Ma'anar Ƙwararrun Ƙwararrun Ƙwararru na Femur
Ƙwararrun ƙwayar cuta na femur (wanda aka fi sani da trochanteric fractures) yana nufin karayar da ke faruwa daga tushe na wuyan mata zuwa matakin sama da ƙananan trochanter. Abubuwan bayyanar sun haɗa da ciwo na gida, kumburi, ecchymosis. Marasa lafiya ba za su iya tafiya ba, tare da raguwa, ƙaddamarwa, da juyawa na waje na abin da ya shafa, da iyakacin motsi na haɗin gwiwa na hip.
Wadannan karaya sun hada da 3% - 4% na duk karaya a cikin jiki da 35.7% na raunin hip. Abubuwan da ke faruwa suna ƙaruwa da shekaru, kasancewa sun fi yawa a cikin mutane sama da shekaru 70, kuma sun fi yawa a cikin mata fiye da maza.
Aiwatar da Anatomy na Intertrochanteric Fractures na Femur
Triangle na Ward
An kafa yanki mai rauni mai kusurwa uku a tsakiyar yankin inda wuyan femoral trabeculae ya ketare. A cikin tsofaffi masu fama da osteoporosis, wannan yanki yana cike da mai kawai.
Calcar na mata
Wani farantin ƙashi mai yawa wanda yake a baya - tsaka-tsaki zuwa mahaɗar wuyan femoral da shaft mai zurfi zuwa ƙarami. Yana da tsawo na baya - tsakiya na tsakiya na shinge na femoral a cikin kashi mai sokewa kuma shine ma'anar aikace-aikace na nauyin eccentric akan mace mai kusa.
Ƙididdigar Hip Bone Trabeculae
Ƙididdigar ƙarfin injina na mace mai kusa:
(1) Grade 6; (2) Darasi na 5; (3) Darasi na 4; (4) Darasi na 3; (5) Darasi na 2; (6) Darasi na 1
Hanyoyin Rauni na Ƙwararrun Ƙwararrun Ƙwararru na Femur
Babban - raunin makamashi a cikin Matasa marasa lafiya
Rashin raunin intertrochanteric a cikin matasa marasa lafiya yawanci ana haifar da su ta hanyar manyan raunin kuzari kamar fadowa daga tsayi da haɗarin mota. Wadannan yanayi na iya haifar da raguwa mai tsanani, kuma marasa lafiya suna buƙatar kulawa sosai don raunin da ya faru, ciki har da wadanda ke kai, kashin baya, da gabobin thoracic da na ciki.
Abubuwan da ke faruwa a Faɗuwar Majinyata
90% na intertrochanteric fractures a cikin tsofaffi suna lalacewa ta hanyar faduwa. Abubuwan da ke ba da gudummawa ga dabi'ar tsofaffi na faɗuwa sun haɗa da rashin gani, rage ƙarfin tsoka, rashin ƙarfi na jini, rage karfin amsawa, cututtuka na jijiyoyin jini, da cututtuka na kashi da haɗin gwiwa.
Ko faɗuwar ta haifar da karaya an ƙaddara ta abubuwa biyar masu zuwa: tsananin osteoporosis, alkiblar faɗuwa, musamman lokacin da kwatangwalo ko wani yanki kusa da kwatangwalo ya faɗo ƙasa, rashin isassun matakan kariya don rage ƙarfin faɗuwar, rashin iyawar kyallen laushi na hip don sha isasshen kuzari, da ƙarancin ƙarfi na kashin kwatangwalo.
Nau'in Tashin Hankali da Hanyoyin Aiki
Rikicin Kai Tsaye: Babban - raunin kuzari yana aiki kai tsaye a kan hip, kamar haɗarin zirga-zirga ko faɗuwa inda hip ɗin ke tasiri kai tsaye, yana haifar da karyewa.
