Ntu Intramedullary PFNA: Ntuziaka zuru oke
Na ngalaba nke orthopedics, ọgwụgwọ nke mgbaji hip ka bụ ọrụ siri ike. Ọ bụ ezie na e mepụtala usoro ịwa ahụ dị iche iche ka oge na-aga, ntu intramedullary apụtawo dị ka nhọrọ a ma ama. The Proximal Femoral Nail Antirotation (PFNA) bụ ụdị ntu intramedullary enwetala nlebara anya dị ukwuu n'ihi ịdị irè ya n'ịgwọ mgbaji hip. N'isiokwu a, anyị ga-enye ntuziaka zuru oke na ntu intramedullary PFNA, na-ekpuchi ihe niile site na imewe ya ruo usoro ịwa ahụ, nlekọta mgbe ịwachara ahụ, na nsogbu ndị nwere ike ime.
1. Okwu mmalite
Ọkpụkpụ hip bụ ihe na-ebutekarị ọrịa na-anwụ n'etiti ndị agadi. Site na ọnụ ọgụgụ ndị agadi, ọnụ ọgụgụ nke mgbawa hip ga-abawanye ka oge na-aga. Ọgwụgwọ nke mgbaji hip dị oke mkpa, n'ihi na ọ nwere ike imetụta ọdịdị ndụ onye ọrịa nke ukwuu. Intramedullary nailing aghọwo usoro ịwa ahụ na-ewu ewu maka ịgwọ mgbaji hip n'ihi ịdị irè na nchekwa ya. N'ime ụdị mbọ intramedullary dị iche iche, ntu intramedullary PFNA enwetala nlebara anya dị ukwuu.
2. Kedu ihe bụ PFNA Intramedullary Nail?
Ntu intramedullary PFNA bụ ụdị ntu intramedullary emebere iji kwụsie ike na idozi mgbaji hip. Ọ bụ ngwaọrụ nke etinyere nso, anterograde, na cephalomedullary nke a na-etinye site na ọwa mmiri femoral dị nso. Ntu PFNA na-enye nkwụsi ike na saịtị mgbaji site na ikwe ka ikesa ibu n'etiti ntu na ọkpụkpụ. Ọ na-ebelatakwa ihe ize ndụ nke ọdịda ịkụnye na ịtọpụ ya site n'inye nkwụsi ike mgbochi ntụgharị.
3. PFNA Nhazi na atụmatụ
Ntu intramedullary PFNA bụ titanium ma ọ bụ alloy titanium, nke na-adabara ma na-enye ezigbo ike na ịdịte aka. Ntu ahụ nwere eriri helical na njedebe dị nso, nke e mere iji tinye isi femoral ma nye nkwụsi ike ntụgharị. Akara ahụ nwekwara usoro mgbochi ntụgharị, nke na-egbochi ntụgharị nke ntu n'ime femur. Ngwunye dị anya nke ntu nwere usoro mkpọchi, nke na-enye ohere maka nkwụsịtụ anya na nkwụsi ike axial.
4. Ngosipụta maka ịwa ahụ PFNA
A na-eji ntu intramedullary PFNA eme ihe maka ọgwụgwọ intertrochanteric na-adịghị akwụsi ike na mgbaji hip subtrochanteric. A na-ejikwa ya maka ọgwụgwọ ụfọdụ mgbaji n'olu femoral. Mkpebi iji ịwa ahụ ntu intramedullary PFNA dabere n'ihe dị iche iche dị ka afọ onye ọrịa, ogo ọkpụkpụ, ụdị mgbaji, na mmasị dọkịta na-awa ahụ.
