Yala aw bɛ sɔgɔsɔgɔninjɛ tariku dɔn wa?

Nɛgɛ min bɛ kɛ ɲɛgɛnɛsira kɔnɔ, o nali ye fɛn caman sɛmɛntiya kolo karilen janw furakɛli la. Hali ni o fɛɛrɛ in tùn bɛ yen kabini sàn kɛmɛ caman, a ma Se a jɔyɔrɔ la sisan fo sàn kɛmɛ 20nan tilancɛ flanan.

Ɲɛtaa sira tun man nɔgɔn tuma bɛɛ, bawo o fɛɛrɛ in kunbɛnna ni siga ni sɔsɔli ye dɔnnikɛla caman fɛ san kɛmɛ 20nan tilancɛ fɔlɔ la. Bi, nɛgɛko, opereli fɛɛrɛw ani fluoroscopie seko kura dɔw sababu fɛ, kolotugudaw sɔgɔli kɛra kolo karilen janw ladonni sariya ye.

Ɲɛtaa minnu kɛra hadamadenw ka biyomekaniki dɔnniya la, olu y’a to nin bi dilancogo in dabɔli bɛ se ka kɛ. Bi bi in na, sɔgɔsɔgɔninjɛ bɛ kɛ ni banakisɛw hakɛ dɔgɔyali ye, ni jogindaw ka dɔgɔn, kariw sabatili ka ɲi, ani banabagatɔ ka se ka taama teliya la.

Tariku seginnkanni min kɛra nin barokun in kɔnɔ, o kun ye ka ɲɛgɛnɛsiralabanaw jiginni lajɛ, k’a taamasiyɛn nafamaw jira, ka ɲɛgɛnɛsiralabanaw kɛcogo fɔlɔ ni a jiginni kɔfɛ waati lafiya jira, ani ka ɲɛgɛnɛsiralabanaw jɔyɔrɔ jira bi kolotugudaw ni joginda furakɛli la (misali la, ja 1).

Ɲɛgɛnɛsiraw kɔnɔbara bangeli

Misira kɔrɔw tun bɛ baara kɛ ni minɛn ye fɔlɔ min bɛ kɛ ni nɛgɛ ye min bɛ i n’a fɔ nɛgɛ. Opereli karilenw ladonni gɛlɛn tun tɛ yen a san caman ye nin ye.

Nka, min ye tiɲɛ ye, o ye ko Misira kɔrɔw tun bɛ ni fɛnɲɛnamafagalanw dilanni fɛɛrɛbaw ye minnu bɔra u ka dannaya la farikolo lakununni na ɲɛnamaya kɔfɛ.

O kɛra mumɛ ye min tɔgɔ ye ko Usermontu, o min sɔrɔla Tutankhamun kaburu kɔnɔ, nɛgɛbere dɔ donna senkɔni ni senkɔni cɛ walasa ka gɛnɛgɛnɛ joli sabati (i n’a fɔ ja 2 kɔnɔ cogo min na).

Fɛnkɔrɔw ɲininikɛlaw b’a miiri ko mumɛ min tun bɛ sudon so kɔnɔ, o tun tɛ Usermontu yɛrɛ ye, nka mɔgɔ wɛrɛ tun don min bilala kaburu sonyabaga kɔrɔw nɔ na san 600 K.Ɲ.

San 2000 o kɔfɛ, Bernardino de Sahagun, hadamadenya dɔnnikɛla min tun bɛ Hernando Cortes ka taama na, o ye a fɔ ko a kɛra fɔlɔ ye ka sɔgɔsɔgɔninjɛ kɛ banabagatɔ ɲɛnama dɔ la Mɛkisiki.

San 1524, a ye Aztek kolo operelikɛla dɔ ye (a tɔgɔ ye ko 'Tezalo') ye koloci kɛ ni obsidian muru ye, ka sɔrɔ ka resin bere dɔ don ɲɛdawolo la walasa ka kolo karilen sabati. K’a sababu kɛ opereli kɛcogo ɲumanw ni banakisɛfagalanw sɔrɔbaliya ye, o kɛcogo ninnu tun bɛ gɛlɛya caman sɔrɔ ani ka saya hakɛ caman sɔrɔ.

