Dɔnniya dafalen bɛ sɔrɔ a nafa n’a dɛsɛw la minnu bɛ kɛ ka ɲɛgɛnɛsiralabanaw kunbɛn senkɔniw na .

Kɔnɔbara kɔkili karilen ye kolotugudaw joginw dɔ ye minnu bɛ sɔrɔ kɛnɛyaso la, banabagatɔ kɔrɔbaw fanba bɛ tɛmɛ 50% kan kɔkolo kari la. Jateminɛw y’a jira ko senkɔniw ka kɔri karilenw cayara dɔɔni dɔɔni san laban ninnu na, ni musow hakɛ cayara ka tɛmɛ cɛw kan. Vertigo, hakiliɲagami, bana jugu ani dusukunnabana bɛ mɔgɔkɔrɔbaw la ani fanga caman bɛ minnu na funankɛninw na, olu ye faratiba bɛ u la senkɔniw kɔkolo karilenw na.

San laban ninnu na, kɔnɔna-filɛlifɛn caman i n’a fɔ kurukuruw, minnu bɛ se ka wuli ka bɔ u nɔ na (DHS), hip vis (HSH), senkɔniw sɔgɔli platiw, nɛgɛw, ani wuluwuluw bɛ bɔ. Nin kɔnɔna-filɛ-minɛnw cɛma, kurukuruw bɛ Kɛ minnu bɛ Kɛ ka caya. Kɔlɔsiliw y’a jira ko operelikɛlaw fanba bɛ fɛnɲɛnamafagalanw fɛ minnu bɛ kɛ ka kariw furakɛ minnu ma bɔ u nɔ na, ​​wa operelikɛlaw hakɛ caman bɛ a sugandi ka baara kɛ ni kurukuruw ye minnu bɛ bɔ u senkɔniw na. 3 Parallel a partielly threaded hollow screw fixation ye kɔnɔna fixation cogo ye min bɛ sɔn ka caya.

Senkɔniw ka kɔ karilenw farikolo yɔrɔw .

Sisan, a bɛ sɔn a ma kosɛbɛ ko senkɔni kunkolo jolisiraw jɔcogo de ye fɛn nafamaba ye min bɛ nɔ bila kari kɛnɛyali ni senkɔni kunkolo nekɔrɔsi la. Tiɲɛni minnu bɛ sɔrɔ senkɔni kunkolo joli la, olu ye senkɔniw kunkolo ischemic necrosis banakisɛba ye. A systematic study of the vascular anatomy of the femoral neck found that the epiphyseal vascular network and the arterial system of the inferior supporting zone may be important structures for maintaining the blood supply to the femoral head after a femoral neck fracture, so that intraoperative drilling and implantation as close as possible to the central region of the femoral head can effectively reduce the possibility of medically induced injury to the intraosseous vascular sisitɛmu.

Jaa 1 Joli sɔrɔli senkɔni kun na, ɲɛfɛla (a) ani kɔfɛla (b) yecogo. Yɛlɛma bɛ kɛ joli la ka taa senkɔni kun na, nka kɔkolo lamini ni a cɛmancɛ joli siraw bɛ bɔ senkɔni joli jugumanba la banabagatɔ 60% la.

(1) Joli min bɛ di senkɔni kun na, o fanba bɛ bɔ senkɔniw na minnu bɛ kɛ ni senkɔniw ye.

(2) A bɛ bolofara 3 walima 4 bɔ minnu bɛ sirilan dɛmɛ. O bolow bɛ taa kɔfɛ ani ka taa sanfɛ ka tɛmɛ senkɔniw ka kɔkiliw kɔfɛla yɔrɔ kan ka taa senkɔni kunkolo kolotuguda la. Minɛnw minnu bɛ ligament rond kɔnɔ.

(3) A bɛ sɔrɔ Foramen Occulta artery fɛ. Ascending Branch of the Medial Rotor Femoral Artery.

(4) Aw bɛ senkɔniw ka sɔgɔsɔgɔninjɛ belebeleba di ani ka joli sira dɔ dilan ni senkɔniw ye minnu bɛ kɛ ka u senkɔniw dila.

Kɔnɔnatumuw bɛ kɛ ka ɲɛ ka ɲɛsin senkɔniw ma .

