PFNA Nail: Joli-sɔgɔli min bɛ se ka kɛ .

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PFNA Nail: Joli-sɔgɔli min bɛ se ka kɛ .

senkɔniw karili minnu bɛ kɛ ka ɲɛ, olu bɛ to jogindaw la minnu ka teli ka sɔrɔ ani minnu ka gɛlɛn kolotugudaw la, kɛrɛnkɛrɛnnenya la banabagatɔ kɔrɔbaw la minnu bɛ kolotugudaw la. Ni ɲɛnamaya hakɛ bɛ ka caya ani ni kɔkili karilenw ka ca diɲɛ kɔnɔ, fixation systèmes sabatilenw minnu bɛ sira di mobilizasiyɔn daminɛni ma ani kari kɛnɛyali dannamɔgɔ ma, olu kɛra kɛnɛyako ɲɛtaa ye.

PFNA Nail (Proximal Femoral Nail Antirotation) dabɔra walasa ka o ɲininiw ɲɛnabɔ. Ni aw ye doni tali mekanikini ni antirotation blade dilancogo fara ɲɔgɔn kan, PFNA sitɛmu kɛra fura ye min bɛ sɔn kosɛbɛ senkɔniw ka kurukuruw la minnu tɛ sabati.

Nin barokun in bɛ PFNA Nail System ka ɲɛfɔli dafalen di, a taamasiɲɛw, a nafaw biomekaniki, opereli sariyakolow, opereli kɔfɛ kɛnɛya, ani faratiw kunbɛncogo jateminɛw.

PFNA Nail System ani a dilanni hakilina faamuyali .

PFNA Nail ye fɛn ye min bɛ kɛ ka mɔgɔ bila ka taa ɲɛ, o ye fɛn ye min bɛ kɛ ka ɲɛ, o dabɔra kɛrɛnkɛrɛnnenya la ka ɲɛsin senkɔniw ma minnu bɛ gɛrɛ ɲɔgɔn na. PFNA tɛ i n’a fɔ laadalafɛn minnu bɛ bɔ kɛnɛma, olu bɛ baara kɛ senkɔniw ka masina sira kan, o bɛ sira di farikolo doni jiginni ma.

PFNA sitɛmu ɲɛfɔli dɔ ye helical antirotation blade ye , min bɛ cancellous kolo compactement kɛ a dontuma na. O sɔgɔli bɛ dɔ fara sanni kan koloci kolo kɔnɔ ani ka jiginni ni varusw binni fanga kunbɛn. O de kosɔn, PFNA bɛ sabatili ɲuman di ni i ye a suma ni lag vis-based systems conventionnels ye, kɛrɛnkɛrɛnnenya la banabagatɔw la minnu kolo man ɲi.

kɛnɛyaso taamasiɲɛw ani banabagatɔw sugandili PFNA nail fixation .

Femoral karicogo minnu bɛ sɔrɔ proximal la, olu bɛ furakɛ ni PFNA ye .

PFNA wuluw bɛ jira fɔlɔ kariw la minnu bɛ kɛ ni senkɔniw ye minnu ka surun, olu dɔw ye:

• Senkɔniw kari minnu bɛ kɛ ni ɲɔgɔn ye.

• Trochanterie kari minnu tɛ sabati walima minnu bɛ kɛ ka ɲɛ .

• Subtrochanterie femoral fractures .

• Reverse obliquité fracture modèles .

O kari suguya ninnu ka teli ka biomekaniki basigibaliya jira, o bɛ kɛ sababu ye ka intramedullary fixation kɛ fɛɛrɛ ɲuman ye.

PFNA Nail tali kolotugudaw ni mɔgɔkɔrɔbaw la .

Koloci bɛ kurukuruw sirili fanga tiɲɛ kosɛbɛ senkɔni kun na. PFNA antirotation blade nafa ka bon kɛrɛnkɛrɛnnenya la nin ko ninnu na, barisa a bɛ trabeculaire kolo degun ka tɛmɛ a bɔli kan. Nin dilan in bɛ dɔ bɔ fɛn donta tigɛcogo la ani ka fiɲɛ bila a la, o bɛ PFNA kɛ sugandili ye min bɛ se ka da a kan banabagatɔ kɔrɔbaw fɛ minnu ka kolotugudaw karilen don.

PFNA ka nafa biomekanikini ni a ni fixation systems tɔw ta ye .

Load-sharing intramedullary fixation ani a jiginni sabatili .

