Views: 78 Author: Site Editor A chhuah hun: 2022-09-20 A chhuahna: Hmun
Intramedullary nail tih hi eng nge ni?
Intramedullary nailing chu ruh tliak siamthat leh nghet taka awm reng tura surgery a ni. Hetianga tih hian ruh fix tam ber chu thigh, shin, hip, leh upper arm te hi an ni. Ruh lai takah hian permanent nail emaw rod emaw dah a ni. Ruh chungah rit i dah theih nan a pui ang che.
Intramedullary nail hi eng atan nge hman?
Femoral shaft fracture tam zawk hi chu surgery hmanga enkawl a ni. Zirna engemaw zatah chuan surgical stabilization hmasa ber hian harsatna leh thihna a tihziaawm tih hmuhchhuah a ni . Intramedullary nail chu ruh ruh tliak tawh chu a nghet taka a awm theih nan ruh ruh medullary cavity chhungah leh a ruh tliak sir zawng zawngah dah thin metal rod a ni. Tunah hian intramedullary nailing hi femoral shaft fracture enkawlna atana 'gold standard' anga ngaih a ni. Intramedullary nailing hman thatna tur rawtna chu damdawi ina awm rei lo te, fracture union rang tak leh limb functional use hmasa te a ni
Intramedullary nail chi hrang hrang leh a kaihhnawih surgical technique hrang hrang hman a ni. Inhnialna pawimawh tak pakhat chu nail chu khup atanga canal chhungah dahin canal chunglam (retrograde nailing) emaw, hip-ah emaw, canal hnuai lam nawr (antegrade nailing) emaw tih hi a ni. Antegrade nailing (piriformis fossa leh greater trochanteric entry) atana entry point pawh hi sawisel a hlawh hle. Thil dang chu intramedullary nail hi reaming hmanga dah tur nge (nail dah hmaa medullary cavity tihzauh na hmun) emaw, reaming tel lo emaw a ni. Chutiang bawkin, nail chi hrang hrang, interlocking nail (nail tawp lama ruh sir zawng zawnga locking bolt dah, a awmna tur hmuna nghet taka dah) emaw, Ender nail emaw, nail pahnih emaw a aia tam emaw, medullary cavity chhungah kawng bik taka dahin, a hmuna vawn tlat theihna tur chungchangah pawh inremna a awm lo.
Intramedullary nail chu lakchhuah a ngai em?
Femoral fractures fixation atana hman thin intramedullary nail te hi chhan hrang hrang avangin lakchhuah a ngai thei. Ṭhenkhat chuan chutiang nail zawng zawng chu fracture healing hnuah paih vek turin an rawt a,a then erawh chuan symptoms thlentu chauh lak chhuah an duh zawk thung.A chhan chu eng pawh ni se, intact femoral nail lakchhuah hi thil harsa leh hun rei tak a daih thei a ni.
Intramedullary nail lakchhuah dan tur.
Damlo chu radiolucent operating table-ah beanbag emaw positioning device dang hmangin straight lateral position-ah dah rawh. Ke zawng zawng, lateral buttock leh torso zawng zawng chu ribs thlengin buatsaih rawh. Positioning atan full hip leh knee motion awm theih nan ke chu drape chhuak rawh. Hip chu 90° vel thlengin flex rawh. Proximal leh distal locking screw te chu standard fashion-in la chhuak rawh. Thigh-ah guidewire dah la, proximal hip fluoroscopic image la rawh. Wire chu lateral view-a femoral nail nena inmil turin siamrem rawh. Wire zawh zawngin line siam la, a hnute thlengin han tizau rawh. Pawn lamah thigh chu rotate la, line pakhat chu chutiang bawkin mark la, anteroposterior nail position hriat theih nan. Line pahnih inzawmna hian extractor dahna tur incision awmna hmun a tarlang a ni. Heterotopic bone lakchhuah tur a nih chuan incision chu a lian zawka siam a ngai a ni. Hliam chu Mayo scissors lian tak tak hmangin blunt takin a tizau a. Nail a thlen chuan scissors hmangin hliam chu a inhawng reng a, scissors bulah chuan 3.2 guidewire chu nail a khawih thlengin dah a ni. Scissors chu lakchhuah a ni a, guide pin chu nail chhunga a hmasawn thlengin an siamrem a ni. Guidewire chu nail chhunga dah a nih thu finfiah nan hip anteroposterior leh lateral images lak a ni. Extraction bar-a cone ang chi femoral extractor chu hliam chhungah, guide pin chungah dah a ni. Extractor chu zawi zawiin mahse chak takin nail chhungah a screw lut a. Pass hmasa ber hian nail chu a engage kim lo mai thei a, mahse interposed soft tissue tam tak chu a paih chhuak ang. Extractor chu guide pin emaw wire emaw chungah dah leh a ni a, nail-ah chuan wrench hman ngai khawpa chakna hmangin a khauh leh a ni. Slotted mallet hmang hian nail chu hammer out nan an hmang thin. Hliam hi standard fashion-in tui pek leh khar a ni.
Orthopaedic Implant leh Orthopaedic Instruments lei dan tur!
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