Suprapatellar Approach Tibial Nail: Mɔfiame si me kɔ
Abɔta ƒe gbagbã nye abi siwo bɔ siwo hiã be woawɔ dɔ na ame zi geɖe. Amekokomɔnu siwo ame geɖe lɔ̃a zazã wu dometɔ ɖekae nye ɖa siwo wotsɔna ƒoa ɖae zazã. Suprapatellar approach tibial nail nye mɔnu si xɔ ŋkɔ le ƒe ʋɛ siwo va yi me le eƒe viɖe geɖe ta. Le nyati sia me la, míaƒo nu tso suprapatellar approach tibial nail ŋu tsitotsito, si me eƒe viɖewo, eƒe dzesiwo, amekokomɔnu, dɔwɔwɔ le dɔwɔwɔ vɔ megbe, kple kuxi siwo ate ŋu ado tso eme hã le.
Emenyawo ƒe Tabla
Kpɔkplɔyiɖeme
Tibia ƒe ŋutilã ƒe wɔwɔme
Nusiwo fia be Suprapatellar Approach Tibial Nail
Viɖe siwo le Suprapatellar Mɔnu Tibial Nail ŋu
Dzadzraɖo Do Ŋgɔ Na Amekoko
Amekokomɔnu na Suprapatellar Approach Tibial Nail
Dɔwɔwɔ vɔ megbe Dɔwɔnawo Dzikpɔkpɔ
Kuxi siwo ate ŋu ado mo ɖa
Tsɔtsɔ Sɔ Kple Mɔnu Bubuwo
Nyanuwuwuw
Nya siwo wobiaa nya tso ame ŋu
1. Ŋgɔdonya
Abɔta nye ƒu didi siwo gbãna wu le ŋutilãa me la dometɔ ɖeka. Zi geɖe la, afɔkpodzi ƒe gbagbã hiã be woawɔ dɔ na ame le esi afɔku gã aɖe li be woawɔ ɖeka nyuie o eye womawɔ ɖeka o ta. Intramedullary nails va zu sika dzidzenu si wotsɔ daa tibial fractures le woƒe viɖe geɖe ta, siwo dometɔ aɖewoe nye be woƒe liƒo nyona ɖe edzi eye woƒe dɔyɔɣiwo nɔa kabakaba wu.
Suprapatellar approach tibial nail nye mɔnu si xɔ ŋkɔ le ƒe ʋɛ siwo va yi me le viɖe geɖe siwo le eŋu wu mɔnu bubuwo ta. Nyati sia ƒe taɖodzinue nye be yeana mɔfiame blibo aɖe le suprapatellar approach tibial nail ŋu.
2. Abɔta ƒe ŋutilã ƒe wɔwɔme
Hafi míaƒo nu tso suprapatellar approach tibial nail ŋu la, ele vevie be míase tibia ƒe ŋutilã ƒe wɔwɔme gɔme. Afɔkpodzi nye ƒu didi eve siwo le afɔkpodzi ƒe akpa si le ete la dometɔ gãtɔ eye wòtsɔa ŋutilãa ƒe kpekpeme akpa gãtɔ. Abɔta ƒe nuwuwu si te ɖe eŋu la wɔa ɖeka kple afɔkpodzia tsɔ wɔa klo ƒe ƒunukpeƒe, gake nuwuƒe si le didiƒe ya ƒoa ƒu kple fibula kple talus tsɔ wɔa afɔkpodzi ƒe ƒunukpeƒe.
Tɔdzisasrã aɖe le afɔkpodzia me si zɔna le eƒe didime nu. Tɔdzisasrãa keke wu le eƒe nuwuwu si te ɖe eŋu eye wòxena ɖe eƒe nuwuwu si le didiƒe. Tɔdzisasrã sia mee wotsɔa ɖa si le lãkusia me la dea eme.
