Suprapatellar Approach Tibial Intramedullary Nail Instrument Set: Aw ka kan ka fɛn o fɛn dɔn
Ni aw sen bɛ kolotugudaw opereli la, a ka c’a la aw bɛ senkɔniw sɔgɔli hakilina dɔn. Nin fɛɛrɛ in bɛ kɛ ka caya ka senkɔniw karilenw furakɛ, o ye sen duguma kolo fila dɔ ye. San laban ninnu na, suprapatellar fɛɛrɛ min bɛ kɛ ka tibial intramedullary nailing kɛ, o ye mɔgɔw diyabɔ kosɛbɛ i n’a fɔ laadala fɛɛrɛ wɛrɛw.
Nin barokun in kɔnɔ, an bɛna suprapatellar fɛɛrɛ sɛgɛsɛgɛ ka ɲɛsin tibial intramedullary nailing ma, o la, a ye min ye, a bɛ baara kɛ cogo min na, ani minɛn minnu ka kan ka kɛ walasa k’a kɛ.
Suprapatellar (Suprapatellar (Suprapatellar) fɛɛrɛ min bɛ kɛ ka tibial Intramedullary Nailing (Tibial Intramedullary Nailing) kɛcogo ye mun ye?
Suprapatellar fɛɛrɛ ye fɛɛrɛ kura ye min bɛ kɛ ka tibial intramedullary nailing kɛ. Sani operelikɛla ka don senkɔni na ni laadala fɛɛrɛ ye min bɛ kɛ ɲɛfɛ walima kɔfɛ, a bɛ tigɛ fitini dɔ kɛ senkɔni, walima gɛnɛgɛnɛ sanfɛ dɔrɔn. O b’a to u bɛ se ka don senkɔniw kɔnɔna na ka bɔ sanfɛ, sanni u ka se ka bɔ ɲɛfɛ walima kɛrɛ fɛ.
Nafa caman bɛ sɔrɔ suprapatellar fɛɛrɛ la ka tɛmɛ laadala fɛɛrɛw kan, i n’a fɔ ɲɛnayeli ka ɲɛ, ka farikolo yɔrɔ nɔgɔlenw tiɲɛni dɔgɔya, ani ka dɔ bɔ joginni na fɛn nafamaw na i n’a fɔ ɲɛfɛla kurukuruni (ACL).
Suprapatellar fɛɛrɛ bɛ baara kɛ cogo di?
Walasa ka suprapatellar fɛɛrɛ kɛ ka tibial intramedullary nailing kɛ, operelikɛla bɛ tigɛ fitini dɔ kɛ patella sanfɛ dɔrɔn. O kɔ fɛ, u bɛ jirisun fitinin dɔ Dabɔ patellar tendon fɛ ni minɛn kɛrɛnkɛrɛnnen dɔ ye min bɛ Weele ko patellar awl. Ni tunɛri dabɔra, operelikɛla bɛ se ka wulu don senkɔni kɔnɔ ka bɔ san fɛ.
Nafa min bɛ se ka sɔrɔ suprapatellar fɛɛrɛ la, o ye ko a bɛ a to operelikɛla tɛ se ka gɛnɛgɛnɛ kɔrɔta opereli senfɛ. O bɛ se ka nafa sɔrɔ kɛrɛnkɛrɛnnenya la banabagatɔw la minnu gɛnɛgɛnɛ jogin na walima jolidɛsɛ bɛ minnu na, dimi bɛ se ka kɛ olu la walima ka u dusu tiɲɛ ni gɛnɛgɛnɛ kurulen don.
Minɛn suguya jumɛn de ka kan ka kɛ walasa ka Suprapatellar Approach Tibial Intramedullary Nailing kɛ?
Ni aw bɛ tibial intramedullary nailing kɛ ni suprapatellar fɛɛrɛ ye, o bɛ minɛn kɛrɛnkɛrɛnnen dɔ de wajibiya. Fɔlifɛn jɔnjɔn minnu bɛ Se ka Dòn nin kulu in na olu dɔw ye:
1. Patellar Awl (Patellar Awl) ye
Patellar awl ye minɛn kɛrɛnkɛrɛnnen ye min bɛ kɛ ka tunnel dilan ka tɛmɛ patellar tendon fɛ o kɛcogo la.
