A hnuaia technique te hi eng technique nge intertrochanteric fractures siamthat nan hman thin?

Femur-a intertrochanteric fracture, intertrochanteric fracture tia hriat bawk hi extra-articular capsule fracture a ni. Intertrochanteric fracture lan chhuahna ber chu local pain leh swelling nasa tak, extensive ecchymosis, damlo ding thei lo emaw, kal thei lo emaw, shortening nasa tak, affected limb internal leh external rotation deformity, leh hip joint chu eng lam hawi pawha active leh passive movement tihtlem te hi a ni.

Epidemiology chungchang a ni

1. A tam zawk hi ruh natna nena inzawm an ni a, kum upa lam zingah a tam ber a, mipa aiin hmeichhia an tam zawk.

2. A thlen dan hi hnam, mipa leh hmeichhia leh bial nena inzawm a ni.

3. tarte hliam tlangpui, intertrochanteric fracture of femur kum zat chu kum 75.2 a ni. Hmeichhia leh mipa inkara intertrochanteric fracture kum ah hian danglamna lian tham a awm lo.

4. Trochanter-a thisen a kal tam avangin a ruh tliak hi a dam lo tam hle a, mahse hip inversion a awm a awlsam a, damlo kum upa zawkte khumah hun rei tak mut a nih avanga harsatna a awm tam zawk a, natna leh thihna rate pawh 15%-20% a ni a, chuvangin kum upa lam zingah chuan ruh tliak hnuhnung ber an ti a ni.

Hliam awm dan (mechanism) a ni

1. Thalai puitling hi a tam zawk chu chakna sang tak nei hliam an ni a, thluak, rilru, pum leh hliam hmun dangte ngaihven tur a ni; tarte hi a tam zawk chu tar function of the limbs coordination response agility tlahniam leh tlak vang a ni.

2. Direct violence: trochanter area lian zawkah direct-a nghawng a nei. Taksa chu a tlak laiin lateral force hmanga leiah a tlak chuan.

3. Indirect violence: a tlak lai hian taksa a inher a, hip chu a rualin inversion leh forward angle stress a tawk thin.

4. Pathological fracture, ruh natna awm tlangpui zinga mi.

5. Intertrochanteric fracture hi indirect violence avanga lo awm a ni ber.

Clinical lama a lan chhuah dan

1. Basic presentation chu femoral neck fracture nen a inang a, local pain, swelling leh functional limitation of the affected limb a awm.

2. Extra-articular capsule fracture a nih avangin joint capsule-ah hian khapna a awm lo va, chuvangin lower limb-a shortened external rotation (90 degrees) deformity hi a na zawk.

3. Axial percussion avanga natna.

4. Local hematoma hi a na hle a, subcutaneous bruising nasa zawk a awm thei bawk.

5. Damlo tar zawkah chuan femoral neck patient aiin an upa zawk tlangpui a, damlo zinga a tam zawk chu a hmain stroke an lo nei tawh bawk.

Diagnosis tih a ni

Trauma langsar tak tak, kut leh ke natna, leh chetna tlem te chanchin. Kawng hnuai lam shortening leh external rotation deformity chu 90° thlengin a lang chiang hle. Diagnosis hriat chian nan X-ray examination neih a ngai fo a, typing hi radiographs hmanga tih a ni. Intertrochanteric fracture symptoms hi femoral neck fracture symptoms nen a inang a, mahse a hnuhnung zawk hi a hmasa zawk aiin a na lo zawk a, local pain, swelling, function loss, leh affected limb tih tawi te a ni a, a natna vei limb hian a tam zawk chu mild hip flexion leh knee flexion leh external rotation deformity a nei a, a tlangpuiin 45°-60° inkar a ni.

Lampang

Fracture chi hnih zingah hian AO leh Evans-Jensen fracture te hi hman tlanglawn ber an ni a, heng pahnih zingah hian AO fracture type hi a tam ber a ni.

Evans-Jensen chuan a type a

Type I: Intertrochanteric fracture awlsam tak, fracture line chu superior atanga inferior thlenga inthlak, displacement leh stability awm lo.

