Bere bɛn na ɛsɛ sɛ wɔyɛ wo oprehyɛn a ɛma wobubu wo ho?

Mpɛn pii no, nipadua no afã afoforo a wopirapira ka akisikuru ho. Wɔ ayaresa no nyinaa mu no, ɛsɛ sɛ wɔsa ayarefo no nyinaa yare.

Nhyehyɛe a Wɔde Di Kan

• Gye nkwa

• Gye akwaa

• Fa nkwaa sie

• Ɔdansi adwuma a wɔsan yɛ

  
  

Oprehyɛn a wɔyɛ no ntɛm: ayaresa nnyinasosɛm ahorow a ɛfa ntini mu opira, akisikuru a wɔabue ne akisikuru a wɔato mu ho.

• Open reduction ne emu fixation ntɛm sɛnea ɛbɛyɛ yiye (wɔ 6h mu) .

• 48h

• 3 ~ 7d: Ɛbɛma ARDS ne nsɛnnennen afoforo a ɛba no ayɛ kɛse.

• 7 ~ 10d: Endocrine reaction so tew [ɔhohoro no ano brɛɛ ase, ɔfe no yerae].

• Bɛboro adapɛn 2: oprehyɛn a ɛyɛ den no kɔ soro na oprehyɛn akyi dwumadi so tew.

Collarbone a ɛpaapae

• Sɛ fracture block no pira subclavian artery, vein ne brachial plexus a, wɔpene so sɛ ɛyɛ ɔhaw a emu yɛ den na ɛsɛ sɛ wɔyɛ no oprehyɛn ntɛm ara.

Humeral a ɛbɛn hɔ a ɛpaapae

• Sɛ elastic sanba no ba wɔ nsaano reduction akyi-tendon of biceps longus, bere a axillary nerve ho sɛnkyerɛnne ahorow no da adi.

Humeral shaft a ɛpaapae

• Sɛ wohu radial nerve opira ho sɛnkyerɛnne wɔ nipadua mu nhwehwɛmu mu pɛ a, wɔbɛyɛ oprehyɛn no ntɛm ara.

Distal humeral a ɛpaapae

• Saa akisikuru yi betumi ama ntini anaa mogya ntini biara a ɛfa nsateaa nkwaa no mu apira. 

• Mogya ntini a ɛpaapae no ntaa mma, nanso ebia nhyɛso anaasɛ nhyɛso bɛba. 

• Fascial space syndrome-ntɛm ara a wɔtwa ne decompression.

Opira a ɛba olecranon, radial ti ne complex elbow joint so

• Wie oprehyɛn no wɔ dapɛn biako mu.

• 1 ~ 2 adapɛn oprehyɛn taboo bere-myositis ossificans.

• Oprehyɛn wɔ adapɛn 2 mu.

  
  

Anim nsa abien a ɛpaapae

• Anaasɛ ɛsɛ sɛ wɔyɛ open fracture oprehyɛn wɔ 6 ~ 8h akyi opira.

• Oprehyɛn a wɔkyɛ no betumi ama asiane a ɛwɔ hɔ sɛ nnompe bridge bɛhyehyɛ ulna ne radius ntam no ayɛ kɛse.

Distal radius a ɛpaapae

• Bere a nipadua mu nhwehwɛmu no hui sɛ extensor pollicis longus tendon opira ne median nerve compression sɛnkyerɛnne ahorow no puei-oprehyɛn ntɛm ara.

Nsa a abubu

• Wosi so dua sɛ wɔbɛtew so ntɛm na wɔde ahyɛ mu ma wɔ abubuw a wɔabue ne nea wɔato mu nyinaa ho, titiriw wɔ wɔn a ɛyɛ den wɔ ntini, ntini anaa ntini mu opira ho no, ɛsɛ sɛ wɔyɛ oprehyɛn ntɛm ara.

  
  

Pelvic a ɛpaapae

• Mpɛn pii no, wɔde akyi berɛmo mu akisikuru ka afã afoforo a ɛpaapae ho, na ɛno bɛma mogya mu ahoɔden a entumi nnyina.