San 1800w: Taabolo fɔlɔw

San 1800 cɛmancɛ la, furakɛli gafe fɔlɔw ye kunnafoni di sɔgɔsɔgɔninjɛ kan. A fɔra ko Diefenbach, Langenbeck, Bardenheuer ani operelikɛla wɛrɛw minnu bɛ Alemaɲikan fɔ, olu ye nɛgɛberew kɛ kolo janw kɔnɔbara la walasa ka kolo tigɛlenw furakɛ.

O waati kelen na, Nicholas Senn min bɛ bɔ Chicago, n’o ye ɲininikɛla ye ani sɔrɔdasi operelikɛla ŋana ye, ale ye kɔrɔbɔliw kɛ ni ɲɛgɛnɛsiraw sirili ye. A tun bɛ baara kɛ ni sɔgɔlan dingɛlen ye min dilalen don ni misi kolo ye, k'a don ɲɛgɛnɛsira la walasa ka 'pseudarthrosis' furakɛ karilen kɔfɛ.

San 1886, Heinrich Bircher min bɛ bɔ Suwisi jamana na, o y’a ɲɛfɔ opereli lajɛ dɔ la, nɛgɛso wuluw doncogo ɲɛda la walasa ka kari gɛlɛnw furakɛli jugumanba furakɛ (Ja 3).

San damadɔ o kɔfɛ, Themistocles Gluck min bɛ Alimanjamana na, ale ye nɛgɛso fɔlɔ dabɔ min bɛ kɛ ni nɛgɛ ye, ni dingɛ bɛ nɛgɛ laban na, o cogo la, a ye ɲɔgɔn siri hakilina don a siɲɛ fɔlɔ la.

O waati kelen na, Julius Nicolaysen min bɛ bɔ Norvege, ale de kɛra mɔgɔ fɔlɔ ye min ye sɛbɛnni kɛ biyomekaniki sariyakolow kan, minnu ye senkɔniw karilenw sɔgɔli ye senkɔniw kɔnɔ. A y’a sinsin a kan ko a ka kan ka dɔ fara wuluwulu janya kan walasa ka nafa caman sɔrɔ biyomekaniki la ani ka kolo bɛɛ lajɛlen lakana.

Ale fana de ye mɔgɔ fɔlɔ ye min ye hakilina min ye ko nɛgɛ/kolo ɲɔgɔndan min bɛ kɛ kɛrɛfɛ ani yɔrɔjan na walasa ka sɔgɔli jɔlen dilan. Dɔnnibaa dɔw b’a jate Minɛ ko a ye sɔgɔsɔgɔninjɛ (intramedullary nailing) fa ye.

San 1800 cɛmancɛ la, tutigɛbagaw i n’a fɔ Ignaz Philipp Semmelweis min bɛ Vienne ani JosephLister min bɛ Glasgow, olu tun ye opereli sterilize jusigilan sigi. O kɛra ɲɛtaa ye min ye dugukolo tigɛ bawo a ye sira di opereli fɛɛrɛ kuraw labɛnni ma banakisɛfagalanw na.

San 1900w: Yɛlɛma-yɛlɛma

San 1912, Angletɛri operelikɛla Ernest Hay Groves de tun ye operelikɛla fɔlɔ ye min ye nɛgɛbere gɛlɛn kɛ ka kɛ wuluwulu ye min bɛ kɛ wuluwulu kɔnɔ, wa a tun ye wuluwulu kɛcogo kɔfɛta daminɛbaga ye.

A y’a ka dɔnniya sɔrɔ diɲɛ kɛlɛba fɔlɔ waati la, tuma min na a ye banabagatɔw furakɛ minnu bɛ ni sɔgɔsɔgɔninjɛ banakisɛ ye, minnu tun t’a fɛ k’u farikolo yɔrɔw tigɛ. A ma dɔrɔn ka ɲɛgɛnɛsira sɔgɔli fɛɛrɛ fɔlɔ ɲɛfɔ min bɛ se ka kolotugudaw don ɲɔgɔn na ni joginda fitininw ye, nka a tun bɛ se fana ka nɛgɛw ni wulu misɛnninw kɛ walasa ka karilenw labɛn.

