Nkatsakanyo wa mhaka .
Sweswinyana, ntlawa wa ku vaviseka ka marhambu lowu a wu rhangela hi Dokodela Carlos Rivera eXibedlhele xa Masipala wa Santa Rosa eLima, le Peru , wu hetiwe hi ku humelela . Ku hungutiwa loku pfalekeke na vuhandzuri bya ku khoma endzeni ka ku tshoveka ka left intertrochanteric fracture. Muvabyi u kombisile nhluvuko lowu nga cincekiki endzhaku ka vuhandzuri na ku khutaza ku hola ka ntirho ka ha ri emahlweni.
Mhaka leyi yi kombisa nkoka wa ku kumiwa hi ku hatlisa, ku hlawuriwa loku faneleke ka ku vekiwa ka swirho, ni tindlela ta vuhandzuri leti nga ngheneriki ngopfu eku lawuleni ka ku tshoveka ka swirho swa le nhlaneni ka vadyuhari—ntlhontlho wa vutshunguri lowu kulaka emisaveni hinkwayo.
Ku kamberiwa ka le mahlweni ka vuhandzuri & ku endla swiboho swa vuhandzuri .
Endzhaku ko kambisisa ndlela leyi muvabyi a nga ni vuvabyi ha yona, ku kumiwa ka X-rheyi, swilo leswi fambisanaka ni vuvabyi lebyi, ni xiyimo xa ntirho hinkwawo, dokodela lonkulu wa vuhandzuri Dokodela Rivera u gimete hi leswaku . Kuhunguteka loku pfalekeke na ku khomiwa hiku tirhisa intertan intramedullary nail swinga nyika solution leyi tiyeke swinene xikan’we na biomechanically.
Xiboho lexi a xi sekeriwe eka xilaveko xa:
Ku antswisiwa ka ku lwisana na matimba yo rhendzeleka .
Ku khomiwa ka le kusuhi loku tiyeke ni loku tiyeke .
Ku tshikileriwa loku lawuriwaka eka ndhawu yo tshoveka .
Minimally invasive implantation ku hunguta ku vaviseka ka vuhandzuri .
Leswi i swa nkoka ngopfu eka vavabyi lava dyuhaleke, laha ku hlengeletiwa ka ha ri na nkarhi swi nga antswisaka swinene mimbuyelo na ku hunguta swiphiqo swo fana na nyumoniya, thrombosis, na ku nga fambi nkarhi wo leha.
Nkatsakanyo wa Mhaka .
Muvabyi, Manana Ana Marisol Vásquez , wansati wa malembe ya 82 hi vukhale loyi a nga ni matimu ya vutshunguri bya nsusumeto wa le henhla wa ngati wa le tintshaveni , u tile exibedlhele endzhaku ka ku wa ka le kaya. U vike ku vava lokukulu ka left hip na ku tsandzeka hi ku helela ku rhwala ntiko.
Ku kamberiwa ka miri ku paluxiwile:
Ku onhaka loku vonakaka ku rhendzela xirhendze xa ximatsi .
Ximanga lexi nga nyawuriki xa ku famba-famba .
Ku olova eka ndhawu ya intertrochanteric .
Ku ringanisiwa ka swirho swa le hansi loku nga tolovelekangiki .
Radiographic imaging yi tiyisisile ku tshoveka ka left intertrochanteric fracture , leswi lavaka ku nghenelela ka vuhandzuri hi nkarhi ku vuyisela ku tshamiseka na ku fambafamba.
Ku endla swifaniso swa le mahlweni ka vuhandzuri .
X-rheyi ya le mahlweni ka vuhandzuri leyi kombisaka ku tshoveka ka left intertrochanteric loku rhurheriweke eka muvabyi la dyuhaleke, Lima Peru .
Swifaniso swa le ndzhaku ka vuhandzuri .