  
  

• Ayaresa kwan a wɔfa so sa pelvic fracture a ɛyɛ den: 30min, gyinaesi ahorow 3

• Oprehyɛn a wɔde hwehwɛ nneɛma mu ntɛm ara na ama mogya atɔ no agyae

• Pelvic fixation (C-shaped forceps anaa abɔnten fixator) yɛ wie wɔ 10 ~ 15min.

• Afei hwɛ 10 ~ 15min, ɔyarefo no da so ara wɔ hemodynamic instability-oprehyɛn.

• Wɔ ayarefo a wɔn mogya mu ahoɔden yɛ den fam no, ɛsɛ sɛ wɔyɛ oprehyɛn no wɔ nnafua 7 mu, anaa nnafua 7 ~ 14 mu.

Asen a ɛbɛn a ɛpaapae-intertrochanteric a ɛpaapae

• Sɛ wotumi di ɔyarefo no tebea nyinaa so wie a, ɛsɛ sɛ wɔyɛ emu fixation, DHS, DCS ne PFN,.

Proximal femoral fracture-asen kɔn a ɛpaapae

• Asen kɔn mu abubu, titiriw intracapsular fracture betumi de mogya a ɛwɔ asen ti no mu no ato asiane mu, enti ɛho hia sɛ wobue reduction ne internal fixation ntɛm ara sɛnea wobetumi.

• Nneɛma a wɔde hyɛ mu: < mfe 65

• Nkwaa a wɔde besi ananmu: > mfe 65

• Sɛ oprehyɛn a egye ntɛmpɛ ntumi nyɛ yiye a, wobetumi ato nkwaa mu na wɔatwe mogya a ɛwɔ ntini no mu no, na wɔama asen nkwaa no akɔ so ayɛ nea ɛyɛ fã bi a ɛbɔ ne akyi a ɛkyinkyini.

Distal femoral a ɛpaapae

• Ayarefo a ntini a ɛyɛ mmerɛw apirapira kɛse, abubu a wɔabue, anaasɛ ɛyɛ den wɔ oprehyɛn a edi kan mu-Super-articular external fixator.

• Oprehyɛn a wɔde sa opira a atew ne ho ntɛm ara-—DCS, retrograde intramedullary nail.

  
  

Patella a Ɛpaapae

• Ɔyarefo no tebea nyinaa yɛ nea ɛyɛ den, na mpɔtam hɔ honam ani tebea ma kwan, ɛsɛ sɛ wɔyɛ oprehyɛn no ntɛm ara.

Tibial a ɛbɛn a ɛpaapae

• Kyerɛ sɛnea basabasayɛ a wɔde opira obi te

• Mpɛn pii no, ahoɔden kɛse a opira no de ntini a ɛyɛ mmerɛw a opira kɛse ka ho. Nea ɛda nsow ne nsa ne akwaa a ɛho ahonhon, akisikuru, honam ani a ɛyɛ mmerɛw ne honam ani a ɛpaapae. Ɛsɛ sɛ wɔtwe oprehyɛn no kɔ akyiri saa bere yi. Bere koro no ara mu no, ɛsɛ sɛ woyi fascial space syndrome ne ntini ne ntini mu opira fi mu.

Tibial shaft a ɛpaapae

• The particularity of anatomy-hia a ɛho hia sɛ wɔkata ntini a ɛyɛ mmerɛw so.

• Mfiase: wɔ 8h mu

• Wobu abɔnten so fixator sɛ nea edi kan a wɔpaw ma ayaresa ntɛm.

• Gypsum mmoa

• Calcaneal a ɛtwetwe ade

• Ɔfã II: bɛyɛ adapɛn 2.

• Na nhyehyɛe mu ɔyare mmoawa ne ahodwiriw a emu yɛ den biara nni hɔ a ɛda adi pefee.

• Kuru no ho ahonhon anaasɛ nsu a ɛrepue biara nni hɔ.

• Blister yɛ dry, ɔfe no brɛ ase na wobetumi de wɔn nsa aka nnompe agyiraehyɛde ahorow.

• Wora a ayɛ nwininwini, honam ani nsensanee da adi.

Distal tibia (pilon) a ɛpaapae .

