Amekoko si me wotu nu ɖo tsɔ ɖea afɔkpodzi ƒe akpa si le ete ƒe gbagbã dzi kpɔtɔna.

Closed reduction nye mɔnu si me womewɔa nu boo aɖeke le o si woate ŋu azã na afɔkpodzi ƒe gbagbã siwo li ke eye ʋu ƒe sisi aɖeke mebu o, afɔku aɖeke mele dɔlékuiwo xɔxɔ me o, dɔwɔwɔ ƒe hayahaya kabakaba, atikewɔwɔ ƒe gazazãwo dzi ɖe kpɔtɔ ŋutɔ, eye woate ŋu azãe na closed reduction hollow nail kple intramedullary pin fixation treatment na gbagbã vovovo siwo meli ke o, abe femoral neck fractures, femoral stem fractures, tibiofibular gbagbã, akɔta ƒe ke ƒe gbagbã, . kple bubuawo, si ɖea ʋu ƒe sisi ƒe gbegblẽ to lãɖeɖe dzi ɖeɖe kpɔtɔ me ɖa.

Afɔkpodzi ƒe kɔ ƒe gbagbã

(I) Heheɖemegbe

Wotsɔa dɔnɔa dana ɖe aba dzi, eye wowɔa tibial tuberosity traction kple abɔ si ŋu dɔlélea le la le nɔnɔme si me womedea akpa aɖeke dzi le o me eye wotrɔa ememe fafɛ. Hehe ƒe kpekpeme toa vovo tso ame ɖeka gbɔ yi bubu gbɔ, zi geɖe la, kilogram 6-9, eye mele be hehe ƒe didime nawu gaƒoƒo 12 o. Dɔnɔwo ƒe 90% ateŋu aɖo teƒe yeye ɖoɖo to hehe me.

(B) asiɖeɖe le nu ŋu ƒe asitɔtrɔ le teƒe bubu si wotu

Ne traction mete ŋu ɖo nudidi siwo hiã be woagbugbɔ aɖo teƒea gbɔ o la, woate ŋu atsɔ asi agbugbɔ aɖo teƒe bubu akpe ɖe eŋu, le epidural anesthesia te:

1. MC Elvenny ƒe mɔnu

Taɖodzinuae nye be woaɖɔ akɔtaɖonua ɖo, atrɔ abɔ si ŋu dɔlélea le la le gota eye woadzi eƒe heheŋusẽ ɖe edzi, eye emegbe woatrɔ abɔ si ŋu dɔlélea le la le ememe ahagbugbɔe ɖe megbe le ememe be woaɖo taɖodzinu si nye be woagbugbɔe aɖo teƒe bubu gbɔ.

2. Leadbetter mɔnu

Dɔnɔa mlɔa anyigba gbadzaa, bɔbɔa akɔta kple klo si ŋu dɔlélea le 90°, hehem ɖe abɔ si ŋu dɔlélea le ƒe afɔkpodzi ƒe axadzi aɖabaƒoƒo 2 va ɖo 3, emegbe wòtrɔa abɔ si ŋu dɔlélea le la le ememe eye wòbɔbɔnɛ vie, ne egbugbɔe ɖoe vɔ la, aɖiɖi abɔ si ŋu dɔlélea le la ɖe anyi blewu, eye ne edze abe afɔ si ŋu dɔlélea le la metrɔ le gota o ene la, zi geɖe la, efia be wogbugbɔ afɔ si ŋu dɔlélea le la kpɔ dzidzedze. Hafi woawɔ ememenuwo ɖɔɖɔɖo la, wozãa C-arm mɔ̃a tsɔ ɖoa ​​kpe edzi.

