Taɖodzinu vevitɔ si le ƒu ƒe gbagbã ŋue nye be woana ƒu si gbã la nali ke, be wòana ƒu si xɔ abi la nahaya kabakaba, eye wòatrɔ asi le eƒe afɔti si xɔ abi la ƒe ʋuʋu kaba kple eƒe dɔwɔwɔ bliboe ŋu.

External fixation nye mɔnu si wozãna tsɔ kpena ɖe ƒu siwo gbã vevie ŋu. Ƒumeŋuɖui ƒe dɔwɔwɔ sia ƒomevi bia be woatsɔ mɔ̃ tɔxɛ aɖe si woyɔna be fixator, si le ŋutilãa ƒe gota gome la aɖo ƒu gbagbãa ŋu. Wozãa ƒu ƒe ʋuƒo tɔxɛ (si woyɔna zi geɖe be pin) siwo toa ŋutigbalẽa kple lãmekaa me tsɔ doa ka kple ƒu si gblẽ la be wòanɔ ɖoɖo nyui nu esime wòle dɔ dam.

Nukae wozãna na gotagome fixator si wozãna na?

Woate ŋu azã gotagome fixation device atsɔ ana ƒu siwo ƒe gbagbãwo nali la nali ke eye woanɔ wo nɔewo yome. Woate ŋu atrɔ asi le mɔ̃a ŋu le gota be ƒuwo nanɔ teƒe nyuitɔ kekeake le dɔyɔyɔa me. Wozãa mɔ̃ sia zi geɖe le ɖeviwo me eye ne wogblẽ ŋutigbalẽ si le gbagbãƒea ŋu.

Nukawoe nye gotagome fixator ƒomeviwo?

External fixators ƒomevi vevi etɔ̃e li: standard unipranar fixator, ring fixator, kple hybrid fixator.

Woma mɔ̃ gbogbo siwo wozãna tsɔ léa nu ɖe ​​wo nɔewo me ɖe eme la ɖe hatsotso gã ʋɛ aɖewo me teti: ka, pin kple gaviwo, agbalẽ xatsaxatsawo, kple ɖa alo ati siwo wotsɔna ƒoa nu ɖe ​​eme.

Wozãa staples kple clamps hã ɣeaɖewoɣi hena ƒumeŋuɖui alo fracture fixation. Wozãa ƒu siwo wowɔ le wo ɖokui si, allografts, kple ƒu ƒe ƒuƒoƒo siwo wotsɔ ɖo ƒu teƒe zi geɖe tsɔ daa ƒu ƒe gbagbã siwo gbɔ wòtsona le nu vovovowo me. Le ƒu siwo ŋu dɔlélea le kpakple ƒumeŋuɖuiwo dada gome la, wozãa dɔlékuiwutikewo zi geɖe.

Dynamic axial proximal femoral fragment gotagome fixator: a blibo ƒe wɔwɔfia .

Akɔta ƒe gbagbã nye ƒumeŋuɖui ƒe kuxi si bɔ, vevietɔ le ame tsitsiwo gome. Ƒutsotsoe siawo ate ŋu ahe dɔléle kple ku ɖedzesiwo vɛ, eye zi geɖe la, wo dzi kpɔkpɔ sesẽna. Mɔnu siwo wozãna tsɔ kpɔa akɔta ƒe gbagbãwo gbɔe dometɔ ɖekae nye axial proximal femoral fragment external fixator (DAPFFEF) si trɔna. Le nyati sia me la, míana DAPFFEF ƒe wɔwɔfia blibo, si me eƒe dzesiwo, aɖaŋu, kuxiwo, kple emetsonuwo hã le.

Kpɔkplɔyiɖeme

Hip fractures nye dukɔa ƒe lãmesẽkuxi gã aɖe, eye wobu akɔnta be ame miliɔn 1.6 ye dzɔna le xexeame katã ƒe sia ƒe. Akpa siawo do ƒome kple dɔléle kple ku geɖe, vevietɔ le dɔnɔ tsitsiwo gome. Zi geɖe la, akɔta ƒe gbagbãwo dzi kpɔkpɔ sesẽna, eye wozãa amekokomɔnu vovovowo tsɔ kpɔa wo gbɔe. Mɔnu siawo dometɔ ɖekae nye dynamic axial proximal femoral fragment external fixator (DAPFFFEF).

Hip ƒe ŋutilã ƒe wɔwɔme .

