Amekoko si dzi ɖe kpɔtɔ si wotu ɖe eƒe akpa si le ete ƒe gbagbã ta.

Closed reduction nye mɔnu si me wowɔa nu boo aɖeke le o si woate ŋu azã na extremities ƒe gbagbã siwo li ke eye ʋu ƒe sisi aɖeke mebu o, afɔku aɖeke mele eme be woaxɔ dɔlékuiwo o, dɔwɔwɔ ƒe hayahaya kabakaba, atikewɔwɔ ƒe gazazãwo dzi ɖe kpɔtɔ ŋutɔ, eye woate ŋu azãe na ɖa si me do le si wotu kple intramedullary pin fixation, abe femoral fractures ene, abe femoral fractures ene, abe femol fractures ene, abe femor fractures ene, abe fugboe ene. kple bubuawo, si ɖea ʋu ƒe sisi ƒe tsɔtsrɔ̃ ɖa to ʋuʋudedi dzi ɖeɖe kpɔtɔ me.

Afɔkpodzi ƒe kɔ ƒe gbagbã .

(i) Hehe .

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 o me kple ememe ƒe tɔtrɔ fafɛ. Hehe ƒe kpekpeme toa vovo tso ame ɖeka gbɔ yi bubu gbɔ, zi geɖe la, 6-9 kg, eye ɣeyiɣi didi si woatsɔ ahee la nagawu gaƒoƒo 12 o. Dɔnɔwo ƒe 90% ate ŋu aɖo teƒe si woatrɔ woƒe nɔƒewo le to hehe me.

(b) Wotu asitɔtrɔ le ame ƒe nɔnɔme ŋu .

Ne traction mete ŋu ɖo repositioning requirements gbɔ o la, woate ŋu atsɔ manual repositioning akpe ɖe eŋu, le epidural anesthesia te:

1. MC ELVENNY ƒe mɔnu .

Taɖodzinuae nye be woaɖɔ akɔta la ɖo, atrɔ abɔ si ŋu wòku ɖo la le gota eye wòadzi heheŋusẽa ɖe edzi, eye emegbe wòatrɔ abɔ si ŋu wòku ɖo la le ememe eye wòagbugbɔe aɖo ɖe ememe be wòaɖo taɖodzinu si nye be woagbugbɔ aɖo teƒe si wòle la gbɔ.

2. Leadbetter ƒe mɔnu .

Dɔnɔa mlɔa anyigba, bɔbɔa akɔta kple klo si ŋu dɔlélea le la ɖe 90°, hehea afɔbidɛ si ŋu dɔlélea le ƒe afɔkpodzi ƒe afɔti dzi aɖabaƒoƒo 2 va ɖo 3, emegbe etrɔa abɔ si ŋu dɔlélea le la le ememe eye wòtrɔna ɖe eŋu vie, ne egbugbɔe ɖo ɖe gota la, efia be eƒe akpa si ŋu dɔlélea le la le dzidzedze kpɔm, eye wòdze abe ɖe wògagbugbɔe ɖo ɖe gota ene, eye wòdze abe ɖe wògaɖe afɔ si ŋu dɔlélea le la ɖe anyi ene, eye wòdze abe ɖe wòaɖiɖi ɖe gota ene, eye wòdze abe ɖe wògaɖe afɔ si ŋu dɔlélea le la ɖe anyi ene, eye wòdze abe ɖe wògaɖe afɔ si ŋu dɔlélea le la ɖe anyi ene, eye wòdze abe ɖe wògaɖe afɔ si ŋu dɔlélea le la ɖe anyi wu ene, eye wòdze abe ɖe wògaɖe afɔ si ŋu dɔlélea le la ɖe anyi wu ene, eye wòdze abe ɖe wògagbugbɔe ɖo ɖe gota ene, eye wòdze abe ɖe wògagbugbɔe ɖo ɖe gota ene, eye wòdze abe ɖe wògatsɔe ɖo ɖe gota ene o. Hafi woawɔ ememe fixation la, wozãa C-Arm mɔ̃a tsɔ ɖoa ​​kpe edzi.

(c) Percutaneous needle prying technique .