(C) Mɔnu si wotsɔna ƒoa aŋe to ŋutigbalẽ me

Ne womete ŋu trɔ teƒe bubu to mɔnu siwo le etame dzi o la, zi geɖe la, efia be afɔkpodzi ƒe ta gbã alo be vovototo aɖe le ta kple kɔ dome le tɔtrɔ me (Nɔnɔmetata 1A), alo be wotsɔe de ta kple kɔ dome le afi aɖe. (Esia ate ŋu adzɔ le Abɔ II, III, alo IV ƒomevi ɖesiaɖe me). Le go sia me la, abɔ si ŋu dɔlélea le la tɔtrɔ be wòawɔ ɖeka kple ta kple kɔ ƒe gbagbã la megawɔa dɔ o. Be woaƒo asa na lãɖeɖe kple egbugbɔgaɖo teƒe bubu la, woate ŋu azã aŋe si wotsɔna ƒoa aŋe to ŋutigbalẽ me atsɔ agbugbɔ aɖɔ afisi gbagbãƒea ɖo.

• Wotsɔa ƒu ƒe gogloƒe ƒe aŋe si ƒe didime nye milimeta 3.0 va ɖo 3.5 dea tsia dzi to ŋutigbalẽa me le tsitrenu si le sentimeta 1 va ɖo 2 le afɔkpodzi ƒe lãkusi kple afɔkpodzi ƒe ʋuka ƒe ƒoƒo te yi afɔkpodzi ƒe ta ƒe ŋgɔgbe, eye wotrɔa aŋea yia afɔkpodzi ƒe ta titina goglo wu le C-abɔmɔ̃a ƒe dzikpɔkpɔ te (Nɔnɔmetata 1B).

• Be ŋusẽ nado ŋusẽ ʋuʋudedi la, woate ŋu ade aŋe evelia si le abe ƒu ene si ƒe didime nye milimeta 4-5 si sɔ kple aŋe sia, eye woagblẽ aŋea ƒe nuwuwu ɖe ŋutigbalẽa godo.

• To trochanter gãtɔ dzi la, woɖea ƒu ƒe aŋe eve siwo ƒe didime nye milimeta 3.5 siwo le goglo la to ŋutigbalẽ me le ɖekawɔwɔ me kple vidzidɔa ƒe ke ƒe dzogoe kple ŋgɔgbe ƒe ŋgɔgbekpa ƒe dzogoe, eye woɖoa afɔkpodzi ƒe kɔ ƒe gbagbã ƒe nuwuwu didi (mèto gbagbãƒea o) eye wogblẽa aŋea ƒe nuwuwu ɖe ŋutigbalẽa godo.

• Dɔwɔla la tsɔa asi eveawo léa aŋe ƒe asike eveawo eye wòtrɔa asi le ta kple kɔ ƒe gbagbã ƒe akpawo ŋu be woasɔ ɖe wo nɔewo nu kple kpeɖeŋutɔa ƒe nuwɔwɔ aduadu (Nɔnɔmetata 1C-E).

• Ne woɖoe ɖe ɖoɖo nu nyuie vɔ la, wotsɔa ga goglo aɖe si wotsɔ dea trochanter gãtɔ me la dea afɔkpodzi ƒe ta me be wòalée ɖe te hena ɣeyiɣi aɖe, eye emegbe wotsɔa gavi geɖe siwo me do le la dea afɔkpodzi ƒe ta me (Nɔnɔmetata 1F).

Mɔnu si wotu ɖe edzi si ŋu míeƒo nu tsoe le etame ate ŋu akpɔ akɔta ƒe kɔ ƒe gbagbã siwo ade 98% dzi ɖeɖe kpɔtɔ si hiã. Zi alesi gbagbãƒea ƒe ɖoɖo nyo wu, eɖanye esi wotu alo esi wotso o la, zi nenemae nyagblɔɖia nyona ɖe edzii. Zi geɖe la, alesi gbegbe gbagbãƒea ƒe ʋuʋu si woɖena fiana le X-ray me medea alesi gbegbe gbagbãƒea ƒe ʋuʋu ŋutɔŋutɔ nu o. Esi wònye be gbagbãƒea ƒe ɖoɖowɔwɔ kpɔa ŋusẽ ɖe gbagbãƒea ƒe dɔyɔyɔ kple alesi wòate ŋu adzɔe be afɔkpodzi ƒe ta naku dzi tẽ ta la, ehiã be woadrɔ̃ ʋɔnu X-ray film la nyuie le gbagbãƒea ƒe ɖoɖowɔwɔ vɔ megbe. Ne S-nɔnɔme ƒe fli si le gbadzaa alo metso o la, efia be afɔkpodzi ƒe kɔ ƒe gbagbã meɖo ŋutilã ƒe nɔnɔme gbugbɔgaɖoanyi gbɔ o (Nɔnɔmetata 2).