Type II: Displacement chu rotor avulsion fracture te tak te nen a inzawm a, mahse femoral spur chu a la awm reng a (femoral spur chu ruh plate dense tak, femoral neck chhung thuk takah leh rotor te tak te body junction chhunga awm a ni.

Type III: Trochanteric fracture lian zawk leh femoral spur-a fracture accumulation inzawmkhawm, displacement nen, a tam zawkah chuan posterior inter-rotor fracture a awm thin.

Type IV: 3-part fracture leh lesser trochanter-a comminuted fracture inzawmkhawm, chu chu femoral neck leh greater trochanter-a coronal surface burst fracture nen a lang thei.

Type V: hnunglam lateral leh medial unsupported fracture (type III leh IV te inzawmkhawm).

Type R: hmalam intertrochanteric fracture, superior medial atanga inferior lateral thlenga oblique fracture line nei, chu chu rotor fracture te tak te leh femoral spine tihchhiatna nen a inzawm thei.

AO type a ni

A1.1 Fracture line chu inter-rotor line kaltlangin a kal a

A1.2 Trochanter lian zawk kal tlanga fracture

A1.3 Lesser trochanter hnuai lama fracture kal tlang

A2.1 Ruh 1 comminuted hmanga ruh tliak

A2.2 Ruh chi hrang hrang comminuted tam tak awmna fracture

A2.3 Lesser trochanter hnuai lam cm 1 aia sei fracture

A3.1 Oblique shape awlsam tak

A3.2 Transverse shape awlsam tak

A3.3 Thutiam siam

Enkawlna hrang hrang

Fracture-te internal fixation stability hi a tlangpuiin thil panga-ah a innghat a, chungte chu: ruh quality, fracture chi, tihtlem, internal fixation thlan dan, leh ruh nena inzawm internal fixation awmna hmun te hi a ni. Fracture repositioning hi internal fixation hnua stability atan a pawimawh a, anatomic reposition emaw stable non-anatomic reposition emaw neih tum tur a ni. A tawi zawngin, repositioning tum ber chu fracture stability neih hi a ni. Repositioning dan hi closed emaw incisional emaw pawh a ni thei. Fracture chi hrang hrang chu eng ang pawhin buaithlak mah se, closed reduction hi tih hmasak a ngai a ni.

• Power Hip Dowel (DHS) hmanga siam a ni.

• 
  

• 
  

DHS Power Hip Screws hman tangkai dan ber.

• Screw hian femoral head chhungah fixation effect nasa tak a nei a, osteoporosis a awm pawhin.

• Sleeve-a gliding mechanism hian nail tawp chu femoral head emaw acetabulum-ah a lut thei lo va, negative gravity chu ruh-ah direct-in a thlen thei lo.

• Power gliding mechanism hian fracture chu a hmunah a vawng reng a, non-union a ti tlem bawk.

• Compression leh gliding function pahnih a nei a, dynamic leh static compression effect a nei bawk.

  
  

• Power Hip Dowel (DCS) hmanga siam a ni.

• 
  

  DCS leh 95 degree cutting plate te chu anticrotal fracture te tan:

• 
  

DCS power condylar screw thatna ber chu.

• A chhe lai dinhmun bik a zirin screw luhna tur chu dik takin a thlang thei a, a hnathawh pawh a awlsam hle.

• 
  

• Power compression tension screw hi plate nen angle dik takah a awm a, hei hian hip-a biomechanical mamawh a phuhruk a ni. Weight-bearing lai hian negative force chu plate arm tawi takah dah hmasak a ni a, chutah chuan screw tinah a darh a, chutiang chuan stress chu a darh a, fixation chu a danglam bik hle.

• 
  

• Fracture-a DCS screw tam tlem chuan a nghetna a tipung a, fracture area chu bridge leh fix theih a ni a, chu chuan postoperative complications a ti tlem a ni.

A rilru a buai em em a, a rilru a hah em em bawk a. Proximal Femoral Locking Intramedullary Nail (PFN) .

PFN fixation a thatna te.

