Nin fɛɛrɛ ninnu na, jumɛn de bɛ kɛ ka fɛnɲɛnamafagalanw kariw dilan?

Femur ka fɛnɲɛnamafagalanw ka kari min bɛ wele ko intertrochanterie kari, o ye kapisi kari ye min bɛ kɛ ni joli-sira-funu ye. Kɔnɔnatumuw ka karicogo kunbabaw ye sigida dimi ni funu nafama ye, ecchymose caman, banabagatɔ ka sebaliya ka jɔ walima ka taama, ka surunya kosɛbɛ, ka farikolo yɔrɔ min bananen don, o kɔnɔna ni a kɛnɛma jiginni tiɲɛni, ani ka dan sigi kɔkolo kolotuguda la min bɛ baara kɛ ani min tɛ kɛ ka ɲɛ sira o sira fɛ.

Epidemiologie .

1. U fanba bɛ tali kɛ koloci la, a ka ca a la mɔgɔkɔrɔbaw, musow ka ca ni cɛw ye.

2. A sɔrɔli bɛ tali kɛ siya, cɛya ni musoya ani mara la.

3. Jogin min ka teli ka kɛ mɔgɔkɔrɔbaw la, senkɔniw ka ɲɔgɔn sɔrɔli san hakɛ cɛmancɛ ye san 75,2 ye. Danfaraba si ma sɔrɔ cɛw ni musow cɛ kariyɔrɔko la.

4. Ka da joli bɔli kan sɔgɔsɔgɔninjɛ la, a man teli ka kari, nka a ka nɔgɔn ka sɔrɔ kɔkiliw la, wa gɛlɛya caman bɛ yen minnu bɛ sɔrɔ dilan kuntaalajan lafiɲɛbɔ fɛ banabagatɔ kɔrɔbaw la, wa bana ni saya hakɛ ye 15%-20% ye, o la, a bɛ fɔ a ma ko kari laban bɛ kɛ mɔgɔkɔrɔba la.

Joginni fɛɛrɛ .

1. balikuw fanba ye joginw ye minnu fanga ka bon, u ka kan ka u janto u kunkolo la, u disi la, u kɔnɔbara la ani u jogin yɔrɔ wɛrɛw la; Mɔgɔkɔrɔbaw fanba ye kɔrɔya baara ye farikolo yɔrɔw la coordination response agility dɔgɔyali ni bin sababu fɛ.

2. Farinya tilennen: A bɛ nɔ bila tilennen na Trochanter yɔrɔba la. Ni farikolo bɛ bin duguma ni fanga kɛrɛfɛla ye ni a bɛ bin.

3. Farinya min tɛ taa ɲɛ: Farikolo bɛ tigɛli kɛ bin waati la, wa a kɔkili bɛ degun sɔrɔ inversion ni forward angle la waati kelen na.

4. Banakisɛ kari, o ye kolotugudaw la kelen ye.

5. Intertrochanterie kari bɛ sɔrɔ kɛrɛnkɛrɛnnenya la ni fariyakow ye minnu tɛ taa ɲɛ.

Dɔgɔtɔrɔsow jiracogo .

1. A jiracogo jɔnjɔn ye kelen ye ni senkɔniw ka kɔ karilen ye, ni sigida dimi, fununi ani farikolo yɔrɔ min bananen don, o dan ye.

2. Because it is an extra-articular capsule fracture, there is no restriction of the joint capsule, so the deformity of shortened external rotation (90 degrees) of the lower limb is more serious.

3. Axiale percussion dimi.

4. Sigida jolilabanaw ka jugu kosɛbɛ, wa a bɛ se ka kɛ ko farikolo jukɔrɔla kurukuruw ka ca.

5. Banabagatɔ kɔrɔbaw la, u ka teli ka kɔrɔ ka tɛmɛ senkɔniw kan, wa banabagatɔ hakɛ caman ye kirinni kɛ ka tɛmɛ.

bana sɛgɛsɛgɛli .

Banako jɛlen tariku, dimi min bɛ farikolo yɔrɔ bananen na, ani lamaga dan na. surunyali ni kɛnɛma jiginni tiɲɛni bɛ ye fo ka se 90° ma. A ka c’a la, sɛgɛsɛgɛli bɛ kɛ walasa ka bana sɛgɛsɛgɛli sigi sen kan ani ka sɛbɛnni kɛ ka da radiyografuw kan. Kɔnɔnatumuw ka kari taamasiɲɛw bɛ tali kɛ senkɔniw kɔ kari la, nka a laban ka jugu ka tɛmɛ fɔlɔ ta kan sigida dimi, fununi, baara bɔnɛni, ani a farikolo yɔrɔ min bɛ a tigi bolo, o ka surun, wa a yɔrɔ min bɛ sɔrɔ a la, a fanba bɛ kɛ ni kɔkiliw wulicogo nɔgɔman ye ani gɛnɛgɛnɛ jiginni, a ka ca a la 45°-60° cɛ.

Ka sɛbɛen masin na

AO ni Evans-Jensen kariw ye kari suguya fila ye minnu bɛ kɛ ka caya, wa nin fila la, AO karilen suguya de ka ca.