Nɔnɔmetata 1 Afɔkpodzi ƒe kɔ ƒe gbagbã si wogbugbɔ ɖo to to percutaneous needle prying me

Figure 2 Femoral neck fracture X-rays kple gotagome ʋuʋudedi si yia edzi le ŋutilã ƒe wɔwɔme ƒe ɖoɖo nu kple gotagome ʋuʋudedi si wotso le ɖoɖo si menye ŋutilã ƒe wɔwɔme o me

Femoral stem ƒe gbagbã

Mɔnu si wotsɔ ɖea afɔkpodzi dzi kpɔtɔnae ate ŋu akpe ɖe afɔkpodzi ƒe ke ƒe gbagbã ŋu wòasɔ ɖe ɖoɖo nu evɔ magblẽ nu le lãkusi falɛfalɛ aɖeke alo ʋu si yia gbagbãƒea ƒe nuwuwu ŋu o, eye woate ŋu azãe atsɔ alé ememe kple ɖa si le lãkusi me.

• Le epidural anesthesia te la, dɔnɔa mlɔa aba dzi gbadzaa (womeɖe fu na abɔ si ŋu dɔlélea le ƒe ŋutigbalẽ le ɣeyiɣi sia me o), kpeɖeŋutɔ ɖeka léa abɔ si ŋu dɔlélea le ƒe nyivi, eye kpeɖeŋutɔ evelia tsɔa avɔ ƒe alidziblanu hea dɔnɔa ƒe ata ƒe ke be wòaxe mɔ ɖe hehea nu, eye abɔ si ŋu dɔlélea le la nɔa nɔnɔme si me womedea akpa aɖeke dzi o eye kloa ƒe afɔkpodzi dze ŋgɔ dzi (femoral stem fracture nye zi geɖe la, lãmeka metrɔna eye wòɖenɛ ɖa o hehe, eye woate ŋu aɖɔe ɖo le eɖokui si to hehe me, eyata ɖeko wòle be dɔwɔla la naɖɔ kea ƒe nuwuwu si gbã ƒe ŋgɔgbe-megbe kple axadzi ƒe ʋuʋu ɖo).

• Dɔwɔla zãa alɔ eveawo tsɔ ƒoa xlã abɔ si ŋu dɔlélea le eye wòléa asiawo ɖe wo nɔewo ŋu (Nɔnɔmetata 3 kple Nɔnɔmetata 4), eye wòɖɔa afɔkpodzia ƒe ŋgɔgbe-megbe kple axadzi ƒe ʋuʋu ɖo zi ɖeka to abɔ eveawo ƒe ŋusẽ si le tsia dzi la zazã me.

• Le kpɔɖeŋu me, ne woɖe afɔkpodzi ƒe akpa si te ɖe eŋu la yi gota kple ŋgɔgbe la, wozãa abɔ ɖeka tsɔ ƒoa abɔta ƒe akpa si te ɖe eŋu la yia eme kple anyime. Abɔta kemɛa ƒoa alɔnu si le didiƒe ƒe gbagbãƒea ɖe gota kple dzi be yeado ŋusẽ si wotsɔ blaa nu la (ele be atikewɔla si gbugbɔa alɔnu la nakpɔ ʋɔnudɔdrɔ̃ nyuie le afisi gbagbãƒea ƒe ʋuʋu le kple didime si wòaɖe ɖa ŋu hafi agbugbɔe aɖoe), ale be woate ŋu agbugbɔ gbagbãƒea aɖo dzidzedzetɔe le ɣeyiɣi ɖeka me. Le teƒe bubu ƒe ɖoɖoa me la, ele be kpeɖeŋutɔa nadzi eƒe heheŋusẽ ɖe edzi eye wòana afɔkpodzia nagatrɔ o.

