PFNA Intramedullary Nail: He alakaʻi piha
Ma ke kahua o nā orthopedic, ʻo ka mālama ʻana i nā haʻihaʻi ʻūhā he hana paʻakikī. ʻOiai ua hoʻomohala ʻia nā ʻano hana ʻokoʻa i ka wā lōʻihi, ua puka mai ke kui intramedullary ma ke ʻano he koho kaulana. ʻO ka Proximal Femoral Nail Antirotation (PFNA) kahi ʻano o ka nail intramedullary i loaʻa i ka manaʻo nui ma muli o kona pono i ka mālama ʻana i nā haʻi ʻūhā. Ma kēia ʻatikala, e hāʻawi mākou i kahi alakaʻi piha i ka PFNA intramedullary nail, e uhi ana i nā mea āpau mai kona hoʻolālā ʻana a hiki i ke kaʻina hana, mālama ma hope o ka hana, a me nā pilikia e hiki mai ana.
1. Hoʻolauna
ʻO ka haʻihaʻi wāwae he kumu maʻamau o ka maʻi a me ka make ma waena o ka poʻe ʻelemakule. Me ka heluna kanaka ʻelemakule, manaʻo ʻia e piʻi aʻe ka nui o nā haʻi āpau i ka wā. He mea koʻikoʻi ka mālama ʻana i nā haʻihaʻi ʻūhā, no ka mea hiki ke hoʻopilikia nui i ka maikaʻi o ke ola o ka mea maʻi. Ua lilo ʻo Intramedullary nailing i ʻano hana ʻoki kaulana no ka mālama ʻana i nā haki ʻūhā ma muli o kona pono a me ka palekana. Ma waena o nā ʻano like ʻole o nā kui intramedullary, PFNA intramedullary nail ua loaʻa ka manaʻo nui.
2. He aha ka PFNA Intramedullary Nail?
ʻO ka PFNA intramedullary nail he ʻano o ka intramedullary nail i hoʻolālā ʻia e hoʻopaʻa a hoʻoponopono i nā haki ʻūhā. He mea paʻa paʻa, anterograde, a me cephalomedullary mea i hoʻokomo ʻia ma o ka canal femoral proximal. Hāʻawi ka nail PFNA i ke kūpaʻa i ka wahi haʻihaʻi ma o ka ʻae ʻana i ka hoʻoili ukana ma waena o ke kui a me ka iwi. Hoʻemi ia i ka hopena o ka hāʻule ʻana o ka implant a me ka wehe ʻana ma o ka hāʻawi ʻana i ka paʻa anti-rotational.
3. Hoʻolālā PFNA a me nā hiʻohiʻona
ʻO ka PFNA intramedullary nail i hana ʻia me ka titanium a i ʻole ka titanium alloy, kahi biocompatible a hāʻawi i ka ikaika maikaʻi a me ka lōʻihi. ʻO ka nail he helical blade ma ka hope proximal, i hoʻolālā ʻia e hoʻopili i ke poʻo femoral a hāʻawi i ka paʻa rotational. He ʻano anti-rotation me ka maka, ka mea e pale ai i ka huli ʻana o ke kui i loko o ka femur. Loaʻa i ka ʻaoʻao mamao o ke kui kahi mīkini laka, e hiki ai ke hoʻopaʻa i ka distal a me ke kūpaʻa axial.
4. Nā hōʻailona no ka PFNA Surgery
Hoʻohana mua ʻia ka PFNA intramedullary nail no ka mālama ʻana i nā haʻihaʻi āpau intertrochanteric a me ka subtrochanteric hip fractures. Hoʻohana ʻia ia no ka mālama ʻana i kekahi mau ʻāʻī femoral. ʻO ka hoʻoholo e hoʻohana i ka PFNA intramedullary nail surgery e pili ana i nā kumu like ʻole e like me ka makahiki maʻi, ka maikaʻi o ka iwi, ke ʻano haʻihaʻi, a me ka makemake o ke kauka.
