Reversed Femoral & GAMA Intramedullary Nail Dɔwɔnu Ðoɖo .

Adzɔnuwo ƒe dɔwɔwɔ ŋuti nyatakakawo Video .

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Reversed Femoral & Gamma Intramedullary Nail Dɔwɔnu Ðoɖo: Mɔfiame blibo

Ne míeƒo nu tso afɔkpodzi ƒe gbagbã ŋu la, lãkusi me ƒoƒo va zu aɖaŋu si amekolawo lɔ̃a zazã. Le lãkusi ƒe ɖa ƒomevi vovovoawo dome la, afɔkpodzi kple gamma ƒe lãkusi me ɖa siwo wogbugbɔ trɔ la ƒe susu va le woƒe viɖe gbogboawo ta. Le nyati sia me la, míadzro nusiwo nye ɖa siawo, woƒe viɖewo, dɔwɔnu si woɖo na amekokoa, kple nyatakaka bubu siwo sɔ me.

Emenyawo ƒe Tabla .

• Kpɔkplɔyiɖeme

• Akɔtaƒu ƒe ŋutilã ƒe wɔwɔme .

• Nukae nye intramedullary nail?

• Reversed femoral kple gamma intramedullary nails: Nukae nye wo?

• Viɖe siwo le afɔkpodzi kple gamma intramedullary ɖa siwo wogbugbɔ trɔ asi le ŋu .

• Nusiwo fiaa afɔkpodzi kple gamma intramedullary nails siwo wogbugbɔ trɔ asi le .

• Nusiwo ŋu wotsi tre ɖo na afɔkpodzi kple gamma intramedullary nails siwo wogbugbɔ trɔ asi le .

• Amekokomɔnu na afɔkpodzi kple gamma intramedullary ɖa siwo wogbugbɔ trɔ asi le .

• Dɔwɔnuwo ƒe ƒuƒoƒo si hiã na afɔkpodzi kple gamma intramedullary nailing si wogbugbɔ trɔ asi le .

• beléle na ame le dɔwɔwɔ nɛ vɔ megbe kple eƒe nɔnɔme gbugbɔgaɖɔɖo .

• Kuxi siwo ate ŋu ado tso afɔkpodzi kple gamma intramedullary nailing si wogbugbɔ trɔ la me .

• Nyanuwuwuw

• Nya siwo wobiaa amewo .

Kpɔkplɔyiɖeme

Afɔkpodzi ƒe gbagbã ate ŋu asesẽ be woadae le ƒu ƒe lolome kple ŋutilã ƒe wɔwɔme si sesẽ ta. Aɖatsi siwo le lãkusi me zazã va le amewo lɔ̃m ɖe edzi le ƒumeŋutinunyalawo dome le woƒe viɖe gbogbo siwo wokpɔ ɖe atikewɔwɔ ƒomevi bubuwo ta ta. Le nyati sia me la, míadzro afɔkpodzi kple gamma ƒe lãkusi me ɖa siwo wogbugbɔ trɔ, woƒe viɖewo, amekokomɔnu si hiã, dɔwɔnu si woɖo, kple kuxi siwo ate ŋu ado mo ɖa la zazã me.

Akɔtaƒu ƒe ŋutilã ƒe wɔwɔme .

Hafi míaku nu me ayi ɖe lãkusi me ƒoƒo me la, ele vevie be woase afɔkpodzi ƒe ƒu ƒe wɔwɔme gɔme. Afɔdzideƒeae nye ƒu didi wu eye wòsẽ wu le amegbetɔ ƒe ŋutilã me, eye wòkeke tso akɔta ƒe ƒunukpeƒe va ɖo klo ƒe ƒunukpeƒe. Afɔkpodzia ƒe nugbɔ si te ɖe eŋu la ƒoa ƒu kple akɔta ƒe ƒu, gake eƒe nugbɔ si le didiƒe ya ƒoa nu kple afɔa ƒe ƒu ƒe ƒu.

Nukae nye intramedullary nail?

Aɖa si le lãkusi me nye gaku didi aɖe si le tsɛ si wotsɔ de ƒu aɖe ƒe akpa si me do le si woyɔna be Medullary Canal. Zi geɖe la, wotsɔa titanium alo gakpo si mexɔ dzo o wɔa atikplɔa eye wowɔe be wòana ƒu nali ke le dɔyɔyɔa me. Wozãa lãkusi me ƒoƒo zi geɖe hena ƒu didiwo ƒe gbagbã, abe afɔkpodzi kple afɔkpodzi ene.

Reversed femoral kple gamma intramedullary nails: Nukae nye wo?

