Views: 214 Author: Nyatakakadzraɖoƒea ƒe Nuŋlɔla Ta Ɣeyiɣi: 2025-12-27 Dzɔtsoƒe: Teƒe
Intramedullary nailing nye fixation mɔnu siwo wozãna wu le ƒu ƒe gbagbã didiwo abe afɔkpodzi kple afɔkpodzi ene la dometɔ ɖeka. Ne wonya da gbe le ƒu gbagbã ŋu ko la, dɔnɔ geɖe kple amekola geɖe dzea ŋgɔ dɔdaƒe ƒe biabia vevi aɖe: ɖe wòle be woaɖe ɖa si le lãkusia me la ɖa alo woagblẽe ɖe teƒea?
Nyati sia ƒo nu tso ɣeyiɣi si me wòhiã be woaɖe ɖa le lãkusi me ŋu tsitotsito, afɔku kple viɖe siwo ate ŋu ado tso eme, kple alesi amekolawo wɔa nyametsotso siwo ŋu kpeɖodzi le.
Aɖa si wotsɔna ƒoa ƒu ɖe lãkusi me nye ga si wotsɔ dea ƒu didi aɖe me be wòali ke be wòali ke. Enaa ememe fixation sesẽ esime wòɖea mɔ na ʋuʋu kaba kple dɔwɔwɔ ƒe hayahaya.
Dɔ siwo wowɔna zi geɖe dometɔ aɖewoe nye:
Femoral shaft fractures .
Tibial shaft fractures .
Subtrochanteric kple intertrochanteric fractures .
Srɔ̃ nu geɖe tso míaƒe . Intramedullary nail system si wowɔ na fixation si li ke kple dɔdamɔnu me tsonu siwo ŋu kakaɖedzi le.
Vevesese si nɔa anyi ɖaae nye nusi gbɔ wòtsona be woɖea ɖa le eŋu wu. Dzesi siwo bɔ dometɔ aɖewoe nye:
Anterior klo ƒe vevesese le tibial ƒoƒo vɔ megbe .
Hip alo thigh ƒe vevesese le afɔkpodzi ƒe ƒoƒo vɔ megbe .
Lãmetsi falɛfalɛ ƒe dzikudodo si tsoa gavi siwo wotsɔ xea mɔ na nu ƒe ʋuƒo siwo dzena nyuie gbɔ .
Ne vevesese do ƒome kple nusi wodo ɖe lãme na ame kple atikewɔwɔ si me womezãa atike si wozãna le o la kɔte la, ɖaɖeɖe ate ŋu ana dɔnɔwo ƒe akɔfafa nanyo ɖe edzi.
Ku nu me le atikewo ƒe kuxiwo gbɔkpɔnu siwo sɔ abe PFNA ƒe lãgbalẽ . na intertrochanteric alo subtrochanteric fractures siwo do ƒome kple vevesese zi geɖe ene.
Togbɔ be egbegbe lãkusiwo nɔa anyi didina hã la, mɔ̃wo ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ le:
Union alo nonunion si wohe ɖe megbe .
Mɔ̃ɖaŋununya ƒe nuteɖeamedzi si gbɔ eme .
Kpekpeme si do ŋgɔ na ɣeyiɣi si woɖo ɖi .
Zi geɖe la, ehiãna be woawɔ dɔ na ame be woawɔ dɔ nɛ.
Mɔ̃ɖaŋununya ƒe kpododonu ate ŋu adzɔ le ɖekawɔwɔ si tsi megbe, esi mewɔ ɖeka o, alo nuteɖeamedzi si gbɔ eme ta.
Adzɔnuwo ƒe tiatiawɔblɔɖewo abe Gamma ƒe lãgbalẽ . kple . DFN distal femur intramedullary nail naa fixation si li ke kple fracture support.
Dɔlékuiwo nye dzesi si dze ƒã be woaɖe ɖa le wo ŋu, vevietɔ le nɔnɔme siwo ku ɖe:
Ƒumeŋuɖui si nɔa anyi didi .