Rikicin Kai tsaye: Ragewar jiki yana haifar da hip zuwa ɓarna da matsananciyar angulation. Tare da ƙarami trochanter a matsayin fulcrum, yana da ƙarfi sosai, kuma za'a iya samun tasirin iliopsoas tsoka, yana samar da guntun kashi mai siffar malam buɗe ido. Mafi girma magudanar ruwa na iya samar da rabewar kashi saboda tsananin ja da tsokar gluteus medius.
Rarraba Clinical na Intertrochanteric Fractures na Femur
Evans Rarraba
Mafi yawan amfani da su a aikin asibiti. Evans ya raba karayar intertrochanteric zuwa iri biyu:
Nau'in I:Trans - fractures trochanteric Dangane da kwanciyar hankali kafin da kuma bayan raguwa, an ƙara raba shi zuwa nau'ikan 4:
Ⅰa: Kashi na biyu - karaya ba tare da kaura ba.
Ⅰb: Kashi na biyu - karaya tare da ƙaura, tsaka-tsakin tsaka-tsakin ba ya da kyau, kuma karaya yana da ƙarfi bayan raguwa.
Ⅰc: Karamin mazugi yana da 'yanci, tare da tarwatsewar gurguzu da nakasa; ko mafi girma trochanter ne raba kashi kashi.
Ⅰd: Baya ga karaya ta intertrochanteric, duka manya da karami sun zama guntun kashi daban-daban, tare da nakasa.
Daga cikin su, nau'ikan Ⅰa da Ⅰb nau'ikan barga ne, sauran kuma nau'ikan marasa ƙarfi ne.
Nau'i na II: Juya - ɓarna na tsaka-tsakin tsaka-tsaki
Nau'in II mai juyi ne - karaya mai jujjuyawa, tare da layin karaya wanda ke shimfidawa ba da gangan ba daga ƙasa mafi girma mai kauri zuwa babban ɓangaren ƙaramin ɗanɗano.
Rarraba AO
Nau'in A1: Sauƙaƙan biyu-ɓangarorin ɓarna ta hanyar trochanter, tare da kyakkyawar goyan baya na tsaka-tsakin kasusuwa na tsaka-tsaki da ƙarancin ƙashi na gefe.
Tare da layin intertrochanteric.
Ta hanyar mafi girma trochanter.
Ta hanyar ƙarami trochanter.
Type A2: Comminuted fractures through the trochanter, with fractures of the medial cortex in two planes, but the lateral bone cortex remains intact.
Tare da gutsure na tsakiya guda ɗaya.
Tare da gutsutsutsun tsatsauran ra'ayi da yawa.
Ƙarfafa fiye da 1 cm a ƙasa da ƙaramin maɗauri.
Nau'in A3: Reverse - intertrochanteric fractures, tare da karaya na cortex na gefe kuma.
Oblique.
Canza.
An gama.
Gabaɗaya, nau'ikan A1.1 zuwa A2.1 ana ɗaukar su tsayayye, kuma nau'ikan A2.2 zuwa A3.3 ana ɗaukar su marasa ƙarfi.
Yin Jiyya na Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarya na Femur
Mahimmin maƙasudin jiyya na tiyata shine don cimma tsayayyen gyare-gyare na fashewar intertrochanteric bayan raguwa. Ƙarfin gyare-gyare ya dogara da abubuwan da ke biyowa: ingancin kashi, nau'in raguwa, raguwa, zane na na'urar gyaran gyare-gyare na ciki, da matsayi na kayan aiki na ciki.
A cikin 'yan shekarun nan, an ci gaba da haɓaka kayan gyarawa na ciki don magance ɓarnawar intertrochanteric. Daga cikin su, gyaran intramedullary, irin su PFNA da INTERTAN, ana amfani da su azaman daidaitaccen na'urar gyaran ciki.
