Ɣekaɣie wòhiã be woawɔ dɔ na wò ne ègbã?

Zi geɖe la, abixɔxɔ le ŋutilã ƒe akpa bubuwo kpena ɖe lãmekawo ƒe gbagbã ŋu. Le atikewɔwɔ ƒe ɖoɖo bliboa me la, ele be woawɔ atike na dɔnɔwo katã.

Ðoɖo si Nu Woatsɔ Nu Ðo Nu Vevie

• Ðe amewo ƒe agbe

• Ðe abɔ kple afɔwo

• Dzra ƒunukpeƒewo ɖo

• Gbugbɔgatudɔa wɔwɔ

  
  

Amekoko kpata: atikewɔwɔ ƒe gɔmeɖosewo le ʋukawo ƒe abixɔxɔ, ʋukawo ƒe gbagbã si le ʋuʋu ɖi kple gbagbã si wotu ŋu.

• Ʋuʋu dzi ɖeɖe kpɔtɔ kple ememe fixation kaba ale si wòanya wɔ (le 6h me) .

• 48h

• 3 ~ 7d: Ana ARDS kple kuxi bubuwo ƒe dzɔdzɔ nadzi ɖe edzi.

• 7 ~ 10d: Endocrine reaction dzi ɖe kpɔtɔ [vuvua nu fa, dɔdzẽ nu yi].

• Kwasiɖa 2 kple edzivɔ: dɔwɔwɔ na ame ƒe sesẽ dzina ɖe edzi eye dɔwɔwɔ vɔ megbe ƒe dɔwɔwɔ dzi ɖena kpɔtɔna.

Kɔmeƒu ƒe gbagbã

• Ne gbagbãƒea de abi subclavian artery, vein kple brachial plexus ŋu la, wolɔ̃ ɖe edzi be enye kuxi sesẽ aɖe eye ele be woawɔ dɔ nɛ enumake.

Aɖuɖɔtoe ƒe gbagbã si te ɖe eŋu

• Ne elastic tɔtrɔgbɔ dzɔ le asi dzi ɖeɖe kpɔtɔ megbe-biceps longus ƒe lãkusi, ne axillary nerve ƒe dzesiwo dze.

Humeral shaft ƒe gbagbã

• Ne wonya kpɔ radial nerve injury ƒe dzesiwo le ŋutilãmedɔdada me ko la, woawɔ dɔa enumake.

Aɖuɖɔtoe ƒe gbagbã le didiƒe

• Gbagbã sia ƒomevi ate ŋu ana lãmeka alo ʋuka ɖesiaɖe si to abɔta ƒe ƒunukpeƒea naxɔ abi. 

• Ʋukawo ƒe vuvu mebɔ o, gake ate ŋu anɔ tetem ɖe ʋukawo ŋu alo aƒo wo nu ƒu. 

• Fascial space syndrome-lãɖeɖe enumake kple eƒe nutete ɖeɖeɖa.

Nuveviwɔame le olecranon, radial ta kple abɔta ƒe ƒunukpeƒe si sesẽ ŋu

• Wu dɔwɔwɔa nu le kwasiɖa ɖeka me.

• 1 ~ 2 kwasiɖa dɔwɔwɔ taboo ɣeyiɣi-myositis ossificans.

• Amekoko le kwasiɖa 2 me.

  
  

Abɔta ƒe gbagbã zi eve

• Alo ele be woawɔ dɔ na ʋuʋu si le ʋuʋu ɖi le 6 ~ 8h me le abixɔxɔ vɔ megbe.

• Dɔwɔwɔ si tsi megbe ate ŋu ana ƒu ƒe tɔdzisasrã ƒe wɔwɔme nadzi ɖe edzi le ulna kple radius dome.

Distal radius ƒe gbagbã

• Esi ŋutilãmedodokpɔa ɖee fia be extensor pollicis longus tendon injury kple median nerve compression dzesiwo dze-amekoko enumake.

Asi ƒe gbagbã

• Wotea gbe ɖe edzi ɖeɖe kpɔtɔ kaba kple ememe léle ɖe te dzi na gbagbã siwo le ʋuʋu ɖi kple esiwo wotu siaa, vevietɔ na esiwo sesẽ le ʋukawo, lãmekawo alo lãkusiwo ƒe abixɔxɔ ta la, ele be woawɔ dɔ nɛ enumake.

  
  

Akɔta ƒe gbagbã

• Zi geɖe la, wotsɔa akɔta ƒe gbagbã kpena ɖe akpa bubuwo ƒe gbagbã ŋu, si ana ʋu ƒe dɔwɔwɔ namate ŋu ali ke o.

