Suprapatellar Approach Tibial Nail: Gafe ɲɛnama
Senkɔni karilenw ye joginw ye minnu ka teli ka kɛ, minnu ka teli ka kɛ opereli ye. Opereli fɛɛrɛ minnu ka di kosɛbɛ, olu dɔ ye wuluwuluw kɛli ye senkɔniw kɔnɔ. Suprapatellar approach tibial nail ye fɛɛrɛ ye min ye mɔgɔw diyabɔ nin san laban ninnu na k’a sababu kɛ a nafa caman ye. Nin barokun in kɔnɔ, an bɛna kuma suprapatellar approach tibial nail kan ka ɲɛ, a nafaw, a taamasiɲɛw, opereli kɛcogo, opereli kɔfɛ furakɛli, ani gɛlɛya minnu bɛ se ka sɔrɔ.
Tablo kɔnɔkow
Daminɛ kuma
Tibia (Tibia) ka farikolo-ɲɛnajɛ
Suprapatellar Approach (Suprapatellar Approach Tibial Nail) taamasiɲɛw
Nafa minnu bɛ Suprapatellar Approach Tibial Nail la
Labɛnni ka kɔn opereli ɲɛ
Opereli fɛɛrɛ min bɛ kɛ ka ɲɛsin Suprapatellar Approach Tibial Nail ma
Opereli kɔfɛ ɲɛnabɔli
Gɛlɛya minnu bɛ se ka sɔrɔ
Ka sanga ni Fɛɛrɛ wɛrɛw ye
Kuncɛli
Ɲininkaliw minnu bɛ kɛ
1. Kuma daminɛ
Senkɔni ye kolo janw dɔ ye minnu ka teli ka kari farikolo la. A ka ca a la, senkɔniw karilenw ka kan ka kɛ opereli ye ka a sababu kɛ ɲɔgɔndanbaliya ni jɛɲɔgɔnyabaliya farati ka bon. Nɛgɛ minnu bɛ kɛ senkɔniw kɔnɔ, olu kɛra sanu sariya ye senkɔni karilenw furakɛli la k’a sababu kɛ u nafa caman ye, i n’a fɔ u sabatili ka ɲɛ ani u kɛnɛyali waati teliya.
Suprapatellar approach tibial nail ye fɛɛrɛ ye min ye mɔgɔw diyabɔ nin san laban ninnu na k’a sababu kɛ a nafa caman ye ka tɛmɛ fɛɛrɛ tɔw kan. Nin barokun in kun ye ka ɲɛjiralan caman di suprapatellar approach tibial nail kan.
2. Tibia (Tibia) farikolo yɔrɔw labɛncogo
Sani an ka baro kɛ suprapatellar approach tibial nail kan, a nafa ka bon ka tibia anatomie faamuya. Senkɔni ye sen duguma kolo jan fila la belebeleba ye, wa a bɛ farikolo girinya fanba ta. Senkɔni kɛrɛfɛla bɛ ɲɔgɔn sɔrɔ ni senkɔni ye walasa ka gɛnɛgɛnɛ joli kɛ, ka sɔrɔ a yɔrɔjan laban bɛ ɲɔgɔn sɔrɔ ni fibula ni talus ye walasa ka senkɔni joli kɛ.
Senkɔni bɛ ni senkɔni kɔnɔna na min bɛ boli a janya la. Kanal bɛ bonya a kɛrɛfɛla laban na, a bɛ dɔgɔya ka taa yɔrɔjan fan fɛ. Nin kanal in de ye ɲɛgɛnɛsira kɔnɔnatumu bɛ don yɔrɔ min na.
3. Suprapatellar Approach (Suprapatellar Approach Tibial Nail) taamasiɲɛw
Suprapatellar approach tibial nail bɛ jira senkɔni kari suguya caman furakɛli la, i n’a fɔ:
Tibial sabanan karilenw yɔrɔjan
Tibial karilenw kɛrɛfɛ
Tibial shaft karilenw
Kariw (oblique fractures) bɛ sɔrɔ
Karamɔgɔya minnu bɛ kɛ ni jiribolo ye
Kari minnu bɛ sɔrɔ kari
Kari minnu bɛ kɛ ni ɲɛgɛnɛsiralabanaw ye minnu ka bon kosɛbɛ
4. Nafa minnu bɛ Suprapatellar Approach Tibial Nail la
Suprapatellar approach tibial nail bɛ nafa caman lase fɛɛrɛ wɛrɛw ma, i n’a fɔ:
Kari dɔgɔyali ɲɛnabɔli : Suprapatellar fɛɛrɛ bɛ a to kari yɔrɔ yecogo ka ɲi, o bɛ na ni kari dɔgɔyali ye ka ɲɛ.
