Nkhani 5 zotentha kwambiri za kuthyoka kwa khosi lachikazi, anzanu akukumana ndi izi!

Kusankha kokhazikika kwamkati motsutsana ndi kulowetsa pamodzi

Pakali pano, ambiri amakhulupirira kuti dzenje msomali mkati fixation kwa femoral khosi fracture ali ndi ubwino wa nthawi yochepa ntchito, kuvulala pang'ono ndi mtengo wotsika, koma odwala ambiri okalamba limodzi ndi matenda osteoporosis, kotero kukhazikika kwa fixation mkati ayenera kuganiziridwa mokwanira. Kwa odwala ophwanya khosi lachikazi losakhazikika, ayenera kukhala pabedi kwa nthawi yayitali, ndipo akatswiri ambiri amaganiza kuti sangathe kupirira msanga, zomwe zimakhudza kwambiri moyo wa odwala. Komanso, pali mwayi wothyoka nonunion ndi femoral mutu necrosis.Hip m'malo angathe kuthetsa mavuto aakulu a chikazi khosi kuthyoka nonunion ndi avascular necrosis wa femoral mutu odwala okalamba, ndipo angapewe mavuto monga kuthamanga zilonda, matenda kupuma ndi matenda mkodzo mmene ndingathere.

Kufufuza nthawi yolemetsa pambuyo pa kukonza mkati

The yaitali mavuto odwala ndi femoral khosi mkati fixation makamaka nonunion ndi avascular necrosis ya femoral mutu. Akatswiri ena amakhulupirira kuti ntchito zolemetsa pakatikati ndi kumayambiriro zimakhala ndi chikoka chachikulu pa postoperative femoral khosi fracture, ndi kukhala pabedi kwa nthawi yaitali pambuyo opaleshoni kungachepetse kukondoweza kwa fracture mapeto ndi kupereka malo okhazikika kwa machiritso osalala a fracture. Kuchepetsa kolondola kolondola, kukhazikika kwamkati kodalirika, kuchepetsa kuwononga kwamagazi am'deralo komanso kusintha kwakuthirira kwamagazi am'deralo kumatha kuchepetsa kufalikira kwa avascular necrosis ya mutu wachikazi pambuyo pakuthyoka kwa khosi lachikazi.

Kukambitsirana kwa perioperative traction ya kuthyoka kwa khosi lachikazi

Preoperative traction nthawi zonse imakhala yotsutsana. Cholinga chake chachikulu ndikuchepetsa ululu, kuchepetsa kusuntha kwa mwendo womwe wakhudzidwa, komanso kuchepetsa kuthekera kwa kusamuka kapena kuwonjezereka kwa kusamuka kumapeto kwa fracture. Komabe, anthu ena amaganiza kuti kukopa kosayenera kudzatsogolera kuwonjezeka kwa kuthamanga kwa kapisozi kapisozi, ndiyeno kumakhudza magazi ozungulira mutu wa chikazi, ndiko kuti, 'stuffing effect', motero kuonjezera chiwerengero cha avascular necrosis ya mutu wa chikazi.

Kafukufuku wasonyeza kuti chiwopsezo cha mutu wa femoral necrosis ndi 27.8% mwa omwe alibe mphamvu zambiri komanso 42% mwa omwe ali ndi mphamvu zambiri. Kuonjezera apo, kafukufuku wina wasonyeza kuti kusunga chiwalo chokhudzidwa ndi malo osalowerera ndale a 30 flexion of hip joint, 30 flexion of knee joint ndi 10 abduction panthawi ya kukoka kungachepetse kupanikizika kwa chiuno cha m'chiuno ndikuwonjezera magazi a mutu wa chikazi. Pachifukwa ichi, pali malipoti a zachipatala kuti tibial tuberosity traction ikupitilizidwa kwa masabata a 3 pambuyo pokonza misomali yopanda kanthu, ndipo kulemera kwake ndi 1.5kg, kotero kuti chiwalo chokhudzidwacho chikhale chozungulira chozungulira cha 30 flexion of hip joint, 30 flexion of knee joint ndi 10 abduction.

Kusankha pakati pa kusintha kwa chiuno chonse ndi kusintha mutu wa chikazi

M'malo mwa chiuno chonse ndi njira yopangira opaleshoni yomwe imagwiritsa ntchito prosthesis yochita kupanga m'malo mwa minofu yonse yowonongeka, yomwe imathetsa bwino mavuto a kuphulika kwa khosi lachikazi mwa okalamba, monga fracture nonunion ndi femoral mutu necrosis chifukwa cha kusokonezeka kwa magazi ndi osteoporosis. Komabe, chifukwa cha zovuta za opareshoni, nthawi yayitali ya opareshoni komanso kuvulala kwakukulu kwa opaleshoni, chiwopsezo cha opareshoni kwa odwala okalamba ndichokwera, ndipo pali kuchuluka kwapang'onopang'ono kolumikizana pambuyo pa opaleshoni.