![X-rheyi ya le ndzhaku ka vuhandzuri endzhaku ka ku khomiwa ka swipikiri swa le ndzeni ka xirho xa le ndzeni xa le ndzeni ka xirho xa le ndzeni xa le ximatsi xa ku tshoveka ka left intertrochanteric-CZMediTech .]( "Postoperative X-ray after Intertan Intramedullary Nail fixation of left intertrochanteric fracture-czmeditech")
X-rheyi ya le ndzhaku ka vuhandzuri leyi kombisaka ku khomiwa ka swipikiri swa le ndzeni ka xirho xa le ndzeni xa le ndzeni ka khwiri swa le ximatsi xa ku tshoveka ka le xikarhi ka switsongwatsongwana, ePeru .
Nkatsakanyo wa vuhandzuri .
Hi nkarhi wa vuhandzuri, Dokodela Rivera u xiye leswaku . CzMediTech Intertan Intramedullary Nail yi nyikile ku tiya ka le henhla ka biomechanical na ku vekiwa loku rhetaka.
Swipfuno swa nkoka leswi xiyiweke swi katsa:
1. Swipfuno swa biomechanical .
Swikwirikiri swimbirhi swa cephaclocervical leswi antswisiweke ku lwisana na ku rhendzeleka .
Ku antswisiwa ka ku tshikileriwa ka axial ku tsemakanya layini yo tshoveka .
Stable fixation leyi hungutaka makhombo ya varus collapse .
Hambi ku ri ku hangalasiwa ka matimba loku tlakusaka ku horisiwa ka marhambu .
2. Mimbuyelo ya dizayini .
Tip ya swipikiri leyi tapered na polished yi pfumelele ku vekiwa ka xirho xa medullary canal hi ku lwisana kutsongo, leswi hungutaka ku vaviseka ka tissue.
Swikwirikiri swa cephalic swa titanium alloy swa matimba yale henhla switiyisisile biocompatibility ya kahle swinene xikan’we naku tiya ka nkarhi woleha.
3. Matirhelo ya Seti ya Switirhisiwa .
Seti ya switirhisiwa swa Intertan leyi tinyiketeleke leyi nyikiweke:
Ku vekiwa ka GuideWire hi ndlela leyinene .
Ku Reaming Ku Tshwuka Na Ku Nghenisa Swipikiri .
Ku kongomisiwa loku kongomeke ka ku vekiwa ka swikurufu .
Nkarhi wo koma wa vuhandzuri .
Ku hunguteka ka ku hlangana na fluoroscopy .
Leswi swi olovisile kuhunguteka loku tiyeke xikan’we naku lulamisiwa loku tshembekaka, ku fikelela swilaveko swa biomechanical swa xivumbeko xa ku tshoveka.
Swihlawulekisi swa Implant .
Vuhandzuri byi tirhise sisiteme ya swipikiri swa CZMeditech Intertan Intramedullary xikan’we na sete ya yona ya switirhisiwa leswi hlanganisiweke.
![CZMedich Intertan Intramedullary Xipikiri lexi nga ni swikwirikiri swimbirhi swa cephalocervical .]( "CZMEDITECH Intertan Intramedullary Nail with dual cephalocervical screws")
Xipikiri xa Intramedullary xa le ndzeni ka xirho xa mbeleko .
Swihlawulekisi swa Implant .
![Intertan intramedullary swipikiri leswi hlanganisiweke sete ku suka eka CZMediTech .]( "Intertan Intramedullary Nail integrated instrument set from CZMEDITECH")
Loko u lava ku dyondza swo tala hi mhaka leyi ya vuhandzuri kumbe ku kambisisa swihlawulekisi leswi heleleke swa Intertan Intramedullary Nail System ya hina, hi kombela u ntshunxeka ku hi tihlanganisa. Xipano xa hina xi ta ku nyika nseketelo wa vuxokoxoko bya xithekiniki na tinhlamulo ta xiphurofexinali.→ .
Nhluvuko wa le ndzhaku ka vuhandzuri .
Endzhaku ko fixation, muvabyi u sungule ku pfuniwa ka ha ri ni nkarhi. Ku vava ku rhurhumerile swinene, ku ringanisiwa ka swirho ku vuyisiwile, naswona ti-radiograph leti landzelaka ti tiyisisile ku vekiwa ka xirho lexi tiyeke hi swikombiso swa ku horisa ka ku tshoveka loku yaka emahlweni.
