Top 5 inopisa nyaya dzekutyoka kwemukadzi wemutsipa, vezera rako vari kutarisana nazvo!

Kusarudzwa kwekugadzirisa kwemukati kunopesana nekutsiviwa kwemajoini

Parizvino, zvinowanzodavirwa kuti mbambo yakasvibirira mukati mekugadzirisa kwechikadzi mutsipa kuputsika kune zvakanakira zvenguva pfupi yekushanda, kushungurudzwa kuduku uye kudhura kwakaderera, asi varwere vakawanda vakwegura vanoperekedzwa neosteoporosis, saka kugadzikana kwekugadzirisa kwemukati kunofanira kunyatsofungwa. Kune varwere vasina kugadzikana mutsipa wekutyoka kwechikadzi, vanofanirwa kugara pamubhedha kwenguva yakareba, uye nyanzvi dzakawanda dzinofunga kuti havagone kutakura uremu nekukurumidza, izvo zvinokanganisa zvakanyanya hupenyu hwevarwere. Uyezve, kune mukana wekuputsika nonunion uye femoral musoro necrosis.Hip kutsiva kunogona kugadzirisa zvachose matambudziko makuru emukadzi mutsipa kuputsika nonunion uye avascular necrosis yemusoro wevakadzi muvarwere vakwegura, uye inogona kudzivisa matambudziko akadai sekumanikidzwa kunorwadza, kufema utachiona uye weti yehutachiona sezvinobvira.

Kuongorora nguva yekutakura uremu mushure mekugadzirisa mukati

Matambudziko akareba kwenguva refu evarwere vane femoral neck internal fixation inonyanya kusava nonunion uye avascular necrosis yemusoro wevakadzi. Dzimwe nyanzvi dzinofunga kuti mabasa ekutakura uremu pakati nepakati pekutanga ane simba guru pane postoperative femoral neck fracture, uye kugara pamubhedha kwenguva yakareba mushure mekushanda kunogona kuderedza kukurudzirwa kusvika kumagumo ekuputsika uye kupa nharaunda yakagadzikana yekuporesa kwakanaka kwekuputsika. Kuderedzwa kwekutanga kwakarurama, kugadziriswa kwemukati kwakavimbika, kuderedzwa kwekuparadzwa kweropa remunharaunda uye kuvandudzwa kweropa remunharaunda kunogona kuderedza zvinobudirira kuitika kweavascular necrosis yemusoro wevakadzi mushure mekuputsika kwemutsipa wemukadzi.

Perioperative traction nhaurirano yemukadzi wemutsipa kuputsika

Preoperative traction yagara ichinetsa. Chinangwa chayo chikuru ndechekubvisa marwadzo, kuderedza kufamba kwegumbo rakakanganiswa, uye kuderedza mukana wekutamiswa kana kuwedzera kwekutama pamagumo ekuputsika. Zvisinei, vamwe vanhu vanofunga kuti kudhonza kusinganzwisisi kuchaita kuti kuwedzerwa kwejojo ​​capsule pressure, uye zvino kukanganisa kugoverwa kweropa kumativi emusoro wemukadzi, kureva, 'stuffing effect', nokudaro kuwedzera kuitika kweavascular necrosis yemusoro wevakadzi.

Zvidzidzo zvakaratidza kuti femoral head necrosis rate ndeye 27.8% kune avo vasina over-traction uye 42% mune avo vane over-traction. Mukuwedzera, zvimwe zvidzidzo zvakaratidza kuti kuchengetedza nhengo yakakanganiswa munzvimbo inotenderera yehudyu ye30 flexion yehudyu yekubatana, 30 flexion yemabvi akabatanidzwa uye 10 abduction panguva yekufambisa kunogona kuderedza kudzvinyirira muhudyu yehudyu uye kuwedzera ropa remusoro wevakadzi. Nokuda kwechikonzero ichi, kune mishumo yekiriniki yokuti tibial tuberosity traction inoenderera mberi kwemavhiki matatu mushure mekugadzirisa mbambo, uye kutakura uremu ndeye 1.5kg, kuitira kuchengetedza nhengo yakakanganiswa munzvimbo inotenderera isina kutenderera ye30 flexion yehudyu joint, 30 flexion yemabvi akabatanidzwa uye 10 abduction.

Sarudzo pakati pekuchinja kwehudyu yakazara uye kutsiva musoro wechikadzi

Kugadziriswa kwehudyu yose inzira yekuvhiya inoshandisa prosthesis yekugadzira kutsiva iyo yakakanganisika yehudyu tishu, iyo inonyatsogadzirisa matambudziko ekutyoka kwehudyu muhudyu kune vakwegura, senge fracture nonunion uye femoral head necrosis inokonzerwa nekukanganiswa kweropa uye osteoporosis. Nekudaro, nekuda kweiyo yakaoma maitiro ekuvhiya, nguva yakareba yekuvhiya uye kukuvara kukuru kwekuvhiya, njodzi yekuvhiya kuvarwere vakura yakakura, uye kune imwe nhanho yekudonha kwemajoini mushure mekuvhiyiwa.