Kusintha kwa mutu wa chikazi chochita kupanga kungathandize kuchepetsa kuvulala kwa opaleshoni ndikufupikitsa nthawi yobwezeretsa pambuyo pa opaleshoni, koma pali mavuto ena monga kuvala kwa acetabular m'kupita kwanthawi, zomwe zidzakhudza ntchito ya m'chiuno pambuyo pa odwala.

Kusankha ma prostheses a simenti ndi biologic

Odwala okalamba nthawi zambiri ndi ovuta kudwala matenda osteoporosis, kotero pali mkangano wokhudza kusankha fupa simenti femoral prosthesis kapena biological femoral prosthesis.

Simenti ya fupa ikhoza kupereka mphamvu yabwino yoluma kumayambiriro, ndipo imatha kugwirizanitsa ndi chikazi cha medullary cavity ndi fupa losauka, kotero kuti odwala okalamba amatha kuyambiranso ntchito ya chiuno cha m'chiuno kale ndikuchepetsa kuchitika kwa zovuta zina. Komabe, zanenedwanso kuti mafupa a simenti amplantation syndrome amatha kuchitika panthawi ya opaleshoni ya mafupa a simenti, zomwe zimapangitsa kuti anthu azifa kwambiri panthawi ndi pambuyo pake, makamaka kwa odwala omwe ali ndi vuto la mtima asanagwire ntchito, ndipo kukonzanso kwa nthawi yaitali kumakhala kovuta kwambiri.

Biological prosthesis imatha kupewa fupa simenti implantation syndrome ndi kufupikitsa nthawi opareshoni. Komabe, tizilombo toyambitsa matenda timene timapanga tizilombo toyambitsa matenda timafuna kuti chogwiritsira ntchito chikhale chogwirizana bwino ndi metaphysis ndi medullary cavity ya femoral shaft, mwinamwake zidzatsogolera kumasula ndi kumira kwa prosthesis posachedwa kapena m'kupita kwa nthawi, makamaka Dorr C chimney femoral cavity, yomwe imakhala yovuta kwambiri komanso yopweteka kwambiri panthawi ya fractures ndi medullary.

Za Malingaliro a kampani CZMEDITECH

Motsogozedwa ndi chikhulupiriro chakuti munthu aliyense padziko lapansi akuyenera kulandira chithandizo chamankhwala chabwinoko. CZMEDITECH imagwira ntchito mwachangu kuthandiza ena kukhala mopanda mantha. Timanyadira pamene odwala omwe adapindula kwambiri ndikukhala ndi moyo wabwino chifukwa cha zogulitsa zathu ndi mapazi athu afalikira kumayiko ena opitilira 70, komwe odwala, madotolo ndi othandizana nawo amadalira CZMEDITECH kuti mupite patsogolo. Kuyika kulikonse kwa mafupa opangidwa ndi ife kumakwaniritsa miyezo yapamwamba kwambiri.

Tinayamba ulendo wodabwitsa ndi ma implants a mafupa zaka 13 zapitazo. Pochita izi, mzere wopanga wasinthidwa kukhala ma implants a msana, zoopsa, cranial-maxillofacial, prosthesis, zida zamagetsi, okonza kunja, arthroscopy ndi chisamaliro cha ziweto , pamodzi ndi zida zomwe zimagwiritsidwa ntchito pochita opaleshoni.

Zopangira zathu zonse zimachokera kwa ogulitsa apamwamba kwambiri m'nyumba ndi kunja. Zikafika pazabwino, sitisiya ndalama zomwe tikufuna kuti tipitirire patsogolo, zomwe timapanga labu yathu yoyeserera kuti titsimikizire kuti zinthu zili bwino. Makina athu onse opanga amatumizidwa kuchokera ku USA, Germany, Japan ndi mitundu yapamwamba ku Domestic kuti titsimikizire kulondola kwazinthu zilizonse zomwe tidapanga.

Nthawi yochuluka ndi khama zimayikidwa pofufuza zosintha ndi kuyika chinthu chomaliza. Tili ndi gulu la akatswiri ofufuza, gulu lopanga ndi gulu la QC kuti titsimikizire mtundu wabwino kwambiri komanso chithandizo chamagulu athu ogulitsa kuti tithane ndi zovuta zonse ndikupereka ntchito yabwino kwambiri yogulitsa pambuyo pogulitsa.

Pokhala ndi chidwi ndi chikhulupiriro chathu, tikukankhira malire pazomwe timadziwa kuti tipereke mayankho apamwamba kwambiri, opanga zinthu zatsopano kwa makasitomala athu padziko lonse lapansi ndikuyesetsa mosalekeza paumoyo wa anthu.