Nubuhe mubuhanga bukurikira bukoreshwa mugusana kuvugurura gutera imbere?

Kuvunika Verrurna, bizwi kandi kumeneka ka Sortrochantere, ni uguvunika ka capsule idasanzwe. Ibigaragara byingenzi byo kuvunika gutandukanya ni ububabare bwingenzi bwaho kandi bubyimbye, ubumuga bwimbitse, budashobora kunyura mu gihirahiro, no kugabanya, kugarukira hamwe no gutandukana kw'ibidukikije mu cyerekezo icyo ari cyo cyose.

Epidemiology

1. Benshi muribo bafitanye isano na Osteoporose, akenshi mubagore bageze mu zabukuru, benshi kurusha abagabo.

2. INTEGO ZIFASHWE KUBAHUZA, Uburinganire n'akarere.

3. Igikomere gisanzwe mu bageze mu za bukuru, havuga imyaka itangaje yo kuvunika gutandukanya Femur ni imyaka 75..2. Nta tandukaniro rikomeye ryimyaka yo kuvunika gutandukanya abagabo nabagore.

4. Kubera amaraso akomeye atemba mu karokiro, kuvunika gake ntibiza gukiza, kandi biroroshye kubaho indwara z'ibinyoma, kandi birahari cyane ku burebure bwa HIP, kandi ku bubabare bw'igihe kirekire ni 15%, rimwe na rimwe, bityo bitwa kumeneka kwa nyuma mu bageze mu za bukuru.

Uburyo bwo gukomeretsa

1. Abakuze bato ni ibikomere by'ingufu nyinshi, bagomba kwitondera ubwonko, igituza, inda n'ibindi bice by'imvune; Abantu bageze mu zabukuru bafite imikorere yo gusaza yo guhuza ibigo byimikorere yo kugabanuka kugabanuka no kugwa.

2. Ihohoterwa rivanze: Ingaruka zitaziguye ku gace kanini. Niba umubiri uguye hasi hamwe nimbaraga zikiruhuko mugihe uguye.

3. Ihohoterwa riziguye: Umubiri uragoreka mugihe cyo kugwa, kandi ikibuno gikorerwa guhangayikishwa no gutera imbere no gutera imbere icyarimwe.

4. Kuvunika pathologi, imwe mubyiburo bisanzwe byamagufwa.

5. Kuvunika gutandukanya hashyizweho ahanini n'ihohoterwa riziguye.

Kwigaragaza

1. Ikiganiro cyibanze ni kimwe no kuvunika ijosi, hamwe nububabare bwaho, kubyimba kandi bigarukira ku ngingo yibasiwe.

2. Kuberako ari uguvunika kwa capsule idasanzwe, nta kubungabunzwe na capsule ihuriweho, bityo ubumuga bwo kuzunguruka hanze (dogere 90) yingingo yo hepfo irakomeye.

3. Ububabare bwa gikariso.

4. Hemama yaho ni ikabije, kandi hashobora kubaho gukomeretsa byinshi.

5. Mu barwayi bageze mu zabukuru, bakunda kuba bakuze cyane abarwayi b'ijosi, kandi umubare munini w'abarwayi bafite ubwonko bwabanje.

Kwisuzumisha

Amateka yihungabana, ububabare mu ngingo yibasiwe, no kugabanya kugenda. Gucikamo no hanze yo kuzunguruka ku gihimba cyo hepfo kigaragara kugeza kuri 90 °. X-ray Ikizamini gisabwa kugirango ashyireho kwisuzumisha no kwandika bishingiye kuri radiografiya. Ibimenyetso byurutonde rwa Dortrochanter birasa nicyuma cyijora ryinshi, ariko icya nyuma ntigiciriritse ugereranije nububabare bwaho, hamwe nigiciro cyangiritse, no kugabanya imikorere yibasiwe na 45 ° -60 ° hagati ya 45 ° -60 ° hagati ya 45 ° -60 ° hagati ya 45 ° -60 ° hagati ya 45 ° -60 °

Ubwoko

Kuvunika Ao na Evans nibice bibiri bikunze gukoreshwa cyane, kandi muribi bibiri, ubwoko bwa Ao kuvunika ni rusange.

