PFNA Intertrochanteric Fracture-76 Zaka Zakale

Mbiri Yodwala

Institution: CLINICAL HOSPITAL #1, Tajikistan

Dokotala: Dr. Gulu la opaleshoni la Aliser

Wodwala: Mwamuna, wazaka 76

Njira yovulazira: Kugwa pakhomo kuchoka patali

Mbali yakhudzidwa: M’chiuno chakumanja

Zomwe zidalipo kale (zokayikiridwa): Osteoporosis

Mtundu Wophwanyika: Kuthyoka Kumanja kwapakati pa intertrochanteric ndi kusamuka kwa varus (AO/OTA 31-A2)

Njira: Kuchepetsa kotsekedwa + PFNA intramedullary msomali fixation

Zotsatira: Kuwongolera kwa anatomical kubwezeretsedwa; kuchira mosayembekezereka; kulemera kwathunthu pa masabata 6

Zotsatira za Preoperative Imaging

Ma radiographs a preoperative akuwonetsa:

• Kuphwanya kwapakati pa intertrochanteric

• Kusamuka kwa Varus kwa proximal femur

• Kusokonezeka kwa khoma la lateral femoral

• Kupatukana kwachidutswa kakang'ono ka trochanter (kusonyeza kusakhazikika)

Kujambula koyambirira

Kuwunika Mwamsanga Pambuyo pa Opaleshoni

X-ray ya postoperative - kulumikizana kwa anatomical kubwezeretsedwanso ndi PFNA mu situ

• Khosi-shaft angle yobwezeretsedwa ku 130 °

• Tsamba la Helical lokhazikika bwino (pakati-otsika quadrant)

• Palibe zovuta za intraoperative

Chidule cha Opaleshoni & PFNA System