Ntu PFNA: Ngwọta Orthopedic dị irè

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Ntu PFNA: Ngwọta Orthopedic dị irè

Ọkpụkpụ femoral dị nso na-anọgide na-abụ otu n'ime mmerụ ahụ na-ahụkarị na nke siri ike na trauma orthopedic, karịsịa n'etiti ndị agadi ndị ọrịa nwere ọkpụkpụ ọkpụkpụ. N'ịbawanye atụmanya ndụ na ọnụ ọgụgụ dị elu nke mgbawa hip n'ụwa nile, usoro nhazi kwụsiri ike nke na-enye ohere ịchịkọta n'oge na ọgwụgwọ mgbaji a pụrụ ịdabere na ya aghọwo ihe kacha mkpa ụlọ ọgwụ.

a . Emepụtara ntu PFNA (Proximal Femoral Nail Antirotation) iji gboo mkpa ndị Site na ijikọ igwe na-ekekọrịta ibu intramedullary na nhazi agụba mgbochi, usoro PFNA abụrụla ihe ngwọta anabatara nke ọma maka mgbaji femoral na-adịghị akwụsi ike.

Edemede a na-enye nkọwa zuru oke nke sistemu ntu PFNA, gụnyere ihe ngosi ya, uru biomechanical, ụkpụrụ ịwa ahụ, mgbake mgbe arụchara ọrụ, yana echiche njikwa ihe egwu.

Ịghọta Sistemụ Ntu PFNA na Echiche Ntu Ya

Ntu PFNA bụ usoro ndozi intramedullary emebere maka mgbaji nke femur dị nso. N'adịghị ka ngwaọrụ extramedullary ọdịnala, PFNA na-arụ ọrụ n'akụkụ axis nke femur, na-enye ohere ịnyefe ibu physiological karịa.

Akụkụ na-akọwapụta usoro PFNA bụ agụba mgbochi mgbochi helical , nke na-ejikọta ọkpụkpụ ịkagbu n'oge ntinye. Mkpokọta a na-abawanye ịzụrụ ihe n'ime ọkpụkpụ osteoporotic ma na-eme ka nguzogide ike mgbagha na mgbagha. N'ihi ya, PFNA na-enye nkwụsi ike na-abawanye ma e jiri ya tụnyere sistemu screw-based lag, karịsịa na ndị ọrịa na-adịghị mma ọkpụkpụ.

Ngosipụta ụlọ ọgwụ na nhọrọ ndị ọrịa maka ndozi ntu PFNA

Ụdị mgbaji dị nso Femoral A na-emeso ya na PFNA

A na-egosi mbọ PFNA nke ọma maka mgbaji na-emetụta femur dị nso, gụnyere:

• Intertrochanteric femoral mgbaji

• Ọkpụkpụ trochanteric na-adịghị akwụsi ike ma ọ bụ kwụsịrị

• Subtrochanteric femoral mgbaji

• Weghachite ụkpụrụ mgbaji agbaji

Ụdị mgbawa ndị a na-ebutekarị enweghị ike biomechanical, na-eme ka nhazi intramedullary bụrụ nhọrọ kacha mma.

Eji Ntu PFNA mee ihe na Osteoporotic na ndị ọrịa agadi

Ọkpụkpụ osteoporosis na-emebi ike nrụzi n'isi femoral. Akara mgbochi PFNA bara uru karịsịa n'ọnọdụ ndị a, ebe ọ na-akpakọ ọkpụkpụ trabecular kama iwepu ya. Nhazi a na-ebelata ihe ize ndụ nke ịkụnye ihe ọkụkụ na nkwụsị nke nhazi, na-eme ka PFNA bụrụ nhọrọ a pụrụ ịdabere na ya maka ndị agadi nwere ọkpụkpụ ọkpụkpụ ọkpụkpụ ọkpụkpụ osteoporotic.