• Ne woƒo ƒu ƒe nuwuwu koŋ la, ele be woase ƒu ƒe ƒoƒo ƒe gbeɖiɖi fafɛ aɖe, le ɣeyiɣi sia me la, ele be kpeɖeŋutɔa nalé eƒe hehe me ɖe asi kokoko, gake ɖe ŋusẽ si wòhena la dzi akpɔtɔ.

• Ne C-arm mɔ̃a koŋue tsɔ gbagbãƒea sɔ ɖe ɖoɖo nu (ne egakpɔtɔ mesɔ o vie la, wɔ asitɔtrɔ aɖewo be nàkpɔ egbɔ be gbagbãƒea ƒe nuwuƒewo sɔ kple wo nɔewo), lé eƒe hehea me ɖe asi, tsɔ dɔlékuiwutikewo de abɔ si ŋu dɔlélea le la me eye nàkaka afɔkpaa, eye emegbe nàwɔ ɖaa ƒe tsɔtsɔ ɖe lãkusi me.

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Fig. 3 Woɖɔa gbagbãƒea ƒe ŋgɔgbe-megbe kple axadzi ƒe ʋuʋu ɖo le ɣeyiɣi ɖeka me to abɔ eveawo xatsa ɖe abɔ si ŋu dɔlélea le la ŋu eye woblaa asiwo ɖe wo nɔewo ŋu, eye wozãa abɔ eveawo ƒe ƒoƒo ƒe ŋusẽ.

Figure 4 Femoral stem fracture repositioning mechanics schematic

• Le dɔnɔ siwo ƒe gbagbã gã aɖe ƒe ʋuʋu, asitɔtrɔ le nutunu si medze edzi o alo gbagbãƒe siwo wogbã medze edzi o gome la, woate ŋu azã amekoko ƒe aba si hea nu hena edzi ɖeɖe kpɔtɔ si wotu kple dɔwɔnu ƒe ŋusẽ aɖe, si ate ŋu awu afɔkpodzi ƒe ke ƒe gbagbã dzi ɖeɖe kpɔtɔ si wotu nu hã nyuie.

• Ne wotsɔ abɔ si ŋu dɔlélea le la da ɖe traction frame la dzi be wòahee eye C-arm dodokpɔa ɖee fia be woɖɔ gbagbãƒea ƒe ʋuʋu si ƒo xlã wo nɔewo ɖo vɔ la, woate ŋu atrɔ asi le abɔ si ŋu dɔlélea le ƒe nuwuwu si le didiƒe la ŋu ayi eme be wòagaɖoe ɖe ɖoɖo nu eye wòawɔ ɖeka le afɔkpodzi ƒe ke ƒe nɔnɔmetata si woɖo ɖe ɖoɖo nu me.

• Esi wònye be ata ƒe lãmekawo ƒe tete le hehem te ate ŋu awɔ akpa si nye lãmeka falɛfalɛ siwo wotsɔ blaa afɔkpodzi ƒe ke ƒe gbagbã ta la, afɔkpodzi ƒe ke ƒe gbagbã akpa gãtɔ ate ŋu akpɔ ɖoɖo si ana dzidzeme wu le orthogonal x-ray nɔnɔmetata me.

• Gake le ɣeyiɣi sia me la, le alesi womete ŋu kpena ɖe eŋu nyuie le gbagbãƒea ƒe akpa si le didiƒe o le nuheŋusẽ ƒe ŋusẽkpɔɖeamedzi te ta la, afɔkpodzi ƒe akpa si gbã le didiƒe la ƒe akpa gãtɔ ʋuna yia megbe, eye le ɣeyiɣi sia me la, woate ŋu atsɔ akɔtaɖonu si wotsɔ afɔkpa si me dɔlékui mele o tsyɔ la aɖo akpa si me dɔlékui mele o ƒe akpa si le didiƒe ʋĩ ƒe nuwuwu le vidzidzi kple ŋutigbalẽ dzadzraɖo kple agbalẽ siwo me dɔlékui mele o dada vɔ megbe ʋuʋu yi teƒe bubuwo ƒe woate ŋu aɖɔ nusi le didiƒe ƒe gbagbãƒea ɖo to asitɔtrɔ le akɔtaɖonua ƒe kɔkɔme ŋu.