5. ʻO ke ʻano hana o ka PFNA Intramedullary Nailing
ʻO ke kaʻina hana o ka PFNA intramedullary nailing e pili ana i kekahi mau ʻanuʻu. Hana ʻia ke kaʻina hana ma lalo o ka anesthesia āpau a i ʻole spinal anesthesia. Hoʻonoho ʻia ka mea maʻi ma luna o ka papaʻaina haʻihaʻi, a hoʻohana ʻia kahi fluoroscope e alakaʻi i ka hoʻokomo ʻana o ke kui. Hana ʻia ke kaʻina hana ma lalo o ka anesthesia āpau a i ʻole spinal anesthesia. Hoʻonoho ʻia ka mea maʻi ma luna o ka papaʻaina haʻihaʻi, a hoʻohana ʻia kahi fluoroscope e alakaʻi i ka hoʻokomo ʻana i ke kui. ʻO ke ala ʻokiʻoki e pili ana i kahi ʻoki liʻiliʻi i hana ʻia ma luna o ka trochanter nui, e hiki ai ke komo i ka femur proximal. Hoʻokomo ʻia ka uea alakaʻi ma o ka ʻoki ʻana a hāʻawi ʻia i ke kahawai femoral ma lalo o ke alakaʻi fluoroscopic. Hoʻopili ʻia ka canal femoral proximal i ka nui kūpono, a hoʻokomo ʻia ka PFNA intramedullary nail. Hoʻokomo ʻia ka lau helical i loko o ke poʻo femoral, a hoʻokomo ʻia ka mīkini laka i ka femur distal e hāʻawi i ke kūpaʻa axial.
6. Ka mālama 'ana ma hope o ka hana PFNA
Ma hope o ke kaʻina kui intramedullary PFNA, mālama mau ʻia ka mea maʻi ma kahi moe no kekahi mau lā. Hoʻokuʻu ʻia ka lālā i hoʻopilikia ʻia me kahi brace a hoʻolei ʻia paha no kekahi mau pule e hoʻoikaika i ka ho'ōla. Paipai ʻia ka mea maʻi e pale i nā hana kaumaha no kekahi mau mahina e hiki ai ke hoʻōla kūpono. Hoʻomaka mua ʻia ka lāʻau lapaʻau kino e hoʻomaikaʻi i ke ʻano o ka neʻe ʻana a me ka ikaika o ka ʻiʻo.
7. Nā pilikia a me ka hoʻokele PFNA
E like me kekahi kaʻina hana, PFNA intramedullary nailing lawe i kekahi mau pilikia a me nā pilikia. ʻO kēia mau pilikia e pili ana i ka maʻi, ka hemahema implant, ka ʻeha nerve, ka ʻeha moku koko, a me ka hui ʻole. Eia nō naʻe, ʻoi aku ka haʻahaʻa o ka helu hoʻopiʻi holoʻokoʻa o ka PFNA intramedullary nailing. ʻO ka mālama ʻana i kēia mau pilikia e pili ana i ka hoʻoponopono hou ʻana a i ʻole ka mālama conservative, e pili ana i ka paʻakikī o ka hoʻopiʻi.
8. PFNA vs. Nā Nail Intramedullary ʻē aʻe
Hoʻohālikelike ʻia me nā ʻano kui intramedullary ʻē aʻe, he nui nā pono o ka PFNA intramedullary nail. ʻO kekahi o nā pōmaikaʻi nui o ka nail PFNA ʻo ia kona ʻano anti-rotation, e hāʻawi ana i ka paʻa rotational i ke poʻo femoral. Hiki iā ia ke kaʻana like ʻana ma waena o ke kui a me ka iwi, e hōʻemi ana i ka hopena o ka hiki ʻole o ka implant. He maʻalahi hoʻi ka hoʻokomo ʻana o ka nail PFNA a he haʻahaʻa haʻahaʻa ka pilikia o nā pilikia.
9. Nā pono o ka PFNA Intramedullary Nailing
ʻO ka PFNA intramedullary nailing he mau mea maikaʻi ma mua o nā ʻano hana ʻoki ʻē aʻe no ka mālama ʻana i nā haʻi ʻūhā. ʻO kekahi o nā pōmaikaʻi nui ʻo ia ka maikaʻi i ka mālama ʻana i nā intertrochanteric unstable a me subtrochanteric hip fractures. ʻAe ka PFNA nail no ka hoʻoneʻe mua ʻana a me ka noho pōkole ʻana o ka haukapila i hoʻohālikelike ʻia me nā ʻano hana ʻokoʻa ʻē aʻe. He haʻahaʻa haʻahaʻa hoʻi ia o ka hemahema o ka implant a hāʻawi i nā hopena hana maikaʻi.
10. Nā hemahema o ka PFNA Intramedullary Nailing
ʻOiai he nui nā pono o ka PFNA intramedullary nailing, aia kekahi mau hemahema. ʻO kekahi o nā hemahema nui, ʻo ia ka pilikia o nā pilikia, e like me ka hemahema o ka implant, ka maʻi, a me ka hōʻeha ʻana i ke aʻalolo. ʻOi aku ka pipiʻi o ka nail PFNA i hoʻohālikelike ʻia me nā ʻano hana ʻoki ʻē aʻe.