A ye fɛnw doncogo kɔlɔsi minnu dilannen don ni aliminiyɔmu, manje ani nɛgɛ ye, wa a y’a dɔn ko biyomekaniki nafa ka bon kariw kɛnɛyali la. Hali n’o kɛra, Ernest Hay Groves ka fɛɛrɛ in tun bɛ bana caman sɔrɔ, o de kama a waati mɔgɔw tun man di a ye kosɛbɛ.

San 1931, Smith-Petersen, Ameriki kolotuguda operelikɛla dɔ ye nɛgɛso dɔ labɛn min bɛ se ka kɛ ni nɛgɛ ye min bɛ kɛ ni nɛgɛ ye min bɛ kɛ ni nɛgɛ ye, min bɛ kɛ ka senkɔni kɔ karilenw furakɛ. A ye fɛɛrɛ dafalen dɔ labɛn min bɛ kɔkili ɲɛfɛla sabanan tigɛ, ka don opereli yɔrɔ la fascial tensor belebele ɲɛfɛla da fɛ, ka sɔrɔ ka kariyɔrɔ in bila yɔrɔ wɛrɛ la ani ka baara kɛ ni impacteur ye walasa ka nɛgɛ inox kurukuru don senkɔni kun na (Jaa 4).

Smith-Petersen ka sɛgɛsɛgɛli ɲɛtaa kosɔn, operelikɛla caman y’a daminɛ ka nɛgɛw doncogo kɔlɔsi walasa ka kariw sɔrɔ. sven Johansson ye wuluwulu kɔnɔna sɔgɔlen dɔ dabɔ san 1932; a ka hakilitigiya kura in kɛra ni kerfing pikirijikɛlan ye min tun bɛ se ka kɛ sababu ye ka wuluwulu don a kɔnɔ ni kɛnɛyaji ye min bɛ ɲɛminɛ ni kɛnɛyaji ye. A ye fɛɛrɛko yɔrɔ koloma minnu Kɛ, olu bɛ baara la hali bi.

Ka taa ɲɛ kelen na, Rush n’a balimakɛ ye wuluwulu min bɛ wele ko elastic intramedullary nail hakilina daminɛ san 1937.

U ye baara kɛ ni nɛgɛ ye min bɛ kɛ ni nɛgɛ ye min bɛ sɔgɔsɔgɔ, min tun bɛ kɔrɔta ka kɔn a ɲɛ, wa u y’a ɲini ka sɔgɔsɔgɔninjɛ kɔnɔ yɔrɔ saba siricogo dɔ dilan walasa ka aksidan jiginni ŋaniya kɛlɛ karilen lamini na.

U hakilina na, farikolo yɔrɔ nɔgɔlen min ma tiɲɛ, o bɛ kɛ i n’a fɔ tension band min bɛ tension (jatigɛ) kɛlɛ min bɛ sɔrɔ nail elastic pré-bent fɛ. U jɔli dan Kɛra nɛgɛ inox ka 'sènbɔli-cogo fɛ, o min tùn b'a Yɛlɛma joona ka Bɔ 'sènbɔli la ka Taa plastiki 'kɔnɔ. O laban bɛ se ka kɛ sababu ye ka mɔgɔw bila yɔrɔ filanan na ani ka farikolo yɔrɔ dɔw kɛnɛya.

Ka fara o kan, wulu minnu bɛ ɲɛgɛnɛsira kɔnɔ, olu ka teli ka bɔ dondaw la walima ka don kolotugudaw la minnu bɛ kansɛri, walima hali ka don kolotugudaw kɔnɔ. O bɛɛ n’a ta, Vienne dɔnnikɛla Ender tora ka baara kɛ ni nin fɛɛrɛ in ye i n’a fɔ Ender ka kari kalanso basigi ani hali bi a bɛ baara kɛ ni a ye hali bi denmisɛnw ka karilenw jɔli la min bɛ se ka wuli ka bɔ a nɔ na.

Kolotuguda sɔgɔsɔgɔninjɛ

San 1939, Alemaɲi operelikɛla Gerhard Küntscher, min ye Nobɛl ka laadalata sɔrɔ, ale ye nɛgɛ dɔ labɛn min bɛ kɛ ni nɛgɛ ye min bɛ kɛ senkɔni kɔnɔ, walasa ka senkɔniw karilenw furakɛ.

