I-Femoral Reconstruction Nail Intramedullary

Iifractures ze-Femoral, ngokukodwa ezo zenzeke kwi-femur (ithambo lethanga), zinokuba yingozi kakhulu kunye nokulimala. Kwiimeko apho i-fracture iyinkimbinkimbi okanye ibandakanya ukulahleka okukhulu kwethambo, i-femoral reconstruction intramedullary nail isoloko ithathwa njengendlela yonyango olusebenzayo. Eli nqaku liphonononga iinkalo ezahlukeneyo ze-femoral reconstruction intramedullary nail, kubandakanywa nezibonakaliso zayo, ubuchule bokuhlinzwa, iingenelo, iingxaki ezinokuthi zibekho, iziphumo zesigulane, kunye nokunye.

Intshayelelo

I-Femoral reconstruction intramedullary nail yinkqubo yotyando esetyenziselwa ukuzinzisa kunye nokulungisa iifractures kwi-femur. Kubandakanya ukufakwa kwesikhonkwane sensimbi kwi-canal ye-intramedullary ye-femur ukubonelela ukuzinza kunye nenkxaso ngexesha lokuphulukisa. Obu buchule bufumene ukuthandwa ngenxa yokukwazi ukukhuthaza ubunzima bokuqala kunye nokuchacha ngokukhawuleza xa kuthelekiswa neendlela zonyango zendabuko.

Yintoni iFemoral Reconstruction Intramedullary Nail?

I-Femoral reconstruction intramedullary nail yindlela yotyando ebandakanya ukusetyenziswa kwesikhonkwane se-intramedullary ukulungisa kunye nokuzinzisa iifractures kwi-femur. Isikhonkwane ngokuqhelekileyo senziwe ngezinto ezihlala ixesha elide ezifana ne-titanium okanye insimbi engenasici kwaye ifakwe ngokusikwa okuncinci kufuphi ne-hip okanye idolo elihlangeneyo. Isikhonkwane sithatha ubude bethambo eliqhekekileyo, libonelela ngokuzinza kunye nokuququzelela inkqubo yokuphulukisa.

Izibonakaliso ze-Femoral Reconstruction Intramedullary Nail

I-Femoral reconstruction nail intramedullary ibonakaliswe ngokukodwa kwiifractures ezinzima ze-femur. Ezi ziqhekeza zingabandakanya iifractures ezidibeneyo (apho ithambo liphuka libe ngamaqhekeza amaninzi), i-segmental fractures (apho ithambo liphulwe kwiindawo ezininzi), okanye ukuphuka okuhambelana nokulahleka okukhulu kwethambo. Ukongezelela, obu buchule buhlala bujongwa ngokuqhekeka okunzima ukuzinzisa usebenzisa ezinye iindlela okanye iifracture ezifuna ubunzima bokuqala.

Ubuchwephesha boTyando boKwakha kwakhona iFemoral Nail Intramedullary

Inkqubo yotyando yokwakhiwa kwakhona kwe-femoral nail intramedullary ibandakanya amanyathelo amaninzi. Okokuqala, isigulane sibekwe phantsi kwe-anesthesia jikelele okanye yengingqi ukuze kuqinisekiswe inkqubo engenazintlungu. Ukusikwa okuncinci kwenziwa kufutshane ne-hip okanye idolo elihlangeneyo ukufikelela kumjelo we-intramedullary we-femur. Ithambo eliqhekekileyo lihlengahlengiswa kwaye lincitshiswe, ukuba kuyimfuneko, ukubuyisela indawo yayo eqhelekileyo ye-anatomical. Intambo yesikhokelo ifakwe kumjelo we-intramedullary, ilandelwa ngokubuyisela kwakhona ukudala indlela yesikhonkwane. Emva koko isikhonkwane sifakwe ngokucokisekileyo kwi-canal kwaye sigxininiswe kwindawo usebenzisa izikrufu okanye iindlela zokutshixa. I-X-ray imaging isetyenziswe kuyo yonke inkqubo ukuqinisekisa ukulungelelaniswa okufanelekileyo kunye nokulungiswa.

Izinto eziluncedo kwi-Femoral Reconstruction Intramedullary Nail

I-Femoral reconstruction intramedullary nail inikezela ngeenzuzo ezininzi ngaphezu kwezinye iindlela zonyango. Okokuqala, inika uzinzo olugqwesileyo kwaye ivumela ukuthwala ubunzima kwangoko, ukukhuthaza ukuchacha ngokukhawuleza kunye nokubuyisela kwimeko yesiqhelo. Ubuchwephesha bukwanciphisa ukonakala kwezicubu ezithambileyo njengoko zisebenzisa i-incision encinci xa kuthelekiswa nokunciphisa okuvulekileyo kunye neenkqubo zokulungiswa kwangaphakathi. Ngaphezu koko, i-femoral reconstruction intramedullary nail ibonise iziphumo ezithembisayo malunga nokunciphisa intlungu emva kokusebenza, ukuphucula ukuphulukiswa kwe-fracture, nokubuyisela ukusebenza okuqhelekileyo komlenze.

