Case Overview
Munguva ichangopfuura, boka rekushungurudzika kwemapfupa rinotungamirirwa naDkt Carlos Rivera paSanta Rosa Municipal Hospital muLima, Peru , rakabudirira kupedza kuvharwa kuderedzwa uye mukati mekugadzirisa kuvhiyiwa kwekuputsika kwe intertrochanteric fracture. Murwere aratidza kufambira mberi kwakasimba kwemashure nekukurudzira kupora kwekutanga kushanda.
Mhosva iyi inoratidza kukosha kwekukurumidza kuongororwa, kusarudzwa kwakakodzera kwekudyara, uye nzira dzekuvhiya zvishoma mukugadzirisa geriatric hip fractures-dambudziko riri kukura rekiriniki pasi rese.
Preoperative Assessment & Surgical Decision-Making
Mushure mekuongorora kuratidzwa kwekiriniki yemurwere, X-ray zvakawanikwa, comorbidities, uye chimiro chekushanda kwese, Chief Surgeon Dr. Rivera akagumisa kuti kuvharwa kuderedza uye kugadzirisa uchishandisa Intertan Intramedullary Nail yaizopa yakanyanya kugadzikana uye biomechanically yakanaka mhinduro.
Sarudzo yakavakirwa pakuda kwe:
Kuvandudzwa kwekupokana nemasimba anotenderera
Yakasimba uye yakasimba proximal fixation
Kudzorwa kudzvanywa panzvimbo yekutyoka
Minimally invasive implantation kuderedza kushungurudzika kwekuvhiya
Izvi zvinonyanya kukosha kune varwere vakura, uko kuunganidza kwekutanga kunogona kuvandudza zvakanyanya mhedzisiro uye kuderedza matambudziko akadai semabayo, thrombosis, uye kusafamba kwenguva refu.
Nyaya Pfupiso
Murwere, Ms. Ana Marisol Vásquez , mukadzi ane makore makumi masere nemaviri ane nhoroondo yehutano hwehutano hwehutachiona hwehutachiona , akaendeswa kuchipatara mushure mekudonha kwemba. Akarondedzera kurwadziwa kwakanyanya kwehudyu yekuruboshwe uye kusakwanisa kutakura uremu.
Kuongororwa kwepanyama kwakaratidza:
Kuremara kunoonekwa kutenderedza hudyu yekuruboshwe
Zvishoma nezvishoma kufamba
Hunyoro munzvimbo ye intertrochanteric
Kurongeka kwegumbo rezasi kusina kujairika
Radiographic imaging yakasimbisa yakasiiwa kuruboshwe intertrochanteric fracture , inoda kupindira panguva yekuvhiya kuti idzorere kugadzikana uye kufamba.
Preoperative Imaging
Preoperative X-ray inoratidzira yakadzingwa kuruboshwe intertrochanteric fracture mumurwere akwegura, Lima Peru
Postoperative Imaging
![Postoperative X-ray mushure meIntertan Intramedullary Nail kugadzirisa kwekuruboshwe intertrochanteric kuputsika-czmeditech]( "Postoperative X-ray after Intertan Intramedullary Nail fixation of left intertrochanteric fracture-czmeditech")
Postoperative X-ray inoratidza Intertan Intramedullary Nail kugadzirisa kwekuruboshwe intertrochanteric kuputsika, Peru
Kuvhiya Summary
Panguva yekuvhiyiwa, Dr. Rivera akacherechedza kuti CZMEDITECH Intertan Intramedullary Nail yakapa yakanyanya kugadzikana biomechanical uye yakatsetseka kudyara.
Mabhenefiti akakosha anoonekwa anosanganisira:
1. Biomechanical Advantages
Dual cephalocervical screws inosimudzira kutenderera kwekudzivirira
Yakavandudzwa axial compression kuyambuka mutsara wekutsemuka
Kugadziriswa kwakagadzikana kunoderedza njodzi dzekudonha kwevarus
Kunyange kugovera kwechisimba kunokurudzira kupora kwemapfupa
2. Mabhenefiti ekugadzira
Iyo tapered uye yakakwenenzverwa chipikiri yaibvumira iyo implant kunyungudika kuburikidza ne medullary canal nekushomeka kushomeka, ichideredza kukuvara kwenyama.
