suprapatellar kwan so tibial nnadewa .

Suprapatellar kwan so tibial nnadewa: akwankyerɛ a ɛkɔ akyiri .

Tibia no mu a ɛpaapae yɛ opira a ɛtaa hwehwɛ sɛ wɔyɛ no oprehyɛn. Akwan a wɔfa so yɛ oprehyɛn a agye din sen biara no mu biako ne nnadewa a wɔde hyɛ nipadua no mu a wɔde di dwuma. Suprapatellar approach tibial nail no yɛ ɔkwan a agye din wɔ nnansa yi mfe mu esiane mfaso pii a ɛwɔ so nti. Wɔ saa asɛm yi mu no, yɛbɛka suprapatellar approach tibial nail no ho asɛm kɔ akyiri, a nea ɛka ho ne mfaso horow, nsɛnkyerɛnne, oprehyɛn kwan, oprehyɛn akyi dwuma a wodi, ne ɔhaw ahorow a ebetumi aba.

Nsɛm a ɛwɔ mu .

1. Nnianimu

2. Anatomy a ɛwɔ tibia no mu .

3. Nsɛnkyerɛnne a ɛkyerɛ sɛnea suprapatellar bɛn tibial nnadewa .

4. Mfaso a ɛwɔ suprapatellar kwan so tibial nnadewa so .

5. ahosiesie a wɔyɛ ansa na wɔayɛ oprehyɛn .

6. Oprehyɛn kwan a wɔfa so yɛ suprapatellar kwan so tibial nnadewa .

7. Oprehyɛn akyi nhyehyɛe .

8. Nsɛnnennen a ebetumi aba .

9. Ntotoho a wɔde yɛ akwan foforo .

10. Awie

11. Nsɛm a wɔka kyerɛ .

1. Nnianim Asɛm .

Tibia yɛ nnompe atenten a ɛtaa paapae wɔ nipadua no mu no mu biako. Mpɛn pii no, sɛ tibia no mu paapae hwehwɛ oprehyɛn esiane asiane kɛse a ɛwɔ hɔ sɛ wobenya malunion ne nea ɛnyɛ nkabom nti. Nnadewa a ɛwɔ nipadua no mu no abɛyɛ sika kɔkɔɔ gyinapɛn a wɔde sa tibial a ɛpaapae esiane mfaso pii a ɛwɔ so nti, a nea ɛka ho ne sɛnea ɛgyina hɔ yiye ne bere a wɔde sa yare ntɛmntɛm no.

Suprapatellar approach tibial nail no yɛ ɔkwan a agye din wɔ nnansa yi mfe mu esiane mfaso pii a ɛwɔ so wɔ akwan afoforo so nti. Saa asɛm yi botae ne sɛ ɛbɛma wɔanya akwankyerɛ a ɛkɔ akyiri a ɛfa suprapatellar approach tibial nail no ho.

2. Anamɔn a ɛwɔ tibia no mu .

Ansa na yɛbɛka suprapatellar approach tibial nail ho asɛm no, ɛho hia sɛ yɛte tibia no nipadua ase. Tibia no yɛ nnompe atenten abien a ɛwɔ nan ase no mu nea ɛsõ na ɛwɔ nipadua no mu duru fã kɛse no ara. Tibia no awiei a ɛbɛn no ne asen no ka bom yɛ kotodwe nkwaa no, bere a akyirikyiri awiei no ne fibula ne talus no yɛ ankle nkwaa no.

Tibia no wɔ intramedullary canal a ɛkɔ ne tenten mu. Asubɔnten no trɛw wɔ baabi a ɛbɛn no na ɛyɛ teateaa kɔ akyirikyiri awiei no. Saa asubɔnten yi ne baabi a wɔde intramedullary nail no hyɛ mu.

3. Nsɛnkyerɛnne a ɛkyerɛ sɛ suprapatellar kwan so tibial nnadewa .

Wɔkyerɛ sɛ suprapatellar kwan no tibial nail no yɛ tibial fractures ahorow, a nea ɛka ho ne:

• Distal abiɛsa tibial fractures .

• Proximal tibial fractures .

• Tibial shaft a ɛpaapae .

• Oblique a ɛyɛ mmerɛw .

• Nkuruwankuruwa a ɛyɛ kurukuruwa .

• Ntini a ɛyɛ comminit a ɛyɛ mmerɛw .

• Mmubui a ɛwɔ cortical sintɔ a ɛho hia mu .

4. Mfaso a ɛwɔ suprapatellar kwan so tibial nnadewa .

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

• Mmubui a ɛso tew a ɛkɔ anim: suprapatellar kwan no ma wotumi hu baabi a abubu no yiye, na ɛma mpaapaemu no so tew yiye.

