A rilru a buai em em a, a rilru a hah em em bawk a. Tibial nail .

Suprapatellar approach Tibial Nail: A huam chin.

Tibia ruh tliak hi hliam tam tak a ni a, surgical intervention a ngai fo thin. Surgical method lar ber pakhat chu intramedullary nails hman a ni. Suprapatellar approach Tibial Nail hi tun hnaiah a thatna engemaw zat avangin 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 harsatna awm thei te pawh kan sawi dawn a ni.

Table-a thu awmte .

1. Inhmelhriattirna

2. Tibia anatomy 1.1.

3. Suprapatellar approach tih theihna tur indication te chu tibial nail a ni.

4. Suprapatellar approach a thatna te tibial nail .

5. Pre-operative buatsaih dan tur .

6. Suprapatellar approach hmanga surgery hmanga siam theih a ni.

7. Operation neih hnua enkawl dan tur .

8. harsatna awm thei te .

9. Technique dang nena khaikhin .

10. Tawpna

11. FAQS 1000 a ni.

1. Thuhmahruai .

Tibia hi taksa chhunga ruh sei tak tak chhe tam ber zinga mi a ni. Tibia ruh tliak hian malunion leh non-union a thlen theihna a sang avangin surgical intervention a ngai fo thin. Intramedullary nails chu tibial fractures enkawlna atana gold standard a lo ni ta a, hei hi an thatna tam tak vang a ni a, chung zingah chuan stability tihchangtlun leh damna hun chak zawk pawh a tel.

Suprapatellar approach tibial nail hi tun hnaiah technique dang aiin a thatna engemaw zat a awm avangin a lar chho hle a ni. He thuziak hian suprapatellar approach tibial nail chungchangah kaihhruaina kimchang tak pek a tum a ni.

2. Tibia anatomy .

Suprapatellar approach tibial nail chungchang kan sawiho hmain tibia anatomy hriatthiam a pawimawh hle. Tibia hi ke hnuai lama ruh sei pahnih zinga lian zawk a ni a, taksa rihna tam zawk a keng tel bawk. Tibia proximal end chu femur nen a articulate a, knee joint a siam a, distal end erawh chu fibula leh talus nen a articulate a, ankle joint a siam thung.

Tibia hian intramedullary canal a nei a, chu chu a sei zawnga kal a ni. Canal chu proximal end-ah a zau zawk a, distal end lam pan chuan a tawi zawk. He canal hi intramedullary nail dahna hmun a ni.

3. Suprapatellar approach tih theihna tur indications tibial nail .

Suprapatellar approach tibial nail hi tibial fracture hrang hrang enkawlna atan hman a ni a, chung zingah chuan:

• Distal pathumna tibial fractures .

• Proximal tibial fractures .

• Tibial shaft fractures .

• Oblique fractures .

• Spiral fractures .

• Comminuted fractures 10 a awm.

• Fractures te chu cortical defect nasa tak nen a inzawm a ni.

4. Suprapatellar Approach a thatna te Tibial Nail .

Suprapatellar approach tibial nail hian technique dang aiin a thatna engemaw zat a pe a, chung zingah chuan:

• Fracture tihtlem that: Suprapapatellar approach hmang hian fracture site chu a tha zawkin a lang thei a, chu chuan fracture tihtlem a ti tha zawk a ni.

• Thisen hloh tlem: Suprapatellar approach hian soft tissue dissection a nei tlem zawk a, chu chuan operation neih chhunga thisen hloh a tlem phah a ni.

• Reduced Risk of Infection: Suprapatellar approach hian khup ruh, natna hrik kai theihna a nih avangin natna kai theihna a ti tlem a ni.

• Patellar tendon injury hlauhawmna tihziaawmna: Suprapatellar approach hian patellar tendon a pumpelh a, he structure pawimawh takah hian hliam a tuar thei lo.

• Faster Recovery: Suprapatellar approach tibial nail surgery nei damlote chu an dam chak zawk a, technique dang ti thinte nen khaikhin chuan damdawi ina awm rei lo zawk an nei thin.

5. Operation hmaa inbuatsaihna .

Suprapatellar approach tibial nail surgery an neih hma hian damlote chuan pre-operative preparation eng emaw zat an nei tlangpui ang. Hei hian medical history kimchang tak, taksa enfiahna, leh imaging study hrang hrang, X-rays, CT scans, emaw MRI scan te a huam ang a, chu chuan a ruh tliak awm zat leh a awmna hmun a zir chiang ang.

Damlote chuan an hriselna zawng zawng tehna tur leh an surgery leh an dam lehna tichhe thei tur damdawi lam dinhmun awm tawh zawng zawng hriat theihna turin pre-operative blood test leh laboratory study dangte pawh an nei thei bawk.

Damlote chuan an surgeon chu an damdawi ei tur eng pawh, over-the-counter damdawi leh supplement te pawh an hriattir a pawimawh a, damdawi thenkhat chu thisen chhuah emaw, harsatna dang emaw a thlen theih avangin operation hmain tihtawp a ngai mai thei a ni.

Damlote chu zu in bânsan a, operation hma kar engemaw zat chhunga zu in loh tur a ni bawk a, heng thilte hian damna kalpui dan a tibuai thei a, harsatna a thlen theihna a tipung thei bawk.

