PFNA Umusumari: Igisubizo Cyiza cya orthopedic

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PFNA Umusumari: Igisubizo Cyiza cya orthopedic

Kuvunika kw'igitsina gore bikomeje kuba imwe mu mvune zikunze kugaragara kandi zitoroshye mu ihungabana ry'amagufwa, cyane cyane ku barwayi bageze mu zabukuru barwaye ostéoporose. Hamwe no kongera igihe cyo kubaho no kugaragara cyane kuvunika ikibuno ku isi, sisitemu ihamye ituma abantu bakanguka hakiri kare hamwe no gukiza kuvunika kwizewe byabaye ivuriro ryambere.

Umusumari wa PFNA (Proximal Femoral Nail Antirotation) wakozwe kugirango ukemure ibyo bisabwa. Muguhuza imashini isaranganya imitwaro hamwe nigishushanyo mbonera cya antirotation, sisitemu ya PFNA yabaye igisubizo cyemewe cyane kubibazo byavunitse byigitsina gore.

Iyi ngingo itanga incamake yuzuye ya sisitemu yimisumari ya PFNA, harimo ibimenyetso byayo, ibyiza bya biomehanike, amahame yo kubaga, gukira nyuma yibikorwa, hamwe nibitekerezo byo gucunga ibyago.

Sobanukirwa na Sisitemu ya PFNA hamwe nigishushanyo cyayo

Umusumari wa PFNA ni sisitemu yo gukosora idasanzwe yagenewe kuvunika kw'igitsina gore cyegeranye. Bitandukanye nibikoresho gakondo bidasanzwe, PFNA ikora kumurongo wa tekinike ya femur, itanga uburyo bwo kwimura ibintu byinshi.

Igisobanuro kiranga sisitemu ya PFNA nicyuma cya antirotation icyuma , gihuza amagufwa ya kanseri mugihe cyo kuyinjiza. Uku kwikuramo byongera kugura mumagufwa ya osteoporotic kandi bigateza imbere imbaraga zo guhinduranya na varus gusenyuka. Nkigisubizo, PFNA itanga umutekano muke ugereranije na sisitemu isanzwe ya lag screw - cyane cyane kubarwayi bafite amagufwa mabi.

Ibimenyetso byerekana ivuriro no gutoranya abarwayi kuri PFNA Gukosora imisumari

Ibisanzwe Bivunagura Byigitsina gore Byakorewe hamwe na PFNA

Imisumari ya PFNA yerekanwa cyane cyane kuvunika birimo femur yegeranye, harimo:

• Intertrochanteric femorale yamenetse

• Ivunika ridahungabana cyangwa ryavunitse

• Subtrochanteric yamenetse yumugore

• Hindura uburyo bwo kuvunika

Ubu bwoko bwo kuvunika akenshi bugaragaza ihungabana ryibinyabuzima, bigatuma gukosora intramedullary gukosorwa.

Gukoresha imisumari ya PFNA muri Osteoporotic nabarwayi bageze mu zabukuru

Osteoporose ibangamira cyane imbaraga zo gukosora screw mumutwe wumugore. Icyuma cya antirotation ya PFNA gifite akamaro kanini muribi bihe, kuko kigabanya amagufwa ya trabecular aho kuyakuraho. Igishushanyo kigabanya ibyago byo guterwa no gutakaza gukosorwa, bigatuma PFNA ihitamo neza kubarwayi bageze mu zabukuru bafite imvune zo mu kibuno cya osteoporotic.

Ibyiza bya Biomechanical ya PFNA Ugereranije nubundi buryo bwo gukosora

Umutwaro-Kugabana Intramedullary Gukosora no Guhindagurika

Uhereye ku binyabuzima, imisumari yimbere itanga kugabana umutwaro ugereranije na sisitemu ishingiye ku isahani. Umusumari wa PFNA uhuza neza na axe ya mehaniki ya femorale, bigabanya ibihe byo kugunama ahavunitse.

Icyuma cya antirotation cyongera imbaraga zo guhinduranya mukwongera guhuza hejuru namagufwa ya kanseri, bifasha mukugabanya kuvunika munsi yimitwaro ya axial na torsional mugihe cyo kubyara kare.

Tekinike Yibasiwe na Tekinike Yoroheje

Gushyira PFNA bisaba kubagwa bito ugereranije nubuhanga gakondo bwo gukosora. Kugabanya ihungabana ryoroheje bigira uruhare mu gutakaza amaraso, kugabanya ububabare nyuma yo kubagwa, no gukira vuba - ibintu bifite akamaro kanini kubarwayi bafite ihungabana.

