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 kwekliniki yesigulane, ukufunyaniswa kwe-X-ray, i-comorbidities, kunye nesimo somsebenzi jikelele, uGqirha oyiNtloko uGqr Rivera ugqibe kwelokuba ukunciphisa okuvaliweyo kunye nokulungiswa kusetyenziswa i-Intertan Msumari wa ndani ya mfupa iya kubonelela ngesona sisombululo sizinzile 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 nenyumoniya, i-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
Imifanekiso yasemva kotyando
![I-X-reyi yasemva kotyando emva kwe-Intertan Msumari wa ndani ya mfupa ukulungiswa kwe-intertrochanteric fracture-czmeditech yasekhohlo]( "Postoperative X-ray after Intertan Intramedullary Nail fixation of left intertrochanteric fracture-czmeditech")
I-X-reyi yasemva kokuhlinzwa ebonisa i-Intertan Msumari wa ndani ya mfupa ukulungiswa kokwaphuka kwe-intertrochanteric ekhohlo, ePeru
IsiShwankathelo sotyando
Ngexesha utyando, Dr. Rivera waphawula ukuba CZMEDITECH I-Intertan Msumari wa ndani ya mfupa inike uzinzo oluphezulu lwe-biomechanical kunye nokufakelwa okugudileyo.
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 Msumari wa ndani ya mfupa kunye neseti yayo edibeneyo yesixhobo.
![CZMEDITECH I-Intertan Msumari wa ndani ya mfupa enezikrufu ezimbini ze-cephalocervical]( "CZMEDITECH Intertan Intramedullary Nail with dual cephalocervical screws")
Intertan Msumari wa ndani ya mfupa
IiNkcazo zoMhlobiso
![I-Intertan Msumari wa ndani ya mfupa isixhobo esihlanganisiweyo sisetiwe ukusuka CZMEDITECH]( "Intertan Intramedullary Nail integrated instrument set from CZMEDITECH")
Ukuba ufuna ukufunda ngakumbi malunga neli tyala lotyando okanye ujonge iinkcukacha ezipheleleyo zenkqubo yethu ye-Intertan Msumari wa ndani ya mfupa , nceda uzive ukhululekile ukuqhagamshelana nathi. Iqela lethu liya kukubonelela ngenkxaso yezobuchwepheshe eneenkcukacha 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 okuzinzile 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 i-Intertan Msumari wa ndani ya mfupa ikhethelwe le intertrochanteric fracture ePeru?
Isigulana sasingumfazi oneminyaka engama-82 ubudala onomgangatho olinganiselwe wamathambo kunye nokwaphuka kwe-intertrochanteric ekhohlo. I-Intertan Msumari wa ndani ya mfupa inikezela ngoyilo oludibeneyo lwe-cephalomedullary kunye ne-screws ezimbini ze-cephalocervical, ukubonelela ngokuzinza okujikelezayo okuqinileyo kunye noxinzelelo olulawulwayo kwindawo yokuphuka, ekulungele ukuhlanganiswa kwangaphambili kwizigulane ze-geriatric hip fracture.
2. Zeziphi iingenelo eziphambili ze CZMEDITECH Intertan Msumari wa ndani ya mfupa kulo mzekelo?
I- CZMEDITECH I-Intertan Msumari wa ndani ya mfupa idibanisa izikrufu ezimbini ze-cephalocervical kunye nencam yesikhonkwane epholishiweyo. Olu luyilo lonyusa ukugudisa ukudlula kumjelo we-medullary, lunciphisa umonakalo wezicubu ezithambileyo, luphucula ukuxhathisa ukufakwa kokutyalwa, kwaye lunceda ukufezekisa umanyano oluthembekileyo lwethambo kwi-intertrochanteric fractures engazinzanga.
3. Isixhobo esihlanganisiweyo esisetiweyo saluxhasa njani utyando kwisibhedlele sikaMasipala saseSanta Rosa?
Isixhobo esizinikezeleyo se-Intertan Msumari wa ndani ya mfupa esisetwe kwi- CZMEDITECH sibonelela ngezikhokelo ezichanekileyo, izixhobo ezivuselelayo kunye nezixhobo ekujoliswe kuzo. Olu yilo luhlanganisiweyo lwenze lula amanyathelo otyando, lwaqinisekisa ukubekwa kwesijivu esichanekileyo phantsi kwe-fluoroscopy kwaye negalelo ekuhambeni komsebenzi wotyando osulungekileyo kwiqela likaGqr. Carlos Rivera.
4. Sasiyintoni isiphumo sasemva kokuhlinzwa kwesi sigulana sikhulileyo saseLima?
Emva kokunciphisa okuvaliweyo kunye ne-Intertan Msumari wa ndani ya mfupa ukulungiswa, isigulane siphumelele ukulungiswa kwe-fracture ezinzileyo kunye nokubuyisela kwangaphambili ukusebenza. Intlungu yancitshiswa kakhulu, ukulungelelaniswa kwemilenze kwabuyiselwa kwaye ukulandelwa kwe-imaging kuqinisekisile indawo efanelekileyo yokufakelwa kunye nokuphulukiswa kwe-fracture okuqhubekayo.
5. Ngaba i-Intertan Msumari wa ndani ya mfupa ifanelekile kwezinye iintlobo ze-hip fractures?
I-Intertan Msumari wa ndani ya mfupa ibonakaliswe ngokukodwa kwiifractures ze-intertrochanteric ezizinzile nezingazinzanga kunye neefractures ezithile ze-subtrochanteric ze-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 inkqubo ye-Intertan?
Izikrufu ze-cephalic kwinkqubo ye- CZMEDITECH Intertan Msumari wa ndani ya mfupa zenziwe nge-alloy titanium alloy ephezulu. Esi sixhobo sibonelela nge-biocompatibility egqwesileyo, ukumelana nokubola kunye namandla okudinwa kwexesha elide, ukunciphisa umngcipheko wokunxitywa kokufakelwa kade okanye ukusabela okungalunganga.
8. Ngaba i- CZMEDITECH ingabonelela ngeesayizi ezilungiselelweyo okanye iiseti ezipheleleyo kubasasazi kunye nezibhedlele?
Ewe. CZMEDITECH inikezela ngoluhlu olupheleleyo lwe-Intertan Misumari ya ndani ya mfupa kunye nezixhobo ezifanayo. 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 Msumari wa ndani ya mfupa isekela ubunzima bokuqala kwaye inceda ukunciphisa iingxaki ezinxulumene nokuphumla kokulala ixesha elide.
10. Ingaba le meko yasePeruvia inokuxhasa njani abathengi bamazwe ngamazwe abavavanya CZMEDITECH izisombululo ze-hip fracture?
Le meko yaseLima, ePeru ibonisa ukuba i- CZMEDITECH i-Intertan Msumari wa ndani ya mfupa inokubonelela ngokulungiswa okuthembekileyo kunye neziphumo ezilungileyo kwiinkqubo zangempela zeklinikhi. Kubasasazi bamazwe ngamazwe kunye nezibhedlele, iingxelo ezinjalo zehlabathi zinceda ukwakha ukuzithemba ekusebenzeni kwemveliso, umgangatho wesixhobo kunye nenkxaso yobugcisa evela CZMEDITECH .
