Nin fɛɛrɛ ninnu na, jumɛn bɛ kɛ ka ɲɛgɛnɛsiraw ni ɲɔgɔn cɛ karilenw dilan?

Senkɔni kari min bɛ kɛ senkɔniw ni ɲɔgɔn cɛ, n’a bɛ wele fana ko senkɔniw kari, o ye kari ye min bɛ kɛ ni bolokɔni kɔkanna kari ye. Kɔnɔnatumuw ni ɲɔgɔn cɛ kari jiracogo kunbabaw ye dimi ni funuba ye sigida la, fɛnɲɛnamafagalan caman bɔli, banabagatɔ tɛ se ka jɔ walima ka taama, a surunya kosɛbɛ, a senkɔni min bananen don, o kɔnɔna ni kɛnɛma jiginni bɛrɛbɛrɛli, ani kɔkolo kolotugudaw lamagacogo kɛcogo ɲuman ni a kɛbaliya dan ye sira o fan fɛ.

Banakisɛw jɛnsɛnni dɔnniya

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

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

3. joginni min ka teli ka kɛ mɔgɔkɔrɔbaw la, senkɔniw karilen cɛmancɛ la, o si hakɛ cayalenba ye san 75,2 ye. Danfaraba si tun tɛ cɛw ni musow cɛ sɔgɔsɔgɔninjɛ si hakɛ la.

4. Ka da joli caman bɔli kan trochanter kɔnɔ, a man teli ka kɛ ko kari tɛ kɛnɛya, nka a ka nɔgɔn ka kɔkili wuli, wa gɛlɛya caman bɛ sɔrɔ dilan lafiɲɛbɔ waati jan fɛ banabagatɔ kɔrɔbaw la, wa bana ni saya hakɛ ye 15%-20% ye, o la a bɛ wele ko kari laban mɔgɔkɔrɔbaw la.

Jogin kɛcogo

1. Baliku fitiniw fanba ye joginw ye minnu fanga ka bon, u ka kan k’u janto kunsɛmɛ, disi, kɔnɔbara ani joginda yɔrɔ wɛrɛw la; mɔgɔkɔrɔbaw fanba bɛ kɔrɔya baara kɛli farikolo yɔrɔw la coordination response agility decline and fall caused by.

2. Fariya tilennen : a bɛ nɔ bila trochanter yɔrɔba la. Ni farikolo binna duguma ni kɛrɛfɛ fanga ye ni a bɛ bin.

3. Fariyako siratigɛ la : farikolo bɛ firifiri binkanni waati, wa kɔkili bɛ kɛ ni degun ye min bɛ wele ko inversion ni forward angle waati kelen na.

4. Banakisɛ kari, o ye kolotugudaw dɔ ye min ka teli ka sɔrɔ.

5. Intertrochantérique fracture bɛ sɔrɔ kosɛbɛ fariyako siratigɛ la.

Kɛnɛyaso taamasiɲɛw

1. A jiracogo jɔnjɔn ni senkɔni kɔ karilen ye kelen ye, ni dimi bɛ kɛ yɔrɔ la, funu ani farikolo yɔrɔ min bananen don, o baarakɛbaliya.

2. Ikomi a ye ɲɛgɛnɛsira kɔkanna kari ye, dan tɛ kolotugudaw la, o la, bolokɔni dugumayanfan kɛnɛma jiginni surunyalen (degere 90) tiɲɛni ka jugu kosɛbɛ.

3. Dimi min bɛ kɛ ni axiale percussion ye.

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 kɔ banabagatɔw kan, wa banabagatɔ hakɛ camanba ye kirinni sɔrɔ ka tɛmɛ.

Sɛgɛsɛgɛli

Tariku min bɛ joginda jɛlenw sɔrɔ, dimi bɛ kɛ farikolo yɔrɔ min bananen don, ani a lamagacogo dan ye. Dugukolo-yɔrɔ surunyali ni kɛnɛma-yɔrɔ-ko-dɛsɛ bɛ Ye fo ka Se 90° ma. A ka ca a la, a ka kan ka sɛgɛsɛgɛli kɛ ni rezow ye walasa ka bana sɛgɛsɛgɛli dɔn ani a sɛbɛnni bɛ kɛ ka da rezow kan. Kɔnɔnatumuw ni ɲɔgɔn cɛ kari taamasiɲɛw ni senkɔni kɔ kari taamasiɲɛw bɛ tali kɛ ɲɔgɔn na, nka a laban in man jugu ka tɛmɛ fɔlɔ kan sigida dimi, funu, baarakɛbaliya, ani bolokɔni min bananen don, o surunyali siratigɛ la, wa farikolo yɔrɔ min bananen don, o fanba bɛ kɛ ni kɔkili kurulen ye dɔɔni ani gɛnɛgɛnɛ kɔrɔtacogo ani kɛnɛma jiginni degun, a ka ca a la, a bɛ se ka kɛ 45°-60° cɛ.