Uru Biomechanical nke PFNA Tụnyere Sistemụ Ndozi Ndị Ọzọ

Ịkekọrịta ihe ndozi intramedullary yana nkwụsi ike ntụgharị

Site n'echiche biomechanical, mbọ intramedullary na-enye oke ibu dị elu ma e jiri ya tụnyere usoro ndị dabere na efere. Ntu PFNA dabara na axis arụ ọrụ femoral, na-ebelata oge ịgbagọ na saịtị mgbaji.

Ọkpụkpụ mgbochi rotion na-eme ka nkwụsi ike ngbanwe ngbanwe site n'ịbawanye kọntaktị elu na ọkpụkpụ kagburu, nke na-enyere aka ịnọgide na-enwe mbelata mgbaji n'okpuru ibu axial na torsional n'oge ibu ibu.

Usoro ịkpa ike nke pere mpe na ichekwa anụ ahụ dị nro

Ntinye PFNA chọrọ ikpughe ịwa ahụ pere mpe ma e jiri ya tụnyere usoro ndozi mepere emepe. Mbelata nke anụ ahụ dị nro na-eme ka mfu ọbara dị ala, ibelata mgbu mgbe ịwachara ahụ gasịrị, na mgbake ngwa ngwa-ihe ndị dị mkpa karịsịa na ndị ọrịa geriatric trauma.

Usoro ịwa ahụ na isi usoro usoro maka ịkụnye ntu PFNA

Ntụle atụmatụ na onyonyo tupu arụ ọrụ

Ezi atụmatụ tupu ịwa ahụ dị mkpa maka ndozi PFNA na-aga nke ọma. Nyocha redio, gụnyere echiche anteroposterior na mpụta nke hip na femur, na-enyere aka ikpebi nhazi ọkwa mgbaji, ogologo ntu, nha agụba, na ebe ntinye kacha mma.

N'okwu ndị dị mgbagwoju anya, enwere ike iji onyonyo CT nyochaa ọdịdị mgbawa na-eduzi usoro ịwa ahụ.

Nchịkọta nzọụkwụ site na nzọụkwụ nke Usoro ịwa ahụ PFNA

Isi usoro usoro gụnyere:

1. Ndokwa onye ọrịa na tebụl mgbaji na traction kwesịrị ekwesị

2. Mbelata mgbawa mechiri emechi ma ọ bụ obere aka n'okpuru fluoroscopy

3. Ịmepụta ebe ntinye ntu ziri ezi

4. Ntinye ntu intramedullary na nhazi

5. Ịtụnye agụba mgbochi n'ime isi femoral

6. Mkpọchi dị anya iji jikwaa ntụgharị na ogologo

Ndokwa agụba ziri ezi n'ime isi femoral dị oke mkpa iji belata nsogbu arụ ọrụ ma hụ na nkwụsi ike ogologo oge.

Ndozigharị arụ ọrụ na mgbake arụ ọrụ mgbe ịwa ahụ PFNA gasịrị

Ntụle mkpokọta mbu na ibu ibu

Otu n'ime ebumnuche bụ isi nke ndozi PFNA bụ ikwe ka ịchịkọta ngwa ngwa. Dabere na nkwụsi ike mgbaji na ọnọdụ onye ọrịa, enwere ike ịmalite ibu akụkụ ma ọ bụ ibu zuru oke n'oge na-adịghị anya ka a wachara ya ahụ n'okpuru nlekọta ụlọ ọgwụ.

Ịchịkọta oge mbụ na-enyere aka ibelata nsogbu ndị dị ka thrombosis miri emi, nsogbu akpa ume, na atrophy muscle.

Nleba anya nsonaazụ na-arụ ọrụ na ebumnuche ndozigharị

Ndozigharị mgbatị ahụ mgbe arụchara ọrụ gasịrị na-elekwasị anya na iweghachi usoro mmegharị hip, ike akwara, na nkwụsi ike gait. A na-enyochakarị nsonaazụ ọrụ site na iji akara mgbu, ike ịga ije, na ihe akaebe redio nke ọgwụgwọ mgbaji.

