Humerus Intramedullary Nail: Egbɔkpɔnu Nyui aɖe si Woatsɔ Ada Humeral Fractures

Humerus, si nye ƒu si le abɔta ƒe gbagbã ate ŋu akpɔ ŋusẽ ɖe ame ƒe gbesiagbedɔwo kple agbenɔnɔ dzi vevie. Atikewɔwɔ na ƒunukpeƒetetedɔ siawo bia be woabu nu vovovowo ŋu nyuie, siwo dometɔ aɖewoe nye gbagbãƒea ƒe ƒomevi, teƒe si wòle, kple dɔnɔa ƒe nɔnɔmewo. Amekoko ƒe mɔnu ɖeka si va xɔ ŋkɔ le ƒe ʋɛ siwo va yi me enye humerus intramedullary nail zazã. Nyati sia ku viɖe siwo le atikewɔwɔmɔnu sia ŋu, amekokomɔnu, afɔkuwo, kple gbugbɔgaɖɔɖo si do ƒome kplii me.

Kpɔkplɔyiɖeme

Ne akɔta ƒe akpa aɖe gbã la, ate ŋu ana ame nase veve vevie, wòate ŋu azɔ mɔ nyuie o, eye wòagawɔ dɔ nyuie o. Seɖoƒe li na atikewɔmɔnu siwo wozãna tsã, abe alesi wotsɔa lãgbalẽa ƒua gbe alo wotsɔa nu ƒoa nui ene, eye egbɔkpɔnu siwo wɔa dɔ wu didi na wova to ɖa si woyɔna be humerus intramedullary nail vɛ.

Nukae nye Humerus Intramed ullary Nail?

Humerus intramedullary nail nye atikewɔmɔ̃ si wowɔ be wòana akɔtaƒu ƒe gbagbãƒewo nali ke ahada wo ɖe ŋgɔ. Gati legbe aɖe si wotsɔ dea ƒua ƒe titina si me do le lae, si naa wòli ke eye wòlénɛ ɖe te le dɔyɔyɔa me. Zi geɖe la, wotsɔa titanium alo gakpo si mexɔ dzo o wɔa ɖaa eye eƒe lolome le vovovo be wòate ŋu asɔ na dɔnɔwo ƒe ŋutilã ƒe wɔwɔme vovovowo.

Nusiwo Fia Humerus Intramedullary Nail

Wozãa humerus intramedullary nails zi geɖe tsɔ daa akɔta ƒe titina kple proximal humeral fractures. Wowɔa dɔ nyuie ŋutɔ na gbagbãƒe siwo hiã be woalé wo ɖe te sesĩe, abe gbagbãƒe siwo wogbã alo gbagbã siwo do ƒome kple ʋuʋu vevie ene. Tsɔ kpe ɖe eŋu la, mɔnu sia sɔ na dɔnɔ siwo ƒe ƒu ƒe nyonyome mede ame dzi o alo ne wodi be yewoanye nɔnɔme si me kpekpeme mele o.

Amekokomɔnu na Humerus Intramedullary Nail

Ðoɖowɔwɔ Do Ŋgɔ Na Amekoko

Hafi woawɔ dɔa la, ɖoɖowɔwɔ nyuie do ŋgɔ na amekokoa le vevie ŋutɔ. Esia lɔ alesi wògbãe, dɔnɔa ƒe lãmesẽ bliboa, kple abi ɖesiaɖe si do ƒome kplii me dzodzro tsitotsito ɖe eme. Woate ŋu azã X-ray, CT scan, alo MRI atsɔ ase aŋea ƒe nɔnɔmewo gɔme nyuie eye woawɔ ɖoɖo ɖe amekokomɔnua ŋu wòasɔ ɖe enu.

Dɔnɔwo ƒe Ðoƒe

Le amekokoa wɔɣi la, zi geɖe la, wotsɔa dɔnɔa nɔa ƒutazikpui alo axadzizikpui dzi. Tiatia nɔ te ɖe amekolaa ƒe didi kple afisi wògbãe dzi. Ne woɖoe ɖe teƒe nyuitɔ la, enaa woate ŋu age ɖe teƒe si gbã la nyuie wu eye wònana be woate ŋu ade ɖaa me bɔbɔe.

