Suprapatellar Yandikirani Tibial Intramedullary Nail Instrument Set: Chilichonse Chimene Muyenera Kudziwa
Ngati mukuchita nawo opaleshoni ya mafupa, mwinamwake mumadziwa bwino lingaliro la tibial intramedullary nailing. Njirayi imagwiritsidwa ntchito pochiza fractures ya tibia, imodzi mwa mafupa awiri omwe ali m'munsi mwa mwendo. M'zaka zaposachedwa, njira ya suprapatellar ya tibial intramedullary nailing yapeza kutchuka ngati njira yosiyana ndi njira zachikhalidwe.
M'nkhaniyi, tiwona njira ya suprapatellar ya tibial intramedullary kukhomerera mwatsatanetsatane, kuphatikizapo chomwe chiri, momwe imagwirira ntchito, ndi zida zomwe zimafunikira kuti zitheke.
Kodi Njira ya Suprapatellar ndi yotani ya Tibial Intramedullary Nailing?
Njira ya suprapatellar ndi njira yatsopano yopangira tibial intramedullary nailing. M'malo molowa mu tibia kudzera mu njira yachikhalidwe yapambuyo kapena yapambuyo, dokotalayo amapanga pang'ono pang'ono pamwamba pa patella, kapena kneecap. Izi zimawathandiza kuti azitha kulowa mumtsinje wa intramedullary wa tibia kuchokera pamwamba, osati kuchokera kutsogolo kapena kumbali.
Njira ya suprapatellar ili ndi ubwino wambiri pa njira zachikhalidwe, kuphatikizapo kuwonetsetsa bwino, kuchepetsa kuwonongeka kwa minofu yofewa, ndi kuchepetsa chiopsezo chovulazidwa kuzinthu zofunika monga anterior cruciate ligament (ACL).
Kodi Njira ya Suprapatellar Imagwira Ntchito Motani?
Kuti apange njira ya suprapatellar ku tibial intramedullary nailing, dokotala wa opaleshoni amapanga pang'ono pang'ono pamwamba pa patella. Kenako amapanga ngalande yaing'ono kudzera mu tendon ya patellar pogwiritsa ntchito chida chapadera chotchedwa patellar awl. Ngalandeyo ikapangidwa, dokotala wa opaleshoni amatha kuyika msomali wa intramedullary mu tibia kuchokera pamwamba.
Chinthu chimodzi chothandiza cha njira ya suprapatellar ndikuti imalola dokotalayo kuti asapewe kufunika kosinthasintha bondo panthawi ya ndondomekoyi. Izi zingakhale zopindulitsa makamaka kwa odwala omwe ali ndi mawondo ovulala kapena nyamakazi, omwe amatha kumva ululu kapena kusamva bwino ndi kupindika kwa bondo.
Ndi Zida Ziti Zomwe Zimafunika Kuti Suprapatellar Yandikire Tibial Intramedullary Nailing?
Kupanga tibial intramedullary nailing pogwiritsa ntchito njira ya suprapatellar kumafuna chida chapadera. Zina mwa zida zazikulu zomwe zitha kuphatikizidwa mu seti iyi ndi:
1. Patellar Awl
The patellar awl ndi chida chapadera chomwe chimagwiritsidwa ntchito popanga ngalandeyo kudzera mu tendon ya patellar panthawiyi.
2. Suprapatellar Cannula
The suprapatellar cannula ndi chubu chachitali, chopyapyala chomwe chimalowetsedwa mu mgwirizano wa mawondo kupyolera muzitsulo pamwamba pa patella. Cannula iyi imalola dokotala wa opaleshoni kuti awonetsetse ngalande ya intramedullary ndikuyika msomali kuchokera pamwamba.
3. Intramedullary Msomali
Msomali wa intramedullary ndiye chigawo chachikulu cha chida chokhazikitsidwa. Msomali uwu umalowetsedwa mu tibia ndipo umakhala ngati chipangizo chokhazikika cha mkati chothandizira kulimbikitsa machiritso a fracture.
4. Wokonzanso
The reamer ndi chida chapadera chomwe chimagwiritsidwa ntchito pokonzekera ngalande ya intramedullary kuti alowetse msomali.
5. Zotsekera Zotsekera
Zomangira zotsekera zimagwiritsidwa ntchito kuteteza msomali wa intramedullary pamalo pomwe wayikidwa mu tibia.
Ndi Ubwino Wotani Wogwiritsa Ntchito Njira ya Suprapatellar?
Pali zabwino zingapo zogwiritsira ntchito njira ya suprapatellar ku tibial intramedullary nailing. Izi zikuphatikizapo:
1. Kuwoneka Bwino Kwambiri
Njira ya suprapatellar imalola dokotalayo kuti ayang'ane ngalande ya intramedullary kuchokera pamwamba, ndikupereka maonekedwe abwino poyerekeza ndi njira zachikhalidwe. Izi zingathandize dokotalayo kuti aike molondola msomali wa intramedullary ndikupewa kuwononga zida zofunika.
