PFNA Nail: A ye kolotugudaw furakɛcogo ɲuman ye

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PFNA Nail: A ye kolotugudaw furakɛcogo ɲuman ye

Senkɔni gɛrɛgɛrɛ karilenw tora joginw dɔ ye minnu ka teli ka kɛ ani minnu ka gɛlɛn kolotugudaw la, kɛrɛnkɛrɛnnenya la banabagatɔ kɔrɔbaw la minnu koloci bɛ u la. Ni mɔgɔ si hakɛ bɛ ka caya ani ni kɔkili karilen cayara diɲɛ kɔnɔ, fixation systems sabatilenw minnu bɛ sira di mobilizasiyɔn ma joona ani karilenw kɛnɛyali dafalen na, olu kɛra kɛnɛyaso ka ɲɛtaa kunba ye.

PFNA nɛgɛ (Proximal Femoral Nail Antirotation) dabɔra walasa ka o ɲininiw ɲɛnabɔ. Ni doni tila-tila-mekanikiniw farala ɲɔgɔn kan ni antirotation blade design ye, PFNA system kɛra fura ye min bɛ sɔn kosɛbɛ senkɔniw karilenw ma minnu tɛ sabati.

Nin barokun bɛ PFNA wuluwuluw lajɛcogo bɛɛ lajɛlen di, a taamasiɲɛw, a nafaw biyomekanikini, opereli sariyaw, opereli kɔfɛ kɛnɛyali, ani faratiw kunbɛnni jateminɛw.

PFNA Nail System faamuyali n’a dilanni hakilina

PFNA nɛgɛ ye sɔgɔsɔgɔninjɛ ye min dabɔra kɛrɛnkɛrɛnnenya la senkɔni kɛrɛfɛla karilenw kama. PFNA tɛ i n’a fɔ laadala-minɛn minnu bɛ kɛ senkɔni kɔkan, o bɛ baara kɛ senkɔni masin-yɔrɔ la, o bɛ sira di farikolo doni caman cili ma.

PFNA sigida ɲɛfɔcogo dɔ ye helical antirotation blade ye , o min bɛ kolo kansɛri sɔgɔ a dontuma na. O sɔgɔli bɛ dɔ fara sanni kan koloci kolo kɔnɔ ani ka a kunbɛncogo ɲɛ ka ɲɛsin jiginni ni varus collapse fanga ma. O de kosɔn, PFNA bɛ sabatili caman di ni i ye a suma ni lag screw–based systems kɔrɔlenw ye, kɛrɛnkɛrɛnnenya la banabagatɔw la minnu kolo man ɲi.

Dɔgɔtɔrɔso taamasiɲɛw ani banabagatɔ sugandili PFNA wulu sirili la

Senkɔniw karicogo minnu bɛ kɛ ka caya, olu furakɛra ni PFNA ye

PFNA wuluw bɛ jira fɔlɔ kariw la minnu bɛ senkɔni kɛrɛfɛla la, i n’a fɔ:

• Senkɔniw karilenw (intertrochantériques femorales fractures).

• Trochanteric fractures minnu tɛ sabati walima minnu bɛ sɔgɔsɔgɔ

• Senkɔniw karilenw (subtrochantériques femoral fractures).

• Obliquity karicogo kɔsegincogo

Nin kari suguya ninnu ka teli ka biyomekaniki basigibaliya jira, o bɛ kɛ sababu ye ka ɲɛgɛnɛsira sirili kɛ fɛɛrɛ ɲuman ye.

PFNA Nail kɛli kolotugudaw ni mɔgɔkɔrɔbaw la

Koloci bɛ kuru sirili fanga tiɲɛ kosɛbɛ senkɔni kunkolo la. PFNA antirotation blade nafa ka bon kɛrɛnkɛrɛnnenya la nin ko ninnu na, barisa a bɛ trabecular kolo degun sanni k’a bɔ. Nin kɛcogo in bɛ dɔ bɔ fɛn donta tigɛcogo la ani a sirili bɔnɛni na, o bɛ PFNA kɛ sugandili ye min bɛ se ka da a kan banabagatɔ kɔrɔbaw bolo minnu ka kɔkolo karilen don ni koloci ye.