Küntscher ni mɔgɔ wɛrɛw ye Smith-Petersen ka nɛgɛberew ye minnu bɛ kɛ ka senkɔni kɔ karilenw furakɛ, wa u dalen tun b’a la ko o sariyakolo kelenw bɛ se ka sirataama jiribolo karilenw na. U ye sɔgɔsɔgɔninjɛ min Sɔrɔ a daminɛ na, o tùn bɛ Kɛ V cogo la a tigɛcogo la, a cɛmancɛ tùn ye milimɛtɛrɛ 7-10 ye.

Suw ni baganw ka kalan kɔfɛ, a ye nɛgɛso kɔnɔna na ani opereli kɛcogo jira opereli lajɛ dɔ la Bɛrɛlin san 1940. A daminɛ na, a ka ko kura in ye nisɔndiya sɔrɔ a ka Alemaɲi baarakɛɲɔgɔnw fɛ, hali n’a ka fɛɛrɛ ye mɔgɔw diyabɔ diɲɛ kɛlɛba filanan kɔfɛ.

Hippocrates (460-370 K.Ɲ.), Gɛrɛki waati dɔgɔtɔrɔ kɔrɔ min tun bɛ wele tuma caman na ko furakɛli fa, a y’a fɔ siɲɛ kelen ko 'Min b’a fɛ ka opereli kɛ, o ka kan ka taa kɛlɛ la'; o cogo kelen de tun bɛ Küntscher fana na.

Naziw ka waati la, Küntscher tun sigilen bɛ dɔgɔtɔrɔso dɔ la min tun bɛ Finlande kɛlɛbolo la. O yɔrɔ la, a sera ka banabagatɔw ni kɛlɛden kasodenw opere o yɔrɔ la. A ye kolotugudaw sɔgɔli hakilina Dabɔ ni opereli dagalen ni da wulilen ye.

O cogo datugulen na, a ye nɛgɛso kɔnɔna na tɛmɛ sira fɛ min bɛ taa ɲɛfɛ ka tɛmɛ trochanter belebeleba fɛ, k’a bila kɔsegin tabali kan min bɛ baara kɛ ni sɔgɔlan ye. Aw bɛ kariyɔrɔ in bila yɔrɔ wɛrɛ la ani ka wulu don yɔrɔ fila la ni kunkolo fluoroscopie ye. Dabɔcogo la, wulu bɛ don senkɔni kɔnɔ ka tɛmɛ kari fɛ ka don ɲɛgɛnɛsira la ka tɛmɛ tigɛyɔrɔ dɔ fɛ min bɛ kari sira kɛrɛfɛ.Küntscher bɛ nɛgɛso kɔnɔna na walasa ka senkɔniw karilenw furakɛ ka fara senkɔniw ni senkɔniw karilenw kan.

Küntscher ka fɛɛrɛ ye dɔnniya sɔrɔ diɲɛ kɔnɔ dɔrɔn, jɛkulu minnu ye kɛlɛ minɛ, olu seginnen kɔ u ka jamana na.

O cogo la, Ameriki ni tubabu operelikɛlaw ye Küntscher ka ɲɛgɛnɛsiraw dɔn, wa u y’a nafa jɛlenw dɔn nin waati in na, n’o ye kari furakɛli fɛɛrɛw ye.

Waati kunkurunnin kɔnɔ, operelikɛlaw cayara ka taa a fɛ diɲɛ fan bɛɛ la, olu y’a daminɛ k’a ka fɛɛrɛ ta, wa Küntscher ka wuluwulu kɔnɔna na, o ye fɛn caman sɛmɛntiya kariw furakɛli la, a kɛtɔ ka banabagatɔ ka kɛnɛya waati dɔgɔya ni san kelen ɲɔgɔn ye. Banabagatɔ minnu tun ka kan ka kɛ ka u lamaga kalo caman kɔnɔ kalo caman kɔnɔ, sisan olu tun bɛ se ka taa yɔrɔ wɛrɛw la tile damadɔ kɔnɔ.

Fɔ ka na se bi ma, Alemaɲi operelikɛla jatera ko a ye ɲɛgɛnɛsiralabanaw dilannikɛla ŋana ye, wa a jɔyɔrɔ ka bon kosɛbɛ joginda opereli tariku kɔnɔ.

