Msomali wa Gamma Intramedullary - Chidule cha Zogulitsa
Kanema wa Gamma Nail
Tsatanetsatane wa Gamma Nail
Msomali Waukulu ndiye gawo lalikulu la dongosolo la Gamma Nail, chipangizo cha intramedullary chomwe chinapangidwira kukhazikika kwa fractures zachikazi, makamaka intertrochanteric ndi subtrochanteric fractures.
Ichi ndi chokulirapo chokulirapo, chotchingira cholimba chapakati chomwe chimapangidwira kuti chipereke mphamvu zokoka komanso kukhazikika pakafunika kukhazikika.
3.5mm locking screw nthawi zambiri amagwiritsidwa ntchito potsekera khosi lachikazi ndi mutu, nthawi zambiri zimagwira ntchito ngati wononga zotchingira kuzungulira pafupi ndi screw.4.5mm locking screw yomwe imagwiritsidwa ntchito pokhoma malo osiyanasiyana a Gamma Nail.
Chida chokhazikitsidwa cha Gamma intramedullary msomali ndi zida zonse zopangidwa mwapadera zomwe zimagwiritsidwa ntchito kuonetsetsa kuti msomali uli wotetezeka komanso wolondola komanso zomangira zake.
![DFN Distal Femur Intramedullary Nail (Mtundu wa Spiral Blade Screw)]()
Chithunzi chenicheni cha Gamma Intramedullary Nail
![DFN Distal Femur Intramedullary Nail (Mtundu wa Spiral Blade Screw)]()
Ubwino Wachipatala wa Gamma Intramedullary Nail
![DFN Distal Femur Intramedullary Nail (Mtundu wa Spiral Blade Screw)]()
Blog ya Gamma Intramedullary Nail
Gamma Intramedullary Nail: Chidule Chachidule
Pankhani ya opaleshoni ya mafupa, imodzi mwa njira zodziwika bwino ndi kukonza mafupa a mafupa ndi misomali ya intramedullary. Mwa izi, msomali wa gamma intramedullary ndi chisankho chodziwika bwino chifukwa cha zabwino zake zosiyanasiyana. M'nkhaniyi, tikambirana za mapangidwe, zizindikiro, njira, zovuta, ndi zotsatira zokhudzana ndi kugwiritsa ntchito gamma intramedullary msomali.
Mawu Oyamba
Msomali wa gamma intramedullary ndi mtundu wa chipangizo cha intramedullary fixation chomwe chimagwiritsidwa ntchito pochiza kusweka kwa mafupa aatali. Inayambitsidwa koyamba ndi AO Foundation m'zaka za m'ma 1980 ndipo kuyambira nthawi imeneyo yakhala chisankho chodziwika bwino pa kayendetsedwe ka fractures mu femur, tibia, ndi humerus. Msomali wa gamma wapangidwa kuti upereke kukhazikika kokhazikika ndikusunga biology ya malo ophwanyika ndikulola kunyamula koyambirira.
Anatomy ndi Design
Msomali wa gamma ndi ndodo ya titaniyamu yomwe imayikidwa mu ngalande ya intramedullary ya fupa. Ndodoyo imakhala ndi mawonekedwe opindika, omwe amalola kuti azitsatira mawonekedwe achilengedwe a fupa. Mapeto oyandikira a msomali ali ndi mawonekedwe oyaka, omwe amapereka kukhazikika kozungulira ndikuletsa kusamuka kwa msomali. Mapeto akutali a msomali ali ndi ulusi wopota, womwe umagwirizanitsa ndi fupa la cancellous ndikupereka kukhazikika kwa axial.
Zizindikiro
Msomali wa gamma umasonyezedwa pochiza kuthyoka kwa mafupa aatali, makamaka omwe ali mu femur, tibia, ndi humerus. Amagwiritsidwa ntchito kwambiri paziphuphu zomwe zimakhala pakati kapena distal yachitatu ya fupa. Msomali wa gamma umasonyezedwanso pofuna kuchiza fractures zomwe zimakhala zosakhazikika kapena zosasunthika, komanso zowonongeka zomwe zimapangidwira kapena kukhala ndi chidutswa cha butterfly.
Njira Yopangira Opaleshoni
Njira yopangira opaleshoni yoika misomali ya gamma imaphatikizapo kugwiritsa ntchito zida zapadera. Njirayi imachitidwa pansi pa anesthesia wamba kapena wachigawo. Pambuyo pokonzekera wodwalayo ndi malo opangira opaleshoni, waya wotsogolera amalowetsedwa mumtsinje wa intramedullary wa fupa pogwiritsa ntchito fluoroscopic. Waya wolondolerayo amakonzedwanso kuti akonzekere ngalande ya msomali. Msomali wa gamma umayikidwa pamwamba pa waya wowongolera ndikupitilira mu ngalandeyo mpaka kukafika pamalo ophwanyika. Zomangira za proximal ndi distal locking ndiye zimayikidwa kuti misomaliyo ikhale pamalo ake.
