Views: 23 Author: Nyatakakadzraɖoƒe ƒe Nuŋlɔla Ta Ɣeyiɣi: 2023-06-16 Dzɔtsoƒe: Teƒe
Abɔta ƒe gbagbã ate ŋu anye abi siwo gblẽa nu le ame ŋu si gblẽa nu le ame ƒe ʋuʋu kple agbenɔnɔ ƒe nyonyome ŋu. Dzɔgbenyuietɔe la, ŋgɔyiyi siwo wowɔ le ƒumeŋutinunya me na woto atikewɔwɔmɔnu yeyewo vɛ, abe humeral intramedullary nail si wotsɔa ʋuƒo geɖe ƒoa nui ene. Le nyati sia me la, míadzro nusiwo le humeral intramedullary nail si wotsɔa ʋuƒo geɖe ƒoa nui la ƒe nɔnɔmewo, viɖewo, kple wo zazã me, eye míahe susu ayi akpa si wòwɔna le abɔta ƒe gbagbã ƒe atikewɔwɔ dzi ɖeɖe kpɔtɔ me.
Abɔta ƒe gbagbã gɔmesese .
Intramedullary ƒe ƒoƒo ƒe ŋgɔdonya .
Multi-lock humeral intramedullary nail: an overview .
Viɖe siwo le multi-lock humeral intramedullary nailing .
Amekoko ƒe dɔdamɔnu kple mɔnu si wozãna tsɔ dea lãme na ame .
Gbugbɔgaɖɔɖo kple hayahaya .
Nudzɔdzɔ siwo sɔ na multi-lock humeral intramedullary nail .
Tsɔe sɔ kple atikewɔmɔnu bubuwo .
Kuxiwo kple afɔku siwo le eme .
Ŋgɔyiyi le multi-lock humeral intramedullary nailing .
mɔfiame siwo ava va le etsɔme kple nu yeyewo wɔwɔ .
Dzidzedzekpɔkpɔ ŋutinyawo kple dzigbɔɖi ƒe ɖaseɖiɖiwo .
Nyanuwuwuw
Abɔta ƒe gbagbã ate ŋu adzɔ le nu vovovowo, abe nuveviwɔame, anyidzedze, alo nuveviwɔame siwo do ƒome kple kamedefefewo ene ta. Woate ŋu alɔ abɔta ƒe akpa vovovowo ɖe eme, siwo dometɔ aɖewoe nye akɔta ƒe akɔta (abɔtaƒu si le etame), abɔta (abɔta ƒe asike), alo abɔta (kɔla ƒe asike). Abɔta ƒe gbagbã ate ŋu ana ame nase veve vevie, eƒe ʋuʋu le sue, eye ƒunukpeƒea nagali ke o.
Intramedullary nailing nye amekokomɔnu si wozãna zi geɖe tsɔ daa ƒu ƒe gbagbã didiwo. Ebia be woade ga atikplɔ aɖe, si woyɔna be lãkusi me, ɖe ƒu ƒe medullary canal me. Ail la naa ƒu si gbã la nɔa te eye wòdoa alɔe, si wɔnɛ be dɔyɔyɔa nɔa bɔbɔe.
Multi-lock humeral intramedullary nail nye nusi wotsɔ dea lãkusi me etɔxɛe si wowɔ koŋ hena abɔta ƒe gbagbã siwo me humerus la le dada me. Enaa ʋuʋu ƒe tiatia geɖe, si wɔnɛ be woate ŋu ali ke nyuie wu eye woaɖɔ li ɖo. Zi geɖe la, wotsɔa titanium alo gakpo si mexɔ dzo o wɔa lãgbalẽa, si naa ŋusẽ kple nu gbagbewo ƒe dɔwɔwɔ nɔa anyi.
Enhanced stability : Multi-lock humeral intramedullary nail naa liƒo nyuitɔ kekeake na humerus si mã, si doa ʋuʋu kaba ɖe ŋgɔ eye wòɖea afɔku si le nonunion me dzi kpɔtɔna.
Improved fixation : Tiatia siwo wowɔna le teƒe geɖe la wɔnɛ be woate ŋu awɔ fixation si wowɔ ɖe ɖoɖo nu, si ana woakpɔ egbɔ be wowɔ ɖeka pɛpɛpɛ eye woxe mɔ ɖe implant migration nu.
Nusi gblẽa nu le ame ŋu le mɔ sue aɖe nu : Amekokomɔnu si wozãna tsɔ dea ɖa si wotsɔ ƒoa nu geɖe lae la lɔ lãkusi suewo ɖe eme, si wɔnɛ be lãkusi falɛfalɛwo ƒe gbegblẽ dzi ɖena kpɔtɔna eye wòhayana kabakaba.
Ʋu ƒe sisi takpɔkpɔ : Aɖaŋu si wotsɔ wɔa ɖa la ɖea mɔ be woakpɔ ʋu si le ƒu si gbã la ta nyuie wu, si wɔnɛ be dɔyɔyɔa nɔa bɔbɔe.
Amekoko si wowɔna tsɔ dea humeral intramedullary nail si ƒe akɔta le vovovo la me la lɔ afɔɖeɖe geɖe ɖe eme. Esi amekolaa ɖe nu suesuesuewo vɔ la, etsɔa lãgbalẽa dea akɔta ƒe lãkusi me, eye wòtsɔa wo sɔna kple ƒu kakɛ siwo gbã la. Emegbe wotsɔa gavi siwo wotsɔna ƒoa gae la blaa ɖa la, si wɔnɛ be wòli ke eye wòléa nu ɖe te.
