PFNA Nail

PFNA Intramedullary Nail: IsiKhokelo esiBanzi

Kwinkalo ye-orthopedics, unyango lwe-hip fractures luhlala lunzima. Ngelixa iindlela ezahlukeneyo zotyando ziye zaphuhliswa ngokuhamba kwexesha, ukubethelwa kwe-intramedullary kuye kwavela njengokhetho oludumileyo. I-Proximal Femoral Nail Antirotation (PFNA) luhlobo lwesikhonkwane se-intramedullary esiye safumana ingqwalasela ebalulekileyo ngenxa yokusebenza kwayo ekuphatheni i-hip fractures. Kweli nqaku, siza kubonelela ngesikhokelo esibanzi kwi-PFNA isikhonkwane se-intramedullary, esigubungela yonke into ukusuka kuyilo lwayo ukuya kwinkqubo yotyando, ukhathalelo lwasemva kotyando, kunye neengxaki ezinokubakho.

1. Intshayelelo

Iifractures ze-Hip ziyimbangela eqhelekileyo yokugula kunye nokufa phakathi kwabantu abadala. Ngabantu abakhulileyo, inani le-hip fractures kulindeleke ukuba linyuke ngokuhamba kwexesha. Ukunyangwa kwe-hip fractures kubalulekile, njengoko kunokuchaphazela kakhulu umgangatho wobomi besigulane. I-Intramedullary nailing ibe yindlela ethandwayo yotyando yokunyanga i-hip fractures ngenxa yokusebenza kwayo kunye nokhuseleko. Phakathi kweentlobo ezahlukeneyo zezikhonkwane ze-intramedullary, i-PFNA intramedullary nail ifumene ingqalelo ebalulekileyo.

2. Yintoni i-PFNA Intramedullary Nail?

I-PFNA ye-intramedullary nail luhlobo lwesikhonkwane se-intramedullary eyenzelwe ukuzinzisa kunye nokulungisa iifractures ze-hip. Sisixhobo esine-proximally fixed, anterograde, kunye ne-cephalomedullary esifakwe kwi-proximal femoral canal. Isikhonkwane sePFNA sibonelela ngokuzinza kwindawo yokuphuka ngokuvumela ukwabelana ngomthwalo phakathi kwesikhonkwane kunye nethambo. Kwakhona kunciphisa umngcipheko wokungaphumeleli kokufakelwa kunye nokukhulula ngokubonelela ngokuzinza okuchasene nokujikeleza.

3. Uyilo lwePFNA kunye neempawu

I-PFNA intramedullary nail yenziwe nge-titanium okanye i-titanium alloy, ehambelana ne-biocompatible kwaye inika amandla amahle kunye nokuqina. Isikhonkwane sine-helical blade ekupheleni kweproximal, eyenzelwe ukubandakanya intloko yesifazane kunye nokubonelela ngokuzinza okujikelezayo. I-blade nayo ine-anti-rotation mechanism, ekhusela ukujikeleza kwesikhonkwane ngaphakathi kwe-femur. Isiphelo esikude sesikhonkwane sinendlela yokuvala, evumela ukulungiswa kwe-distal kunye nokuzinza kwe-axial.

4. Iimpawu zoTyando lwePFNA

I-PFNA ye-intramedullary nail isetyenziselwa ngokukodwa unyango lwe-intertrochanteric engazinzanga kunye ne-subtrochanteric hip fractures. Ikwasetyenziselwa unyango lwezinye iifractures zentamo ye-femoral. Isigqibo sokusebenzisa iPFNA intramedullary nail surgery ixhomekeke kwizinto ezahlukeneyo ezifana nobudala besigulane, umgangatho wamathambo, uhlobo lokwaphuka, kunye nokukhethwa kogqirha.

