Case Overview
Kungekudala, iqela le-orthopedic trauma elikhokelwa nguDkt Carlos Rivera kwisibhedlele sikaMasipala saseSanta Rosa eLima, ePeru , igqibe ngempumelelo ukunciphisa okuvaliweyo kunye notyando lokulungiswa kwangaphakathi kwi-fracture ye-intertrochanteric ekhohlo. Isigulane sibonise inkqubela phambili eqhubekayo emva kokusebenza kunye nokukhuthaza ukubuyiswa komsebenzi kwangaphambili.
Eli tyala ligxininisa ukubaluleka kokuxilongwa ngokukhawuleza, ukhetho olufanelekileyo lokufakelwa, kunye neendlela zotyando ezincinci ekulawuleni i-geriatric hip fractures-umngeni okhulayo wekliniki emhlabeni jikelele.
UVavanyo lwangaphambi koTyando kunye nokuThatha iSigqibo soTyando
Emva kokuphonononga ukunikezelwa kweklinikhi yesigulane, ukufunyaniswa kwe-X-ray, i-comorbidities, kunye nesimo sokusebenza ngokubanzi, uGqirha oyiNtloko uDkt Rivera ugqibe kwelokuba ukunciphisa okuvaliweyo kunye nokulungiswa usebenzisa i-Intertan Intramedullary Nail iya kubonelela ngesona sisombululo sizinzileyo kunye ne-biomechanically.
Isigqibo sasisekelwe kwimfuno yokuba:
Ukuphuculwa kokumelana namandla ajikelezayo
Ukulungiswa okusondeleyo okunamandla kunye nokuqina
Uxinzelelo olulawulwayo kwindawo yokuphuka
Ufakelo olungenelelayo oluncinci ukunciphisa umonzakalo wotyando
Oku kubaluleke kakhulu kwizigulane ezisele zikhulile, apho ukuhlanganiswa kwangaphambili kunokuphucula kakhulu iziphumo kunye nokunciphisa iingxaki ezifana ne-pneumonia, thrombosis, kunye nokungahambi ixesha elide.
Isishwankathelo seCase
Isigulane, uNksz Ana Marisol Vásquez , ibhinqa elineminyaka engama-82 ubudala kunye nembali yonyango ye- hypertension ye-arterial , ihanjiswe esibhedlele emva kokuwa kwekhaya. Wachaza intlungu enzima ye-hip ekhohlo kunye nokungakwazi ngokupheleleyo ukuthwala ubunzima.
Uvavanyo lomzimba luveze:
Ukukhubazeka okubonakalayo malunga ne-hip yasekhohlo
Uluhlu olulinganiselweyo lwentshukumo
Ubumnene kwindawo ye-intertrochanteric
Ulungelelwaniso lwelungu elingaphantsi elingaqhelekanga
I-Radiographic imaging iqinisekisile i-fracture ye-intertrochanteric efudukayo , efuna ukungenelela ngexesha lotyando ukuze kubuyiselwe uzinzo kunye nokuhamba.
Ukufanekisa kwangaphambili
I-X-reyi yangaphambi kokuhlinzwa ebonisa ukwaphuka kwe-intertrochanteric eshiyekileyo kwisigulane esikhulileyo, eLima Peru
Umfanekiso wasemva kotyando
![I-X-reyi yasemva kotyando emva kokulungiswa kwe-Intertan Intramedullary Nail yokwaphuka kwe-intertrochanteric yasekhohlo-czmeditech]( "Postoperative X-ray after Intertan Intramedullary Nail fixation of left intertrochanteric fracture-czmeditech")
I-X-reyi yasemva kotyando ebonisa ukulungiswa kwe-Intertan Intramedullary Nail yokwaphuka kwe-intertrochanteric ngasekhohlo, ePeru
IsiShwankathelo sotyando
Ngexesha utyando, Dr. Rivera waphawula ukuba I-CZMEDITECH Intertan Intramedullary Nail ibonelele ngozinzo oluphezulu lwe-biomechanical kunye nokufakelwa kakuhle.
Iinzuzo eziphambili eziphawulweyo ziquka:
1. Izinto eziluncedo zeBiomechanical
Izikrufu ezimbini ze-cephalocervical zomeleza ukuxhathisa okujikelezayo
Ukuphuculwa koxinzelelo lwe-axial kumgca wokuqhekeka
Ukulungiswa okuzinzileyo kunciphisa imingcipheko yokuwa kwevarus
Kwanokusasazwa kwamandla okukhuthaza ukuphiliswa kwamathambo
2. IiNzuzo zoyilo
Incam yesikhonkwane ephothiweyo kunye nepolishiwe yavumela ukufakelwa ukuba kutyibilike kumjelo we-medullary ngokuxhathisa okuncinci, ukunciphisa ukwenzakala kwezicubu.