Lãɖeɖe kple Mɔɖeɖe

Woɖea ƒu ɖe amekokoa dzi be woate ŋu age ɖe ƒu si gbã la me. Afisi wotsoe ƒe didime kple afisi wòle la nɔ te ɖe alesi wògbãe kple afisi wòle le akɔtaƒua ŋu dzi. Lãmetsi falɛfalɛwo ŋudɔwɔwɔ nyuie le vevie be woaɖe nuveviwɔame dzi akpɔtɔ eye woaɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ.

Nail Dede Ame Ŋu

Ne amekolaa wɔ mɔnu aɖe si dzi woato age ɖe eme vɔ la, etsɔa aɖuɖɔtoe ƒe ɖa si le lãkusia me la dea akɔta ƒe mɔ̃a me. Wozãa fluoroscopic mɔfiame tsɔ kpɔa egbɔ be woɖoe ɖe teƒe si sɔ pɛpɛpɛ eye woɖoe ɖe ɖoɖo nu. Wodoa ɖaa ɖe ŋgɔ to ƒua me, egbugbɔa kakɛ ɖesiaɖe si woɖe ɖa la ɖoa teƒe bubu, eye wònaa ŋutilã ƒe wɔwɔme si sɔ la gaɖoa wo ŋu

Locking Screws ƒe Ðoɖowɔwɔ

Ne wonya ɖo ɖaa ɖe teƒe nyuitɔ ko la, wotsɔa gavi siwo xea mɔ na ɖaa dea eme be wòalé ɖaa ɖe ƒua me. Kplu siawo naa li ke ɖe edzi eye woxea mɔ na kakɛ siwo me wogbã la ƒe tɔtrɔ alo axadziʋuʋu. Gaviawo ƒe xexlẽme kple wo ɖoɖo nɔ te ɖe alesi wogbãe kple alesi amekolaa lɔ̃e dzi.

Abi ƒe Nutsotso

Ne wotsɔ ɖaa kple gaviawo ɖo teƒea nyuie vɔ la, wozãa aŋenu alo aŋenu siwo wotsɔ blaa lãgbalẽae. Abi tutu nyuie le vevie be wòado dɔyɔyɔ ɖe ŋgɔ eye wòaɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ. Emegbe woblaa afisi amekokoa le, eye wotsɔa aŋe alo aŋe si me dɔlékui mele o dea eŋu.

Viɖe siwo le Humerus Intramedullary Nail ŋu

Viɖe geɖe le humerus intramedullary nail zazã ŋu wu atikewɔwɔmɔnu xoxowo. Viɖe vevi aɖewoe nye:

1. Liƒo kple alesi wòsɔ ɖe wo nɔewo nu: Naa ɖaa nɔa te sesĩe, si wɔnɛ be woate ŋu ana lãgbalẽa ƒe kakɛwo nasɔ ɖe ɖoɖo nu nyuie, si doa dɔyɔyɔ nyuitɔ kekeake ɖe ŋgɔ.

2. Lãmetsi falɛfalɛwo ƒe tɔtɔ suetɔ kekeake: Ne wotsɔe sɔ kple aɖaŋu siwo wozãna tsɔ ƒoa ɖae la, ɖaƒoƒo ɖe lãkusi me lɔa lãɖeɖe suewo ɖe eme eye lãmeka falɛfalɛwo megblẽna boo o, si wɔnɛ be kuxiwo ƒe afɔkua dzi ɖena kpɔtɔna.

3. Ʋuʋu kaba: Klosaloa naa li ke ale gbegbe be wòate ŋu aʋuʋu kaba ahagbugbɔ aɖɔe ɖo, si wɔnɛ be wòhayana kabakaba eye wògawɔa dɔ nyuie wu.