Kɛnɛyaso la, kolosinsinnan kurulen saba minnu bɛ kɛ ni 6,5 mm walima milimɛtɛrɛ 7,0 walima milimɛtɛrɛ 7,3 ye, olu bɛ se ka kɛ ka u siri banabagatɔ fitiniw na walima banabagatɔ cɛmancɛw walima banabagatɔ kɔrɔbaw la minnu kolo ka ɲi. Gafe dɔ ka kan ka kɛ walasa ka nɛgɛ 3 kɔnɔna to ɲɔgɔn na walasa ka se ka kari sɛgɛn sɛgɛsɛgɛli kɛ. Senkɔniw kɔkili kɔnɔ, juruw ka kan ka siri a dakunw na, k’aw janto a la ko kurukuruw bɛ siri senkɔni kun na, wa u kana u siri kari sira tigɛ, bawo o de ye fɛɛrɛ kelen ye min bɛ se ka kɛ sababu ye ka ɲɔgɔndɛmɛ sɔrɔ. A ka kan ka siri ni kuruw ye ani ka a dafa siɲɛ caman opereli kɔnɔ. Ni baara bɛ kɛ ni samalan ye, o samali ka kan ka lafiya. Kɔnɔnatumuw fana bɛ se ka bila farikolo la. Fluoroscopie frontal, latérale, ani 45° ka kan ka kɛ walasa ka a dɔn ko kurukuruw tɛ don kɔkolo joli la.

1、Opereli baarakɛcogo kɛrɛnkɛrɛnnenw.

Aw bɛ 'inverted triangle' nail placement ta, min bɛ kɛ ka caya kɛnɛyaso baara la, i n'a fɔ misali.

kelen. A fɔlɔ, fluoroscopie (fluoroscopie) kɔnɔ, aw bɛ X-ray kɛ fluoroscopie (fluoroscopie) fila la walasa ka duguma ni cɛmancɛ ɲɛminɛlanw labɛncogo dɔn.

B. Farikolo tigɛcogo dɔ bɛ kɛ min janya bɛ se santimɛtɛrɛ 2-3 ma.

C. Fascial layer bɛ fara ɲɔgɔn kan tigɛyɔrɔ la ani cobb separator bɛ kɛ ka longitudinale fibres fara ɲɔgɔn kan senkɔni fan fɛ.

D. Aw bɛ gafe ɲɛminɛbaga bila yɔrɔ la, awiyɔn fila bɛɛ dafalen don yɔrɔ min na.

e. Guide pinɛ kelen tun bɛ bila senkɔni ɲɛfɛla fan fɛ ni dɛmɛbaga ye walasa ka ɲɛfɛla kɔrɔtalen yɔrɔ dɔn.

F. Guide pin fɔlɔ jɔlen kɔfɛ, kɔfɛla ni ɲɛfɛla ɲɛminɛlan pinɛw bɛ dɔn ni ɲɛjiralanw ye minnu bɛ taa ɲɔgɔn fɛ walasa ka kɔfɛla ni ɲɛfɛla kɔkanna dɛmɛ sɔrɔ senkɔniw kɔ kɔnɔ.

G. O bɛ kɛ ni ɲɛjiralan pinɛ donli ye trochanter fitinin sanfɛ senkɔni disitali kɔkili la ka tɛmɛ senkɔni kɔkolo fɛ; Guide pinɛ fila nataw bɛ don kɛrɛfɛ cogo la min bɛ taa ɲɔgɔn fɛ, fo ka se a dan na ani milimɛtɛrɛ 5 ka bɔ ɲɛfɛla ni kɔfɛla la; O kɔfɛ, ɲɛjiralan pinɛ donni juguman bɛ ladilan walasa ka se milimɛtɛrɛ 5 ma kolotuguda jukɔrɔ; A laban na, dingɛ bɛ segin ka kɛ, ka suman, ka sɔrɔ ka jurukisɛ dɔ siri min bɛ ni degun ye, o bɛ siri.

H. Aw bɛ aw jija aw kana don pikirijikɛlan na min ka dɔgɔn ani ka taama ka surunya senkɔniw na.

Ne. Aw bɛ aw jija ka a dɔn ko ɲɛjiralan pinɛ min bɛ kɛ ni jiri ye, o bɛ bila joli jukɔrɔ.

J. Bamako, Mali. Aw kana a to ɲɛjiralan ka don a la ka don a yɔrɔ la.

K. Aw bɛ kuru janya bɛnnen jateminɛ ni aw bɛ ɲɛminɛlan pinɛ janya suman ka sɔrɔ ka milimɛtɛrɛ 5 bɔ.

L. A ka c’a la, yɛrɛdɔn, yɛrɛlabɛnni juruw de bɛ kɛ, nka tuma dɔw la, kɔfɛla lamini ka kɔn ka a kɛ, o de ka kan ka kɛ banabagatɔ kantigiw la minnu kolo ka bon.