Nsogbu nwere ike na njikwa ihe egwu na ndozi ntu PFNA

Ihe ịma aka nka nka intraoperative

Okwu intraoperative nwere ike ime gụnyere ntinye ntu na-ezighi ezi, idobe agụba dị mma, ma ọ bụ mbelata mgbaji ezughị ezu. Ihe ndị a nwere ike ịbawanye ihe ize ndụ nke nkwụsị nkwụsị na ekwesịrị iji nlezianya chịkwaa ya site na nduzi fluoroscopic na ahụmahụ ịwa ahụ.

Mgbagwoju anya mgbe arụchara ọrụ na usoro mgbochi

Ọ bụ ezie na PFNA jikọtara ya na nsonaazụ dị mma, nsogbu ndị dị ka mbelata agụba, ọrịa, njikọ egbu oge, ma ọ bụ mgbu metụtara ịkụnye nwere ike ime. Usoro ịwa ahụ nke ọma, nhọrọ onye ọrịa kwesịrị ekwesị, na nlekọta a haziri ahazi bụ isi iji belata ihe egwu ndị a.

Nsonaazụ ụlọ ọgwụ na ihe akaebe na-akwado iji ntu PFNA

Ọmụmụ ụlọ ọgwụ na-egosipụtakarị ọnụ ọgụgụ otu dị elu yana nsonaazụ ọrụ na-eju afọ site na ntinye PFNA na mgbaji femoral dị nso. Tụnyere ngwaọrụ extramedullary, PFNA egosila uru dị n'ibelata ọnụego ọdịda arụrụ arụ, ọkachasị n'ụdị mgbaji na-akwụghị ọtọ na ọkpụkpụ osteoporotic.

Nchọpụta ndị a na-akwado PFNA dị ka ihe ngwọta a pụrụ ịdabere na ya na nke a nabatara n'ọtụtụ ebe na omume trauma orthopedic ọgbara ọhụrụ.

Ntụle ọnụ ahịa na atụmatụ ọgwụgwọ

Ọnụ ego ọgwụgwọ PFNA n'ozuzu gụnyere nhọrọ ntinye, usoro ịwa ahụ, ụlọ ọgwụ, na nhazigharị. Ọ bụ ezie na sistemu intramedullary nwere ike ịnwe ọnụ ahịa mbido mbụ dị elu, ikike ha ịkwado mkpokọta n'oge yana ibelata mmefu metụtara mgbagwoju anya nwere ike inye uru akụ na ụba dị ogologo oge.

Mkpebi ọgwụgwọ kwesịrị ịhazi ịdị irè ụlọ ọgwụ, ihe ndị ọrịa, na ụkpụrụ ụlọ ọrụ.

Mmechi: Ọrụ Ntu PFNA na njikwa mgbawa Femoral Proximal ọgbara ọhụrụ

Ntu PFNA na-anọchite anya ngwọta orthopedic nke ọma maka ọgwụgwọ nke mgbaji femoral dị nso. Nhazi intramedullary ya, teknụzụ mgbochi mgbochi, na ịdị mma maka ọkpụkpụ osteoporotic na-eme ka ọ dị irè karịsịa n'ịchịkwa mgbaji ụkwụ na-adịghị akwụsi ike.

Mgbe etinyere ya na usoro ịwa ahụ kwesịrị ekwesị yana nhọrọ onye ọrịa, ndozi PFNA na-akwado ọgwụgwọ mgbawa kwụsiri ike, nrụzigharị oge mbụ, yana nsonaazụ arụrụ arụrụ - ebumnobi bụ isi na nlekọta trauma orthopedic nke oge a.

FAQ nke ndozi ntu PFNA

Kedu ihe a na-eji ntu PFNA?

A na-eji ntu PFNA emezi n'ime ime nke mgbaji femoral dị nso, ọkachasị intertrochanteric na mgbaji hip anaghị akwụsi ike. Emebere ya iji nye ndozi intramedullary kwụsiri ike ma na-enye ohere ịchịkọta ndị ọrịa n'oge.