Evans-Jensen ka sɛbɛnni .

Sugu fɔlɔ: Kariyɔrɔ nɔgɔmanw ni ɲɔgɔn cɛ ni kari layini ye min bɛ wuli ka bɔ sanfɛla la ka taa duguma, ni jiginni ni sabatili tɛ.

suguya II : jiginni min bɛ fara ɲɔgɔn kan ni rotor avulsion fracture fitinin ye, nka senkɔniw bɛ kɛ ka ɲɛ (senkɔni kurulen ye kolosinsinnan ye min bɛ sɔrɔ senkɔniw kɔ ni u farikolo yɔrɔ juguman na.

Sugu III : Aw bɛ sɔgɔsɔgɔninjɛ kariba fara ɲɔgɔn kan ni senkɔni kuru karili ye, ni jiginni ye, a ka ca a la ni kɔfɛla ni ɲɔgɔn cɛ kari.

IV suguya : yɔrɔ 3 kari min faralen don ɲɔgɔn kan ni trochanter fitinin kari tigɛlen ye, o bɛ se ka kɛ ni senkɔniw kɔ ni u ka koronawirisi sanfɛla karilen ye.

V: kɔfɛla laterali ni cɛmancɛ la kari min ma dɛmɛ (Suguya III ni IV faralen ɲɔgɔn kan).

Sugu R: Anterior intertrochanterie fracture ni oblique fracture line ka bɔ sanfɛla cɛmancɛ la ka taa a bila duguma na, o bɛ se ka kɛ ni rotor karilen fitinin ye ani senkɔni kɔkolo tiɲɛni.

AO Typing .

A1.1 Karisira bɛ tɛmɛ ni ɲɔgɔndan cɛsira ye .

A1.2 Kari min bɛ tɛmɛ trochanter belebeleba kɔnɔ .

A1.3 Kari min bɛ tɛmɛ trochanter fitinin jukɔrɔ .

A2.1 karilen ni kolo yɔrɔ 1 faralen ye ɲɔgɔn kan .

A2.2 karilen ni kolo yɔrɔ caman tigɛlenw .

A2.3 Kari min janya ka ca ni santimɛtiri 1 ye, o bɛ sɔrɔ trochanter fitinin jukɔrɔ .

A3.1 Simple oblique cogoya .

A3.2 Simple transverse shape .

A3.3 Comminué .

Furakɛliw .

Kariw kɔnɔna jɔli sabatili bɛ bɔ fɛn duuru de la caman na: kolo cogoya, kari suguya, dɔgɔyali, kɔnɔna jɔli sugandili, ani kɔnɔna jɔli jɔyɔrɔ ka ɲɛsin kolo ma. Fracture repositioning is important for stability after internal fixation and should aim to achieve either an anatomic reposition or a stable non-anatomic reposition. Kuma surun na, jɔyɔrɔko kura kuntilenna ye ka kari sabatili sɔrɔ. Yɛlɛmacogo kura bɛ Se ka Dabɔ walima ka Kɛ ‘fɛn ye min bɛ Se ka Kɛ ‘fɛn ye. Kari suguya ka gɛlɛya mana kɛ cogo o cogo, a ka kan ka kɛ ko a ka kan ka kɛ ko a ka kan ka dɔgɔya.

• Dowel min bɛ se ka baara kɛ ni fanga ye (DHS) .

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Nafa kunbabaw DHS Power Hip Screws.

• O kuru in bɛ se ka fiɲɛ bila senkɔni kun na, hali ni koloci bɛ a la.

• Glidi fɛɛrɛ min bɛ bolokɔni na, o bɛ nɛgɛ laban donli bali ka don senkɔni kun walima asetabulum kɔnɔ ani ka girinya jugu lase kolo ma.

• Fanga jiginni fɛɛrɛ bɛ kari to a nɔ na ani ka dɔ bɔ a la min tɛ kelen ye.

• A bɛ baara fla Kɛ ni compression ni gliding ye, ni dynamique ani static compression effect ye.

  
  

• Dowel min bɛ se ka baara kɛ ni fanga ye (DCs) .

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  DCw ani 95 degɛrɛ tigɛlanw ka fara kari anticrotal kan:

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DCS Power Condylar Screw nafa kunbabaw ye.

• A bɛ se ka juru don yɔrɔ sugandi ka ɲɛ ka kɛɲɛ ni kari cogoya kɛrɛnkɛrɛnnen ye, wa baara bɛ nɔgɔya.

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• Seko ni dɔnko compression tension screw bɛ kɛ ka kɛɲɛ ni plati ye, o bɛ kɛ ka ɲɛsin hip ka biomechanical requirements ma. Kisɛya waati la, fanga jugu bɛ fɔlɔ ka kɛ tasa bolo surun na, ka sɔrɔ ka a jɛnsɛn ka taa a sirilan kelen-kelen bɛɛ la, walasa degun ka jɛnsɛn ani ka fiɲɛ bila a la kosɛbɛ.

