PFNA Intramedullary Nail: Mɔfiame si me kɔ
Le ƒuŋutinunya me la, akɔta ƒe gbagbãwo dada gakpɔtɔ nye dɔ sesẽ aɖe. Togbɔ be woto amekokomɔnu vovovowo vɛ le ɣeyiɣi aɖe megbe hã la, ɖaƒoƒo ɖe lãkusi me va zu nusi ame geɖe lɔ̃a zazã. Proximal Femoral Nail Antirotation (PFNA) nye ɖa ƒomevi aɖe si le lãkusi me si ŋu amewo ƒe susu va le vevie le alesi wòwɔa dɔ nyuie le akɔta ƒe gbagbã dada me ta. Le nyati sia me la, míana mɔfiame blibo aɖe tso PFNA intramedullary nail ŋu, si aƒo nu tso nusianu ŋu tso eƒe wɔwɔme dzi va ɖo amekokoa dzi, beléle na ame le dɔwɔwɔ vɔ megbe, kple kuxi siwo ate ŋu ado mo ɖa dzi.
1. Ŋgɔdonya
Akɔta ƒe gbagbã nye nusi gbɔ dɔléle kple ku tsona zi geɖe le ame tsitsiwo dome. Esi amewo le tsitsim ta la, wole mɔ kpɔm be akɔta ƒe gbagbã ƒe xexlẽme adzi ɖe edzi le ɣeyiɣi aɖe megbe. Akɔta ƒe gbagbã dada le vevie ŋutɔ, elabena ate ŋu akpɔ ŋusẽ ɖe dɔnɔa ƒe agbenɔnɔ dzi vevie. Intramedullary nailing va zu amekokomɔnu xɔŋkɔ aɖe si wozãna tsɔ daa akɔta ƒe gbagbã le eƒe dɔwɔwɔ nyuie kple dedienɔnɔ ta. Le ɖa ƒomevi vovovo siwo le lãkusi me dome la, wova lé ŋku ɖe PFNA ɖa si le lãkusi me ŋu vevie.
2. Nukae nye PFNA Intramedullary Nail?
PFNA intramedullary nail nye intramedullary nail ƒomevi aɖe si wowɔ be wòana akɔta ƒe gbagbãwo nali ke ahalé wo ɖe te. Enye mɔ̃ si wotu ɖe teƒe si te ɖe eŋu, si le ŋgɔgbe, kple esi le tagbɔ, si wotsɔ dea afɔkpodzi ƒe mɔ si te ɖe eŋu me. PFNA- ɖaa naa teƒe si wògbã la li ke to mɔɖeɖe ɖe agba ƒe mama ŋu le ɖaa kple ƒua dome me. Eɖea afɔku si le nusi wotsɔ dea lãme na ame ƒe kpododonu kple eƒe ʋuʋu hã dzi kpɔtɔna to nana be wòana wòali ke si tsi tre ɖe tɔtrɔ ŋu me.
3. PFNA ƒe Aɖaŋuwɔwɔ kple Eƒe Nɔnɔmewo
PFNA intramedullary nail nye titanium alo titanium alloy, si nye biocompatible eye wònaa ŋusẽ nyui kple nusi nɔa anyi didina. helical blade le ɖaa ŋu le eƒe nuwuwu si te ɖe eŋu, si wowɔ be wòawɔ ɖeka kple afɔkpodzi ƒe ta eye wòana wòate ŋu atrɔ. Mɔ̃ aɖe hã le akplɔa ŋu si tsia tre ɖe ɖaa ƒe tɔtrɔ ŋu, si xea mɔ na ɖaa ƒe tɔtrɔ le afɔkpodzia me. Mɔ̃ aɖe le ɖaa ƒe nuwuwu si le didiƒe ʋĩ la ŋu, si wɔnɛ be woate ŋu atsɔe aɖo didiƒe eye wòali ke le axial.
