UReverse Femoral Nail

Iinkcukacha zokusebenza kwemveliso ividiyo

I-CZMEDITECH iguqulelwe isikhonkwane seFemoral

Intshayelelo

Iziganeko zokwaphuka kwindawo esondeleleneyo ye-femoral ziye zanda ngokunyuka kwamanani abantu abadala abane-osteoporosis kunye neengozi zendlela kubantu abadala abaselula.

Iifractures malunga nommandla we-trochanteric zihlelwa ngokwenkqubo yokuhlelwa kwe-Orthopedic Trauma Association njenge-AO / OTA 31-A, echaza njenge-extracapsular fractures ye-hip. Ezi zaphuka zahlulwe ngokwamaqela A1, A2 kunye A3. Iifractures ze-A1 zilula, iifractures ezimbini, kanti i-A2 fractures inamaqhekeza amaninzi. Ukuqhekeka kwe-A3 kubandakanya i-oblique ebuyela umva kunye neepateni zokuqhekeka ezinqamlezileyo.

Kukho iintlobo ezimbini eziphambili zokufakelwa okukhoyo kunyango lwezi fractures, ezizezi, i-extramedullary kunye ne-intramedullary implants [1-3]. Nangona i-extramedullary implant esetyenziswa kakhulu yi-screw hip eguquguqukayo, equkethe i-sliding neck screw edityaniswe kwipleyiti kwi-lateral femoral cortex, abaninzi ababhali baye baxela ukuba esi sixhobo asifanelekanga kwi-AO / OTA 31-A3 i-oblique eguqukayo okanye i-fractures enqamlekileyo ngenxa yeziganeko eziphezulu zokungaphumeleli ukulungiswa. Ngaloo ndlela, unyango lwezi fractures ze-femoral ezingazinzanga zisengumngeni, kwaye iingxelo zeklinikhi malunga ne-intramedullary hip nailing for reverse obliquity intertrochanteric fractures zimbalwa ngenani.

Isikhonkwane seFemoral esibuyiselwe umva: Isikhokelo esiBanzi

Kutyando lwamathambo, ukuphuka kwe-femal fractures yinto eqhelekileyo. Izikhonkwane ze-Femoral zihlala zisetyenziselwa ukulungisa iifractures ezinjalo. Isikhonkwane se-femoral esibuyiselweyo yindlela entsha kunye nentsha yokulungisa iifractures, ngakumbi kwizigulane ezisele zikhulile. Kweli nqaku, siza kuxubusha yonke into ekhoyo malunga nezikhonkwane ze-femoral ezibuyiselwe umva, kubandakanywa iinzuzo zabo, izibonakaliso, kunye neengxaki ezinokuthi zibe khona.

Yintoni Nail Reversed Femoral?

Isikhonkwane se-femoral esiguquliwe sisixhobo samathambo esisetyenziselwa ukunyanga i-femoral fractures. Bubuchule obutsha obubandakanya ukufaka isikhonkwane ukusuka ezantsi kwe-femur ukuya phezulu, okuchasene nendlela eqhelekileyo. Isikhonkwane sifakwe nge-incision encinci kwi-joint joint and fixed endaweni usebenzisa izikrufu kuzo zombini iziphelo.

Izibonakaliso zeZikhonkwane zeFemoral ezibuyiselwe umva

Ubuchwephesha obujikisiweyo besikhonkwane se-femoral buluncedo ngakumbi kwiimeko ezithile, ezinje:

• Izigulana ezisele zikhulile zinamathambo abuthathaka

• Izigulane ezine-distal femoral fracture

• Izigulane ezine-subtrochanteric fracture

• Izigulane ezinokwaphuka kwingingqi ye-metaphyseal

Kule meko, ubuchule besikhonkwane be-femoral obungatshintshiyo bunokuba yinto engcono kuneendlela eziqhelekileyo.

Iingenelo zezikhonkwane zeFemoral ezibuyiselwe umva

Izikhonkwane zesifazane eziguqulwayo zibonelela ngeenzuzo ezininzi kwiindlela eziqhelekileyo. Ezi ziquka:

• Ukuncipha kwegazi ngexesha lotyando

• Ukwenzakala okuncinci kwizicubu ezithambileyo ezijikelezileyo

• Intlungu encinci kunye nexesha lokubuyisela ngokukhawuleza

• Umngcipheko ophantsi wosulelo

• Ukunciphisa umngcipheko wokungabikho komanyano (imeko apho ithambo lihluleka ukuphilisa ngokufanelekileyo)

Inkqubo yeZikhonkwane eziBuyiswayo

Inkqubo yesikhonkwane ye-femoral ebuyiselweyo iyafana notyando lwezikhonkwane oluqhelekileyo lwe-femoral, kunye neeyantlukwano ezimbalwa eziphambili. Utyando lwenziwa phantsi kwe-anesthesia jikelele, kwaye isigulane sibekwe emhlane kunye nemilenze yabo ephakamileyo.

