Asɛm no mu nsɛm a wɔaka abom .
Nnansa yi ara, nnompe ho apirakuru kuw a Oduruyɛfo Carlos Rivera di wɔn anim wɔ Santa Rosa Municipal Hospital a ɛwɔ Lima, Peru , no wiee . Closed reduction ne mu fixation oprehyɛn ma benkum intertrochanteric fracture. Ɔyarefo no ada no adi sɛ oprehyɛn akyi nkɔso a ɛkɔ so daa a ɛhyɛ ne ho a ɔde hyɛ ne ho ntɛm ho nkuran no ho nkuran.
Saa asɛm yi si hia a ɛho hia sɛ wohu yare no ntɛmntɛm, wɔpaw nneɛma a ɛfata a wɔde hyɛ nipadua mu, na wɔyɛ oprehyɛn a wɔde hyɛ nipadua no mu kakraa bi wɔ nkwakoraa ne mmerewa asen mu a ɛpaapae no ho dwuma—ayaresa mu asɛnnennen a ɛrenya nkɔanim wɔ wiase nyinaa so dua.
Nhwehwɛmu a wɔyɛ ansa na wɔayɛ oprehyɛn & Oprehyɛn ho gyinaesi .
Bere a wɔasan ahwɛ ɔyarefo no ayaresa mu nsɛm a ɔkae, nea wɔahu wɔ X-ray mu, comorbidities, ne dwumadi nyinaa mu no, oprehyɛn ho ɔbenfo panyin Dr. Rivera de baa awiei sɛ . Closed reduction ne fixation a wɔde intertan intramedullary nnadewa di dwuma no bɛma ano aduru a ɛyɛ den na ɛyɛ biomechanically a eye sen biara.
Gyinaesi no gyinaa hia a ehia sɛ wɔyɛ so:
Ahoɔden a ɛkɔ so sɔre tia ahoɔden a ɛkyinkyini .
Proximal fixation a emu yɛ den na ɛtra hɔ kyɛ .
Controlled compression wɔ baabi a abubu no wɔ .
Nneɛma a wɔde hyɛ nipadua no mu a ɛnyɛ den pii na ama oprehyɛn mu apirakuru so atew .
Eyi ho hia titiriw ma ayarefo a wɔn mfe akɔ anim, baabi a sɛ wɔboaboa wɔn ano ntɛm a, ebetumi ama nneɛma a efi mu ba no atu mpɔn kɛse na ama nsɛnnennen te sɛ ahurututu mu yare, mogya a ɛtwetwe, ne bere tenten a wontumi nkɔ mu no so atew.
Asɛm no mu nsɛm a wɔaboaboa ano .
Ɔyarefo no, Ms. Ana Marisol Vásquez , ɔbea bi a wadi mfe 82 a ɔwɔ aduruyɛ ho abakɔsɛm a ɛfa ntini mu mogya mmoroso ho , kɔɔ ayaresabea bere a wɔahwe ase wɔ fie akyi no. Ɔbɔɔ amanneɛ sɛ ne asen mu yaw a emu yɛ den ne ne mu duru a ontumi nsom koraa.
Nipadua mu nhwehwɛmu daa no adi sɛ:
dɛmdi a wotumi hu wɔ benkum asen no ho .
Nneɛma a ɛkɔ so no sua koraa .
Ntease a ɛyɛ mmerɛw wɔ intertrochanteric mantam no mu .
Ntini a ɛwɔ fam a ɛnyɛ ne kwan so a ɛnyɛ ne kwan so .
Radiographic imaging sii benkum intertrochanteric fracture a wɔatu afi hɔ so dua , na ɛhwehwɛ sɛ wɔyɛ oprehyɛn wɔ bere a ɛsɛ mu na ama wɔasan agyina na wɔatumi anantew.
Mfonini a wɔde yɛ oprehyɛn ansa na wɔayɛ oprehyɛn .
X-ray a ɛkyerɛ sɛ obi a ne ho yɛ fɛ a ɛwɔ benkum fam no abubu afi benkum so wɔ ɔyarefo a ne mfe akɔ anim mu, Lima Peru .
