Imiba emi-5 ephezulu eshushu yokuphuka kwentamo ye-femoral, oontanga bakho bajongana nale nto!

Ukukhethwa kokulungiswa kwangaphakathi ngokuchasene nokutshintshwa ngokubambisana

Okwangoku, ngokuqhelekileyo kukholelwa ukuba ukulungiswa kwangaphakathi kwesikhonkwane esingenalutho kwi-femoral neck fracture kuneenzuzo zexesha elifutshane lokusebenza, ukuxhatshazwa okuncinci kunye neendleko eziphantsi, kodwa izigulane ezininzi ezisebekhulile zihamba kunye ne-osteoporosis, ngoko ukuzinza kokulungiswa kwangaphakathi kufuneka kuqwalaselwe ngokupheleleyo. Kuba ezingazinzanga femoral izigulana ukwaphuka intamo, kufuneka bahlale ebhedini ixesha elide, kwaye abaphengululi abaninzi bacinga ukuba abanako ubunzima kwangoko, nto leyo echaphazela kakhulu umgangatho wobomi bezigulane. Ukongeza, kukho ithuba lokuqhekeka kwe-nonunion kunye ne-femoral head necrosis.Hip replacement inokusombulula ngokupheleleyo iingxaki eziphambili ze-femoral neck fracture nonunion kunye necrosis ye-avascular yentloko ye-femoral kwizigulane ezikhulileyo, kwaye inokuphepha iingxaki ezifana noxinzelelo olunzima, usulelo lokuphefumla kunye nosulelo lomchamo kangangoko kunokwenzeka.

Ukuphononongwa kwexesha lokuthwala ubunzima emva kokulungiswa kwangaphakathi

Iingxaki zexesha elide zezigulane ezine-femoral neck internal fixation ziyi-nonunion kunye ne-avascular necrosis yentloko ye-femoral. Abanye abaphengululi bakholelwa ukuba imisebenzi yokuthwala ubunzima phakathi kunye nenqanaba lokuqala linempembelelo enkulu kwi-postoperative ye-femoral neck fracture, kwaye ukuhlala ebhedini ixesha elide emva kokusebenza kunokunciphisa ukuvuselela ukuya ekupheleni kokuphazamiseka kunye nokubonelela ngokuzinzile kwendawo yokuphulukisa i-fracture. Ukunciphisa kwangaphambili ngokuchanekileyo, ukulungiswa okuthembekileyo kwangaphakathi, ukunciphisa ukutshatyalaliswa kwegazi kwendawo kunye nokuphuculwa kwe-perfusion yegazi yendawo kunokunciphisa ngokufanelekileyo ukuvela kwe-avascular necrosis yentloko yesifazane emva kokuphuka kwentamo ye-femal.

Ingxoxo ye-Perioperative traction ye-femoral neck fractures

I-Preoperative traction ibisoloko iphikisana. Injongo yayo ephambili kukuphelisa intlungu, ukunciphisa ukunyakaza kwelungu elichaphazelekayo, kunye nokunciphisa amathuba okufuduka okanye ukunyusa ukufuduka ekupheleni kokuphuka. Nangona kunjalo, abanye abantu bacinga ukuba ukutsalwa okungekho ngqiqweni kuya kukhokelela ekwandeni koxinzelelo lwe-capsule edibeneyo, kwaye emva koko kuchaphazele ukunikezelwa kwegazi malunga nentloko ye-femoral, oko kukuthi, 'i-stuffing effect', ngaloo ndlela ukwandisa iziganeko ze-avascular necrosis yentloko ye-femal.

Uphononongo lubonise ukuba ireyithi ye-femoral necrosis ye-femoral yi-27.8% kulabo abangenayo i-over-traction kunye ne-42% kulabo abane-over-traction. Ukongezelela, uphando oluthile luye lwabonisa ukuba ukugcina umlenze ochaphazelekayo kwindawo yokujikeleza engathathi hlangothi ye-30 ye-flexion ye-hip joint, i-30 ye-knee edibeneyo kunye ne-10 yokuxutywa ngexesha lokutsalwa kunokunciphisa uxinzelelo kwi-hip joint cavity kunye nokwandisa ukunikezelwa kwegazi kwintloko ye-femal. Ngenxa yesi sizathu, kukho iingxelo zeklinikhi ukuba i-tuberosity traction ye-tibial iqhubekile kwiiveki ze-3 emva kokulungiswa kwesikhonkwane esingenanto, kwaye ubunzima be-traction yi-1.5kg, ukwenzela ukuba kugcinwe umlenze ochaphazelekayo kwindawo yokujikeleza engathathi hlangothi ye-30 ye-flexion ye-hip joint, i-30 ye-knee joint kunye ne-10 abduction.

Ukhetho phakathi kokutshintshwa kwe-hip epheleleyo kunye nokutshintshwa kwentloko ye-femal

Ukutshintshwa kwe-hip epheleleyo yindlela yokuhlinzwa esebenzisa i-prosthesis yokufakelwa ukuba ithathe indawo ye-tishu ye-hip eyonakeleyo, eyisombulula ngokufanelekileyo iingxaki ze-femoral neck fracture kubantu abadala, njenge-fracture nonunion kunye ne-necrosis yentloko ye-femoral ebangelwa ukuphazamiseka kwegazi kunye ne-osteoporosis. Nangona kunjalo, ngenxa yenkqubo yokusebenza enzima, ixesha elide lokusebenza kunye nokwenzakala okukhulu kotyando, umngcipheko wokusebenza kwizigulane ezisele zikhulile uphezulu, kwaye kukho izinga elithile lokuchithwa ngokubambisana emva kokusebenza.

