Ɲɛgɛnɛsiraw ye jumɛnw ye?

Nail intramedullary ye mun ye?

Kɔnɔbara kɔnɔ nailing ye opereli ye walasa ka kolo karilen dilan ani ka a to a ka sabati. Nin wale in bɛ kolo minnu Sɔrɔ kosɛbɛ olu ye cɛya, senkɔni, kɔ ani bolokɔni sanfɛla ye. Nɛgɛ walima bere banbali bɛ bila kolo cɛmancɛ la. A bɛna aw dɛmɛ ka se ka girinya bila kolo kan.

Nail intramedullary bɛ kɛ mun ye?

Senkɔniw ka sɔgɔsɔgɔninjɛ fanba bɛ furakɛ opereli fɛ. sɛgɛsɛgɛli caman y' a jira ko opereli sabatili daminɛni bɛ tali kɛ gɛlɛyaw ni saya dɔgɔyali la . Kɔnɔbara kɔnɔ nail ye nɛgɛbere ye min bɛ don kolo dɔ ka medullary cavity kɔnɔ ani ka a fara kari walasa ka dɛmɛ gɛlɛn di kolo karilen ma. Intramedullary nailing bɛ jate sisan 'Gold Standard' ye senkɔniw ka kariw furakɛli la. nafa minnu bɛ sɔrɔ fɛnɲɛnamafagalanw na minnu bɛ sɔrɔ dɔgɔtɔrɔso kɔnɔ, olu ye dɔgɔtɔrɔso‐sigiyɔrɔ surun ye, kari teliya la ani farikolo yɔrɔ in baara joona .

Ɲɛgɛnɛsiraw ni opereli fɛɛrɛ minnu bɛ tali kɛ u la, olu suguya caman bɛ yen. Kɛlɛ kunba dɔ ye ni nɛgɛ ka kan ka don kanal kɔnɔ gɛnɛgɛnɛ na ani ka kanal wuli ka taa kanal (retrograde nailing) walima kɔ la ka a gɛrɛntɛ ka jigin kanal kɔnɔ (antegrade nailing). Antegrade nailing (piriformis fossa versus trochanterie en greater) dondaw fana bɛ sɔsɔli la. Ko wɛrɛ ye ko nɛgɛ minnu bɛ sɔrɔ dɔgɔtɔrɔso kɔnɔ, olu ka kan ka don ni reaming ye (yɔrɔ min na medullary cavity bɛ bonya ka sɔrɔ ka wuluwulu don a kɔnɔ) walima ni reaming tɛ. O cogo kelen na, bɛnkan si ma sɔrɔ nɛgɛ suguya wɛrɛw nɔfɛkow kan, i n’a fɔ nɛgɛ minnu bɛ ɲɔgɔn minɛ (ni bolokɔfɛfɛnw ye minnu bɛ bila kolo la nɛgɛ dakunw na walasa k’a siri a jɔyɔrɔ la) walima ka nɛgɛ fila walima ka tɛmɛ o kan, olu bɛ bila ɲɛgɛnɛsira kɔnɔ cogo kɛrɛnkɛrɛnnen na walasa k’u minɛ u nɔ na.

Yala kɔnɔnin min bɛ kɛ ni kɔnɔnatumu ye, o ka kan ka bɔ yen wa?

Kɔnɔbara kɔnɔ nail minnu bɛ kɛ ka senkɔniw kariw siri, olu bɛ se ka bɔ u la kun suguya caman kosɔn. Dɔw b’a fɔ ko o nɛgɛ suguw bɛɛ ka bɔ kari kɛnɛyalen kɔfɛ,k’a sɔrɔ dɔw b’a fɛ ka bana taamasiɲɛw dɔrɔn de bɔ.A kɛra sababu ye ka senkɔniw bɔ u la, ka u bɔ u la, o bɛ se ka gɛlɛya ani ka waati ta.

Nail intramedullaire (Intramedullaire) bɔcogo: .