5. ITekhnoloji yoTyando lwePFNA Intramedullary Nailing

Ubuchule botyando be-PFNA intramedullary nailing ibandakanya amanyathelo aliqela. Inkqubo ngokuqhelekileyo yenziwa phantsi kwe-anesthesia jikelele okanye yomgogodla. Isigulane sibekwe kwitafile yokuphuka, kwaye i-fluoroscope isetyenziselwa ukukhokela ukufakwa kwesikhonkwane.Ubuchule botyando be-PFNA intramedullary nailing ibandakanya amanyathelo amaninzi. Inkqubo ngokuqhelekileyo yenziwa phantsi kwe-anesthesia jikelele okanye yomgogodla. Isigulane sibekwe kwitafile yokuphuka, kwaye i-fluoroscope isetyenziselwa ukukhokela ukufakwa kwezikhonkwane. Indlela yokuhlinzwa ibandakanya i-incision encinci eyenziwe phezu kwe-trochanter enkulu, evumela ukufikelela kwi-femur esondeleyo. Olu cingo lwesikhokelo lufakwa ngokusikeka luze lugqithiselwe kumjelo we-femoral phantsi kwesikhokelo se-fluoroscopic. I-proximal canal ye-femoral emva koko iphinda iphindwe kubukhulu obufanelekileyo, kwaye i-PFNA intramedullary nail ifakwe. I-helical blade ifakwe kwintloko ye-femal, kwaye indlela yokukhiya ibandakanyeka kwi-distal femur ukubonelela ukuzinza kwe-axial.

6. Ukhathalelo lwasemva kotyando emva koTyando lwePFNA

Emva kotyando lwezikhonkwane lwe-PFNA lwe-intramedullary, isigulane sihlala sihlala siphumle ebhedini iintsuku ezimbalwa. Ilungu elichaphazelekayo lingenakushukunyiswa ngeplanga okanye ukuphoswa iiveki ezininzi ukukhuthaza ukuphiliswa. Isigulane sicetyiswa ukuba sigweme imisebenzi enzima kwiinyanga ezimbalwa ukuvumela ukuphilisa ngokufanelekileyo. Unyango lomzimba ludla ngokuqalwa kwangoko ukuze kuphuculwe uluhlu oludibeneyo lwentshukumo kunye namandla emisipha.

7. Iingxaki kunye noLawulo lwePFNA

Njengayo nayiphi na inkqubo yotyando, i-PFNA intramedullary nailing inomngcipheko kunye neengxaki ezinokubakho. Ezi ngxaki zibandakanya usulelo, ukungaphumeleli kokufakelwa, ukwenzakala kwemithambo-luvo, ukwenzakala komthambo wegazi, kunye nokungabikho komanyano. Nangona kunjalo, umlinganiselo wengxaki yePFNA intramedullary nailing iphantsi. Ukulawulwa kwezi ngxaki ngokuqhelekileyo kubandakanya utyando oluhlaziyiweyo okanye unyango olulondolozayo, ngokuxhomekeke kubunzima bengxaki.

8. PFNA vs. Ezinye Izikhonkwane ze-Intramedullary

Xa kuthelekiswa nezinye iintlobo zezikhonkwane ze-intramedullary, i-PFNA intramedullary nail ineenzuzo ezininzi. Enye yeenzuzo ezibalulekileyo zesikhonkwane se-PFNA yindlela yokuchasana nokujikeleza, ebonelela ngokuzinza okujikelezayo kwintloko ye-femal. Ikwavumela ukwabelana ngomthwalo phakathi kwesikhonkwane kunye nethambo, ukunciphisa umngcipheko wokungaphumeleli kokufakelwa. I-PFNA isikhonkwane nayo ilula ukuyifaka kwaye inomngcipheko ophantsi weengxaki.

9. Izinto ezilungileyo zePFNA Intramedullary Nailing

I-PFNA intramedullary nailing ineengenelo ezininzi kunezinye iindlela zotyando lokunyanga ukophuka kwenyonga. Enye yeenzuzo eziphambili kukusebenza kwayo ekuphatheni i-intertrochanteric engazinzanga kunye ne-subtrochanteric hip fractures. Isikhonkwane sePFNA sikwavumela ukuhlanganiswa kwangoko kunye nokuhlala esibhedlele ixesha elifutshane xa kuthelekiswa nezinye iindlela zotyando. Kwakhona kunomngcipheko ophantsi wokungaphumeleli kokufakelwa kwaye unikeze iziphumo ezilungileyo zokusebenza.

10. Izinto ezingeloncedo kwi-PFNA Intramedullary Nailing

Ngelixa i-PFNA intramedullary nailing ineengenelo ezininzi, ikwanazo nezinto ezingeloncedo. Enye yezinto ezingeloncedo ziphambili kumngcipheko onokuthi ubekho weengxaki, ezinjengokusilela kokufakelwa, usulelo, kunye nokwenzakala kwemithambo-luvo. Isikhonkwane sePFNA sikwabiza kakhulu xa kuthelekiswa nezinye iindlela zotyando.