Ukutshintshwa kwentloko ye-femoral yokwenziwa ngokufanelekileyo kunokunciphisa ngokufanelekileyo ukuxhatshazwa kokuhlinzwa kunye nokunciphisa ixesha lokubuyisela emva kokusebenza kwezigulane, kodwa kukho iingxaki ezifana nokugqoka i-acetabular kwixesha elide, eliya kuchaphazela umsebenzi we-hip postoperative wezigulane.

Ukukhethwa kweeprostheses ezenziwe ngesamente ngokuchasene nebhayoloji

Izigulana ezisele zikhulile zihlala zintsonkothile nge-osteoporosis, ngoko ke kusekho impikiswano malunga nokuba kukhethwe ithambo lesamente ye-femoral prosthesis okanye i-biological femoral prosthesis.

I-samente ye-Bone inokunika amandla okuluma kakuhle kwinqanaba lokuqala, kwaye iyakwazi ukulungelelanisa kwi-femoral medullary cavity kunye nethambo elibi, ukwenzela ukuba izigulane ezisebekhulile zikwazi ukubuyisela umsebenzi odibeneyo we-hip ngaphambili kwaye unciphise ukuvela kwezinye iingxaki zenkqubo. Nangona kunjalo, kuye kwaxelwa ukuba i-syndrome ye-bone Cement implantation syndrome inokuthi yenzeke ngexesha lokusebenza kwe-bone sement prosthesis, okubangela ukufa okuphezulu ngexesha nangemva kokusebenza, ngakumbi kwizigulane ezine-cardiopulmonary dysfunction ngaphambi kokusebenza, kunye nokuhlaziywa kwexesha elide kunzima.

I-Biological prosthesis inokuphepha i-bone Cement implantation syndrome kunye nokunciphisa ixesha lokusebenza. Nangona kunjalo, i-biological femoral prosthesis idinga ukuba i-prosthesis handle kufuneka ihambelane kakuhle kunye ne-metaphysis kunye ne-medullary cavity ye-femoral shaft, kungenjalo iya kukhokelela ekukhululweni nasekuzikeni kwe-prosthesis kwixesha elizayo okanye kwixesha elide, ngakumbi i-Dorr C itshimini ye-femoral cavity, ejongene neengxaki kunye ne-medulastic emva kokusebenza emva kokuphazamiseka.

Malunga CZMEDITECH

Iqhutywa lukholo lokuba wonke umntu kwesi sijikelezi-langa ufanelwe yinkonzo yezempilo engcono. I-CZMEDITECH isebenza ngokuzimisela ukunceda abanye baphile ngokungoyiki. Siyazingca xa izigulana eziye zaxhamla kakhulu kwaye zinobomi obungcono ngenxa yeemveliso zethu kunye neenyawo zethu ziye zanda zaya kutsho kumazwe angaphezu kwama-70, apho izigulana, oogqirha kunye namaqabane ngokufanayo axhomekeke kuwo. CZMEDITECH ukuqhubela phambili. Zonke izifakelo zamathambo ezenziwe sithi zidibana nemigangatho ephezulu yomgangatho.

Saqala uhambo olungaqhelekanga kunye nokufakelwa kwamathambo kwiminyaka eyi-13 eyadlulayo. Kwinkqubo, umgca wemveliso uye wahlulwa waba yi-implants umqolo, ukwenzakala, i-cranial-maxillofacial, iprosthesis, izixhobo zombane, izilungisi zangaphandle, arthroscopy kunye ukhathalelo lwezilwanyana , kunye ne izixhobo ezisetyenziswa kwiinkqubo zotyando ezinxulumeneyo.

Zonke izixhobo zethu ezikrwada zivela kubaboneleli abakumgangatho ophezulu basekhaya nakwamanye amazwe. Xa kuziwa kumgangatho, asize sigcine iindleko kuthumo lwethu lokuhlala inyathelo elingaphambili, nto leyo esithe sayimisela eyethu ilebhu yovavanyo ukuqinisekisa umgangatho wemathiriyeli ekrwada. Bonke oomatshini bethu bokuvelisa bathunyelwa bevela e-USA, eJamani, eJapan kunye neemveliso eziphezulu zasekhaya ukuqinisekisa ukuchaneka kwayo yonke imveliso esiyenzileyo.

Ixesha elininzi kunye nomzamo utyalwe kuphando lophuculo kunye nokunyuswa kwemveliso yokugqibela. Sineqela lophando lobuchwephesha, iqela lemveliso kunye neqela le-QC lokuqinisekisa umgangatho obalaseleyo kunye nenkxaso yeqela lethu lokuthengisa ukusombulula zonke iingxaki kunye nokubonelela ngeyona nkonzo ilungileyo emva kokuthengisa.

Sinenzondelelo ngokholo lwethu, sihlala sityhala imida yolwazi lwethu lokubonelela ngezisombululo zemveliso ezikumgangatho ophezulu kubo bonke abathengi bethu kwihlabathi liphela kwaye senza iinzame ezingagungqiyo kwimpilo yabantu.