Ubuhanga bwo kubaga hamwe nintambwe zingenzi zuburyo bwo gutera imisumari ya PFNA

Gutegura mbere yo gutangira no gusuzuma amashusho

Gutegura neza mbere yo gutangira ni ngombwa kugirango PFNA ikosorwe neza. Isuzuma rya radiografiya, harimo anteroposterior nu mpande zombi zerekana ikibuno nigitsina gore, bifasha kumenya ibyiciro byavunitse, uburebure bwimisumari, ingano yicyuma, hamwe nibyiza byinjira.

Mubihe bigoye, amashusho ya CT arashobora gukoreshwa mugusuzuma morphologie yamenetse no kuyobora ingamba zo kubaga.

Intambwe ku yindi Incamake yuburyo bwo kubaga PFNA

Intambwe zingenzi zikurikirana zirimo:

1. Umurwayi uhagaze kumeza yamenetse hamwe no gukwega bikwiye

2. Gufunga cyangwa gufashwa kugabanya kugabanya kuvunika munsi ya fluoroscopi

3. Gushiraho uburyo bwiza bwo kwinjiza imisumari

4. Kwinjiza imisumari imbere no guhuza

5. Gushyira icyuma cya antirotation mumutwe wumugore

6. Gufunga kure kugirango ugenzure kuzenguruka n'uburebure

Guhagarara neza neza mumutwe wumugore ningirakamaro kugirango ugabanye ibibazo byubukanishi kandi ushimangire igihe kirekire.

Nyuma yo kubagwa nyuma yo kubagwa no gukira nyuma yo kubagwa kwa PFNA

Gukangura hakiri kare no Gutekereza Ibiro

Imwe mumigambi yibanze yo gukosora PFNA nukwemerera gukanguka hakiri kare. Bitewe no kuvunika kuvunika hamwe nuburwayi bwumurwayi, kubyara igice cyangwa byuzuye birashobora gutangira vuba nyuma yo kubagwa bakurikiranwa nubuvuzi.

Gukangura hakiri kare bifasha kugabanya ingorane nka trombose ndende, ibibazo by ibihaha, hamwe na atrophy yimitsi.

Gukurikirana Ibisubizo Byibikorwa Gukurikirana no Gusubiza mu buzima busanzwe

Nyuma yo kuvurwa nyuma yibikorwa byibanda ku kugarura ikibuno cyimitsi, imbaraga z imitsi, hamwe no kugenda neza. Ibisubizo byimikorere bikunze gusuzumwa hifashishijwe amanota yububabare, ubushobozi bwo kugenda, nibimenyetso bya radiografi byerekana gukira kuvunika.

Ibishobora kugorana no gucunga ibyago muri PFNA Gukosora imisumari

Ibibazo bya tekinike

Ibishobora kuvuka mubibazo birimo kwinjiza imisumari idakwiye, umwanya wa suboptimal, cyangwa kugabanya kuvunika bidahagije. Izi ngingo zishobora kongera ibyago byo kunanirwa gukosorwa kandi bigomba kugenzurwa neza hifashishijwe ubuyobozi bwa fluoroscopique hamwe nuburambe bwo kubaga.

Ingamba za nyuma yibikorwa hamwe ningamba zo gukumira

Nubwo PFNA ifitanye isano ningaruka nziza, ingorane nko guca inkota, kwandura, gutinda kwunze ubumwe, cyangwa ububabare bujyanye no guterwa. Ubuhanga bwo kubaga bwitondewe, guhitamo abarwayi bikwiye, hamwe no kuvura nyuma yubuvuzi ni urufunguzo rwo kugabanya izo ngaruka.

Ibisubizo bya Clinical nibimenyetso bifasha gukoresha PFNA Gukoresha imisumari

Ubuvuzi bwa Clinical bwerekanye buri gihe igipimo cy’ubumwe n’ibisubizo bishimishije byakozwe hamwe na PFNA ikosora mu kuvunika kwabagore. Ugereranije nibikoresho bidasanzwe, PFNA yerekanye ibyiza byo kugabanya ibipimo byo kunanirwa kwa mashini, cyane cyane muburyo bwo kuvunika kudahindagurika hamwe namagufwa ya osteoporotic.

Ibyavuye mu bushakashatsi bishyigikira PFNA nkigisubizo cyizewe kandi cyemewe cyane mubikorwa byihungabana rya orthopedic.

Gutekereza Ibiciro no Gutegura Kuvura

Igiciro rusange cyo kuvura PFNA gikubiyemo guhitamo, kubaga, kubitaro, no gusubiza mu buzima busanzwe. Mugihe sisitemu yimikorere ishobora kuba ifite ibiciro byambere byatewe, ubushobozi bwabo bwo gushyigikira ubukangurambaga hakiri kare no kugabanya amafaranga ajyanye nibibazo bishobora gutanga inyungu zigihe kirekire mubukungu.