Amandla aphezulu e-titanium alloy cephalic screws aqinisekisa ukugqwesa kwe-biocompatibility kunye nokuqina kwexesha elide.
3. Isixhobo Setha Ukusebenza
Iseti yesixhobo esizinikeleyo se-Intertan ibonelele:
Indlela echanekileyo yokubeka i-guidewire
Ukuhlaziywa okugudileyo kunye nokufakwa kwezikhonkwane
Ithagethi echanekileyo yokubeka isikrufu
Ixesha elifutshane lokusebenza
Ukunciphisa ukubonakaliswa kwe-fluoroscopy
Oku kuququzelele ukucutha okuzinzileyo kunye nokulungiswa okuthembekileyo, ukuhlangabezana neemfuno ze-biomechanical zepateni yokwaphuka.
IiNkcazo zoMhlobiso
Utyando lusebenzise inkqubo ye-CZMEDITECH Intertan Intramedullary Nail kunye neseti yayo edibeneyo yesixhobo.
![I-CZMEDITECH Intertan Intramedullary Nail enezikrufu ezimbini ze-cephalocervical]( "CZMEDITECH Intertan Intramedullary Nail with dual cephalocervical screws")
I-Intertan Intramedullary Nail
IiNkcazo zoMhlobiso
![Isixhobo esihlanganisiweyo se-Intertan Intramedullary Nail sivela kwi-CZMEDITECH]( "Intertan Intramedullary Nail integrated instrument set from CZMEDITECH")
Ukuba ufuna ukufunda ngakumbi malunga neli tyala lotyando okanye uphonononge iinkcukacha ezipheleleyo ze-Intertan Intramedullary Nail system, nceda uzive ukhululekile ukuqhagamshelana nathi. Iqela lethu liya kukubonelela ngenkxaso yezobugcisa kunye neempendulo zobungcali.→
Inkqubela emva kokusebenza
Emva kokulungiswa, isigulane saqala ngokukhawuleza ukuncedisa ukuhlanganiswa. Iintlungu zaye zakhululeka kakhulu, ukulungelelaniswa kwemilenze kwabuyiselwa, kwaye i-radiographs elandelwayo iqinisekisa ukufakwa okuzinzileyo kokufakelwa kunye neempawu zokuphulukisa ukuphuka okuqhubekayo.
Eli tyala libonisa ukuba inkqubo ye-Intertan inikeza ukulungiswa okuthembekileyo kunye neziphumo ezithandekayo kwizigulane ezisebekhulile-kwanazo zine-osteoporosis.
Ukuzihlangula
Onke amagama ezibhedlele, amagama kagqirha, kunye neenkcukacha zesigulana ezisetyenziswe kule ngxelo zizifaniso zeenjongo zokubonisa kuphela.
FAQ
1. Kwakutheni ukuze kukhethwe i-Intertan Intramedullary Nail kule intertrochanteric fracture ePeru?
Isigulana sasingumfazi oneminyaka engama-82 ubudala onomgangatho olinganiselwe wamathambo kunye nokwaphuka kwe-intertrochanteric ekhohlo. I-Intertan Intramedullary Nail inika idizayini edibeneyo ye-cephalomedullary kunye nezikrufu ezimbini ze-cephalocervical, ibonelela ngokuzinza okujikelezayo okuqinileyo kunye noxinzelelo olulawulwayo kwindawo yokuphuka, ekulungele ukuhlanganiswa kwangaphambili kwizigulane ze-geriatric hip fracture.
2. Ziziphi iingenelo eziphambili ze-CZMEDITECH Intertan Intramedullary Nail kule meko?
I-CZMEDITECH Intertan Intramedullary Nail idibanisa i-screws ezimbini ze-cephalocervical kunye ne-tapered kunye ne-polished nail tip. Olu luyilo lonyusa ukugudisa ukudlula kumjelo we-medullary, lunciphisa umonakalo wezicubu ezithambileyo, luphucula ukuxhathisa ukufakwa kokutyalwa, kwaye lunceda ukufezekisa umanyano oluthembekileyo lwamathambo kwiifractures ezingazinzanga ze-intertrochanteric.
3. Isixhobo esihlanganisiweyo esisetiweyo saluxhasa njani utyando kwisibhedlele sikaMasipala saseSanta Rosa?
Isixhobo esizinikezeleyo se-Intertan Intramedullary Nail esetwe kwi-CZMEDITECH sibonelela ngezikhokelo ezichanekileyo, izixhobo zokuphinda zihlaziywe kunye nezixhobo ekujoliswe kuzo. Olu yilo luhlanganisiweyo lwenze lula amanyathelo otyando, lwaqinisekisa ukufakwa kwesijiva esichanekileyo phantsi kwe-fluoroscopy kwaye negalelo ekuhambeni komsebenzi wotyando ococekileyo kwiqela likaGqr. Carlos Rivera.