4. Dzesiwo na PFNA Amekoko
Wozãa PFNA intramedullary nail koŋ tsɔ daa akɔta ƒe gbagbã siwo meli ke o le intertrochanteric kple subtrochanteric. Wozãnɛ hã tsɔ daa akɔta ƒe kɔ ƒe gbagbã aɖewo. Nyametsotso be woazã PFNA intramedullary nail surgery nɔ te ɖe nu vovovowo abe ƒe si dɔnɔa xɔ, ƒu ƒe nyonyome, ƒu ƒe gbagbã ƒomevi, kple amekola ƒe didi dzi.
5. Amekokomɔnu si wozãna le PFNA Intramedullary Nailing me
Amekokomɔnu si nye PFNA intramedullary nailing lɔ afɔɖeɖe geɖe ɖe eme. Zi geɖe la, wowɔa dɔa le atike si naa alɔ̃dɔdɔ ame katã alo atike si naa aklã me. Wotsɔa dɔnɔa dana ɖe kplɔ̃ si dzi wogbãa nu le dzi, eye wozãa fluoroscope tsɔ fiaa mɔ ɖaa dede eme.Amekokomɔnu si nye PFNA intramedullary nailing lɔ afɔɖeɖe geɖe ɖe eme. Zi geɖe la, wowɔa dɔa le atike si naa alɔ̃dɔdɔ ame katã alo atike si naa aklã me. Wotsɔa dɔnɔa dana ɖe kplɔ̃ si dzi wogbãa ɖa le dzi, eye wozãa fluoroscope tsɔ fiaa mɔ alesi woatsɔ ɖaa ade eme. Amekokomɔnu la bia be woatso nu sue aɖe ɖe akɔta si lolo wu la dzi, si wɔnɛ be woate ŋu age ɖe afɔkpodzi si te ɖe eŋu la me. Emegbe wotsɔa mɔfiaka la toa afisi wotsoe me eye wotsɔnɛ toa afɔkpodzi ƒe mɔa me le fluoroscopic ƒe mɔfiame te. Emegbe woɖea afɔkpodzi ƒe mɔ si te ɖe eŋu la ƒe lolome si sɔ, eye wotsɔa PFNA intramedullary nail la dea eme. Wotsɔa helical blade la dea afɔkpodzi ƒe ta me, eye wotsɔa gaƒoɖokui ƒe mɔ̃a dea afɔkpodzi si le didiƒe be wòana axial li ke.
6. Dɔwɔwɔ vɔ megbe Beléle le PFNA Amekoko megbe
Le PFNA ƒe ɖa si le lãkusi me ƒe dɔwɔwɔ vɔ megbe la, zi geɖe la, wotsɔa dɔnɔa nɔa aba dzi ŋkeke ʋɛ aɖewo. Wotsɔa akɔtaɖonu alo aŋe si wotsɔna ƒoa afɔti si ŋu dɔlélea le la meʋãna o kwasiɖa geɖe be wòada gbe le eŋu. Woɖo aɖaŋu na dɔnɔa be wòaƒo asa na kpekpeme tsɔtsɔ ɣleti ʋɛ aɖewo be wòate ŋu ada gbe le eŋu nyuie. Zi geɖe la, wodzea kamedede gɔme kaba be woana ƒunukpeƒewo ƒe ʋuʋu kple lãmekawo ƒe ŋusẽ nanyo ɖe edzi.
7. PFNA ƒe Kuxiwo Kple Edzikpɔkpɔ
Abe amekoko ɖesiaɖe ene la, PFNA intramedullary nailing hea afɔku aɖewo kple kuxi siwo ate ŋu ado mo ɖa. Kuxi siawo dometɔ aɖewoe nye dɔlékuiwo xɔxɔ, nusi wotsɔ dea lãme na ame ƒe dɔmawɔmawɔ nyuie, lãmekawo ƒe abixɔxɔ, ʋukawo ƒe abixɔxɔ, kple ɖekawɔwɔ manɔmee. Gake kuxi siwo katã dona tso PFNA intramedullary nailing me la le sue ŋutɔ. Zi geɖe la, kuxi siawo gbɔ kpɔkpɔ bia be woagbugbɔ amekoko alo atikewɔwɔ si me womezãa atike aɖeke le o, le alesi kuxia nu sẽe nu.