Ɲɛgɛnɛsiraw (Intramedullary Nail) ka bonya

San 1942, Fisher ni a ɲɔgɔnnaw ye sɛgɛsɛgɛli kɛ. fɔlɔ ye sɔgɔsɔgɔninjɛ min bɛ sɔgɔsɔgɔninjɛ bonya, o baaracogo ɲɛfɔ walasa ka dɔ fara sɔgɔsɔgɔninjɛ ni kolo cɛ ɲɔgɔn sɔrɔli kan ani ka karilenw jɔli sabatili ɲɛ.

O bɛɛ n’a ta, Küntscher ye reaming drill flexible guidée (dɔgɔtɔrɔso-sira-minɛ-minɛn) daminɛ min bɛ kɛ hali bi ani ka reaming dɛmɛ kolotuguda ɲɛgɛnɛsira janya bɛɛ la walasa ka nɛgɛso kɔnɔna na, min janya ka bon, olu doncogo nɔgɔya.

A daminɛ na, ɲɛgɛnɛsiraw sɔgɔli dabɔra walasa ka dɔ fara kosɛbɛ kolotuguda ni ɲɛgɛnɛsiraw la, walasa ka kolo karilen sabati ka sabati ani ka banabagatɔ lamaga teliya la.

I n’a fɔ Smith ni a ɲɔgɔnnaw y’a ɲɛfɔ cogo min na, ni medullary expansion milimɛtɛrɛ 1 o milimɛtɛrɛ 1 bɛ dɔ fara a ka ɲɔgɔn sɔrɔyɔrɔ kan ni 38% ye. O bɛ kɛ sababu ye ka wuluw kɛ minnu ka bon ani minnu ka gɛlɛn, o bɛ dɔ fara karilenw jɔcogo bɛɛ lajɛlen sabatili kan.

Nka hali ni Küntscher ka sɔgɔsɔgɔninjɛ n’a ka sɔgɔsɔgɔninjɛ sɔgɔlilan min bɛ se ka wuli, o kɛra kɔnɔnafiliminɛn sugandilen bɛnnen ye koloci kama, kalansobaw ma a fɛ tuguni san 1960 labanw na ka ɲɛsin Arbeitsgemeinschaft für Osteosynthesefragen (AO) ka plati kura labɛnna ma.

1960 sànw: Dibi waatiw

San 1960 waatiw la, sɔgɔsɔgɔninjɛ min bɛ kɛ senkɔni kɔnɔ, o barika banna dɔɔnin dɔɔnin ka kɛɲɛ ni plati ni vis karilenw sirili ye.

Hali ni Küntscher ka fɛɛrɛ tun bɛ baara kɛ ka ɲɛ, diɲɛ fan bɛɛ la, operelikɛlaw banna u la k’a sababu kɛ opereli kɔfɛ nɔ juguw ye.

Ka fara o kan, operelikɛla dɔw y’a daminɛ ka fiɲɛbɔ fɛɛrɛw bila, i n’a fɔ kunkolo fluoroscopie, barisa operelikɛlaw fari fagara ni fiɲɛbɔli kɔlɔlɔ juguw ye. Intramedullaire nailing yiriwali ma jɔ o la, hali ni diɲɛ bɛɛ ka bɛnkan tun bɛ plati kɔnɔna sirili fɛɛrɛw tali kan.

Küntscher, n’o ye Alemaɲi dɔgɔtɔrɔ ye, o ye nafaw dɔn ɲɔgɔndan na, wa a ye sɔgɔsɔgɔninjɛ dɔ labɛn min bɛ i n’a fɔ cloverleaf, min bɛ siri ɲɔgɔn na, a ye o tɔgɔ da ko 'detention nail O waati intramedullaire nail design ka Akilisi senkɔni tun ye sebaliya ye ka karilenw walima karilenw sabati minnu tigɛlen don kosɛbɛ minnu tun bɛ wuli ka kɛ kɛrɛbaw ye O gɛlɛya in fura tun ye sirilanw tali ye.

O gɛlɛya in furakɛcogo tun ye ka ɲɛgɛnɛsira kɔnɔ nɛgɛ sabati ni fɛn dɔ ye min bɛ a datugu.