Evans-Jensen Kwandika

Andika I: Kuvunika Noroheje hamwe numurongo uvunika uva hejuru kurenza hasi, udafite kwimurwa no gutuza.

Ubwoko bwa II: Kwimurwa hamwe no kuvunika ibintu bito bya rotor, ariko imyigaragambyo yuzuye (spur femoral ni isahani yamagufwa yimbitse aherereye imbere mu ijosi no guhuza umubiri wa rotor.

Ubwoko bwa III: ihuriweho na Crochanter Kuvunika hamwe no kuvunika urusaku rwimikorere ya femoral, hamwe no kwimurwa, akenshi hamwe na inyuma yinyuma.

Andika IV: Kuvunika igice 3-bihujwe nurutonde rwibintu bito byimodoka, bishobora gutangwa hamwe no kuvunika ijosi rya femorale na cononal hejuru yikibanza kinini.

Andika V: inyuma yinyuma no hagati idashyigikiwe (guhuza ubwoko III na iv).

Andika R: Kuvunika Imbere hamwe numurongo wa oblique uva mumurongo wo hejuru kugirango ushindeke kuruhande, bishobora kuba bifitanye isano no kuvunika buto no gusenya umugongo wa romor.

Ao kwandika

A1.1 Umurongo wavuza unyura kumurongo hagati

A12 Kuvunika Kunyura muri Crochanter Nkuru

A1.3 kuvunika kunyura munsi ya crochanter

A2.1 Kuvunika hamwe nigice 1 cyakozwe n'amagufwa

A2.2 Kuvunika hamwe nibice byinshi byamagufwa

A2.3 Kuvunika kwagura cm zirenga 1 munsi ya karomukeri nto

A3.1 Imiterere yoroshye ya oblique

A3.2 Kuroroshye

A3.3 Yashyizweho

Ubuvuzi

Umutekano wo gukosora imbere usanzwe ushingiye kubintu bitanu: Ubwiza bwamagufwa, ubwoko bwo kuvunika, kugabanuka, guhitamo gukosora imbere, hamwe numwanya wo gukosora imbere. Gusubiramo ni ngombwa mu gucibwaho nyuma yo gukosorwa imbere kandi bigomba kugerekaho kubigeraho kimwe cyangwa gukomeza guterana ibidato. Muri make, intego yo kwisubiraho ni ukubona guturika. Uburyo bwo kwisubiraho burashobora gufungwa cyangwa gutabaza. Utitaye ku buryo bugoye bwubwoko bwo kuvunika, kugabanya gufunga bigomba kuburanishwa mbere.

• Imbaraga Hip Dowel (DHS)

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Ibyiza nyamukuru bya DHS Imbaraga za HHS.

• Umunyankunga ufite ingaruka zikomeye mugukosora mumutwe wa femoral, kabone niyo byaba bya Osteoporose.

• Uburyo buzengurutse mu gihe amaboko birinda kwinjira mu musumari birangirira mu mutwe cyangwa kuri Acetabulum no kwandura mu buryo butaziguye uburemere bukuru kuri igufwa.

• Uburyo bwo kunyerera bwa Fedism bukomeza kuvunika hanze kandi bugabanya ubumwe.

• Ifite imikorere mibiri yo kwikuramo no kunyerera, hamwe ningaruka mbi kandi zihamye.

  
  

• Power Hip Dowel (DCS)

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  DCs na Impapuro 95 zo gutema impamyabumenyi ya anticrotal:

  

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Ibyiza nyamukuru byimbaraga za DC (

• Irashobora guhitamo neza ibyinjira bya screw ukurikije imiterere yihariye yo kuvunika, kandi ibikorwa biroroshye.