Artificial femoral head replacement inogona kunyatsoderedza kukuvadzwa kwekuvhiya uye kupfupisa mushure mekugadzirisa nguva yevarwere, asi kune mamwe matambudziko akadai seacetabular kupfeka munguva refu, iyo inokanganisa postoperative hip basa revarwere.

Kusarudzwa kwemasimende inopesana nebiologic prostheses

Varwere vakwegura vanowanzoomeswa neosteoporosis, saka kuchine kukakavara pamusoro pekusarudza bone simenti yefemoral prosthesis kana biological femoral prosthesis.

Bone simenti inogona kupa simba rakanaka rekuruma mukutanga, uye inogona kuenderana neiyo femoral medullary cavity ine urombo bhonzo, kuitira kuti varwere vakwegura vagone kudzoreredza hudyu yekubatana basa kare uye kuderedza kuitika kweimwe systemic matambudziko. Zvisinei, zvakataurwawo kuti bone cement implantation syndrome inogona kuitika panguva yekushanda kwepfupa simenti prosthesis, zvichiita kuti vanhu vakawanda vafe panguva uye mushure mekushanda, kunyanya kune varwere vane chirwere chemwoyo chisati chashanda, uye kudzokorora kwenguva refu kunonyanya kuoma.

Biological prosthesis inogona kudzivirira bone simende implantation syndrome uye kupfupisa nguva yekuvhiya. Zvisinei, biological femoral prosthesis inoda kuti mubato weprosthesis unofanirwa kunyatsoenderana ne metaphysis uye medullary cavity ye femoral shaft, zvikasadaro zvichaita kuti kusunungurwa uye kunyura kweprosthesis munguva pfupi iri mberi kana munguva refu, kunyanya Dorr C chimney femoral cavity, iyo inowanzosangana nezvinetso uye kuparara kwemedu panguva yekuparara uye kuparara.

About CZMEDITECH

Kunotungamirwa nekutenda kuti munhu wese ari pasi pano anokodzera hutano huri nani. CZMEDITECH inoshanda nechido kubatsira vamwe kurarama vasingatyi. Tinodada pachedu apo varwere vakabatsirwa zvikuru uye vaine hupenyu huri nani nekuda kwezvigadzirwa zvedu uye tsoka dzedu dzakawedzera kusvika kune dzimwe nyika makumi manomwe, uko varwere, vanachiremba uye vanobatana navo zvakafanana vanovimba. CZMEDITECH kufambira mberi. Yese orthopedic implant inogadzirwa nesu inosangana nemhando yepamusoro miyero.

Takatanga rwendo runoshamisa ne orthopedic implants makore gumi nematatu apfuura. Mukuita, mutsara wekugadzira wakasiyana-siyana kuita ma implants e musana, trauma, cranial-maxillofacial, prosthesis, midziyo yemagetsi, vagadziri vekunze, arthroscopy uye veterinary care , pamwe chete ne midziyo inoshandiswa mukuvhiya kwakabatana.

Zvese zvedu mbishi zvinhu zvinobva kune zvemhando yepamusoro vatengesi mudzimba nekune dzimwe nyika. Kana zvasvika pamhando, isu hatimboregi mutengo muchinangwa chedu chekugara nhanho kumberi, izvo zvatinogadzira pachedu bvunzo lab kuti tive nechokwadi chemhando yemhando. Michina yedu yese yekugadzira inotengeswa kubva kuUSA, Germany, Japan uye mhando dzepamusoro muDomestic kuti ive nechokwadi chechokwadi chechigadzirwa chatakagadzira.

Nguva yakawanda uye kushanda nesimba kunoiswa mukutsvagisa kuvandudzwa uye kukwidza chigadzirwa chekupedzisira. Tine timu yehunyanzvi yekutsvagisa, timu yekugadzira uye QC timu kuti ive nechokwadi chemhando yepamusoro uye rutsigiro rwechikwata chedu chekutengesa kugadzirisa matambudziko ese uye nekupa yakanakisa mushure mekutengesa sevhisi.

Tine shungu pamusoro pekutenda kwedu, tiri kuramba tichimanikidza miganhu yekuziva kwedu kupa zvemhando yepamusoro, zvigadziriso zvechigadzirwa mhinduro kune vese vatengi vedu pasi rese uye tinoita nhamburiko dzisingaperi dzehutano hwevanhu.