2. Kuchepetsa Kuwonongeka kwa Tissue Yofewa
Njira ya suprapatellar imafuna kudulidwa kwakung'ono ndi kugawanika kwa minofu yofewa poyerekeza ndi njira zachikhalidwe. Izi zingathandize kuchepetsa ululu pambuyo pa opaleshoni, kutupa, ndi zipsera.
3. Kuchepetsa Kuopsa kwa ACL Kuvulala
Pochita tibial intramedullary nailing kudzera kutsogolo kapena kutsogolo, pali chiopsezo chovulaza anterior cruciate ligament (ACL). Izi ndichifukwa choti ACL imayandikira pafupi ndi malo oyika msomali. Njira ya suprapatellar imalola dokotalayo kuti asapewe ngoziyi poyandikira tibia kuchokera pamwamba.
Kodi Zowopsa ndi Zochepa za Njira ya Suprapatellar Ndi Chiyani?
Ngakhale njira ya suprapatellar ili ndi ubwino wambiri, imakhalanso ndi zoopsa zina komanso zolephera. Izi zikuphatikizapo:
1. Chiwopsezo Chowonjezeka cha Patellar Fracture
Kupanga ngalande kudzera mu tendon ya patellar pogwiritsa ntchito chingwe cha patellar kungapangitse chiopsezo cha kupasuka kwa patellar. Chiwopsezochi chikhoza kuchepetsedwa pogwiritsa ntchito kachidutswa kakang'ono ka m'mimba mwake ndikusamala kuti musagwiritse ntchito mphamvu mopitirira muyeso panthawiyi.
2. Kuwonetsa Opaleshoni Yochepa
Njira ya suprapatellar imapereka chiwonetsero chochepa cha opaleshoni poyerekeza ndi njira zachikhalidwe. Izi zingapangitse kuti zikhale zovuta kuchita zinthu zina za ndondomekoyi, monga kubwezeretsanso ngalande ya intramedullary.
3. Kugwiritsa Ntchito Mochepa Mwa Odwala Ena
Njira ya suprapatellar singakhale yoyenera kwa odwala onse. Odwala omwe ali ndi nyamakazi yoopsa ya mawondo, mwachitsanzo, sangathe kulekerera njirayi chifukwa cha ululu kapena kuyenda kochepa.
Mapeto
Njira ya suprapatellar ya tibial intramedullary nailing ndi njira yatsopano yomwe yatchuka kwambiri m'zaka zaposachedwa. Njirayi ili ndi ubwino wambiri kuposa njira zachikhalidwe, kuphatikizapo kuwonetsetsa bwino, kuchepetsa kuwonongeka kwa minofu yofewa, komanso kuchepetsa chiopsezo cha kuvulala kwa ACL. Komabe, ilinso ndi zoopsa zina ndi zolepheretsa zomwe ziyenera kuganiziridwa musanasankhe njira iyi.
FAQs
Kodi njira ya suprapatellar to tibial intramedullary nailing ndi yoyenera kwa odwala onse?
Ayi, njira ya suprapatellar singakhale yoyenera kwa odwala onse. Odwala omwe ali ndi nyamakazi yoopsa ya mawondo kapena kuvulala kwina kwa mawondo sangathe kulekerera ndondomekoyi.
Kodi njira ya suprapatellar imawonjezera chiopsezo cha kupasuka kwa patellar?
Kupanga ngalande kudzera mu tendon ya patellar pogwiritsa ntchito chingwe cha patellar kungapangitse chiopsezo cha kupasuka kwa patellar. Komabe, chiwopsezochi chikhoza kuchepetsedwa pogwiritsa ntchito awl yaing'ono ya m'mimba mwake ndikusamala kupewa mphamvu yochulukirapo panthawiyi.
Ndi zida ziti zomwe zimafunika kuti pakhale misomali ya suprapatellar tibial intramedullary?
Chida chokhazikitsidwa ndi njira ya suprapatellar tibial intramedullary nailing chimaphatikizapo patellar awl, suprapatellar cannula, msomali wa intramedullary, reamer, ndi zomangira zotsekera.
Kodi njira ya suprapatellar imasiyana bwanji ndi njira zachikhalidwe za tibial intramedullary nailing?
Njira ya suprapatellar imaphatikizapo kupanga kadulidwe kakang'ono pamwamba pa patella ndikupanga ngalande kudzera mu tendon ya patellar. Izi zimathandiza dokotalayo kuti alowe mumtsinje wa intramedullary wa tibia kuchokera pamwamba, osati kuchokera kutsogolo kapena kumbali monga momwe zimakhalira.
Ndi maubwino otani ogwiritsira ntchito njira ya suprapatellar ku tibial intramedullary nailing?
Ubwino womwe ungakhalepo wogwiritsa ntchito njira ya suprapatellar ndikuwonetsetsa bwino, kuchepetsa kuwonongeka kwa minofu yofewa, komanso kuchepetsedwa.