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• DCS kuru minnu ka ca dɔɔni kari la, olu bɛ dɔ fara u jɔli kan, wa kariyɔrɔ bɛ se ka siri ani ka jɔ, o la, opereli kɔfɛ gɛlɛyaw bɛ dɔgɔya.

Nail intramedullaire (PFN) min bɛ sɔrɔ kɔnɔbara basigilen na, o bɛ sɔrɔ.

Nafa minnu bɛ PFN fixation na.

• Nail diamètre fitinin (a ka c’a la 9mm), bɛ se ka boli ka don ni dilan tɛ. (a ka bon ka se caudal end of the gamma nail - 17mm) .

• PFN laban min bɛ gɛrɛ ɲɔgɔn na, o bɛ ni kamber ye min bɛ se degere 6 ma, o bɛ dɔ bɔ valgus angle la ani ka magoba bɔ kɔnɔna kɔsegin barikama na traction waati la.

• Sanfɛla laban bɛ sira di kuru fila bilali ma senkɔni kun na, ni anti-rotation vis ni fila-fila bɛ fara a kan senkɔniw kɔ la, o bɛ dɔ fara sɛgɛn kunbɛnni kan.

• Distal locking hole ni distal end of the main nail (tapered extension) cɛ janya ka jan, o bɛ se ka degun hakɛ dɔgɔya senkɔniw na.

• A ka ca a la, a bɛ kɛ bɔnɛ ye.

Gamar ka nails .

Nafa minnu bɛ Gamar Nail fixation na.

• O ye fixation intramedullary fixation fɛɛrɛ ye min ka dɔgɔn ni tigɛ fitinin ye ani joginda min ka dɔgɔn.

• Gamma wulu bɛ sanfɛla senkɔni ni senkɔniw fara ɲɔgɔn kan kosɛbɛ ka tɛmɛ fɛnɲɛnamafagalanw ni fɛnɲɛnamafagalanw faralen ɲɔgɔn kan, ani nɛgɛ kɔnɔ, o bɛ siri ni yɛrɛlabɛncogo yɔrɔjan ye, o min bɛ jiginni bali ani ka jiginni surunya ani ka fiɲɛ bila a la min bɛ se ka da a kan.

Gamar ka ɲɛtaa - PFNA .

Kɔnɔnafiliw sugandili (PFNA).

• A bɛ se ka don a kɔnɔ cogo ɲuman na ka ɲɛsin senkɔniw ka fɛnɲɛnamafagalanw ka fɛnɲɛnamafagalanw ma minnu tɛ sabati.

• A bɛ senkɔni kunkolo ni a kɔ labɛn ka ɲɛ ani ka kari laban jiginni bali.

• A bɛ gɛlɛyaw bali i n’a fɔ a binni ka a sababu kɛ koloci ye a kɔfɛ dɛmɛ cɛmancɛ la, inversion deformité, ani tigɛ ka bɔ senkɔni kun na ni insert ye.

• A bɛnnen don a bɛ se ka fɔ ko a bɛ se ka kɛ ko a bɛ se ka kɛ kariw ye minnu bɛ sɔrɔ cɛmancɛ la, kɛrɛnkɛrɛnnenya la, kari sabatilenw na (misali la, ɲɛgɛnɛsiralabanaw ɲɛfɛla la) ani koloci faralen ɲɔgɔn kan.

• Gɛlɛya dɔw bɛ yen hali bi, i n’a fɔ senkɔni kunkolo avulsion, o bɛ kɛ sababu ye ka kɔnɔna fiɲɛ wɛrɛw bila u nɔ na.

Joli-sira-funu-kɔnɔ-fɛnw falen-falen .

Joliw falenni opereli kɛcogo jiralenw senkɔniw ka fɛnɲɛnamafagalanw na:

• San 80 ni kɔ.

• A bɛ kɛ ka fɛnɲɛnamafagalanw kari min bɛ kɛ ni fɛnɲɛnamafagalanw ye minnu tɛ sabati.

• Kolow koloci bɛ ye ka jɛya, wa kɔnɔnatumuw labɛnni ka gɛlɛn ka ɲɛ.

• Danba tɛ kɔkili walima gɛnɛgɛnɛ lamagacogo la ka kɔn joginni ɲɛ.

• Farikolo bɛɛ cogoya bɛ se ka opereli furakɛli muɲu.

Banabagatɔ minnu tɛ se ka furakɛ dilan kan waati jan kɔnɔ.

Nafaw: Opereli kɔfɛ jɔyɔrɔ fɔlɔ dugukolo kan. Aw bɛ aw yɛrɛ tanga gɛlɛyaw ma minnu bɛ sɔrɔ dilan kan. Aw bɛ ɲɛnamaya waati janya ani ka ɲɛnamaya kɛcogo ɲɛ.

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.

An bɛ taa jamana wɛrɛw la, o la aw bɛ se ka . Aw ye anw sɔrɔ email adrɛsi la song@orthopedic-china.com ka sɔrɔ ka quotation sɔrɔ fu, walima ka ci bila WhatsApp kan walasa ka jaabi teliya sɔrɔ +86- 18112515727 .

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