Tuma jumɛn na aw mago bɛ kari opereli la?

A ka ca a la, kari bɛ taa ni joginw ye farikolo yɔrɔ wɛrɛw la. Furakɛli taabolo bɛɛ la, banabagatɔw ka kan ka furakɛ u bɛɛ lajɛlen na.

Labɛn min bɛ kɛ ka ɲɛsin fɔlɔfɔlɔ ma

• Aw ye mɔgɔw ka ɲɛnamaya kisi

• Aw bɛ farikolo yɔrɔw kisi

• Aw bɛ jogindaw kisi

• Segin-ka-bɔnye baara

  
  

Opereli kɔrɔtɔlen : joli siraw jogincogo, kari dafalen ani kari dagalen furakɛli sariyaw.

• Da wulilen dɔgɔyali ani kɔnɔna sirili joona (lɛrɛ 6 kɔnɔ) .

• 48h

• 3 ~ 7d : A bɛna dɔ fara ARDS ni gɛlɛya wɛrɛw sɔrɔli kan.

• 7 ~ 10d: Endocrine reaction (banakisɛfagalanw) bɛ dɔgɔya [funu bɛ dɔgɔya, funu bɛ tunun].

• Ka tɛmɛ dɔgɔkun 2 kan : opereli gɛlɛya bɛ bonya ani opereli kɔfɛ baara bɛ dɔgɔya.

Kɔkolo kolo karilen

• Ni kari bloki ye sɔgɔsɔgɔninjɛ, jolisiraw ani bolokɔniw jogin, bɛnkan bɛ sɔrɔ a la ko gɛlɛya jugumanba don, wa a ka kan ka opere joona.

Humeral fracture proximale (humeral karilen) min bɛ kɛ a kɛrɛfɛ

• Ni segin-ka-bɔnye kɛra bololabaarakɛlaw ka dɔgɔyali kɔfɛ-biceps longus (biceps longus) senkɔni, ni aksidan taamasiɲɛw bɛ ye.

Humeral shaft kari

• Ni farikolojidɛsɛ taamasiɲɛw sɔrɔla farikolo sɛgɛsɛgɛli la, opereli bɛ kɛ o yɔrɔnin bɛɛ.

Humeral distal kari

• Nin kari sugu bɛ se ka kɛ sababu ye ka farikolojidɛsɛ walima joli siraw joginni o jogin, o bɛ tɛmɛ kɔkili kolotuguda fɛ. 

• Joli siraw tigɛcogo man teli ka kɛ, nka a bɛ se ka kɛ ko a bɛ gɛlɛya walima ka a degun. 

• Fascial space syndrome-tigɛ teliya la ani decompression.

Olecranon, kunkolo radiyali ani kɔkili kolotuguda gɛlɛn jogin

• Aw bɛ opereli kɛ ka ban dɔgɔkun kelen kɔnɔ.

• 1 ~ Dɔgɔkun 2 opereli taboo waati-myositis ossificans.

• Opereli bɛ kɛ dɔgɔkun 2 kɔnɔ.

  
  

Bolo ɲɛfɛla karilen fila

• Walima da wulilen kari ka kan ka opere 6 ~ 8h kɔnɔ joginda kɔfɛ.

• Opereli kɔfɛ, o bɛ se ka dɔ fara kolotugudaw sɔrɔli farati kan ulna ni radius cɛ.

Distal radius kari

• Ni farikolo sɛgɛsɛgɛli y’a jira ko extenseur pollicis longus tendon jogin ni median nerve compression taamasiɲɛw bɔra-opereli teliya la.

Bolo karilen

• Sinsin bɛ kɛ ka dɔgɔya joona ani ka kɔnɔna siri kari dafalenw ni kari datugulenw bɛɛ la, kɛrɛnkɛrɛnnenya la minnu ka gɛlɛn ni joli siraw, farikolojidɛsɛ walima senkɔniw joginw ye, opereli ka kan ka kɛ joona.

  
  

Basɔn kari

• A ka ca a la, basibɔn karilenw ni yɔrɔ wɛrɛw karilenw faralen don ɲɔgɔn kan, o bɛna kɛ sababu ye ka jolilabanaw basigibaliya lase mɔgɔ ma.

  
  

• Basi karilen gɛlɛn furakɛcogo : miniti 30, latigɛ 3

• Opereli ɲinini teliya la walasa ka joli bɔli dabila

• Pelvic fixation (C-shaped forceps walima externe fixateur) bɛ ban miniti 10 ~ 15 kɔnɔ.

• Kɔlɔsili kɔfɛ miniti 10 ~ 15 kɔnɔ, banabagatɔ bɛ joli-sira-funu-baara kɛ hali bi.

• Banabagatɔ minnu ka joli-sira-funu sabatilen don, opereli ka kan ka kɛ tile 7 kɔnɔ, walima tile 7 ~ 14 kɔnɔ.

Senkɔni karilen proximal-intertrochanteric fracture

• Ni banabagatɔ ka bana bɛɛ lajɛlen bɛ a kunbɛn, kɔnɔnafili, DHS, DCS ani PFN, ka kan ka kɛ.

Senkɔni karilen kɛrɛfɛ-senkɔni kɔ kari

• Senkɔni kɔ kari, kɛrɛnkɛrɛnnenya la kari kɔnɔna na, o bɛ se ka senkɔni kunkolo joli sɔrɔli bila farati la, o la a ka kan ka dɔgɔyali da wuli ani ka kɔnɔna siri joona.