Sinus tract si nɔa anyi ɖaa .
Biofilm ƒe wɔwɔme si do ƒome kple nusi wotsɔ dea lãme na ame .
Zi geɖe la, mɔ̃ siwo ŋu dɔlélea le ɖeɖeɖa le vevie ŋutɔ na dɔlékuiwo dzi kpɔkpɔ.
Le nonunion gome la, woate ŋu abia be woaɖe ɖa le eŋu abe asitɔtrɔmɔnu ƒe akpa aɖe ene, eye zi geɖe la, wotsɔa:
Exchange Nailing .
Ƒu ƒe dodo .
Mɔnu bubu siwo wozãna tsɔ léa ŋku ɖe nu ŋu .
Intramedullary nails ate ŋu ado kplamatse dɔ siwo woawɔ le etsɔme abe:
klo ƒe ƒunukpeƒewo ƒe ƒuƒoƒo bliboa .
Total Hip Replacement .
Le nɔnɔme siawo me la, zi geɖe la, ehiãna be woaɖe ɖa le eŋu hafi woaɖɔli ƒunukpeƒea.
Zi geɖe la, womeɖoa aɖaŋu be woaɖee ɖa edziedzi ne dɔnɔa ƒe dzesi aɖeke mele eŋu o eye wowu ƒu ƒe gbagbã nu. Nusi wotsɔ de eme la léle ɖe asi ate ŋu anye tiatia si le dedie wu le go geɖe me.
Le amekolawo kple atikewɔla siwo tsɔ ɖe le amekoko ŋuti ɖoɖowɔwɔ ƒe mɔnuwo me gome la, kpɔ míaƒe . Intramedullary nail instruments ƒe axa be nàse dɔwɔnu siwo wozãna hena wo dede kple wo ɖeɖeɖa siaa gɔme.
Togbɔ be zi geɖe la, ɖaɖeɖe le ame ŋu le dedie hã la, afɔku aɖewo le eme:
Nusiwo wotsɔna tsia dzodzodzoetsitsi nu .
Dɔdzedze
Neurovascular ƒe abixɔxɔ .
Vevesese le dɔwɔwɔ vɔ megbe le dɔwɔwɔ vɔ megbe .
Ele be woawɔ nyametsotso be woaɖe ɖa si le lãkusia me ɖa la ɖe ame ɖekaɖekawo ŋu le atikewɔnyawo, nɔnɔmetatawo ɖeɖe, kple dɔnɔwo ƒe mɔkpɔkpɔwo nu.
Le CZMediTech la, míenaa ƒumeŋutinunya ƒe lãkusi siwo le nyonyome nyuie kple dɔwɔnu siwo ŋu CE kple ISO ƒe ɖaseɖigbalẽwo da asi ɖo, siwo wowɔ be woado alɔ fixation si nɔa anyi ɖaa kple wo ɖeɖe ɖa dedie ne ehiã.
To amekoko me tsonu ŋutɔŋutɔwo kple dɔdamɔnu ƒe dzidzedzekpɔkpɔ ŋutɔŋutɔ le míaƒe . Amekoko ƒe dɔwɔwɔ le lãkusi me be woakpɔ alesi nusiawo wɔa dɔe le xexeame katã.
Zi geɖe la, vevesese si nu mesẽna o va ɖo esi nu mesẽna le dɔwɔwɔ vɔ megbe o, si dzi woate ŋu aɖu ne wozã atike.
Zi geɖe la, ɣleti 12–24 le Union si ŋu woɖo kpee megbe.
Dɔnɔ akpa gãtɔ gadzea azɔlizɔzɔ si sɔ gɔme le ɣeyiɣi kpui aɖe ƒe hayahaya megbe.
Ẽ, ne dzesi aɖeke mele eŋu o eye wòda gbe le eŋu la, ewu enu.
Ɣeyiɣi kpui aɖe ƒe gbɔdzɔgbɔdzɔ ate ŋu adzɔ; Wokafui be woatrɔ asi le dɔwɔna ŋu le hayahayaɣi.
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 .