3. Dzesiwo na Suprapatellar Approach Tibial Nail
Wofia suprapatellar approach tibial nail hena tibial ƒe gbagbã vovovowo dada, siwo dometɔ aɖewoe nye:
Tibial etɔ̃lia ƒe gbagbã siwo le didiƒe
Tibial ƒe gbagbã siwo te ɖe wo nɔewo ŋu
Tibial shaft ƒe gbagbã
Oblique gbagbãƒewo
Spiral ƒe gbagbãƒewo
Gbagbãƒe siwo gblẽa nu le ame ŋu
Gbagbãƒe siwo ŋu cortical defect ɖedzesi aɖe le
4. Viɖe siwo le Suprapatellar Mɔnu Tibial Nail ŋu
Viɖe geɖe le suprapatellar approach tibial nail ŋu wu mɔnu bubuwo, siwo dometɔ aɖewoe nye:
Gbagbãƒewo dzi ɖeɖe kpɔtɔ nyuie wu: Mɔnu si le suprapatellar dzi la wɔnɛ be woate ŋu akpɔ afisi gbagbãƒea le nyuie wu, si wɔnɛ be woɖea gbagbãƒea dzi kpɔtɔna nyuie wu.
Ʋu ƒe gege dzi ɖeɖe kpɔtɔ: Mɔnu si wozãna le suprapatellar me la meɖea lãmeka falɛfalɛwo ɖa fũu o, si wɔnɛ be ʋu si dona le amekokoa me dzi ɖena kpɔtɔna.
Dɔlékuiwo xɔxɔ ƒe afɔkua dzi ɖena kpɔtɔna: Mɔnu si wozãna le suprapatellar dzi ɖea dɔlékuiwo xɔxɔ ƒe afɔkua dzi kpɔtɔna to asaƒoƒo na klo ƒe ƒunukpeƒe, si ate ŋu ahe dɔlékuiwo tsoƒe.
Afɔku si le afɔkpodzi ƒe abixɔxɔ me dzi ɖena kpɔtɔna: Mɔnu si le abɔta ƒe akpa si le ŋgɔgbe la ƒoa asa na afɔti ƒe lãkusi, si ɖea abi si le xɔtunu vevi sia ŋu dzi kpɔtɔna.
Haya kabakaba: Dɔnɔ siwo wowɔ dɔ na le abɔta ƒe ɖa si woyɔna be suprapatellar approach tibial nail la te ŋu hayana kabakaba eye wonɔa kɔdzi ɣeyiɣi kpui aɖe ne wotsɔe sɔ kple amesiwo wowɔa dɔ bubuwo le.
5. Dzadzraɖo Do Ŋgɔ Na Amekoko
Hafi woawɔ dɔ na dɔnɔawo le tibial nail si to suprapatellar approach dzi la, zi geɖe la, woawɔ dzadzraɖo geɖe do ŋgɔ na dɔwɔwɔ na wo. Esia alɔ atikewɔwɔ ŋutinya tsitotsito, ŋutilãmedodokpɔ, kple nɔnɔmetatawo ŋuti numekukuwo abe X-ray, CT scan, alo MRI scan ene be woatsɔ akpɔ afisi gbagbãƒea keke tae kple afisi wòle.
Dɔnɔwo ate ŋu ado ʋudodokpɔ do ŋgɔ na dɔwɔwɔ na wo hã eye woawɔ numekuku bubuwo le nudokpɔƒe be woatsɔ akpɔ woƒe lãmesẽ bliboa akpɔ eye woade dzesi atikewɔwɔ me nɔnɔme ɖesiaɖe si nɔ anyi do ŋgɔ si ate ŋu akpɔ ŋusẽ ɖe woƒe amekoko kple hayahaya dzi.
Ele vevie be dɔnɔwo nana woƒe amekola nanya atike ɖesiaɖe si wole nom, si me atike siwo womeƒlena o kple kpeɖeŋutɔ siwo wozãna hã le, elabena ate ŋu ahiã be woadzudzɔ atike aɖewo zazã hafi woawɔ dɔ na wo le ʋudodo alo kuxi bubuwo ƒe afɔku ta.