Afɔkpodzi kple gamma intramedullary nails siwo wogbugbɔ trɔ la nye lãkusi ƒomevi siwo wozãna tsɔ ƒoa afɔkpodzia. Wotrɔ asi le afɔkpodzi ƒe ɖa siwo wogbugbɔ trɔ la ŋu be woatsɔ wo ade afɔkpodzia me tso ƒu ƒe nugbɔ si le didiƒe ʋĩ la me, si to vovo na afisi wotsɔa lãkusi si wozãna tsã la dea eme. Gake wotsɔa gamma-tiwo ya dea afɔkpodzia ƒe nuwuwu si te ɖe eŋu la me eye wowɔ wo be woaƒo ƒu ɖe ƒu me.

Viɖe siwo le afɔkpodzi kple gamma intramedullary ɖa siwo wogbugbɔ trɔ asi le ŋu .

Afɔkpodzi kple gamma intramedullary ɖawo zazã naa viɖe geɖe wu intramedullary nailing mɔnu deŋgɔwo. Viɖe siawo dometɔ aɖewoe nye:

• Amekoko ƒe ɣeyiɣi kple ʋu ƒe sisi dzi ɖe kpɔtɔ .

• Nusiwo woɖe tso eme le sue wu .

• Nusiwo gblẽ le lãkusi falɛfalɛ siwo ƒo xlã gbagbãƒea ŋu boo o .

• Do ŋgɔ na kpekpeme tsɔtsɔ kple tɔtrɔ yi dɔwɔwɔ me .

• Gɔmedzedzea ƒe sɔsɔ nyuie wu .

Nusiwo fiaa afɔkpodzi kple gamma intramedullary nails siwo wogbugbɔ trɔ asi le .

Wozãa afɔkpodzi kple gamma ƒe lãkusi si wogbugbɔ trɔ la zi geɖe hena afɔkpodzi ƒe gbagbã le dɔnɔ siwo xɔ ƒe vovovowo, siwo dome ame tsitsiwo kple ɖeviwo hã le ŋu. Woɖea vi ŋutɔ le akɔta ƒe gbagbã siwo le afɔkpodzi ƒe titina alo esiwo keke ɖe enu va ɖo afɔkpodzi ƒe akpa siwo te ɖe wo nɔewo ŋu alo esiwo le didiƒe la dada me.

Nusiwo ŋu wotsi tre ɖo na afɔkpodzi kple gamma intramedullary nails siwo wogbugbɔ trɔ asi le .

Togbɔ be reversed femoral kple gamma intramedullary nailing ɖea vi geɖe hã la, womesɔ na dɔnɔwo katã o. Nusiwo woawɔ le ɖoɖo siawo ŋu dometɔ aɖewoe nye:

• gbagbã siwo te ɖe akɔta ƒe ƒunukpeƒe alo klo ƒe ƒunukpeƒe ŋu .

• Ƒumeŋuɖui sesẽ alo ƒumeŋuɖui bubu siwo gblẽa nu le ƒu ƒe ŋusẽ ŋu .

• Ŋutete manɔamesi be woaɖe mɔ ɖe amekokoa ŋu le atikewɔwɔ me nɔnɔme siwo gbɔ wòtso ta .

Amekokomɔnu na afɔkpodzi kple gamma intramedullary ɖa siwo wogbugbɔ trɔ asi le .

Amekokomɔnu si wozãna tsɔ ƒoa afɔkpodzi kple gamma intramedullary nailing la lɔ afɔɖeɖe geɖe ɖe eme. Gbã la, wotsɔa atike si naa alɔ̃dɔdɔ ame la dea dɔnɔa me, eye wozãa fluoroscopy alo nɔnɔmetatawo ɖeɖe ƒe mɔnu bubuwo le susu me. Eyome woɖea lãkusi sue aɖe le akɔta ƒe akpa si le didiƒe alo esi te ɖe eŋu, le ɖa ƒomevi si wozãna nu. Emegbe wotsɔa lãgbalẽa dea medullary canal la me eye wotsɔa dɔwɔnu tɔxɛwo fiaa mɔe wòyia teƒea. Ne ɖa la nya ɖo nɔnɔme nyuitɔ me ko la, wotsɔa gavi siwo wotsɔna ƒoa gaviwoe la dea eme be woatsɔ abla ɖa la ɖe ƒu ŋu.

Dɔwɔnuwo ƒe ƒuƒoƒo si hiã na afɔkpodzi kple gamma intramedullary nailing si wogbugbɔ trɔ asi le .

Afɔti kple gamma intramedullary nailing si wogbugbɔ wɔ la wɔwɔ bia be woaɖo dɔwɔnu tɔxɛ aɖe ɖe eme. Zi geɖe la, ƒuƒoƒoa lɔa:

• Intramedullary Reamers .

• mɔ̃ siwo wotsɔna ƒoa ɖae kple esiwo woɖo taɖodzinu na .

• Mɔfiame kawo kple ʋuƒo siwo wotsɔna ƒoa ʋuƒoe .

• Dɔwɔnu siwo woatsɔ adzra ƒu kple lãkusi falɛfalɛ siwo ƒo xlã gbagbãƒea ɖo .

beléle na ame le dɔwɔwɔ nɛ vɔ megbe kple eƒe nɔnɔme gbugbɔgaɖɔɖo .

