Tsarin Suprapatellar Tibial Intramedullary Nail Instrument Set: Duk abin da kuke Bukatar Sanin
Idan kana da hannu a aikin tiyata na kasusuwa, da alama kun saba da manufar tibial intramedullary nailing. Ana amfani da wannan hanya don magance karayar tibia, ɗaya daga cikin kasusuwa biyu a cikin ƙananan ƙafa. A cikin 'yan shekarun nan, tsarin suprapatellar na tibial intramedullary nailing ya sami shahara a matsayin madadin hanyoyin gargajiya.
A cikin wannan labarin, za mu bincika tsarin suprapatellar na tibial intramedullary nailing daki-daki, gami da abin da yake, yadda yake aiki, da saitin kayan aikin da ake buƙata don yin shi.
Menene Hanyar Suprapatellar zuwa Tibial Intramedullary Nailing?
Hanyar suprapatellar wata sabuwar dabara ce don yin ƙusa intramedullary tibial. Maimakon shigar da tibia ta hanyar al'ada ta gaba ko ta gefe, likitan fiɗa yana yin ɗan ƙaramin yanki kusa da patella, ko gwiwa. Wannan yana ba su damar shiga canal intramedullary na tibia daga sama, maimakon daga gaba ko gefe.
Hanyar suprapatellar tana da fa'idodi da yawa akan hanyoyin gargajiya, gami da ingantaccen hangen nesa, rage lalacewar nama mai laushi, da rage haɗarin rauni ga mahimman tsarin kamar ligament na gaba (ACL).
Ta yaya Hanyar Suprapatellar ke Aiki?
Don aiwatar da tsarin suprapatellar zuwa tibial intramedullary nailing, likitan fiɗa ya yi ɗan ƙaramin yanki kusa da patella. Daga nan sai su haifar da ƙaramin rami ta hanyar ƙwanƙwasa ta hanyar amfani da kayan aiki na musamman da ake kira patellar awl. Da zarar an ƙirƙiri rami, likitan fiɗa zai iya shigar da ƙusa na intramedullary a cikin tibia daga sama.
Ɗaya mai yuwuwar fa'ida ta hanyar suprapatellar ita ce ta ba wa likitan tiyata damar guje wa buƙatar jujjuya gwiwa yayin aikin. Wannan na iya zama da amfani musamman ga marasa lafiya da raunin gwiwa ko ciwon gwiwa, wanda zai iya samun ciwo ko rashin jin daɗi tare da ƙwanƙwasa gwiwa.
What Instrument Set is Required for Suprapatellar Approach Tibial Intramedullary Nailing?
Yin ƙusa intramedullary tibial ta amfani da tsarin suprapatellar yana buƙatar saitin kayan aiki na musamman. Wasu daga cikin mahimman kayan aikin da ƙila za a haɗa su cikin wannan saitin sun haɗa da:
1. Patellar Awl
Awl na patellar wani kayan aiki ne na musamman da ake amfani da shi don ƙirƙirar rami ta jijiyar patellar yayin aikin.
2. Suprapatellar Cannula
Cannula na suprapatellar wani dogon bututu ne mai bakin ciki wanda aka sanya shi a cikin haɗin gwiwa ta gwiwa ta hanyar ƙaddamarwa a sama da patella. Wannan cannula yana bawa likitan tiyata damar hangen nesa na intramedullary canal kuma ya saka ƙusa daga sama.
3. Nail na ciki
Ƙaƙƙarfan intramedullary shine babban ɓangaren kayan aikin kayan aiki. Ana shigar da wannan ƙusa a cikin tibia kuma yana aiki azaman na'urar gyarawa ta cikin kwanciyar hankali don taimakawa inganta warkar da karaya.
4. Mafarki
Reamer kayan aiki ne na musamman da ake amfani dashi don shirya magudanar ruwa na intramedullary don saka ƙusa.
5. Kulle Skru
Ana amfani da kusoshi masu kullewa don tabbatar da ƙusa na intramedullary a wurin da zarar an saka shi cikin tibia.
Menene Mahimman Amfanin Amfani da Hanyar Suprapatellar?
Akwai fa'idodi da yawa masu yuwuwa don amfani da tsarin suprapatellar zuwa tibial intramedullary nailing. Waɗannan sun haɗa da:
1. Ingantattun Kayayyakin gani
Hanyar suprapatellar ta ba wa likitan tiyata damar duba tashar intramedullary daga sama, yana ba da ingantacciyar gani idan aka kwatanta da hanyoyin gargajiya. Wannan zai iya taimaka wa likitan tiyata don sanya ƙusa na intramedullary daidai kuma ya guje wa lalata mahimman tsari.