Le amekokoa megbe la, ɖoɖo si me woawɔ nuwo ɖɔɖɔɖo le bliboe le vevie hafi woate ŋu ahaya nyuie wu. Lãmesẽfefewɔwɔ wɔa akpa vevi aɖe le abɔta ƒe ƒunukpeƒe ƒe ʋuʋu, ŋusẽ, kple dɔwɔwɔ ƒe didime gbugbɔgaɖoanyi me. Multi-lock humeral intramedullary nail la ɖea mɔ na ʋuʋu kaba kple kpekpeme tsɔtsɔ, si wɔnɛ be wogbugbɔa wo ɖona ɖe ɖoɖo nu.
Multi-lock humeral intramedullary nail sɔ na abɔta ƒe gbagbã vovovowo, siwo dometɔ aɖewoe nye:
Akɔta ƒe gbagbã siwo te ɖe eŋu .
Humeral shaft ƒe gbagbãƒewo .
Fractures siwo sesẽ eye wowɔ wo ɖekae .
Ƒumeŋuɖui ƒe ƒu ƒe gbagbã .
Ne wotsɔe sɔ kple atikewɔwɔ ƒe mɔnu bubuwo abe gotagome fixation alo plate fixation ene la, multi-lock humeral intramedullary nailing naa viɖe geɖe. Enaa liƒo si nyo wu, fixation si nyo wu, kple mɔnu si me womezãa nu boo aɖeke le o. Ail la hã ɖea mɔ be woaƒoe kaba eye wòɖea kuxi siwo do ƒome kple atikewɔwɔmɔnu bubuwo ƒe afɔkua dzi kpɔtɔna.
Togbɔ be wobua humeral intramedullary nail si ƒe ʋuƒo geɖe le la be enye atikewɔwɔ ƒe mɔnu si le dedie eye wòwɔa dɔ nyuie hã la, kuxi siwo ate ŋu ado ƒome kple dɔdamɔnua li. Esiawo ate ŋu anye dɔlékuiwo xɔxɔ, nusiwo wodo ɖe lãme na ame ƒe dɔmawɔmawɔ nyuie, ame siwo mewɔa dɔ o, woƒe dɔwɔwɔ nyuie, kple lãmekawo alo ʋukawo ƒe gbegblẽ. Gake to amekokomɔnu nyui kple beléle na ame megbe la, woate ŋu aɖe kuxi siawo dzi akpɔtɔ.
Ŋgɔyiyi le ƒumeŋutinunya me yi edzi le nu yeyewo dodo ɖe ŋgɔ le multi-lock humeral intramedullary nailing me. Numekuku siwo yia edzi la ku ɖe ɖa ƒe wɔwɔme ƒe nyonyome, mɔ̃ siwo wotsɔna xea mɔ ɖe nu nu dodo ɖe ŋgɔ, kple dɔnɔwo ƒe emetsonu bliboa ƒe nyonyo ŋu. Ŋgɔyiyi siawo ƒe taɖodzinue nye be woagadzi amekoko ƒe dzidzedzekpɔkpɔ kple dɔnɔwo ƒe dzidzeme ɖe edzi.
Etsɔme si nye multi-lock humeral intramedullary nailing do ŋugbe na ŋgɔyiyi bubuwo. Numekulawo le nusiwo gblẽa nu le nugbagbewo ŋu, nɔnɔmetatawo ɖeɖe ƒe mɔ̃ɖaŋununya deŋgɔwo, kple dɔnɔ siwo wotsɔ dea lãme na ame ƒe nɔnɔmewo ƒe ƒoƒo ƒu ɖekae me dzrom to 3D tata zazã me. Ŋutete le nu yeye siawo ŋu be woatrɔ asi le abɔta ƒe gbagbã ŋu.
Zi geɖe la, dɔnɔ siwo wowɔ humeral intramedullary nailing geɖe la gblɔa nu nyuiwo eye woƒe agbenɔnɔ nyo ɖe edzi. Woƒe dzidzedzekpɔkpɔ ŋutinyawo kple ɖaseɖiɖiwo te gbe ɖe viɖe siwo le dɔdamɔnua ŋu, abe vevesese dzi ɖeɖe kpɔtɔ, abɔta ƒe dɔwɔwɔ nyuie wu, kple tɔtrɔ yi gbesiagbedɔwo me kabakaba wu dzi.
Multi-lock humeral intramedullary nail la tsi tre ɖi na ŋgɔyiyi ɖedzesi aɖe le abɔta ƒe gbagbãwo dada me. Esi wònye be woate ŋu axe mɔ ɖe wo nu zi geɖe, woƒe liƒo si dzi ɖe edzi, kple mɔnu si me womezãa nu boo aɖeke le o ta la, mɔnu yeye sia naa dɔwɔnu vevi aɖe ƒumeŋutinunyala siwo wɔa ƒumedɔdalawo hena emetsonu dzidzedzetɔewo gbɔ ɖoɖo kple dɔwɔwɔ gbugbɔgaɖoanyi le dɔnɔ siwo ƒe abɔta gbã la me.
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 .