• Mogya a ɛso tew: suprapatellar kwan no hwehwɛ sɛ wɔtwe ntini a ɛyɛ mmerɛw no pii, na ɛma mogya no so tew bere a wɔreyɛ oprehyɛn no.

• Asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no so tew: suprapatellar kwan no ma asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no so tew denam kotodwe nkwaa a ɛyɛ ɔyare mmoawa a wobetumi anya no a wɔkwati no so.

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

• Ayarefo a wɔn ho tɔ wɔn ntɛmntɛm: Ayarefo a wɔyɛ suprapatellar kwan so tibial nnadewa oprehyɛn no taa ho tɔ wɔn ntɛmntɛm na sɛ wɔde toto wɔn a wɔfa akwan foforo so no ho a, ɛyɛ tiaa.

5. ahosiesie a wɔyɛ ansa na wɔayɛ oprehyɛn .

Ansa na wɔbɛyɛ ayarefo no suprapatellar kwan so tibial nail oprehyɛn no, mpɛn pii no wɔbɛyɛ ahosiesie pii ansa na wɔayɛ wɔn oprehyɛn. Nea ɛbɛka eyi ho ne aduruyɛ ho abakɔsɛm a edi mũ, nipadua mu nhwehwɛmu, ne mfoniniyɛ ho nhwehwɛmu te sɛ x-ray, CT scans, anaa MRI scan ahorow a wɔde bɛhwɛ baabi a mpaapaemu no kodu ne baabi a ɛwɔ.

Ayarefo nso betumi ayɛ wɔn mogya mu nhwehwɛmu ansa na wɔayɛ wɔn oprehyɛn ne nhwehwɛmu afoforo a wɔyɛ wɔ aduruyɛdan mu de ahwehwɛ wɔn akwahosan nyinaa mu na wɔahu ayaresa tebea biara a na ɛwɔ hɔ dedaw a ebetumi aka wɔn oprehyɛn ne wɔn ho a wɔbɛsan ayɛ no.

Ɛho hia sɛ ayarefo ka nnuru biara a wɔrenom no kyerɛ wɔn oprehyɛn ho ɔbenfo no, a nnuru a wɔtɔn ne nea wɔde ka ho a wɔmfa nnuru nhyɛ mu ka ho, efisɛ ebia ebehia sɛ wogyae nnuru bi ansa na wɔayɛ no oprehyɛn esiane sɛ mogya retu no ho asiane anaa ɔhaw afoforo nti.

Wobetumi nso ahyɛ ayarefo nkuran sɛ wongyae sigaretnom na wɔnkwati nsa wɔ adapɛn a edi oprehyɛn 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 kwan a wɔfa so yɛ suprapatellar kwan so tibial nnadewa .

Wɔtaa yɛ suprapatellar kwan no tibial nail surgery wɔ aduru a wɔde kum nipadua no nyinaa ase na ebetumi agye nnɔnhwerew pii ansa na wɔawie. Oprehyɛn kwan no fa anammɔn a edidi so yi ho:

1. Wɔde ɔyarefo no si oprehyɛn pon no so wɔ gyinabea a ɛda fam, na ne nan a ɛho ayɛ no ma no so na ne nan kurafo bi gyina n’akyi.

2. Wɔyɛ ntwitwiridii ketewaa bi wɔ were a ɛwɔ patella no atifi pɛɛ no ​​mu, na wɔde akwankyerɛ hama bi fa were no mu kɔ tibia no ntini a ɛwɔ ntini no mu no mu.

3. Wɔde reamer di dwuma de siesie asubɔnten no ma wɔde nnadewa no hyɛ mu.

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

5. Sɛ nnadewa no si hɔ wie a, wɔde nkɔnsɔnkɔnsɔn a wɔde to mu no fa nnadewa no mu kɔ dompe no mu ma ɛkyekyere no wɔ nea ɛwɔ no mu.

6. Afei wɔto ntwitwiridii no mu, na wɔde cast anaa brace a wɔde hyɛ nan no mu no ntumi nkɔ so.

7. Oprehyɛn akyi dwumadie .

Wɔ suprapatellar kwan a wɔfa so yɛ tibial nail oprehyɛn akyi no, mpɛn pii no ayarefo bɛtra ayaresabea nna pii de ahwɛ wɔn ho na wɔadi ɛyaw ho dwuma. Wɔbɛtu wɔn fo sɛ wɔmma wɔn nan a ayɛ basaa no nkɔ soro na wɔkwati sɛ wɔde mu duru bɛhyɛ mu adapɛn pii.

