Nyanzvi Femoral Intramedullary Nail

Kuvhiyiwa kweOrthopedic kwakashanduka zvakanyanya mumakore apfuura, zvichipa nzira dzekurapa dziri nani dzekutyoka uye kuremara kwemapfupa. Imwe budiriro yakadaro mukuvhiya kwemapfupa inyanzvi yefemoral intramedullary nail. Iyi nzira itsva yakashandura marapirwo ekutyoka kwechikadzi, ichipa mabhenefiti akawanda uye zvakavandudzwa.

Nhanganyaya

Iyo nyanzvi yefemoral intramedullary nail is surgical implant inoshandiswa mukugadzirisa kutsemuka kwevakadzi. Yakagadzirirwa kupa kugadzikana uye kutsigirwa kune pfupa rakatyoka, richibvumira kukurumidza kupora uye kupora kwakakwana. Iyi nzira isinganyanyi kupinza yawana mukurumbira pakati pevanachiremba vemapfupa nekuda kwekushanda kwayo uye kuvimbika.

Chii chinonzi Nyanzvi Femoral Intramedullary Nail?

Nyanzvi yefemoral intramedullary nail isimbi yakagadzirwa yakanyatsogadzirwa iyo inopinzwa mufemur (chidya) kuti igadzikane uye kuenzanisa zvidimbu zvemapfupa akatsemuka. Iyo mbambo inowanzo gadzirwa netitanium kana simbi isina tsvina, ichisimbisa simba uye kusimba. Inowanikwa muhurefu hwakasiyana-siyana uye madhayamita kuti igare akasiyana evarwere anatomies uye mapatani ekutyoka.

Zvakanakira uye Zvakanakira

Kushandiswa kwenyanzvi yefemoral intramedullary nail inopa zvakati wandei zvichienzaniswa nemaitiro echinyakare ekugadzirisa kuputsika. Mamwe emabhenefiti akakosha anosanganisira:

1. Minimally Invasive: Kuvhiya kunosanganisira zviduku zvishoma, zvichiita kuti kukuvara kwenyama kuduku uye kuderedza kurwadziwa kwepashure.

2. Kugadzikana uye Kurongeka: Iyo mbambo inopa kugadzikana kwakanakisa, kudzivirira kutenderera uye angular deformities, uye kukurudzira kwakakodzera mapfupa kurongeka.

3. Kukurudzira Kwekutanga: Varwere vanogona kutanga kutakura huremu uye kubhururuka, izvo zvinobatsira mukudzoreredza basa uye nekumhanyisa maitiro ekudzoreredza.

4. Yakaderedzwa Kutapukirwa Njodzi: Iyo yakavharwa intramedullary nzira inoderedza njodzi yekutapukirwa inoenderana neakavhurika maitiro.

5. Kukurumidza Kuporesa: Iyo intramedullary mbambo inosimudzira kupora kwebiological nekubvumira bhonzo rakatyoka kuti rigadzirise zvisikwa.

6. Cosmetic Benefits: Kuenzaniswa nekunze kwekugadzirisa midziyo, iyo intramedullary mbambo inoiswa mukati mebhonzo, zvichikonzera kutaridzika kunofadza.

   
   

Kuvhiya Technique

Preoperative Kugadzirira

Kuvhiyiwa kusati kwaitwa, kuongororwa kwakadzama kwemamiriro emurwere kunoitwa, kusanganisira bvunzo dzekufungidzira dzakadai seX-rays uye CT scans. Nhoroondo yekurapa kwemurwere uye chero mamiriro ezvinhu aripo kare anotariswawo. Mirayiridzo yepreoperative, yakadai sekutsanya uye kutarisira mishonga, inopiwa kuti ive nechokwadi chekuvhiya kwakachengeteka.

Nhanho-ne-Nhanho Maitiro

1. Anesthesia: Murwere anopiwa angave general anesthesia kana regionanesthesia, zvichienderana nezvinodiwa nachiremba uye hutano hwemurwere hwose.

2. Incision uye Nail Insertion: Kuchekwa kudiki kunoitwa pedyo nehudyu kana mabvi akabatana, uye waya yekutungamira inopinzwa mugero remukadzi. Iyo intramedullary nail inobva yatungamirirwa pamusoro pewaya uye yakanyatsoiswa mukati memukadzi.

3. Kukiya uye Kurongeka: Kana chipikiri chaiswa zvakanaka, zvikwiriso zvekukiya zvinopinzwa kuburikidza nechipikiri kuti zvichengetedze panzvimbo. Izvi zvinovimbisa kugadzikana uye kurongeka kwezvimedu zvepfupa zvakaputsika.

4. Kuvharwa Kwemaronda: Iyo incision yakavharwa ne sutures kana mastaples, uye inopfeka isina utachiona inoshandiswa kunzvimbo yekuvhiya.

   
   

Postoperative Care

Mushure mekuvhiyiwa, varwere vanotariswa zvakanyanya munzvimbo yekupora. Nzira dzekugadzirisa marwadzo, dzakadai semishonga uye kurapwa kwepanyama, dzinoshandiswa kuitira kuti murwere anyaradzwe. Kugadzwa kwekutevera kunorongwa kuongorora kufambira mberi kwekupora, kutarisa mafambiro emurwere, uye kugadzirisa chero zvinonetsa kana matambudziko.

Kudzorera uye Kugadzirisa

Nguva yekupora mushure mekuvhiyiwa kwechikadzi intramedullary chipikiri inosiyana zvichienderana nezvikonzero zvakati wandei, kusanganisira kuwanda kwekutyoka uye hutano hwemurwere hwese. Physical therapy inobata basa rakakosha mukugadzirisa, nechinangwa chekudzorera simba, kushanduka, uye mararamiro ekufamba. Murwere anobvumirwa zvishoma nezvishoma kutakura uremu pagumbo rakakanganiswa, rinotungamirirwa nechiremba wemapfupa uye chiremba wepanyama.

Matambudziko uye Njodzi

Nepo kuvhiyiwa kwechikadzi intramedullary chipikiri kuchiwanzoonekwa kwakachengeteka uye kunoshanda, sekuvhiya chero kupi, kunotakura njodzi uye zvinogona kunetsa. Izvi zvinogona kusanganisira kutapukirwa, kukuvara kwetsinga kana tsinga yeropa, nonnunion (kukundikana kwekupora kwepfupa), kusarongeka, kutadza kuisirwa, uye yakadzika vein thrombosis. Zvisinei, zviitiko zvezvipingamupinyi izvi zvishoma, uye zvakanakira nzira yacho zvinowanzopfuura njodzi.

Mhedziso

Iyo nyanzvi yefemoral intramedullary nail yakavandudza zvakanyanya mhedzisiro yekurapa kwekutyoka kwevakadzi. Iyi nzira inopinza zvishoma inopa kugadzikana, inosimudzira kupora nekukurumidza, uye inobvumira kuunganidza kwekutanga. Kunyange matambudziko achigona kuitika, haawanzo, uye ruzhinji rwevarwere vanowana kupora kwakabudirira. Kubvunzurudza nenyanzvi yemapfupa inokurudzirwa kuti uone chirongwa chakakodzera chekurapa kwechiitiko chimwe nechimwe.