6. Suprapellar approach hmanga surgery hmanga thil tih dan tur chu tibial nail a ni.

Suprapatellar approach tibial nail surgery hi general anesthesia hmanga tih thin a ni tlangpui a, darkar engemawzat a ngai thei bawk. Surgical technique hian a hnuaia step te hi a huam a ni:

1. Damlo chu operating table-ah supine position-ah dah a ni a, a ke natna chu a sang a, a ke neituin a thlawp bawk.

2. Patella chungah chiah hian vunah incision te tak te siam a ni a, guide wire chu vun kaltlangin tibia chhunga intramedullary canal chhungah dah a ni.

3. Reamer hmangin canal chu nail dahna tur atan an buatsaih a.

4. Chumi hnuah chuan nail chu incision hmangin an dah a, fluoroscope hmangin canal chhungah an hruai lut a.

5. Nail chu a awmna hmunah a awm tawh chuan locking screw chu nail kaltlangin ruh chhungah dahin a hmunah a nghet thei ang.

6. Chumi hnuah chuan incision chu khar a ni a, a ke chu cast emaw brace emaw hmangin immobilized a ni.

7. Operation neih hnua enkawl dan tur .

Suprapatellar approach tibial nail surgery hnuah chuan damlote chuan damdawi inah ni eng emaw zat chu enkawlna leh natna enkawlna atan an hmang tlangpui ang. A natna vei te chu sang taka awm tir tur leh kar engemaw zat chhung chu a chungah rit phurh loh tur a ni.

Damlote chu khup chhehvela taksa peng hrang hrangte tihchakna tur leh ruh nghet lo tur venna atana tih tur exercise pek an ni bawk ang. Damlote chu an ke natna hmuna an chet dan leh an chakna zawng zawng an neih leh theih nan physical therapy pawh a tha hle thei bawk.

Damlote chu natna enkawlna leh natna hrik kai loh nan a tul angin natna damdawi leh antibiotics pek an ni ang. Follow-up appointment-ah hian damna kalpui dan enfiah tur leh harsatna awm thei te endikna tur a ni ang.

8. Thil thleng thei tur harsatna awm thei te .

Surgery eng pawh ang bawkin, suprapatellar approach tibial nail surgery nena inzawm hlauhawmna leh harsatna awm thei a awm bawk. Chung zingah chuan:

• Kaichhawng

• Thisen chhuak .

• nerve a tichhia .

• Thisen zam a awm .

• Damdawi a tlai phah .

• Non-Union emaw Malunion emaw fracture .

• Hardware a chhiat chuan .

Damlote tan chuan heng risk te hi an surgeon nen sawiho a, harsatna awm thei tur tihtlem nan pre- leh post-operative instruction zawng zawng zawm a pawimawh hle.

9. Technique dang nena khaikhin .

Suprapatellar approach tibial nail hi tibial fracture enkawlna atana hmanraw hrang hrang zinga pakhat a ni. Thiltih dan dangte chu infrapatellar approach tibial nail, retrograde tibial nail, leh plate leh screw fixation te a ni.

Technique tin hian a thatna leh a that lohna a neih laiin, suprapatellar approach Tibial Nail hian hlawkna danglam bik engemaw zat a pe a, chung zingah chuan ruh tliak tihziaawmna, thisen hloh tlem zawk, leh natna kai theihna leh patellar tendon injury tihtlem te a tel.

10. Thutawp .

Suprapatellar approach tibial nail hi tibial fracture enkawlna atana surgical technique lar tak a ni a, a hman dan tur pawh a inang lo hle. Technique dang aiin advantage engemaw zat a pe a, chung zingah chuan fracture tihziaawmna, thisen hloh tlem zawk, leh infection leh patellar tendon injury hlauhawmna tihtlem te pawh a tel.

Mahse, operation eng pawh ang bawkin, hlauhawm leh harsatna awm thei a awm a, damlote tan chuan an duhthlannate chu uluk taka ngaihtuah a, an surgeon nen thutlukna dik siam turin an sawiho a pawimawh hle.

11. FAQS 1000 a ni.

1. Suprapatellar approach hian eng chen nge tibial nail surgery hi a la a,?

   
   

   Surgery hi a tlangpuiin darkar engemaw zat a ngai a ni.

   
   

2. Suprapatellar approach tibial nail surgery atanga dam leh nan eng chen nge a rei ang?

   
   

   Recovery time hi a ruh tliak zau zawng leh damlo pakhat zel dam theihna a zirin a danglam thei a, mahse a tlangpuiin ruh a dam theih nan thla engemaw zat a ngai thin.

   
   

3. Suprapatellar approach tibial nail surgery hlawhtlinna rate chu engzat nge ni?

   
   

   Surgery hlawhtlinna rate hi a tlangpuiin a sang hle a, mahse damlo pakhat zel dinhmun leh a hliam nasat dan azirin a danglam thei.

   
   

4. Suprapatellar approach tibial nail surgery hnuah physical therapy ka mamawh dawn em ni?

   
   

   Physical therapy hi a ke ruh natnaah full range of motion leh strength neih leh theih nan a tha hle.

   
   

5. Tibial fracture enkawlna atan hian non-surgical option a awm em?

   
   

   A then phei chuan tibial fracture enkawlna atan casting emaw bracing emaw ang chi non-surgical option te pawh hman theih a ni a, mahse hei hi damlo pakhat zel dinhmun a zirin a innghat ang.