Mhaka leyi yi kombisa leswaku fambiselo ra Intertan ri nyikela ku vekiwa loku tshembekaka ni vuyelo lebyinene eka vavabyi lava dyuhaleke—hambi ku ri lava nga ni vuvabyi bya marhambu.
XITLHOKOVETSELO XA XIYIMO XA LE HENHLA .
Mavito hinkwawo ya swibedlhele, mavito ya madokodela, na vuxokoxoko bya muvabyi lebyi tirhisiweke eka xiviko lexi i mavito ya vuxisi hi xikongomelo xo kombisa ntsena.
FAQ .
1. Ha yini xipikiri xa intertan intramedullary xi hlawuriwile eka ku tshoveka loku ka intertrochanteric ePeru?
Muvabyi a a ri wansati wa malembe ya 82 hi vukhale loyi a nga ni khwalithi leyi nga nyawuriki ya marhambu ni ku tshoveka ka left intertrochanteric. Xipikiri xa Intertan intramedullary xinyika dizayini ya cephalomedullary leyi hlanganisiweke na swikwirikiri swimbirhi swa cephalocervical, leswi nyikaka ku tiya ka matimba ka ku rhendzeleka na ku tshikileriwa loku lawuriwaka eka ndzhawu ya ku tshoveka, leswi nga kahle eka ku hlengeletiwa ka ha ri na nkarhi eka vavabyi va geriatric hip fracture.
2. Hi swihi swipfuno leswikulu swa xipikiri xa Czmeditech Intertan intramedullary eka mhaka leyi?
Xipikiri xa CzMeditech Intertan intramedullary xi hlanganisa swikwirikiri swimbirhi swa cephalocervical na tip ya xipikiri lexi tapered na lexi pholishiweke. Dizayini leyi yi engetela ku olova ka ku hundza eka medullary canal, yi hunguta ku onhaka ka soft-tissue, yi antswisa ku lwisana na ku olova ka implant, naswona yi pfuneta ku fikelela ku hlangana ka marhambu loku tshembekaka eka ku tshoveka ka intertrochanteric loku nga tshamisekangiki.
3. Xana xitirhisiwa lexi hlanganisiweke xi seketele njhani vuhandzuri eXibedlhele xa Masipala xa Santa Rosa?
Seti ya switirhisiwa swa swipikiri swa intertan intramedullary leswi tinyiketeleke ku suka eka CZMediTech yi nyika swiletelo leswi kongomeke, ti-reamer na switirhisiwa swo kongomisa. Dizayini leyi leyi hlanganisiweke yi olovisile magoza ya le ndzeni ka vuhandzuri, yi tiyisisile ku vekiwa ka swikwirikiri loku kongomeke ehansi ka fluoroscopy naswona yi hoxe xandla eka ku famba ka ntirho wa vuhandzuri byo olova eka ntlawa wa Dr. Carlos Rivera.
4. Hi wihi mbuyelo wa le ndzhaku ka vuhandzuri bya muvabyi loyi wa vadyuhari eLima?
Endzhaku ka ku hunguteka loku pfalekeke na ku vekiwa ka swipikiri swa intramedullary swa intertan, muvabyi u fikelele ku khomiwa ka ku tshoveka loku tiyeke na ku hola ka ntirho ka ha ri emahlweni. Ku vava ku hungutiwile swinene, ku ringanisiwa ka swirho ku vuyisiwile naswona ku landzelerisa swifaniso swa ku landzelerisa swi tiyisisile xiyimo lexinene xa xirho lexi nghenisiweke na ku hola ka ku tshoveka loku yaka emahlweni.