4. Dɔlékuiwo xɔxɔ ƒe afɔkua dzi ɖena kpɔtɔna: Mɔnu si wotu si nye intramedullary nailing ɖea amekoko teƒe ƒe dɔlékuiwo xɔxɔ ƒe afɔkua dzi kpɔtɔna ne wotsɔe sɔ kple mɔnu siwo wozãna tsɔ ɖea wo dzi kpɔtɔna le gaglãgbe kple esiwo wozãna tsɔ léa nu ɖe ​​lãme na ame le ememe.

Kuxiwo Kple Afɔku Siwo Le Wo Me

Togbɔ be zi geɖe la, amekoko le aɖuɖɔtoe me le dedie eye wòwɔa dɔ nyuie hã la, kuxi kple afɔku siwo ate ŋu ado tso dɔa wɔwɔ me. Ele vevie be nànya nu tso nusiwo ate ŋu adzɔ siawo ŋu hafi awɔ atike na wò. Kuxiawo dometɔ aɖewoe nye:

Dɔdzedze

Amekoko ɖesiaɖe hea dɔlékuiwo xɔxɔ ƒe afɔku vɛ. Togbɔ be dɔlékuiwo xɔxɔ ƒe agbɔsɔsɔme medea ame dzi boo o ne wotsɔ aŋetu ƒo ɖe akɔta hã la, dɔlékuiwutikewo zazã nyuie ƒe mɔnuwo kple beléle na ame le dɔwɔwɔ vɔ megbe le vevie ŋutɔ be woaɖe afɔku sia dzi akpɔtɔ. Ne dɔlélea dze ame dzi la, ate ŋu ahiã be woazã dɔlékuiwutike si sɔ eye ɖewohĩ woawɔ dɔ nɛ.

Malunion alo Nonunion

Le go aɖewo me la, ate ŋu adzɔ be ƒu gbagbãwo mahaya nyuie o, si wɔnɛ be womewɔa ɖeka nyuie o (womewɔa ɖeka nyuie o) alo womewɔa ɖeka o (womada gbe le wo ŋu o). Nuwo abe ƒu ƒe nyonyome madeamedzi, ƒu ƒe ʋuʋu nyuie o, alo ʋuʋu fũ akpa ate ŋu ahe kuxi siawo vɛ. Lé ŋku ɖe nu ŋu nyuie, sasrãkpɔ siwo wowɔna edziedzi, kple nudede nyawo me ɖe game dzi ate ŋu akpe ɖe ame ŋu woakpɔ nya siawo gbɔ ne wodo mo ɖa.

Nusiwo Wotsɔ Dea Ame Me ƒe Dodokpɔ

Ƒã hafi nusi wotsɔ dea lãme na ame si wozãna tsɔ ƒoa ɖa le lãkusi me ate ŋu ado kpo nu. Esia ate ŋu adzɔ le nusi wotsɔ de lãme na ame ƒe gbagbã, eƒe ʋuʋu, alo ʋuʋu ta. Tiatia nyuie le atike si woatsɔ ade ame me, amekokomɔnu, kple beléle na ame le dɔwɔwɔ vɔ megbe ate ŋu aɖe afɔku si le atike si wotsɔ de ame me ƒe kpododonu me dzi akpɔtɔ.

Lãmetsiŋusẽ ƒe Nuveviwɔame

Le amekoko me la, afɔku sue aɖe li be lãmekawo naxɔ abi, si ate ŋu ana ame ƒe seselelãme alo lãmekawo nagbɔdzɔ. Amekolawo wɔa afɔɖeɖewo be woaƒo asa na lãmekawo ƒe gbegblẽ, abe lãmekawo ɖeɖeɖa nyuie kple ŋutilã ƒe wɔwɔme ŋuti sidzedze nyuie ene. Ele be woagblɔ dzesi ɖesiaɖe si do ƒome kple lãmekawo na atikewɔlawo ƒe ƒuƒoƒoa enumake be woada wo kpɔ ahakpɔ wo gbɔ.

