The Humeral Nail: Amekoko ƒe Atikewɔwɔ na Proximal Humerus Fractures ƒe Kpɔɖeŋu
Kpɔkplɔyiɖeme
Akɔta ƒe gbagbã si te ɖe ame ŋu bɔ ɖe ame tsitsiwo dome eye ate ŋu ana woaxɔ dɔléle kple ku geɖe. Zi geɖe la, amekoko ƒe dɔdzikpɔkpɔ hiãna na ƒu gbagbã siwo woɖe ɖa alo esiwo meli ke o, eye akɔta ƒe ɖa nye atike si wozãna le afisiafi. Nyati sia gblɔ akɔta ƒe ɖa ƒe dɔwɔwɔ ŋuti nyatakaka kpui aɖe, si me dzesiwo, mɔnuwo, kple emetsonuwo hã le.
Proximal Humerus ƒe ŋutilã ƒe wɔwɔme
Aɖuɖɔtoe si te ɖe eŋu la nye akɔta ƒe ta, tuberosities gãwo kple suewo, kple asike. Humeral ta la wɔa dɔ kple glenoid fossa of the scapula tsɔ wɔa glenohumeral joint, si wɔnɛ be abɔta te ŋu ʋãna. Tuberosities siwo lolo wu kple esiwo le sue wu la naa rotator cuff lãmeka siwo le vevie na abɔta ƒe liƒo la léna ɖe wo nɔewo ŋu.
Humerus ƒe Gbagbãƒe Siwo Te Ðe Eŋu
Zi geɖe la, wodaa akɔta ƒe gbagbã siwo te ɖe wo nɔewo ŋu ɖe hatsotsowo me le teƒe si woʋu le kple alesi gbegbe woʋuʋui nu. Zi geɖe la, woate ŋu akpɔ gbagbã siwo womeɖe le teƒe bubu o gbɔ le mɔ si me womeɖea asi le nu ŋu le o to aŋetu ƒe ʋuʋu kple ʋuʋudedi ƒe kamedede kaba me. Gake abɔta ƒe gbagbã siwo woɖe ɖa ate ŋu abia be woawɔ dɔ na wo be abɔta nagawɔ dɔ nyuie eye woaxe mɔ ɖe kuxiwo abe ʋukawo ƒe ʋuʋu kple non-union ene nu.
Amekoko ƒe Tiatia Siwo Woate Ŋu Awɔ na Proximal Humerus Fractures
Amekoko ƒe tiatia geɖe li hena akɔta ƒe gbagbã siwo le proximal humerus ƒe gbagbãwo gbɔ kpɔkpɔ, siwo dometɔ aɖewoe nye open reduction and internal fixation (ORIF), hemiarthroplasty, kple reverse shoulder arthroplasty. Amekokomɔnu tiatia nɔ te ɖe nu vovovowo dzi, siwo dometɔ aɖewoe nye ƒe si dɔnɔa xɔ, afisi wògbãe le, alesi gbegbe wòʋuʋui, kple dɔléle siwo kpe ɖe eŋu.
Humeral Nail Amekoko
Humeral nail surgery bia be woatsɔ ɖa didi aɖe si le medullary me to proximal humerus me be wòana ƒu gbagbãa nali ke. Wotsɔa ɖaa toa lãɖeɖe sue aɖe si te ɖe abɔta ƒe ƒunukpeƒea ŋu me eye wozãa mɔfiame si wotsɔ fluoroscopic fiaa mɔe yia medullary canal la me. Ne ɖaa nya ɖo teƒea ko la, wotsɔa gaviwo toa ɖaa me hedea akɔta ƒe ta me be wòalé gbagbãƒea ɖe te.
Dzesi siwo fia be woawɔ Humeral Nail Surgery
Wofia be woawɔ dɔ na akɔta ƒe ɖa le akɔta ƒe gbagbã siwo le teƒe bubu alo esiwo meli ke o siwo womate ŋu akpɔ nyuie o. Esia lɔ gbagbãƒe siwo ƒe ʋuʋu wu sentimeta 1 alo gbagbãƒe siwo ƒe dzogoe si wogbã wu dzidzenu 45 ɖe eme. Woate ŋu afia hã be woawɔ dɔ na wo le akɔta na dɔnɔ siwo mete ŋu doa dzi le amekoko siwo me wowɔa nuvevi ame geɖe wu, abe ƒunukpeƒe ƒe akpa aɖe alo abɔta ƒe megbeƒu ƒe ɖɔɖɔɖo ene o.
Mɔnuwo na Humeral Nail Dɔwɔwɔ
Woate ŋu azã antegrade alo retrograde mɔnu atsɔ awɔ akɔta ƒe ɖa ƒe amekoko. Mɔnu si wozãna tsɔ doa ɖa la bia be woatsɔ ɖaa ade akɔta ƒe nuwuwu si te ɖe eŋu, gake mɔnu si wozãna le megbe la bia be woatsɔ ɖaa ade akɔta ƒe nuwuwu si le didiƒe. Mɔnu si woatia nɔ te ɖe afisi woagbãe le kple amekola ƒe didi dzi.
