CASE ka ɲɛfɔli .
Kɔsa in na, orthopedic trauma ekipu min ɲɛmɔgɔya tun bɛ dɔgɔtɔrɔ Carlos Rivera bolo Santa Rosa Municipal Hospital la Lima, Peru , o ye a kɛ ka ɲɛ . Reduction dagalen ani kɔnɔna fixation opereli ka ɲɛsin numanbolo fɛ ka kari. Banabagatɔ y’a jira ko opereli kɔfɛ ɲɛtaa bɛ to sen na ni dusu ye a ka kɛnɛya joona.
Nin ko in bɛ a jira ko a nafa ka bon ka a dɔn teliya la, a bɛ se ka kɛ ka fɛnw don a kɔnɔ, ani ko opereli fɛɛrɛ minnu bɛ don mɔgɔ kɔnɔ, olu ka dɔgɔn kosɛbɛ, minnu bɛ se ka kɛ sababu ye ka mɔgɔkɔrɔbaya la, o ye kɛnɛyako gɛlɛya ye min bɛ ka bonya diɲɛ kɔnɔ.
Opereli ka kɔn opereli ɲɛ & opereli latigɛcogo .
Banabagatɔ ka kɛnɛyako jiracogo lajɛ kɔfɛ, a ka sɔrɔw, a ka bana wɛrɛw, ani a ka baarakɛcogo bɛɛ lajɛlen, opereli ɲɛmɔgɔba Dɔgɔtɔrɔ Rivera y’a fɔ ko . Ni an ye jiginɛ ni fiɲɛ bila ni fɛnɲɛnamafagalanw ye minnu bɛ ɲɔgɔn cɛ, o bɛna kɛ fura ye min sabatilen don kosɛbɛ ani min bɛ bɛn biomekaniki ma.
O desidege in tun bɛ kɛ ka da a kan a mago tun bɛ nin na:
Yɛlɛma fanga ka ɲɛsin wulili fanga ma .
Fixation proximal barikama ni sabatilen .
Compression contrôlé (Dɔgɔyali) bɛ kɛ kariyɔrɔ la .
Implantation min tɛ don mɔgɔ la min bɛ don mɔgɔ la walasa ka opereli joginda dɔgɔya .
O nafa ka bon kɛrɛnkɛrɛnnenya la banabagatɔ kɔrɔbaw ma, yɔrɔ min na, mɔgɔ minnu bɛ taa ni u ye, olu bɛ se ka sɔrɔw ɲɛ ka ɲɛ kosɛbɛ ani ka gɛlɛyaw dɔgɔya i n’a fɔ sɔgɔsɔgɔninjɛ, joli segin-seginni, ani lamaga-lamagali min bɛ mɛn sen na.
Case Summary .
Banabagatɔ, Madamu Ana Marisol Vásquez , muso min si bɛ san 82 la , ni a ka tansiyɔn jiginni ye joli siraw ye , o jirala dɔgɔtɔrɔso la sokɔnɔ bin kɔfɛ. A y’a jira ko a kiniyanfan dimi ka jugu ani ko a tɛ se ka girinya pewu.
Farikolo sɛgɛsɛgɛli y’a jira ko:
Deformité visible (Dɔgɔya yelen) bɛ a kininfɛ-bolo lamini na .
Lamaga-lamagali danma-danma ma.
Dusudon min bɛ kɛ Intertrochanterie mara la .
A tɛ kɛ cogo la min tɛ se ka kɛ .
Radiographie imaging ye a jira ko a bɛ se ka bɔ a nɔ na , a bɛ se ka kɛ sababu ye ka opereli kɛ waati bɛnnen na walasa ka sabatili ni taamacogo segin a cogo kɔrɔ la.
Ja lajɛ min bɛ kɛ ka kɔn opereli ɲɛ .
Opereli ɲɛfɛ X-ray min bɛ a jira ko a bɛ ka bɔ a kinin fɛ, a bɛ kari banabagatɔ kɔrɔba la, Lima Peru .