• Ne womeɖɔ akpa si gbã le didiƒe ƒe megbeʋuʋu ɖo haɖe o la, woate ŋu aɖo ɖa si te ɖe eŋu to ŋutigbalẽ me ɖe trochanter gãtɔ alo pyriform fossa ƒe ta dzi, eye emegbe woatsɔ ati si wotsɔ gbugbɔ ɖoa afɔkpodzia me la ade afɔkpodzi ƒe akpa si gbã le kpuie ƒe lãkusi ƒe do me, eye woakɔ atikplɔ si gbugbɔ ɖoa afɔkpodzia ƒe asiléƒea ɖe dzi yi ŋgɔ le mɔ si sɔ nu be woatsɔ aɖiɖi afɔkpodzi ƒe gbagbã si te ɖe eŋu la ɖe megbe to atizɔti si gbugbɔ ɖoa teƒea ƒe asike zazã me, si ana wòagawɔ ɖeka kple afɔkpodzi ƒe gbagbã si woɖe ɖa le megbe la ake, .

• Ne woɖo gbagbãƒea ɖe ɖoɖo nu vɔ la, wotsɔa mɔfianu didi aɖe dea gbagbãƒea ƒe do si le didiƒe la me be woawu gbugbɔgaɖoɖo si wotu nu. Intramedullary repositioning rod la wɔa dɔ nyuie ŋutɔ le flexion, abduction, kple gotagome tɔtrɔ ƒe nɔnɔme madeamedzi siwo bɔ ɖe proximal femur ƒe proximal fractures me ɖɔɖɔɖo me (Nɔnɔmetata 5).

• Le axadziʋuʋu susɔea gome la, woate ŋu atrɔ asi le intramedullary rod ƒe nuwuwu si woƒo la ƒe ʋuʋu ŋu be wòafia mɔ mɔfianu didi la ayi ɖe distal fracture cavity me be wòawu edziɖeɖekpɔtɔ si wotu nu.

• Mɔnu bubu si wozãna tsɔ ɖea ɖa si wotu nu ɖoe nye be woatsɔ Schanz- ɖa aɖe aƒo ƒu ƒe lãkusi si le ƒu ƒe akpa si woɖe ɖa la ƒe axadzi eye woatrɔ asi le gbagbãƒea ƒe nuwuwu ŋu to Schanz- ɖaa dzi be wòaɖe edzi wòatu (Nɔnɔmetata 6). Ne wotsɔ lãgbalẽgoloa sɔ ɖe ɖoɖo nu nyuie vɔ la, wotsɔa ɖa si le lãkusia me la dea lãkusia ƒe lãkusi si te ɖe eŋu kple esi le didiƒe la me be woawu ememe ƒoƒoa nu (Nɔnɔmetata 7).

  
  

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Nutata 5 Asitɔtrɔ le proximal fracture segment ŋu hena closed repositioning to intramedullary repositioning rod zazã me

Nɔnɔmetata 6 Ðeɖekpɔkpɔ si wotu to Schanz ɖa si woda ɖe ƒu ƒe akpa ɖeka ƒe ƒu ƒe akpa si le gbagbãƒea ƒe nuwuwu zazã me

Figure 7 Closed reduction intramedullary nail fixation of a multisegmental comminuted fracture of the femoral stem to Schanz ɖa zazã me

Afɔkpodzi ƒe gbagbã

(A) Dzadzraɖo do ŋgɔ na dɔwɔwɔ nɛ

• Radiographic diagnosis: Ele be afɔkpodzi ƒe nɔnɔmetatawo ƒe dodokpɔ si wowɔna ɖaa nalɔ akpa 3 ɖe eme: anteroposterior (Nɔnɔmetata 8), afɔkpodzi ƒe teƒe (15° ƒe tɔtrɔ ememetɔ) (Nɔnɔmetata 9), kple axadzi (Nɔnɔmetata 10).