Joli bɔli dɔgɔyali : Suprapatellar fɛɛrɛ bɛ kɛ ni farikolo yɔrɔ nɔgɔlenw tigɛcogo dɔgɔyali ye, o bɛ na ni joli bɔli dɔgɔyali ye opereli senfɛ.
Banakisɛ sɔrɔli farati dɔgɔyali : Suprapatellar fɛɛrɛ bɛ dɔ bɔ banakisɛ sɔrɔli la ni aw bɛ aw yɛrɛ tanga gɛnɛgɛnɛ ma, o min bɛ se ka kɛ banakisɛ sɔrɔyɔrɔ ye.
Farati bɛ dɔ bɔ senkɔni joginni na : Suprapatellar fɛɛrɛ bɛ a yɛrɛ tanga senkɔniw ma, o bɛ dɔ bɔ joginni farati la nin yɔrɔ nafama in na.
Banabagatɔ minnu bɛ kɛnɛya joona : Banabagatɔ minnu bɛ opereli kɛ suprapatellar approach tibial nail opereli la, olu ka teli ka kɛnɛya joona ani u ka dɔgɔtɔrɔso waati ka surun ni i ye u suma ni fɛɛrɛ wɛrɛw ye.
5. Labɛnni ka kɔn opereli ɲɛ
Sani u ka opereli kɛ suprapatellar approach tibial nail opereli la, a ka ca a la banabagatɔw bɛna labɛn caman kɛ sani opereli ka kɛ. O bɛna kɛ furakɛli tariku dafalen ye, farikolo sɛgɛsɛgɛli, ani ja lajɛw i n’a fɔ X-ray, CT scan, walima MRI scan walasa ka kari hakɛ ni a sigiyɔrɔ jateminɛ.
Banabagatɔw bɛ se fana ka joli sɛgɛsɛgɛli kɛ sani opereli ka kɛ ani ka laboratuwari sɛgɛsɛgɛli wɛrɛw kɛ walasa k’u ka kɛnɛya bɛɛ lajɛlen jateminɛ ani ka furakɛli cogoya o bana sɔrɔ ka kɔrɔ, n’o bɛ se ka nɔ bila u ka opereli ni u ka kɛnɛya la.
A nafa ka bon banabagatɔw ka u ka operelikɛla ladɔnniya fura o fura minnu bɛ ta, fura minnu tɛ sɔrɔ dɔgɔtɔrɔso la ani fura wɛrɛw, barisa fura dɔw bɛ se ka dabila sani opereli ka kɛ ka a sababu kɛ joli bɔli farati ye walima gɛlɛya wɛrɛw.
Banabagatɔw fana bɛ se ka laadi u ka sigarɛtimin dabila ani ka u yɛrɛ tanga dɔlɔ ma dɔgɔkun minnu bɛ kɔn opereli ɲɛ, barisa o fɛnw bɛ se ka kɛnɛyali bali ani ka dɔ fara gɛlɛyaw kan.
6. Opereli fɛɛrɛ min bɛ kɛ ka ɲɛsin Suprapatellar Approach Tibial Nail ma
Suprapatellar approach tibial nail opereli bɛ kɛ a ka ca a la anestezi basigilen na, wa a bɛ se ka sanga damadɔ ta ka ban. Opereli kɛcogo bɛ nin wale ninnu kɛ:
Banabagatɔ bɛ bila opereli tabali kan a da la, a sen bananen bɛ kɔrɔta ka a dɛmɛ ni sen minɛyɔrɔ ye.
Tigɛ fitini dɔ bɛ kɛ fari la senkɔni sanfɛ dɔrɔn, ka ɲɛjiralan dɔ don fari fɛ ka don senkɔniw kɔnɔna na.
Reamer bɛ kɛ ka kanal labɛn walasa ka wulu don.
O kɔfɛ, wulu bɛ don tigɛyɔrɔ fɛ ka bila sira kan ka don kanal kɔnɔ ni fluoroscope ye.
Ni wulu sera a nɔ na, da tugulanw bɛ don wulu fɛ ka don kolo la walasa k’a siri a nɔ na.
O kɔ, a tigɛyɔrɔ bɛ datugu, ka sen in lamaga ni bɔgɔdaga walima bɔgɔlan ye.
7. Opereli kɔfɛ ɲɛnabɔli
Suprapatellar approach tibial nail opereli kɔfɛ, a ka ca a la banabagatɔw bɛna tile damadɔ kɛ dɔgɔtɔrɔso la walasa ka u kɔlɔsi ani ka dimi mada. U bɛna laadilikan di u ka to sen bananen to kɔrɔtalen na ani ka u yɛrɛ tanga girinya da a kan dɔgɔkun damadɔ kɔnɔ.