• Nail diameter te zawk (a tlangpuiin 9mm), dilation tel lovin drive in theih a ni. (Gamma nail caudal end thicker zawk aiin a chungnung zawk - 17mm)

• PFN proximal end hian camber 6 degree vel a nei a, hei hian valgus angle a ti tlem a, traction laiin internal retraction chak tak neih a ngai tawh lo.

• A chunglam tawp lamah chuan femoral head chhungah screw pahnih dah theih a ni a, anti-rotation screw leh femoral neck-ah double nail bearing dah belh a ni a, hei hian fatigue resistance a tipung a ni.

• Distal locking hole leh main nail distal end (tapered extension) inkar hlat zawng a rei zawk a, hei hian femoral stem-a stress concentration a tihziaawm thei a ni.

• Trauma a tlem zawk.

Gammar nail a awm

Gammar nail fixation hman thatna.

• Minimally invasive intramedullary fixation method a ni a, incision tlemte leh trauma tlem ber a awm bawk.

• Gamma nail hian intramedullary nail leh tension screw inzawmkhawm hmangin upper femur leh femoral neck chu nghet takin a inzawm khawm a, intramedullary nail chu distal self-locking nail hmangin a fix a, hei hian rotation leh shortening displacement a veng a, fixation rintlak tak a pe bawk.

Gammar-a hmasawnna - PFNA

Internal fixator thlan dan (PFNA) a ni.

• Femur-a intertrochanteric fracture nghet lo tak takte tan built-in tha tak a ni.

• Femoral head leh neck chu nghet takin a fix a, fracture end rotation a veng bawk.

• Medial support hloh hnua ruh resorption avanga collapse, inversion deformity, leh insert hmanga femoral head atanga cut out ang chi complication te a veng thei.

• Intertrochanteric fracture zawng zawng deuhthaw tan a tha a, a bik takin unstable fracture (eg anterior intertrochanteric fracture) leh combined osteoporosis tan a tha.

• Complication engemaw zat a la awm a, chu chu femoral head avulsion ang chi a ni a, chu chuan internal fixation dang thlak theih a ni lo.

Artificial Joint thlak danglam a ni

Femur-a intertrochanteric fracture a awm chuan artificial joint replacement surgery neih theihna tur indication:

• Kum 80 chunglam.

• Intertrochanteric fracture comminuted leh nghet lo tak a awm.

• Bone osteoporosis hi a lang chiang hle a, internal fixation hi a tha taka siamthat a harsa hle.

• Hliam hmaa hip emaw khup emaw inhernaah hian tihkhawtlai lian tham a awm lo.

• Taksa pum dinhmun hian surgery hmanga enkawlna chu a tuar thei a ni.

Hun rei tak khumah enkawl theih loh damlote.

A thatna: operation hnua leia dah hmasak. Khum-a harsatna awmte chu pumpelh rawh. Dam rei theihna hun pawhsei leh nunphung tihchangtlun.

Orthopaedic Implant leh Orthopaedic Instruments lei dan tur!

Tan CZMEDITECH , kan nei a, orthopaedic surgery implant leh a kaihhnawih instruments product line kimchang tak kan nei a, a product te pawh a tel spine implant te pawh a awm, intramedullary nail a awm bawk, trauma plate a ni, locking plate a ni, lu (cranial-maxillofacial) a ni, prosthesis hmanga siam a ni, power hmanrua hmanga siam a ni, pawn lam atanga fixator te, arthroscopy hmanga enfiah a ni, ran enkawlna leh an puitu instrument set te.

Chu bakah, doctor leh damlo tam zawkte surgical mamawh phuhrukna tur leh, khawvel pum huapa orthopedic implants leh instruments industry pumpuiah kan company hi inelna nei zawka siam theih nan, product thar siam chhunzawm zel leh product line tihpun zel kan tum a ni.

Khawvel pumah kan export a, chuvang chuan i ti thei ang email address song@orthopedic-china.com ah min rawn biak theih a, free quote i dawng thei a, WhatsApp ah message thawn la, chhanna rang tak +86- 18112515727 .

Thu belhchian dawl zawk hriat duh chuan,click rawh CZMEDITECH hian a chipchiar zawkin a zawt thei ang.