Aw bɛ banabagatɔ bila a kɛrɛfɛyɔrɔ tilennen na ni shɛfan ye walima ni a jɔyɔrɔ wɛrɛ ye opereli tabali kan min bɛ yeelen bɔ. Aw bɛ a sen bɛɛ labɛn, ka a lamini, ani ka a farikolo yɔrɔw labɛn ka a kɛ a kɔkiliw la. Aw bɛ sen bɔ a la walasa a kɔ ni a gɛnɛgɛnɛ lamagacogo dafalen ka se ka a bila a jɔyɔrɔ la. Aw bɛ a kɔkiliw kuru fo ka se 90° ma. Aw bɛ proximal ani distal locking screws bɔ cogo la min bɛ kɛ ka kɛɲɛ ni sariya ye. Aw bɛ ɲɛminɛlan dɔ da a cɛmancɛ kan ka sɔrɔ ka a ja fluoroskopi sɔrɔ a kɔfɛla la. Aw bɛ nɛgɛ ladilan walasa a ka bɛn ni senkɔniw ye kɛrɛfɛla lajɛ la. Aw bɛ layini dɔ ja nɛgɛ kan, k’a janya a kɔ la. Aw bɛ a cɛmancɛ wuli kɛnɛma ka layini dɔ taamasiɲɛ kɛ o cogo kelen na walasa ka ɲɛda ɲɛfɛla jɔyɔrɔ dɔn. zana fila ninnu cɛtigɛyɔrɔ bɛ tigɛyɔrɔ jira ka ɲɛsin extractor bilali ma. Ni kolosinsinnan kolo ka kan ka bɔ, o tigɛ ka kan ka kɛ ka bonya. Joginda bɛ bonya ka jɛya ni mayo sizo belebelew ye. Ni nɛgɛ sera, sizo bɛ kɛ ka joginda minɛ ka da, ka 3,2 ɲɛminɛlan don sizo la fo ka se a ma, a ka maga wulu la. Sizo bɛ bɔ, ka ɲɛminɛlan pinɛ ladilan fo a ka taa ɲɛ ka don wulu kɔnɔ. Kɔnɔbara ɲɛfɛla ni kɔfɛla jaw bɛ sɔrɔ walasa ka ɲɛminɛlan bilali dafa nɛgɛ kɔnɔ. Kɔnɔbara min bɛ kɛ ni kon ye, o bɛ don joginda la, o bɛ don joginda la, ka tɛmɛ guide pin kan. A bɛ bɔ a la nɔgɔya la nka a bɛ siri ni fanga ye ka don nɛgɛ kɔnɔ. A bɛ se ka kɛ ko tɛmɛsira fɔlɔ tɛna nɛgɛ siri ka ɲɛ, nka a bɛna fɛn nɔgɔlen caman bɔ a la. A bɛ bɔ a la ka a don ɲɛjiralan pinɛ walima a nɛgɛ kan ka a siri nɛgɛ kan ni fanga ye min bɛ se ka kɛ sababu ye ka a ɲini ka a kɛ ni a bɛ kɛ ni wuluwuluw ye. Mallet slotted bɛ kɛ ka nɛgɛ bɔn ka bɔ. Joginda bɛ ji la ka a datugu cogo la min bɛ kɛ ka kɛɲɛ ni sariya ye.

Orthopedic Implants ani Orthopedic Instruments (Fɛn minnu bɛ se ka kɛ ka ɲɛgɛnɛ kɛ) san cogo min na, o ye .

Kosɔn czmeditech , An bɛ ni kolotuguda opereli fɛnw ye minnu dafalen don kosɛbɛ ani minɛnw minnu bɛ bɛn o ma, o ye fɛn ye . Spine Implants ., Nails intramedullaires ., Plate de traume ., locking plate ., kunkolo-maxillo-facial ., Prothèse ., Seko ni dɔnko baarakɛminɛnw ., kɛnɛma fixateurs ., Arthroscopie ., Baganw ladonni n’u dɛmɛnanw.

Ka fara o kan, an b’an jija ka fɛn kuraw dilan tuma bɛɛ ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndan ye diɲɛ kɔnɔ kolotugudaw ni minɛnw dilanni bɛɛ la.

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