5. Usoro ịwa ahụ nke PFNA Intramedullary Nailing
Usoro ịwa ahụ nke PFNA intramedullary nailing gụnyere ọtụtụ usoro. A na-emekarị usoro a n'okpuru mgbakasị izugbe ma ọ bụ spinal. A na-edobe onye ọrịa ahụ na tebụl gbajiri agbaji, a na-ejikwa fluoroscope na-eduzi ntinye ntu ahụ. Usoro ịwa ahụ nke PFNA intramedullary nailing gụnyere ọtụtụ nzọụkwụ. A na-emekarị usoro a n'okpuru mgbakasị izugbe ma ọ bụ spinal. A na-edobe onye ọrịa ahụ na tebụl gbajiri agbaji, a na-ejikwa fluoroscope na-eduzi ntinye ntu ahụ. Usoro ịwa ahụ na-agụnye obere mbepụ nke e mere n'elu nnukwu trochanter, nke na-enye ohere ịnweta femur dị nso. Mgbe ahụ, a na-etinye waya nduzi site na mbepụ ahụ wee gafee ọwa mmiri femoral n'okpuru nduzi fluoroscopic. A na-emegharị ọwara femoral dị nso na nha kwesịrị ekwesị, ma tinye ntu intramedullary PFNA. A na-etinye eriri helical n'ime isi femoral, na usoro mkpọchi na-etinye aka na femur dị anya iji nye nkwụsi ike axial.
6. Nlekọta mgbe arụchara ọrụ gasịrị mgbe ịwa ahụ PFNA gasịrị
Mgbe ịwa ahụ ntu intramedullary PFNA, a na-edobe onye ọrịa n'ụra ụra ụbọchị ole na ole. A na-eji ihe nkwado ma ọ bụ ihe nkedo emegharịa akụkụ ahụ emetụtara ruo ọtụtụ izu iji kwalite ọgwụgwọ. A dụrụ onye ọrịa ọdụ ka ọ zere ọrụ ibu ibu maka ọnwa ole na ole iji nye ohere maka ọgwụgwọ kwesịrị ekwesị. A na-amalitekarị ọgwụgwọ anụ ahụ n'isi mmalite iji kwalite mgbatị nkwonkwo na ike akwara.
7. Nsogbu na njikwa PFNA
Dị ka usoro ịwa ahụ ọ bụla, PFNA intramedullary nailing na-ebu ụfọdụ ihe egwu na nsogbu ndị nwere ike ime. Nsogbu ndị a na-agụnye ọrịa, ọdịda ịkụnye, mmerụ ahụ akwara, mmerụ ahụ arịa ọbara, na enweghị njikọ. Agbanyeghị, ọnụ ọgụgụ mgbagwoju anya nke PFNA intramedullary nailing dị obere. Nlekọta nke nsogbu ndị a na-agụnyekarị ịwa ahụ ma ọ bụ ọgwụgwọ mgbanwe, dabere n'ịdị njọ nke mgbagwoju anya.
8. PFNA vs. mbọ intramedullary ndị ọzọ
Tụnyere ụdị mbọ intramedullary ndị ọzọ, ntu intramedullary PFNA nwere ọtụtụ uru. Otu n'ime uru dị ịrịba ama nke ntu PFNA bụ usoro mgbochi ntụgharị ya, nke na-enye nkwụsi ike ntụgharị na isi femoral. Ọ na-enye ohere maka ikesa ibu n'etiti ntu na ọkpụkpụ, na-ebelata ihe ize ndụ nke ọdịda ịkụnye. Ntu PFNA dịkwa mfe itinye ma nwee obere nsogbu nke nsogbu.
9. Uru nke PFNA Intramedullary Nailing
PFNA intramedullary nailing nwere ọtụtụ uru karịa usoro ịwa ahụ ndị ọzọ maka ịgwọ mgbaji hip. Otu n'ime uru ndị bụ isi bụ ịdị irè ya n'ịgwọ ọkpụkpụ intertrochanteric na subtrochanteric hip fractures na-adịghị akwụsi ike. Ntu PFNA na-enyekwa ohere maka mkpokọta mmalite yana ọnụnọ ụlọ ọgwụ dị mkpụmkpụ ma e jiri ya tụnyere usoro ịwa ahụ ndị ọzọ. Ọ na-enwekwa ihe ize ndụ dị ala nke ọdịda ịkụnye ihe ma na-enye nsonaazụ ọrụ dị mma.
10. Ọdịmma nke PFNA Intramedullary Nailing
Ọ bụ ezie na ntu intramedullary PFNA nwere ọtụtụ uru, ọ nwekwara ụfọdụ ọghọm. Otu n'ime nsogbu ndị bụ isi bụ ihe ize ndụ nwere ike ịkpata nsogbu, dị ka ọdịda ịkụnye, ọrịa, na mmerụ ahụ akwara. Ntu PFNA dịkwa oke ọnụ ma e jiri ya tụnyere usoro ịwa ahụ ndị ọzọ.
