Tibial intramedullary nail: egbɔkpɔnu si ŋu kakaɖedzi le na tibial fractures .

Tibial ƒe gbagbã, si gblẽa nu le shinbone ŋu, ate ŋu akpɔ ŋusẽ ɖe ʋuʋu kple gbesiagbedɔwo dzi vevie. Atike siawo dada bia be woabu nu vovovowo ŋu nyuie, siwo dometɔ aɖewoe nye gbagbã ƒomevi, teƒe si wole, kple dɔnɔa ƒe nɔnɔmewo. Amekoko ƒe mɔnu ɖeka si ɖee fia be ewɔa dɔ nyuie le ƒe ʋɛ siwo va yi mee nye tibial intramedullary nail zazã. Nyati sia ku ɖe viɖe, amekokomɔnu, afɔkuwo, kple hayahaya si do ƒome kple atikewɔwɔmɔnu sia ŋu.

Kpɔkplɔyiɖeme

Afɔkpodzi ƒe gbagbã ate ŋu ana ame nagbɔdzɔ, si ana ame nase veve, mali ke o, eye azɔlizɔzɔ nasesẽ. Seɖoƒe li na atikewɔwɔmɔnu deŋgɔwo, abe casting alo external fixation ene, si na be wokpɔ egbɔkpɔnu deŋgɔwo abe tibial intramedullary nail ene.

Nukae nye tibial intramedullary nail?

Tibial intramedullary nail nye atikewɔnu si wowɔ be wòali ke ahadoe ɖe ŋgɔ le lãkusi ƒe lãkusi me. Gati si wotsɔ dea ƒu ƒe titina si me do le mee le eme, si wɔnɛ be wòli ke eye wòdoa alɔe le dɔyɔyɔa me. Zi geɖe la, wotsɔa titanium alo gakpo si mexɔ dzo o wɔa lãgbalẽa eye woƒe lolome le vovovo be woawɔ dɔnɔ ƒe ŋutilã vovovowo.

Nusiwo fia tibial intramedullary nail .

Wozãa tibial intramedullary nails zi geɖe tsɔ daa tibial shaft fractures. Wowɔa dɔ nyuie ŋutɔ na gbagbã siwo hiã be woatsɔ aɖo wo nɔewo ŋu li ke, abe ƒu ƒe gbagbã siwo woɖe ɖa alo esiwo me wogbã le ene. Mɔnu sia hã sɔ na dɔléle siwo ƒe ƒuwo menyo o alo ne wodi be woalolo enumake.

Amekokomɔnu na Tibial Intramedullary Nail

Ðoɖowɔwɔ do ŋgɔ na dɔwɔwɔ na ame .

Ðoɖowɔwɔ nyuie do ŋgɔ na dɔwɔwɔ na ame le vevie ŋutɔ be woate ŋu awɔ tibial intramedullary nail dɔwɔwɔ dzidzedzetɔe. Esia lɔ alesi wògbãe, dɔnɔa ƒe lãmesẽ bliboa, kple abi ɖesiaɖe si do ƒome kplii me dzodzro tsitotsito ɖe eme. Woate ŋu azã nɔnɔmetatawo ɖeɖe ƒe mɔnuwo abe X-ray, CT scan, alo MRI ene atsɔ ada aŋea ƒe nɔnɔmewo kpɔ eye woafia mɔ amekoko ŋuti nyametsotsowɔwɔ.

Dɔnɔwo ƒe Nɔnɔme .

Le amekokoa me la, zi geɖe la, woɖoa dɔnɔa ɖe amekokokplɔ̃a dzi. Wodzraa afɔ si ŋu wòku ɖo la ɖo eye wotsɔa dɔlékui si me dɔlékui mele o la blanɛ. Teƒe nyui nɔnɔ le vevie be woate ŋu age ɖe teƒe si wogbã la nyuie wu eye wòana ɖaƒoƒo nanya wɔ.

Incision kple Access .

Woɖea ƒu ɖe amekokoa dzi be woate ŋu age ɖe ƒu si gbã la me. Afisi wotsoe la ƒe didime kple afisi wòle nɔ te ɖe alesi wògbãe kple afisi wòle le afɔkpodzia to dzi. Lãmetsi falɛfalɛwo ŋudɔwɔwɔ nyuie le vevie ŋutɔ be woaɖe nuveviwɔame dzi akpɔtɔ eye woaɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ.

Nail ƒe tsɔtsɔ de eme .

Ne amekolaa wɔ teƒe aɖe si woage ɖo le afɔkpodzi si te ɖe eŋu me vɔ la, etsɔa ŋuɖɔɖɔɖo dea afɔkpodzi ƒe ɖa si le lãkusi me la ɖe akɔta ƒe mɔ̃a me. Wozãa fluoroscopic mɔfiame tsɔ kpɔa egbɔ be woɖoe ɖe teƒe si sɔ pɛpɛpɛ eye woɖoe ɖe ɖoɖo nu. Wodoa ɖaa ɖe ŋgɔ to ƒua me, si gbugbɔa kakɛ ɖesiaɖe si woɖe ɖa la ɖoa teƒe bubu eye wònana ŋutilã ƒe wɔwɔme gaɖoa wo nɔewo nyuie.