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• Imbaraga zo gusohora amashanyarazi ziri kumutwe wiburyo kugeza isahani, zihurira nibisabwa biomenical yikibuno. Mugihe cyo kubyara, imbaraga mbi zikoreshwa mu kuboko guciriritse ku isahani hanyuma ugatatana kuri buri screw, ku buryo guhangayikishwa no gukosorwa bishikamye bidasanzwe.

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• Umubare munini wimigozi ya DS kuri DCs yongera ushikamye, kandi ahantu havunika birashobora gukemurwa no gukosorwa, bityo bigabanye ibibazo byibibazo bya nyuma.

Gufunga feomoral Feximal Intramedillary Umusumari (PFN)

Ibyiza bya PFN bikosora.

• Imito mito mito (mubisanzwe 9mm), irashobora kwirukanwa nta ngusa. .

• Iherezo ryiza rya PFN rifite kamenye zigereranijwe zimpamya 10, kugabanya inguni ya valgus no gukuraho ibikenewe byo gusubira inyuma mugihe cyo gukururwa.

• Impera yo hejuru yemerera gushyira imirongo ibiri mumutwe wintangarugero, hiyongereyeho imigozi yo kurwanya no kuzunguruka no mu ijosi ebyiri zibyara mu ijosi ry'invuro, ryongera kurwanya umunaniro.

• Intera iri hagati yumwobo ufunze kandi urangirira kumpera yumusumari rusange (kwaguka) ni kirekire, bishobora kugabanya imihangayiko yibanda ku kiti.

• Ugereranije nihungabana.

Gammar Imisumari

Ibyiza bya Gammar bikosora imisumari.

• Nuburyo budatera intera iteye isoni hamwe na statua ntoya nigituba gito.

• The Gamma nail firmly unites the upper femur and the femoral neck through the combination of the intramedullary nail and tension screw, and the intramedullary nail is fixed by the distal self-locking nail, which prevents rotation and shortening displacement and provides reliable fixation.

Iterambere rya Gammar - PFNA

Gutoranya imbere (PFNA).

• Ideund yubatswe kugirango ihungabateri idahwitse ya femur.

• Ikosora neza umutwe nijosi kandi bikanda kuzunguruka kurangirira.

• Irinde ingorane nko gusenyuka kubera imirongo y'amagufwa nyuma yo gutakaza inkunga yo hagati, ubumuga bwo guhinduranya, no guca imitwe yimyenda hamwe na progaramu.

• Birakwiriye hafi ya TortrochanterIc Fortrotroctique, cyane cyane kubijyanye no kuvugurura ibintu bidahungabana (urugero: kuvugurura intera imbere) hamwe na osteoporose.

• Haracyariho ibintu bimwe na bimwe byingorabahizi, nkivuriro umutwe wumunyabwenge, bituma bidashoboka gusimbuza ibindi bicuruzwa byimbere.

Gusimbuza ingingo

Ibimenyetso byo kubaga ingingo zubuhanzi kuvunika gutandukanya femur:

• Imyaka hejuru yimyaka 80.

• Kuvugurura no kudahungabana bidasubirwaho.

• Amagufwa osteoporose iragaragara, kandi ikosora imbere iragoye gukosora neza.

• Nta mbogamizi zikomeye z'ibibu cyangwa ivi mbere yo gukomeretsa.

• Imiterere yumubiri yose irashobora kwihanganira kwivuza.

Abarwayi badashobora kuvurwa muburiri igihe kirekire.

Ibyiza: Amaposita yo hambere ashyiraho umwuga. Irinde ingorane zo kuryama. Kwagura igihe cyo kubaho no kuzamura imibereho.

Nigute wagura amagufwa hamwe nibikoresho bya orthopedic?

Kuri Czmeditech , dufite umurongo wuzuye wibicuruzwa byubasaguro orthopperic bitera kandi nibikoresho bihuye, ibicuruzwa birimo Umugongo, Intramedillary Imisumari, Isahani, gufunga isahani, cranial-maxillofacial, prostas, ibikoresho by'ingufu, ibicuruzwa byo hanze, arthroscopy, Kwitaho ku matungo n'ibikoresho byabo byo gushyigikira.

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