Wɔbɛma ayarefo nso apɔw-mu-teɛteɛ a ɛbɛboa ma ntini a atwa kotodwe no ho ahyia no ayɛ den na wɔasiw ntini a ɛyɛ den no ano. Wobetumi akamfo nipadua mu ayaresa nso akyerɛ sɛ ɛbɛboa ayarefo ma wɔasan ayɛ wɔn ho bio na wɔn ho ayɛ den wɔ wɔn nan a ayɛ basaa no mu.

Wɔbɛma ayarefo no ɛyaw nnuru ne nnuru a ekum ɔyare mmoawa sɛnea ɛho hia na ama wɔadi ɛyaw ho dwuma na wɔasiw ɔyare mmoawa ano. Wɔayɛ nhyehyɛe sɛ wɔbɛkɔ akɔhwɛ ayaresa no na wɔasusuw ho sɛ ebia nsɛnnennen biara bɛba anaa.

8. Nsɛnnennen a ebetumi aba .

Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow a ebetumi aba ne ɔhaw ahorow wɔ hɔ a ɛbata suprapatellar kwan a wɔfa so yɛ tibial nnadewa oprehyɛn ho. Ebia eyinom bi ne:

• Nsaneɛ

• Mogya a ɛretu .

• Ntini a ɛsɛe ade .

• Mogya a ɛtɔ .

• Ayaresa a ɛkyɛ .

• a ɛnyɛ nkabom anaasɛ malunion a ɛwɔ akisikuru no mu .

• Hardware a ɛyɛ adwuma yiye .

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

9. Ntotoho a wɔde yɛ akwan foforo .

Suprapatellar approach tibial nail no yɛ akwan pii a wɔfa so sa tibial fractures no mu biako. Akwan foforo a wɔfa so yɛ no bi ne infrapatellar abɛn tibial nail, retrograde tibial nail, ne mprɛte ne screw fixation.

Bere a ɔkwan biara wɔ mfaso ne ɔhaw ahorow no, suprapatellar kwan a wɔfa so yɛ tibial nnadewa no ma wonya mfaso soronko pii, a nea ɛka ho ne sɛ ɛbɛma abubu a ɛso tew, mogya a wɔhwere no so atew, ne asiane a ɛwɔ hɔ sɛ wobenya ɔyare no ne ntini a ɛwɔ akyi no apira.

10. Nsɛm a wɔde wie .

Suprapatellar approach tibial nail no yɛ oprehyɛn kwan a agye din a wɔfa so sa tibial fractures. Ɛma wonya mfaso pii sen akwan afoforo, a nea ɛka ho ne sɛ ɛso tew a ɛkɔ anim, mogya a ɛso tew, ne asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa ne ntini a ɛwɔ akyi no mu a ɛso tew.

Nanso, sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ne ɔhaw ahorow a ebetumi aba wɔ hɔ, na ɛho hia sɛ ayarefo susuw nea wobetumi apaw no ho yiye na wɔne wɔn oprehyɛn ho ɔbenfo no susuw ho na wɔasi gyinae a ɛfata.

11. Nsɛm a wɔka kyerɛ .

1. Bere tenten ahe na suprapatellar kwan a wɔfa so yɛ tibial nail surgery no gye?

   
   

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

   
   

2. Bere tenten ahe na egye na obi ho atɔ no afi suprapatellar kwan a wɔfa so yɛ tibial nail surgery no ho?

   
   

   Bere a wɔde ma obi ho tɔ no no betumi ayɛ soronko a egyina baabi a ne mu apaapae no so ne sɛnea ɔyarefo no ankasa tumi sa yare no so, nanso mpɛn pii no egye asram pii ansa na dompe no asa koraa.

   
   

3. Dɛn ne nkonimdi dodow a ɛwɔ suprapatellar kwan so tibial nnadewa oprehyɛn mu?

   
   

   Mpɛn pii no, oprehyɛn no mu nkonimdi no dɔɔso, nanso ebetumi ayɛ soronko a egyina ɔyarefo no tebea ne baabi a ne mu apaapae no so.

   
   

4. So mihia nipadua mu ayaresa bere a wɔayɛ no suprapatellar kwan so tibial nnadewa oprehyɛn akyi?

   
   

   Ebia wɔbɛkamfo nipadua mu ayaresa akyerɛ sɛ ɛbɛboa wo ma woasan ayɛ wo ho na woanya ahoɔden a edi mũ wɔ wo nan a ayɛ wo no mu.

   
   

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

   
   

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