Top 5 hot issues of femoral neck fracture, hatiwòwo le esia gbɔ kpɔm!

Tiatia le ememe fixation tsɔtsɔ sɔ kple ƒunukpeƒe ɖɔliɖɔli

Fifia la, woxɔe se zi geɖe be viɖe siwo le ɖa si me do le ƒe ememe tsɔtsɔ na afɔkpodzi ƒe kɔ ƒe gbagbã ŋue nye be amekoko ƒe ɣeyiɣi kpui aɖe, nuveviwɔame sue aɖe kple ga si mexɔa ga geɖe o, gake ƒumeŋuɖui kpena ɖe dɔnɔ tsitsi akpa gãtɔ ŋu, eyata ele be woabu ememe ƒoƒo ƒe liƒo ŋu bliboe. Le dɔnɔ siwo ƒe afɔkpodzi ƒe kɔ gbã si meli ke o gome la, ele be woanɔ aba dzi ɣeyiɣi didi, eye agbalẽnyala geɖe susui be yewomate ŋu atsɔ kpekpeme kaba o, si gblẽa nu le dɔnɔwo ƒe agbenɔnɔ ŋu vevie. Gakpe ɖe eŋu la, ate ŋu adzɔ be fracture nonunion kple femoral head necrosis.Akɔta ɖɔliɖɔli ate ŋu akpɔ kuxi vevi siwo le femoral neck fracture nonunion kple avascular necrosis of femoral head gbɔ keŋkeŋ le dɔnɔ tsitsiwo me, eye ate ŋu aƒo asa na kuxiwo abe pressure sore, gbɔgbɔtsixe ƒe dɔlékui kple aɖuɖɔtoedɔléle ene alesi wòanya wɔe.

Kpekpeme tsɔtsɔ ƒe ɣeyiɣi didi le ememe ƒoƒo vɔ megbe

Kuxi siwo dɔnɔ siwo ŋu afɔkpodzi ƒe kɔ ƒe ememe fixation doa goe ɣeyiɣi didi koŋue nye nonunion kple avascular necrosis of femoral head. Agbalẽnyala aɖewo xɔe se be kpekpeme tsɔtsɔ le titina kple eƒe gɔmedzedze kpɔa ŋusẽ gãtɔ kekeake ɖe akɔta ƒe kɔ ƒe gbagbã le dɔwɔwɔ vɔ megbe dzi, eye aba dzi nɔnɔ ɣeyiɣi didi le dɔwɔwɔ vɔ megbe ate ŋu aɖe dzideƒonamea dzi akpɔtɔ va ɖo afisi gbagbãƒea le eye wòana nɔnɔme si li ke wu nada gbe le afɔkpodzia ŋu nyuie. Ðeɖekpɔkpɔ pɛpɛpɛ kaba, ememe léle ɖe te si ŋu kakaɖedzi le, ʋu si le teƒea ƒe tsɔtsrɔ̃ dzi ɖeɖe kpɔtɔ kple ʋu si wodona le teƒea ƒe nyonyo ate ŋu aɖe avascular necrosis of femoral head ƒe dzɔdzɔ dzi akpɔtɔ nyuie le femoral neck fracture megbe.

Perioperative traction numedzodzro le afɔkpodzi ƒe kɔ ƒe gbagbã ŋu

Woʋlia nya le heheɖemegbe do ŋgɔ na dɔwɔwɔ nɛ ŋu ɣesiaɣi. Eƒe taɖodzinu vevitɔe nye be wòaɖe vevesese dzi akpɔtɔ, aɖe abɔ si ŋu dɔlélea le ƒe ʋuʋu dzi akpɔtɔ, eye wòaɖe alesi wòate ŋu adzɔe be wòaʋuʋu alo aʋuʋu le afisi wògbã la dzi akpɔtɔ. Ke hã, ame aɖewo susu be hehe si me susu mele o ana ƒunukpeƒe ƒe ʋuka ƒe nyaƒoɖeamenu nadzi ɖe edzi, eye emegbe wòakpɔ ŋusẽ ɖe ʋu si ƒo xlã afɔkpodzi ƒe ta dzi, si fia be 'stuffing effect', si ana avascular necrosis ƒe dzɔdzɔ nadzi ɖe edzi.

