Nudzɔdzɔwo ƒe wɔwɔfia .
Nyitsɔ laa la, ƒumeŋuɖui ƒe ƒuƒoƒo si Ðɔkta Carlos Rivera nɔ ŋgɔ na le Santa Rosa Dua ƒe Kɔdzi le Lima, Peru , wu enu dzidzedzetɔe . Nuwo dzi ɖeɖe kpɔtɔ kple ememe fixation amekoko na miame intertrochanteric gbagbã. Dɔnɔa ɖe ŋgɔyiyi madzudzɔmadzudzɔe fia le dɔwɔwɔ nɛ vɔ megbe kple dzidede ƒo na dɔwɔwɔ kaba ƒe dzidedeƒo.
Nya sia te gbe ɖe alesi wòle vevie be woakpɔ dɔlélea kabakaba, tiatia si sɔ, kple amekokomɔnu siwo me womezãa nu boo aɖeke le o le ame tsitsiwo ƒe akɔta ƒe gbagbã dzi kpɔkpɔ me—si nye kuxi si le dzidzim ɖe edzi le atikewɔƒe le xexeame katã.
Do ŋgɔ na Dɔwɔwɔ Ŋuti Numekuku & Amekoko ƒe Nyametsotsowɔwɔ .
Esi amekolagã Dr. Rivera lé ŋku ɖe dɔnɔa ƒe dɔdaƒe ƒe nɔnɔme, X-ray, kple dɔwɔwɔ ƒe nɔnɔme bliboa ŋu vɔ la, amekolagã Ðɔkta Rivera ƒo nya ta be . Closed reduction and fixation si wozãna to intertan intramedullary nail zazã me ana woakpɔ egbɔkpɔnu si li ke wu eye wònyo wu le biomechanically me.
Wotu nyametsotsoa ɖe alesi wòhiã be woawɔe dzi:
Tsitretsitsi ɖe ŋusẽ siwo trɔna ŋu wònyo ɖe edzi .
Proximal fixation sesẽ si nɔa anyi didina .
Nutete si dzi wokpɔna le afisi wogbãe le .
Amedede ame me si me womezãa nu boo aɖeke le o be woaɖe amekoko ƒe nuveviwɔame dzi akpɔtɔ .
Esia le vevie ŋutɔ na dɔnɔ tsitsiwo, afisiwo ʋuʋu kaba ate ŋu ana emetsonuwo nanyo ɖe edzi ŋutɔ eye wòaɖe kuxiwo abe aklãdɔ, ʋuka me ʋu ƒe sisi, kple ʋu ƒe sisi ɣeyiɣi didi dzi akpɔtɔ.
Nyawo ƒe Kpuie .
Dɔnɔa, Aƒenɔ Ana Marisol Vásquez , si nye nyɔnu si xɔ ƒe 82 eye wònye le atikewɔwɔ me ʋuka me ʋu ƒe sisi , si wotsɔ va kɔdzi le eƒe anyidzedze le aƒeme megbe. Egblɔ be yeƒe miame ƒe akɔta le veve sem vevie eye yeƒe kpekpeme dzi ɖe kpɔtɔ keŋkeŋ.
Woɖee fia be ŋutilãmedɔdada:
Nusiwo wokpɔna ƒe nɔnɔme madeamedziwo ƒo xlã miame ƒe akɔta .
Ʋuʋudedi si seɖoƒe li na si ɖe dzesi ŋutɔ .
Tenderness le intertrochanteric nuto me .
Abɔ kple afɔ ƒe akpa si le anyime si mesɔ o .
Fotoɖeɖefia le radiographic me ɖo kpe miame dome gbagbãƒe aɖe si woɖe ɖa dzi , si bia be woawɔ dɔ na ye le ɣeyiɣi nyuitɔ dzi be wòana wòali ke eye wòte ŋu ʋãna.
Nɔnɔmetatawo ɖeɖe do ŋgɔ na dɔwɔwɔ .
X-ray do ŋgɔ na dɔwɔwɔ si ɖee fia be miame ƒe ƒuƒoƒo si woɖe le wo nɔewo dome ƒe gbagbã le dɔnɔ tsitsi si nye Lima Peru ŋu
Nɔnɔmetatawo ɖeɖe le dɔwɔwɔ vɔ megbe .