Iyo yakakwirira-simba titanium alloy cephalic screws yakavimbisa yakanakisa biocompatibility uye kusimba kwenguva refu.
3. Chiridzwa Seta Kuita
Iyo yakatsaurirwa Intertan chiridzwa seti yakapihwa:
Yakarurama guidewire positioning
Smooth reaming uye kuisa mbambo
Kunyatsonangwa kwekugadzika sikuruu
Nguva pfupi yekushanda
Yakaderedzwa fluoroscopy exposure
Izvi zvakagonesa kudzikiswa kwakadzikama uye kugadzirisa kwakavimbika, kusangana nezvido zvebiomechanical zvepatani yekutyoka.
Implant Specifications
Kuvhiya uku kwakashandisa CZMEDITECH Intertan Intramedullary Nail system pamwe neyakasanganiswa chiridzwa chayo.
![CZMEDITECH Intertan Intramedullary Nail ine mbiri cephalocervical screws]( "CZMEDITECH Intertan Intramedullary Nail with dual cephalocervical screws")
Intertan Intramedullary Nail
Implant Specifications
![Intertan Intramedullary Nail yakabatanidzwa chiridzwa chakaiswa kubva kuCZMEDITECH]( "Intertan Intramedullary Nail integrated instrument set from CZMEDITECH")
Kana iwe uchida kudzidza zvakawanda nezve iyi kesi yekuvhiya kana kuongorora zvizere zvakatemwa zveIntertan Intramedullary Nail system, ndapota inzwa wakasununguka kutibata. Chikwata chedu chinokupa ruzivo rwakadzama rwehunyanzvi rutsigiro uye mhinduro dzehunyanzvi.→
Postoperative Progress
Mushure mekugadzirisa, murwere akatanga kukurumidza kubatsira kuunganidza. Marwadzo akarerutswa zvakanyanya, kurongeka kwemakumbo kwakadzoreredzwa, uye yekutevera-radiographs yakasimbisa yakagadzikana yekuisa chinzvimbo nezviratidzo zvekufambira mberi kwekutyoka kupora.
Mhosva iyi inoratidza kuti Intertan system inopa gadziriso yakavimbika uye mhedzisiro yakanaka muvarwere vakura-kunyangwe avo vane osteoporosis.
Disclaimer
Mazita ese echipatara, mazita echiremba, uye ruzivo rwemurwere runoshandiswa mumushumo uyu manyepo ekuratidzira chete.
FAQ
1. Sei Intertan Intramedullary Nail yakasarudzirwa iyi intertrochanteric fracture muPeru?
Murwere aive mukadzi ane makore makumi masere nemaviri ekuzvarwa aine hutano hushoma hwebhonzo uye kuruboshwe intertrochanteric fracture. Iyo Intertan Intramedullary Nail inopa yakasanganiswa cephalomedullary dhizaini uye maviri maviri cephalocervical screws, inopa yakasimba kutenderera kugadzikana uye kudzorwa kudzvanywa panzvimbo yekutyoka, iyo yakanakira kuunganidza kwekutanga mugeriatric hip fracture varwere.
2. Ndezvipi zvakakosha zveCZMEDITECH Intertan Intramedullary Nail munyaya iyi?
Iyo CZMEDITECH Intertan Intramedullary Nail inosanganisa maviri maviri cephalocervical screws ane tapered uye akakwenenzverwa chipikiri. Iyi dhizaini inowedzera kupfava mugedhi remedullary, inoderedza kukuvara kwetishu yakapfava, inovandudza kuramba kuisirwa kusunungura, uye inobatsira kuwana yakavimbika bony mubatanidzwa mukusagadzikana intertrochanteric fractures.
3. Ko chiridzwa chakabatanidzwa chakaseta sei kutsigira kuvhiyiwa muSanta Rosa Municipal Hospital?
Iyo yakatsaurirwa Intertan Intramedullary Nail chiridzwa chakaiswa kubva kuCZMEDITECH chinopa chaiwo madhairekitori, mareamers uye ekunangisa zvishandiso. Iyi dhizaini yakasanganiswa yakarerutsa nhanho dzekuvhiya, yakave nechokwadi chekuisa screw pasi pefluoroscopy uye yakabatsira mukuvhiya kufambiswa kwakanaka kwechikwata chaDr. Carlos Rivera.