Zovuta
Ngakhale kuti msomali wa gamma nthawi zambiri umatengedwa ngati njira yochiritsira yotetezeka komanso yothandiza, sikuti ili ndi zovuta zake. Zovuta zokhudzana ndi kugwiritsa ntchito msomali wa gamma zingaphatikizepo:
Kuwonongeka kapena kuwonongeka kwa msomali
Kuthyoka kwa msomali kapena fupa
Kusagwirizana kapena kuchedwa kwa mgwirizano wa fracture
Matenda
Kulephera kwa Hardware
Kuwonongeka kwa zinthu zozungulira, monga mitsempha kapena mitsempha ya magazi
Zotsatira
Kafukufuku wambiri adawunika zotsatira zomwe zimagwirizanitsidwa ndi kugwiritsa ntchito msomali wa gamma pochiza kusweka kwa mafupa aatali. Ponseponse, zotsatira zake zakhala zabwino, ndi kuchuluka kwa mgwirizano wa fracture, kuchepa kwa zovuta, ndi zotsatira zabwino zogwirira ntchito zomwe zanenedwa. Kuwunika kwa meta kwa maphunziro 22 kunapeza kuti kugwiritsa ntchito msomali wa gamma kudapangitsa kuti mgwirizano ukhale ndi 95% ndi 92% zotsatira zabwino kapena zabwino kwambiri.
Mapeto
Pomaliza, msomali wa gamma intramedullary ndi njira yotchuka komanso yothandiza yochizira mafupa aatali. Zimapereka maubwino ambiri kuposa njira zina zokonzera, kuphatikiza kukhazikika kokhazikika, kusungitsa biology yamalo ophwanyika, komanso kulemera koyambirira. Ngakhale zilibe zovuta zomwe zingakhalepo, zotsatira zake zonse zokhudzana ndi kugwiritsa ntchito msomali wa gamma ndi zabwino kwambiri.
Gamma Nail FAQs
1: Zimatenga nthawi yayitali bwanji kuti ndichire pambuyo pa opaleshoni ya Gamma Nail?
Nthawi yobwezeretsa pambuyo pa opaleshoni ya Gamma Intramedullary Nail imasiyanasiyana malinga ndi mtundu wa fracture, malo ophwanyika (monga intertrochanteric kapena subtrochanteric fractures), zaka za odwala, khalidwe la fupa, ndi thanzi labwino.
Kawirikawiri, odwala ambiri amayamba kulimbikitsana mwamsanga pambuyo pa opaleshoni ndipo akhoza kuyembekezera kuchira kwa ntchito ndi kubwerera kuntchito za tsiku ndi tsiku mkati mwa 3 kwa miyezi 6 , pokhapokha ngati palibe zovuta komanso ndondomeko zotsitsimutsa zimatsatiridwa.
2: Kodi Msomali wa Gamma Ndi Woyenera Kuthyoka Mafupa Aatali Atali?
Ayi Ngakhale kuti dongosolo la Gamma Nail limagwiritsidwa ntchito kwambiri pokonzekera kuphulika kwa fupa lachikazi komanso kusankhidwa kwa mafupa aatali aatali, sikoyenera kwa mitundu yonse ya fracture .
Chizindikiro chimadalira zinthu monga fracture pattern, fupa la mafupa, mkhalidwe wa odwala, ndi kufufuza kwa dokotala. Kusankhidwa komaliza kwa implants nthawi zonse kuyenera kutengera kuwunika kwachipatala ndi chiweruzo cha opaleshoni.
3: Kodi kuika Gamma Nail ndi njira yowawa?
Kuyika kwa Msomali wa Gamma kumachitidwa pansi pa anesthesia wamba kapena wachigawo , kutanthauza kuti odwala samamva ululu panthawi ya opaleshoni yokha.
Kupweteka kwapambuyo kapena kusamva bwino kumatha kuchitika koma nthawi zambiri kumakhala kwakanthawi ndipo kumatha kuyendetsedwa bwino ndi mankhwala opweteka, kukonzanso, komanso kusamalidwa koyenera.
4: Ndi zovuta ziti zomwe zingachitike pa opaleshoni ya Gamma Nail?
Monga momwe zimakhalira ndi njira iliyonse yopangira mafupa, opaleshoni ya Gamma Nail imakhala ndi zoopsa zomwe zingachitike. Mavuto omwe angakhalepo angaphatikizepo kusagwirizana kwa implant, kuchedwa kwa mgwirizano kapena kusagwirizana, matenda, kulephera kwa hardware, kupasuka mozungulira choyikapo, kapena kuvulala kwa mitsempha yozungulira kapena mitsempha ya magazi.
Njira yopangira opaleshoni mosamala, kusankha koyenera kwa implants, ndi kuyang'anira pambuyo pa opaleshoni kumathandiza kuchepetsa zoopsazi.
5: Kodi Gamma Intramedullary Nail iyenera kuchotsedwa pambuyo pa kuchira kwa fracture?
Nthawi zambiri, misomali ya Gamma Intramedullary sifunikira kuchotsedwa pomwe fracture yachira.
Komabe, kuchotsedwa kwa implants kungaganizidwe ngati wodwalayo akumva kupweteka kosalekeza, kukwiya kokhudzana ndi implant, kapena zovuta zina. Chisankhocho chiyenera kupangidwa ndi dokotala wochiza mafupa okhudzana ndi zizindikiro zachipatala ndi zotsatira za kujambula.