O cogo la, fɛn min donna a kɔnɔ, o tun bɛ se ka kɔrɔta ni wuli fanga kɛlɛ ka ɲɛ ka sɔrɔ ka bolokɔniw surunyali bali. Baara kɛlen ni hakilinaw faralen ye ɲɔgɔn kan minnu bɔra Küntscher, Klaus Klemm ani Wolf-Dieter Schellmann fɛ, nɛgɛso kɔnɔna na, o dabɔra walasa ka sabatiliba di ni kurukuruw dingɛw sɔgɔli ye ka kɔn o ɲɛ, minnu bɛ sɔgɔsɔgɔninjɛ kɛrɛfɛ ani ka yɔrɔ jan, o min tun sirilen bɛ kuru donnalen na.

San damadɔ nataw kɔnɔ, ɲɛtaa minnu kɛra ja jɛlenw na ni fluoroscopie ye, o kɛra sababu ye ka kariw datugucogo ni u dɔgɔyali fɛɛrɛw sugandi kokura.

San 1970 ni 1980: Lakununni

San 1970 waatiw la, Alemaɲi operelikɛla Küntscher ka nafa tun ka bon kosɛbɛ.

Dɔgɔyali dagalen intramedullary nail fixation for fractures, n’a ka reaming flexible reaming ani interlocking hakilinaw cɛtigɛ ani fluoroscopie fɛɛrɛw jɛya bonya, o ye nin opereli fɛɛrɛ ɲumanba in ɲɛtaa ni a jɛnsɛnni bila senkan, min bɛ dɔn ni farikolo yɔrɔ nɔgɔlenw tiɲɛni dɔgɔyali ye, a sabatili ɲuman, ani banabagatɔ ka taama teliya la.

O waati la, kalanko diɲɛ tun bɛ ka wuli ni fɛn kuraw ye minnu kɛra sababu ye ka sɔgɔsɔgɔninjɛ sɔgɔsɔgɔninjɛ bɔnsɔn filanan yiriwa.

San 1976, Grosse ni Kempf ye wuluwulu dɔ da min bɛ sɔgɔsɔgɔ yɔrɔ dɔw la walasa ka wuluwulu kɔnɔnatumuw ka modulu élastique gɛlɛya ɲɛnabɔ. Nɛgɛso kɔnɔna tun tɛ sɔgɔsɔgɔninjɛ yɔrɔ la, wa nɛgɛ dingɛ tun bɛ a la kɛrɛfɛla kuru kama, o tun bɛ don a kɔnɔ ni degere 45 ye walasa ka dɔ fara ɲɛgɛnɛsira kɔnɔna sirili sabatili fanga kan.

San damadɔ o kɔfɛ, AO farala wuluwuluw yiriwali taabolo kan, a kɛtɔ ka wuluwuluw labɛn minnu miirila o cogo kelen na (Jaa 5)

San 1984, Weinquist ni a ɲɔgɔnnaw ye sɛgɛsɛgɛli kɛ. ye fɛɛrɛ fangama jira, o min tun ye ka kari laban kɛnɛyali sabati ni da tuguli juruw dingɛbaw kɛli ye, ka dakunw datugulanw bɔ minnu tɛ jɔ, o kɔfɛ, ka dakunw datugulanw dingɛw sɛmɛntiya ka kɛ wuluwulu dingɛw ye minnu bɛ kɛ oval ye, cogo la min bɛ kɛ bi cogo la.

Fɛɛrɛ fangama in kun ye ka kari kɛnɛya sabati ani ka kolo karilenw bali ka a sababu kɛ baara kɛli kɔfɛ.

Sisan, sɔgɔsɔgɔninjɛ sɔgɔli fanga bɔnɛna a lafasabagaw la i n’a fɔ fɛɛrɛ jɔlen, wa sisan a bɛ kɛ dɔrɔn i n’a fɔ fura min musaka ka dɔgɔn ka tɛmɛ kɔnɔna sirili sira caman cili kan pewu kariw furakɛli la minnu tɛ kɛnɛya.

Biomekaniki sɛgɛsɛgɛli dɔ la, Gimeno ni a ɲɔgɔnnaw ye sɛgɛsɛgɛli kɛ. y’a jira ko tɛmɛsira min bɛ wuluwulu kɔnɔna na, a yɔrɔ minnu tɛ sɔgɔsɔgɔ ani minnu bɛ sɔgɔsɔgɔ, o kɛra sababu ye ka degun caman sɔrɔ ani ka opereli dɛsɛ ka kɛ kɔnɔna sirilan na.