Ne mɔnu siwo le etame meto mɔnu siwo le etame dzi o la, zi geɖe la, efia be wogbã afɔkpodzi ƒe ta alo be tɔtrɔ ƒe mama le ta kple kɔ dome (Nɔnɔmetata 1A), alo be wotsɔ nu aɖe 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 ƒe tɔtrɔ be dovetail ta kple kɔ ƒe gbagbã megawɔa dɔ o. Be woaƒo asa na ƒoƒo kple wo tɔtrɔ ɖe teƒe bubu la, woate ŋu azã aŋe si wotsɔna ƒoa aŋee ƒe mɔnu aɖe atsɔ atrɔ asi le eƒe gbagbãƒea ŋu.

• A 3.0- to 3.5-mm-diameter bone circular needle is inserted vertically through the skin 1 to 2 cm below the junction of the inguinal ligament and the femoral artery to the front of the femoral head, and the needle is rotated deeper to the center of the femoral head under the supervision of the C-arm machine (Figure 1B).

• Be woado ŋusẽ prying ŋusẽa la, woate ŋu atsɔ ƒu ƒe go evelia si le dzogoe ene me la ade 4-5 mm si sɔ kple aŋe sia, eye woagblẽ aŋea ƒe nuwuwu ɖe ŋutigbalẽa godo.

• To trochanter gãtɔ me la, woɖea ƒu ƒokpli eve siwo ƒe didime nye milimeta 3.5 la toa lãkusi me le mɔ si sɔ nu kple dzogoe si dzi vidzidɔa ƒe ke le kple dzogoe si le ŋgɔgbe ƒe dzogoe dzi, si ɖoa akɔta ƒe kɔ ƒe gbagbãƒe si le didiƒe (metoa abɔta ƒe akpa si le lãkusia me o) eye wògblẽa aŋea ƒe nuwuwu ɖi.

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

• Ne woɖo wo ɖe ɖoɖo nu vɔ la, wotsɔa gavi si wotsɔa ƒu goglo si wotsɔ dea trochanter gãtɔ me la ƒoa afɔkpodzi ƒe ta me hena ɣeyiɣi kpui aɖe ƒe ƒoƒo, eye emegbe wotsɔa gavi geɖe siwo me do le dea afɔkpodzi ƒe ta me (Nɔnɔmetata 1F).

Mɔnu si wotu ɖe nu dzi ɖeɖe kpɔtɔ si ŋu míeƒo nu tsoe le etame la ate ŋu ana woaɖe akɔta ƒe kɔ ƒe gbagbã ƒe 98% lɔƒo dzi akpɔtɔ si wobia. Zi alesi gbagbãƒea ƒe sɔsɔme, eɖanye esi wotu alo esi woɖe ɖe eŋu o la, zi nenemae nyagblɔɖia nyonae. Zi geɖe la, alesi gbegbe fracture dislocation si woɖe fia le X-ray dzi la medea afisi tututu wogbãe le o. Esi wònye be akɔta ƒe gbagbã kpɔa ŋusẽ ɖe gbagbãƒea ƒe dɔyɔyɔ dzi tẽ kple alesi wòate ŋu adzɔ be afɔkpodzi ƒe ta naku ta la, ehiã be woadrɔ̃ ʋɔnu nyuie le X-ray film la ŋu le gbagbãƒea ƒe ƒoƒo ɖekae megbe. Ne S-nɔnɔme ƒe ʋuʋudedi la me le gbadzaa alo do kplamatsee o la, efia be afɔkpodzi ƒe kɔ ƒe gbagbã meɖo ŋutilã ƒe tɔtrɔ gbɔ o (Nɔnɔmetata 2).

Figure 1 Afɔkpodzi ƒe kɔ ƒe gbagbã si wogbugbɔ ɖo to aŋe si wotsɔna ƒoa nu ɖe ​​lãme na ame ƒe nɔnɔme me .

Figure 2 Afɔkpodzi ƒe kɔ ƒe gbagbã X-ray kple gotagome fli si yia edzi le ŋutilã ƒe wɔwɔme ƒe ɖoɖowɔwɔ me kple gotagome fli si do kplamatsee le non-anatomical alignment me .

Afɔkpodzi ƒe ke ƒe gbagbã .

Mɔnu si wotsɔ ɖea afɔwo dzi kpɔtɔna ate ŋu akpe ɖe afɔkpodzi ƒe gbagbãƒea ƒe sɔsɔ ŋu evɔ magblẽ nu le lãkusi falɛfalɛ aɖeke alo ʋu ƒe tsɔtsɔ yi ɖagbã ƒe nuwuwu ŋu o, eye woate ŋu azãe na ememe tsɔtsɔ ƒo ɖe eme kple lãkusi si le lãkusi me.