2. Kanula min bɛ wele ko suprapatellar Cannula
Suprapatellar cannula ye tubabu jan ye min ka fin, a bɛ don gɛnɛgɛnɛ na ka tɛmɛ tigɛyɔrɔ fɛ patella sanfɛ. Nin kansɛri in bɛ a to operelikɛla bɛ se ka ɲɛgɛnɛsiralabanaw ye a ɲɛ na ani ka nɛgɛ don a kɔnɔ ka bɔ san fɛ.
3. Ɲɛgɛnɛsiraw kɔnɔna na
Nɛgɛ min bɛ ɲɛgɛnɛsira kɔnɔ, o ye minɛnw sigicogo yɔrɔba ye. Nin wulu in bɛ don senkɔni na, wa a bɛ kɛ kɔnɔna sirilan sabatilen ye walasa ka dɛmɛ don ka kari kɛnɛya sabati.
4. Reamer (Sɛgɛsɛgɛlikɛla).
Reamer ye minɛn kɛrɛnkɛrɛnnen ye min bɛ kɛ ka ɲɛgɛnɛsira labɛn walasa ka wulu don.
5. Kɔrɔsili juruw
Kurukuruw bɛ kɛ ka ɲɛgɛnɛsira kɔnɔna siri a nɔ na ni a donna senkɔni kɔnɔ.
Nafa jumɛnw bɛ se ka sɔrɔ ka baara kɛ ni Suprapatellar fɛɛrɛ ye?
Nafa caman bɛ se ka sɔrɔ ni aw ye suprapatellar fɛɛrɛ kɛ ka tibial intramedullary nailing kɛ. Olu dɔw ye:
1. Yecogo ɲɛnabɔlen
Suprapatellar fɛɛrɛ bɛ a to operelikɛla bɛ se ka ɲɛgɛnɛsira kɔnɔna lajɛ ka bɔ sanfɛ, o bɛ yecogo ɲuman di ni a bɛ tali kɛ laadala fɛɛrɛw la. O bɛ se ka operelikɛla dɛmɛ a ka se ka wuluwulu bila ka ɲɛ ani ka a yɛrɛ tanga fɛn nafamaw tiɲɛni ma.
2. A bɛ dɔ bɔ farikolo yɔrɔ nɔgɔlenw tiɲɛni na
Suprapatellar fɛɛrɛ bɛ tigɛ ka dɔgɔn ani ka farikolo yɔrɔ nɔgɔlenw tigɛ ka dɔgɔn ni i ye a suma ni laadala fɛɛrɛw ye. O bɛ se ka dɛmɛ don ka opereli kɔfɛ dimi, funu ani joginda dɔgɔya.
3. ACL joginni farati dɔgɔyali
Ni aw bɛ senkɔni sɔgɔsɔgɔninjɛ kɛ ɲɛfɛla walima kɔfɛla fɛɛrɛ fɛ, farati bɛ a la ka ɲɛfɛla kurukuruni (ACL) jogin. O bɛ kɛ barisa ACL bɛ boli ka surunya kosɛbɛ wulu donyɔrɔ la. Suprapatellar fɛɛrɛ bɛ operelikɛla bila ka a yɛrɛ tanga o farati ma ni a bɛ gɛrɛ senkɔni na ka bɔ san fɛ.
Suprapatellar fɛɛrɛ in faratiw ni a dan ye mun ye?
Hali ni nafa caman bɛ sɔrɔ suprapatellar fɛɛrɛ la, farati ni dan dɔw fana b’a la. Olu dɔw ye:
1. Patellar fracture (patellar fracture) farati bɛ bonya
Ni aw ye jirisunba dɔ dabɔ senkɔniw fɛ ni senkɔniw ka wuluwulu ye, o bɛ se ka dɔ fara senkɔniw kari farati kan. O farati bɛ se ka dɔgɔya ni aw bɛ baara kɛ ni bɔgɔdaga ye min janya ka dɔgɔn ani ka aw janto aw yɛrɛ la walasa fanga kana caya kojugu kɛcogo la.