8. PFNA vs. Intramedullary Nails Bubuwo
Ne wotsɔ PFNA ƒe ɖa si le lãkusi me sɔ kple ɖa ƒomevi bubuwo la, viɖe geɖe le eŋu. Viɖe ɖedzesi siwo le PFNA ɖa ŋu dometɔ ɖekae nye eƒe mɔ̃ si tsi tre ɖe tɔtrɔ ŋu, si naa afɔkpodzi ƒe ta nɔa tɔtrɔm. Enaa agba mamã hã le ɖaa kple ƒua dome, si ɖea afɔku si le ɖaa ƒe kpododonu me dzi kpɔtɔna. PFNA- ɖaa hã dede le bɔbɔe vie eye kuxiwo ƒe afɔkua mebɔ o.
9. Viɖe siwo le PFNA Intramedullary Nailing ŋu
Viɖe geɖe le PFNA intramedullary nailing ŋu wu amekokomɔnu bubu siwo wozãna tsɔ daa akɔta ƒe gbagbã. Viɖe veviawo dometɔ ɖekae nye alesi wòwɔa dɔ nyuie le akɔta ƒe gbagbã siwo meli ke o siwo le akɔta kple akɔta ƒe gbagbã me. PFNA ƒe ɖaa hã ɖea mɔ be woate ŋu aʋuʋui kaba eye woanɔ kɔdzi ɣeyiɣi kpui aɖe ne wotsɔe sɔ kple amekokomɔnu bubuwo. Afɔku hã le eme be nusi wotsɔ dea lãme na ame ƒe dɔmawɔmawɔ nyuie hã le eme eye wònaa dɔwɔwɔ me tsonu nyuiwo.
10. PFNA Intramedullary Nailing ƒe kuxiwo
Togbɔ be viɖe geɖe le PFNA intramedullary nailing ŋu hã la, kuxi aɖewo hã le eŋu. Nusiwo gblẽ le eŋu vevie dometɔ ɖekae nye afɔku si ate ŋu ado tso kuxiwo abe nusi wotsɔ de ame me ƒe dɔmawɔmawɔ nyuie, dɔlékuiwo xɔxɔ, kple lãmekawo ƒe abixɔxɔ ene me. PFNA- ɖaa hã xɔ asi ŋutɔ ne wotsɔe sɔ kple amekokomɔnu bubuwo.
11. PFNA Intramedullary Nail ƒe Emetsonuwo Kple Dzidzedzekpɔkpɔ ƒe Agbɔsɔsɔme
Numekukuwo ɖee fia be PFNA intramedullary nailing dona nyuiwo eye wòkpɔa dzidzedze le akɔta ƒe gbagbã dada me. PFNA ƒe atitsotso ƒe dzidzedzekpɔkpɔ tso 70% va ɖo 90%, eye wogblɔa dɔwɔwɔ me tsonu nyuiwo le go geɖe me. PFNA ɖaa hã ƒe dɔwɔwɔ na wo gbugbɔgaɖɔɖo kple nusi wotsɔ de eme ƒe kpododonu ƒe agbɔsɔsɔme mede o.
12. PFNA le Ame Tsitsiwo ƒe Dɔnɔwo me
Akɔta ƒe gbagbã bɔ ɖe ame tsitsiwo dome wu, eye PFNA intramedullary nailing va do abe amekokomɔnu xɔŋkɔ aɖe si wozãna tsɔ daa akɔta ƒe gbagbã le dɔnɔ tsitsiwo ŋu. Wokpɔe be PFNA ƒe ɖaa dona nyuie le ameha sia me, eye kuxiwo mebɔ o eye kɔdzi nɔnɔ ɣeyiɣi kpui aɖe.
