Views: 29 Author: Nyatakakadzraɖoƒe ƒe Nuŋlɔla Ta Ɣeyiɣi: 2023-05-29 Dzɔtsoƒe: Teƒe
Afɔkpodzi ƒe gbagbã, vevietɔ esiwo dzɔna le akɔta (akɔtaƒu) me ate ŋu anye abi siwo nu sẽ eye wogblẽa nu le ame ŋu. Le nɔnɔme siwo me ƒu ƒe gbagbã sesẽ alo be ƒu ƒe bublu ɖe eme ŋutɔ la, wobua afɔkpodzi ƒe akɔta ƒe ɖa ƒe ɖa zi geɖe be enye atikewɔwɔ ƒe mɔnu nyui aɖe. Nyati sia ku nu me tso afɔtiwo gbugbɔgatu ƒe lãkusi ƒe akpa vovovoawo ŋu, siwo dometɔ aɖewoe nye eƒe dzesiwo, amekokomɔnu, viɖewo, kuxi siwo ate ŋu ado mo ɖa, dɔnɔwo ƒe emetsonuwo, kple bubuwo.

Femoral reconstruction intramedullary nail nye amekoko si wozãna tsɔ naa akɔtaƒuwo ƒe gbagbãwo nɔa te hedzrana ɖo. Ebia be woade ga si wotsɔ dea akɔtae la akɔta ƒe ʋuka me be wòana wòali ke ahakpe ɖe eŋu le dɔyɔyɔa me. Mɔnu sia va xɔ ŋkɔ le ŋutete si le esi be wòado kpekpemedzidzedze kaba kple hayahaya kabakaba ɖe ŋgɔ ne wotsɔe sɔ kple atikewɔwɔmɔnu xoxowo ta.
Femoral reconstruction intramedullary nail nye amekokomɔnu si me wozãa lãkusi si le lãkusi me tsɔ léa ƒunukpeƒea ƒe gbagbã ɖe te eye wòna wòli ke. Zi geɖe la, wotsɔa nusi nɔa anyi didina abe titanium alo gakpo si mexɔ dzo o ene wɔa lãgbalẽa eye wotsɔa nu sue aɖe si woɖe le akɔta alo klo ƒe ƒunukpeƒea me la dea eme. Aɖatsi la kekena ɖe ƒu si gbã la ƒe didime ŋu, si wɔnɛ be wòli ke eye wònaa dɔyɔyɔa nɔa bɔbɔe.
Woɖea afɔkpodzi ƒe ɖa ƒe ɖa ƒe ɖa ƒe ɖaƒoƒo ɖe akɔta ƒe akpa si me kɔ la koŋ. Ƒutsotsoe siawo ate ŋu anye ƒu gbagbã siwo wogbã (afisi ƒu vuvu ɖe akpa vovovowo me), akpa vovovowo ƒe gbagbã (afisi ƒu vuvu le le teƒe geɖe), alo ƒu gbagbã siwo do ƒome kple ƒu ƒe bu ɖedzesi aɖe. Tsɔ kpe ɖe eŋu la, wobua mɔnu sia zi geɖe be enye gbagbãƒe siwo sesẽna be woali ke to mɔnu bubu alo ƒu gbagbã siwo hiã be woatsɔ kpekpeme na wo kaba la zazã me.
Amekoko si wowɔ na afɔkpodzi ƒe gbugbɔgatu intramedullary nail la lɔ afɔɖeɖe geɖe ɖe eme. Gbã la, wotsɔa dɔnɔa dea atike si wua alɔ̃dɔdɔ le mɔ gbadza nu alo le nutoa me nu be woakpɔ egbɔ be wowɔ dɔ nɛ vevesesemanɔmee. Emegbe woɖea lãkusi sue aɖe ɖe akɔta alo klo ƒe ƒunukpeƒea gbɔ be woate ŋu age ɖe akɔta ƒe ʋuka si le lãkusia me la me. Wogbugbɔa ƒu si gbã la ɖoa ɖoɖo nu eye wòɖea edzi kpɔtɔna, ne ehiã, be wòagbugbɔ eƒe ŋutilã ƒe nɔnɔme si sɔ la aɖo anyi. Wodea mɔfianu ka aɖe me ɖe ʋuka si le ʋukaa me la me, eye wotsɔa ekplɔna ɖe megbe tsɔ wɔa mɔ aɖe si dzi woato awɔ lãgbalẽa. Emegbe wotsɔa aŋea dea tɔdzisasrãa me nyuie eye wotsɔa gavi alo mɔ̃ siwo wotsɔna xea mɔ̃ae la ɖoa wo teƒe. Wozãa X-ray nɔnɔmetatawo le ɖoɖoa katã me be woakpɔ egbɔ be wowɔ ɖeka nyuie eye woɖo wo ɖe ɖoɖo nu.