Degeliw fana bɛna di banabagatɔw ma u ka minnu kɛ walasa ka dɛmɛ don ka gɛnɛgɛnɛ lamini farikolow barika bonya ani ka gɛlɛya bali. Farikoloɲɛnajɛ fana bɛ se ka fɔ walasa ka banabagatɔw dɛmɛ u ka se ka lamaga ni fanga bɛɛ sɔrɔ sen bananen na.
Dimimadafura ni banakisɛfagalanw bɛna di banabagatɔw ma i n’a fɔ a mago bɛ cogo min na walasa ka dimi kunbɛn ani ka banakisɛw bali. Kunnafoni minnu bɛ tugu ɲɔgɔn kɔ, olu bɛna boloda walasa ka kɛnɛya taabolo kɔlɔsi ani ka gɛlɛya dɔw jateminɛ.
8. Gɛlɛya minnu bɛ se ka sɔrɔ
I n’a fɔ opereli bɛɛ la, faratiw ni gɛlɛyaw bɛ se ka sɔrɔ minnu bɛ sɔrɔ suprapatellar approach tibial nail opereli la. Olu bɛ se ka kɛ:
A nafa ka bon banabagatɔw ka baro kɛ o faratiw kan ni u ka operelikɛla ye ani ka laadilikanw bɛɛ labato sani opereli ka kɛ ani opereli kɔfɛ walasa ka gɛlɛyaw farati dɔgɔya.
9. Ka ɲɔgɔn sanga ni fɛɛrɛ wɛrɛw ye
Suprapatellar approach tibial nail ye fɛɛrɛ caman dɔ ye minnu bɛ kɛ ka tibial karilenw furakɛ. Fɛɛrɛ wɛrɛw ye infrapatellar approach tibial nail ye, retrograde tibial nail, ani plate ni screw fixation.
Hali ni fɛɛrɛ kelen-kelen bɛɛ nafa n’a dɛsɛ bɛ u la, suprapatellar approach tibial nail bɛ nafa kɛrɛnkɛrɛnnen caman di, i n’a fɔ karilenw dɔgɔyali ka ɲɛ, joli bɔli dɔgɔyali, ani banakisɛw ni senkɔniw joginni farati dɔgɔyali.
10. Kuncɛli
Suprapatellar approach tibial nail ye opereli fɛɛrɛ ye min bɛ fɔ kosɛbɛ senkɔni karilenw furakɛli la. A bɛ nafa caman lase fɛɛrɛ wɛrɛw ma, i n’a fɔ karilenw dɔgɔyali ka ɲɛ, ka joli bɔli dɔgɔya, ani ka banakisɛw ni senkɔniw joginni farati dɔgɔya.
Nka, i n’a fɔ opereli suguya bɛɛ, faratiw ni gɛlɛyaw bɛ se ka sɔrɔ a la, wa a nafa ka bon banabagatɔw ka u ka sugandiliw jateminɛ kosɛbɛ ani ka baro kɛ u kan ni u ka operelikɛla ye walasa ka desizɔn ta min bɛ kɛ ni kunnafoni ye.
11. Ɲininkaliw
Suprapatellar approach tibial nail opereli bɛ waati joli ta?
A ka ca a la opereli bɛ lɛri damadɔw ta ka ban.
A bɛ waati joli ta walasa ka kɛnɛya ka bɔ suprapatellar approach tibial nail opereli la?
Kɛnɛya waati bɛ se ka ɲɔgɔn ta ka kɛɲɛ ni kari hakɛ ye ani banabagatɔ kelen-kelen bɛɛ ka kɛnɛya se, nka a ka ca a la, a bɛ kalo damadɔ ta walasa kolo ka kɛnɛya pewu.
Suprapatellar approach tibial nail opereli ɲɛtaa hakɛ ye mun ye?
A ka ca a la opereli ɲɛtaa hakɛ ka ca, nka a bɛ se ka ɲɔgɔn ta ka kɛɲɛ ni banabagatɔ kelen-kelen bɛɛ ka ko ye ani a kari hakɛ.
Yala ne mago bɛ farikoloɲɛnajɛ furakɛli la suprapatellar approach tibial nail opereli kɔfɛ wa?
Farikoloɲɛnajɛ bɛ se ka fɔ walasa ka aw dɛmɛ ka lamaga ni fanga bɛɛ sɔrɔ sen na min bananen don.
Yala fɛɛrɛ dɔw bɛ yen minnu tɛ opereli ye, walasa ka senkɔniw karilenw furakɛ wa?
Tuma dɔw la, fɛɛrɛ minnu tɛ opereli ye i n’a fɔ sɔgɔsɔgɔninjɛ walima sɔgɔsɔgɔninjɛ, olu bɛ se ka kɛ ka senkɔniw karilenw furakɛ, nka o bɛna bɔ banabagatɔ kelen-kelen bɛɛ ka kow la.