Oprehyɛn akyi mfonini .
![Oprehyɛn akyi X-ray akyi intertan intramedullary nnadewa fixation benkum intertrochanteric fracture-czmeditech .]( "Postoperative X-ray after Intertan Intramedullary Nail fixation of left intertrochanteric fracture-czmeditech")
Oprehyɛn akyi x-ray a ɛkyerɛ intertan intramedullary nail fixation a ɛwɔ benkum intertrochanteric fracture, Peru .
Oprehyɛn Nsɛm a Wɔaboaboa Ano .
Wɔ oprehyɛn no mu no, Oduruyɛfo Rivera kae sɛ . Czmeditech intertan intramedullary nnadewa maa biomechanical stability a ɛkorɔn ne implantation a ɛyɛ mmerɛw.
Mfaso atitiriw a wohui no bi ne:
1. Mfaso a ɛwɔ biomechanical so .
Dual cephalocervical screws a ɛma ɛyɛ kɛse sɛ ɛbɛdannan ne ho no .
Axial compression a ɛkɔ anim wɔ fracture line no so .
Fixation a ɛyɛ den a ɛma asiane ahorow a ɛwɔ varus ahwe ase no so tew .
ahoɔden kyekyɛ mpo a ɛhyɛ nnompe ayaresa ho nkuran .
2. Nsusuwii mu mfaso .
no Nail tip a ɛyɛ teateaa na wɔayɛ no fɛfɛɛfɛ maa nea wɔde ahyɛ mu no tumi faa medullary canal no mu a na ɛko tia, na ɛtew ntini mu ahodwiriw so.
no Titanium aduru a ahoɔden kɛse wom a wɔde yɛ cephalic screws maa biocompatibility a ɛkyɛn so ne bere tenten a ɛtra hɔ kyɛ.
3. Instrument Set adwumayɛ .
Intertan instrument a wɔatu ho ama no de mae:
GuideWire gyinabea a ɛyɛ pɛpɛɛpɛ .
Reaming ne nnadewa a ɛyɛ mmerɛw a wɔde hyɛ mu .
Targeting a ɛyɛ pɛpɛɛpɛ ma screw placement .
Bere tiaa a wɔde yɛ oprehyɛn .
Fluoroscopy a wɔde di dwuma no so tew .
Eyi maa ɛyɛɛ mmerɛw sɛ wɔbɛtew so yiye na wɔde wɔn ho ato so, na ɛne biomechanical ahwehwɛde ahorow a ɛwɔ fracture pattern no mu no hyia.
Nneɛma a wɔde hyɛ nipadua mu ho nkyerɛkyerɛmu .
Oprehyɛn no de Czmeditech intertan intramedullary nnadewa nhyehyɛe a ɛka ho ne ne instrument set a wɔaka abom no dii dwuma.
![Czmeditech intertan intramedullary nnadewa a ɛwɔ cephalocervical screws abien .]( "CZMEDITECH Intertan Intramedullary Nail with dual cephalocervical screws")
Intertan intramedullary nnadewa .
Nneɛma a wɔde hyɛ nipadua mu ho nkyerɛkyerɛmu .
![Intertan intramedullary nnadewa a wɔaka abom adwinnade a wɔde asi hɔ fi Czmeditech .]( "Intertan Intramedullary Nail integrated instrument set from CZMEDITECH")
Sɛ wopɛ sɛ wusua pii fa oprehyɛn asɛm yi ho anaasɛ wohwehwɛ yɛn intertan intramedullary nail system no ho nsɛm nyinaa mu a, yɛsrɛ sɛ ntwentwɛn wo nan ase sɛ wobɛka yɛn ho. Yɛn kuw no bɛma wo mfiridwuma ho mmoa a ɛkɔ akyiri ne adwumayɛfo mmuae.→
Nkɔso a aba wɔ oprehyɛn no akyi .