M. Ni yɔrɔ bɛ se ka baara kɛ, yɔrɔ dɔ bɛ se ka kɛ ka baara kɛ ni o ye.

n.. Bamako, Mali. A bɛ se ka kɛ ko 4nan (diamond arrangement) bɛ se ka kɛ wajibi ye kantigiyakɛlaw ma minnu ka bolokɔfɛ fan dɔ karilen don kosɛbɛ.

Hali ni kɔkiliw ka kurukuruw bɛ sɔrɔ sisan kosɛbɛ, danfara bɛ yen hali bi ka ɲɛsin kurukuruw hakɛ ni u cogoya ma minnu bilalen don opereli fɛ, a ka c’a la, olu bɛ bɔ baarakɛla ka fɛɛrɛ la Fɛn minnu bɛ kɛ i n’a fɔ banabagatɔ kolo ka bon, a ka kurukuruw fanga, ani a ka furakɛli ɲɛtaa, o fana bɛ nɔ bila o la.

1、Number of hollow screws.

• A ka ca a la, senkɔniw bɛ siri ni kuru 2-4 ye.

• A ka ca a la, 3 bɛ kɛ ka a sababu kɛ u bɛ se ka ɲɛfɛla degun barikamaw muɲu, ka dɔ fara sabatili kan, ani ka dɔ bɔ kari laban na.

• Ni senkɔniw bɛ kɔkiliw la ni pauwells angle >50° ye, 2 sɛrɛw bɛ se ka kɛ ka ɲɛ.

• Banabagatɔ minnu ka senkɔniw kɔfɛla karili jugumanba bɛ u la, kurukuru 4 bɛ u la minnu bɛ se ka kɛ.

• Nka, o wale min bɛ sen na, o ye hali bi ka baara kɛ ni 3 hollow screws ye walasa ka a siri.

2、Sɔrɔli min bɛ kɛ ni kɔnɔnatumu ye.

• Ni 3 hollow vises bɛ kɛ ka senkɔniw kɔnɔna na kari, a bɛ da a la kosɛbɛ ko 'sliding compression' teori ka kan ka tugu, walasa juru 3 minnu donna ɲɔgɔn na, olu ka bɛn ɲɔgɔn ma orthogonal view kɔnɔ ani ka configuration triangulaire sɔrɔ lateral view kɔnɔ.

• O cogo la, nɛgɛ saba minnu bɛ ɲɔgɔn ta, olu bɛ se ka dɛmɛ ɲuman di masinw ma ani ka sɛgɛnlafiɲɛbɔlan dɔ dilan, walasa kariyɔrɔ bloki ka se ka sɛgɛn senkɔniw kɔkili sira kan kɔkolo fasaw sɔgɔli kɔrɔ, ka degun bila kari laban na ani ka kari kɛnɛya sabati.

• Nka, ni 3 kɔnɔna-kurunw bɛ Labɛn orthotriangulaire walima inverté triangulaire (kelen-kelen-kelen-yɔrɔ) la, o Kɛra sɔsɔli ye.

  
  

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Ɲɛtaa minnu bɛ kɛ ka ɲɛsin kuruw labɛnni fɛɛrɛ ma senkɔniw kɔ karilenw na .

Yuenyongviwat et al. A ye fɛn kura dɔ labɛn min bɛ se ka ladilan ni fɛnw ye minnu bɛ se ka kɛ ka fɛnw sɛgɛsɛgɛ minnu bɛ se ka kɛ ka fɛnw sɛgɛsɛgɛ minnu bɛ se ka kɛ sababu ye ka ɲɛgɛnɛsiralabanaw bila u ka kɔkiliw la, ani ka a ye ko nin gafe kura in bɛ se ka baara kɛ waati ni opereli kɔnɔna na, o hakɛ bɛ se ka kɛ sababu ye ka opereli kɛcogo ɲuman sɔrɔ, o cogo la, o bɛ se ka kɛ sababu ye ka opereli jaabiw sɔrɔ minnu bɛ mɔgɔ wasa.

Filipov ni a ɲɔgɔnnaw ye baara kɛ ni u ka baara ye. A dilannen don biplane fila-fila-supported screw fixation (BDSF) la, o min kɔnɔ, kuru saba bɛ don a kɔnɔ minnu bɛ kɛ ni kɔnɔnatumuw ye, olu bɛ sɔrɔ senkɔniw na minnu ka surun, ani kurukuru saba bɛ ɲɔgɔn sɔrɔ kelen na ka taa senkɔni kunbere lamini na, o cogo la, a bɛ kɛ plan fila ye. O fɛɛrɛ in bɛ sira Di dɛmɛ fila ma kɔ̀rɔbalen na, o la, a bɛ Se ka jɔli fanga bɛrɛbɛrɛ Di lamaga-lamagali waati la.



