Femoral Reconstruction Intramedullary Nail

Kuputsika kwechikadzi, kunyanya izvo zvinoitika mumukadzi (chidya chepfupa), zvinogona kuva zvakanyanya uye zvinokuvadza zvinokuvadza. Mumamiriro ezvinhu apo kuputsika kwakaoma kana kunosanganisira kurasikirwa kukuru kwepfupa, femoral reconstruction intramedullary nail inowanzoonekwa sechisarudzo chekurapa chinoshanda. Ichi chinyorwa chinoongorora zvakasiyana-siyana zvechikadzi reconstruction intramedullary nail, kusanganisira zviratidzo zvayo, nzira yekuvhiya, zvakanakira, zvinogona kuoma, migumisiro yevarwere, nezvimwe.

Nhanganyaya

Femoral reconstruction intramedullary nail inzira yekuvhiya inoshandiswa kudzikamisa uye kugadzirisa mafracture mufemur. Inosanganisira kuiswa kwesimbi yesimbi mu intramedullary canal ye femur kuti ipe kugadzikana uye kutsigirwa panguva yekuporesa. Iyi tekinoroji yakawana mukurumbira nekuda kwekugona kwayo kusimudzira kutakura huremu uye nekukurumidza kupora zvichienzaniswa nemaitiro ekurapa.

Chii chinonzi Femoral Reconstruction Intramedullary Nail?

Femoral reconstruction intramedullary nail inzira yekuvhiya iyo inosanganisira kushandiswa kweiyo intramedullary mbambo kugadzirisa uye kudzikamisa kuputsika mufemur. Chipikiri chinowanzo gadzirwa nechinhu chinogara chakasimba senge titanium kana simbi isina tsvina uye inopinzwa kuburikidza nekachekwa kadiki pedyo nehudyu kana mabvi akabatana. Iyo mbambo inotenderera kureba kwepfupa rakaputsika, ichipa kugadzikana uye kufambisa nzira yekuporesa.

Zviratidzo zveFemoral Reconstruction Intramedullary Nail

Femoral reconstruction intramedullary nail inonyanya kuratidzwa kune yakaoma kuputsika kwechikadzi. Kutyoka uku kunogona kusanganisira kutsemuka kwakapetwa (apo pfupa rinotsemuka kuita zvidimbu zvinoverengeka), segmental fractures (apo bhonzo rinotsemuka munzvimbo dzakawanda), kana kuputsika kunobatanidza nekurasikirwa kukuru kwepfupa. Pamusoro pezvo, nzira iyi inowanzotariswa kune zvimedu zvinonetsa kudzikamisa uchishandisa dzimwe nzira kana kuputsika kunoda kutanga kurema.

Kuvhiya Technique yeFemoral Reconstruction Intramedullary Nail

Kuvhiya kwechikadzi reconstruction intramedullary nail kunosanganisira matanho akati wandei. Chekutanga, murwere anoiswa pasi pese kana redunhu anesthesia kuti ave nechokwadi chekuti nzira isina marwadzo. Kakachekwa kadiki kanobva kagadzirwa pedyo nehudyu kana mabvi akabatana kuti asvike mugero we intramedullary wefemur. Iro pfupa rakatyoka rinogadziriswa uye kuderedzwa, kana zvichidikanwa, kudzorera nzvimbo yaro yeatomical. Waya yegwara inopinzwa mukati me intramedullary canal, ichiteverwa nekugadzirisa zvakare kugadzira nzira yembambo. Chipikiri chinobva chanyatsopinzwa mumugero wogadzikwa panzvimbo uchishandisa screws kana kukiya michina. X-ray imaging inoshandiswa mukati memaitiro ese kuona kurongeka kwakaringana uye kugadzirisa.

Zvakanakira Femoral Reconstruction Intramedullary Nail

Femoral reconstruction intramedullary nail inopa zvakati wandei zvakanakira pane dzimwe nzira dzekurapa. Chekutanga, inopa kugadzikana kwakanakisa uye inobvumira kutanga-kutakura uremu, kukurudzira kukurumidza kupora uye kugadzirisa. Iyo tekinoroji zvakare inoderedza kukuvara kwenyama yakapfava sezvo ichishandisa diki incision kana ichienzaniswa neyakavhurika yekudzikisa uye yemukati kugadzirisa maitiro. Uyezve, kuvakwazve kwechikadzi intramedullary nail kwakaratidza mhedzisiro inovimbisa maererano nekuderedza marwadzo epashure, kuwedzera kuporeswa kwekutyoka, uye kudzorera kushanda kwakajairika kwegumbo.

