Reversed Femoral & Gamma Intramedullary Nail Instrument Set: Tataiso e Feletseng
Ha ho tluoa tabeng ea ho phekola ho robeha ha lesapo la botšehali, ho kokota ka intramedullary ho fetohile mokhoa o tummeng har'a lingaka tsa masapo. Har'a mefuta e fapaneng ea lipekere tsa intramedullary, lipekere tse fetotsoeng tsa botšehali le tsa gamma li fumane tlhokomelo e kholo ka lebaka la melemo ea tsona e mengata. Sehloohong sena, re tla hlahloba hore na lipekere tsena ke eng, melemo ea tsona, lisebelisoa tse hlokahalang bakeng sa ho buuoa, le lintlha tse ling tsa bohlokoa.
Tafole ea likateng
Selelekela
Anatomy ea Lesapo la Femur
Nail ea Intramedullary ke eng?
Manala a Intramedullary a Femoral le a Gamma: Ke Life?
Melemo ea Reversed Femoral le Gamma Intramedullary Nails
Lipontšo tsa Lipekere tse Fetohileng tsa Botšehali le Gamma Intramedullary
Contraindications bakeng sa Reversed Femoral le Gamma Intramedullary Nails
Mokhoa oa ho Buoa bakeng sa Manala a Intramedullary a Femoral le a Gamma
Sesebelisoa se Hlokahalang Bakeng sa Nailing e Fetisitsoeng ea Basali le Gamma Intramedullary
Tlhokomelo ea Ka mor'a Opereishene le Tsosoloso
Mathata a ka bang teng a Reversed Femoral and Gamma Intramedullary Nailing
Qetello
FAQs
Selelekela
Ho robeha ha lesapo la botšehali ho ka ba thata ho alafa ka lebaka la boholo ba lesapo le sebopeho se rarahaneng. Tšebeliso ea lipekere tsa intramedullary e se e tumme haholo har'a lingaka tsa masapo ka lebaka la melemo ea tsona e mengata ho feta mefuta e meng ea phekolo. Sehloohong sena, re tla hlahloba tšebeliso ea lipekere tsa intramedullary tse khutliselitsoeng morao tsa botšehali le gamma, melemo ea tsona, mokhoa oa ho buoa o hlokahalang, sesebelisoa se hlokahalang, le mathata a ka bang teng.
Anatomy ea Lesapo la Femur
Pele u kenella ka har'a lipekere tsa intramedullary, ho bohlokoa ho utloisisa sebopeho sa lesapo la botšehali. Femur ke lesapo le lelelele ka ho fetisisa le le matla ka ho fetisisa 'meleng oa motho, ho tloha lenonyeletsong la noka ho ea ho lengole. Qetello e haufi ea femur e bua ka lesapo la hip, ha qetello ea distal e bua ka lesapo la tibia la leoto.
Nail ea Intramedullary ke eng?
Lenala la intramedullary ke lere la tšepe le lelelele, le lesesaane le kentsoeng karolong e mokoti ea lesapo e bitsoang medullary canal. Thupa hangata e entsoe ka titanium kapa tšepe e sa hloekang 'me e etselitsoe ho tsitsisa lesapo nakong ea pholiso. Intramedullary nailing e atisa ho sebelisoa bakeng sa ho robeha ha masapo a malelele, joalo ka femur le tibia.
Manala a Intramedullary a Femoral le a Gamma: Ke Life?
Lipekere tse khutlisitsoeng morao tsa botšehali le gamma intramedullary ke mefuta ea lipekere tsa intramedullary tse sebelisetsoang ho robeha ha botšehali. Lipekere tse tsosolositsoeng tsa botšehali li etselitsoe ho kenngoa ka har'a femur ho tloha qetellong ea lesapo, ho fapana le tataiso ea ho kenngoa ha sefate sa setso sa intramedullary. Ka lehlakoreng le leng, lipekere tsa gamma li kenngoa ho tloha karolong e haufi ea lesapo la botšehali 'me li etselitsoe ho kobeha ka har'a lesapo.
Melemo ea Reversed Femoral le Gamma Intramedullary Nails
Tšebeliso ea lipekere tse fetotsoeng tsa botšehali le tsa gamma e fana ka melemo e mengata ho feta mekhoa e tloaelehileng ea lipekere tsa intramedullary. Melemo ena e kenyelletsa:
Ho fokotsa nako ea ho buuoa le tahlehelo ea mali
Mehaho e nyane
Tšenyo e fokolang ea lisele tse bonolo tse potolohileng ho robeha
Pejana ho jara boima le ho khutlela mosebetsing
Ho tsamaisana hantle ha fracture
Lipontšo tsa Lipekere tse Fetohileng tsa Botšehali le Gamma Intramedullary
Lipekere tse khutlisitsoeng ka morao tsa botšehali le gamma intramedullary hangata li sebelisoa bakeng sa ho robeha ha botšehali ho bakuli ba lilemo tsohle, ho kenyeletsoa batho ba baholo le bana. Li bohlokoa haholo bakeng sa ho alafa maqeba a bohareng ba femur shaft kapa a fetela libakeng tse proximal kapa distal.