Ibyemezo byo kuvura bigomba guhuza imikorere yubuvuzi, ibintu byabarwayi, hamwe na protocole yinzego.

Umwanzuro: Uruhare rwa PFNA Umusumari mugucunga imvune zigezweho za Femorale

Umusumari wa PFNA ugereranya igisubizo cyimikorere ya orthopedic yo kuvura kuvunika kwa femorale. Igishushanyo mbonera cyacyo, tekinoroji ya antirotation, hamwe no guhuza amagufwa ya osteoporotique bituma akora neza cyane mugucunga imvune zidahungabana.

Iyo ushyizwe hamwe nubuhanga bukwiye bwo kubaga no gutoranya abarwayi, gukosora PFNA bifasha gukira kuvunika gukomeye, gusubiza mu buzima busanzwe hakiri kare, no kunoza imikorere - intego zingenzi mukuvura ihungabana rya orthopedic.

Ibibazo bya PFNA Gukosora imisumari

Umusumari wa PFNA ukoreshwa iki?

Umusumari wa PFNA ukoreshwa mugukosora imbere kuvunika kwumugore hafi, cyane cyane kuvunika ikibuno no kudahagarara. Yashizweho kugirango itange ibyemezo bihamye bikosorwa mugihe byemerera abarwayi hakiri kare.

 Ni ubuhe bwoko bw'imvune bukwiriye gukosorwa PFNA?

PFNA ikunze kugaragazwa no kuvunika kwa intertrochanteric, kuvunika kwa trochanteric bitajegajega, kuvunika kwa subtrochanteric, hamwe no kuvunika kwa oblique, cyane cyane kubarwayi bageze mu zabukuru cyangwa osteoporotique.

Kuki PFNA ikundwa mumagufwa ya osteoporotic?

PFNA antirotation blade ihuza amagufwa ya kanseri mugihe cyo kuyinjiza, kunoza kugura kwatewe no kugabanya ibyago byo gucibwa. Ibi bituma bigira ingaruka nziza cyane kubarwayi bafite ubuziranenge bwamagufwa.

PFNA itandukaniye he na DHS cyangwa imigozi isanzwe ya hip?

Bitandukanye na sisitemu ya hip screw (DHS), PFNA itanga imizigo yo kugabana ibintu. Guhuza hagati hamwe na antirotation icyuma gitanga iterambere ryibinyabuzima, cyane cyane kumeneka idahungabana.

Kubaga PFNA birashoboka cyane?

Yego. Gutera PFNA bikorwa binyuze muburyo bworoshye bwo gutera hamwe nuduce duto, kugabanya kwangirika kwinyama zoroheje, kandi mubisanzwe gutakaza amaraso ugereranije nubuhanga gakondo bwo gukosora.

Ni ryari abarwayi bashobora gutangira kubyara nyuma yo kubagwa PFNA?

Porotokole yikorera ibiro biterwa no kuvunika no kumurwayi. Mubihe byinshi, kubyara igice cyangwa kugenzurwa birashobora gutangira hakiri kare, bayobowe nitsinda rishinzwe kuvura no kubaga.

Ni izihe ngorane zisanzwe zijyanye n'imisumari ya PFNA?

Ingorane zishobora kuba zirimo gukata ibyuma, guterwa nabi, kwandura, gutinda ubumwe, cyangwa ububabare bujyanye no guterwa. Ingaruka nyinshi zirashobora kugabanuka hakoreshejwe uburyo bukwiye bwo kubaga no guhitamo abarwayi.

Bifata igihe kingana iki kugirango ibice bikire nyuma ya PFNA ikosowe?

Gukiza kuvunika kwa radiografiya mubisanzwe bibaho mumezi menshi, bitewe nubwoko bwavunitse, ubwiza bwamagufwa, nubuzima bwabarwayi. Gusubirana imikorere birashobora gutera imbere hakiri kare.

PFNA irakwiriye abarwayi bakiri bato bafite imvune zingufu nyinshi?

Yego. PFNA irashobora kandi gukoreshwa mubarwayi bakiri bato bafite imvune zidasanzwe zomugore zatewe nihungabana ryingufu nyinshi, mugihe kugabanuka kwa anatomique no gukosorwa bihamye bigerwaho.

Nigute uburebure bwa PFNA nubunini bwa blade bigenwa?

Guhitamo kwimikwa bishingiye kumashusho mbere yo gutangira, kuvunika, kuvunika kwa femorale, no gusuzuma fluoroscopic intraoperative kugirango habeho gukosorwa neza no gutekinika ibinyabuzima.