Ka sɛbɛen masin na

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

Evans-Jensen ye sɛbɛnni kɛ

Sugu fɔlɔ : Intertrochantérique fracture nɔgɔman min kari sira bɛ wuli ka bɔ sanfɛla la ka taa duguma, a tɛ wuli ka taa yɔrɔ wɛrɛ la ani ka sabati.

Suguda filanan : Yɛlɛma min bɛ fara ɲɔgɔn kan ni rotor avulsion fracture fitini ye, nka senkɔni sɔgɔlen tɛ tiɲɛ (senkɔni sɔgɔlen ye kolotuguda ye min bɛ sɔrɔ senkɔni kɔ ni rotor fitinin farikolo jɛɲɔgɔnya kɔnɔ kosɛbɛ.

Sugu sabanan : Trochanteric fracture belebele ni senkɔniw karilenw dalajɛli faralen ɲɔgɔn kan, ni a jiginni ye, a ka ca a la ni kɔfɛla karilen don senkɔniw ni ɲɔgɔn cɛ.

Sugu IV : Kari yɔrɔ 3 bɛ fara ɲɔgɔn kan ni sɔgɔsɔgɔninjɛ fitinin karilen ye, o bɛ se ka kɛ ni senkɔni kɔ ni senkɔni belebele karilen ye min bɛ pɛrɛn.

Sugu V : kɔfɛla ni cɛmancɛ kari min tɛ dɛmɛ (suguya III ni IV faralen ɲɔgɔn kan).

R suguya : ɲɛfɛla karilen don senkɔniw ni ɲɔgɔn cɛ ni kari sira ye min bɛ jɛngɛ ka bɔ cɛmancɛ sanfɛla la ka taa kɛrɛfɛla duguma, o bɛ se ka kɛ ni rotor karilen fitinin ye ani senkɔni kɔkolo tiɲɛni.

AO sɛbɛnni

A1.1 Kari sira bɛ tɛmɛ rotor ni ɲɔgɔn cɛ sira fɛ

A1.2 Kari min bɛ tɛmɛ trochanter belebeleba fɛ

A1.3 Kari min bɛ tɛmɛ trochanter fitinin jukɔrɔ

A2.1 Kari ni kolotuguda 1 tigɛlen ye

A2.2 Kari ni kolotuguda caman tigɛlen don

A2.3 Kari min bɛ taa ka tɛmɛ santimɛtɛrɛ 1 kan trochanter fitinin jukɔrɔ

A3.1 Siginiden oblique nɔgɔman

A3.2 A cogoya nɔgɔman min bɛ kɛ ka tɛmɛn

A3.3 Kominiw

Furakɛliw

A ka ca a la, kariw kɔnɔna sirili sabatili bɛ bɔ fɛn duuru de la: kolo jogo, kari suguya, dɔgɔyali, kɔnɔna sirili sugandili, ani kɔnɔna sirili jɔyɔrɔ ka kɛɲɛ ni kolo ye. Kariw sigiyɔrɔma seginni nafa ka bon sabatili la kɔnɔna jɔli kɔfɛ, wa a ka kan ka laɲini ka farikolola sigicogo kura sɔrɔ walima ka sigicogo sabatilen sɔrɔ min tɛ farikololabɔ ye. Kuma surun na, sigiyɔrɔma seginni kuntilenna ye ka kari sabatili sɔrɔ. Yɔrɔ seginni fɛɛrɛ bɛ se ka da tugu walima ka tigɛ. Kari suguya gɛlɛya mana kɛ min o min ye, a dɔgɔyali dagalen ka kan ka kɛ fɔlɔ.

• Dowel hip de puissance (DHS) .

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DHS Power Hip Screws nafa kunbabaw.

• Kuru in bɛ se ka a siri kosɛbɛ senkɔni kunkolo kɔnɔ, hali ni koloci bɛ a la.

• Gliding mechanism min bɛ bolokɔni na, o bɛ wulu laban bali ka don senkɔni kun na walima asetabulu kɔnɔ ani ka girinya jugu bila kolo la.

• Power gliding mechanism bɛ kari to a nɔ na ani ka dɔ bɔ non-union.

• A bɛ baara fla Kɛ ni 'sènbɔli ni 'sènbɔli ye, ni 'sènbɔli-ko ye min bɛ Se ka Kɛ ni 'sèn ye min bɛ Se ka Kɛ ni 'sèn ye.

  
  

• Dowel hip de puissance (DCS) .

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  DCS ni degere 95 tigɛlanw ye anticrotal karilenw kama:

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DCS fanga kondili kuru nafa kunbabaw ye.

• A bɛ se ka kuru donyɔrɔ sugandi ka ɲɛ ka kɛɲɛ ni kari cogoya kɛrɛnkɛrɛnnen ye, wa a baara ka nɔgɔn.