![Dɔwɔwɔ vɔ megbe X-ray le Intertan Intramedullary Nail Fixation ƒe miame Intertrochanteric Fracture-CzmediTech]( "Postoperative X-ray after Intertan Intramedullary Nail fixation of left intertrochanteric fracture-czmeditech")
X-ray si wowɔ le dɔwɔwɔ vɔ megbe si ɖee fia be Intramedullary ƒe ɖaƒoƒo le miame ƒe ƒuƒoƒo ƒe gbagbã, Peru
Amekoko ƒe Nyatakaka Kpuie .
Le amekokoa me la, Ðɔkta Rivera de dzesii be . CzmediTech intertan intramedullary nail na biomechanical ƒe liƒo si de ŋgɔ wu kple edodo nyuie.
Viɖe vevi siwo wokpɔ dometɔ aɖewoe nye:
1. Biomechanical viɖewo .
Dual cephalocervical screws enhanced rotational resistance .
Axial compression si nyo wu le gbagbãƒe ƒe fli la dzi .
Stable fixation dzi ɖeɖe kpɔtɔ ƒe afɔkuwo dzi ɖeɖe kpɔtɔ varus mumu .
Ŋusẽ ƒe mama gɔ̃ hã si doa ƒu ƒe dɔyɔyɔ ɖe ŋgɔ .
2. Design viɖewo .
la Nail ƒe nugbɔ si le sue eye wòle blɔ na be nusi wotsɔ de eme la te ŋu ƒua du toa medullary canal la me eye metsia tre ɖe eŋu boo o, si ɖea lãkusi ƒe nuveviwɔame dzi kpɔtɔna.
Titanium -kpe siwo ŋu ŋusẽ le ŋutɔ ƒe cephalic screws kpɔ egbɔ be biocompatibility nyui aɖe kple ɣeyiɣi didi ƒe anyinɔnɔ.
3. Dɔwɔnuwo ɖoɖo ƒe dɔwɔwɔ .
Intertan instrument set si woɖo ɖi la na:
GuideWire ƒe nɔƒe si sɔ pɛpɛpɛ .
Smooth reaming kple nail insertion .
Taɖodzinu si sɔ pɛpɛpɛ na screw placement .
Dɔwɔwɔ ƒe ɣeyiɣi kpuitɔ .
Fluoroscopy ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ .
Esia na be woate ŋu aɖe wo dzi akpɔtɔ eye woate ŋu aka ɖe wo dzi, si wɔ ɖe biomechanical didi siwo le fracture pattern la me dzi.
Nusiwo wotsɔ dea lãme na ame ƒe nɔnɔmewo .
Amekokoa zã CzmediTech Intertan Intramedullary Nail System tsɔ kpe ɖe eƒe dɔwɔnu si wotsɔ wɔ ɖekae ŋu.
![CzmediTech Intertan Intramedullary Nail Kple Dual Cephalocervical Screws .]( "CZMEDITECH Intertan Intramedullary Nail with dual cephalocervical screws")
Intramedullary ƒe ɖa .
Nusiwo wotsɔ dea lãme na ame ƒe nɔnɔmewo .
![Intertan intramedullary nail integrated instrument si woɖo tso CzmediTech .]( "Intertan Intramedullary Nail integrated instrument set from CZMEDITECH")
Ne èdi be yeanya nu geɖe tso amekoko ƒe nya sia ŋu alo adzro míaƒe Intramedullary nail system ƒe nɔnɔme bliboa me la, taflatse te ɖe mía ŋu faa. Míaƒe ƒuƒoƒoa ana mɔ̃ɖaŋununya ƒe kpekpeɖeŋu tsitotsito kple dɔnyala ƒe ŋuɖoɖowo wò.→
ŋgɔyiyi le dɔwɔwɔ vɔ megbe .
Esi dɔnɔa te ŋu lé eɖokui ɖe te vɔ la, edze kpekpeɖeŋunadɔ gɔme kaba. Vevesesea nu sẽ ŋutɔ, wogaɖo abɔ kple afɔ ƒe ɖoɖowɔwɔ ɖe wo nɔewo ŋu, eye fotoɖeɖe siwo kplɔe ɖo ɖo kpe edzi be wole teƒe si wotu ɖe lãme na ame si li ke kple dzesi siwo ɖee fia be woƒe gbagbã vivivi ƒe dɔyɔyɔ.