11. PFNA Intramedullary Nail Outcomes and Success Rates
Ua hōʻike nā haʻawina i ka PFNA intramedullary nailing i nā hopena maikaʻi a me nā helu kūleʻa i ka mālama ʻana i nā haʻi ʻūhā. Loaʻa nā helu kūleʻa o ka PFNA nailing mai 70% a 90%, me nā hopena hana maikaʻi i hōʻike ʻia i ka hapa nui o nā hihia. ʻO ka nail PFNA he haʻahaʻa haʻahaʻa o ka hoʻoponopono hou ʻana a me ka hemahema o ka implant.
12. PFNA i na ma'i ma'i Geriatric
ʻOi aku ka maʻamau o ka haki ʻana o ka ʻūhā i ka poʻe ʻelemakule, a ua puka mai ka PFNA intramedullary nailing ma ke ʻano he ʻano hana ʻoki kaulana no ka mālama ʻana i nā haʻi ʻūhā i nā maʻi geriatric. Ua hōʻike ʻia ka nail PFNA i nā hopena maikaʻi i kēia heluna, me ka haʻahaʻa haʻahaʻa o nā pilikia a me kahi noho maʻi pōkole.
13. Hoʻomohala i ka wā e hiki mai ana
Ua hoʻololi ʻia ka PFNA intramedullary nail mai kona hoʻomaka ʻana, me ka manaʻo e hoʻomaikaʻi i kona pono a hoʻemi i kona mau pilikia. ʻO kekahi o nā hoʻololi e pili ana i nā loli i ka hoʻolālā helical blade, nā hoʻomaikaʻi ʻana i ka mīkini laka, a me nā hoʻololi i ka lōʻihi o ke kui a me ke anawaena. ʻO ka hoʻomohala ʻana i nā mea hou, e like me ka titanium alloys a me nā mea biodegradable, ke ʻimi ʻia nei e hoʻomaikaʻi i ka hana o ka nail PFNA.
14. Ka hopena
ʻO ka hōʻuluʻulu manaʻo, ʻo ka PFNA intramedullary nail he ʻano hana hoʻomaʻamaʻa kaulana no ka mālama ʻana i nā haki ʻūhā, ʻoi aku ka nui o ka poʻe ʻelemakule. Hāʻawi ka nail PFNA i nā hopena maikaʻi, me ka haʻahaʻa haʻahaʻa o nā pilikia a me ka noho pōkole o ka haukapila. Eia nō naʻe, e like me nā kaʻina hana ʻoki, lawe ia i kekahi mau pilikia a me nā pilikia e hiki mai ana. ʻO ka hoʻomohala ʻana i nā mea hou a me nā hoʻololi i ka hoʻolālā nail e hoʻomaikaʻi paha i ka hana o ka nail PFNA i ka wā e hiki mai ana.
FAQs
He aha ka PFNA intramedullary nail?
ʻO kahi kui intramedullary PFNA he mea hoʻokomo i hoʻohana ʻia no ka mālama ʻana i nā haki ʻūhā. Hoʻokomoʻia i loko o ka canal femoral a hāʻawi i ka paʻa i ke poʻo femoral.
Pehea e hoʻokomo ʻia ai ka nail intramedullary PFNA?
Hoʻokomo ʻia ka PFNA intramedullary nail ma o kahi ʻoki liʻiliʻi i hana ʻia ma luna o ka trochanter nui. Hoʻokomo ʻia kahi uea alakaʻi i loko o ka canal femoral, a hoʻopaʻa ʻia ke kahawai i ka nui kūpono. Hoʻokomo ʻia ka nail PFNA, a hoʻokomo ʻia ka mīkini laka i ka femur distal.
He aha nā mea maikaʻi o ka PFNA intramedullary nail?
He nui nā pono o ka PFNA intramedullary nail, me kona ʻano anti-rotation, nā waiwai kaʻana like, a me ka maʻalahi o ka hoʻokomo. He mea maikaʻi hoʻi ia i ka mālama ʻana i nā haʻihaʻi ʻūhā paʻa ʻole a hiki ke hoʻoneʻe mua.
He aha nā pilikia o ka PFNA intramedullary nailing?
ʻO nā pilikia kūpono o ka PFNA intramedullary nailing e pili ana i ka maʻi, implant hemahema, ʻeha nerve, ʻeha moku koko, a me ka hui ʻole.
He aha ka holomua o ka PFNA intramedullary nailing?
ʻO nā helu kūleʻa o ka PFNA intramedullary nailing mai 70% a 90%, me nā hopena hana maikaʻi i hōʻike ʻia i ka hapa nui.