Walasa ka o gɛlɛyaw ɲɛnabɔ, Russel ni Taylor et al. ye wulu fɔlɔ min tɛ sɔgɔsɔgɔ, n’a ma bonya, o dilan san 1986, o kɛra sababu ye ka mɔgɔ wasa.

O waati kɔnɔna na, nɛgɛw sirili gɛlɛya fana tora ka taa ɲɛ, wa i n’a fɔ an b’a dɔn cogo min na bi, ka ɲɔgɔn siri ni juru ye ka tɛmɛ nɛgɛso kɔnɔna dingɛ fɛ min tun sɔgɔra ka kɔn o ɲɛ, o tun ye Klemm ni Schleman ka dilan ye Alimanjamana na. Kuru doncogo tun bɛna ɲɛminɛ ni fluoroscopie ye min bɛ kɛ ni bolo ye, o min tun bɛna operelikɛla bila fiɲɛ caman na.

Bi, o gɛlɛya in ɲɛnabɔra ni yɔrɔjan laɲini fɛɛrɛ ye min kɔnɔ, kuran-magnetiki-yɔrɔ nɔfɛtaama fɛɛrɛ bɛ sɔrɔ a kɔnɔ, bololabaarakɛcogo min bɛ ɲɛminɛ ni fluoroscopie ye, ani nɛgɛso sigicogo ɲɛjiralan tigitigi.

1990 sànw: Titanium (Titanium) sɔgɔsɔgɔninjɛ

San tan nataw kɔnɔ, Russel-Taylor intramedullary nail kɛra fɛn ye min diyara kosɛbɛ diɲɛ jolilabanaw ka jɛkulu kɔnɔ. Ladonni sariya kɛra dɔɔni dɔɔni sɔgɔsɔgɔninjɛ ye min bɛ kɛ ni sɔgɔsɔgɔninjɛ ye ni kurukuruw datugucogo ye, i n’a fɔ a jiralen bɛ cogo min na Brumback ni a ɲɔgɔnnaw ka sɛgɛsɛgɛli jaabiw fɛ.

Nin ɲinini nata in na, jaabiw y’a jira ko da tuguli ye nɔ ɲuman bɔ a fanba la, wa a ni karilen tɛ ɲɔgɔn ta.

Ɲɛtaa minnu kɛra nɛgɛko la, olu kɛra sababu ye ka titaniyɔmu sɔgɔsɔgɔninjɛw bɔ kɛnɛ kan, minnu bɛ kɛ ka caya biyomedikɛli baarakɛyɔrɔw la k’a sababu kɛ u fanga ye, u tɛ se ka sɔgɔsɔgɔ koɲuman ani u bɛ se ka kɛ biyow la.

Alta intramedullary nailing system tun ye titanium intramedullary nail fɔlɔ ye min sɔrɔla, wa a bisimilalen don kosɛbɛ dɔgɔtɔrɔso jɛkulu fɛ k’a sababu kɛ titanium ka masinko ye, nɛgɛ min barika ka bon nka a man gɛlɛn ka tɛmɛ nɛgɛ kan min tɛ sɔgɔ.

Nka, sisan sɛbɛnw bɛ sigasiga ko titaniyɔmu ye fɛn ye min bɛnnen don kɔnɔna sirili ma ka tɛmɛ nɛgɛ kan min tɛ sɔgɔ, kɛrɛnkɛrɛnnenya la, k’a sababu kɛ musaka cayalenba ye min bɛ tali kɛ titaniyɔmu tali la.

Nka, titaniyɔmu nafa dɔw, i n’a fɔ modulu élastique min bɛ gɛrɛ kɔkolo kolo la ani magnetic resonance imaging compatibility, o b’a to a bɛ kɛ sugandi ye min bɛ mɔgɔ ɲɛnajɛ.

Ka fara o kan, titaniyɔmu ye sugandi ye min bɛ mɔgɔ ɲɛnajɛ kosɛbɛ ni wuluwulu minnu cɛmancɛ ka dɔgɔn, olu ka kan ka kɛ.