Nya sia ɖee fia be Intertan ɖoɖoa naa kakaɖedzi si ŋu kakaɖedzi le kple emetsonu nyuiwo le dɔnɔ tsitsiwo ŋu—amesiwo ŋu ƒunukpeƒetetedɔ le gɔ̃ hã.
Adzɔgbeɖeɖe .
Kɔdzi ŋkɔwo, ɖɔkta ƒe ŋkɔwo, kple dɔnɔwo ŋuti nyatakaka siwo katã wozã le nyatakaka sia me nye ŋkɔ siwo wotsɔ na wo hena wɔwɔfiawo wɔwɔ ko.
Nyabiasewo ƒe 1999 me.
1. Nukatae wotia intertan intramedullary nail na intertrochanteric fracture sia le Peru?
Dɔnɔa nye nyɔnu aɖe si xɔ ƒe 82 eye eƒe ƒu ƒe nyonyome mede o eye eƒe miame ƒe gbagbã le miame. Intertan intramedullary nail la naa cephalomedullary design si wowɔ ɖekae kple dual cephalocervical screws, si naa rotational stability sesẽ kple controlled compression le fracture teƒe, si sɔ nyuie na ʋuʋu kaba le geriatric hip fracture dɔnɔwo me.
2. Nukae nye viɖe vevi siwo le CzmediTech intertan intramedullary nail ŋu le nya sia me?
CzmediTech Intertan Intramedullary Nail la tsɔa eve cephalocervical screws tsakana kple ɖa ƒe nugbɔ si le sue eye wòle blɔ. Aɖaŋu sia dzia mɔzɔzɔ ƒe smoothness ɖe edzi le medullary canal me, eɖea soft-tissue ƒe nugbegblẽ dzi kpɔtɔna, enaa tsitretsitsi ɖe implant loosening ŋu nyona ɖe edzi, eye wòkpena ɖe ame ŋu be woakpɔ ƒu ƒe ƒoƒo ɖekae si ŋu kakaɖedzi le le intertrochanteric fractures siwo meli ke o me.
3. Aleke dɔwɔnu si wotsɔ wɔ ɖekae la ɖo kpe amekokoa dzi le Santa Rosa Dua ƒe Kɔdzi?
Intramedullary nail instrument si wotsɔ ɖe adzɔgbe na tso CZMEDITECH gbɔ la naa mɔfiame, reamers kple taɖodzinu ƒe mɔ̃wo pɛpɛpɛ. Aɖaŋu sia si wowɔ ɖekae la le bɔbɔe le dɔwɔwɔ na ame me, wokpɔ egbɔ be woda gavi siwo sɔ pɛpɛpɛ ɖe fluoroscopy te eye wowɔ akpa aɖe le amekoko ƒe dɔwɔwɔ nyuie na Ðɔkta Carlos Rivera ƒe ƒuƒoƒoa me.
4. Nukae nye dɔnɔ tsitsi sia si le Lima ƒe dɔwɔwɔ vɔ megbe tso?
Le closed reduction kple intertan intramedullary nail fixation megbe la, dɔnɔa ɖo fracture fixation si li ke kple dɔwɔwɔ ƒe hayahaya kaba gbɔ. Vevesese dzi ɖe kpɔtɔ ŋutɔ, wogaɖo abɔ kple afɔ ƒe ɖoɖowɔwɔ ɖe ɖoɖo nu eye woɖo kpe edzi be nɔnɔmetata siwo wotsɔ kplɔ wo ɖo ɖo kpe edzi be wole teƒe nyui si wodoe ɖo eye wole gbagbãm vivivi.
5. Ðe intertan intramedullary nail sɔ na akɔta ƒe gbagbã ƒomevi bubuwoa?
