Kodi misomali ya intramedullary ndi chiyani?

Kodi misomali ya intramedullary ndi chiyani?

Intramedullary nailing ndi opaleshoni yokonza fupa lomwe lathyoka ndikukhala lokhazikika. Mafupa odziwika kwambiri omwe amakonzedwa ndi njirayi ndi ntchafu, ntchafu, ntchafu, ndi kumtunda kwa mkono. Msomali wokhazikika kapena ndodo imayikidwa pakati pa fupa. Zidzakuthandizani kuti mukhale olemera pa fupa.

Kodi misomali ya intramedullary imagwiritsidwa ntchito chiyani?

Nthawi zambiri kuthyoka kwa shaft yachikazi kumachitidwa opaleshoni. Kafukufuku wambiri wasonyeza kuti kukhazikika koyambirira kwa opaleshoni kumayenderana ndi kuchepetsa mavuto ndi imfa. Msomali wa intramedullary ndi ndodo yachitsulo yomwe imayikidwa mu medullary cavity ya fupa ndi kudutsa fracture kuti ipereke chithandizo cholimba cha fupa losweka. Kukhomerera kwa intramedullary pakali pano kumaganiziridwa kuti 'muyezo wagolide' wochizira kuthyoka kwa shaft yachikazi. Ubwino womwe waperekedwa pakukhomerera kwa intramedullary ndi monga kukhala m'chipatala kwakanthawi, kulumikizana mwachangu kwa kusweka komanso kugwiritsa ntchito mwendo msanga.

Pali mitundu ingapo ya misomali ya intramedullary komanso njira zopangira opaleshoni zomwe zimagwiritsidwa ntchito. Mkangano umodzi waukulu ndi woti msomali uyenera kuyikidwa mu ngalande pa bondo ndikukankhira mmwamba ngalandeyo (kubwerera kumbuyo) kapena m'chiuno ndikukankhira pansi pa ngalandeyo (antegrade nailing). Malo olowera antegrade nailing (piriformis fossa versus great trochanteric entry) nawonso amatsutsana. Nkhani ina ndi yakuti ngati misomali ya intramedullary iyenera kuikidwa ndi kubwezeretsanso (kumene misomali ya medulary imakulitsidwa isanaikidwe msomali) kapena popanda kubwezeretsanso. Momwemonso, sipanakhalepo mgwirizano wokhudzana ndi zotsatira za mitundu yosiyanasiyana ya misomali, monga misomali yolumikizirana (yokhala ndi zotsekera zotsekera zomwe zimayikidwa pa fupa kumapeto kwa msomali kuti zitetezeke pamalo) kapena Ender misomali, kumene misomali iwiri kapena yambiri imayikidwa mkati mwa medullary m'njira yapadera kuti iwagwire.

Kodi msomali wa intramedullary uyenera kuchotsedwa?

Misomali ya intramedullary yomwe imagwiritsidwa ntchito pokonza fractures ya chikazi ingafunike kuchotsedwa pazifukwa zosiyanasiyana. Ena amalimbikitsa kuti misomali yonse yotereyi ichotsedwe pambuyo pochiritsidwa, pamene ena amasankha kuchotsa okhawo omwe amayambitsa zizindikiro. Mosasamala kanthu za chifukwa, kuchotsa msomali wosasunthika wa chikazi kungakhale kovuta komanso nthawi yambiri.

Momwe mungachotsere msomali wa intramedullary?

Ikani wodwalayo molunjika kutsogolo kwake pogwiritsa ntchito thumba la nyemba kapena chipangizo china choyika patebulo lopangira ma radiolucent. Konzani mwendo wonse, thako lakumbuyo, ndi torso kunthiti. Kokani mwendo kunja kuti mulole ntchafu zonse ndi mawondo kuti muyike. Sungani chiuno mpaka pafupifupi 90 °. Chotsani proximal ndi distal Zomangira zokhoma mwanjira yokhazikika. Ikani chingwe chowongolera pa ntchafu ndikupeza chithunzi cha fluoroscopic cha proximal hip. Sinthani waya kuti igwirizane ndi msomali wachikazi pakuwona kotsatira. Jambulani mzere m'mbali mwa waya, ndikuutambasulira kumatako. Kunja tembenuzani ntchafu ndikuyika mzere mofananamo kuti mudziwe malo a anteroposterior misomali. Kuphatikizika kwa mizere iwiriyi kukuwonetsa malo omwe amadulidwapo poyika chotsitsa. Ngati fupa la heterotopic lichotsedwa, chodulidwacho chiyenera kukhala chachikulu. Chilondacho chikukulitsidwa mosabisa ndi lumo lalikulu la Mayo. Msomali ukafika, lumo amaugwiritsa ntchito kuti chilondacho chitseguke, ndipo chingwe cha 3.2 amachilowetsa m’mbali mwa lumo mpaka kukakhudza msomali. Malumo amachotsedwa, ndipo pini yowongolera imasinthidwa mpaka italowa msomali. Zithunzi za Anteroposterior ndi lateral za m'chiuno zimapezedwa kuti zitsimikizire kuyika kwa guidewire mu msomali. Chotsitsa chowoneka ngati chulu cha femoral pachocho chimayikidwa pabalapo, pamwamba pa pini yowongolera. Chotsitsacho chimadulidwa pang'onopang'ono koma mwamphamvu mu msomali. Kudutsa koyamba sikungagwire msomali, koma kumachotsa minofu yambiri yofewa. Chotsitsacho chimalowetsedwanso pamwamba pa pini yolondolera kapena waya ndikumangirira pa msomali ndi mphamvu yokwanira kugwiritsa ntchito ma wrenches. Msomali wopindidwa umagwiritsidwa ntchito kumenyetsa msomali. Chilondacho chimathiriridwa ndikutsekedwa m'njira yoyenera.

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Za CZMEDITECH , tili ndi mzere wathunthu wazopanga za opareshoni ya mafupa ndi zida zofananira, zopangidwa kuphatikiza implants za msana, misomali ya intramedullary, trauma plate, Locking plate, cranial-maxillofacial, prosthesis, zida zamagetsi, External Fixators, arthroscopy, chisamaliro cha ziweto ndi zida zawo zothandizira.

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