Biomekaniki siratigɛ la, fɛnɲɛnamafagalanw bɛ doni-ta-cogo ɲuman di ni u bɛ tali kɛ fɛnw na minnu sinsinnen bɛ plati kan. PFNA Nail bɛ ɲɔgɔn sɔrɔ kosɛbɛ ni senkɔniw ka masina ye, o bɛ dɔ bɔ kurukuru waatiw la kariyɔrɔ la.

Antirotation blade bɛ jiginni sabatili sabati ni a bɛ dɔ fara a sanfɛla kan ni kolo cancellous ye, o bɛ dɛmɛ ka kari dɔgɔyali sabati axial ani torsional loads kɔnɔ girinya daminɛ na.

Fɛɛrɛ min tɛ don mɔgɔ la ani farikolo yɔrɔ nugulamaw marali .

PFNA doncogo bɛ opereli dɔgɔya ni a bɛ tali kɛ laadalata da wulilenw na. Ni farikolo yɔrɔ nugulamaw tiɲɛni bɛ dɔgɔya, o bɛ kɛ sababu ye ka joli bɔli dɔgɔya, ka dimi dɔgɔya opereli kɔfɛ, ani ka kɛnɛya teliya—faamu minnu nafa ka bon kɛrɛnkɛrɛnnenya la mɔgɔkɔrɔbaw ka joginda banabagatɔw la.

Opereli fɛɛrɛ ani taabolo jɔnjɔnw PFNA nail implantation .

Labɛnni ni jateminɛ kɛli ka kɔn opereli ɲɛ .

Labɛnni tigitigi sani opereli ka kɛ, o nafa ka bon walasa ka PFNA fixation ɲɛnabɔ. Radiographie jateminɛ, i n’a fɔ kɔfɛla ni kɔkanna filɛliw bɛ dɛmɛ ka kari danfara, nɛgɛ janya, a kala hakɛ, ani a doncogo ɲuman dɔn.

Ni a ka gɛlɛn, CT ja lajɛ bɛ se ka kɛ ka kari cogoya jateminɛ ani ka opereli kɛcogo ɲɛminɛ.

PFNA Opereli kɛcogo ɲɛfɔli senfɛ-senfɛ .

Taabolo kunbabaw ye a ka c’a la:

1. Banabagatɔ jɔyɔrɔ kari tabali kan ni a samacogo bɛnnen ye .

2. kari dɔgɔyali min bɛ kɛ ni a datugulen don walima min bɛ dɛmɛ dɔɔni .

3. Nail don yɔrɔ bɛnnen sigili .

4. Ɲɛgɛnɛsiraw doncogo ni u labɛncogo .

5. Antirotation blade bilali senkɔni kun na .

6. Distal locking ka ɲɛsin jiginni ni janya ma .

Blade jɔyɔrɔ tigitigi senkɔni kunkolo kɔnɔ, o nafa ka bon walasa ka masinw ka gɛlɛyaw dɔgɔya ani ka a sabati waatijan kɔnɔ.

Opereli kɔfɛ kɛnɛya sabatili ani baarakɛcogo kɛnɛya PFNA opereli kɔfɛ .

Mobilizasiyɔn joona ani girinya jateminɛ .

PFNA fixation (PFNA fixation) laɲini fɔlɔ dɔ ye ka sira Di mobilizasiyɔn ma joona. Ka kɛɲɛ ni kari sabatili ni banabagatɔ cogoya ye, a yɔrɔ dɔ walima a girinya dafalen bɛ se ka daminɛ joona opereli kɔfɛ kɛnɛyaso kɔlɔsili la.

Mobilizasiyɔn joona bɛ dɛmɛ ka gɛlɛyaw dɔgɔya i n’a fɔ jolisira jugumanba, fogonfogon la kow, ani farikolo fanga tiɲɛni.

Baarakɛcogo kɔlɔlɔw kɔlɔsili ani u labɛnni kuntilenna .

Opereli kɔfɛ, a bɛ sinsin kɔkiliw lamagacogo kan, farikolo fanga ani taamacogo sabatili kan. Baarakɛcogo kɔlɔlɔw bɛ jateminɛ ka caya ni dimi hakɛ ye, taama seko, ani joli karili daliluw ye minnu bɛ se ka kɛ radiyo ye.

Gɛlɛya minnu bɛ se ka sɔrɔ ani faratiw kunbɛnni PFNA Nail Fixation kɔnɔ .