Gbugbɔgaɖɔɖo kple Gbɔdzɔe

Le humerus intramedullary nail dɔwɔwɔ vɔ megbe la, nuwo gbugbɔgaɖɔɖo ƒe ɖoɖo blibo aɖe le vevie be wòahaya nyuie wu. Gbugbɔgaɖɔɖo ƒe ɖoɖo tɔxɛa ate ŋu ato vovo le alesi wògbãe ƒe sesẽme kple dɔnɔa ƒe nɔnɔmewo nu. Wotoa lãmekawo ƒe ʋuʋu kaba, kamedede fafɛ siwo wowɔna le didiƒe ʋĩi, kple kamedede siwo doa ŋusẽ ame vɛ vivivi be woagawɔ dɔ ake eye woana lãmekawo ƒe ŋusẽ nanyo ɖe edzi. Lãmesẽfefewɔɣi siwo ŋu atikewɔla bibi aɖe fiaa mɔe la wɔa akpa vevi aɖe le hayahaya ƒe ɖoɖoa me.

Nudzɔdzɔwo Ŋuti Numekuku Kple Dzidzedzekpɔkpɔ Ŋutinyawo

Dɔnɔ geɖe kpɔ nu nyuiwo tso humerus intramedullary nail dɔwɔwɔ me. Nudzɔdzɔ aɖe ŋuti numekuku ku ɖe ame aɖe si xɔ ƒe 45 si ƒe akɔta ƒe asike gbã si woɖe ɖa ŋu. Esi wowɔ dɔ na dɔnɔa kple ɖa si le lãkusi me vɔ la, ekpɔ eƒe gbagbã ƒe ɖoɖo nyuitɔ kekeake, egagate ŋu ʋãna bliboe, eye wògatrɔ yi woƒe dɔwɔwɔ ƒe seƒe si wowɔ do ŋgɔ na abixɔxɔ le ɣleti ade me.

Tsɔtsɔ Sɔ Kple Atikewɔwɔ ƒe Tiatia Bubuwo

Ne èle atikewɔmɔnu siwo woate ŋu azã na akɔta ƒe gbagbã ŋu bum la, ele vevie be nàtsɔ viɖe kple seɖoƒe siwo le mɔnu ɖesiaɖe ŋu asɔ kple wo nɔewo. Togbɔ be viɖe geɖe le humerus intramedullary nail zazã ŋu, abe alesi wòli ke, eƒe ʋuʋu kaba, kple lãmeka falɛfalɛwo ƒe tɔtɔ sue aɖe ene hã la, ɖewohĩ masɔ na lãmeka siwo gbã alo dɔnɔ ɖesiaɖe o. Woate ŋu alɔ̃ mɔnu bubuwo abe plating alo gotagome fixation ene le go aɖewo me. Ne èbia ƒumeŋutinunyala bibi la, akpe ɖe ŋuwò nànya atikewɔwɔmɔnu si sɔ wu le ame ɖekaɖekawo ƒe nɔnɔmewo nu.

Nyanuwuwuw

Le nyataƒoƒo me la, akɔta ƒe ɖa si le lãkusi me zazã va do be enye atike nyui si ŋu kakaɖedzi le na akɔta ƒe gbagbã. Amekokomɔnu sia naa ame ƒe lãme nɔa te sesĩe, edoa ʋuʋu kaba ɖe ŋgɔ, eye wònaa viɖe geɖe wu mɔnu xoxowo. Togbɔ be afɔku kple kuxi siwo ate ŋu ado tso dɔa wɔwɔ me hã la, ɖoɖowɔwɔ nyuie ɖe amekoko ŋu, aɖaŋu si woawɔ nyuie, kple beléle na ame le dɔwɔwɔ vɔ megbe ate ŋu akpe ɖe ame ŋu be woaɖe dzimaɖitsitsi siawo dzi akpɔtɔ. Ne woɖɔ dɔnɔwo ɖo nyuie eye wolé ŋku ɖe wo ŋu nyuie la, woate ŋu ahaya dzidzedzetɔe eye woƒe dɔwɔwɔ ƒe ŋutetewo nagasu wo si.