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• Power compression tension screw bɛ kɛ kɛrɛ bɛnnen na ni plati ye, o min bɛ kɔkolo ka biyomekaniki wajibiyalenw dafa. Girinyali waati la, fanga jugu bɛ fɔlɔ ka kɛ plati bolo surun na, o kɔfɛ, a bɛ jɛnsɛn kuru kelen-kelen bɛɛ la, walasa degun ka jɛnsɛn ani ka a sirili sabati cogo kɛrɛnkɛrɛnnen na.

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• DCS juruw hakɛ caya dɔɔni kariyɔrɔ la, o bɛ dɔ fara a jɔli kan, wa kariyɔrɔ bɛ se ka bridge ani ka a siri, o la, opereli kɔfɛ gɛlɛyaw bɛ dɔgɔya.

Nail intramedullaire (PFN) min bɛ senkɔni kɛrɛfɛla datugu (PFN) .

Nafa minnu bɛ PFN fixation na.

• Nɛgɛ cɛmancɛ fitinin (a ka ca a la milimɛtɛrɛ 9), a bɛ se ka don a kɔnɔ ni a ma bonya. (a ka bon ni Gamma nɛgɛbere kɔkanna laban ye min ka bon - 17mm)

• PFN kɛrɛfɛla laban bɛ ni kamber 6 ɲɔgɔn ye, o bɛ dɔ bɔ valgus (valgus) kɛrɛ la ani ka kɔnɔna kɔsegin barikama ma kɛ a la samali waati.

• Sanfɛla dakun bɛ sira Di juru fila bila senkɔni kun na, ni kurukuru min bɛ wuli ka wuli ani ka nɛgɛ fila fara senkɔni kɔ la, o bɛ dɔ fara sɛgɛn kunbɛnni kan.

• Janya min bɛ yɔrɔjan datugulan ni wulu kunba yɔrɔjan dakun cɛ (tapered extension) ka jan, o bɛ se ka dɔ bɔ degun hakɛ la senkɔni jiri la.

• Trauma (bɔnɛ) min ka dɔgɔn kosɛbɛ.

Gammar wuluw

Nafa minnu bɛ Gammar nail fixation na.

• O ye senkɔniw sirili fɛɛrɛ ye min tɛ fɛn caman kɛ, ni tigɛ fitini bɛ a la ani ka joginda dɔgɔya.

• Gamma nɛgɛ bɛ senkɔni sanfɛla ni senkɔni kɔ fara ɲɔgɔn kan kosɛbɛ ni nɛgɛso kɔnɔna ni tension screw faralen ye ɲɔgɔn kan, wa nɛgɛso kɔnɔna bɛ siri ni nɛgɛ ye min bɛ a yɛrɛ datugu yɔrɔjan, o bɛ jiginni ni jiginni surunya bali ani ka jɔli dafalen di.

Gammar ka ɲɛtaa - PFNA

Kɔnɔna fixatɛri sugandili (PFNA).

• A bɛ don a kɔnɔ cogo ɲuman na senkɔni karilenw na minnu tɛ sabati.

• A bɛ senkɔni kunkolo ni kɔ siri kosɛbɛ ani ka kariyɔrɔ laban bali ka wuli.

• A bɛ gɛlɛyaw bali i n’a fɔ koloci ka a sababu kɛ kolo seginni ye cɛmancɛ dɛmɛni bɔnɛnen kɔfɛ, inversion deformité, ani senkɔni kunkolo tigɛcogo ni donta ye.

• A bɛnnen don kolotugudaw karilenw bɛɛ ma, kɛrɛnkɛrɛnnenya la kari minnu tɛ sabati (misali la, kolotugudaw ɲɛfɛla karilenw) ani koloci faralen ɲɔgɔn kan.

• Gɛlɛya dɔw bɛ yen hali bi, i n’a fɔ senkɔni kunkolo sɔgɔli, o min b’a to a tɛ se ka kɛ ka kɔnɔnatumu wɛrɛw bila u nɔ na.

Jogindaw caman cili

Joli seginni opereli kɛcogo minnu bɛ kɛ ni senkɔni karilen don senkɔniw ni ɲɔgɔn cɛ:

• A si tɛmɛna san 80 kan.

• Intertrochantérique fracture min bɛ kɛ ka ɲɛ ani min tɛ sabati.

• Kolow sɔgɔsɔgɔninjɛ bɛ ye, wa kɔnɔna sirili ka gɛlɛn ka a labɛn ka ɲɛ.

• Danba tɛ kɔkili walima gɛnɛgɛnɛ lamagacogo la sani joginni ka kɛ.

• Farikolo bɛɛ cogoya bɛ se ka opereli furakɛli muɲu.

Banabagatɔ minnu tɛ se ka furakɛ dilan kan ka mɛn.

Nafa minnu bɛ a la: opereli kɔfɛ a jɔli joona duguma. Aw bɛ aw yɛrɛ tanga gɛlɛyaw ma minnu bɛ sɔrɔ dilan kan. Aw bɛ ɲɛnamaya waati janya ani ka ɲɛnamaya kɛcogo ɲɛ.

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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