Opereli kɔnɔ fɛɛrɛko gɛlɛyaw .

Opereli kɔnɔ ko minnu bɛ se ka kɛ, olu dɔw ye nɛgɛ doncogo jugu ye, a jɔcogo man bon, walima a kari dɔgɔyali ma ɲɛ. O kow bɛ se ka dɔ fara fiɲɛ bilali dɛsɛ kan, wa u ka kan ka kunbɛn ka ɲɛ ni ɲɛbila ni opereli kɛcogo ye.

Opereli kɔfɛ gɛlɛyaw ni banakunbɛn fɛɛrɛw .

Hali ni PFNA bɛ tali kɛ kɔlɔlɔw la minnu bɛ ɲɛ, gɛlɛyaw i n’a fɔ blade tigɛcogo, banakisɛ sɔrɔli, joli segin kɔfɛ, walima dimi bɛ se ka sɔrɔ min bɛ se ka don mɔgɔ la. Opereli fɛɛrɛ ɲuman, banabagatɔ sugandili bɛnnen, ani opereli kɔfɛ ladonni min labɛnna, o ye fɛnba ye walasa ka o faratiw dɔgɔya.

Kɛnɛyaso kɔlɔlɔw ani daliluw minnu bɛ PFNA Nail baarakɛcogo jira .

Kɛnɛyaso ka sɛgɛsɛgɛliw y’a jira tuma bɛɛ ko ɲɔgɔndɛmɛ hakɛ ka bon ani ko baarakɛcogo ɲuman bɛ sɔrɔ ni PFNA jɔli ye senkɔniw karilenw na minnu bɛ gɛrɛ ɲɔgɔn na. Ni an ye a suma ni extramedullary minɛnw ye, PFNA ye nafa jira ka ɲɛsin masinw ka dɛsɛ hakɛ dɔgɔyali ma, kɛrɛnkɛrɛnnenya la karicogo basigilenw na ani kolo kolotugudaw la.

Nin sɔrɔlen ninnu bɛ PFNA dɛmɛ i n’a fɔ fura min bɛ se ka da a kan ani min bɛ ta ka caya bi kolotugudaw jogincogo la.

musaka jateminɛw ani furakɛli bolodacogo .

PFNA furakɛli musaka bɛɛ lajɛlen ye fɛnw doncogo sugandili ye, opereli kɛcogo, dɔgɔtɔrɔso ladonni, ani u labɛnni. Hali ni dɔgɔtɔrɔso kɔnɔ sigidaw bɛ se ka kɛ ni fɛnw doncogo fɔlɔw musaka ka bon, u ka se ka dɛmɛ don u ka lajɛli la joona ani ka dɔ bɔ musakaw la minnu bɛ tali kɛ gɛlɛyaw la, o bɛ se ka nafa kuntaalajan di sɔrɔko siratigɛ la.

Furakɛli latigɛw ka kan ka kɛ ka kɛnɛyaso nafa, banabagatɔw ka kow ani u ka sigida labɛncogo bɛn ɲɔgɔn ma.

Kuncɛli: PFNA Nail jɔyɔrɔ bi senkɔniw ka karicogo la min bɛ wele ko proximale.

PFNA Nail bɛ kolotugudaw furaji dɔ jira min sigilen don koɲuman senkɔniw karilenw furakɛli la. A ka intramedullary design, antirotation blade technology, ani a bɛnnenya kololi kolo la, o b’a to a bɛ se ka kɛ kɛrɛnkɛrɛnnenya la kɔkolo kari sabatilenw ɲɛnabɔli la.

Ni a kɛra ni opereli fɛɛrɛ bɛnnen ye ani banabagatɔ sugandili ye, PFNA fixation bɛ dɛmɛ don kari kɛnɛya sabatili la, ka kɛnɛya sabatili daminɛ, ani ka baarakɛcogo ɲɛ ka taa a fɛ—laɲini jɔnjɔnw bɛ kɛ bi kolotugudaw joginni furakɛli la.

Ɲininkali min bɛ kɛ PFNA nail fixation .

PFNA Nail bɛ kɛ mun ye?

PFNA nail bɛ kɛ ka senkɔniw kari proximate kɔnɔna na, kɛrɛnkɛrɛnnenya la, a bɛ kɛ ni kɔkolo karilenw ye minnu bɛ sɔrɔ ɲɔgɔn fɛ ani minnu tɛ sabati. A dabɔra ka furakɛli sabatilenw di kɔnɔbara basigilen kɔnɔ ka sɔrɔ ka banabagatɔw ka teli ka taa ɲɛ.

