Tibial Intramedullary Nail: Egbɔkpɔnu si Ŋu Kakaɖedzi Le na Tibial Fractures

Tibial fractures, si gblẽa nu le afɔkpodzi ƒe ƒu ŋu, ate ŋu akpɔ ŋusẽ ɖe ʋuʋu kple gbesiagbedɔwo dzi vevie. Atikewɔwɔ na gbagbãƒe siawo bia be woabu nu vovovowo ŋu nyuie, siwo dometɔ aɖewoe nye gbagbãƒea ƒe ƒomevi, teƒe si wòle, kple dɔnɔa ƒe nɔnɔmewo. Amekoko ƒe mɔnu ɖeka si ɖee fia be ewɔa dɔ nyuie le ƒe ʋɛ siwo va yi me enye tibial intramedullary nail zazã. Nyati sia ku viɖe siwo le atikewɔwɔmɔnu sia ŋu, amekokomɔnu, afɔkuwo, kple hayahaya me.

Kpɔkplɔyiɖeme

Afɔkpodzi ƒe gbagbã ate ŋu ana ame nagbɔdzɔ, ana ame nase veve, wòate ŋu ali ke, eye wòasesẽ na wò be wòazɔ. Seɖoƒe li na atikewɔwɔmɔnu siwo wozãna tsã, abe alesi wotsɔa nu ƒua gbe alo gotagome nuléle ene, si wɔnɛ be wodia atike siwo de ŋgɔ wu abe tibial intramedullary nail ene.

Nukae nye Tibial Intramedullary Nail?

Tibial intramedullary nail nye atikewɔnu si wowɔ be wòana afɔkpodzi ƒe gbagbãƒewo nali ke eye woado gbe le wo ŋu. Gati aɖe si wotsɔ dea ƒua ƒe titina si me do le lae, si naa wòli ke eye wòlénɛ ɖe te le eƒe dɔyɔyɔ me. Zi geɖe la, wotsɔa titanium alo gakpo si mexɔ dzo o wɔa ɖaa eye eƒe lolome le vovovo be wòate ŋu asɔ na dɔnɔwo ƒe ŋutilã ƒe wɔwɔme vovovowo.

Nusiwo Fia Tibial Intramedullary Nail

Wozãa tibial intramedullary nails zi geɖe tsɔ daa tibial shaft ƒe gbagbã. Wowɔa dɔ nyuie ŋutɔ na gbagbãƒe siwo hiã be woalé wo ɖe te sesĩe, abe gbagbãƒe siwo woɖe ɖa alo esiwo wogbã ene. Mɔnu sia sɔ na dɔléle siwo ƒe ƒu ƒe nyonyome mede o alo ne wodi be woatsɔ kpekpeme enumake hã.

Amekokomɔnu na Tibial Intramedullary Nail

Ðoɖowɔwɔ Do Ŋgɔ Na Amekoko

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 Ðoƒe

Le amekokoa wɔɣi la, zi geɖe la, wotsɔa dɔnɔa nɔa anyi ɖe amekokokplɔ̃a dzi. Wodzraa afɔ si ŋu dɔlélea le la ɖo eye woblanɛ le mɔ si me dɔlékui mele o nu. Ele vevie be woaɖo ɖa nyuie be woate ŋu age ɖe afisi wògbã le nyuie wu eye wòana woate ŋu ade ɖaa me bɔbɔe.

Lãɖeɖe kple Mɔɖeɖe

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 Dede Ame Ŋu

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 Ðoɖowɔwɔ

Ne wonya ɖo ɖaa ɖe teƒe nyuitɔ ko la, wotsɔa gavi siwo xea mɔ na ɖaa dea eme be wòalé ɖaa ɖe ƒua me. Kplu siawo naa li ke ɖe edzi eye woxea mɔ na kakɛ siwo me wogbã la ƒe tɔtrɔ alo axadziʋuʋu. Gaviawo ƒe xexlẽme kple wo ɖoɖo nɔ te ɖe alesi wogbãe kple alesi amekolaa lɔ̃e 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 ƒumeŋuɖui zazã me la, tibial intramedullary nail mɔnu la ɖea tɔtɔ si le ƒua ƒe ʋu ƒe sisi me dzi kpɔtɔna, si le vevie ŋutɔ na ƒu ƒe gbagbã ƒe dɔyɔyɔ.

4. Dɔwɔwɔ me tsonu siwo nyona ɖe edzi: Ne wotsɔe ɖoa nu ŋu wòli ke eye woʋuʋua wo kaba la, zi geɖe la, dɔnɔ siwo wowɔa dɔ na wo le tibial intramedullary nail me la ƒe dɔwɔwɔ me tsonu nyona ɖe edzi eye wogatrɔna yia gbesiagbedɔwo gbɔ kabakaba.

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 dɔlékuiwo. Gake ne wozã dɔlékuiwutikewo ƒe mɔnu nyuiwo, woxe mɔ ɖe dɔlékuiwutikewo nu, eye wokpɔ wo dzi le dɔwɔwɔ vɔ megbe la, woate ŋu aɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ.

Mallignment alo Nonunion

Le go aɖewo me la, ɖewohĩ gbagbãƒea ƒe kakɛawo mahaya le alesi wodi nu o alo woado kpo hayahaya kura. Nuwo abe ƒu ƒe ɖiɖi si mesɔ o, ƒu ƒe nyonyome madeamedzi, alo kpekpeme tsɔtsɔ fũ akpa ate ŋu ana be womewɔ ɖeka o alo womewɔ ɖeka o. Ðewohĩ ahiã be woalé ŋku ɖe wo ŋu nyuie eye ne ehiã la, woawɔ nu bubuwo abe amekoko si woagbugbɔ awɔ 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 dɔwɔwɔ vɔ megbe la, ɖɔɖɔɖo ƒe ɖoɖo blibo aɖe le vevie ŋutɔ be wòahaya nyuie wu. Gbugbɔgaɖɔɖo ƒe ɖoɖo tɔxɛa ate ŋu ato vovo le alesi wògbãe, dɔnɔa ƒe nɔnɔmewo, kple amekola ƒe mɔfiafia nu. Ʋuʋu ƒe kamedede kaba, kpekpeme tsɔtsɔ vivivi, kple kamedede wɔa akpa vevi aɖe le dɔwɔwɔ gbugbɔgaɖoanyi, ŋusẽdodo, kple ƒuwo 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.

Tsɔtsɔ Sɔ Kple Atikewɔwɔ ƒe Tiatia Bubuwo

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.