Iqela lotyando liza kwenza i-incision encinci ngaphezu kwedolo elidibeneyo kwaye lifake ucingo lwesikhokelo edolweni ukuya kwi-femur. Ucingo lwesikhokelo luya kusetyenziswa ukukhokela isikhonkwane endaweni. Isikhonkwane sifakwe kwijoyinti yedolo ukuya phezulu kwi-femur, kunye nezikrufu ezibekwe kuzo zombini iziphelo ukuze zibambe endaweni.

Iingxaki zezikhonkwane zeFemoral ezibuyiselwe umva

Njengazo zonke iinkqubo zotyando, izikhonkwane ze-femoral ezibuyiselwe umva zithwala imingcipheko ethile. Ezi ziquka:

• Usulelo kwindawo yotyando

• Ukuqhekeka kwe-femur ngexesha lotyando

• Ukonakala kwemithambo-luvo

• Ukonakala kwemithambo yegazi

• Ukungaphumeleli kwethambo ukuphilisa ngokufanelekileyo

Izigulana eziye zatyhubela inkqubo yezikhonkwane ze-femoral kufuneka zibeke esweni ukubuyiswa kwazo ngokusondeleyo kwaye zixele naziphi na iimpawu ezingaqhelekanga kugqirha wazo ngokukhawuleza.

Ukubuyiselwa kwiZikhonkwane zeFemoral ezibuyiselwe umva

Ukubuyiswa kwenkqubo yesikhonkwane ye-femoral eguqulweyo kufana nokuchacha kwi-femoral nail operation yesiqhelo. Izigulane zinokufumana intlungu kunye nokudumba kwindawo yotyando, enokulawulwa ngamayeza eentlungu kunye nokuphumla. Izigulane ziya kufuna ukusebenzisa iintonga okanye umntu ohambahambayo ixesha elide emva kokuhlinzwa ukuze ugweme ukubeka ubunzima emlenzeni ochaphazelekayo.

Izigulane kufuneka zilandele imiyalelo kagqirha ngononophelo ukuqinisekisa ukuchacha ngokupheleleyo nangokukhawuleza.

IiFAQ ezibuyiselwe umva weFemoral Nail

1. Liliphi ixesha lokubuyisela inkqubo yesikhonkwane se-femal reverse?

   Ixesha lokubuyisela liyahluka ngokuxhomekeke kwisigulane kunye nobungakanani botyando, kodwa izigulane ezininzi zinokulindela ukubuyela kwimisebenzi eqhelekileyo kwiiveki ze-6-12.

2. Ngaba inkqubo yesikhonkwane se-femoral ebuyisiweyo ibuhlungu?

   Kusenokubakho iintlungu kunye nokungonwabi emva kotyando, kodwa oku kunokulawulwa ngamayeza eentlungu.

3. Ngaba ukho umntu onenkqubo yezikhonkwane ze-femoral ebuyiselwe umva?

   Hayi, inkqubo yesikhonkwane ye-femoral eguqulwayo ayifanelekanga kuzo zonke izigulane. Ugqirha wakho uya kuvavanya iimeko zakho ukuze abone ukuba yeyona nto ingcono kuwe.

4.  Ingaba isikhonkwane se-femoral esibuyiselwe umva sihlala ixesha elingakanani?

   Isikhonkwane sihlala sishiywe kwindawo yeenyanga ezi-6-12 ukuvumela ithambo ukuba liphile kakuhle.

5. Ngaba isikhonkwane se-femoral esibuyiselwe umva singasuswa?

   Ewe, isikhonkwane sinokukhutshwa xa ithambo selipholile. Ugqirha wakho uya kuvavanya ukuba ukususwa kuyimfuneko kwaye axoxe ngeengozi kunye neenzuzo kunye nawe.

Ukuqukumbela

Izikhonkwane ze-femoral eziguqulwayo zibonelela ngeenzuzo ezininzi ngaphezu kweendlela eziqhelekileyo zokulungisa iifractures ze-femoral. Ubuchwephesha buluncedo kakhulu kwizigulana ezisele zikhulile okanye ezo zineentlobo ezithile zokwaphuka. Ngelixa kukho iingxaki ezinokubakho ezinxulumene nenkqubo, iinzuzo zihlala ziyodlula imingcipheko. Izigulane eziye zatyhubela inkqubo yezikhonkwane ze-femoral kufuneka zilandele imiyalelo kagqirha ngononophelo ukuze ziqinisekise ukuchacha ngokupheleleyo nangokukhawuleza.

Isishwankathelo, isikhonkwane se-femoral esibuyiselweyo yindlela entsha kunye nentsha yokulungisa iifractures ze-femoral ezinikezela ngeenzuzo ezininzi kwiindlela eziqhelekileyo. Ukuba ufumana ukwaphuka kwe-femoral, thetha nogqirha wakho ukuze abone ukuba ubuchule besikhonkwane obubuyisiwe bukulungele na.