Bere a wɔde sii hɔ akyi no, ɔyarefo no fii ase boaa no ntɛm. Ɛyaw no ho tɔɔ no kɛse, wɔsan de akwaa a ɛne ne ho hyia no sii hɔ bio, na radiographs a wɔde dii akyi no sii so dua sɛ wɔde aduru a wɔde hyɛ nipadua no mu no gyina hɔ pintinn a sɛnkyerɛnne ahorow a ɛkyerɛ sɛ akisikuru no resa nkakrankakra.
Saa asɛm yi kyerɛ sɛ intertan nhyehyɛe no de fixation a wotumi de ho to so ne nea efi mu ba a eye wɔ ayarefo a wɔn mfe akɔ anim mu ma —wɔn a wɔwɔ nnompe mu yare mpo.
Nsɛm a wɔka kyerɛ .
Ayaresabea din, oduruyɛfo din, ne ayarefo ho nsɛm a wɔde dii dwuma wɔ amanneɛbɔ yi mu nyinaa yɛ din a wɔde to wɔn so de yɛ ɔyɛkyerɛ nkutoo.
FAQ .
1. Dɛn nti na wɔpaw intertan intramedullary nail maa intertrochanteric fracture yi wɔ Peru?
Ná ɔyarefo no yɛ ɔbea a wadi mfe 82 a ne nnompe nyɛ papa na ne benkum ntam kwan a ɛyɛ mmerɛw no mu abubu. Intertan intramedullary nail no de cephalomedullary nhyehyɛe a wɔaka abom ne dual cephalocervical screws ma, na ɛma rotational stability a emu yɛ den ne compreder compression wɔ fracture site, a ɛyɛ papa ma ntɛm mobilization wɔ geriatric hip fracture ayarefo mu.
2. Mfaso titiriw bɛn na ɛwɔ Czmeditech intertan intramedullary nail so wɔ asɛm yi mu?
Czmeditech intertan intramedullary nnadewa no de cephalocervical screws abien ne nnadewa a ɛyɛ teateaa ne nea wɔayɛ no fɛfɛɛfɛ bom. Saa nhyehyɛe yi ma kwan a ɛkɔ so no yɛ mmerɛw wɔ medullary canal no mu, ɛtew soft-tissue damage so, ɛma implant a ɛma ɛyɛ mmerɛw no tumi ko tia, na ɛboa ma wonya nnompe a wotumi de ho to so wɔ intertrochanteric fractures a entumi nnyina mu.
3. Ɔkwan bɛn so na Integrated Instrument Set no boaa oprehyɛn a wɔyɛe wɔ Santa Rosa Municipal Hospital no?
Intertan intramedullary nail instrument a wɔatu ho ama a efi CzmeDech no ma akwankyerɛ, reamers ne mfiri a wɔde wɔn ani si so no pɛpɛɛpɛ. Saa nhyehyɛe a wɔaka abom yi yɛɛ mmerɛw wɔ oprehyɛn no mu, na ɛmaa wɔde skru a ɛyɛ pɛpɛɛpɛ sii fluoroscopy ase na ɛboaa ma Oduruyɛfo Carlos Rivera kuw no yɛɛ oprehyɛn a ɛyɛ mmerɛw.
4. Dɛn na efii ɔyarefo a ne mfe akɔ anim yi a ɔwɔ Lima yi mu bae?
Bere a wɔde nnadewa a wɔde hyɛ mu a wɔatoto mu ne intermedullary intramedullary fixation akyi no, ɔyarefo no nyaa fracture fixation a ɛyɛ den ne ne ho a ɔde yɛɛ adwuma ntɛm. Ɛyaw no ho tɔɔ no kɛse, wɔsan de akwaa no hyiae bio na mfonini a edii akyi bae no sii so dua sɛ wɔde aduru a wɔde hyɛ nipadua no mu no gyinabea pa ne ayaresa a ɛma obi bubu nkakrankakra.