13. Etsɔme ƒe Ŋgɔyiyi
Wotrɔ asi le PFNA ƒe ɖa si le lãkusi me ŋu zi geɖe tso esime wotoe vɛ, kple taɖodzinu be woana eƒe dɔwɔwɔ nanyo ɖe edzi eye woaɖe eƒe afɔkuwo dzi akpɔtɔ. Tɔtrɔ siwo wowɔ dometɔ aɖewoe nye tɔtrɔ siwo wowɔ le helical blade ƒe nɔnɔme ŋu, wowɔ ŋgɔyiyi le mɔ̃ si wotsɔ xea ɖae ŋu, kple tɔtrɔ siwo wowɔ le ɖaa ƒe didime kple eƒe didime ŋu. Wole nu yeyewo abe titanium-kpewo kple nusiwo gblẽna le nugbagbewo me ene hã toto vɛ ŋu be woatsɔ ana PFNA-ŋɔti ƒe dɔwɔwɔ nanyo ɖe edzi.
14. Nyataƒoƒo
Kpuie ko la, PFNA intramedullary nail nye amekokomɔnu xɔŋkɔ aɖe si wozãna tsɔ daa akɔta ƒe gbagbã, vevietɔ le ame tsitsiwo gome. PFNA ƒe ɖaa naa nu nyuiwo dona tso eme, eye kuxiwo mebɔ o eye kɔdzi nɔnɔ ɣeyiɣi kpui aɖe. Gake abe amekoko ɖesiaɖe ene la, afɔku aɖewo kple kuxi siwo ate ŋu ado mo ɖa le eme. Anɔ eme be nu yeyewo toto vɛ kple tɔtrɔ siwo woawɔ le ɖa ƒe nɔnɔme ŋu ana PFNA ɖa ƒe dɔwɔwɔ nanyo ɖe edzi le etsɔme.
Nya siwo wobiaa nya tso ame ŋu
Nukae nye PFNA intramedullary nail?
PFNA intramedullary nail nye amekoko ƒe atike si wozãna tsɔ daa akɔta ƒe gbagbã. Wotsɔe dea afɔkpodzi ƒe mɔa me eye wònaa afɔkpodzi ƒe ta nɔa te.
Aleke wotsɔa PFNA intramedullary nail la dea emee?
Wotsɔa PFNA ƒe ɖa si le lãkusi me la dea eme to lãɖeɖe sue aɖe si wowɔ ɖe lãkusi si lolo wu dzi. Wotsɔa ka si fiaa mɔe dea afɔkpodzi ƒe tɔdzisasrãa me, eye woɖea tɔdzisasrãa ƒe lolome si sɔ. Emegbe wotsɔa PFNA- ɖaa dea eme, eye mɔ̃ si xea mɔ na nu la wɔa dɔ le akɔta ƒe akpa si le didiƒe.
Viɖe kawoe le PFNA intramedullary nail ŋu?
Viɖe geɖe le PFNA ƒe ɖa si le lãkusi me ŋu, siwo dometɔ aɖewoe nye eƒe mɔ̃ si tsi tre ɖe tɔtrɔ ŋu, agba mamã ƒe nɔnɔme, kple eƒe dede eme bɔbɔe. Ewɔa dɔ nyuie le akɔta ƒe gbagbã siwo meli ke o hã dada me eye wònaa woate ŋu aʋuʋui kaba.
Nukawoe nye kuxi siwo ate ŋu ado tso PFNA intramedullary nailing me?
Kuxi siwo ate ŋu ado tso PFNA intramedullary nailing me dometɔ aɖewoe nye dɔlékuiwo xɔxɔ, nusi wotsɔ dea lãme na ame ƒe dɔmawɔmawɔ nyuie, lãmekawo ƒe abixɔxɔ, ʋukawo ƒe abixɔxɔ, kple esi womewɔ ɖeka o.
Nukae nye PFNA intramedullary nailing ƒe dzidzedzekpɔkpɔ?
PFNA intramedullary nailing ƒe dzidzedzekpɔkpɔ tso 70% va ɖo 90%, eye wogblɔa dɔwɔwɔ me tsonu nyuiwo le go geɖe me.