2. Rage Lalacewar Nama mai laushi
Hanya na suprapatellar yana buƙatar ƙarami da raguwa da raguwa na nama mai laushi idan aka kwatanta da hanyoyin gargajiya. Wannan zai iya taimakawa wajen rage ciwon bayan tiyata, kumburi, da tabo.
3. Rage Haɗarin Rauni na ACL
Lokacin yin ƙusa intramedullary na tibial ta hanyar gaba ko ta gefe, akwai haɗarin cutar da ligament na gaba (ACL). Wannan saboda ACL yana tafiya kusa da wurin shigar da ƙusa. Hanyar suprapatellar ta ba wa likitan tiyata damar guje wa wannan haɗari ta hanyar kusantar tibia daga sama.
Menene Hatsari da Iyakoki na Hanyar Suprapatellar?
Yayin da tsarin suprapatellar yana da fa'idodi da yawa, yana da wasu haɗari da iyakancewa. Waɗannan sun haɗa da:
1. Ƙara Haɗarin Karaya na Patellar
Ƙirƙirar rami ta hanyar tendon patellar ta amfani da awl na patellar na iya ƙara haɗarin karaya. Ana iya rage wannan haɗarin ta amfani da ƙaramin diamita awl da kulawa don guje wa wuce gona da iri yayin aikin.
2. Iyakance Fitar Fida
Hanyar suprapatellar tana ba da ƙarancin bayyanar aikin tiyata idan aka kwatanta da hanyoyin gargajiya. Wannan zai iya sa ya zama mafi ƙalubale don yin wasu sassa na hanya, kamar reaming canal intramedullary.
3. Iyakantaccen Amfani a Wasu Marasa lafiya
Hanyar suprapatellar bazai dace da duk marasa lafiya ba. Marasa lafiya da ciwon gwiwa mai tsanani, alal misali, bazai iya jure wa aikin ba saboda ciwo ko iyakacin motsi.
Kammalawa
Hanyar suprapatellar na tibial intramedullary nailing wata sabuwar dabara ce wacce ta sami shahara a cikin 'yan shekarun nan. Wannan tsarin yana da fa'idodi da yawa akan hanyoyin gargajiya, gami da ingantaccen gani, rage lalacewar nama mai laushi, da rage haɗarin rauni na ACL. Duk da haka, yana da wasu haɗari da iyakancewa waɗanda dole ne a yi la'akari da su kafin zabar wannan hanya.
FAQs
Shin tsarin suprapatellar na tibial intramedullary nailing ya dace da duk marasa lafiya?
A'a, tsarin suprapatellar bazai dace da duk marasa lafiya ba. Marasa lafiya da ciwon gwiwa mai tsanani ko wasu raunin gwiwa bazai iya jure wa hanya ba.
Shin tsarin suprapatellar yana ƙara haɗarin fashewar patellar?
Ƙirƙirar rami ta hanyar tendon patellar ta amfani da awl na patellar na iya ƙara haɗarin karaya. Koyaya, ana iya rage wannan haɗarin ta amfani da ƙaramin diamita awl da kulawa don guje wa wuce gona da iri yayin aikin.
Wadanne kayan aikin da ake buƙata don suprapatellar kusancin tibial intramedullary nailing?
Kayan aikin da aka saita don kusancin tibial intramedullary nailing ya haɗa da awl patellar, cannula suprapatellar, ƙusa na intramedullary, reamer, da kusoshi na kullewa.
Ta yaya tsarin suprapatellar ya bambanta da hanyoyin gargajiya zuwa tibial intramedullary nailing?
Hanyar suprapatellar ta ƙunshi yin ɗan ƙaramin yanki sama da patella da ƙirƙirar rami ta hanyar jijiyar patellar. Wannan yana ba wa likitan tiyata damar samun dama ga canal intramedullary na tibia daga sama, maimakon daga gaba ko gefe kamar yadda a cikin hanyoyin gargajiya.
Menene yuwuwar fa'idodin yin amfani da tsarin suprapatellar zuwa tibial intramedullary nailing?
Abubuwan da za a iya amfani da su na yin amfani da tsarin suprapatellar sun haɗa da ingantaccen gani, rage lalacewar nama mai laushi, da raguwa.