• Under epidural anesthesia, the patient is lying flat on the bed (the skin of the affected limb has not been sterilized at this time), one assistant holds the calf of the affected limb, and the other assistant pulls the patient's thigh root with a cloth belt to counteract the traction, with the affected limb in a neutral position and the patella of the knee facing upward (the femoral stem fracture is usually not rotated and displaced by muscle Hehe, eye woate ŋu aɖɔe ɖo le eɖokui si to hehe me, eyata ɖeko wòle be dɔwɔla la naɖɔ ŋgɔgbe-megbe kple axadzi ƒe ʋuʋu le kea ƒe nuwuwu si gbã la ɖo).

• Dɔwɔla la zãa abɔ eveawo katã tsɔ ƒoa xlã abɔ si ŋu dɔlélea le eye wòléa asiawo ɖe wo nɔewo ŋu (Nɔnɔmetata 3 kple Nɔnɔmetata 4), eye wòɖɔa abɔta ƒe ŋgɔgbe kple axadzi ƒe ʋuʋu ɖo zi ɖeka to abɔta eveawo siaa zazã me.

• Le kpɔɖeŋu me, ne woɖe afɔkpodzi ƒe gbagbã ƒe akpa si te ɖe eŋu la ɖa yi gota kple ŋgɔgbe la, wozãa abɔta ɖeka tsɔ ƒoa akpa si le ƒunukpeƒea ƒe akpa si le ŋgɔgbe la me ɖe eme kple anyime. Abɔta bubuawo ƒoa ƒu ƒe akpa si le didiƒe ʋĩ la ɖe gota kple dzi be yeado clasping force (ele be atikewɔla si le ɖoɖo wɔm la nadrɔ̃ ʋɔnu nyuie le eƒe ʋuʋu ƒe mɔfiame ƒe mɔfiame kple eƒe ʋuʋu ƒe didime ŋu hafi woagbugbɔ aɖoe), ale be woate ŋu atrɔ asi le abɔta ŋu dzidzedzetɔe le ɣeyiɣi ɖeka me. Le tɔtrɔ ɖe teƒe bubu me la, ele be kpeɖeŋutɔa nadzi heheɖemegbe ƒe ŋusẽ ɖe edzi eye wòana afɔkpodzia nagatrɔ o.

• Ne wobla ƒu ƒe nuwuwu koŋ la, ele be woase ƒu ƒe gbeɖiɖi fafɛ aɖe, le ɣeyiɣi sia me la, ele be kpeɖeŋutɔa nalé eƒe hehe ɖe te kokoko, gake wòaɖe ŋusẽ si hea nu la dzi akpɔtɔ.

• Ne C-Arm mɔ̃a koŋ ɖo gbagbãƒea ɖe ɖoɖo nu (ne wogakpɔtɔ le ɖoɖo nu vie la, wɔ asitɔtrɔ aɖewo be nàkpɔ egbɔ be gbagbãƒea ƒe nugbɔwo sɔ kple wo nɔewo), lé hehea ɖe te, atsɔ dɔlékuiwutikewo awɔ dɔ ɖe abɔ kple afɔ si ŋu dɔlélea le la dzi eye nàkeke afɔkpaa ɖe eme, eye emegbe nàwɔ ɖaƒoƒo ɖe intramedullary ŋu.

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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 abɔta si ŋu dɔlélea le ŋu eye wotsɔa asiawo ƒoa wo nɔewo nu ƒu, eye wozãa abɔta eveawo ƒe asiléƒe ƒe ŋusẽ.

Figure 4 Afɔkpodzi ƒe ke ƒe gbagbã ƒe tɔtrɔ ƒe mɔ̃ɖaŋununya ƒe ɖoɖowɔɖi .

• Le dɔnɔ siwo ƒe gbagbãƒe gãwo ʋuʋu, asitɔtrɔ le wo ŋu si wotu alo comminud ƒe gbagbã si medze edzi o gome la, woate ŋu azã amekoko ƒe mɔ̃ si wotsɔna ɖea nu dzi tsɔ ɖea edzi kpɔtɔna kple dɔwɔnu aɖe ƒe ŋusẽ aɖe, si ate ŋu awu afɔkpodzi ƒe ke ƒe gbagbã dzi ɖeɖe kpɔtɔ si wotu nu nyuie hã.

