Ku tshoveka ka nhamu ya femoral i xin’wana xa swilo leswi talaka ku hlangana na ku vaviseka ka marhambu eka matirhelo ya tliliniki, laha vunyingi bya vavabyi lava dyuhaleke va endlaka ku tlula 50% wa ku tshoveka ka xirhendze. Hi ku ya hi tinhlayo, ku tshoveka ka nhamu ya le xifuveni ku andzile hakatsongo-tsongo emalembeni ya sweswinyana, hi .

Closed reduction is the minimally invasive technique that can be used for stable fractures of extremities with no loss of blood flow, no risk of infection, fast functional recovery, significantly reduced medical costs, and can be used for closed reduction hollow nail and intramedullary pin fixation treatment of various unstable fractures, such as femoral neck fractures, femoral stem fractures, tibiofibular fractures, humeral stem fractures, etc., ku herisa ku onhiwa ka ku khuluka ka ngati hi ku hunguteka ka incisional.

Ku susiwa ka swipikiri swa intramedullary i endlelo ra ntolovelo, tani hileswi muendli un’wana na un’wana a nyikaka switirhisiwa leswi faneleke swo susa. Hambiswiritano, xilaveko xa xiviri xo susa xipikiri lexi heleleke xa intramedullary a xi talanga. Loko ku phatluka ka swipikiri swa le ndzeni ka khwiri ku tshoveka, xiyimo xi va ni vukanganyisi ngopfu-ngopfu.

Hakanyingi, xipikiri xa intramedullary xinga lava ku susiwa loko nonunion yinga se lava vuhandzuri byo pfuxeta. Kambe loko ku tshoveka ku horile, ku susiwa ka xipikiri xa le ndzeni ka khwiri swi ve leswi kanetanaka.

I yini intramedullary nail?intramedullary nailing i vuhandzuri byo lunghisa marhambu lama tshovekeke no wu hlayisa wu tshamisekile. Marhambu lawa ya tolovelekeke swinene lawa ya lulamisiweke hi endlelo leri i xirho xa le ndzeni, xirhendze, xirhendze na voko ra le henhla. Xipikiri xa nkarhi hinkwawo kumbe nhonga yi vekiwa exikarhi ka marhambu. Swi ta ku pfuna ku kota ku veka ntiko eka th .

Femur kumbe thigh bone i marhambu lamakulu swinene emirini. Xirhendzevutani xa femoral kumbe diaphysis i xiphemu xo leha, xo kongoma xa le xikarhi xa femur. Ku tshoveka ka xirho xa le xifuveni hi ntolovelo i vuyelo bya ku vaviseka loku nga ni matimba lamakulu, ku fana ni mhangu ya le magondzweni.Ku tshoveka ka xirho xa le xifuveni ku nga ha pfala, hi TIS .

Elastically stabilized intramedullary nails (ESINS) i ndlela leyi tolovelekeke yo tiyisisa hi vuhandzuri ku tshoveka ka marhambu yo leha eka vana. Yitirhisiwa ngopfu ku tshungula ku tshoveka lokunga tshamisekangiki ka radius, ulna, femur, naswona nkarhi wun’wana tibia na humerus. Yi tlhela yi tirhisiwa ku tshungula ku tshoveka ka vuvabyi bya .

Intramedullary Tibial Nailing: Ku nghena na ku ringanisa, Ku vava ka matsolo ya le mahlweni .

Endlelo ro khoma xikurufu xa cervical xa le ndzhaku i xitirhisiwa xa vutshunguri lexi tirhisiwaka ku tshungula ku vaviseka ka nkolo wa khwiri, naswona hi ntolovelo xi tirhisiwa ku tshungula ku tshoveka ka nkolo wa khwiri, ku tshoveka, na ku onhaka ka cervix spondylosis.Ntirho lowukulu wa sisiteme leyi i ku lulamisa xirho lexi nga eka miri wa vertebral hi swikwirikiri .

Loko u ri karhi u twa ku vava lokukulu ka nkolo, dokodela wa wena a nga ha ringanyeta leswaku u nghenisa xirho xa le ndzhaku leswaku a pfuneta ku hunguta swikombiso swa wena. Ti lumbar implants i switirhisiwa swa vutshunguri leswi endliwaka hi vuhandzuri ehansi ka nkolo ku nyika nseketelo wo engetela eka nkolo wa le ndzhaku. Eka xihloko lexi, hi ta bula hi hinkwaswo leswi u swi lavaka .