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 opaleshoni, pang'ono kuvulala ndi mtengo wotsika, koma odwala ambiri okalamba limodzi ndi osteoporosis, kotero kukhazikika kwa fixation mkati ayenera kuganiziridwa mokwanira. Kwa odwala osakhazikika a chikazi chothyoka khosi, 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 femoral khosi kuthyoka nonunion ndi avascular necrosis wa chikazi mutu odwala okalamba, ndipo angapewe mavuto monga kuthamanga zilonda, matenda kupuma ndi matenda a 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 zolemetsa zapakati ndi zoyambirira 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 kuchiritsa kosalala kwa 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 kungayambitse 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 mu 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, 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 khosi lachikazi la khosi 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 chimakhala chachikulu, ndipo pali kuchuluka kwapang'onopang'ono kolumikizana pambuyo pa opaleshoni.

Kusintha kwa mutu wa chikazi chochita kupanga kungathandize kuchepetsa kuvulala kwa opaleshoni ndikufupikitsa nthawi yokonzanso 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 amakhala ovuta kudwala matenda osteoporosis, kotero pali mikangano ngati kusankha fupa simenti femoral prosthesis kapena biological femoral prosthesis.

Simenti ya mafupa imatha kupereka mphamvu yabwino yoluma kumayambiriro, ndipo imatha kugwirizanitsa ndi femoral medullary cavity yokhala 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 pa opaleshoni, 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 tizilombo toyambitsa matenda timafuna kuti chogwiriziracho chiyenera kugwirizana bwino ndi metaphysis ndi medullary cavity ya femoral shaft, mwinamwake zidzatsogolera kumasula ndi kumira kwa prosthesis posachedwapa kapena m'kupita kwanthawi, makamaka Dorr C chimney femoral cavity, yomwe imakhala yovuta kwambiri komanso yopweteka pambuyo pa kutha kwa medulla.

Za CZMEDITECH

Motsogozedwa ndi chikhulupiriro chakuti munthu aliyense padziko lapansi akuyenera kulandira chithandizo chamankhwala chabwinoko. CZMEDITECH amagwira ntchito mofunitsitsa 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 kupita patsogolo. Choyikidwa m'mafupa iliyonse yopangidwa ndi ife imakwaniritsa miyezo yapamwamba kwambiri.

Tinayamba ulendo wodabwitsa ndi Zoyikidwa m'mafupa zaka 13 zapitazo. Pochita izi, mzere wopanga wasinthidwa kukhala ma implants a msana, zoopsa, cranial-maxillofacial, prosthesis, zida zamagetsi, External Fixators, 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 timadzipangira tokha labu yathu yoyesa kuti tiwonetsetse 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 kwa makasitomala athu padziko lonse lapansi ndikuyesetsa mosalekeza paumoyo wa anthu.