Nusiwo Do tso Humeral Nail Surgery me
Wokpɔe be akɔta ƒe amekoko nye atike nyui aɖe na akɔta ƒe gbagbã siwo te ɖe eŋu, eye ƒu ƒe gbagbã ƒe ƒoƒo ɖekae ƒe agbɔsɔsɔme sɔ gbɔ eye dɔwɔwɔ me tsonu nyuiwo dona tso eme. Gake kuxiwo abe screw cutout, non-union, kple infection ate ŋu ado mo ɖa. Dɔnɔwo tiatia nyuie kple amekokomɔnu le vevie be woaɖe kuxi siawo dzi akpɔtɔ.
Nyanuwuwuw
Akɔta ƒe gbagbã si te ɖe dɔnɔwo ŋu ate ŋu akpɔ ŋusẽ gã aɖe ɖe dɔnɔwo ƒe dɔléle kple ku dzi, vevietɔ le ame tsitsiwo dome. Humeral nail surgery nye atikewɔwɔmɔnu si wozãna le afisiafi si ate ŋu ana abɔta nagawɔ dɔ nyuie eye wòaxe mɔ ɖe kuxiwo nu. Dɔnɔwo tiatia nyuie kple amekokomɔnu le vevie be woakpɔ emetsonuwo nyuie wu eye woaɖe kuxiwo dzi akpɔtɔ.
Nya siwo wobiaa nya tso ame ŋu
Ɣeyiɣi didi kae wòxɔna hafi ame nahaya tso humeral nail dɔwɔwɔ na ame me? Ɣeyiɣi si dɔnɔa ahaya la toa vovo le ƒe si dɔnɔa xɔ kple eƒe lãmesẽ bliboa nu, kpakple alesi gbegbe wògbãe nu. Zi geɖe la, dɔnɔwo ate ŋu akpɔ mɔ be yewoado aŋe kwasiɖa geɖe le amekokoa megbe eye ate ŋu ahiã be woawɔ kamedede ɣleti geɖe hafi abɔta nagawɔ dɔ bliboe.
Ðe afɔku aɖewo le akɔta ƒe ɖa ƒe dɔwɔwɔ na ame mea? Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔkuwo le akɔta ƒe ɖa ƒe dɔwɔwɔ me. Esiawo ate ŋu anye dɔlékuiwo xɔxɔ, lãmekawo ƒe abixɔxɔ, kple ʋukawo ƒe gbegblẽ. Tsɔ kpe ɖe eŋu la, afɔku li be kuxiwo abe gavi ƒe ɖeɖe, gavi mawɔmawɔ, kple nusi wotsɔ de eme ƒe kpododonu ene ate ŋu ado mo ɖa.
Aleke wokpɔa dɔnɔ tiatia na humeral nail dɔwɔwɔe? Wonɔa te ɖe nu geɖe dzi ɖoa dɔnɔ tiatia na humeral nail dɔwɔwɔ, siwo dometɔ aɖewoe nye dɔnɔa ƒe ƒexɔxɔ kple eƒe lãmesẽ bliboa, alesi wògbãe ƒe sesẽme kple afisi wòle, kple dɔléle bubu ɖesiaɖe si ate ŋu akpɔ ŋusẽ ɖe amekokoa me tsonu dzi ƒe anyinɔnɔ.
Ðe woate ŋu azã akɔta ƒe ɖa ƒe dɔwɔwɔ na akɔta ƒe gbagbã siwo katã le proximal mea? Ao, zi geɖe la, wowɔa dɔ na akɔta na ɖa ƒe gbagbã siwo woɖe tso teƒe bubu alo esiwo meli ke o siwo womate ŋu akpɔ le mɔ si me womekpɔa nu nyuie le o nu o. Woate ŋu atsɔ afɔɖeɖe siwo me woɖea asi le nu ŋu le abe sling immobilization kple range of motion exercises ene akpɔ gbagbãƒe siwo me ʋuʋu boo aɖeke mele o alo esiwo melɔ humeral ta ɖe eme o gbɔ.
Ɣeyiɣi didi kae humeral nail la nɔa teƒea zi geɖe? Zi geɖe la, wogblẽa akɔta ƒe ɖaa ɖe teƒea ɣleti geɖe be wòate ŋu ada gbe le eƒe gbagbã ŋu. Ɣeyiɣi didi si ɖaa anɔ teƒea ate ŋu ato vovo le alesi ɖaa ƒe gbagbã sesẽe kple dɔnɔa ƒe dɔyɔyɔ ɖekaɖeka nu.