Contraindications bakeng sa Reversed Femoral le Gamma Intramedullary Nails
Le hoja ho khutlisetsoa morao ho femoral le gamma intramedullary nailing ho fana ka melemo e mengata, ha e loketse bakuli bohle. Li-contraindications tsa mekhoa ena li kenyelletsa:
Ho robeha haufi le lenonyeletso la noka kapa lengole
Osteoporosis e matla kapa mathata a mang a masapo a senyang matla a masapo
Ho se khone ho mamella opereishene ka lebaka la maemo a tlase a bongaka
Mokhoa oa ho Buoa bakeng sa Manala a Intramedullary a Femoral le a Gamma
Mokhoa oa ho buoa bakeng sa ho khutlisetsoa ho khokhothela ha botšehaling le gamma intramedullary o kenyelletsa mehato e mengata. Ntlha ea pele, mokuli o behoa tlas'a anesthesia e tloaelehileng, 'me ho robeha ho bonahala ho sebelisoa fluoroscopy kapa mekhoa e meng ea litšoantšo. Ka mor'a moo, ho sehoa hanyenyane karolong e ka thōko kapa e haufi ea lesapo la botšehali, ho itšetlehile ka mofuta oa sepekere se sebelisoang. Ka mor'a moo, lenala le kenngoa ka har'a canal ea medullary 'me le tataisoa sebakeng seo ho sebelisoa lisebelisoa tse khethehileng. Hang ha lenala le le boemong bo nepahetseng, ho kenngoa likurufu tse notlelang ho tiisa lenala lesapong.
Sesebelisoa se Hlokahalang Bakeng sa Nailing e Fetisitsoeng ea Basali le Gamma Intramedullary
Ho etsa manala a khelohileng a femoral le gamma intramedullary ho hloka sesebelisoa se ikhethileng. Hangata, sehlopha se kenyelletsa:
Li-reamers tsa Intramedullary
Lisebelisoa tsa ho kenya manala le ho lebisa tlhokomelo
Lithapo tsa tataiso le li-screws tsa ho notlela
Lisebelisoa tsa ho lokisa lesapo le lisele tse bonolo tse potolohileng ho robeha
Tlhokomelo le Tsosoloso ea Kamor'a Opereishene
Ka mor'a ho buuoa, hangata bakuli ba hloka matsatsi a 'maloa a ho kena sepetlele. Leoto le sa sisinyehe ho sebelisoa samente kapa brace, 'me meriana ea bohloko e fanoa ha ho hlokahala. Hangata bakuli ba eletsoa hore ba qobe ho beha boima holim'a leoto le amehileng ka libeke tse 'maloa ho lumella pholiso e nepahetseng. Phekolo ea 'mele e ka buelloa ho thusa ho tsosolosa matla le mefuta e mengata ea ho sisinyeha ha leoto le amehileng.
Mathata a ka bang teng a Reversed Femoral and Gamma Intramedullary Nailing
Joalo ka mokhoa leha e le ofe oa ho buoa, ho khutlisetsoa morao ho kokota ha botšehaling le gamma intramedullary ho ka ba le likotsi le mathata a itseng. Tsena li ka kenyelletsa:
Tšoaetso
Maqeba a mali
Ho senyeha ha methapo kapa mali
Ho hloleha ho kenya kapa ho falla
Ho dieha kapa ho se kopane ha leqhetso
Qetello
Ho na le manala a fetotsoeng ka har'a femoral le gamma intramedullary a hlahile e le likhetho tse tsebahalang bakeng sa ho alafa ho robeha ha lesapo la botšehali. Mekhoa ena e fana ka melemo e mengata ho feta tloaelo ea ho kokota ka intramedullary, ho kenyelletsa le nako e fokotsehileng ea ho buuoa, likheo tse nyane, le linako tsa ho hlaphoheloa kapele. Leha ho le joalo, ha lia lokela bakuli bohle 'me li na le likotsi le mathata a itseng. Khetho e hlokolosi ea mokuli le mokhoa oa ho buoa ke tsa bohlokoa bakeng sa ho fumana liphello tse nepahetseng.
FAQs
Ho nka nako e kae hore motho a hlaphoheloe ho hlaphoheloeng ha lipekere tsa botšehali kapa gamma intramedullary?
Linako tsa ho hlaphoheloa li ka fapana ho itšetlehile ka ho teba ha ho robeha le bophelo bo botle ba mokuli ka kakaretso. Ka kakaretso, bakuli ba bangata ba ka lebella ho tloha maotong ka libeke tse 'maloa' me ba ka hloka likhoeli tse 'maloa tsa phekolo ea' mele ho fumana matla a feletseng le mefuta e mengata ea ho tsamaea.
Na ho khokhotheloa manala a femoral kapa gamma intramedullary ho bohloko?
Na ho na le motho ea ka khokhotheloang ka mokokotlong oa botšehali kapa oa gamma intramedullary?
Ho buuoa ho nka nako e kae?
Na ho na le mekhoa e meng ea phekolo bakeng sa ho khutlisetsoa morao ho nailing ea femoral kapa gamma intramedullary?
E, ho na le mekhoa e 'maloa ea phekolo bakeng sa ho robeha ha botšehali, ho kenyelletsa le ho lokisa ka ntle, ho kokota ka har'a intramedullary, le phokotso e bulehileng le ho lokisa ka hare. Ngaka ea hau e tla buella mokhoa o molemo ka ho fetisisa oa phekolo ho latela litlhoko le boemo ba hau.