4. Sasiyintoni isiphumo sasemva kokuhlinzwa kwesi sigulana sikhulileyo saseLima?
Emva kokunciphisa okuvaliweyo kunye ne-Intertan Intramedullary Nail fixation, isigulane siphumelele ukulungiswa kwe-fracture ezinzileyo kunye nokubuyisela kwangaphambili ukusebenza. Iintlungu zaye zakhululeka kakhulu, ukulungelelaniswa kwemilenze kwabuyiselwa kwaye ukulandelwa kwe-imaging kuqinisekisile indawo efanelekileyo yokufakelwa kunye nokuphulukiswa kwe-fracture okuqhubekayo.
5. Ngaba i-Intertan Intramedullary Nail ifanelekile kwezinye iintlobo ze-hip fractures?
I-Intertan Intramedullary Nail ibonakaliswe ngokukodwa kwi-fractures ye-intertrochanteric ezinzile kwaye engazinzanga kunye ne-subtrochanteric fractures ye-femur. Uyilo lwayo lwe-cephalomedullary luvumela ukuba ijongane neepatheni eziyinkimbinkimbi zokuphuka kwe-femoral, kodwa isalathiso sokugqibela kufuneka sihlolwe ngugqirha wamathambo ngokwe-anatomy yesigulane ngasinye kunye nomgangatho wamathambo.
6. Ukulungiswa kwe-screw kabini ye-cephalocervical kuphucula njani ukuzinza kwi-intertrochanteric fractures?
Izikrufu ezimbini ze-cephalocervical screws zonyusa indawo yokunxibelelana kwintloko ye-femoral kunye nentamo, ukuphucula ulawulo lokujikeleza kunye nokuwa kwe-varus kunye nokuvumela ukunyanzeliswa okulawulwayo kumgca wokuphuka. Oku kunceda ukugcina ukunciphisa kunye nokunciphisa umngcipheko wokufakelwa kwe-implant cut-out okanye ukulahleka kokulungiswa kwithambo le-osteoporotic.
7. Ziziphi izinto ezisetyenziselwa izikrufu ze-cephalic kwi-CZMEDITECH Intertan system?
Izikrufu ze-cephalic kwi-CZMEDITECH Intertan Intramedullary Nail system zenziwe nge-alloy titanium alloy. Esi sixhobo sibonelela nge-biocompatibility egqwesileyo, ukuxhathisa ukubola kunye namandla okudinwa kwexesha elide, ukunciphisa umngcipheko wokunxitywa kokufakelwa kade okanye ukusabela kakubi.
8. Ngaba i-CZMEDITECH ingabonelela ngeesayizi ezilungiselelweyo okanye iiseti ezipheleleyo zabasasazi kunye nezibhedlele?
Ewe. I-CZMEDITECH inikeza uluhlu olupheleleyo lwe-Intertan Intramedullary Nails kunye nezixhobo ezihambelanayo. Ngokwemfuno yeklinikhi yendawo, abasasazi kunye nezibhedlele banokukhetha ubungakanani obuqhelekileyo okanye baxoxe ngeenkcukacha ezilungiselelweyo kunye nokuseta ulungelelwaniso ukuhlangabezana neemfuno zabo zotyando lokwenzakala kwamathambo.
9. Ziziphi iingqalelo ze-perioperative ezibalulekileyo kwizigulane ezisebekhulile ezine-intertrochanteric fractures?
Kwizigulana ezisele zikhulile, kubalulekile ukulawula ukugula okunje ngoxinzelelo lwegazi, ukonyusa umngcipheko wokuthomalalisa iintlungu, ukunciphisa umonzakalo wotyando kwaye uqalise ukuhlanganisa kwangethuba phantsi kokhuseleko. Ukulungiswa kwangaphakathi okuzinzile kunye ne-Intertan Intramedullary Nail ixhasa ubunzima bokuqala kwaye inceda ukunciphisa iingxaki ezinxulumene nokuphumla kwebhedi ixesha elide.
10. Le meko yasePeruvia inokuxhasa njani abathengi bamazwe ngamazwe abavavanya izisombululo ze-CZMEDITECH ze-hip fracture?
Le Lima, icala lasePeru libonisa ukuba i-CZMEDITECH Intertan Intramedullary Nail inokubonelela ngokulungiswa okuthembekileyo kunye neziphumo ezilungileyo kwiinkqubo zangempela zeklinikhi. Kubasasazi bamazwe ngamazwe kunye nezibhedlele, iingxelo ezinjalo zehlabathi zinceda ukwakha ukuzithemba ekusebenzeni kwemveliso, umgangatho wezixhobo kunye nenkxaso yobugcisa evela kwi-CZMEDITECH.