Opereli kɔfɛ ja lajɛ .
![Opereli kɔfɛ X-ray kɔfɛ intertan intramedullary nail fixation of gauche intertrochanterie fracture-czmeditech .]( "Postoperative X-ray after Intertan Intramedullary Nail fixation of left intertrochanteric fracture-czmeditech")
Opereli kɔfɛ X-ray min bɛ intertan intramedullary nail fixation jira numanbolo fɛ kari, Peru
Opereli kuncɛlen .
Opereli senfɛ, dɔgɔtɔrɔ Rivera y’a jira ko . CZMeditech Intertan intramedullary nail ye biomekaniki sabatili ni a doncogo nɔgɔya.
Nafa jɔnjɔn minnu kɔlɔsira olu ye:
1. Nafa minnu bɛ sɔrɔ biomekaniki la .
Dual cephaloCervical Vis resistance resistance .
Axial compression ɲɛnabɔlen ka tɛmɛn kari sira kan .
Fixation sabatilen bɛ faratiw dɔgɔya varus binni na .
Hali fanga tilali min bɛ kolo kɛnɛyali sabati .
2. Dilan nafaw .
O nɛgɛbere min bɛ kɛ ni nɛgɛ ye ani min bɛ sɔgɔ, o y’a to fɛn min bɛ don a kɔnɔ, o ka se ka wuli ka tɛmɛ medulari kanal fɛ ni a ka se ka a yɛrɛ tanga dɔɔni, o bɛ dɔ bɔ farikolo yɔrɔw tiɲɛni na.
o Titanium alloy cephalic screws fanga ka bon kosɛbɛ, ye biyocompatibilité ɲuman sɔrɔ ani ka mɛn waati jan kɔnɔ.
3. Minɛnw sigili baarakɛcogo .
Intertan instrument set min bilalen bɛ sen kan, o dira:
GuideWire jɔyɔrɔ tigitigi .
Reaming ni nail doncogo nɔgɔman .
Laɲini tigitigiw bɛ kɛ ka ɲɛsin screw bilali ma .
Opereli waati surunya .
Fluoroskopi sɔrɔli dɔgɔyali .
O ye dɔ bɔ nɔgɔya sabatili la ani ka fixation dannamɔgɔ sɔrɔ, ka biomechanical ɲininiw dafa kari cogoya la.
Implant (Implant) ɲɛfɔli .
Opereli in kɛra ni CZMeditech intertan intramedullary nail system ye ka fara a ka minɛnw sigilen kan.
![CZmeditech Intertan intramedullary ongles ni dual cephaloCervical vires .]( "CZMEDITECH Intertan Intramedullary Nail with dual cephalocervical screws")
Intertan intramedullary nail .
Implant (Implant) ɲɛfɔli .
![Intertan intramedullary nail integrated instrument set from CZmeditech .]( "Intertan Intramedullary Nail integrated instrument set from CZMEDITECH")
N’aw b’a fɛ ka kunnafoni wɛrɛw sɔrɔ nin opereli ko in kan walima ka an ka intertan intramedullary nail system ka fɛn bɛɛ sɛgɛsɛgɛ, aw bɛ se ka anw sɔrɔ. An ka jɛkulu bɛna dɛmɛ caman di aw ma fɛɛrɛko siratigɛ la ani ka jaabiw di aw ma.→
Opereli kɔfɛ ɲɛtaa .
Fixation kɔfɛ, banabagatɔ ye dɛmɛ daminɛ joona mobilizasiyɔn na. Dimi tun bɛ nɔgɔya kosɛbɛ, farikolo yɔrɔw labɛncogo tun bɛ segin a cogo kɔrɔ la, wa, o kɔfɛ, readiographes (radiographes) minnu bɛ tugu ɲɔgɔn kɔ, olu y’a jira ko fɛnw doncogo sabatilen don ni kari kɛnɛyali taamasiɲɛw ye minnu bɛ taa ɲɛ.