Locking screws ƒe ɖoɖo .

Ne wonya ɖo ɖa la ɖe teƒe nyuitɔ ko la, wotsɔa gavi siwo wotsɔna ƒoa gaviwoe la dea eme be woatsɔ abla ɖa la ɖe ƒu me. Gavi siawo nana woli kena ɖe edzi eye woxea mɔ na ʋuʋudedi ƒe kakɛawo ƒe tɔtrɔ alo axial ƒe ʋuʋu. Screw ƒe xexlẽme kple wo dada nɔ te ɖe eƒe gbagbã ƒe nɔnɔme kple amekolaa ƒe didi dzi.

Abi ƒe Nutsotso

Ne wokpɔ egbɔ be woɖoe ɖe ɖoɖo nu nyuie eye woɖoe ɖe teƒe ɖeka vɔ la, wozãa aŋenu alo aŋenu siwo wotsɔ blaa nu ɖe ​​teƒea. Wowɔa abi tutu nyuie be wòana wòahaya eye wòaɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ. Wodea atike si me dɔlékui mele o, eye wokpɔa amekokoa teƒe ta.

Viɖe siwo le tibial intramedullary nail ŋu .

Viɖe geɖe le tibial intramedullary nail zazã ŋu wu atikewɔwɔmɔnu xoxowo. Viɖe vevi aɖewoe nye:

1. Nuléle si li ke: Kplɔ̃a naa nusi li ke, si wɔnɛ be woate ŋu asɔ ɖe wo nɔewo nu nyuie ahawɔ ɖeka kple gbagbãƒe kakɛawo.

2. Ʋuʋu kaba: Aŋɔa nana woate ŋu aʋuʋui kaba, si wɔnɛ be dɔnɔwo te ŋu dzea kpekpeme tsɔtsɔ kple gbugbɔgaɖɔɖo ƒe kamedede gɔme kaba ne wotsɔe sɔ kple atikewɔwɔmɔnu bubuwo.

3. Ʋu ƒe sisi takpɔkpɔ: To ʋuka si le ʋukaa me zazã me la, tibial intramedullary nail technique ɖea ƒu ƒe ʋuʋu ƒe tɔtɔ dzi kpɔtɔna, si nye nu vevi aɖe na ƒu ƒe gbagbã.

4. Dɔwɔwɔ me tsonu siwo nyo ɖe edzi: Ne woɖo wo ɖe te sesĩe eye woƒo wo nu ƒu kaba ta la, zi geɖe la, dɔnɔ siwo wowɔa afɔkpodzi ƒe dɔwɔwɔ na wo le lãkusi me la toa dɔwɔwɔ me tsonu siwo nyo ɖe edzi eye wogatrɔna ɖe gbesiagbedɔwo ŋu kabakaba wu.

5. Afɔku si le lãmeka falɛfalɛwo ƒe kuxiwo me dzi ɖena kpɔtɔna: Ne wotsɔe sɔ kple gotagome mɔnu siwo wozãna tsɔ léa ɖae la, elɔa ɖa suesuesuewo ɖeɖe ɖe eme eye woɖea lãmeka falɛfalɛwo ƒe tɔtɔ dzi kpɔtɔna, si wɔnɛ be lãmeka falɛfalɛwo ƒe kuxiwo kple dɔlékuiwo xɔxɔ ƒe afɔkua dzi ɖena kpɔtɔna.

   
   

Kuxiwo Kple Afɔku Siwo Le Wo Me

Togbɔ be zi geɖe la, tibial intramedullary nail dɔwɔwɔ le dedie eye wòwɔa dɔ nyuie hã la, kuxi kple afɔku siwo ate ŋu ado tso dɔa wɔwɔ me. Ele vevie be nànya nu tso nusiwo ate ŋu adzɔ siawo ŋu hafi awɔ atike na wò. Kuxiawo dometɔ aɖewoe nye:

Dɔdzedze

Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku li be woaxɔ dɔl

Malignment alo nonunion .

Le go aɖewo me la, kakɛawo mate ŋu ahaya le ɖoɖo si wodi nu o alo mada gbe le wo ŋu kura o. Nusiwo nye dziɖeɖi si mesɔ gbɔ o, ƒu ƒe nyonyome madeamedzi, alo kpekpeme si gbɔ eme ate ŋu ana woawɔ nu wòagbɔ eme alo womawɔ ɖeka o. Woate ŋu alé ŋku ɖe eŋu nyuie eye ne ehiã la, ahiã be woawɔ nu bubu siwo woatsɔ awɔ dɔ na ame abe amekoko si me woagbugbɔ ŋku alé ɖe nu ŋu ene.