Sisan Trends (Taabolo minnu bɛ yen sisan

San tan tɛmɛnenw ka ɲɛtaa ni dɛsɛ kɔfɛ, kolotugudaw operelikɛlaw ka dɔnniya ka bon kosɛbɛ ɲɛgɛnɛsiraw kɔnɔ.

Senkɔniw, senkɔniw ani senkɔniw karilenw sirili senkɔniw kɔnɔ, o kɛra ladonni sariya ye kari dafalen fanba la ani kari dafalen dɔw la. Laɲini ni jɔyɔrɔfacogo kura minnu kɛra, olu y’a to o kɛcogo ka nɔgɔn ani a bɛ se ka segin ka kɛ hali operelikɛlaw fɛ minnu tɛ se kosɛbɛ.

Kɔsa in na, fɛn minnu kɛra, olu b’a jira ko titaniyɔmu ni nɛgɛ minnu tɛ sɔgɔ, olu ka wulicogo ka bon kosɛbɛ, wa ko degunw bɛ degunw datugu minnu bɛ mɔgɔ dimi, minnu ka kan ka kɛ kolo kɛnɛyali la. Biyomateriyali kura i n’a fɔ manje sɔgɔlenw, cogoya hakilijagabɔlanw ani fɛn minnu bɛ se ka minɛ kokura, olu bɛ ka kɔrɔbɔ sisan kalanko la.

Nɛgɛ minnu bɛ kɛ ni wuluwuluw ye minnu dilannen don ni polimɛriw ye minnu barika ka bon ni fibre carbone ye min tɛ ban, ni u ka modulu élastique ɲɛnabɔlen don ani ni sɛgɛn fanga ka bon, olu bɛ sɔrɔ sisan. Manje sɔgɔlenw ka sɔgɔli modulu bɛ i n’a fɔ kɔri kolo ta, wa u bɛ se ka tiɲɛ.

Kɔsa in na, Li ni a ɲɔgɔnnaw ye sɛgɛsɛgɛli kɛ. ye nafa caman jira koloci karilenw furakɛli la baganw ka misaliw la minnu bɛ tali kɛ manje ni zoledronati dacogo faralen ɲɔgɔn kan karilenw dilancogo la, o ye fɛɛrɛ ye min bɛ se ka kɛ koloci karilenw furakɛli ye don nataw la.

Kuncɛli

Sanw kɔnɔna na, ni ɲɛtaa caman kɛra wuluwuluw dilanni na, nɛgɛw dilanni fɛɛrɛw la, ani opereli fɛɛrɛw la, wuluwuluw sɔgɔli kɛra sisan kolo karilen jan fanba ladonni sariya ye, wa a ye fɛɛrɛ ye min bɛ nɔ bɔ, a tɛ fɛn caman kɛ, wa a bɛ se ka segin ka kɛ.

Nka, ka da wuluw dilanni caman kan, kunnafoni caman tɛ sɔrɔ u opereli kɔfɛ. Sɛgɛsɛgɛli caman ka kan ka kɛ walasa ka ɲɛgɛnɛsira kɔnɔ wulu suguya hakɛ ɲuman dɔn, a cogoya ani a kurulen hakɛ.

An b’a jira ko fɛn kura minnu bɛ kɛ biyomateriyali siratigɛ la, olu bɛna kɛ sababu ye ka wuluwulu dilanni kura bɔ wulu kɔnɔ.

Cogo min na i bɛ se ka kolotugudaw ni kolotugudaw sancogo?

Kosɔn CZMEDITECH , an bɛ ni fɛn dilannenw ye minnu dafalen don kosɛbɛ kolotugudaw opereli fɛnw na ani minɛn minnu bɛ bɛn o ma, furaw sen bɛ o la kɔkolo doncogo, wulu minnu bɛ kɛ ɲɛgɛnɛsira kɔnɔ, trauma plate, da tuguli plati, kunkolo-kɔnɔ-kɔnɔ-kɔnɔ, prothèse (banakisɛfagalan) min bɛ kɛ, kuran baarakɛminɛnw, kɛnɛma fiɲɛbɔlanw, joli-sira-funu (arthroscopie)., baganmara ladonni n’u dɛmɛnanw sigicogo.

Ka fara o kan, an cɛsirilen don ka to ka fura kuraw labɛn ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndanba ye diɲɛ kolotugudaw ni minɛnw baara bɛɛ la.

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