• Ne afɔkpodzi ƒe ƒunukpeƒea xɔ abi vevie la, afɔkpodzi kple talus ememe kple egodo la aʋuʋu ayi dzidzenu vovovo 11 dzi (Nɔnɔmetata 11). Radiograph siwo le teƒe ɖeka meɖea alesi afɔkpodzi ƒe ƒunukpeƒea li ke fiana pɛpɛpɛ o. Nuteɖeamedzi ƒe fotoɖeɖe kple MRI ate ŋu ana afɔkpodzi ƒe ƒunukpeƒe ƒe liƒo kple lãkusi ƒe gbegblẽ ƒe dodokpɔ nanyo ɖe edzi (Nɔnɔmetata 12).

• Le go sia me la, ele be woato abi ƒe mɔnu kple abɔ si ŋu dɔlélea le ƒe keklẽŋusẽ ŋuti nyatakakawo dzi anya afɔkpodzi ƒe abi ƒomevi si ƒomevi wòxɔ la nyuie be woate ŋu afia mɔ alesi woagbugbɔ aɖoe kple alesi woaɖɔe ɖo nyuie.

• Ɣeaɖewoɣi la, titina afɔkpodzi ƒe gbagbã bɔbɔe ateŋu anye 'Maisonneuve gbagbã' si sesẽ wu ƒe akpa aɖe, si hã lɔ proximal fibula gbagbã kple ligament ƒe abi si woƒo ƒu ɖe eme, eyata ele be woado tibiofibula bliboa kpɔ to radiographic me.

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Nɔnɔmetata 8 Ŋgɔgbe kple megbe ƒe nɔnɔme

Nɔnɔmetata 9 Afɔkpodzi ƒe teƒewo (15° ƒe tɔtrɔ ememetɔ) .

Nɔnɔmetata 10 Axadzinɔnɔme

Nɔnɔmetata 11 Edze abe gbagbã ƒe ʋuʋu kpe ɖe ʋuʋu ŋu ene

Nɔnɔmetata 12 Nuteɖeamedzi ƒe fotoɖeɖe (dzogoe etɔ̃ ƒe lãkusi ƒe gbagbã) .

(II) Atike si naa alɔ̃dɔdɔ ame

Zi geɖe la, wozãa afɔkpodzi kple sciatic nerve anesthesia.

(C) gbugbɔgaɖoɖo ƒe mɔnu

Wowɔa megbe-gota ƒe tɔtrɔ ƒomevi si nye closed repositioning le ɖoɖo si nu gota afɔkpodzi-ememe afɔkpodzi-megbe afɔkpodzi-inferior tibiofibular union. Wowɔa megbetrɔtrɔ-ememe tɔtrɔ ƒomevi la le ɖoɖo si nu afɔkpodzi ememetɔ-afɔkpodzi gotatɔ le nu.

• Le megbe-gota ƒe tɔtrɔ ƒomevi IV gome la, wotsɔa dɔnɔa dana ɖe anyime eye wobɔbɔa kloa ɖe 90° be wòaɖe nyitsu ƒe ta etɔ̃ dzi akpɔtɔ.

• Kpeɖeŋutɔ eve léa ata kple afɔ ƒe akpa si nye popliteal, eye wotsɔa hehea dea afisi gbagbãƒea ƒe nɔnɔme gblẽ le (mele be heheŋusẽa nagbɔ eme be abi la nagagblẽ ɖe edzi o).

• Kpeɖeŋutɔ si le afɔa hem la trɔa afɔa yia eme be yeaɖɔ gotagome tɔtrɔ ƒe nɔnɔme madeamedzia ɖo (Nɔnɔmetata 13). Esi kpeɖeŋutɔa le nugbɔ si le didiƒe tum ɖo ta afɔkpodzi ƒe akpa dzi eye wòle afɔkpodzi si le didiƒe hem ɖo ta fibular ƒe akpa dzi la, kpeɖeŋutɔa trɔna yia eme eye wòkekea afɔkpodzi ƒe ƒunukpeƒea ɖe megbe be yeaɖɔ afɔkpodzi ƒe gotagome kple talus ƒe ʋuʋu ɖo (Nɔnɔmetata 14).