Numekukuwo ɖee fia be afɔkpodzi ƒe ta ƒe kuku ƒe agbɔsɔsɔme nye 27.8% le amesiwo mehea nu wògbɔa eme o me eye 42% le amesiwo hea nu fũu akpa me. Tsɔ kpe ɖe eŋu la, numekuku aɖewo ɖee fia be ne wotsɔ abɔ si ŋu dɔlélea le la le rotational neutral position si nye akɔta ƒe ƒunukpeƒe ƒe ʋuʋu 30, klo ƒe ƒunukpeƒe ƒe ƒoƒo 30 kple ameléle sesẽe 10 le hehem me ate ŋu aɖe nyaƒoɖeamenu si le akɔta ƒe ƒunukpeƒe ƒe do me dzi akpɔtɔ eye wòana ʋu si naa afɔkpodzi ƒe ta nadzi ɖe edzi. Le susu sia ta la, dɔdaƒewo ƒe nyatakakawo li be woyia tibial tuberosity traction dzi kwasiɖa 3 le hollow nail fixation megbe, eye traction ƒe kpekpeme nye 1.5kg, ale be woana abɔ si ŋu dɔlélea le la nanɔ rotational neutral position si nye 30 flexion of hip joint, 30 flexion of knee joint and 10 abduction.

Tiatia si woawɔ le akɔta ɖɔliɖɔli bliboa kple afɔkpodzi ƒe ta ɖɔliɖɔli dome

Total hip replacement nye amekokomɔnu si zãa ametia ƒe akpa si wowɔ tsɔ ɖɔlia akɔta ƒe lãkusi bliboa si gblẽ, si kpɔa akɔta ƒe kɔ ƒe gbagbã ƒe kuxiwo gbɔ nyuie le ame tsitsiwo me, abe fracture nonunion kple femoral head necrosis si ʋu ƒe sisi ƒe tɔtɔ kple ƒu ƒe gbagbã hena vɛ ene. Gake le amekokoa ƒe ɖoɖo sesẽ, amekoko ƒe ɣeyiɣi didi kple amekoko ƒe abi gã ta la, dɔwɔwɔ na dɔnɔ tsitsiawo ƒe afɔkua lolo ŋutɔ, eye ƒunukpeƒewo ƒe ʋuʋu ƒe agbɔsɔsɔ aɖe nɔa anyi le dɔwɔwɔ vɔ megbe.

Afɔkpodzi ƒe ta ɖɔliɖɔli si wowɔ kple asi ate ŋu aɖe amekoko ƒe nuveviwɔame dzi akpɔtɔ nyuie eye wòana dɔnɔwo ƒe dɔwɔwɔ vɔ megbe ƒe ɖɔɖɔɖoɣi nadidi, gake kuxi aɖewo li abe acetabular ƒe vuvu le ɣeyiɣi didi me ene, si akpɔ ŋusẽ ɖe dɔnɔwo ƒe akɔta ƒe dɔwɔwɔ le dɔwɔwɔ vɔ megbe dzi.

Tiatia si wotsɔ siminti wɔe tsɔ wu biologic prostheses

Zi geɖe la, ƒumeŋuɖui sesẽna na dɔnɔ tsitsiwo, eyata nyaʋiʋli aɖewo gakpɔtɔ li ku ɖe nenye be woatia akɔta ƒe akpa si wotsɔ ƒu siminti wɔe alo akɔta ƒe akpa si wotsɔ dɔlékui wɔe ŋu.

Ƒu ƒe siminti ate ŋu ana ŋusẽ nyui aɖe si aɖu ame le eƒe gɔmedzedze, eye ate ŋu atrɔ ɖe afɔkpodzi ƒe do si me ƒu mele o ŋu, ale be dɔnɔ tsitsiawo nate ŋu agbugbɔ akɔta ƒe ƒunukpeƒe ƒe dɔwɔwɔ aɖo te kaba eye wòaɖe ɖoɖowɔɖi ƒe kuxi bubuwo ƒe dzɔdzɔ dzi akpɔtɔ. Gake woka nya ta hã be ƒumeŋuɖui dede ame me ƒe dɔléle ate ŋu adzɔ le ƒumeŋutinu ƒe ametia ƒe dɔwɔwɔ me, si ana ame geɖe naku le dɔwɔwɔ na wo me kple le dɔwɔwɔ vɔ megbe, vevietɔ le dɔnɔ siwo ƒe dzitodzito megawɔa dɔ nyuie o hafi woawɔ dɔ na wo ŋu, eye egbugbɔgawɔ ɣeyiɣi didi wu.