Kuxi siwo do ƒome kple nusiwo wotsɔ dea lãme na ame

Togbɔ be mebɔ o hã la, kuxi siwo do ƒome kple nusi wotsɔ de ame me ate ŋu ado mo ɖa, abe nusi wotsɔ de ame me ƒe ʋuʋu, eƒe gbagbã, alo dzikudodo ene. Nya siawo ate ŋu abia be woawɔ amekoko bubuwo be woakpɔ wo gbɔ.

Lãmetsi alo Ʋukawo ƒe Nuveviwɔame

Le amekokoa me la, afɔku sue aɖe koe li be lãmeka alo ʋukawo naxɔ abi. Amekolawo wɔa afɔɖeɖewo be woaɖe afɔku sia dzi akpɔtɔ, gake ele be dɔnɔwo nanya alesi wòate ŋu adzɔe eye woagblɔ dzesi ɖesiaɖe si nɔa anyi ɖaa alo si le sesẽm ɖe edzi la kaba.

Gbugbɔgaɖɔɖo kple Gbɔdzɔe

Le tibial intramedullary nail surgery megbe la, ɖoɖo si me wowɔa dɔ bliboe le la le vevie ŋutɔ be woahaya nyuie wu. Ðoɖo si wowɔ koŋ be woagbugbɔ aɖɔe ɖo la ate ŋu ato vovo le alesi wòsẽe, eƒe nɔnɔme, kple amekola ƒe mɔfiafia nu. Kamedede kaba, kpekpeme dzi ɖeɖe kpɔtɔ vivivi, kple ŋutilãmedɔdada wɔa akpa vevi aɖe le dɔwɔwɔ gbugbɔgaɖɔɖo me, ŋusẽdodo, kple ƒu ƒe dɔyɔyɔ dodo ɖe ŋgɔ me.

Nudzɔdzɔwo Ŋuti Numekuku Kple Dzidzedzekpɔkpɔ Ŋutinyawo

Dɔnɔ gbogbo aɖewo kpɔ dzidzedze le tibial intramedullary nail dɔwɔwɔ na wo me. Nudzɔdzɔ aɖe ŋuti numekuku aɖe ku ɖe ame aɖe si xɔ ƒe 35 si ƒe afɔkpodzi ƒe asike gbã si wogbã ŋu. Esi wowɔ dɔ na dɔnɔa kple tibial intramedullary nail vɔ la, eƒe lãme gbã sesẽ, eƒe kpekpeme gate ŋu tsɔa eƒe kpekpeme bliboe, eye wògatrɔ yi alesi wònɔ tsã le ɣleti ade me.

Tsɔe sɔ kple atikewɔmɔnu bubu siwo woate ŋu azã .

Ne èle atikewɔmɔnu siwo woate ŋu azã na afɔkpodzi ƒe gbagbã ŋu bum la, ele vevie be nàtsɔ mɔnu ɖesiaɖe ƒe viɖe kple seɖoƒe asɔ kple wo nɔewo. Togbɔ be viɖe geɖe le tibial intramedullary nail dɔwɔwɔ ŋu, abe alesi wòate ŋu atɔ te, ʋuʋu kaba, kple lãmeka falɛfalɛwo ƒe kuxiwo dzi ɖeɖe kpɔtɔ ene hã la, ɖewohĩ masɔ na ɖa ƒe gbagbã ƒe nɔnɔme ɖesiaɖe alo dɔnɔ ɖesiaɖe o. Woate ŋu alɔ̃ mɔnu bubuwo abe plating alo gotagome fixation ene le go aɖewo me. Ne èbia ƒumeŋutinunyala bibi la, akpe ɖe ŋuwò nànya atikewɔwɔmɔnu si sɔ wu le ame ɖekaɖekawo ƒe nɔnɔmewo nu.

Nyanuwuwuw

Le nyataƒoƒo me la, tibial intramedullary nail surgery nye atike si ŋu kakaɖedzi le eye wòwɔa dɔ nyuie na tibial ƒe gbagbã. Mɔnua naa nusiwo wotsɔna léa nu ɖe ​​te si li ke, enaa woate ŋu aƒo wo nu ƒu kaba, eye wònaa viɖe geɖe wu mɔnu xoxowo. Togbɔ be afɔku kple kuxi siwo ate ŋu ado tso dɔa wɔwɔ me hã la, ɖoɖowɔwɔ nyuie do ŋgɔ na dɔwɔwɔ nɛ, amekokomɔnu si sɔ pɛpɛpɛ, kple beléle si sɔ le dɔwɔwɔ nɛ vɔ megbe ate ŋu aɖe dzimaɖitsitsi siawo dzi akpɔtɔ.