• Kɔnɔnafili : < san 65

• Joli caman cili : > san 65

• Ni opereli kɔrɔtɔlen tɛ se ka kɛ, joli-sira-funu ni joli-sira-funu-fiɲɛ bɛ se ka kɛ, ani kɔkolo kolotuguda bɛ se ka to a cogo la min bɛ kɛ ni a bɛ kɛ ni a bɛ kɛ ni a bɛ kɛ cogo min na.

Senkɔni yɔrɔjan kari

• Banabagatɔ minnu farikolo yɔrɔ nugulamaw jogincogo ka jugu, u karilenw dabɔlen don, walima opereli daminɛ na gɛlɛya bɛ u la-Super-articular external fixator.

• Joginni yɔrɔjan furakɛli opereli teliya la-—DCS, retrograde intramedullary nail.

  
  

Patella ka kari

• Banabagatɔ ka bana bɛɛ lajɛlen bɛ sabati, wa sigida fari cogoya bɛ a to, opereli ka kan ka kɛ joona.

Tibial karilen kɛrɛfɛ

• Aw bɛ joginni fariyakow suguya dɔn

• A ka ca a la, fanga caman joginni bɛ taa ni farikolo yɔrɔ nɔgɔlenw joginni juguman ye. A bɛ sɔrɔ senkɔniw funu, kurukuru, fari sɔgɔsɔgɔli ani fari sɔgɔsɔgɔli fɛ. Opereli ka kan ka bila kɔfɛ o waati la. O waati kelen na, fascial space syndrome ni joli siraw ni farikolojidɛsɛw ka kan ka bɔ kɛnɛ kan.

Tibial shaft karilen don

• Anatomie kɛrɛnkɛrɛnnenya-nafa min bɛ farikolo yɔrɔ nɔgɔlenw datugucogo la.

• A daminɛ na: 8h kɔnɔ

• Kɛnɛma fiɲɛ bilalen bɛ jate sugandili fɔlɔ ye furakɛli joona la.

• Jipsum dɛmɛni

• Calcaneal traction (sɔgɔsɔgɔninjɛ) (calcaneal traction).

• Taabolo filanan : dɔgɔkun 2 ɲɔgɔn.

• Banakisɛ jɛlen si tun tɛ farikolo la ani joginda jugumanba.

• Joginda funu walima a bɔli tɛ a la.

• Kurukuru bɛ ​​ja, funu bɛ nɔgɔya ani kolo taamasiɲɛw bɛ se ka maga a la.

• Fari kurukurulen, fari siraw bɛ bɔ.

Senkɔni yɔrɔjan karilen (pilon) .

Pilon karilen furakɛli nɔ bɛ bɔ kolotugudaw labɛncogo ɲuman na ani farikolo yɔrɔ nɔgɔlenw datugucogo la.

Opereli waati ɲuman bɛ bɔ farikolo yɔrɔ nɔgɔlenw cogoya la:

• A daminɛ na : opereli kɛra sanga 6 ~ 8 kɔnɔ, o kɛra sanga 2 ~ 3 kɔnɔ.

• Latɛmɛni : tile 7 ~ 10, funu tununna ani fari kurukuruw bɛ bɔ.

Laadalata sariyakolo naani minnu ka kan ka labato opereli seginni taabolo kelen na:

• Fibula (fibula) jɔli kokura

• Tibial articular surface (Tibial articular surface) jɔli kokura

• Kolow sɔgɔli

• Kolow plati dɛmɛni

Senkɔni karilen

• Senkɔni kari ye joli-sira-funu-kɔnɔ-kari ye.

• Furakɛli kun ye ka kolotugudaw farikolo cogoya lasegin a cogo kɔrɔ la.

• Opereli kɛwaati bɛ bɔ farikolo yɔrɔ nɔgɔlenw cogoya la.

• Opereli waati ɲuman ye sani kirinni ni kurukuruw ka bɔ kari yɔrɔ la.

Senw kari

• O ye sennasanbara ye mɔgɔw ka jɔ ka taama. Sen ka farikolo cogoya lasegincogo ɲuman na, o jɔyɔrɔ ka bon kosɛbɛ mɔgɔw jɔli ni u taamacogo la.

• I n’a fɔ senkɔniw karilenw, opereli waati bɛ bɔ farikolo yɔrɔ nɔgɔlenw funu hakɛ ni a cogoya la.

Kɔkolo karilen

• Ni farikolo bɛɛ sabatira, kari min bɔra a nɔ na, ​​o ka kan ka opere joona ni hakiliɲagami taamasiɲɛw bɛ a la.

  
  

Cogo min na i bɛ se ka kolotugudaw ni kolotugudaw sancogo?

Kosɔn CZMEDITECH , an bɛ ni fɛn dilannenw ye minnu dafalen don kosɛbɛ kolotugudaw opereli fɛnw na ani minɛn minnu bɛ bɛn o ma, furaw sen bɛ o la kɔkolo doncogo, wulu minnu bɛ kɛ ɲɛgɛnɛsira kɔnɔ, trauma plate, da tuguli plati, kunkolo-kɔnɔ-kɔnɔ-kɔnɔ, prothèse (banakisɛfagalan) min bɛ kɛ, kuran baarakɛminɛnw, kɛnɛma fiɲɛbɔlanw, joli-sira-funu (arthroscopie)., baganmara ladonni n’u dɛmɛnanw sigicogo.

Ka fara o kan, an cɛsirilen don ka to ka fura kuraw labɛn ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndanba ye diɲɛ kolotugudaw ni minɛnw baara bɛɛ la.

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