Woate ŋu aɖo aɖaŋu na dɔnɔwo hã be woadzudzɔ atamanono eye woaƒo asa na ahanono le kwasiɖa siwo do ŋgɔ na amekoko me, elabena nu siawo ate ŋu ado kplamatse dɔyɔyɔa eye wòana kuxiwo nadzi ɖe edzi.
6. Amekoko Mɔnu na Suprapatellar Mɔnu Tibial Nail
Zi geɖe la, wowɔa suprapatellar approach tibial nail surgery la le atike si naa alɔ̃dɔdɔ ame me eye ate ŋu axɔ gaƒoƒo geɖe hafi woawu enu. Amekokomɔnu la lɔ afɔɖeɖe siwo gbɔna ɖe eme:
Wotsɔa dɔnɔa dana ɖe amekokokplɔ̃a dzi le alɔ̃ me, eye wodoa afɔ si ŋu dɔlélea le la ɖe dzi eye wotsɔa afɔdzidenu lénɛ ɖe te.
Woɖea nu sue aɖe le ŋutigbalẽa me le afɔkpodzia tame tututu, eye wotsɔa ka si fiaa mɔe toa ŋutigbalẽa me hegena ɖe afɔkpodzia ƒe mɔ si le lãkusia me la me.
Wozãa reamer tsɔ dzraa tɔdzisasrãa ɖo hena ɖaa dede eme.
Emegbe wotsɔa ɖaa toa lãɖeɖea me eye wotsɔa fluoroscope fiaa mɔe yia tɔdzisasrãa me.
Ne ɖaa nya ɖo teƒea ko la, wotsɔa gavi siwo xea mɔ na ɖaa toa ɖaa me hedea ƒua me be wòalé ɖe teƒea.
Emegbe wotua afɔ si wotso la, eye wozãa nusi wotsɔ ƒoa afɔ alo nusi wotsɔ blaa afɔae la be wòagaʋã o.
7. Dɔwɔwɔ vɔ megbe Dɔwɔnawo Dzikpɔkpɔ
Le suprapatellar approach tibial nail surgery megbe la, zi geɖe la, dɔnɔwo anɔ kɔdzi ŋkeke geɖe hena ŋkuléle ɖe wo ŋu kple vevesese dzi kpɔkpɔ. Woaɖo aɖaŋu na wo be woana afɔ si ŋu dɔlélea le la nakɔ eye woaƒo asa na kpekpeme tsɔtsɔ nɛ kwasiɖa geɖe.
Woana kamedede dɔnɔwo hã be woawɔ be wòakpe ɖe wo ŋu woado ŋusẽ lãmeka siwo ƒo xlã kloa eye woaxe mɔ ɖe woƒe sesẽ nu. Woate ŋu akafu kamedede hã be wòakpe ɖe dɔnɔwo ŋu be woagaʋuʋu bliboe eye ŋusẽ nagaɖo afɔ si ŋu dɔlélea le la ŋu.
Woana vevesesenutsitikewo kple dɔlékuiwutikewo dɔnɔwo alesi wòhiãe be woatsɔ akpɔ vevesese gbɔ eye woaxe mɔ ɖe dɔlékuiwo xɔxɔ nu. Woawɔ ɖoɖo ɖe ɣeyiɣi siwo woatsɔ akplɔe ɖo be woalé ŋku ɖe dɔyɔyɔ ƒe ɖoɖoa ŋu eye woada kuxi aɖewo kpɔ hã.
8. Kuxi siwo ate ŋu ado mo ɖa
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku kple kuxi siwo ate ŋu ado ƒome kple suprapatellar approach tibial nail surgery me. Esiawo ate ŋu anye:
Ele vevie be dɔnɔwo nadzro afɔku siawo me kple woƒe amekola eye woawɔ ɖe mɔfiame siwo katã wona do ŋgɔ na dɔwɔwɔ kple emegbe dzi be woaɖe kuxi siwo ate ŋu ado mo ɖa dzi akpɔtɔ.
