Suprapatellar Approach Tibial Nail: A rilru a hah lutuk chuan a rilru a buai em em a
Tibia ruh tliak hi hliam tam tak a ni a, surgery hmanga tih a ngai fo thin. Surgery hman dan lar ber pakhat chu intramedullary nail hman hi a ni. Suprapatellar approach tibial nail hi tun hnaiah a thatna engemaw zat avang hian a lar chho hle a ni. He thuziak ah hian suprapatellar approach tibial nail chungchang chipchiar takin kan sawi dawn a, a thatna te, a indication te, surgical technique te, post-operative management te, leh a harsatna awm thei te pawh kan sawi dawn a ni.
Thupui (Table of Contents) a ni
Inhmelhriattirna
Tibia atanga thil awm dan (anatomy) a ni
Suprapatellar Approach Tibial Nail hman dan tur hriattirna
Suprapatellar Approach Tibial Nail hman thatna
Operation hmaa inbuatsaihna
Suprapatellar Approach Tibial Nail hman dan tur surgery hman dan
Operation hnua enkawl dan tur
Harsatna awm thei te
Technique Dangte nena khaikhin
Tawpna
FAQs te
1. Thuhmahruai
Tibia hi taksaa ruh sei tak tak, a tliak tam ber zinga mi a ni. Tibia fracture hian malunion leh non-union a awm theihna a sang avangin surgical intervention a ngai fo thin. Intramedullary nails hi tibial fracture enkawlna atana gold standard a lo ni ta a, a thatna tam tak a neih avangin, a stability a tichak a, a dam rei zawk bawk.
Suprapatellar approach tibial nail hi tun hnaiah technique dang aiin a thatna engemaw zat a neih avangin a lar chho hle a ni. He thuziak hian suprapatellar approach tibial nail chungchanga kaihhruaina kimchang tak pek a tum a ni.
2. Tibia taksa peng hrang hrangte
Suprapatellar approach tibial nail chungchang kan sawi hmain tibia anatomy hriatthiam a pawimawh hle. Tibia hi ke hnuai lam ruh sei pahnih zinga lian zawk a ni a, taksa rih zawng tam zawk a phur a ni. Tibia proximal end chu femur nen a inzawm a, khup joint a siam a, distal end erawh fibula leh talus nen articulate in ankle joint a siam thung.
Tibia hian a sei zawng zawnga kal intramedullary canal a nei a. Canal hi proximal end-ah a zau zawk a, distal end lam pan chuan a tawi zawk bawk. He canal hi intramedullary nail dahna hmun a ni.
3. Suprapatellar Approach Tibial Nail hman dan tur hriattirna
Suprapatellar approach tibial nail hi tibial fracture hrang hrang enkawlna atan hman a ni a, chung zingah chuan:
Distal third tibial tihchhiat a ni
Tibial hnaih ber (proximal tibial fractures) a awm
Tibial shaft a tichhia a
Oblique fractures a awm thin
Spiral fractures a awm thin
Comminuted fractures a awm bawk
Fractures a awm a, cortical defect lian tak a awm bawk
4. Suprapatellar Approach Tibial Nail hman thatna
Suprapatellar approach tibial nail hian technique dang aiin thatna engemaw zat a nei a, chung zingah chuan:
Fracture tihtlem dan tha zawk: Suprapatellar approach hmang hian fracture awmna hmun chu a lang tha zawk a, chu chuan fracture tihtlem a ti tha zawk a ni.
Thisen hloh tlem: Suprapatellar approach hian soft tissue dissection a ti tlem a, chu chuan operation neih laiin thisen hloh a tihtlem phah a ni.
Infection hlauhawmna tihtlem: Suprapatellar approach hian khup ruh (knee joint) a pumpelh avangin natna kai theihna a ti tlem a, hei hi natna kai theihna tur a ni.
Patellar tendon hliam hlauhawmna tihtlem: Suprapatellar approach hian patellar tendon a pumpelh a, hei hian he structure pawimawh tak hliam hlauhawmna a ti tlem a ni.
Dam chak zawk: Suprapatellar approach tibial nail surgery nei damlote chu technique dang hmanga enkawl damlote nena khaikhin chuan an dam chak zawk a, damdawi ina awm rei zawk an ni.
5. Operation hmaa inbuatsaihna
Suprapatellar approach tibial nail surgery an neih hma hian damlote hian pre-operative preparation engemawzat an nei tlangpui ang. Hei hian medical history kimchang tak, taksa enfiahna, leh imaging study, X-ray, CT scan, emaw MRI scan hmanga ruh tliak zau zawng leh awmna hmun tehna a huam ang.
Damlote hian pre-operative blood test leh laboratory study dang pawh an nei thei a, an hriselna zawng zawng tehna leh an surgery leh damna tichhe thei tur damdawi lam dinhmun awm tawh zawng zawngte hriatchhuah theih a ni bawk.
Damlote chuan an damdawi ei apiang an surgeon hnenah hriattir a pawimawh a, over-the-counter damdawi leh supplement te pawh a tel a, thisen chhuah emaw, harsatna dang emaw a awm theih avangin damdawi thenkhat chu operation hmain tihtawp a ngai thei a ni.