• Ne wotsɔ abɔ si ŋu dɔlélea le da ɖe hehexɔnu la dzi hena hehe kple C-ARM ƒe dodokpɔa ɖee fia be woɖɔ abɔta ƒe ʋuʋu si ƒo ƒu ɖe wo nɔewo ŋu ɖo vɔ la, woate ŋu atrɔ asi le abɔa ƒe akpa si ŋu dɔlélea le ƒe nuwuƒe didi la ŋu be wòagagbugbɔ aɖo anyigba ƒe sɔsɔ kple eƒe sɔsɔ ɖe afɔkpodzi ƒe nɔnɔmetata si le orthostatic nɔnɔmetata me la me.

• Esi wònye be akɔta ƒe lãmeka siwo le hehem ƒe tete ate ŋu awɔ akpa aɖe le lãkusi ƒe akpa si le afɔkpodzi ƒe lãkusi ƒe gbagbã ŋu ta la, afɔkpodzi ƒe ke ƒe gbagbã akpa gãtɔ ate ŋu akpɔ ɖoɖo si ana dzidzeme ame wu le X-ray nɔnɔmetata si le orthogonal me.

• However, at this time, due to the lack of effective support at the distal end of the fracture segment under the effect of gravity, the distal fracture segment of the femoral stem is mostly displaced posteriorly, and at this time, the sterile towel-covered brace can be placed on the posterior side of the distal fracture end after sterilization and skin preparation and laying of sterile sheets, and the posterior displacement of Woate ŋu aɖɔ distal fracture end la ɖo to asitɔtrɔ le akɔtaɖonu ƒe kɔkɔme ŋu me.

• Ne womeɖɔ distal fracture ƒe akpaa ƒe megbeʋuʋu ɖo haɖe o la, woate ŋu aɖo ɖa si te ɖe eŋu la ɖe trochanter gã la ƒe ta alo pyriform fossa, eye emegbe wotsɔa ŋgɔgbea ƒe akpa si nye intramedullary la dea medullary cavity la me, eye wotsɔa intramedullary cavity la dea eme be woaɖe akɔta ƒe akpa si te ɖe megbe ŋu ɖe megbe to atikplɔa ƒe asiléƒe zazã me, si ana woagbugbɔ aɖo wo nɔewo gbɔ kple megbeƒuƒu si woɖe ɖa le megbe la, .

• Ne woɖo gbagbãƒea ɖe ɖoɖo nu vɔ la, wotsɔa mɔfianu didi aɖe dea distal fracture cavity la me be wòawu reset si wotu la nu. Intramedullary repositioning rod la wɔa dɔ nyuie ŋutɔ le ɖɔɖɔɖo, abduction, kple external rotation deformities siwo bɔ ɖe proximal fractures of the proximal femur me (Nɔnɔmetata 5).

• Le axadzi ƒe ʋuʋu susɔe gome la, woate ŋu atrɔ asi le ʋuka si le lãkusia me ƒe nugbɔ si le ƒoƒom la ƒe ʋuʋu ŋu be wòafia mɔ mɔfianu didi la ayi ɖe didiƒe ʋĩ ƒe gbagbãƒea be wòawu enu ɖe ​​edzi ɖeɖe kpɔtɔ si wotu la nu.

• Mɔnu bubu si dzi woato aɖe edzi akpɔtɔe nye be woatsɔ schanz-ti aƒo ƒu ƒe lãkusi si le ƒunukpeƒea ƒe akpa si woɖe ɖa la ƒe axadzi eye woatrɔ asi le ƒugɔme ƒe nuwuwu ŋu to schanz-ti la dzi be wòaɖe edzi akpɔtɔ (Nɔnɔmetata 6). Ne wogbã gbagbãƒea nyuie vɔ la, wotsɔa lãkusi si le lãkusia me la dea lãkusia ƒe akpa si te ɖe eŋu kple esi le didiƒe la me be wòawu ememe ƒe fixation la nu (Nɔnɔmetata 7).

  
  

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Figure 5 Asitɔtrɔ le proximal fracture ƒe akpaa ŋu hena repositioning si wotu to intramedullary repositioning rod zazã me .

Figure 6 Closed reduction to scanz nail si woda ɖe akpa ɖeka ƒe ƒumeŋuɖui me le gbagbãƒe ƒe nuwuwu dzi .