Femoral reconstruction intramedullary nail naa viɖe geɖe wu atikewɔwɔ ƒe mɔnu bubuwo. Gbã la, enaa li ke nyuie eye wònaa woate ŋu atsɔ kpekpeme kaba, si doa hayahaya kabakaba kple egbugbɔgaɖɔɖo ɖe ŋgɔ. Mɔnu sia ɖea lãmeka falɛfalɛwo ƒe gbegblẽ hã dzi kpɔtɔna elabena ezãa lãɖeɖe sue aɖe ne wotsɔe sɔ kple ʋuʋu ɖe edzi kple ememe fixation ƒe mɔnuwo. Gakpe ɖe eŋu la, afɔkpodzi ƒe gbugbɔgatu intramedullary nail ɖee fia be nu nyuiwo do tso eme le vevesese dzi ɖeɖe kpɔtɔ le dɔwɔwɔ vɔ megbe, fracture hehaya dodo ɖe ŋgɔ, kple afɔ ƒe dɔwɔwɔ si sɔ gbugbɔgaɖoanyi gome.
Abe amekoko ƒe mɔnu ɖesiaɖe ene la, afɔkpodzi gbugbɔgatu intramedullary nail hea afɔku aɖewo kple kuxi siwo ate ŋu ado mo ɖa. Esiawo ate ŋu anye dɔlékuiwo xɔxɔ, ʋukawo alo lãmekawo ƒe gbegblẽ, nonunion (ƒu ƒe kpododonu be woahaya), ƒu ƒe gbagbã ƒe gbegblẽ, nusi wodo ɖe lãme na ame ƒe dɔmawɔmawɔ nyuie, kple vein deep vein thrombosis. Gake ne wowɔ amekokomɔnu nyui aɖe, dɔnɔwo tiatia nyuie, kple beléle si sɔ le amekokoa megbe la, woate ŋu aɖe kuxiwo ƒe dzɔdzɔ dzi akpɔtɔ.
Ne wowɔ afɔkpodzi ƒe akɔta ƒe dɔwɔwɔ na ame ƒe afɔkpodzi ƒe dɔwɔwɔ vɔ la, gbugbɔgaɖɔɖo kple hayahaya wɔa akpa vevi aɖe le dɔwɔwɔ kple ʋuʋu gbugbɔgaɖoanyi me. Zi geɖe la, woŋlɔa ŋutilãmedɔdada kple kamedede be woatsɔ ado dɔyɔyɔ ɖe ŋgɔ, ado ŋusẽ lãmeka siwo ƒo xlãe, eye woana woƒe ʋuʋu ƒe didime nanyo ɖe edzi. Ɣeyiɣi didi si woatsɔ aɖɔe ɖo kple alesi wòsẽe ate ŋu ato vovo le dɔnɔ ɖekaɖeka kple eƒe gbagbã ƒe sesẽme nu.
Femoral reconstruction intramedullary nail nye atikewɔwɔmɔnu vovovo siwo li na afɔkpodzi ƒe gbagbã la dometɔ ɖeka ko. Tiatia bubuwoe nye Open Reduction kple Internal Fixation (Orif), gotagome fixation, kple akɔta ƒe ɖɔliɖɔli bliboa. Mɔnu ɖesiaɖe kple eƒe viɖewo kple nusiwo ŋu woabu, eye atikewɔwɔ si woatia nɔ te ɖe nu vovovowo abe ƒu ƒe gbagbã ƒe ƒomevi kple teƒe si wòle, dɔnɔa ƒe ƒexɔxɔ kple lãmesẽ bliboa, kple amekola ƒe nunya dzi.