Damlote chu operation hma kar engemaw zat chhungin meizuk bânsan tur leh zu in loh turin an fuih thei bawk a, heng thilte hian damna a tibuai thei a, harsatna a thlen theihna a tipung thei a ni.
6. Suprapatellar Approach Tibial Nail atana surgical Technique hman dan tur
Suprapatellar approach tibial nail surgery hi general anesthesia hmanga tih a ni tlangpui a, darkar engemaw zat a la ngai thei. Surgical technique ah hian a hnuaia step te hi a tel a ni.
Damlo chu operation table-ah supine position-ah dah a ni a, a ke natna chu chawi sangin, ke holder-in a thlawp a ni.
Patella chung lam deuhah vunah hian incision te tak te siam a ni a, guide wire chu vun kaltlangin leh tibia intramedullary canal-ah dah a ni.
Nail dahna tur canal buatsaih nan reamer hman a ni.
Chumi hnuah nail chu incision kaltlangin dahin fluoroscope hmangin canal chhungah hruai lut a ni.
Nail chu a hmunah a awm tawh chuan nail kaltlangin leh ruh chhungah locking screws dahin a hmuna nghet taka dah a ni.
Chumi hnuah chuan incision chu khar a ni a, ke chu cast emaw brace emaw hmangin immobilized a ni.
7. Operation hnua enkawl dan tur
Suprapatellar approach tibial nail surgery hnuah damlote chu damdawi inah ni eng emaw zat an awm tlangpui ang a, enkawlna leh natna enkawlna atan an hmang ang. An ke natna chu sang taka dah tur leh kar engemaw zat chhung chu rit phurh loh tur thu an hrilh ang.
Damlote chu khup vel ruh tichaktu tur leh a khauh loh nan exercise tih tur pek an ni bawk ang. Damlote chu an ke natna hmuna an che leh chakna zawng zawng an neih leh theih nan physical therapy pawh a rawt thei bawk.
Damlote chu natna enkawl dan tur leh hri kai laka invenna atan a tul angin natna damdawi leh antibiotics pek an ni ang. Follow-up appointment neih a ni ang a, damna kalpui dan enfiah a ni ang a, harsatna a awm leh awm loh endik a ni ang.
8. Harsatna awm thei
Surgery dang ang bawkin suprapatellar approach tibial nail surgery-ah hian hlauhawm leh harsatna a awm thei a ni. Chûng zîngah chuan:
Damlote tan chuan heng hlauhawmnate hi an surgeon nen sawiho a pawimawh a, pre- leh post-operative instruction zawng zawng zawm a, harsatna awm thei tur a tlem theih nan.
9. Technique dang nena khaikhin
Suprapatellar approach tibial nail hi tibial fracture enkawlna atana hmanraw hrang hrang zinga pakhat a ni. Technique dangte chu infrapatellar approach tibial nail, retrograde tibial nail, leh plate leh screw fixation te hi a ni.
Technique tin hian a thatna leh a that lohna a neih laiin, suprapatellar approach tibial nail hian thatna danglam tak tak a nei a, chung zingah chuan fracture tihziaawmna, thisen hloh tihtlem, leh infection leh patellar tendon injury hlauhawmna tihtlem te pawh a tel.
10. Thutawp
Suprapatellar approach tibial nail hi tibial fracture enkawlna atana surgical technique lar tak a ni. Technique dang aiin a thatna engemaw zat a nei a, chung zingah chuan fracture tihziaawmna, thisen hloh tihtlem, leh infection leh patellar tendon injury hlauhawmna tihtlem te pawh a tel.
Mahse, surgery dang ang bawkin, hlauhawm leh harsatna awm thei a awm a, damlote chuan an duhthlan turte ngun taka ngaihtuah a, an surgeon nen sawihoin thutlukna dik tak siam a pawimawh hle.
11. FAQs te
Suprapatellar approach tibial nail surgery hian eng chen nge hun a duh?
Surgery hi a tlangpuiin darkar engemaw zat a la ngai thin.
Suprapatellar approach tibial nail surgery atanga dam leh theih nan eng chen nge a ngaih?
Recovery time hi a ruh tliak zau zawng leh damlo pakhat zel dam theihna a zirin a inang lo thei a, mahse a tlangpuiin ruh chu a dam kim theih nan thla engemaw zat a ngai thin.
Suprapatellar approach tibial nail surgery hlawhtlinna hi engzat nge ni?
Surgery hlawhtlinna rate hi a tlangpuiin a sang hle a, mahse damlo pakhat zel dinhmun leh a ruh tliak nasat dan azirin a danglam thei.
Suprapatellar approach tibial nail surgery hnuah physical therapy ka mamawh dawn em?
I ke natnaah hian taksa chetna leh chakna zawng zawng i neih leh theih nan physical therapy hi a tha thei ang.
Tibial fracture enkawlna atan hian non-surgical option a awm em?
Thil engemaw takah chuan tibial fracture enkawlna atan hian non-surgical options casting emaw bracing emaw hman theih a ni a, mahse hei hi damlo pakhat zel dinhmun a zirin a innghat ang.