Biomekanikini kɛcogo minnu bɛ kɛ ni kadaveric specimens ye, olu y’a jira ko BDSF fixation fɛɛrɛ bɛ fixation ɲuman di ka tɛmɛ laadala inverted triangle fixation method kan. Biomekanikini kɛcogo minnu kɛra ni cadaveric specimens ye, olu jaabiw y’a jira ko fositɛri siman min bɛ kɛ ni siman ye, o bɛ se ka kɛ sababu ye ka kɔnɔbara basigilenw sirili sabati kosɛbɛ senkɔniw na, ka senkɔniw ka kɔkiliw degunni fanga bonya, ani ka torsiyali gɛlɛya ɲɛnabɔ, o min nafa ka bon kɛnɛyako ta fan fɛ.



K’a sababu kɛ senkɔniw kunberew bɛ se ka kɛ ɲɛgɛnɛsiralabanaw ye kɔnɔbara basigilen kɔfɛ, fɛɛrɛ wɛrɛw kɛra ka to ka ɲɛgɛnɛsira kɔnɔnatumuw dɛmɛ walasa ka gɛlɛyaw dɔgɔya i n’a fɔ senkɔniw kunkolo nɛrɛmugu. Senkɔni kunkolo nɛrɛmugu ju min bɛ bɔ senkɔniw kɔ kari kɔfɛ, o ye joli bɔli ye ka taa senkɔni kun na, o la furakɛli sinsinnan ye joli bɔli ɲɛ cogo min na. The introduction of a blood-supplied periosteum graft into the necrotic area of ​​the femoral head and the outward filling of the residual cavity by the germinating layer will facilitate the differentiation of the grafted periosteum into osteoblasts as well as the regeneration of vascular sprouts, which has both osteogenic and revascularizing effects.

Farankan

Kɔnɔnatumuw sirili kɔkiliw la, o ye fiɲɛ bilali fɛɛrɛ ye min bɛ se kosɛbɛ, min nafa bɛ baara nɔgɔman na, baarakɛwaati surun, joginda dɔɔni, fiɲɛ dannamɔgɔ ani opereli kɔfɛ kɛnɛya teliya la. Nka, ka da senkɔniw ka kɔkɔw ka farikolo yɔrɔw kan, senkɔniw kunkolo ischemique gɛlɛyaw ani senkɔniw ka kurukuruni tɛ se ka bali hali bi pewu kɔnɔbara basigilenw na. O la, taamasiɲɛ minnu bɛ nin fixation fɛɛrɛ in tali la, olu ka kan ka ɲɛfɔ sani u ka kɛ, ani banabagatɔ kɔrɔbaw minnu ka senkɔniw kɔkili karilen don kosɛbɛ ani minnu ka cogoya man ɲi, o ka kan ka kɛ ko u ka kan ka baara kɛ joona ni kɔnɔnatumuw ye minnu bɛ se ka kɛ senkɔniw na. Farati minnu bɛ banabagatɔ ka ɲɛnamaya ɲɛfɔ, i n’a fɔ kari suguya, kolo gɛlɛya, ani banabagatɔ ka baarakɛcogo, olu fana ka kan ka jateminɛ walasa ka dɔ bɔ opereli kɔfɛ gɛlɛyaw la minnu bɛ mɛn sen na ani o cogo la ka senkɔniw ka kɔkolo karilenw furakɛli kɔlɔlɔ ɲɛ.

Orthopedic Implants ani Orthopedic Instruments (Fɛn minnu bɛ se ka kɛ ka ɲɛgɛnɛ kɛ) san cogo min na, o ye .

Kosɔn CzMedItech , an bɛ ni kolotuguda opereli fɛnw ye minnu dafalen don kosɛbɛ ani minɛnw minnu bɛ bɛn o ma, o ye fɛn ye . Spine Implants ., Nails intramedullaires ., Plate de traume ., locking plate ., kunkolo-maxillo-facial ., Prothèse ., Seko ni dɔnko baarakɛminɛnw ., kɛnɛma fixateurs ., Arthroscopie ., Baganw ladonni n’u dɛmɛnanw.

Ka fara o kan, an b’an jija ka fɛn kuraw dilan tuma bɛɛ ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndan ye diɲɛ kɔnɔ kolotugudaw ni minɛnw dilanni bɛɛ la.

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