  
  

• Atikewɔwɔ ƒe mɔnu na akɔta ƒe gbagbã sesẽ: 30min, nyametsotso 3

• Amekoko ƒe numekuku enumake be woadzudzɔ ʋudodo

• Pelvic fixation (C-nɔnɔme forceps alo gota fixator) wu enu le 10 ~ 15min.

• Le ŋkuléle ɖe eŋu hena 10 ~ 15min megbe la, ʋumenugbagbeviɣi ƒe malikenyenye-dɔwɔwɔ gakpɔtɔ le dɔnɔa ŋu.

• Le dɔnɔ siwo ƒe ʋu ƒe dɔwɔwɔ li ke gome la, ele be woawɔ dɔa le ŋkeke 7 me, alo ŋkeke 7 ~ 14 me.

Afɔkpodzi ƒe gbagbã si te ɖe eŋu-intertrochanteric gbagbã

• Ne wonya kpɔ dɔnɔa ƒe nɔnɔme bliboa dzi ko la, ele be woawɔ ememe fixation, DHS, DCS kple PFN.

Proximal femoral fracture-afɔkpodzi ƒe kɔ ƒe gbagbã

• Afɔkpodzi ƒe kɔ ƒe gbagbã, vevietɔ intracapsular fracture, ate ŋu ade afɔkpodzi ƒe ta ƒe ʋu ƒe sisi afɔku me, eyata ehiã be woaʋu reduction kple ememe fixation kaba ale si woate ŋui.

• Ememe fixation: < ƒe 65 xɔxɔ

• Ƒunukpeƒe ɖɔliɖɔli: > Ƒe 65

• Ne amekoko kpata mate ŋu adzɔ o la, woate ŋu ato ƒunukpeƒewo ahaɖe ʋu si me ʋu sina tona le ƒunukpeƒewo me, eye woate ŋu ana akɔta ƒe ƒunukpeƒea nanɔ nɔnɔme si me woabɔbɔ akpa aɖe le eye woatrɔe le gota.

Afɔkpodzi ƒe gbagbã le didiƒe

• Dɔnɔ siwo xɔ abi vevie le lãmeka falɛfalɛwo ŋu, woƒe gbagbã le ʋuʋu ɖi, alo dɔwɔwɔ na wo kaba ƒe kuxiwo-Super-articular external fixator.

• Amekoko ƒe atikewɔwɔ enumake na abi si woɖe ɖe aga-—DCS, retrograde intramedullary nail.

  
  

Patella ƒe Gbagbã

• Dɔnɔa ƒe nɔnɔme bliboa li ke, eye ŋutigbalẽ ƒe nɔnɔme siwo le teƒea ɖe mɔ, ele be woawɔ dɔa enumake.

Tibial ƒe gbagbã si te ɖe eŋu

• Kpɔ ŋutasẽnuwɔwɔ le abixɔxɔ ta ƒe nɔnɔme ɖa

• Zi geɖe la, lãmeka falɛfalɛwo ƒe abi vevie kpena ɖe abi si ŋu ŋusẽ le ŋutɔ ŋu. Eƒe dzesi enye abɔ kple afɔ ƒe vuvu, ʋuʋudedi, ŋutigbalẽ ƒe ʋuʋu kple ŋutigbalẽ ƒe vuvu. Ele be woahe dɔwɔwɔ nɛ ɖe megbe le ɣeyiɣi sia me. Le ɣeyiɣi ma ke me la, ele be woaɖe fascial space syndrome kple ʋukawo kple lãmekawo ƒe abixɔxɔ ɖa.

Tibial shaft ƒe gbagbã

• The particularity of anatomy-le vevienyenye si le lãmeka falɛfalɛwo ƒe nutsyɔtsyɔ ŋu.

• Gbãtɔ: le gaƒoƒo 8 me

• Wobua gotagome fixator be enye tiatia gbãtɔ na atikewɔwɔ kaba.

• Gypsum ƒe kpekpeɖeŋu

• Calcaneal ƒe heheɖemegbe

• Akpa II: abe kwasiɖa 2 ene.

• Dɔlékui si dze ƒã le ɖoɖo nu kple nuveviwɔame sesẽ aɖeke menɔ anyi o.

• Abi la ƒe vuvu alo dodo aɖeke manɔ eme o.

• Aɖuɖɔtoea ƒuna, vuvua nu fa eye woate ŋu aka asi ƒu ƒe dzesiwo ŋu.

• Ŋutilã si vuvu, ŋutigbalẽ ƒe fliwo dzena.

Distal tibia (pilon) ƒe gbagbã .

