Gamma Intramedullary Nail - Chigadzirwa Overview
Vhidhiyo yeGamma Nail
Details of Gamma Nail
Iyo Main Nail ndiyo yakakosha chikamu cheGamma Nail system, intramedullary mudziyo wakagadziridzwa kudzikamisa kweyepamusoro femoral fractures, kunyanya intertrochanteric uye subtrochanteric fractures.
Iyi idhayamita yakakura, yakasimba core yekuvhara screw yakagadzirirwa kupa yakanyanya kudhonza-kunze simba uye kugadzikana mumamiriro ezvinhu anoda kuvandudzwa kugadzirisa.
3.5mm yekukiya sikuruu inowanzo shandiswa kukiya proximal kukiyiwa muhuro nemusoro wemukadzi, kazhinji ichishanda sesiruu inodzivirira kutenderedza padivi peiyo hombe lag screw.4.5mm locking screw inoshandiswa munzvimbo dzakasiyana dzekukiya dzeGamma Nail system.
Chiridzwa chakasetwa cheGamma intramedullary chipikiri izere seti yezvishandiso zvakagadzirirwa zvakashandiswa kuve nechokwadi chekumisikidzwa kwakachengeteka uye kwakaringana kwembambo nemasikiru ayo ekuwedzera.
![DFN Distal Femur Intramedullary Nail (Spiral Blade Screw Type)]()
Chaiyo Mufananidzo weGamma Intramedullary Nail
![DFN Distal Femur Intramedullary Nail (Spiral Blade Screw Type)]()
Clinical Advantages eGamma Intramedullary Nail
![DFN Distal Femur Intramedullary Nail (Spiral Blade Screw Type)]()
Blog yeGamma Intramedullary Nail
Gamma Intramedullary Nail: A Comprehensive Overview
Kana zvasvika pakuvhiyiwa kwemapfupa, imwe yenzira dzakajairika ndeyekugadzirisa kuputika kwemapfupa ane intramedullary misumari. Pakati peizvi, iyo gamma intramedullary nail isarudzo yakakurumbira nekuda kwekunaka kwayo kwakasiyana. Muchikamu chino, tichakurukura magadzirirwo, zviratidzo, maitiro, matambudziko, uye migumisiro ine chokuita nekushandiswa kwegamma intramedullary nail.
Nhanganyaya
Iyo gamma intramedullary nail imhando ye intramedullary fixation mudziyo unoshandiswa kurapa kureba kwebhonzo fractures. Yakatanga kuunzwa neAO Foundation mu1980s uye yave sarudzo yakakurumbira yekutonga kwekutyoka mufemur, tibia, uye humerus. Iyo gamma nail yakagadzirirwa kupa kugadzirisa kwakagadzikana uku ichichengetedza biology yenzvimbo yekutyoka uye kubvumira kutanga kurema.
Anatomy uye Dhizaini
Iyo gamma nail ititanium alloy tsvimbo inoiswa mu intramedullary canal yebhonzo. Tsvimbo ine chimiro chakakomberedzwa, iyo inobvumira kuti itevere yakasikwa contour yefupa. Mugumo wepamusoro wembambo une chimiro chinoputika, chinopa kugadzikana kwekutenderera uye kudzivirira kutama kwembambo. Iyo kureba kwembambo ine screw thread, iyo inobatana nekanzura pfupa uye inopa axial kugadzikana.
Zviratidzo
Iyo gamma nail inoratidzwa pakurapa kwekutsemuka kwemapfupa akareba, kunyanya ayo ari mufemur, tibia, uye humerus. Inonyanya kushandiswa kune kuputsika kunowanikwa pakati kana distal chetatu chepfupa. Iyo gamma nail inoratidzirwawo kurapwa kwekuputsika kusina kugadzikana kana kubviswa, pamwe chete nekuputsika kunoitwa kana kuti ine butterfly fragment.
Kuvhiya Technique
Nzira yekuvhiya yekuisa gamma nail inosanganisira kushandiswa kwechigadzirwa chakagadzirirwa. Iyo nzira inowanzoitwa pasi pe general or region anesthesia. Mushure mekugadzirira murwere uye nzvimbo yekuvhiya, tambo yekutungamira inopinzwa mu intramedullary canal yebhonzo uchishandisa fluoroscopic kutungamira. Waya yekutungamira inodzokororwa kugadzirira mugero wembambo. Iyo gamma nail inopinzwa pamusoro pewaya yekutungamira uye inokwidziridzwa mugero kusvika yasvika panzvimbo yakatsemuka. Iyo proximal uye distal locking screws inozopinzwa kuchengetedza chipikiri panzvimbo.