Numekuku gbogbo aɖewo gblɔ be nu nyuiwo do tso eme eye wokpɔ dzidzedze geɖe le afɔkpodzi gbugbɔgatu ƒe lãkusi me. Woɖee fia be mɔnu sia naa ƒu ƒe gbagbã ƒe liƒo nyuitɔ kekeake, edoa kpekpeme dzi ɖe edzi kaba, eye wònaa ƒuwo ƒe dɔyɔyɔ nɔa bɔbɔe. Zi geɖe la, dɔnɔ siwo wowɔa dɔ sia na la ƒe vevesese dzi ɖena kpɔtɔna, wogaɖoa woƒe ʋuʋu ɖe teƒe bubuwo, eye wogatrɔna ɖe woƒe gbesiagbedɔwo ŋu kabakaba ne wotsɔe sɔ kple atikewɔwɔmɔnu bubuwo. Gake ame ɖekaɖekawo ƒe emetsonuwo ate ŋu ato vovo, eye ele vevie be woabia lãmesẽdɔwɔla aɖe be woase mɔkpɔkpɔ kple afɔku tɔxɛ siwo do ƒome kple dɔdamɔnua gɔme.
Dɔdaƒe ƒe kpeɖodziwo kple nudzɔdzɔwo ŋuti numekukuwo ɖee fia be afɔkpodzi gbugbɔgatu ƒe lãkusi ƒe ɖa ƒe dɔwɔwɔ kple dzidzedzekpɔkpɔ ɣeyiɣi didi. Numekukuwo da nusiwo nye fracture daine time, dɔwɔwɔ me tsonu, kuxiwo, kple dɔnɔwo ƒe dzidzemekpɔkpɔ kpɔ. Numekuku siawo kpe ɖe kpeɖodzi gbogbo siwo le dzidzim ɖe edzi si ɖo kpe afɔkpodzi ƒe akɔta ƒe lãkusi zazã dzi be enye atikewɔwɔ ƒe mɔnu si ŋu kakaɖedzi le eye wòwɔa dɔ nyuie na afɔkpodzi ƒe gbagbã.
Afɔdzidede ƒe ga si wozãna ɖe afɔkpodzi ƒe dɔwɔwɔ ŋu ate ŋu ato vovo le nusiwo le abe teƒe si wole, lãmesẽdɔwɔla, kple dɔnɔa ƒe nugblẽfexeɖoɖo nu ene. Ele vevie be woabia gbe lãmesẽdɔwɔlawo kple nugblẽfexehawo be woase ga si woate ŋu agblẽ le dɔa ŋu la gɔme. Atikewɔwɔ ƒe mɔnu sia ƒe amesinɔnɔ ate ŋu ato vovo hã le anyigba ƒe teƒe si wole kple ƒumeŋutinunyala tɔxɛwo ƒe amesinɔnɔ nu.
Femoral reconstruction intramedullary nail nye amekokomɔnu vevi aɖe si wozãna tsɔ daa afɔkpodzi ƒe gbagbã sesẽwo. Enaa viɖe geɖe, siwo dometɔ aɖewoe nye liƒo, kpekpeme dzi ɖeɖe kabakaba, kple hayahaya kabakaba. Togbɔ be afɔku aɖewo kple kuxi siwo ate ŋu ado mo ɖa le dɔa me hã la, dɔnɔwo tiatia nyuie, amekoko ŋuti nunya, kple beléle na ame le amekoko megbe ate ŋu akpe ɖe ame ŋu be woaɖe afɔku siawo dzi akpɔtɔ. Le blibo me la, afɔkpodzi ƒe gbugbɔgatu intramedullary nail ɖe emetsonu siwo ŋugbe wodo la fia le ƒu ƒe gbagbã ƒe dɔyɔyɔ kple dɔnɔwo ƒe emetsonuwo gome, si wɔe be wònye tiatia si wodi wu na ƒumeŋutinunyala kple dɔnɔ geɖe.
Eŋutinunyala Tibial Intramedullary Nail: Ƒumeŋuɖui ƒe Amekokowo Dzi Ðeɖe Akpɔtɔ .
Multi-lock humeral intramedullary nail: ŋgɔyiyiwo le abɔta ƒe gbagbã atikewɔwɔ me .
Titanium Elastic Nail: Egbɔkpɔnu yeye aɖe si woatsɔ awɔ fracture fixation .
Femoral Intramedullary Nail: Afɔkpodzi ƒe gbagbã ƒe atike si ŋugbe wodo .
Reversed femoral intramedullary nail: mɔnu si ŋugbe wodo na afɔkpodzi ƒe gbagbã .
Nusiwo wowɔ .