Zvinogona Kunetsa uye Njodzi

Kufanana nechero nzira yekuvhiya, femoral reconstruction intramedullary nail inotakura dzimwe njodzi uye zvinogona kunetsa. Izvi zvinogona kusanganisira kutapukirwa, tsinga yeropa kana kukuvadzwa kwetsinga, nonnunion (kukundikana kwepfupa kupora), kusarongeka kwekuputsika, kukanganisa kwekuisa, uye deep vein thrombosis. Nekudaro, nehunyanzvi hwekuvhiya hwakakodzera, kusarudzwa kwevarwere kwakaringana, uye kutarisirwa kwakakodzera mushure mekuvhiyiwa, chiitiko chematambudziko chinogona kuderedzwa.

Kudzorera uye Kudzorera

Mushure mekuita kuvhiyiwa kwechikadzi intramedullary chipikiri, kudzoreredza uye kupora kunoita basa rakakosha mukudzoreredza basa uye kufamba. Kurapa kwemuviri uye maekisesaizi anowanzo kunyorerwa kukurudzira kuporeswa, kusimbisa mhasuru dzakatenderedza, uye kunatsiridza huwandu hwekufamba. Nguva uye kusimba kwechirongwa chekugadzirisa zvinogona kusiyana zvichienderana nemurwere mumwe nomumwe uye kuoma kwekuputsika.

Kuenzanisa Nedzimwe Kurapa Sarudzo

Femoral reconstruction intramedullary nail ingori imwe yeanoverengeka nzira dzekurapa dziripo dzekutyoka kwechikadzi. Dzimwe sarudzo dzinosanganisira kuderedzwa kwakavhurika uye kugadzirisa kwemukati (ORIF), gadziriso yekunze, uye yakazara hudyu kutsiva. Nzira imwe neimwe ine zvayakanakira uye kufunga kwayo, uye kusarudzwa kwekurapa kunoenderana nezvinhu zvakasiyana-siyana serudzi uye nzvimbo yekuputsika, zera remurwere uye hutano hwese, uye hunyanzvi hwechiremba anovhiya.

Kubudirira Matengo uye Migumisiro Yemurwere

Zvidzidzo zvakawanda zvakataura mhedzisiro yakanaka uye yakakwirira budiriro mitengo nefemoral reconstruction intramedullary nail. Iyo tekinoroji yakaratidzwa kupa yakanakisa kutyoka kugadzikana, kukurudzira kwekutanga kurema, uye kufambisa mapfupa kupora. Varwere vanopinda nzira iyi vanowanzoona kuvandudzwa kwemarwadzo, kudzorerwa kwekufamba, uye kukurumidza kudzokera kumabasa avo ezuva nezuva kana vachienzaniswa nedzimwe nzira dzokurapa. Nekudaro, mhedzisiro yemunhu inogona kusiyana, uye zvakakosha kubvunzana nenyanzvi yehutano kuti unzwisise zvinotarisirwa uye njodzi dzine chekuita nemaitirwo.

Case Studies uye Clinical Evidence

Uchapupu hwemakiriniki uye zvidzidzo zvenyaya zvakaratidza kushanda uye kubudirira kwenguva refu kwevakadzi rekuvakazve intramedullary nail. Zvidzidzo zvekutsvagisa zvakaongorora zvinhu zvakaita senge nguva yekuporesa kuputsika, mhedzisiro inoshanda, matambudziko, uye kugutsikana kwemurwere. Zvidzidzo izvi zvinobatsira kune kukura kweuchapupu hunotsigira kushandiswa kwechikadzi reconstruction intramedullary nail seyakavimbika uye inoshanda yekurapa sarudzo yekutyoka kwevakadzi.

Mutengo uye Kuwanikwa kweFemoral Reconstruction Intramedullary Nail

Mutengo wekuvhiyazve kwechikadzi intramedullary chipikiri unogona kusiyana zvichienderana nezvinhu zvakaita senzvimbo, mupi wehutano, uye inshuwarisi yemurwere. Izvo zvakakosha kubvunzana nevarapi vehutano uye vanopa inishuwarenzi kuti vanzwisise zvingangoita mutengo une chekuita nemaitiro. Kuwanikwa kweiyi sarudzo yekurapa kunogonawo kusiyana zvichienderana nenzvimbo uye kuwanikwa kwenyanzvi dzemabhonzo.

Mhedziso

Femoral reconstruction intramedullary nail inzira yakakosha yekuvhiya yekurapa kwakaoma kutsemuka kwevakadzi. Inopa akawanda mabhenefiti, anosanganisira kugadzikana, kutakura huremu hwekutanga, uye nekukurumidza kupora. Nepo nzira yacho ichitakura njodzi uye zvinogona kunetsa, kusarudzwa kwakakodzera kwemurwere, hunyanzvi hwekuvhiya, uye kutarisirwa kwepashure-kuvhiya kunogona kubatsira kuderedza njodzi idzi. Pakazere, femoral reconstruction intramedullary nail yakaratidza mhedzisiro inovimbisa maererano nekutyoka kuporesa uye nemhedzisiro yemurwere, zvichiita kuti ive sarudzo inosarudzika kune vazhinji vemapfupa emapfupa nevarwere.