11. PFNA Intramedullary ntu pụta na ọnụego ịga nke ọma
Nnyocha egosiwo na PFNA intramedullary nailing nwere nsonaazụ dị mma na ọnụ ọgụgụ ịga nke ọma n'ịgwọ mgbawa hip. Ọnụego ịga nke ọma nke ntu PFNA sitere na 70% ruo 90%, yana nsonaazụ ọrụ dị mma na-akọ n'ọtụtụ oge. Ntu PFNA nwekwara obere ịwa ahụ ntughari yana ọdịda ịkụnye ya.
12. PFNA na ndị ọrịa Geriatric
Ọkpụkpụ hip na-adịkarị na ndị agadi, na PFNA intramedullary nailing apụtawo dị ka usoro ịwa ahụ na-ewu ewu maka ịgwọ mgbaji hip na ndị ọrịa geriatric. E gosiputara ntu PFNA ka ọ na-arụpụta ezigbo ihe na ọnụ ọgụgụ ndị a, yana obere nsogbu nke nsogbu yana ọnụnọ ụlọ ọgwụ dị mkpụmkpụ.
13. Mmepe n'ọdịnihu
Ntu intramedullary PFNA enweela mgbanwe dị iche iche kemgbe iwebata ya, n'ebumnobi imeziwanye arụmọrụ ya yana ibelata ihe egwu ya. Ụfọdụ n'ime mgbanwe ndị a gụnyere mgbanwe n'ichepụta agụba helical, mmezi nke usoro mkpọchi, na mgbanwe n'ogologo ntu na dayameta. A na-enyochakwa mmepe nke ihe ọhụrụ, dị ka titanium alloys na ihe ndị na-emebi emebi, iji meziwanye arụmọrụ nke ntu PFNA.
14. Nkwubi okwu
Na nchịkọta, ntu intramedullary PFNA bụ usoro ịwa ahụ na-ewu ewu maka ịgwọ mgbaji hip, karịsịa na ndị agadi. Ntu PFNA na-enye nsonaazụ dị mma, yana obere nsogbu nsogbu yana ọnụnọ ụlọ ọgwụ dị mkpụmkpụ. Otú ọ dị, dị ka usoro ịwa ahụ ọ bụla, ọ na-ebu ụfọdụ ihe ize ndụ na nsogbu ndị nwere ike ime. Mmepe nke ihe ọhụrụ na mgbanwe na nhazi ntu ga-eme ka arụmọrụ nke ntu PFNA dịkwuo mma n'ọdịnihu.
Ajụjụ
Kedu ihe bụ ntu intramedullary PFNA?
Ntu intramedullary PFNA bụ ntunye ịwa ahụ nke ejiri agwọ mgbaji hip. A na-etinye ya n'ime oghere femoral ma na-enye nkwụsi ike na isi femoral.
Kedu otu esi etinye ntu intramedullary PFNA?
A na-etinye ntu intramedullary PFNA site na obere mbepụ emere n'elu trochanter ka ukwuu. A na-etinye waya nduzi n'ime ọwa femoral, a na-emegharịkwa ọwa mmiri ahụ n'ogo kwesịrị ekwesị. A na-etinyezi ntu PFNA, na usoro mkpọchi na-etinye aka na femur dị anya.
Kedu uru dị na ntu intramedullary PFNA?
Ntu intramedullary PFNA nwere ọtụtụ uru, gụnyere usoro mgbochi ntụgharị ya, njikwa ibu ibu, yana mfe ntinye. Ọ na-adịkwa irè n'ịgwọ mgbawa hip na-adịghị akwụsi ike ma na-enye ohere maka nchịkọta mbụ.
Kedu nsogbu nwere ike ịdị na ntu intramedullary PFNA?
Nsogbu nwere ike nke PFNA intramedullary nailing gụnyere ọrịa, ọdịda ịkụnye, mmerụ ahụ akwara, mmerụ ahụ arịa ọbara, na enweghị njikọ.
Kedu ihe ịga nke ọma nke PFNA intramedullary nailing?
Ọnụego ịga nke ọma nke ntu intramedullary PFNA sitere na 70% ruo 90%, yana nsonaazụ ọrụ dị mma kọrọ n'ọtụtụ oge.