Nu gbagbewo ƒe ŋutilã ƒe akpa aɖe ate ŋu aƒo asa na ƒu siminti dede ame ƒe dɔlélea eye wòana amekoko ƒe ɣeyiɣia nanɔ kpuie. Gake nugbagbewo ƒe afɔkpodzi ƒe dɔwɔwɔ bia be ele be afɔti ƒe asiléƒea nasɔ nyuie kple metaphysis kple medullary cavity of femoral shaft, ne menye nenema o la, ana ametia naɖe asi le eŋu eye wòanyrɔ le etsɔ si gbɔna kpuie me alo le ɣeyiɣi didi aɖe me, vevietɔ Dorr C chimney femoral medullary cavity, si te ŋu doa go kuxiwo abe periprosthetic fracture kple instability ene bɔbɔe le dɔwɔwɔ nɛ me kple le dɔwɔwɔ vɔ megbe.

Ku ɖe CZMEDITECH ƑE NUÐEÐEŊUTI

Xɔse si nye be ame sia ame si le ɣletinyigba sia dzi dze na lãmesẽnyawo gbɔ kpɔkpɔ nyuie wue ʋãe. CZMEDITECH wɔa dɔ vevie be yeakpe ɖe ame bubuwo ŋu woanɔ agbe vɔvɔ̃manɔmee. Enye dada na mí ne dɔnɔ siwo kpɔ viɖe geɖe eye woƒe agbenɔnɔ nyo wu le míaƒe adzɔnuwo kple míaƒe afɔtoƒewo ta la keke ta ɖo dukɔ siwo wu 70 bubuwo me, afisi dɔnɔwo, ɖɔktawo kple hadɔwɔlawo siaa ɖoa ŋu ɖo CZMEDITECH be woayi ŋgɔ. Ƒumeŋuɖui ɖesiaɖe si míewɔ la ɖoa nyonyome ƒe dzidzenu kɔkɔtɔ kekeake gbɔ.

Míedze mɔzɔzɔ tɔxɛa gɔme kple ƒumeŋuɖui ƒe 13 enye sia. Le esia wɔwɔ me la, wotrɔ asi le ewɔwɔ ƒe mɔnu vovovowo ŋu wòzu nusiwo wotsɔ dea ame me na... akɔtaƒu, vevesesegã, cranial-maxillofacial ƒe tagbɔ, ametia ƒe ŋutilã ƒe akpa aɖe, elektrikdɔwɔnuwo, . gotagome fixators, ƒunukpeƒetetedɔ kple lãwo ƒe dɔlélewo gbɔ kpɔkpɔ , kpe ɖe dɔwɔnu siwo wozãna le amekokomɔnu siwo do ƒome kplii me.

Míaƒe nu xoxowo katã tso nudzrala deŋgɔwo gbɔ le dukɔa me kple duta. Ne míeƒo nu tso nyonyome ŋu la, míeɖea gazazãwo dzi kpɔtɔna gbeɖe le míaƒe dɔdasi si nye be míanɔ ŋgɔ afɔɖeɖe ɖeka me o, si to esia me ɖoa mía ŋutɔwo ƒe dodokpɔwɔƒe be míakpɔ egbɔ be nusiwo wotsɔ wɔe ƒe nyonyome. Míaƒe mɔ̃ siwo katã míewɔna la nye esiwo wotsɔ tso USA, Germany, Japan kple adzɔha kɔkɔtɔwo le Domestic be míakpɔ egbɔ be nu ɖesiaɖe si míewɔ la de pɛpɛpɛ.

Wozãa ɣeyiɣi kple agbagbadzedze geɖe tsɔ wɔa numekuku le ŋgɔyiyi siwo wowɔ ŋu eye wotsɔa nu mamlɛtɔ si woatsɔ awɔ dɔe la ɖoa ʋua dzi. Míekpɔ dɔnyala numekuku ƒuƒoƒo, nuwɔwɔ ƒe ƒuƒoƒo kple QC ƒuƒoƒo be woakpɔ egbɔ be nyonyome nyuitɔ kekeake kple míaƒe nudzralawo ƒe ƒuƒoƒo ƒe kpekpeɖeŋu be woakpɔ kuxiwo katã gbɔ eye míana subɔsubɔdɔ nyuitɔ kekeake le nudzadzra megbe.

Esi míetsɔ dzo ɖe míaƒe xɔse ŋu ta la, míele míaƒe sidzedze ƒe seɖoƒewo tum ɖo ɣesiaɣi be míana adzɔnuwo ƒe kuxiwo gbɔ kpɔnu deŋgɔ, siwo me nu yeyewo le la míaƒe asisiwo katã le xexeame godoo eye míedzea agbagba madzudzɔmadzudzɔe ɖe amegbetɔwo ƒe lãmesẽ ta.