PFNA ka nafa biyomekaniki ni a bɛ tali kɛ fiɲɛbɔcogo wɛrɛw la

Load-Sharing Intramedullary Fixation ani jiginni sabatili

Ni an y’a lajɛ biyomekaniki siratigɛ la, wuluwuluw bɛ doni tilacogo ɲuman di ni i y’a suma ni sigida minnu sinsinnen bɛ plati kan. PFNA nɛgɛ bɛ bɛn kosɛbɛ senkɔni masin-yɔrɔ ma, o bɛ dɔ bɔ kɔrɔta waatiw la kariyɔrɔ la.

Antirotation blade bɛ jiginni sabatili sabati ni a bɛ dɔ fara surface contact ni cancellous bone kan, o bɛ dɛmɛ ka kari dɔgɔyali sabati axial ni torsional doni kɔrɔ girinya tali daminɛ waati.

Fɛɛrɛ min tɛ fɛn caman kɛ ani ka farikolo yɔrɔ nɔgɔlenw lakana

PFNA donli bɛ opereli kɛcogo fitinin de wajibiya ni i ye a suma ni laadala da wulicogo fɛɛrɛw ye. Ni farikolo yɔrɔ nɔgɔlenw tiɲɛni dɔgɔyara, o bɛ kɛ sababu ye ka joli bɔli dɔgɔya, ka dimi dɔgɔya opereli kɔfɛ, ani ka baarakɛcogo kɛnɛya joona—o ye fɛn ye min nafa ka bon kosɛbɛ mɔgɔkɔrɔbaw ka joginda banabagatɔw la.

Opereli fɛɛrɛ ani taabolo jɔnjɔnw PFNA wulu doncogo la

Labɛnni ni ja jateminɛni sani opereli ka kɛ

Labɛn tigitigi kɛli sani opereli ka kɛ, o nafa ka bon walasa ka PFNA jɔli ɲɛ. Jateminɛ kɛli ni rezow ye, ni kɔkili ni senkɔni ɲɛfɛla ni kɔfɛla filɛli bɛ kɛ, o bɛ dɛmɛ ka kari suguya dɔn, wulu janya, nɛgɛ hakɛ, ani donyɔrɔ ɲuman.

Ni ko gɛlɛnw don, CT ja bɛ se ka kɛ ka kari cogoya jateminɛ ani ka opereli kɛcogo ɲɛminɛ.

PFNA opereli kɛcogo ɲɛfɔli senfɛ-senfɛ

A ka c’a la, taabolo kunbabaw ye ninnu ye:

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

2. Kariw dɔgɔyali dagalen walima dɛmɛ dɔɔnin dɔrɔn fɛ fluoroscopie fɛ

3. Nɛgɛ doncogo ɲuman sigili

4. Nɛgɛ doncogo ni a labɛncogo ɲɛgɛnɛsira kɔnɔ

5. Antirotation blade bilali senkɔni kun na

6. Distal locking walasa ka jiginni ni janya kɔlɔsi

Bɔgɔdaga sigili tigitigi senkɔni kunkolo kɔnɔ, o nafa ka bon kosɛbɛ walasa ka dɔ bɔ masinko gɛlɛyaw la ani ka a to a jɔli sabatili waati jan kɔnɔ.

Opereli kɔfɛ ɲɛnabɔli ni baarakɛcogo kɛnɛya PFNA opereli kɔfɛ

Mobilizasiyɔn joona ani girinya-taama jateminɛw

PFNA fiɲɛbɔli kuntilenna fɔlɔ dɔ ye ka sira di mobilizasiyɔn ma joona. Ka kɛɲɛ ni kari sabatili ye ani banabagatɔ cogoya, girinya yɔrɔ dɔ walima a dafalen tali bɛ se ka daminɛ joona opereli kɔfɛ dɔgɔtɔrɔso ka kɔlɔsili kɔnɔ.

Lajɛ joona bɛ dɛmɛ ka gɛlɛyaw dɔgɔya i n’a fɔ jolisira jugumanba, fogonfogon koɲɛw, ani farikolojidɛsɛ.

Baarakɛcogo kɔlɔlɔw kɔlɔsili ni u labɛnni kuntilenna

Opereli kɔfɛ kɛnɛya sabatili bɛ sinsin kɔkolo lamagacogo seginni kan, farikolo fanga ani taama sabatili. A ka ca a la, baarakɛcogo kɔlɔlɔw bɛ jateminɛ ni dimi hakɛw ye, taama seko, ani kari kɛnɛyali daliluw ye minnu bɛ sɔrɔ rezow fɛ.