Hafi míadzro Dapffef me la, ele vevie be woase akɔta ƒe ŋutilã ƒe wɔwɔme gɔme. Akɔta ƒe ƒunukpeƒea nye bɔl kple lãkusi ƒe ƒunukpeƒe, si me akɔta ƒe acetabulum kple afɔkpodzi ƒe ta le. Afɔkpodzi ƒe kɔa doa ka kple afɔkpodzi ƒe ta kple afɔkpodzi ƒe asike. Afɔkpodzi si te ɖe eŋue nye afɔkpodzi ƒe akpa si te ɖe akɔta ƒe ƒunukpeƒea ŋu wu.

Nukae nye dynamic axial proximal femoral fragment gotagome fixator?

A dynamic axial proximal femoral fragment external fixator (DAPFFFEF) nye mɔ̃ si wozãna tsɔ naa ŋgɔgbeƒuƒu ƒe gbagbãwo nɔa te. Mɔ̃a nyea pin alo gavi siwo wotsɔ dea akɔtaɖonu si te ɖe eŋu me eye wotsɔa wo doa ka kple gotagome xɔtunu. Akpa si le xɔa ŋu naa ƒu si gbã la nɔa te, si wɔnɛ be wòte ŋu daa gbe le eŋu.

Nusiwo fia Dapffef .

Wozãa dapffef tsɔ daa akɔta ƒe akpa si te ɖe eŋu ƒe gbagbã, siwo dometɔ aɖewoe nye subcapital fractures, intertrochanteric fractures, kple subtrochanteric fractures. Wozãnɛ hã tsɔ daa akɔta ƒe akpa si te ɖe wo nɔewo ŋu siwo menye dɔwɔhawo o kple malunions.

Dapffef ƒe aɖaŋu .

DAPFFEF ƒe aɖaŋua bia be woatsɔ pin alo gaviwo ade akɔtaɖonu si te ɖe eŋu me, eye emegbe wotsɔa wo doa ka kple gotagome xɔtunu. Wotsɔa pin alo screws la dea eme le mɔ si ana woate ŋu awɔ dɔ abe lever arm ene nu, si naa nutete si trɔna la nɔa ƒu si gbã la ŋu. Wotrɔa asi le xɔtunua ŋu be wòaɖo nutete ƒe seƒe si wodi gbɔ.

Viɖe siwo le Dapffef ŋu .

Dapffef ƒe viɖewo dometɔ aɖewoe nye ŋutete si le esi be wòana akɔtaɖonu si te ɖe eŋu la nalé ɖe te sesĩe, eƒe ŋutete be wòana ƒu si le gbagbãm la nate ŋu awɔ dɔ sesĩe, kple ŋutete si le esi be wòaɖe mɔ ɖe kpekpeme ŋu kaba. Nu siawo ate ŋu ana dɔnɔwo nado tso eme nyuie wu eye woahaya kabakaba na dɔnɔwo.

Dapffef ƒe kuxiwo .

DAPFFEF ƒe kuxiwo dometɔ aɖewoe nye pin tract dɔlékuiwo, esiwo menye dɔwɔha o, malunion, nusiwo dzi ɖe kpɔtɔ, kple nusiwo wotsɔ dea lãme na ame ƒe dɔmawɔmawɔ nyuie. Woate ŋu akpɔ kuxi siawo gbɔ to atikewɔwɔ si sɔ me, siwo dometɔ aɖewoe nye dɔlékuiwutikewo, amekoko si wogbugbɔ wɔ, kple nusi wotsɔna xea mɔ na nuawo ɖeɖeɖa.

DAPFFFEF ƒe emetsonuwo .

Wosrɔ̃ nu tso DAPFFEF ƒe emetsonuwo ŋu le dɔdamɔnu dodokpɔ geɖe me. Dodokpɔ siawo ɖee fia be DAPFFEF ate ŋu ana akɔta ƒe akpa si te ɖe wo nɔewo ŋu la natsi anyi, si ana dɔnɔwo nate ŋu atsɔ kpekpeme kaba eye woana dɔnɔwo nanyo ɖe edzi.

Nyanuwuwuw

Dynamic axial proximal femoral fragment External fixator (DAPFFEF) nye amekokomɔnu si wozãna tsɔ naa proximal femur ƒe gbagbãwo nɔa te. Enaa fixation si li ke kple dynamic compression na ƒu si gbã la, si wɔnɛ be dɔnɔwo te ŋu tsɔa kpekpeme kaba eye woƒe dɔwɔwɔ nyona ɖe edzi na dɔnɔwo. Kuxiwo ate ŋu ado mo ɖa, gake woate ŋu akpɔ wo gbɔ kple atikewɔwɔ si sɔ.