11. PFNA I-Intramedullary Nail Outcomes kunye neeReyithi zeMpumelelo

Uphononongo lubonise ukuba i-PFNA intramedullary nailing ineziphumo ezilungileyo kunye namazinga okuphumelela ekunyangeni i-hip fractures. Amazinga empumelelo ye-PFNA yokubethelela asuka kwi-70% ukuya kwi-90%, eneziphumo ezilungileyo zokusebenza ezichazwe kwiimeko ezininzi. Isikhonkwane se-PFNA sinezinga eliphantsi lotyando oluhlaziyiweyo kunye nokusilela kokufakelwa.

12. PFNA kwizigulane zeGeriatric

Ukuqhekeka kwe-Hip kuxhaphake kakhulu kubemi abalupheleyo, kwaye i-PFNA intramedullary nailing iye yavela njengendlela yotyando edumileyo yokunyanga i-hip fractures kwizigulana ezikhulileyo. Isikhonkwane se-PFNA sibonakaliswe ukuba sineziphumo ezilungileyo kulo luntu, kunye nezinga eliphantsi leengxaki kunye nokuhlala esibhedlele esifutshane.

13. Uphuhliso Lwekamva

I-PFNA isikhonkwane se-intramedullary iye yafumana utshintsho oluninzi ukususela ekuqalisweni kwayo, ngenjongo yokuphucula ukusebenza kwayo kunye nokunciphisa imingcipheko yayo. Olunye uhlengahlengiso lubandakanya utshintsho kuyilo lwe-helical blade, ukuphuculwa kwendlela yokutshixa, kunye nohlengahlengiso kubude bezikhonkwane kunye nobubanzi. Ukuphuhliswa kwezinto ezintsha, ezifana ne-titanium alloys kunye ne-biodegradable materials, nazo zihlolwe ukuphucula ukusebenza kwesikhonkwane se-PFNA.

14. Isiphelo

Isishwankathelo, i-PFNA intramedullary nail yindlela yotyando ethandwayo yokunyanga iifractures ze-hip, ngakumbi kubantu abadala. Isikhonkwane sePFNA sibonelela ngeziphumo ezilungileyo, kunye nezinga eliphantsi leengxaki kunye nokuhlala esibhedlele okufutshane. Nangona kunjalo, njengayo nayiphi na inkqubo yotyando, inomngcipheko kunye neengxaki ezinokubakho. Ukuphuhliswa kwezinto ezintsha kunye nokuguqulwa kuyilo lwezikhonkwane kuya kuphucula ukusebenza kwe-PFNA nail kwixesha elizayo.

Ii-FAQs

1. Yintoni i-PFNA intramedullary nail?

   I-PFNA intramedullary isikhonkwane sisifakelo sotyando esisetyenziselwa ukunyanga i-hip fractures. Ifakwe kwi-femoral canal kwaye inika uzinzo kwintloko ye-femal.

2. Ifakwa njani i-PFNA intramedullary nail?

   I-PFNA intramedullary nail ifakwe nge-incision encinci eyenziwe phezu kwe-trochanter enkulu. Intambo yesikhokelo ifakwe kwi-femoral canal, kwaye i-canal iphinda iphindwe kubukhulu obufanelekileyo. I-PFNA isikhonkwane ifakwe emva koko, kwaye indlela yokutshixa ibandakanyeka kwi-distal femur.

3. Ziziphi iingenelo ze-PFNA intramedullary nail?

   I-PFNA ye-intramedullary nail ineenzuzo ezininzi, kubandakanywa indlela yokuchasana nokujikeleza, iipropati zokwabelana ngomthwalo, kunye nokulula ukufakwa. Ikwasebenza kakuhle ekunyangeni i-hip fractures engazinzanga kwaye ivumela ukuhlanganiswa kwangaphambili.

4. Zeziphi iingxaki ezinokubakho zePFNA intramedullary nailing?

   Iingxaki ezinokuthi zibekho ze-PFNA intramedullary nailing ziquka usulelo, ukusilela kokufakelwa, ukwenzakala kwemithambo-luvo, ukwenzakala komthambo wegazi, kunye nokungadibaniyo.

5. Lithini izinga lempumelelo yePFNA intramedullary nailing?

   Amazinga empumelelo ye-PFNA intramedullary nailing range ukusuka kwi-70% ukuya kwi-90%, eneziphumo ezilungileyo zokusebenza ezichazwe kwiimeko ezininzi.