmoawa sɛnea ɛho hia na ama wɔatumi adi ɛyaw ho dwuma na wɔasiw ɔyare mmoawa ano. Wɔbɛyɛ nhyehyɛe sɛ wɔbɛkɔ akɔhwɛ ayaresa no na wɔahwɛ sɛ nsɛnnennen biara wɔ hɔ anaa.

8. Nsɛnnennen a Ebetumi Aba

Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ne nsɛnnennen a ebetumi aba wɔ suprapatellar approach tibial nail oprehyɛn mu. Ebia eyinom bi ne:

• Nsaneɛ

• Mogya a ɛretu

• Ntini a ɛsɛe

• Mogya a ɛtwetwe

• Ayaresa a ɛkyɛ

• Non-union anaasɛ malunion a ɛwɔ abubuw no mu

• Hardware a entumi nyɛ adwuma yiye

Ɛho hia sɛ ayarefo ne wɔn oprehyɛn ho ɔbenfo susuw asiane ahorow yi ho na wodi akwankyerɛ a wɔde ma ansa na wɔayɛ oprehyɛn ne nea wɔde ma akyi nyinaa akyi na ama asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow no so atew.

9. Ntotoho a Wɔde Toto Akwan Afoforo Ho

Suprapatellar approach tibial nail yɛ akwan pii a wɔfa so sa tibial a abubu no mu biako. Akwan afoforo a wɔfa so yɛ no bi ne infrapatellar approach tibial nail, retrograde tibial nail, ne plate ne screw fixation.

Bere a ɔkwan biara wɔ mfaso ne ɔhaw ahorow no, suprapatellar approach tibial nail no de mfaso soronko pii ma, a nea ɛka ho ne sɛnea ɛtew akisikuru so yiye, mogya a wɔhwere no so tew, ne asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa ne patellar tendon opira a ɛso tew.

10. Nsɛm a wɔde wie

Suprapatellar approach tibial nail yɛ oprehyɛn kwan a agye din a wɔfa so sa tibial a abubu. Ɛma wonya mfaso pii sen akwan afoforo, a nea ɛka ho ne sɛnea wɔtew akisikuru so yiye, mogya a wɔhwere no so tew, ne asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa ne patellar tendon opira a ɛso tew.

Nanso, sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ne nsɛnnennen a ebetumi aba wɔ hɔ, na ɛho hia sɛ ayarefo susuw akwan horow a wobetumi afa so ho yiye na wɔne wɔn oprehyɛn ho ɔbenfo no susuw ho de asi gyinae a ɛfata.

11. Nsɛm a Wɔtaa bisa

1. Bere tenten ahe na suprapatellar approach tibial nnadewa oprehyɛn no gye?

   
   

   Mpɛn pii no, oprehyɛn no gye nnɔnhwerew pii ansa na wɔawie.

   
   

2. Bere tenten ahe na egye ansa na obi ho atɔ no wɔ suprapatellar approach tibial nail oprehyɛn mu?

   
   

   Bere a ne ho bɛtɔ no betumi ayɛ soronko a egyina baabi a abubu no kodu ne sɛnea ɔyarefo no ankasa tumi sa yare so, nanso mpɛn pii no egye asram pii ansa na dompe no ayɛ yiye koraa.

   
   

3. Dɛn ne nkonimdi dodow a ɛwɔ suprapatellar approach tibial nail oprehyɛn mu?

   
   

   Mpɛn pii no, oprehyɛn no nkonimdi yɛ kɛse, nanso ebetumi ayɛ soronko a egyina ɔyarefo no ankorankoro tebea ne baabi a abubu no kodu so.

   
   

4. So mehia nipadua mu ayaresa wɔ suprapatellar approach tibial nail oprehyɛn akyi?

   
   

   Ebia wɔbɛkamfo apɔw-mu-teɛteɛ a ɛbɛboa wo ma woasan akanyan wo ho na woanya ahoɔden nyinaa wɔ nan a ayɛ wo yaw no mu.

   
   

5. So akwan bi wɔ hɔ a ɛnyɛ oprehyɛn a wɔfa so sa tibial a abubu?

   
   

   Wɔ tebea horow bi mu no, wobetumi de akwan a ɛnyɛ oprehyɛn te sɛ casting anaa bracing adi dwuma de asa tibial a abubu, nanso eyi begyina ɔyarefo no ankorankoro tebea so.