Nin ko in b’a jira ko intertan system bɛ fixation dannayalen di ani ka sɔrɔ ɲuman sɔrɔ banabagatɔ kɔrɔbaw la—hali ni koloci bɛ minnu na.
Disclaimer .
Dɔgɔtɔrɔso tɔgɔw bɛɛ, dɔgɔtɔrɔ tɔgɔw, ani banabagatɔ kunnafoniw minnu bɛ nin kunnafoni in kɔnɔ, olu ye tɔgɔ wɛrɛw ye ɲɛjirali dɔrɔn kama.
FAQ .
1. Mun na, cɛ ni mɔgɔ cɛ, nɛgɛ min bɛ wele ko intertramedullary nail, o sugandira nin intertrochanterie kari in na Peru?
Banabagatɔ tun ye muso ye min si tun ye san 82 ye, a kolo tun ka dɔgɔ ani a tun ye a kininbolo fan fɛ kari. Intertan intramedullary nail bɛ cephalomedullary design intégré ani dual cephalocervical screws di, o bɛ jiginni sabatili barikama di ani ka degun kunbɛn ka bɔ kariyɔrɔ la, o min ka ɲi kosɛbɛ mobilizasiyɔn daminɛni na balikuw ka kɔkolo karilen banabagatɔw la.
2. CZMedItech Intertan intramedullary Nail nafa jɔnjɔnw ye jumɛnw ye nin ko in na?
CZMedItech Intertan intramedullary Nail bɛ dumunikɛminɛn fila fara ɲɔgɔn kan ni nɛgɛbere ye min bɛ kɛ ni jiribolo ye ani min bɛ sɔgɔ. O dilancogo bɛ dɔ fara tɛmɛsira nɔgɔya kan medulari kanal kɔnɔ, ka dɔ bɔ farikolo yɔrɔ nɔgɔlenw tiɲɛni na, ka fɛnw doncogo ɲɛ ka ɲɛ, ani ka dɛmɛ don ka koloni sɔrɔ min bɛ se ka da a kan, o bɛ se ka kɛ sababu ye ka fɛnɲɛnamafagalanw ka kari basigilen sabati.
3. Minɛn min bɛ ɲɔgɔn na, o ye opereli dɛmɛ cogo di Santa Rosa Municipal Hospital la?
Intertan intramedullary nail instrument set from CzMedMamech bɛ ɲɛjiralan tigitigiw, reamɛriw ani laɲinitaw di. Nin dilancogo jɛlen in ye opereli kɔnɔ fɛɛrɛw nɔgɔya, ka sɛrɛw bilali tigitigi sabati fluoroskopi jukɔrɔ ani ka dɛmɛ don opereli baarakɛcogo ɲuman na dɔgɔtɔrɔ Carlos Rivera ka jɛkulu ma.
4. Nin banabagatɔ kɔrɔba in ka opereli kɔfɛ, o kɛra mun ye Lima kɔnɔ?
Reduction dagalen kɔfɛ ani intertan intramedullary nail fixation kɔfɛ, banabagatɔ ye kari sabatili sabati ani ka kɛnɛya joona. Dimi tun bɛ nɔgɔya kosɛbɛ, farikolo yɔrɔw labɛnni tun bɛ segin a cogo kɔrɔ la ani ka tugu-tugu ɲɔgɔn na ja lajɛ min tun bɛ a jira ko a bɛ se ka kɛ ko a bɛ se ka a don a kɔnɔ ani ko a kari ka kɛ kari ka taa ɲɛ.
5. Yala intertan intramedullary nail bɛnnen don kɔkolo karilen suguya wɛrɛw ma wa?
An ni ɲɔgɔn cɛ kɔnɔbara bɛ jira kosɛbɛ cɛmancɛ kari sabatilenw ni basigibaliw la ani senkɔniw ka karicogo subtrochanterie dɔw la. A ka sefalomedulari dilanni b’a to a bɛ se ka senkɔniw karicogo surunw ɲɛnabɔ, nka taamasiɲɛ laban ka kan ka jateminɛ kolotugudaw opereli fɛ ka kɛɲɛ ni banabagatɔ kelen-kelen bɛɛ ka farikololabɔli ni a kolo cogoya ye.