PFNA don Maganin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarya na Femur
Ana amfani da PFNA don karyewar osteoporotic intertrochanteric mara ƙarfi kamar Evans Ic, Id, da Nau'in II. Yana da mafi kyawun aiki, ƙarfin jujjuyawa mai kyau, ɗan gajeren lokacin aiki, ƙarancin asarar jini, ƙarancin rikitarwa, da ƙarancin yuwuwar yanke ƙusa kusa, yana nuna fa'idodin jiyya.
Ana nuna PFNA don karyewar osteoporotic intertrochanteric mara ƙarfi (kamar Evans iri Ic, Id, da II). Yana nuna kyakkyawan aiki tare da kyawawan kaddarorin anti-juyawa, gajeriyar lokacin aiki, rage asarar jini, da ƙarancin rikitarwa. Zane-zane na tsarin sinadarai na tsarin yana daidaita kashi yadda ya kamata, yana ba da iko mai ƙarfi kuma yana rage haɗarin yankewa daga kan mace, yana ba da fa'idodin warkewa daban-daban.
INTERTAN don Maganin Karyawar Matsala na Femur
Tare da haɓaka fasahar likitanci na zamani, INTERTAN wani sabon nau'in ƙusa ne na intramedullary wanda aka kera musamman don maganin ɓarnawar intertrochanteric na femur. Giciye - sashin babban ƙusa shine trapezoidal. Idan aka yi amfani da shi a haɗe tare da haɗin ƙusa na kusa, zai iya hana tasirin 'Z'. Ƙarin ƙusa na biyu da ke fitowa daga kan femoral yana ƙara tasirin jujjuyawar lag screw. Wannan ƙusa na intramedullary yana da aikace-aikace masu yawa kuma ya dace da marasa lafiya tare da osteoporosis mai tsanani.
INTERTAN wani sabon ƙusa ne na intramedullary wanda aka ƙera musamman don karyewar ƙwayar cuta, yana nuna ci gaba a fasahar likitanci ta zamani. Babban ƙusa yana nuna sashin giciye na trapezoidal don ingantaccen kwanciyar hankali. Sashe na kusa yana amfani da haɗin haɗin haɗin gwiwa (matsayi mai lag da matsi), wanda ke hana 'tasirin Z' yadda ya kamata (inda dunƙule ɗaya ta ja baya yayin da ɗayan ya ratsa kan femoral). Ƙarin saitin dunƙule yana ba da damar lag ɗin don ƙara haɓakawa a cikin kan femoral, yana ƙara ƙarfin jujjuyawa. Wannan ƙusa yana da nau'ikan alamomi masu yawa kuma ya dace musamman ga marasa lafiya masu fama da ƙasusuwa.
Canje-canje a cikin CHANGZHOU MEDITECH TECHNOLOGY CO., LTD. ƙwararre a cikin babban aiki Kayan dasa na ƙashi da ci-gaba na hanyoyin tiyata. Babban kamfani ne na fasaha wanda ke haɗa R&D, samarwa, tallace-tallace, da sabis.
Yin biyayya ga falsafar 'Innovation Driven, Pursuit of Excellence,' babban fayil ɗin samfurin kamfani yana rufe kashin baya, kusoshi na intramedullary, Faranti masu kullewa , gyaran waje, haɗin gwiwa, craniomaxillofacial, likitan dabbobi, kayan aikin wuta, kayan aiki na asali, da balloons. Waɗannan layin samfuran suna wakiltar mahimman wurare don ƙirƙira fasaha a cikin masana'antar kiwon lafiya, da himma don samar da cikakkiyar zaɓin tiyata don likitocin duniya. Tare da kewayon samfuran sa iri-iri da ingantaccen ƙarfin fasaha, kamfanin yana haɓaka haɓakawa da samun damar fasahar likitanci.
Hotunan da aka ɗauka a lokacin taron, ciki har da hulɗa tare da likitocin tiyata da masu rarrabawa, sun nuna ruhun haɗin gwiwa da haɗin kai don inganta kulawar marasa lafiya.
