Gamma nail 100 a ni.

Gamma Intramedullary Nail: A thupui kimchang tak

Orthopedic surgery chungchang sawi dawn chuan a tih dan tlangpui pakhat chu ruh tliakte chu intramedullary nail hmanga fixation a ni. Chung zingah chuan gamma intramedullary nail hi a thatna hrang hrang avangin duhthlan tur lar tak a ni. He thuziak ah hian gamma intramedullary nail hmanna nena inzawm design, indication, techniques, complications, leh outcomes te kan sawiho ang.

Inhmelhriattirna

Gamma intramedullary nail hi ruh tliak rei tak enkawlna atana hman thin, intramedullary fixation device chi khat a ni a, a hmanna tur hmun hi a pawimawh hle. Kum 1980 chho khan AO Foundation chuan a rawn luh tir hmasa ber a, chuta ṭang chuan femur, tibia, leh humerus-a ruh tliak enkawlna atana duhthlanna lar tak a ni ta a ni. Gamma nail hi stable fixation pe thei tura siam a ni a, chutih rualin fracture site biology chu a humhim a, weight-bearing hmasa a phalsak bawk.

Anatomy leh design .

Gamma nail hi titanium alloy rod a ni a, ruh intramedullary canal-ah dah a ni. Rod hian curved shape a nei a, chu chuan ruh natural contour a zui thei a ni. Nail proximal end hian flared shape a nei a, chu chuan rotational stability a pe a, nail migration a veng thei bawk. Nail distal end hian screw thread a nei a, chu chuan cancellous bone nen a inzawm a, axial stability a pe bawk.

Indication te .

Gamma nail hi ruh tliak sei tak tak, a bik takin femur, tibia leh humerus-a awmte enkawlna atan hman a ni. A tam ber chu ruhro laihawl emaw, distal third emaw-a awm, ruh tliakte tan a ni. Gamma nail hi fractures unstable emaw displaced emaw enkawlna atan pawh hman a ni a, chubakah fractures comminuted emaw butterfly fragment nei emaw tan pawh a awm bawk.

Surgical technique hman dan .

Gamma nail dahna tur surgical technique chu specialized instrument set hman a ni. Hetiang tih dan hi general emaw regional anesthesia hmanga tih a ni tlangpui. Damlo leh surgical site an buatsaih hnuah, fluoroscopic guidance hmangin ruh intramedullary canal-ah guide wire an dah a. Chumi hnuah chuan guide wire chu ream hmangin canal chu nail atan an buatsaih a. Gamma nail chu guide wire chungah dahin canal chhungah a fracture na hmun a thlen thlengin advance a ni. Chumi hnuah chuan proximal leh distal locking screw te chu dahin, nail chu a hmunah a awm theih nan an dah a ni.

Complication 10 a awm.

Gamma nail hi a tlangpuiin enkawlna him leh tangkai tak anga ngaih a nih laiin, a harsatna awm thei te chu a awm lo. Gamma nail hman avanga harsatna awm thei te chu:

• Nail malalignment emaw malrotation emaw .

• Nail emaw ruh emaw a hliam .

• Nonunion emaw delayed union fracture .

• Kaichhawng

• Hardware a chhiat chuan .

• A chhehvela structure, nerve emaw thisen kalna kawng emaw tihchhiat .

Outcome 1000 a ni.

Zirna tam tak chuan ruh tliak rei tak enkawlna atana gamma nail hmanna nena inzawm thil chhuakte an zirchiang a. A pum puiin, a result chu a tha hle a, fracture union rate sang tak, harsatna awm zat hniam tak, leh functional outcome tha tak tak report a ni. Zirna 22-a meta-analysis an neihah chuan gamma nail hman a nih chuan union rate 95% leh functional outcome 92% tha emaw tha tak emaw a awm tih hmuhchhuah a ni.

Tawpna

Thutawp atan chuan gamma intramedullary nail hi ruh tliak rei tak tan chuan enkawlna kawng lar leh tha tak a ni. Fixation method dang aiin advantage tam tak a pe a, chung zingah chuan stable fixation, fracture site biology humhalh, leh early weight-bearing te pawh a tel. A harsatna awm thei lo a nih loh laiin, gamma nail hmanna nena inzawm overall outcomes chu a tha hle.

FAQS 1000 a ni.

1. Gamma nail hmanga surgery atanga dam leh nan eng chen nge a rei ang?

• Recovery time hi a fracture awmna hmun leh a nasat dan azirin a danglam a, chubakah damlo hriselna zawng zawng leh thil dang a zirin a danglam bawk. Mahse, damlo tam zawk chuan operation an neih hnu thla 3-6 chhungin thil tih dan pangngaiah an kir leh theih an beisei thei.

1. Ruh ruh tliak chi hrang hrang tan hian gamma nail hi hman theih a ni em?

• Gamma nail hi ruh tliak rei tak enkawlna atan hman a nih laiin, ruh tliak chi hrang hrang tan chuan a tha lo mai thei. Gamma nail hman tura thutlukna siam chu thil hrang hrangah a innghat ang a, chung zingah chuan a hliamna hmun leh a nasat dan te, damlo kum leh hriselna zawng zawng te, surgeon-te thil tawn leh duh dan te pawh a tel ang.

1. Gamma nail dah luh hi a hrehawm em?

• Gamma nail dah hi anesthesia hmanga tih a nih tlangpui avangin damlote chuan an tih chhung hian natna an nei tur a ni lo. Mahse, a tih zawh hnuah chuan hrehawmna emaw, natna emaw a awm thei a, chu chu natna damdawi leh thil dang hmanga enkawl theih a ni.

1. Gamma nail surgery avanga harsatna awm thei te chu engte nge ni?

• Gamma nail hman avanga harsatna awm thei te chu nail malalignment emaw malrotation emaw, nail emaw ruh emaw ruh tliak emaw, ruh tliak lo emaw, a hliam emaw, a zung emaw, a kai loh emaw, a kahhlum emaw, a chhehvela thil awm, nerve emaw thisen kalna kawng emaw a tihchhiat emaw te a ni thei.

1. Fracture a dam hnuah gamma nail hi lakchhuah theih a ni em?

• A tam zawkah chuan gamma nail hi a hliam a dam hnuah lakchhuah a ngai lo. Mahse, ṭhenkhatah chuan natna emaw, harsatna dang emaw a thlen chuan nail chu lak chhuah a ngai mai thei. Nail lak chhuah tura thutlukna siam chu thil hrang hrangah a innghat ang a, chutah chuan nail awmna hmun leh damlo natna lanchhuahna te pawh a tel ang.