Figure 7 Closed reduction intramedullary nail fixation of a multisegmental comminud fracture of the femoral stem using schanz nail .

Afɔkpodzi ƒe gbagbã .

(a) Dzadzraɖo do ŋgɔ na dɔwɔwɔ nɛ .

• Radiographic Diagnosis: Ele be afɔkpodzi ƒe nɔnɔmetata ƒe dodokpɔ si wowɔna ɖaa la nanye akpa 3: ŋgɔgbekpa (Nɔnɔmetata 8), afɔkpodzi ƒe teƒe (15° ƒe ememe tɔtrɔ) (Nɔnɔmetata 9), kple axadzi (Nɔnɔmetata 10).

• Ne afɔkpodzi ƒe ƒunukpeƒea xɔ abi vevie la, afɔkpodzi si le eme kple egodo eye talus la aʋuʋu va ɖo dzidzenu vovovo 11 (Nɔnɔmetata 11). Raticagraphs siwo meʋãna o meɖea afɔkpodzi ƒe ƒunukpeƒea ƒe liƒo ƒe liƒo fiana pɛpɛpɛ o. Nuteɖeamedzi ƒe radiographs kple MRI ate ŋu ana afɔkpodzi ƒe ƒunukpeƒe kple lãkusi ƒe gbegblẽ ƒe liƒo ƒe dodokpɔ nanyo ɖe edzi (Nɔnɔmetata 12).

• Le nɔnɔme sia me la, ele be woatsɔ abi ƒe mɔnu kple abɔ si ŋu dɔlélea le ƒe keklẽŋusẽ ŋuti nyatakakawo anya afɔkpodzi ƒe abi ƒomevi la nyuie ale be woate ŋu afia mɔ tɔtrɔ ɖe teƒe si wogbugbɔ ɖo kple esi woɖo ɖe teƒe bubu nyuie.

• Ɣeaɖewoɣi la, medial ankle fracture bɔbɔe ate ŋu anye akpa aɖe le 'Maisonneuve Fracture' si sesẽ wu ƒe akpa aɖe, si me proximal fibula fracture kple ligament injury si wotsɔ ƒo ƒui hã le, eyata ele be woalé ŋku ɖe tibiofibula bliboa ŋu le radiographic me.

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Figure 8 ŋgɔgbe kple megbe nɔnɔme .

Figure 9 Afɔkpodzi ƒe teƒewo (15° ƒe ememe tɔtrɔ) .

Figure 10 lateral position .

Figure 11 Afɔkpodzi ƒe ʋuʋu si dze abe wotsɔe kpe ɖe ʋuʋu ŋu ene .

Nɔnɔmetata 12 Nuteɖeamedzi ƒe radiograph (afɔti etɔ̃lia ƒe gbagbã) .

(ii) atike si naa alɔ̃dɔdɔ ame .

Zi geɖe la, wonoa alɔ̃dɔdɔ ƒe lãkusi kple lãkusi ƒe lãkusi.

(c) Gbugbɔ ɖoɖo ƒe mɔnu .

Wowɔa megbe-gotagome ƒe tɔtrɔ ƒomevi si wotu ɖe teƒe si wotu ɖe teƒe si wotu la le gotagome afɔkpodzi-ememe-afɔkpodzi- megbe-afɔkpodzi-afɔkpodzi-inferior tibiofibular union. Wowɔa megbe ƒe tɔtrɔ-ememe ƒe tɔtrɔ ƒomevi le ɖoɖo si nu afɔkpodzi-gotagome ƒe afɔkpodzi le nu.

• Le megbe-gotagome ƒe tɔtrɔ ƒomevi IV gome la, wotsɔa dɔnɔa dana ɖe anyi eye wobɔbɔa kloa ɖe 90° me be wòaɖe dzi ɖi le nyitsu ƒe triceps la ŋu.

• Kpeɖeŋutɔ eve léa akɔta ƒe akpa si nye popliteal la kple afɔ ɖe wo nɔewo yome, eye wotsɔa traction wɔa dɔe le afisi gbagbãƒea ƒe nɔnɔme gblẽ le (mele be heheŋusẽa nagbɔ eme be woaƒo asa na abi la ƒe sesẽ o).