 Kedu ụdị mgbawa dị mma maka ndozi PFNA?

A na-egosipụtakarị PFNA maka mgbaji intertrochanteric, mgbaji trochanteric na-akwụghị ọtọ, mgbaji subtrochanteric, na tụgharịa ụkpụrụ mgbaji agbaji, ọkachasị ndị agadi ma ọ bụ ndị ọrịa osteoporotic.

Kedu ihe kpatara PFNA ji amasị na ọkpụkpụ osteoporotic?

Akara mgbochi mgbochi PFNA na-agbakọ ọkpụkpụ ịkagbu mgbe a na-etinye ya, na-eme ka ịzụrụ ihe ọkụkụ na-ebelata ihe ize ndụ nke ịkpụpụ. Nke a na-eme ka ọ dị irè karịsịa na ndị ọrịa na-adịghị mma ọkpụkpụ.

Kedu ka PFNA si dị iche na DHS ma ọ bụ skru nke hip?

N'adịghị ka sistemu screw hip siri ike (DHS), PFNA na-enye ndozi nkekọrịta ibu intramedullary. Nhazi etiti ya na agụba mgbochi rotation na-enye nkwụsi ike biomechanical ka mma, ọkachasị maka usoro mgbaji na-akwụghị ọtọ.

Ịwa PFNA ọ na-akpasu obere nsogbu?

Ee. A na-eme ntinye nke PFNA site na usoro mkpasu iwe dị ntakịrị na obere mbepụ, belata mmebi anụ ahụ dị nro, yana na-agbadata ọbara ọbara ma e jiri ya tụnyere usoro ndozi mepere emepe.

Kedu mgbe ndị ọrịa nwere ike ịmalite ibu ibu mgbe ịwachara PFNA?

Usoro iwu ibu ibu na-adabere na nkwụsi ike mgbaji na ọnọdụ onye ọrịa. N'ọtụtụ ọnọdụ, ibu ibu akụkụ ma ọ bụ nke a na-achịkwa nwere ike ịmalite n'isi ụtụtụ, n'okpuru nduzi nke dọkịta na-awa ahụ na otu nhazigharị.

Kedu ihe mgbagwoju anya na-ejikọta na mbọ PFNA?

Nsogbu ndị nwere ike ime gụnyere igbupu agụba, ọnọdụ adịghị mma, ọrịa, njikọ na-egbu oge, ma ọ bụ mgbu metụtara ịkụnye. Enwere ike ibelata ọtụtụ ihe egwu site na usoro ịwa ahụ kwesịrị ekwesị na nhọrọ ndị ọrịa.

Ogologo oge ole ka ọ na-ewe maka mgbaji agbaji agwọta mgbe edozichara PFNA?

Ọgwụgwọ mgbawa redio na-emekarị n'ime ọtụtụ ọnwa, dabere n'ụdị mgbaji, ogo ọkpụkpụ, na ahụike onye ọrịa. Mgbake arụ ọrụ nwere ike ịga n'ihu na mbụ site na nhazigharị kwesịrị ekwesị.

PFNA dabara adaba maka ndị ọrịa na-eto eto nwere mgbaji ike dị elu?

Ee. Enwere ike iji PFNA mee ihe n'ime ndị ọrịa na-eto eto nwere mgbaji mgbaji femoral na-adịghị eguzosi ike n'ihe kpatara nhụsianya ike dị elu, ma ọ bụrụhaala na enwetara mbelata anatomical na nkwụsi ike.

Kedu otu esi ekpebi ogologo ntu na nha agụba?

Nhọrọ nke etinyere na-adabere na onyonyo tupu a rụọ ya, ụkpụrụ mgbaji, mmewere femoral, na nyocha fluoroscopic intraoperative iji hụ na nhazi kacha mma na nkwụsi ike biomechanical.