Pilon ƒe gbagbã ƒe atikewɔwɔ me tsonu nɔ te ɖe ƒunukpeƒewo gbugbɔgatu ƒe nyonyome kple nɔnɔme si me lãkusi falɛfalɛwo tsyɔ dzi.

Ɣeyiɣi nyuitɔ si woawɔ dɔ na ame nɔ te ɖe lãmeka falɛfalɛwo ƒe nɔnɔme dzi:

• Gbãtɔ: wowɔ dɔa le 6 ~ 8h me, si xɔ 2 ~ 3h.

• Heheɖemegbe: 7 ~ 10 ŋkeke, vuvu bu eye ŋutigbalẽ ƒe ʋuʋudediwo dze.

Gɔmeɖose ene siwo dzi woazɔ ɖo le amekoko ƒe akpa ɖeka gbugbɔgatu me:

• Fibula ƒe gbugbɔgatu

• Tibial articular surface ƒe gbugbɔgatu

• Ƒu ƒe ʋuʋu

• Kpekpeɖeŋu na ƒu ƒe agbalẽvi

Afɔkpodzi ƒe gbagbã

• Afɔkpodzi ƒe gbagbã nye ƒunukpeƒetetedɔ ƒe gbagbã.

• Taɖodzinu si le atikewɔwɔ ŋue nye be woagbugbɔ ƒunukpeƒewo ƒe ŋutilã ƒe wɔwɔme si sɔ la aɖo anyi.

• Ɣeyiɣi si woawɔ amekokoa nɔ te ɖe lãmeka falɛfalɛwo ƒe nɔnɔme dzi.

• Ɣeyiɣi nyuitɔ si woawɔ dɔ na ameae nye hafi ʋuʋudedi kple ʋuʋudedi nadze le teƒe si wogbãe.

Afɔ ƒe gbagbã

• Enye afɔtoƒe na amewo be woatsi tre azɔ azɔli. Afɔ ƒe ŋutilã ƒe wɔwɔme si sɔ gbugbɔgaɖoanyi wɔa akpa vevi aɖe le amewo ƒe tsitretsitsi kple azɔlizɔzɔ me.

• Abe alesi wòle le afɔkpodzi ƒe gbagbã gome ene la, ɣeyiɣi si woawɔ dɔ na amea nɔ te ɖe alesi gbegbe lãmeka falɛfalɛwo vuvu kple nɔnɔme dzi.

Aklã ƒe gbagbã

• Ne ŋutilã bliboa li ke la, ele be woawɔ dɔ na aŋe si woɖe ɖa la enumake ne ahɔhɔ̃mekawo ƒe dzesiwo le eŋu.

  
  

Ale Si Nàƒle Ƒumeŋuɖuiwo Kple Ƒumeŋuɖui Dɔwɔnuwo?

Elabena CZMEDITECH , míekpɔa adzɔnuwo ƒe hatsotso si de blibo ŋutɔ si me ƒumeŋuɖui ƒe amekoko ƒe nusiwo wotsɔ dea ame me kple dɔwɔnu siwo sɔ kplii, nusiwo dometɔ aɖewoe nye akɔta ƒe akpa siwo wotsɔ dea ame me, ɖa siwo le lãkusi me, trauma plate, ʋuƒo si wotsɔ xea mɔ na nu, cranial-maxillofacial ƒe tagbɔ, ametia ƒe ŋutilã ƒe akpa aɖe, elektrikdɔwɔnuwo, gotagome fixators, ƒunukpeƒetetedɔ (arthroscopy)., lãwo ƒe dɔlélewo gbɔ kpɔkpɔ kple woƒe kpeɖeŋutɔ dɔwɔnuwo.

Tsɔ kpe ɖe eŋu la, míeɖoe kplikpaa be míayi edzi anɔ atike yeyewo wɔm eye míakeke adzɔnuwo ƒe hatsotsowo ɖe enu, ale be míakpɔ ɖɔkta kple dɔnɔ geɖe ƒe amekoko ƒe nuhiahiãwo gbɔ, eye míana míaƒe dɔwɔƒea hã nate ŋu aʋli ho geɖe wu le xexeame katã ƒe ƒumeŋuɖui kple dɔwɔnuwo ƒe dɔwɔƒe bliboa me.

Míeɖoa nu ɖe ​​xexeame katã, eyata àte ŋui te ɖe mía ŋu le email adrɛs song@orthopedic-china.com hena nyayɔyɔ femaxee, alo ɖo gbedasi ɖe WhatsApp hena ŋuɖoɖo kaba +86- 18112515727 .

Ne èdi be yeanya nyatakaka bubuwo la,zi edzi CZMEDITECH be nàkpɔ nyatakaka bubuwo.