 Kari suguya jumɛnw bɛnnen don PFNA fixation ma?

PFNA bɛ jira ka caya ka bɔ ɲɔgɔn na, karikariw ka kari sabatibaliw, ka kariw kari minnu bɛ kɛ subtrochanterie ye, ani ka obliquité reverse fractures patterns, kɛrɛnkɛrɛnnenya la banabagatɔ kɔrɔbaw walima kolotugudaw la.

Mun na PFNA ka fisa koloci kolo la?

PFNA antirotation blade compates cancellous kolo dontuma na, ka fɛnw doncogo ɲɛ ani ka dɔ bɔ a tigɛcogo la. O b’a to a bɛ se ka kɛ kɛrɛnkɛrɛnnenya la banabagatɔw la minnu kolo man ɲi.

PFNA ni DHS walima hip vis kɔrɔlenw tɛ kelen ye cogo di?

PFNA tɛ i n’a fɔ hip screw (DHS) minnu bɛ kɛ ni fanga ye, olu tɛ i n’a fɔ doni-ta-minɛn minnu bɛ kɛ ka fɛnw falen-falen. A cɛmancɛ-labɛnni ni antirotation blade bɛ biomekaniki sabatili ɲɛnabɔ, kɛrɛnkɛrɛnnenya la kari cogoya sabatilenw na.

Yala PFNA opereli ka dɔgɔn kosɛbɛ wa?

Awɔ. PFNA doncogo bɛ kɛ ni fɛɛrɛ ye min bɛ kɛ ni fɛn fitinin ye ni tigɛw ka dɔgɔn, ni farikolo yɔrɔ nugulamaw tiɲɛni bɛ dɔgɔya, wa a ka ca a la joli bɔli bɛ dɔgɔya ni a bɛ tali kɛ laadalata da wulilenw na.

Tuma jumɛn banabagatɔw bɛ se ka girinya daminɛ PFNA opereli kɔfɛ?

Girinyali sariyaw bɛ bɔ kari sabatili ni banabagatɔ cogoya la. A ka ca a la, girinya hakɛ dɔ walima a kunbɛncogo bɛ se ka daminɛ joona, furakɛlikɛla ni furakɛli jɛkulu ka ɲɛminɛni kɔnɔ.

Gɛlɛya minnu bɛ sɔrɔ PFNA wuluw la, olu ye jumɛnw ye?

Gɛlɛya minnu bɛ se ka sɔrɔ, olu ye kala tigɛ-tigɛ, fɛn donta malposition, infection, union delayé, walima dimi min bɛ sɔrɔ implant fɛ. Farati fanba bɛ se ka dɔgɔya ni opereli kɛcogo ɲuman ye ani banabagatɔ sugandili.

A bɛ waati joli ta walasa ka kari ka kɛnɛya PFNA fixation kɔfɛ?

A ka c’a la, kɛnɛyaji karili bɛ kɛ kalo damadɔ kɔnɔ, ka kɛɲɛ ni kari suguya ye, kolo cogoya, ani banabagatɔ ka kɛnɛya. Baarakɛcogo ɲɛnabɔli bɛ se ka taa ɲɛ ka kɔn o ɲɛ ni kɛnɛya sabatili bɛnnen ye.

Yala PFNA bɛnnen don banabagatɔ fitiniw ma minnu fanga ka bon kosɛbɛ wa?

Awɔ. PFNA bɛ se ka kɛ fana banabagatɔ fitiniw na minnu ka senkɔniw kariyɔrɔ basigilen tɛ u la, n’o bɛ sɔrɔ fanga caman sɔrɔli fɛ, ni anatomikɛli bɛ dɔgɔya ani ni fiɲɛ sabatili bɛ sɔrɔ.

PFNA wulu janya ni a kala hakɛ bɛ dɔn cogo di?

Fɛn minnu bɛ don mɔgɔ kɔnɔ, olu sugandili bɛ kɛ ka ɲɛsin ja lajɛcogo ma sani opereli ka kɛ, kari cogoya, senkɔniw farikolo yɔrɔw, ani opereli kɔnɔ fɛnɲɛnamafagalanw jateminɛni na walasa ka fiɲɛ bilacogo ɲuman ni biomekaniki sabatili sabati.