9. Tsɔtsɔ Sɔ Kple Mɔnu Bubuwo
Suprapatellar approach tibial nail nye mɔnu vovovo siwo wozãna tsɔ daa tibial ƒe gbagbãwo dometɔ ɖeka. Mɔnu bubuwoe nye infrapatellar approach tibial nail, retrograde tibial nail, kple plate kple screw fixation.
Togbɔ be mɔnu ɖesiaɖe ƒe viɖewo kple kuxiwo le eŋu hã la, suprapatellar approach tibial nail la naa viɖe tɔxɛ geɖe, siwo dometɔ aɖewoe nye eƒe gbagbã dzi ɖeɖe kpɔtɔ nyuie wu, ʋu ƒe gege ɖe lãme na ame dzi ɖeɖe kpɔtɔ, kple dɔlékuiwo xɔxɔ kple afɔkpodzi ƒe abixɔxɔ ƒe afɔkua dzi ɖeɖe kpɔtɔ.
10. Nyataƒoƒo
Suprapatellar approach tibial nail nye amekokomɔnu xɔŋkɔ aɖe si wozãna tsɔ daa tibial ƒe gbagbãƒewo. Viɖe geɖe le eŋu wu mɔnu bubuwo, siwo dometɔ aɖewoe nye be woɖea ʋu ƒe ŋeŋe dzi kpɔtɔna nyuie wu, ʋu ƒe gege dzi ɖena kpɔtɔna, eye dɔlékuiwo xɔxɔ kple abi si le afɔkpodzi ƒe abi ŋu dzi ɖena kpɔtɔna.
Gake abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku kple kuxi siwo ate ŋu ado mo ɖa la li, eye ele vevie be dɔnɔwo nabu woƒe tiatiawɔblɔɖe ŋu nyuie ahadzro wo me kple woƒe amekola be woawɔ nyametsotso si ŋu wonya nu tsoe.
11. Nya siwo wobiaa nya tso ame ŋu
Ɣeyiɣi didi kae suprapatellar approach tibial nail dɔwɔwɔ xɔa?
Zi geɖe la, amekokoa xɔa gaƒoƒo geɖe hafi wowua enu.
Ɣeyiɣi didi kae wòxɔna hafi ame nahaya tso suprapatellar approach tibial nail surgery me?
Ɣeyiɣi si woatsɔ ahaya ate ŋu ato vovo le alesi gbegbe ƒu gbagbãe kple alesi dɔnɔa ƒe dɔyɔyɔ ŋutete le nu, gake zi geɖe la, exɔa ɣleti geɖe hafi ƒua haya keŋkeŋ.
Nukae nye suprapatellar approach tibial nail surgery ƒe dzidzedzekpɔkpɔ?
Zi geɖe la, amekokoa ƒe dzidzedzekpɔkpɔ sɔa gbɔ, gake ate ŋu ato vovo le dɔnɔ ɖesiaɖe ƒe nɔnɔme kple alesi gbegbe wògbãe nu.
Ðe mahiã kamedede le suprapatellar approach tibial nail dɔwɔwɔ vɔ megbea?
Woate ŋu akafu kamedede be wòakpe ɖe ŋuwò be afɔ si ŋu dɔlélea le la nagaʋuʋu bliboe eye ŋusẽ nagaɖo eŋu.
Ðe tiatia aɖewo li siwo menye amekoko o siwo woatsɔ ada afɔkpodzi ƒe gbagbãwoa?
Le go aɖewo me la, woate ŋu azã mɔnu siwo menye amekoko o abe casting alo bracing ene atsɔ ada tibia ƒe gbagbã, gake esia anɔ te ɖe dɔnɔa ƒe nɔnɔme dzi.