• Kpeɖeŋutɔ si le afɔa hem la trɔa afɔa ɖe eme be wòaɖɔ gotagome ƒe tɔtrɔ ƒe nɔnɔme madeamedzia ɖo (Nɔnɔmetata 13). Esi wòle nuwuƒe si le didiƒe la tutum ɖo ta tibial ƒe akpa dzi eye wòle afɔkpodzi si le didiƒe la hem yi ɖe ka ƒe akpa dzi la, kpeɖeŋutɔa trɔna ɖe ememe eye wòkekea afɔkpodzi ƒe ƒunukpeƒea ɖe enu be wòaɖɔ gotagome afɔkpodzi kple talus ƒe ʋuʋu ɖo (Nɔnɔmetata 14).

• Lé ememe tɔtrɔ-ememe rotation-dorsal kekeɖenudɔwɔwɔ ƒe nɔƒe me ɖe asi. Emegbe asibidɛ eveawo siaa léa megbefɔti ƒe gbagbã ƒe ʋuƒoa ɖe asi, asibidɛ eneawo ƒoa xlã afɔkpodzi si le didiƒe, eye asibidɛ eveawo siaa ƒoa wo ɖokui ɖe eme eye womia wo ɖe didiƒe, esime wole afɔkpodzi si le didiƒe la hem yi anyime be woagbugbɔ akɔta ƒe afɔkpodzi (Nɔnɔmetata 15).

• Mlɔeba la, dɔwɔla la ƒoa titinafɔkpodzia yia megbe kple anyime kple asibidɛawo be wòagbugbɔ aɖoe (Nɔnɔmetata 16). Kpeɖeŋutɔ eve léa afɔ kple afɔkpodzi le ememe-ememe-ʋuʋu-dowo ƒe kekeɖenudɔwɔwɔ ƒe nɔnɔme me le dzadzraɖo ɖe fixation ŋu me.

Figure 13 Hehe ɖɔɖɔɖo le gotagome tɔtrɔ ƒe nɔnɔme madeamedziwo ŋu .

Figure 14 External ankle kple talus ƒe axadzi ʋuʋu le axadzi ɖɔɖɔɖo .

Figure 15 Afɔkpodzi ƒe megbeƒu ƒe tɔtrɔ ɖɔɖɔɖo .

Figure 16 Afɔkpodzi ƒe ʋuʋu le ememe ɖɔɖɔɖo .

Trɔtrɔ megbe-ememe ƒe tɔtrɔ ɖe teƒe bubu ƒe ɖoɖoa tsi tre ɖe tɔtrɔ megbe-gotagome ƒe tɔtrɔ ƒe ɖoɖoa ŋu eye wowɔa eŋu le ɖoɖo si nu afɔkpodzi-gotagome ƒe afɔkpodzi le nu.

Ale Si Nàƒle Ƒumeŋutinunya Kple Ƒumeŋuɖuiwo ƒe Dɔwɔnuwo)

na . czmediTech , míekpɔa atike ƒomevi aɖe si de blibo ŋutɔ le ƒumeŋutinunya ƒe dɔwɔwɔ na ame ƒe ŋutilã kple dɔwɔnu siwo sɔ kplii me, atikeawo dometɔ aɖewoe nye . Akɔta ƒe nusiwo wotsɔ dea akɔtae ., Intramedullary ƒe ɖawo ., nuveviwɔame ƒe agbalẽvi ., Locking Plate ., Tagbɔ-maxillofacial ., Ametia ƒe akpa aɖe ., Ŋusẽ Dɔwɔnuwo ., External fixators ., Arthroscopy ., Lãwo ƒe dɔlélewo gbɔ kpɔkpɔ kple woƒe dɔwɔnu siwo kpena ɖe wo ŋu.

Tsɔ kpe ɖe eŋu la, míeɖoe kplikpaa be míayi edzi anɔ atike yeyewo tum ɖo eye míakeke atikewo ɖe enu, ale be míakpɔ ɖɔkta kple dɔnɔ geɖe ƒe amekoko ƒe nuhiahiãwo gbɔ, eye míana míaƒe dɔwɔƒea hã nakpɔ hoʋiʋli geɖe wu le xexeame katã ƒe ƒumeŋutinunya kple dɔwɔnuwo ƒe dɔwɔƒe bliboa me.

Míeɖoa wo ɖe xexeame katã, ale be nàte ŋu awɔ . Ka ɖe mía dzi le email adrɛs song@orthopedic-china.com hena nyayɔyɔ femaxee, alo ɖo gbedasi ɖe WhatsApp hena ŋuɖoɖo kaba +86- 18112515727 .

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