5. So intertan intramedullary nail no fata ma asen mu akisikuru ahorow afoforo?
Wɔde intertan intramedullary nail no titiriw kyerɛ sɛ ɛyɛ intertrochanteric fractures a ɛyɛ den na entumi nnyina ne subtrochanteric fractures binom a ɛwɔ asen no mu. Ne cephalomedullary nhyehyɛe no ma otumi di proximal femoral fracture patterns a ɛyɛ den ho dwuma, nanso ɛsɛ sɛ nnompe mu oprehyɛn ho ɔbenfo no hwɛ nea etwa to no mu sɛnea ɔyarefo biara nipadua ne ne nnompe te.
6. Ɔkwan bɛn so na dual cephalocervical screw fixation ma ahoɔden a ɛwɔ intertrochanteric fractures mu no tu mpɔn?
Dual cephalocervical screws ma contact area a ɛwɔ femoral ti ne kɔn mu no yɛ kɛse, ɛma control wɔ rotation so na varus no bubu na ɛma wotumi de compression a wɔahyɛ so twa fracture line no so. Eyi boa ma ɛtew so na ɛtew asiane a ɛwɔ hɔ sɛ wobetwitwa ntini a wɔde hyɛ nipadua mu no so anaasɛ ɛbɛyera wɔ nnompe dompe mu no so.
7. Nneɛma bɛn na wɔde yɛ cephalic screws a ɛwɔ Czmeditech intertan nhyehyɛe no mu?
Wɔde titanium aduru a ahoɔden wom kɛse na ɛyɛ cephalic screws a ɛwɔ Czmeditech intertan intramedullary nail system no mu. Saa ade yi ma wonya biocompatibility a ɛkyɛn so, corrosion resistance ne bere tenten ɔbrɛ ahoɔden, na ɛtew asiane a ɛwɔ hɔ sɛ wɔde bɛhyɛ nipadua no mu akyiri yi anaasɛ nea enye a ɛba no so.
8. So Czmeditech betumi de ne kɛse a wɔahyɛ da ayɛ ama wɔn a wɔkyekyɛ nneɛma ne ayaresabea ahorow a edi mũ?
Aane. Czmeditech de intertan intramedullary nnadewa ne nnwinnade a ɛne no hyia nyinaa ma. Sɛnea mpɔtam hɔ ayaresabea ahwehwɛde kyerɛ no, wɔn a wɔkyekyɛ nneɛma ne ayaresabea ahorow betumi apaw sɛnea nneɛma te anaasɛ wɔasusuw nsɛm a wɔakyerɛw a wɔahyɛ da ayɛ ne nhyehyɛe ahorow a wɔde asi hɔ ho de adi wɔn nnompe mu apirakuru oprehyɛn ahiade ho dwuma.
9. Nsusuwso bɛn na ɛwɔ oprehyɛn no mu a ɛho hia ma ayarefo a wɔn mfe akɔ anim a wɔn ntam abubu wɔ intertrochanteric mu?
Wɔ ayarefo a wɔn mfe akɔ anim fam no, ɛho hia sɛ wodi comorbidities te sɛ hypertension so, optimize anesthesia risk, tew oprehyɛn mu adwenemhaw so na wofi ase kanyan wɔn ntɛm wɔ ahobammɔ ase. Internal fixation a ɛyɛ den a ɛwɔ intertan intramedullary nail no boa ntɛm a wɔsoa mu duru na ɛboa ma nsɛnnennen a ɛfa mpa so a wɔhome kyɛ ho no so tew.
10. Ɔkwan bɛn so na Peru asɛm yi betumi aboa amanaman ntam adetɔfo a wɔresusuw Czmeditech asen mu akisikuru ano aduru ho?
Saa Lima, Peru asɛm yi kyerɛ sɛ Czmeditech intertan intramedullary nail no betumi ama fixation a wotumi de ho to so ne nea efi mu ba pa wɔ ayaresabea ankasa mu. Wɔ amanaman ntam kyekyɛfoɔ ne ayaresabea ahodoɔ fam no, wiase nyinaa nsɛm ho amanneɛbɔ a ɛte saa no boa ma wɔnya ahotosoɔ wɔ nneɛma a wɔyɛ, nnwinnadeɛ pa ne mfiridwuma ho mmoa a ɛfiri Czmeditech hɔ.
