Nail Femoral Huli

wikiō kikoʻī hana huahana

CZMEDITECH Nail Femoral Hoohuli

Hoʻolauna

Ua piʻi aʻe ka piʻi ʻana o nā haʻihaʻi ma ka ʻāpana femoral proximal me ka piʻi nui ʻana o ka poʻe ʻelemakule me ka osteoporosis a me nā ulia kaʻa i nā ʻōpio ʻōpio.

Hoʻokaʻawale ʻia nā haʻihaʻi e pili ana i ka trochanteric e like me ka Orthopedic Trauma Association classification system e like me AO / OTA 31-A, e wehewehe ana iā lākou ma ke ʻano he extracapsular fractures o ka ʻūhā. Hoʻokaʻawale ʻia kēia mau haʻihaʻi i nā hui A1, A2 a me A3. He maʻalahi nā haʻihaʻi A1, ʻelua ʻāpana haʻihaʻi, akā he nui nā ʻāpana A2. Loaʻa i nā haʻihaʻi A3 nā hiʻohiʻona oblique reverse a me transverse fracture.

ʻElua ʻano nui o ka implant i loaʻa no ka mālama ʻana i kēia mau haʻihaʻi, ʻo ia hoʻi, extramedullary a me intramedullary implants [1-3]. ʻOiai ʻo ka implant extramedullary i hoʻohana nui ʻia, ʻo ia ka wili ʻāʻī hoʻoheheʻe ʻia i hoʻopili ʻia i kahi pā ma ka ʻaoʻao femoral cortex, ʻo ka hapa nui o nā mea kākau i hōʻike ʻaʻole kūpono kēia hāmeʻa no AO/OTA 31-A3 reverse oblique a transverse fractures ma muli o ka nui o nā hemahema o ka fixation. No laila, paʻakikī ka mālama ʻana i kēia mau haʻihaʻi male trochanteric paʻa ʻole, a he liʻiliʻi ka helu o nā hōʻike lapaʻau e pili ana i ka intramedullary hip nailing no reverse obliquity intertrochanteric fractures.

Nail Femoral Reversed: He alakai piha

I ke kaʻina orthopedic, he mea maʻamau ka haʻihaʻi o ka femoral. Hoʻohana pinepine ʻia nā kui femoral e hoʻoponopono i kēlā mau haki. ʻO ka nail femoral i hoʻohuli ʻia he ala hou a ʻano hou no ka hoʻoponopono ʻana i nā haki, ʻoi loa i nā poʻe maʻi ʻelemakule. Ma kēia ʻatikala, e kūkākūkā mākou i nā mea āpau e ʻike ai e pili ana i nā kui femoral i hoʻohuli ʻia, me kā lākou mau pōmaikaʻi, nā hōʻailona, ​​​​a me nā pilikia e hiki mai ana.

He aha ka Nail Femoral Reversed?

ʻO ka nail femoral i hoʻohuli ʻia he mea hana orthopedic i hoʻohana ʻia no ka mālama ʻana i nā haʻi wahine. He ʻano hana hou kēia e pili ana i ka hoʻokomo ʻana i ke kui mai lalo o ka femur a i luna, e kūʻē i ke ʻano maʻamau. Hoʻokomo ʻia ke kui ma o kahi ʻoki liʻiliʻi ma ka hui kuli a hoʻopaʻa ʻia ma kahi me ka hoʻohana ʻana i nā wili ma nā ʻaoʻao ʻelua.

Nā hōʻailona no ka hoʻohuli ʻana i nā kui Femoral

ʻO ka ʻenehana nail femoral reversed he mea pono loa i kekahi mau kūlana, e like me:

• ʻO nā poʻe maʻi ʻelemakule me nā iwi palupalu

• ʻO nā maʻi me ka haʻihaʻi femoral distal

• ʻO nā maʻi me ka haʻihaʻi subtrochanteric

• ʻO nā maʻi me ka haʻihaʻi ma ka ʻāina metaphyseal

I kēia mau hihia, ʻoi aku ka maikaʻi o ka ʻenehana nail femoral reversed ma mua o nā ʻenehana maʻamau.

Nā Pōmaikaʻi o nā Nails Femoral Reversed

Hāʻawi nā kui femoral i hoʻohuli ʻia i nā pono he nui ma mua o nā ʻenehana maʻamau. Aia kēia mau mea:

• Hoʻemi ʻia ke kahe o ke koko i ka wā ʻoki

• Liʻiliʻi ka ʻeha i nā ʻiʻo palupalu a puni

• ʻO ka liʻiliʻi o ka ʻeha a me ka manawa hoʻōla wikiwiki

• ʻO ka pilikia haʻahaʻa o ka maʻi

• Hoʻemi ʻia ka pilikia o ka hui ʻole ʻana (he kūlana i hiki ʻole ke hoʻōla maikaʻi ka iwi)

Ke Kaʻina Hana Nail Femoral Reversed

ʻO ke kaʻina hana nail femoral i hoʻohuli ʻia ua like ia me ke kaʻina nail femoral maʻamau, me nā ʻokoʻa nui. Hana ʻia ke ʻoki ma lalo o ka anesthesia maʻamau, a hoʻonoho ʻia ka mea maʻi ma ko lākou kua me nā wāwae i hoʻokiʻekiʻe ʻia.