4. Chii chakanga chiri muuyo wapashure pokuvhiyiwa kwouyu murwere akwegura muLima?
Mushure mekuvhara kuderedzwa uye Intertan Intramedullary Nail fixation, murwere akawana kugadzikana kwekupwanyika kugadzirisa uye kutanga kushanda kupora. Marwadzo akarerutswa zvakanyanya, kurongeka kwemakumbo kwakadzoreredzwa uye yekutevera kufungidzira yakasimbisa nzvimbo yakanaka yekuisirwa uye inofambira mberi kuputsika kupora.
5. Is Intertan Intramedullary Nail yakakodzera kune mamwe marudzi ehudyu kuputsika?
Iyo Intertan Intramedullary Nail inonyanya kuratidzwa kune yakagadzikana uye isina kugadzikana intertrochanteric fractures uye mamwe ma subtrochanteric fractures echikadzi. Iyo cephalomedullary dhizaini inobvumira kuti igadzirise yakaoma proximal femoral kuputsika mapatani, asi chiratidzo chekupedzisira chinofanira kuongororwa nachiremba wemapfupa maererano nemurwere wega wega uye hutano hwemapfupa.
6. Ko kaviri cephalocervical screw fixation inovandudza sei kugadzikana mu intertrochanteric fractures?
Dual cephalocervical screws inowedzera nzvimbo yekubatana mumusoro wemukadzi uye mutsipa, inosimudzira kutonga pamusoro pekutenderera uye kudonha kwevarus uye inobvumira kudzorwa kudzvanywa pamutsara wekutyoka. Izvi zvinobatsira kuchengetedza kudzikisira uye kuderedza njodzi yekudyara kucheka-kunze kana kurasikirwa kwekugadzirisa mune osteoporotic bone.
7. Ndezvipi zvinhu zvinoshandiswa kune cephalic screws muCZMEDITECH Intertan system?
Iyo cephalic screws muCZMEDITECH Intertan Intramedullary Nail system yakagadzirwa nepamusoro-simba titanium alloy. Ichi chinyorwa chinopa yakanakisa biocompatibility, corrosion kuramba uye kuneta kwenguva refu simba, kuderedza njodzi yekunonoka implant kupfeka kana kukanganisa kwakashata.
8. Ko CZMEDITECH inogona kupa hukuru hwakagadzirirwa kana seti yakakwana kune vanogovera uye zvipatara?
Ehe. CZMEDITECH inopa huwandu hwakazara hweIntertan Intramedullary Nails uye kuenzanisa zviridzwa. Zvinoenderana nezvinodiwa nekiriniki yenzvimbo, vagovera nezvipatara vanogona kusarudza saizi yakajairwa kana kukurukura zvakagadziriswa uye kuseta zvigadziriso kuti zvizadzise zvavanoda zvekuvhiyiwa kweothopedic trauma.
9. Ndeapi maonero eperioperative anokosha kune varwere vakwegura vane intertrochanteric fractures?
Kune varwere vakura, zvakakosha kudzora comorbidities senge hypertension, kukwidziridza njodzi yeanesthesia, kuderedza kukuvadzwa kwekuvhiya uye kutanga kukurumidza kuunganidza pasi pekuchengetedzwa. Kugadziriswa kwemukati kwakagadzikana neIntertan Intramedullary Nail inotsigira kutakura uremu uye inobatsira kuderedza matambudziko ane chekuita nekuzorora kwenguva refu pamubhedha.
10. Iyi nyaya yePeruvia inogona sei kutsigira vatengi vepasi rose vanoongorora CZMEDITECH hudyu kuputsika mhinduro?
Iyi Lima, nyaya yePeru inoratidza kuti iyo CZMEDITECH Intertan Intramedullary Nail inogona kupa yakavimbika kugadzirisa uye mhedzisiro yakanaka mukuita kwekiriniki chaiyo. Kune vaparidzi vepasi rese uye zvipatara, mishumo yakadai yepasi rose inobatsira kuvaka chivimbo mukuita kwechigadzirwa, mhando yezviridzwa uye rutsigiro rwehunyanzvi kubva kuCZMEDITECH.