Woɖea intertan intramedullary nail la koŋ fiana na intertrochanteric fractures siwo li ke eye womeli ke o kple subtrochanteric fractures aɖewo siwo le afɔkpodzia ŋu. Eƒe cephalomedullary ƒe nɔnɔme na wòkpɔa proximal femoral fracture patterns sesẽwo gbɔ, gake ele be ƒumeŋutinunyala nada dzesi mamlɛtɔa kpɔ le dɔnɔ ɖesiaɖe ƒe ŋutilã ƒe wɔwɔme kple ƒu ƒe nyonyome nu.
6. Aleke dual cephalocervical screw fixation nana be liƒo le intertrochanteric fractures me nyona ɖe edzi?
Dual cephalocervical screws dzia kadodo ƒe teƒe si le femoral ta kple kɔ me ɖe edzi, si doa ŋusẽ tɔtrɔ kple varus mumu eye wòɖea mɔ na nutete si dzi woɖuna to fracture line la dzi. Esia kpena ɖe ame ŋu be woaɖe edzi akpɔtɔ eye wòɖea afɔku si nye be woatso lãme na ame ƒe lãme dzi akpɔtɔ alo eƒe lãme nagava nɔ ƒumeŋuɖui ƒe ƒu me o.
7. Nukae wozãna na tagbɔ ƒe ʋuƒo siwo le CZMEDITECH Intertan ɖoɖoa me?
Wotsɔ titanium ƒe kpe si ŋu ŋusẽ le ŋutɔ wɔ cephalic screws siwo le CzmediTech intertan intramedullary nail system me. Nu sia naa nu gbagbewo ƒe dɔwɔwɔ nyuie, woƒe xɔxlɔ̃ te ŋu nɔa te ɖe nu gbegblẽ nu kple ɖeɖiteameŋu ƒe ŋusẽ si nɔa anyi didi, si ɖea afɔku si le nusiwo wotsɔ dea lãme na ame megbe alo nusiwo gblẽna le ame ŋu me dzi kpɔtɔna.
8. Ðe CzmediTech ate ŋu ana lolome siwo wowɔ ɖe ɖoɖo nu alo ƒuƒoƒo blibowo na mamalawo kple kɔdziwoa?
Ɛ̃. CzmediTech naa intertan intramedullary nails kple haƒonu siwo sɔ kple wo nɔewo ƒe hatsotso bliboa. Le nutoa me ƒe dɔdaƒe ƒe didi nu la, mamalawo kple kɔdziwo ate ŋu atia lolome siwo sɔ alo adzro ɖoɖo siwo wowɔ ɖe ɖoɖo nu kple ɖoɖo siwo wowɔ be woatsɔ akpɔ woƒe ƒunukpeƒetetedɔ ƒe amekoko ƒe hiahiãwo gbɔ la me.
9. Nu kawoe le vevie na dɔwɔwɔ na ame le dɔwɔwɔ na ame me siwo le vevie na dɔnɔ tsitsi siwo ƒe ʋukawo me ʋuʋu le wo nɔewo dome?
Le dɔnɔ tsitsiwo gome la, ele vevie be woaɖu comorbidities abe hypertension, optimized anesthesia risk dzi, aɖe amekoko ƒe nuveviwɔame dzi akpɔtɔ eye woadze egɔme kaba le ametakpɔkpɔ te. Ememe ƒe fixation si li ke kple intertan intramedullary nail doa alɔ kpekpeme tsɔtsɔ kaba eye wòkpena ɖe ame ŋu be woaɖe kuxi siwo do ƒome kple abadzivɔ didi dzi akpɔtɔ.
10. Aleke Perutɔwo ƒe nya sia ate ŋu ado alɔ dukɔwo dome asisi siwo le CzmediTech hip fracture solutions me dzrom?
Lima sia, Peru nya la ɖee fia be CZMEDITECH Intertan intramedullary nail ate ŋu ana kakaɖedzi kple nu nyui siwo ado tso eme le dɔdamɔnu ŋutɔŋutɔ me. Le dukɔwo dome mamalawo kple kɔdziwo gome la, xexeame katã ƒe nyawo ŋuti nyatakaka mawo kpena ɖe ame ŋu be woaka ɖe edzi le adzɔnuwo ƒe dɔwɔwɔ, dɔwɔnuwo ƒe nyonyome kple mɔ̃ɖaŋununya ƒe kpekpeɖeŋu tso CZMEDITECH gbɔ.