• Lé ememe tɔtrɔ-ememe tɔtrɔ-akɔta ƒe kekeɖenudɔwɔwɔ ƒe nɔnɔme me ɖe asi. Emegbe wotsɔa asibidɛ eveawo léa megbefɔti ƒe gbagbã ƒe mɔxenu la, asibidɛ eneawo ƒoa xlã afɔkpodzi si le didiƒe, eye asibidɛ eveawo siaa ƒoa xlã afɔkpodzi si le didiƒe, esime wole afɔkpodzi si le didiƒe hem ɖe anyi be woagbugbɔ afɔkpodzi si le didiƒe la aɖo anyi (Nɔnɔmetata 15).

• Mlɔeba la, dɔwɔla la tsɔa asibidɛwo ƒoa titina afɔkpodzia ɖe megbe kple anyime be wòagbugbɔ aɖoe (Nɔnɔmetata 16). Kpeɖeŋutɔ eve léa afɔ kple afɔkpodzi ɖe ememe tɔtrɔ-ememe tɔtrɔ-akɔta keke ƒe nɔnɔme me tsɔ dzrana ɖo ɖe eɖoɖo ŋu.

Figure 13 Traction ɖɔɖɔɖo le gotagome tɔtrɔ ƒe nɔnɔmetɔtrɔ ŋu

Figure 14 Afɔkpodzi kple afɔkpodzi ƒe gotagome ʋuʋu ƒe axadzi ɖɔɖɔɖo

Figure 15 Afɔkpodzi ƒe megbeʋuʋu ƒe ɖɔɖɔɖo

Figure 16 Afɔkpodzi ƒe ʋuʋu le ememe ɖɔɖɔɖo

Trɔtrɔ megbe-ememe gbugbɔgaɖoanyi ƒe ɖoɖoa to vovo na tɔtrɔ megbe-gotagome gbugbɔgaɖoanyi ƒe ɖoɖoa eye wowɔa esia le ɖoɖo si nu afɔkpodzi ememe-afɔkpodzi gotatɔ le nu.

Ale Si Nàƒle Ƒumeŋuɖuiwo Kple Ƒumeŋuɖui Dɔwɔnuwo?

Elabena CZMEDITECH , míekpɔa adzɔnuwo ƒe hatsotso si de blibo ŋutɔ si me ƒumeŋuɖui ƒe amekoko ƒe nusiwo wotsɔ dea ame me kple dɔwɔnu siwo sɔ kplii, nusiwo dometɔ aɖewoe nye akɔta ƒe akpa siwo wotsɔ dea ame me, ɖa siwo le lãkusi me, trauma plate, ʋuƒo si wotsɔ xea mɔ na nu, cranial-maxillofacial ƒe tagbɔ, ametia ƒe ŋutilã ƒe akpa aɖe, elektrikdɔwɔnuwo, gotagome fixators, ƒunukpeƒetetedɔ (arthroscopy)., lãwo ƒe dɔlélewo gbɔ kpɔkpɔ kple woƒe kpeɖeŋutɔ dɔwɔnuwo.

Tsɔ kpe ɖe eŋu la, míeɖoe kplikpaa be míayi edzi anɔ atike yeyewo wɔm eye míakeke adzɔnuwo ƒe hatsotsowo ɖe enu, ale be míakpɔ ɖɔkta kple dɔnɔ geɖe ƒe amekoko ƒe nuhiahiãwo gbɔ, eye míana míaƒe dɔwɔƒea hã nate ŋu aʋli ho geɖe wu le xexeame katã ƒe ƒumeŋuɖui kple dɔwɔnuwo ƒe dɔwɔƒe bliboa me.

Míeɖoa nu ɖe ​​xexeame katã, eyata àte ŋui te ɖe mía ŋu le email adrɛs song@orthopedic-china.com hena nyayɔyɔ femaxee, alo ɖo gbedasi ɖe WhatsApp hena ŋuɖoɖo kaba +86- 18112515727 .

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