Matambudziko
Kunyange iyo gamma chipikiri ichiwanzoonekwa seyakachengetedzeka uye inoshanda yekurapa sarudzo, haina pasina iyo inogona kunetsa. Matambudziko ane chekuita nekushandiswa kwegamma nail anogona kusanganisira:
Kusarurama kana kukanganisa kwembambo
Kutsemuka kwembambo kana bhonzo
Nonunion kana kunonoka mubatanidzwa wekutyoka
Utachiona
Hardware kutadza
Kukuvadza kune zvivakwa zvakatenderedza, senge tsinga kana tsinga dzeropa
Migumisiro
Ongororo dzakawanda dzakaongorora mhedzisiro yakabatana nekushandiswa kwe gamma nail pakurapa kwekutsemuka kwepfupa refu. Pakazara, zvigumisiro zvave zvakanaka, nehuwandu hwehuwandu hwekuputsika, huwandu hwematambudziko, uye migumisiro yakanaka yekushanda yakashumwa. Ongororo yezvidzidzo makumi maviri nembiri yakawana kuti kushandiswa kwe gamma chipikiri kwakaguma nechikamu che95% chemubatanidzwa uye 92% yakanaka kana yakanakisa mhedzisiro.
Mhedziso
Mukupedzisa, iyo gamma intramedullary nail ndiyo yakakurumbira uye inoshanda yekurapa sarudzo yekutyoka kwepfupa refu. Inopa akawanda mabhenefiti pamusoro pedzimwe nzira dzekugadzirisa, kusanganisira yakagadzikana gadziriso, kuchengetedza biology yenzvimbo yekutyoka, uye yekutanga huremu. Kunyange zvazvo isiri iyo isina matambudziko ayo anogona kuitika, migumisiro yose inobatanidza nekushandiswa kwe gamma nail yakanaka kwazvo.
Gamma Nail FAQs
1: Zvinotora nguva yakareba sei kuti apore mushure mekuvhiyiwa kweGamma Nail?
Nguva yekudzorera mushure meGamma Intramedullary Nail kuvhiyiwa kunosiyana zvichienderana nerudzi rwekuputsika, nzvimbo yekuputsika (yakadai se intertrochanteric kana subtrochanteric fractures), zera remurwere, hutano hwemapfupa, uye hutano hwehutano hwose.
Kazhinji, varwere vakawanda vanotanga kuunganidza nokukurumidza mushure mekuvhiyiwa uye vanogona kutarisira kupora kushanda uye kudzokera kumabasa ezuva nezuva mukati me3 kusvika kumwedzi ye6 , kunze kwekuti pasina matambudziko uye mitemo yekudzorera inoteverwa.
2: Iyo Gamma Nail yakakodzera kune ese marefu mabhonzo akatyoka?
Kwete Kunyange zvazvo Gamma Nail system inoshandiswa zvakanyanya pakugadzirisa kweproximal femoral uye yakasarudzwa yakareba pfupa yakaputsika, haina kukodzera kumarudzi ose ekuputsika .
Chiratidzo chinoenderana nezvinhu zvakadai sechimiro chekuputsika, bone anatomy, mamiriro evarwere, uye kuongorora kwechiremba. Kusarudzwa kwekupedzisira kwekudyara kunofanirwa kugara kwakavakirwa pakuongorora kwekiriniki uye kutonga kwekuvhiya.
3: Kuiswa kweGamma Nail inzira inorwadza here?
Kuiswa kweGamma Nail kunoitwa pasi peanesthesia yakawanda kana yenharaunda , zvinoreva kuti varwere havanzwi kurwadziwa panguva yekuvhiya pachayo.
Kurwadziwa kwepashure kana kusagadzikana kunogona kuitika asi kunowanzova kwechinguva uye kunogona kunyatsogadziriswa nemishonga inorwadza, kugadzirisa, uye kutarisirwa kwakakodzera kwepashure.
4: Ndeapi matambudziko anogona kuitika pakuvhiyiwa kweGamma Nail?
Sezvinoita chero maitiro ekudyarwa kwemapfupa, kuvhiyiwa kweGamma Nail kunotakura njodzi dzinogona kuitika. Zvinetso zvinogoneka zvinogona kusanganisira kuisirwa malalignment, kunonoka kubatana kana kusabatana, kutapukirwa, kutadza kwehardware, kutsemuka kwakatenderedza kuisirwa, kana kukuvara kune yakatenderedza tsinga kana tsinga dzeropa.
Kungwarira nzira yekuvhiya, kusarudzwa kwakakodzera kwekudyara, uye kuongorora mushure mekuvhiyiwa kunobatsira kuderedza njodzi idzi.
5: Ko Gamma Intramedullary Nail inoda kubviswa mushure mekuporeswa kwekutyoka?
Kazhinji, Gamma Intramedullary Nail haidi kubviswa kana kuputsika kwapora.
Zvisinei, kubviswa kwekudyara kunogona kutariswa kana murwere achinzwa kurwadziwa kunoramba kuripo, kushatirwa kwakabatana nekudyara, kana mamwe matambudziko. Sarudzo inofanirwa kuitwa neanorapa orthopedic surgeon zvichibva pazviratidzo zvekiriniki nemhedzisiro yekufungidzira.