2. Opereli kɛcogo danma
Suprapatellar fɛɛrɛ bɛ opereli kɛcogo dɔgɔya ni i ye a suma ni laadala fɛɛrɛw ye. O bɛ se ka a to a ka gɛlɛn ka fɛɛrɛ dɔw kɛ, i n’a fɔ ka ɲɛgɛnɛsiralabanaw lajɛ.
3. Baarakɛcogo danma Banabagatɔ dɔw la
A bɛ se ka kɛ ko suprapatellar fɛɛrɛ tɛ bɛn banabagatɔ bɛɛ ma. Misali la, gɛnɛgɛnɛ jugumanba bɛ banabagatɔ minnu na, olu tɛ se ka o kɛcogo muɲu ka a sababu kɛ dimi ye walima ka a sababu kɛ u lamagacogo dan ye.
Kuncɛli
Suprapatellar fɛɛrɛ min bɛ kɛ ka tibial intramedullary nailing kɛ, o ye fɛɛrɛ kura ye min diyara kosɛbɛ nin san laban ninnu na. Nafa caman bɛ nin fɛɛrɛ in na ka tɛmɛ laadala fɛɛrɛw kan, i n’a fɔ ɲɛnayeli ka ɲɛ, ka farikolo yɔrɔ nɔgɔlenw tiɲɛni dɔgɔya, ani ka ACL jogin farati dɔgɔya. Nka, farati ni dan dɔw fana b’a la minnu ka kan ka jateminɛ sani aw ka nin fɛɛrɛ in sugandi.
Ɲininkaliw minnu bɛ kɛ
Yala suprapatellar fɛɛrɛ min bɛ kɛ ka tibial intramedullary nailing kɛ, o bɛnnen don banabagatɔ bɛɛ ma wa?
Ayi, a bɛ se ka kɛ ko suprapatellar fɛɛrɛ tɛ bɛn banabagatɔ bɛɛ ma. Gɛnɛgɛnɛ jugumanba bɛ banabagatɔ minnu na walima gɛnɛgɛnɛ jogin wɛrɛw bɛ se ka kɛ olu tɛ se ka o kɛcogo muɲu.
Yala suprapatellar fɛɛrɛ bɛ dɔ fara patellar kari farati kan wa?
Ni aw ye jirisunba dɔ dabɔ senkɔniw fɛ ni senkɔniw ka wuluwulu ye, o bɛ se ka dɔ fara senkɔniw kari farati kan. Nka, o farati bɛ se ka dɔgɔya ni aw bɛ baara kɛ ni wuluwulu ye min janya ka dɔgɔn ani ka aw janto aw yɛrɛ la walasa fanga kana caya kojugu kɛcogo la.
Minɛn jumɛnw ka kan ka kɛ suprapatellar approach tibial intramedullary nailing na?
Minɛn min bilalen bɛ suprapatellar approach tibial intramedullary nailing kama, o ye patellar awl, suprapatellar cannula, intramedullary nail, reamer ani locking screws ye.
Suprapatellar fɛɛrɛ ni laadala fɛɛrɛ minnu bɛ kɛ ka tibial intramedullary nailing kɛ, olu tɛ kelen ye cogo di?
Suprapatellar fɛɛrɛ ye ka tigɛ fitini dɔ kɛ patella sanfɛ ani ka tunnel dɔ da patellar tendon fɛ. O bɛ a to operelikɛla bɛ se ka don senkɔni kɔnɔna na ka bɔ sanfɛ, sanni a ka bɔ ɲɛfɛ walima kɛrɛfɛ i n’a fɔ a bɛ kɛ cogo min na laadala fɛɛrɛw la.
Nafa jumɛnw bɛ se ka sɔrɔ ni aw ye suprapatellar fɛɛrɛ kɛ ka tibial intramedullary nailing kɛ?
Nafa minnu bɛ se ka sɔrɔ baara kɛli la ni suprapatellar fɛɛrɛ ye, olu ye ka ɲɛnayeli kɛcogo ɲɛ, ka farikolo yɔrɔ nɔgɔlenw tiɲɛni dɔgɔya, ani ka dɔ bɔ a la.
