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PFNA Intertrochanteric Fracture-76 makahiki

Nānā: 0 Mea kākau: Luna Hoʻoponopono Pūnaewele Manawa Hoʻopuka: 2026-05-26 Kumu: Paena

PFNA Intertrochanteric Fracture Lapaʻau: He hihia no ka m Tajikistan

$Ma mua o ka hana X-ray, ua hoʻoneʻe ʻia ka intertrochanteric fracture varus displacement-CZMEDITECH$

Kahua Ma'i

ʻOihana: CINICAL HOSPITAL #1, Tajikistan

Kauka: Dr. ʻO ka hui ʻokiʻoki a Aliser

Ma'i: Kane, 76 makahiki

Mechanism o ka ʻeha: Hāʻule ka home mai ke kiʻekiʻe kū

ʻO ka ʻaoʻao i pā: ʻĀkau ʻākau

Nā kūlana mua (manaʻo ʻia): Osteoporosis

ʻAno haʻi: ʻO ka haʻihaʻi intertrochanteric comminuted ʻākau me ka neʻe ʻana o nā varus (AO/OTA 31-A2)

Ke Kaʻina Hana: Hoʻemi paʻa + hoʻoponopono nail intramedullary PFNA

Ka hopena: Hoʻihoʻi hou ʻia ka hoʻoponopono anatomical; hoʻihoʻi maikaʻi ʻole; piha ke kaumaha ma 6 pule

Nā ʻImi Kiʻi Preoperative

Ua hōʻike ʻia nā radiograph preoperative:

ʻO ka haʻihaʻi intertrochanteric akau
ʻO ka neʻe ʻana o Varus o ka femur proximal
Hoʻopilikia i ka paia femoral lateral
ʻO ka ʻāpana ʻāpana trochanter liʻiliʻi (e hōʻike ana i ka paʻa ʻole)

Kiʻi preoperative

Ka Loiloi Mahope koke

X-ray postoperative — hoʻihoʻi hou ʻia ka alignment anatomical me PFNA in situ

Hoʻihoʻi hou ʻia ka ʻāʻī ʻāʻī i 130°
Hoʻonohonoho maikaʻi ʻia ka ʻāhi Helical (waena-haʻahaʻa haʻahaʻa)
ʻAʻohe pilikia intraoperative

ʻO ka hōʻuluʻulu ʻana a me ka Pūnaehana PFNA

Ua mālama ʻia ka mea maʻi me ka hoʻohaʻahaʻa pani ʻia a me ka PFNA intramedullary nail fixation. ʻO ka manawa hana ma kahi o 55 mau minuke me ka liʻiliʻi o ke kahe koko. Ua hōʻike nā radiographs postoperative i ke ʻano anatomical; Ua hoʻihoʻi hou ʻia ka ʻāʻī o ka ʻāʻī i 130 °.

ʻO ka ʻōnaehana PFNA i hoʻohana ʻia i kēia hihia, ʻo ia ka nail intramedullary, helical blade, lima lima, alakaʻi, reamers, a me nā mea laka paʻa.

Hoʻonohonoho ʻia nā kui intramedullary PFNA me ka pahi helical-CZMEDITECH