I-Gamma Intramedullary Nail – Isishwankathelo seMveliso
Ividiyo yeGamma Nail
Iinkcukacha zeGamma Nail
ISikhonkwane esiPhambili siyinxalenye ephambili yenkqubo ye-Gamma Nail, isixhobo se-intramedullary eyenzelwe ukuzinzisa iifractures ze-femoral proximal, ngakumbi i-intertrochanteric kunye ne-subtrochanteric fractures.
Lo ngumthamo omkhulu wedayamitha, isikrufu esiqinileyo esingundoqo esiyilelwe ukunika amandla okutsalwa ngaphandle kunye nozinzo kwiimeko ezifuna ukulungiswa okongeziweyo.
I-3.5mm yokutshixa isikrufu siqhele ukusetyenziselwa ukutshixa okusondele kwintamo ye-femoral kunye nentloko, ihlala isebenza njenge-anti-rotation screw ecaleni kwe-screw lag enkulu. I-4.5mm yokutshixa isikrufu esisetyenziswa kwiindawo ezahlukeneyo zokutshixa ze-Gamma Nail system.
Isixhobo esisetyenzisiweyo kwi-Gamma intramedullary nail yisethi ebanzi yezixhobo ezilungiselelwe ngokukodwa ezisetyenziselwa ukuqinisekisa ukufakelwa okukhuselekileyo nokuchanekileyo kwesikhonkwane kunye nezikrufu zayo.
![I-DFN Distal Femur I-Intramedullary Nail (Isikrufu se-Spiral Blade Screw)]()
Owona Mfanekiso we-Gamma Intramedullary Nail
![I-DFN Distal Femur I-Intramedullary Nail (Isikrufu se-Spiral Blade Screw)]()
Izinto eziluncedo kwiklinikhi ye-Gamma Intramedullary Nail
![I-DFN Distal Femur I-Intramedullary Nail (Isikrufu se-Spiral Blade Screw)]()
Ibhlog yeGamma Intramedullary Nail
I-Gamma Intramedullary Nail: Isishwankathelo esiBanzi
Xa kuziwa kukuhlinzwa kwamathambo, enye yeenkqubo eziqhelekileyo kukulungiswa kwamathambo amathambo kunye nezikhonkwane ze-intramedullary. Phakathi kwezi, i-gamma intramedullary nail lukhetho oludumileyo ngenxa yeenzuzo zayo ezahlukeneyo. Kweli nqaku, siza kuxubusha ukuyila, izibonakaliso, ubuchule, iingxaki, kunye neziphumo ezinxulumene nokusetyenziswa kwe-gamma intramedullary nail.
Intshayelelo
I-gamma intramedullary nail luhlobo lwesixhobo sokulungiswa kwe-intramedullary esisetyenziselwa unyango lwamathambo amade. Yaziswa okokuqala yi-AO Foundation kwiminyaka yee-1980 kwaye sele ibe yinto ekhethiweyo yokulawula iifractures kwi-femur, tibia, kunye ne-humerus. Isikhonkwane se-gamma senzelwe ukubonelela ukulungiswa okuzinzileyo ngelixa ugcina i-biology yendawo yokuphuka kunye nokuvumela ukuthwala ubunzima bokuqala.
I-Anatomy kunye noYilo
I-gamma nail yintsimbi ye-titanium alloy efakwe kwi-intramedullary canal yethambo. Intonga inemilo egobileyo, evumela ukuba ilandele i-contour yendalo yethambo. Isiphelo esisondeleyo sesikhonkwane sinomfanekiso ovuthayo, obonelela ngokuzinza okujikelezayo kunye nokuthintela ukufuduka kwesikhonkwane. Isiphelo esikude sesikhonkwane sinentambo ye-screw, edibanisa nethambo lokukhansela kwaye inikezela ukuzinza kwe-axial.
Iimpawu
I-gamma nail iboniswa kunyango lwamathambo amade, ngakumbi abo bakwi-femur, i-tibia, kunye ne-humerus. Isetyenziswa ngokuqhelekileyo kwiifractures ezibekwe phakathi okanye i-distal yesithathu yethambo. Isikhonkwane se-gamma sikwaboniswa ukunyangwa kweefractures ezingazinzanga okanye ezifudukayo, kunye neefractures ezixutywayo okanye ezineqhekeza lebhabhathane.
UbuCwangciso bokuSebenza
Ubuchule botyando bokufakwa kwe-gamma isikhonkwane bubandakanya ukusetyenziswa kwesethi yesixhobo esikhethekileyo. Inkqubo ngokuqhelekileyo yenziwa phantsi kwe-anesthesia jikelele okanye yengingqi. Emva kokulungiselela isigulane kunye nesayithi lotyando, ucingo lwesikhokelo lufakwe kwi-intramedullary canal yethambo usebenzisa isikhokelo se-fluoroscopic. Intambo yesikhokelo iphinda ihlaziywe ukulungiselela umjelo wesikhonkwane. Isikhonkwane se-gamma sifakwe phezu kocingo lwesikhokelo kwaye siqhubele phambili kwi-canal de sifike kwindawo yokuphuka. I-screws esondele kunye ne-distal yokutshixa ifakwe emva koko ukukhusela isikhonkwane endaweni.