Gɛlɛya minnu bɛ se ka sɔrɔ ani faratiw kunbɛnni PFNA wuluw labɛnni na

Gɛlɛya minnu bɛ sɔrɔ opereli kɔnɔ fɛɛrɛko siratigɛ la

Ko minnu bɛ se ka kɛ opereli kɔnɔ, olu ye wulu doncogo jugu ye, nɛgɛdaga jɔcogo ɲuman, walima nɛgɛ karilen dɔgɔyali bɛrɛbɛrɛ. Nin ko ninnu bɛ se ka dɔ fara fixation dɛsɛli farati kan, wa u ka kan ka kɔlɔsi kosɛbɛ ni fluoroscopie bilasirali ye ani opereli kɛcogo fɛ.

Opereli kɔfɛ gɛlɛyaw ani banakunbɛn fɛɛrɛw

Hali ni PFNA bɛ tali kɛ kɔlɔlɔ ɲumanw na, gɛlɛyaw i n’a fɔ ɲɛgɛnɛsira tigɛcogo, banakisɛw sɔrɔli, jɛɲɔgɔnya kɔfɛ, walima dimi min bɛ sɔrɔ a doncogo fɛ, olu bɛ se ka sɔrɔ. Opereli kɛcogo ɲuman, banabagatɔ sugandili cogo bɛnnen, ani opereli kɔfɛ ladonni min bɛ kɛ ka ɲɛ, olu ye fɛnba ye walasa ka o faratiw dɔgɔya.

Dɔgɔtɔrɔso kɔlɔlɔw ni dalilu minnu bɛ PFNA wulu tali dɛmɛ

Kɛnɛyaso ka sɛgɛsɛgɛliw y’a jira tuma bɛɛ ko jɛɲɔgɔnya hakɛ caman bɛ sɔrɔ ani baarakɛcogo wasalen ni PFNA sirili ye senkɔniw karilenw na minnu bɛ kɛ kɛrɛfɛ. Ni aw ye a suma ni minɛnw ye minnu bɛ bɔ ɲɛgɛnɛsira kɔkan, PFNA ye nafa jira ka ɲɛsin masinw ka dɛsɛ hakɛ dɔgɔyali ma, kɛrɛnkɛrɛnnenya la karicogo sabatibaliw ni kolociw la.

Nin sɔrɔlen ninnu bɛ PFNA dɛmɛ i n’a fɔ fura min bɛ se ka da a kan ani min bɛ tali kɛ kosɛbɛ bi kolotugudaw ka joginda waleyali la.

Musaka jateminɛw ani furakɛli bolodacogo

PFNA furakɛli musaka bɛɛ lajɛlen ye fɛn donta sugandili ye, opereli kɛcogo, dɔgɔtɔrɔso ladonni ani a labɛnni. Hali ni ɲɛgɛnɛsiraw kɔnɔfɛnw bɛ se ka kɛ ni fɛnw doncogo musaka fɔlɔw ye, u se ka dɛmɛ don ka mɔgɔw lajɛ joona ani ka dɔ bɔ musakaw la minnu bɛ sɔrɔ gɛlɛyaw fɛ, o bɛ se ka sɔrɔko nafa kuntaalajan di.

Furakɛli latigɛw ka kan ka kɛnɛyaso nafa, banabagatɔw ka ko kɛtaw ani sigida ka sariyaw bɛn ɲɔgɔn ma.

Kuncɛli: PFNA wulu jɔyɔrɔ bi senkɔniw karilen kɛrɛfɛ bi furakɛli la

PFNA wulu bɛ kolotugudaw furakɛcogo jira min sigilen don koɲuman senkɔniw karilenw furakɛli kama. A dilanni min bɛ kɛ senkɔniw kɔnɔ, a ka nɛgɛso jiginni fɛɛrɛ, ani a bɛnnen don kolotugudaw ma, o b’a to a bɛ se ka kɛ kɛrɛnkɛrɛnnenya la kɔkolo karilenw ɲɛnabɔli la minnu tɛ sabati.

Ni a kɛra ni opereli fɛɛrɛ bɛnnen ye ani banabagatɔ sugandili ye, PFNA sirili bɛ dɛmɛ don karilenw kɛnɛyali sabatili la, ka a labɛn joona, ani ka baarakɛcogo ɲɛ ka taa a fɛ — o ye laɲini jɔnjɔnw ye bi kolotugudaw ladonni na.