Nea efi Pilon akisikuru mu ayaresa mu ba no gyina sɛnea nkwaa a wɔsan yɛ no yiye ne tebea a ntini a ɛyɛ mmerɛw a ɛkata so no so.

Bere a eye sen biara a wɔde bɛyɛ oprehyɛn no gyina sɛnea ntini a ɛyɛ mmerɛw no te so:

• Mfiase: wɔyɛɛ oprehyɛn no wɔ 6 ~ 8h mu, a ɛkɔɔ so 2 ~ 3h.

• Delay: 7 ~ 10 nna, ɔfe yerae na honam ani nsensanee puei.

Atetesɛm nnyinasosɛm anan a ɛsɛ sɛ wodi akyi wɔ oprehyɛn a wɔsan yɛ no fã biako mu:

• Fibula a wɔsan yɛ no foforo

• Tibial articular surface a wɔsan yɛ no foforo

• Nnompe a wɔde hyɛ nipadua mu

• Nnompe mprɛte a wɔboa

Ankle a abubu

• Ankle fracture yɛ intra-articular a ɛpaapae.

• Ayaresa no atirimpɔw ne sɛ ɛbɛma nkwaa no nipadua nhyehyɛe a ɛfata asan aba.

• Bere a wɔbɛyɛ oprehyɛn no gyina sɛnea ntini a ɛyɛ mmerɛw no te so.

• Bere a eye ma oprehyɛn ne ansa na edema ne akisikuru apue wɔ baabi a abubu no.

Nan a abubu

• Ɛyɛ nan ase abo a nnipa gyina na wɔnantew. Nan no nipadua nhyehyɛe a ɛfata a wɔsan de ba no di dwuma titiriw wɔ nkurɔfo gyinabea ne wɔn nantew mu.

• Sɛnea ɛte wɔ nansoaa a ɛpaapae ho no, bere a wɔde bɛyɛ oprehyɛn no gyina sɛnea ntini a ɛyɛ mmerɛw no hohoro ne tebea so.

Akyi berɛmo mu akisikuru

• Sɛ nipadua no nyinaa gyina pintinn a, ɛsɛ sɛ wɔyɛ akisikuru a wɔatu no oprehyɛn ntɛm ara sɛ ntini mu yare ho sɛnkyerɛnne bi wɔ hɔ a.

  
  

Sɛnea Wɔtɔ Nnompe a Wɔde Si Nnompe Mu ne Nnompe Ho Nnwinnade!

Ma CZMEDITECH , yɛwɔ nneɛma a edi mũ yiye a ɛyɛ nnompe oprehyɛn a wɔde hyɛ nipadua mu ne nnwinnade a ɛne no hyia, nneɛma no ka ho akyi berɛmo mu nneɛma a wɔde hyɛ nipadua mu, nnadewa a ɛwɔ medullary mu, trauma mprɛte, mprɛte a wɔde to mu, cranial-maxillofacial a ɛwɔ anim, afiri a wɔde yɛ nipadua no, nnwinnade a wɔde anyinam ahoɔden yɛ, abɔnten so fixators, ntini mu nhwehwɛmu, mmoa ho ayaresa ne nnwinnade a wɔde boa wɔn.

Bio nso, yɛasi yɛn bo sɛ yɛbɛkɔ so ayɛ nneɛma foforo na yɛatrɛw nneɛma ahorow mu, sɛnea ɛbɛyɛ a yebedi nnuruyɛfo ne ayarefo pii oprehyɛn ahiade ho dwuma, na yɛama yɛn adwumakuw no nso asi akan kɛse wɔ wiase nyinaa nnompe a wɔde hyɛ nipadua mu ne nnwinnade adwuma no nyinaa mu.

Yɛde nneɛma kɔ wiase nyinaa, enti wubetumi di yɛn ho nkɔmmɔ wɔ email address song@orthopedic-china.com na woanya asɛm bi a wontua hwee, anaa fa nkra mena wɔ WhatsApp so na woanya mmuae ntɛmntɛm +86- 18112515727 .

Sɛ wopɛ sɛ wuhu nsɛm pii a,kliki CZMEDITECH na woahu nsɛm pii.