Iingxaki
Ngelixa isikhonkwane se-gamma ngokuqhelekileyo sithathwa njengokhetho olukhuselekileyo nolusebenzayo lonyango, alukho ngaphandle kweengxaki ezinokubakho. Iingxaki ezinxulumene nokusetyenziswa kwe-gamma nail zinokubandakanya:
Ukungahambi kakuhle okanye ukungahambi kakuhle kwesikhonkwane
Ukuqhekeka kwesikhonkwane okanye ithambo
Umanyano olungeyonyani okanye ulibazisekile umanyano lokwaphuka
Usulelo
Ukusilela kwehardware
Umonakalo kwizakhiwo ezijikelezileyo, njengemithambo-luvo okanye imithambo yegazi
Iziphumo
Izifundo ezininzi ziye zavavanya iziphumo ezinxulumene nokusetyenziswa kwe-gamma nail kunyango lwamathambo amade. Ngokubanzi, iziphumo zibe zilungile, kunye namazinga aphezulu ombutho wokuqhekeka, amazinga aphantsi eengxaki, kunye neziphumo ezilungileyo zokusebenza ezichazwe. Uhlalutyo lwe-meta lwezifundo ze-22 lufumene ukuba ukusetyenziswa kwe-gamma nail kubangele i-95% yezinga lomanyano kunye ne-92% yesiphumo esihle okanye esihle kakhulu.
Ukuqukumbela
Ukuqukumbela, i-gamma intramedullary nail yindlela yonyango edumileyo kunye nesebenzayo yokwaphuka kwamathambo amade. Ibonelela ngeenzuzo ezininzi kunezinye iindlela zokulungisa, kubandakanywa ukulungiswa okuzinzile, ukugcinwa kwebhayoloji yendawo yokuphuka, kunye nokuthwala ubunzima bokuqala. Nangona ingekho ngaphandle kweengxaki zayo, iziphumo ezipheleleyo ezinxulumene nokusetyenziswa kwe-gamma nail zibalaseleyo.
Gamma Nail FAQs
1: Kuthatha ixesha elingakanani ukuchacha emva koqhaqho lwe-Gamma Nail?
Ixesha lokubuyisela emva kwe -Gamma Intramedullary Nail operation iyahluka ngokuxhomekeke kuhlobo lokuphuka, indawo yokuphuka (njenge-intertrochanteric okanye i-subtrochanteric fractures), ubudala besigulane, umgangatho wamathambo, kunye nemeko yempilo yonke.
Ngokuqhelekileyo, izigulane ezininzi ziqala ukuhlanganiswa kwangaphambili emva kokuhlinzwa kwaye zinokulindela ukubuyiswa komsebenzi kunye nokubuyela kwimisebenzi yemihla ngemihla phakathi kwe -3 ukuya kwiinyanga ze-6 , ngaphandle kokuba akukho zingxaki kunye neeprotokholi zokuvuselela ziyalandelwa.
2: Ngaba i-Gamma Nail ifanelekile kuzo zonke iifractures zamathambo amade?
Hayi Nangona inkqubo ye-Gamma Nail isetyenziselwa ngokubanzi ukulungiswa kwe-proximal femoral kunye nekhethiweyo ekhethiweyo yamathambo amade, ayifanelekanga kuzo zonke iintlobo zokuphuka .
Isibonakaliso sixhomekeke kwizinto ezifana nephethini yokuphuka, i-anatomy yamathambo, imeko yesigulane, kunye novavanyo logqirha. Ukukhethwa kokufakelwa kokugqibela kufuneka kuhlale kusekelwe kuvavanyo lweklinikhi kunye nesigwebo sotyando.
3: Ngaba ukufakela i-Gamma Nail yinkqubo ebuhlungu?
Ukufakwa kwe-Gamma Nail kwenziwa phantsi kwe -anesthesia jikelele okanye yengingqi , oku kuthetha ukuba izigulane azifumani ntlungu ngexesha lotyando ngokwalo.
Intlungu emva kokuhlinzwa okanye ukungahambi kakuhle kunokuthi kwenzeke kodwa ngokuqhelekileyo kungokwexeshana kwaye kunokulawulwa ngokufanelekileyo ngamayeza eentlungu, ukuvuselelwa, kunye nokunyamekela ngokufanelekileyo emva kokuhlinzwa.
4: Zeziphi iingxaki ezinokubakho kuqhaqho lwe-Gamma Nail?
Njengayo nayiphi na inkqubo yokufakelwa kwamathambo, utyando lwe-Gamma Nail lunomngcipheko onokubakho. Iingxaki ezinokwenzeka zinokubandakanya ukungalungelelani kokufakelwa, ukulibaziseka komanyano okanye ukunganyaniseki, usulelo, ukungaphumeleli kwehardware, ukwaphuka okujikeleze ukufakelwa, okanye ukwenzakala kwimithambo-luvo ejikelezileyo okanye imithambo yegazi.
Ubuchule botyando ngononophelo, ukhetho olufanelekileyo lokufakelwa, kunye nokujongwa emva kotyando kunceda ukunciphisa le mingcipheko.
I-5: Ngaba i-Gamma Intramedullary Nail kufuneka isuswe emva kokuphiliswa kwe-fracture?
Kwiimeko ezininzi, i -Gamma Intramedullary Nail ayifuni kususwa xa i-fracture ipholile.
Nangona kunjalo, ukususwa kokufakelwa kunokuqwalaselwa ukuba isigulane sifumana intlungu eqhubekayo, ukucaphuka okuhambelana nokufakelwa, okanye ezinye iingxaki. Isigqibo kufuneka senziwe ngugqirha wamathambo onyanga ngokusekelwe kwiimpawu zeklinikhi kunye neziphumo zemifanekiso.