6. Dual cephaloCervical screw fixation bɛ sabatili ɲɛ cogo di intertrochanterie kariw la?
Dual cephaloCervical screws bɛ dɔ fara ɲɔgɔnkanu yɔrɔ kan senkɔni kunkolo ni kɔ la, ka se ka a ka jiginni ni a ka varusw bincogo ɲɛ ani ka a to a ka degun kunbɛn ka tɛmɛ kari sira kan. O bɛ dɛmɛ ka dɔ bɔ a la ani ka dɔ bɔ a doncogo tigɛcogo la walima ka a sirili tiɲɛ koloci kolo la.
7. Fɛn jumɛnw bɛ kɛ ka ɲɛsin sɛfali kuruw ma CZMedItech Intertan System kɔnɔ?
Czmeditech intertan intramedullary nail system kɔnɔ, cephalic screws bɛ dilan ni titanium alloy ye min fanga ka bon. Nin fɛn in bɛ biyocompatibilité ɲuman di, a bɛ se ka sɔgɔsɔgɔ ani a bɛ sɛgɛn waati jan kɔnɔ, o bɛ dɔ bɔ a doncogo la min bɛ kɛ kɔfɛ walima a bɛ se ka kɛ a kɔlɔlɔw ye.
8. Yala CZMedItech bɛ se ka hakɛw walima seti dafalenw di distributeurs ni hospitals ma wa?
Awɔ. CZMeditech bɛ intertan intramedullary nails ani a bɛ bɛn ni minɛnw ye minnu bɛ bɛn ɲɔgɔn ma. Ka kɛɲɛ ni sigida ka kɛnɛyaso ɲininiw ye, feerekɛlaw ni dɔgɔtɔrɔsow bɛ se ka hakɛ dantigɛlenw sugandi walima ka baro kɛ fɛn ɲɛfɔlenw kan minnu bɛ kɛ ka kɛɲɛ ni mɔgɔw sago ye ani ka u cogoyaw sigi senkan walasa k’u ka kolotugudaw opereli magow ɲɛ.
9. Opereli kɔfɛ jateminɛ jumɛnw nafa ka bon banabagatɔ kɔrɔbaw ma minnu karilen don ɲɔgɔn fɛ?
Banabagatɔ kɔrɔbaw fɛ, a nafa ka bon ka bana wɛrɛw kunbɛn i n’a fɔ tansiyɔn jiginni, ka anestezi farati ɲɛ, ka opereli joginda dɔgɔya ani ka mobilizasiyɔn daminɛ joona lakana kɔnɔ. Kɔnɔnatumuw sabatili ni cɛmancɛ kɔnɔ nail ye, o bɛ girinya daminɛ joona ani ka dɛmɛ don ka gɛlɛyaw dɔgɔya minnu bɛ tali kɛ dilan lafiɲɛbɔ jan na.
10. Nin Peru ka ko in bɛ se ka dɛmɛ don cogo di diɲɛ kɔnɔ kiliyanw ma minnu bɛ CZMeditech hip fracture solutions jateminɛ?
Nin Lima, Peru ko in b’a jira ko CZMedItech Intertan intramedullary Nail bɛ se ka fixation dannayalen ni sɔrɔ ɲuman di kɛnɛyaso baarakɛcogo lakika la. Dugukolo kan fɛnw tilabagaw ni dɔgɔtɔrɔsow fɛ, o diɲɛ kɔnɔ, o kunnafoniw bɛ dɛmɛ ka dannaya don fɛn dilannenw ka baarakɛcogo la, u ka minɛnw cogoya ɲuman na ani u ka dɛmɛ fɛɛrɛw la ka bɔ CZMedMeditech fɛ.