5. Xana xipikiri xa intertan intramedullary xi faneleka eka tinxaka tin’wana ta ku tshoveka ka xirhendze?
Xipikiri xa intertan intramedullary xi kombisiwa ngopfu eka ku tshoveka ka intertrochanteric loku tiyeke na loku nga tshamisekangiki na ku tshoveka ko karhi ka subtrochanteric ka femur. Dizayini ya yona ya cephalomedullary yi pfumelela ku lulamisa swivumbeko swo rharhangana swa proximal femoral fracture, kambe xikombiso xo hetelela xi fanele ku kamberiwa hi dokodela wa vuhandzuri bya marhambu hi ku ya hi anatomy ya muvabyi un’wana na un’wana na khwalithi ya marhambu.
6. Xana dual cephalocervical screw fixation yi antswisa ku tshamiseka eka ku tshoveka ka intertrochanteric?
Swikwirikiri swimbirhi swa cephalocervical swi engetela ndzhawu ya contact eka nhloko ya femoral na nhamu, swi tlakusa vulawuri eka ku rhendzeleka na ku wa ka varus naswona swi pfumelela ku tshikileriwa loku lawuriwaka ku tsemakanya layini ya ku tshoveka. Leswi swi pfuneta ku hlayisa kuhunguteka naswona swihunguta khombo ra implant cut-out kumbe ku lahlekeriwa hi fixation eka marhambu ya osteoporotic.
7. Hi swihi swilo leswi tirhisiwaka eka swikwirikiri swa cephalic eka sisiteme ya CZMediTech Intertan?
Swikwirikiri swa cephalic eka sisiteme ya swipikiri swa CZMeditech Intertan intramedullary swi endliwe hi titanium alloy ya matimba ya le henhla. Nchumu lowu wunyika biocompatibility ya kahle swinene, corrosion resistance xikan’we na matimba ya nkarhi woleha ya ku karhala, leswi hungutaka khombo ra late implant wear kumbe switandzhaku swo biha.
8. Xana CZMediTech yi nga nyika tisayizi leti endleriweke kumbe tisethi leti heleleke ta vaxavisi na swibedlhele?
Ina. CZMediTech yi nyika nxaxamelo lowu heleleke wa swipikiri swa intertan intramedullary na switirhisiwa swo fambisana. Hi ku ya hi xilaveko xa tliliniki xa ndhawu, vaxavisi na swibedlhele va nga hlawula vukulu bya ntolovelo kumbe ku burisana hi swihlawulekisi leswi endleriweke na ku veka swivumbeko ku fikelela swilaveko swa vona swa vuhandzuri bya ku vaviseka ka marhambu.
9. Hi swihi swilo leswi faneleke ku tekeriwa enhlokweni hi vuhandzuri leswi nga swa nkoka eka vavabyi lava dyuhaleke lava nga ni ku tshoveka ka swirho swa le xikarhi ka ti- intertrochanteric?
Eka vavabyi lava dyuhaleke, i swa nkoka ku lawula comorbidities yo fana na hypertension, ku antswisa khombo ra anesthesia, ku hunguta ku vaviseka ka vuhandzuri na ku sungula ku hlengeletiwa ka ha ri na nkarhi ehansi ka nsirhelelo. Ku lulamisiwa ka le ndzeni loku tiyeke hi Intertan intramedullary nail swi seketela ku rhwala ntiko ka ha ri emahlweni naswona swi pfuneta ku hunguta swiphiqo leswi fambelanaka na ku wisa ka mubedo nkarhi wo leha.
10. Xana nandzu lowu wa le Peru wu nga seketela njhani vaxavi va matiko ya misava lava kambelaka swintshuxo swa ku tshoveka ka xirho xa le nhlaneni xa CZMedich?
Mhaka leyi ya Lima, Peru yi kombisa leswaku xipikiri xa CZMeditech intertan intramedullary xi nga nyika ku lulamisiwa loku tshembekaka na mimbuyelo leyinene eka matirhelo ya xiviri ya tliliniki. Eka vaxavisi va matiko ya misava na swibedlhele, swiviko swo tano swa timhangu ta misava hinkwayo swi pfuneta ku aka ku tshemba eka matirhelo ya swikumiwa, khwalithi ya switirhisiwa na nseketelo wa xithekiniki ku suka eka CZMediTech.