E hana ka hui ʻoki i kahi ʻoki liʻiliʻi ma luna pono o ka hui kuli a hoʻokomo i kahi uea alakaʻi ma ka kuli a piʻi i ka femur. E hoʻohana ʻia ka uea alakaʻi e alakaʻi i ke kui. Hoʻokomo ʻia ke kui ma ka hui kuli a piʻi i loko o ka femur, me nā wili i kau ʻia ma nā ʻaoʻao ʻelua e paʻa ai.

Nā hoʻopiʻi o nā Nails Femoral Reversed

E like me nā kaʻina hana ʻoki a pau, ʻo nā kui femoral i hoʻohuli ʻia e lawe i kekahi mau pilikia. Aia kēia mau mea:

• ʻO ka maʻi ma kahi o ke kaʻina hana

• ʻO ka haʻihaʻi o ka femur i ka wā o ke kaʻa

• Poino a'alolo

• Poino aa koko

• ʻAʻole hoʻōla pono ka iwi

ʻO ka poʻe maʻi i hana i ke kaʻina hana nail femoral reversed e nānā pono i ko lākou ola ʻana a hōʻike koke i nā hōʻailona maʻamau i kā lākou kauka.

Hoʻihoʻi ʻia mai nā Nails Femoral Reversed

ʻO ka hoʻihoʻi ʻana mai ke kaʻina hana nail femoral i hoʻohuli ʻia e like me ka hoʻihoʻi ʻana mai ke kaʻina nail femoral maʻamau. Hiki i nā poʻe maʻi ke loaʻa i kekahi ʻeha a me ka pehu ma ke kahua o ka ʻoki, hiki ke mālama ʻia me ka lāʻau ʻeha a me ka hoʻomaha. Pono ka poʻe maʻi e hoʻohana i nā koʻokoʻo a i ʻole ka mea hele wāwae no kekahi manawa ma hope o ke kaʻina e pale aku ai i ke kau ʻana i ke kaumaha ma ka wāwae i hoʻopilikia ʻia.

Pono nā maʻi e hahai i nā ʻōlelo aʻo a kā lākou kauka e hōʻoia i ka hoʻōla piha a me ka wikiwiki.

Nā nīnau nīnau nīnau nīnau nīnau nīnau nīnau nīnauele Femoral Nail

1. He aha ka manawa ho'ōla no ke kaʻina hana nail femoral?

   Hoʻololi ka manawa hoʻihoʻi ma muli o ka mea maʻi a me ka nui o ke kaʻina hana, akā hiki i ka hapa nui o nā maʻi ke manaʻo e hoʻi i nā hana maʻamau i loko o 6-12 mau pule.

2. He ʻeha anei ke kaʻina hana nail femoral?

   Aia paha kekahi ʻeha a me ka ʻehaʻeha ma hope o ka ʻoki ʻana, akā hiki ke mālama ʻia me ka lāʻau ʻeha.

3. Hiki i kekahi ke hana i ke kaʻina hana nail femoral?

   ʻAʻole, ʻaʻole kūpono ke kaʻina hana nail femoral i nā mea maʻi āpau. Na kāu kauka e loiloi i kou kūlana pilikino e hoʻoholo ai inā ʻo ia ke koho maikaʻi loa iā ʻoe.

4.  Pehea ka lōʻihi o ka noho ʻana o ka nail femoral i hoʻohuli ʻia?

   Waiho ʻia ke kui ma kahi o 6-12 mahina e hoʻōla pono ai ka iwi.

5. Hiki ke hoʻoneʻe ʻia ka nail femoral i hoʻohuli ʻia?

   ʻAe, hiki ke wehe ʻia ke kui ke ola ka iwi. Na kāu kauka e loiloi inā pono ka wehe ʻana a kūkākūkā pū me ʻoe i nā pilikia a me nā pōmaikaʻi.

Ka hopena

Hāʻawi nā kui femoral i hoʻohuli ʻia i nā pono he nui ma mua o nā ʻenehana maʻamau no ka hoʻoponopono ʻana i nā haʻi wahine. Hoʻohana nui ʻia ka ʻenehana i nā poʻe maʻi ʻelemakule a i ʻole ka poʻe me kekahi mau ʻano haʻihaʻi. ʻOiai aia nā pilikia e pili ana i ke kaʻina hana, ʻoi aku ka nui o nā pōmaikaʻi ma mua o nā pilikia. Pono nā poʻe maʻi i hana i ke kaʻina hana nail femoral reversed e hahai i nā ʻōlelo aʻo a kā lākou kauka e hōʻoia i ka hoʻōla piha a me ka wikiwiki.

I ka hōʻuluʻulu ʻana, ʻo ka nail femoral i hoʻohuli ʻia he ʻano hou a ʻano hou no ka hoʻoponopono ʻana i nā haʻihaʻi wahine e hāʻawi ana i nā pono he nui ma mua o nā ʻenehana maʻamau. Inā loaʻa ʻoe i ka haʻihaʻi femoral, e kamaʻilio i kāu kauka e hoʻoholo inā kūpono ke ʻano hana nail femoral reversed iā ʻoe.