Zi geɖe la, le amekokoa megbe la, dɔnɔa hiãa kɔdzi nɔnɔ ŋkeke geɖe. Wozãa aŋe alo akɔtaɖonu tsɔ xea afɔa nu, eye woŋlɔa vevesesenutsitikewo na ame ne ehiã. Zi geɖe la, woɖoa aɖaŋu na dɔnɔwo be woaƒo asa na kpekpeme dede afɔ si ŋu dɔlélea le ŋu kwasiɖa geɖe be woate ŋu ada dɔ nyuie. Woate ŋu akafu ŋutilãmedɔdada be wòakpe ɖe ame ŋu wòagakpɔ ŋusẽ kple afisi afɔ si ŋu dɔlélea le la ƒe ʋuʋu ake.

Kuxi siwo ate ŋu ado tso afɔkpodzi kple gamma intramedullary nailing si wogbugbɔ trɔ la me .

Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔkpodzi kple gamma intramedullary nailing si wogbugbɔ trɔ la ate ŋu ahe afɔku kple kuxi aɖewo vɛ. Esiawo ate ŋu anye:

• Dɔdzedze

• Ʋu ƒe ʋuʋu le ʋu me .

• Lãmetsi alo ʋukawo ƒe nugbegblẽ le ame ŋu .

• Implant ƒe kpododonu alo ʋuʋu .

• Wohe ɖe megbe alo mewɔ ɖeka kple gbagbãƒea o .

Nyanuwuwuw

Reversed femoral kple gamma intramedullary nailing va do abe tiatia siwo ame geɖe lɔ̃na be woatsɔ ada afɔkpodzi ƒe gbagbã ene. Mɔnu siawo naa viɖe geɖe wu lãkusi me lãgbalẽ si wozãna tsã, siwo dometɔ aɖewoe nye amekoko ƒe ɣeyiɣi si dzi ɖe kpɔtɔ, eƒe lãkusiwo ɖeɖe ɖe aga, kple ɣeyiɣi siwo me wohayana kabakaba wu. Gake womesɔ na dɔnɔwo katã o eye wotsɔa afɔku kple kuxi aɖewo ɖe asi. Dɔnɔwo tiatia nyuie kple amekokomɔnu le vevie ŋutɔ be woakpɔ emetsonu nyuitɔwo kekeake.

Nya siwo wobiaa amewo .

1. Ɣeyiɣi didi kae wòxɔna hafi wohayana tso afɔkpodzi alo gamma intramedullary nailing si wogbugbɔ trɔ la me?

• Ɣeyiɣi siwo woatsɔ ahayae ate ŋu ato vovo le alesi wòsẽe kple alesi wòsẽe kple dɔnɔa ƒe lãmesẽ bliboa nu. Le goawo katã me la, dɔnɔ akpa gãtɔ ate ŋu akpɔ mɔ be yewoaɖe yewoƒe afɔwo ɖa kwasiɖa geɖe eye ate ŋu abia be woawɔ ŋutilãmedɔ ɣleti geɖe hafi woagasẽ ŋu bliboe eye woaʋã wo.

1. Ðe reversed femoral alo gamma intramedullary nailing vevesesea?

• Dɔnɔwo ate ŋu ase veve vie eye woƒe lãme nasẽ le amekokoa megbe, eye woate ŋu atsɔ vevesesenu siwo ɖɔktaa ŋlɔ na wo la akpɔ wo gbɔ.

1. Ðe ame aɖe ate ŋu atrɔ asi le afɔkpodzi alo gamma intramedullary nailing ŋua?

• Ao, mɔnu siawo mesɔ na dɔnɔwo katã o. Wò ɖɔkta ada wò nɔnɔmea kple atikewɔwɔ ŋutinya kpɔ akpɔe ɖa be ame nyui aɖee nènye na dɔ siawo wɔwɔ hã.

1. Ɣeyiɣi didi kae amekokoa xɔna?

• Zi geɖe la, amekokoa xɔa gaƒoƒo 1-2, gake esia ate ŋu ato vovo le alesi ƒunukpeƒea ƒe gbagbã kple dɔnɔa ƒe ŋutilã ƒe wɔwɔme sesẽe nu.

1. Ðe atike bubu aɖewo li siwo woatsɔ awɔ afɔkpodzi alo gamma intramedullary nailing si wogbugbɔ trɔa?

• Ẽ, atike bubu geɖewo li na afɔkpodzi ƒe gbagbã, siwo dometɔ aɖewoe nye gotagome ƒe ƒoƒo, lãkusi me ƒoƒo si wozãna tsã, kple edziɖeɖe ɖe edzi le ʋuʋu ɖi kple eƒe ememe ƒoƒo. Wò ɖɔkta akafu atikewɔwɔmɔnu nyuitɔ kekeake si wotu ɖe wò ame ɖekaɖekawo ƒe nuhiahiãwo kple nɔnɔme dzi.