Iingxaki ezinokuthi zibekho kunye nemingcipheko

Njengayo nayiphi na inkqubo yotyando, i-femoral reconstruction intramedullary nail ithwala imingcipheko ethile kunye neengxaki ezinokubakho. Ezi zingabandakanya ukusuleleka, isitya segazi okanye umonakalo we-nerve, i-nonunion (ukungaphumeleli kwethambo ukuphilisa), ukungahambi kakuhle kwe-fracture, ukungaphumeleli kokufakelwa, kunye ne-thrombosis ye-vein deep. Nangona kunjalo, ngobuchule obufanelekileyo botyando, ukukhetha isigulane ngononophelo, kunye nokhathalelo olufanelekileyo lwasemva kotyando, izehlo zeengxaki zinokuncitshiswa.

Ukubuyisela kwisimo sangaphambili kunye noBuyiselo

Emva kokwenza utyando lwe-femoral intramedullary nail, ukubuyisela kwimeko yesiqhelo kunye nokubuyisela kudlala indima ebalulekileyo ekubuyiseleni umsebenzi kunye nokuhamba. Unyango lomzimba kunye nokuzivocavoca ngokuqhelekileyo kumiselwe ukukhuthaza ukuphilisa, ukuqinisa imisipha ejikelezayo, kunye nokuphucula uluhlu lwentshukumo. Ubude kunye nokuqina kwenkqubo yokubuyisela kunokuhluka ngokuxhomekeke kwisigulane ngasinye kunye nobukhulu beqhekeza.

Ukuthelekiswa nolunye uKhetho loNyango

I-Femoral reconstruction intramedullary isikhonkwane yenye nje yeendlela ezininzi zonyango ezifumanekayo zokophuka kwebhinqa. Olunye ukhetho lubandakanya ukunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi (ORIF), ukulungiswa kwangaphandle, kunye nokutshintshwa kwe-hip epheleleyo. Indlela nganye ineenzuzo zayo kunye neengqwalasela, kwaye ukhetho lonyango luxhomekeke kwizinto ezahlukeneyo ezifana nohlobo kunye nendawo yokuphuka, ubudala besigulane kunye nempilo yonke, kunye nobuchule bogqirha.

Amazinga empumelelo kunye neziPhumo zeSigulana

Izifundo ezininzi ziye zanika ingxelo yeziphumo ezithandekayo kunye namazinga aphezulu empumelelo kunye ne-femoral reconstruction intramedullary nail. Ubuchwephesha bubonakaliswe ukunika uzinzo olubalaseleyo lokuqhekeka, ukukhuthaza ukuthwala ubunzima kwangoko, kunye nokwenza lula ukuphiliswa kwamathambo. Izigulane ezifumana le nkqubo zihlala zifumana ukuphucula intlungu, ukubuyisela ukuhamba, kunye nokubuyela ngokukhawuleza kwimisebenzi yabo yemihla ngemihla xa kuthelekiswa nezinye iindlela zonyango. Nangona kunjalo, iziphumo zomntu ngamnye zinokwahluka, kwaye kubalulekile ukubonisana nochwepheshe bezempilo ukuze uqonde okulindelekileyo kunye nobungozi obunxulumene nenkqubo.

Izifundo zeCase kunye nobungqina beKlinikhi

Ubungqina beklinikhi kunye nezifundo zamatyala zibonise ukusebenza kunye nempumelelo yexesha elide lokwakhiwa kwakhona kwe-femoral nail intramedullary. Izifundo zophando ziye zavavanya izinto ezifana nexesha lokuphulukisa ukuphuka, iziphumo zokusebenza, iingxaki, kunye nokwaneliseka kwesigulane. Ezi zifundo zinegalelo ekukhuleni kobungqina obuxhasa ukusetyenziswa kwe-femoral reconstruction intramedullary nail njengendlela ethembekileyo kunye neyonyango esebenzayo yonyango lokwaphuka kwe-femoral.

Iindleko kunye nokufikeleleka kwe-Femoral Reconstruction Intramedullary Nail

Iindleko zotyando lwezikhonkwane lwe-femoral intramedullary zinokwahluka ngokuxhomekeke kwizinto ezifana nendawo, umboneleli wezempilo, kunye ne-inshorensi yesigulana. Kubalulekile ukubonisana neengcali zonyango kunye nababoneleli be-inshurensi ukuqonda iindleko ezinokuthi zidibene nenkqubo. Ukufikeleleka kolu khetho lonyango lunokwahluka ngokusekelwe kwindawo kunye nokufumaneka koogqirha bamathambo abakhethekileyo.

Ukuqukumbela

I-Femoral reconstruction intramedullary isikhonkwane sisixhobo esixabisekileyo sotyando kunyango lwezaphulelo ezintsonkothileyo ze-femoral. Ibonelela ngeenzuzo ezininzi, kubandakanya ukuzinza, ukuthwala ubunzima kwangoko, kunye nokuchacha ngokukhawuleza. Nangona inkqubo ithwala imingcipheko ethile kunye neengxaki ezinokubakho, ukhetho olufanelekileyo lwesigulane, ubuchule botyando, kunye nokunyamekela emva kokuhlinzwa kunokuncedisa ukunciphisa le mingcipheko. Ngokubanzi, i-femoral reconstruction intramedullary nail ibonise iziphumo ezithembisayo malunga nokuphulukiswa kwe-fracture kunye neziphumo zesigulane, okwenza kube yinto ekhethwayo kwiingcali ezininzi zamathambo kunye nezigulane.