PFNA Nail Fixation ka ɲininkaliw

PFNA nɛgɛ bɛ kɛ mun na?

PFNA nɛgɛ bɛ kɛ ka senkɔni kɛrɛfɛla karilenw kɔnɔna siri, kɛrɛnkɛrɛnnenya la kɔkolo karilenw ni kɔkolo karilenw ni u sabatibaliw. A dabɔra walasa ka ɲɛgɛnɛsira sabatili sabati ka sɔrɔ ka a to banabagatɔ ka se ka wuli joona.

 Kari suguya jumɛnw bɛnnen don PFNA sirili ma?

A ka ca a la PFNA bɛ jira ɲɛgɛnɛsira karilenw na, ɲɛgɛnɛsira karilenw na minnu tɛ sabati, ɲɛgɛnɛsiraw karilenw, ani kɔkiliw karicogo kɔsegincogo la, kɛrɛnkɛrɛnnenya la banabagatɔ kɔrɔbaw walima kolotugudaw la.

Mun na PFNA ka fisa kolotugudaw la?

PFNA antirotation blade bɛ kolo kansɛri sɔgɔ a dontuma na, o bɛ fɛn donta sanni 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 screws kɔrɔlenw tɛ kelen ye cogo di?

PFNA tɛ i n’a fɔ dynamic hip screw (DHS) sitɛmuw, a bɛ doni tila-tila-fixation intramedullary di. A cɛmancɛ-labɛnni ni a ka wuli-wuli-minɛn bɛ biyomekaniki sabatili ɲɛ, kɛrɛnkɛrɛnnenya la karicogo sabatibaliw la.

Yala PFNA opereli tɛ fɛn caman kɛ wa?

Awɔ. PFNA donli bɛ kɛ ni fɛɛrɛ ye min tɛ fɛn caman kɛ ni tigɛ misɛnninw ye, ka farikolo yɔrɔ nɔgɔlenw tiɲɛni dɔgɔya, wa a ka ca a la joli bɔli bɛ dɔgɔya ni i ye a suma ni laadala da wulicogo fɛɛrɛw ye.

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

Kisɛya taabolo bɛ bɔ kari sabatili la ani banabagatɔ cogoya la. A ka ca a la, girinya tacogo yɔrɔ dɔ walima a kuntaalajan bɛ se ka daminɛ joona, operelikɛla ni furakɛli jɛkulu ka ɲɛminɛni kɔnɔ.

Gɛlɛya jumɛnw bɛ sɔrɔ PFNA wuluw la minnu ka teli ka sɔrɔ?

Gɛlɛya minnu bɛ se ka sɔrɔ olu ye wuluwulu tigɛcogo ye, a doncogo jugu, banakisɛ sɔrɔli, a jɛli kɔfɛ, walima dimi min bɛ sɔrɔ a doncogo fɛ. Farati fanba bɛ se ka dɔgɔya ni opereli kɛcogo ɲuman ni banabagatɔ sugandili ye.

A bɛ waati joli ta walasa karilenw ka kɛnɛya PFNA sirilen kɔfɛ?

A ka ca a la, kari kɛnɛyali bɛ kɛ kalo damadɔ kɔnɔ, ka kɛɲɛ ni kari suguya ye, kolo cogoya ani banabagatɔ ka kɛnɛya. Baarakɛcogo kɛnɛyali bɛ se ka taa ɲɛ ka kɔn o ɲɛ ni a labɛncogo bɛnnen don.

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

Awɔ. PFNA bɛ se ka kɛ fana banabagatɔ fitininw na minnu ka senkɔniw karilenw tɛ sabati, minnu sababu bɛ bɔ fanga caman sɔrɔli la, ni farikolo yɔrɔw dɔgɔyali ni u jɔli sabatilen sɔrɔla.

PFNA wulu janya ni a nɛgɛ bonya bɛ dɔn cogo di?

Fɛn minnu bɛ don a la, olu sugandili bɛ kɛ ka da ja lajɛ kan sani opereli ka kɛ, a karicogo, a senkɔni farikololabɔli, ani opereli kɔnɔ fluoroscopie jateminɛ walasa ka a siri cogo ɲuman na ani ka biyomekaniki sabatili sɔrɔ.