I-Femoral Intramedually Nail & Femoral Reconstruction Intramedually Nail

IVIDIYO YEMINININGWANE YOKUSEBENZA KOMKHIQIZO

CHA.	REF	Incazelo	Qty.
1	1200-0501	I-Solid Reamer Ø11
2	1200-0502	I-Solid Reamer Ø12
3	1200-0503	I-Solid Reamer Ø12.5
4	1200-0504	I-Solid Reamer Ø13
5	1200-0505	I-Solid Reamer Ø10.4
6	1200-0506	I-Drill Bit
7	1200-0507	I-Drill Bit Nge-Limitator
8	1200-0508	I-Drill Bit
9	1200-0509	Ukujula Gague
10	1200-0510	Indawo Forcep
11	1200-0511	I-Drill Sleeve
12	1200-0512	I-Drill Sleeve
13	1200-0513	I-Drill Sleeve
14	1200-0514	I-Drill Sleeve
15	1200-0515	Vula iWrench
16	1200-0516	I-Wrench yesibambo
17	1200-0517	Umkhono
18	1200-0518	Umkhono
19	1200-0519	Ukuphoqa Ikhoni Elifushane
20	1200-0520	Umkhono
21	1200-0521	Ukuphoqa Ikhoni Elide
22	1200-0522	I-Hex Key Enkulu
23	1200-0523	I-Hex Key Encane
24	1200-0524	AWL
25	1200-0525	K-wire Ukujula Gague
26	1200-0526	Indawo Forcep
27	1200-0527	I-T-handle Drill Bit
28	1200-0528	Indawo Rod
29	1200-0529	Thepha
30	1200-0530	I-Screwdriver ye-T-handle
31	1200-0531	I-Uversal Joint
32	1200-0532	Induku yesixhumi
33	1200-0533	Isando
34	1200-0534	Ibha yomhlahlandlela
35	1200-0535	Isixhumi Esigxilile
36	1200-0536	Isibambo somhlahlandlela
37	1200-0537	Ibholidi
38	1200-0538	Ibholidi
39	1200-0539	Quick Coupling T-isibambo
40	1200-0540	Ibholidi
41	1200-0541	Ibholidi
42	1200-0542	Isixhumi
43	1200-0543	Isixhumi
44	1200-0544	Isixhumi
45	1200-0545	I-Distal Guide
46	1200-0546	I-Guider Wire
47	1200-0548	Ibhokisi le-Aluminium

I-Femoral Isipikili sangaphakathi komongo wethambo kanye Nokwakhiwa Kabusha Kwabesifazane Isipikili sangaphakathi komongo wethambo : Umhlahlandlela Ophelele

Uma kuziwa ekwelapheni ukuphuka kwezinsikazi, izinzipho ze-intramedullary seziwukukhetha kodokotela abaningi abahlinza amathambo. Phakathi kwezinhlobo ezihlukahlukene zezinzipho ze-intramedullary ezitholakalayo, izipikili ze-femoral intramedullary kanye ne-femoral reconstruction intramedullary izipikili yizinketho ezimbili ezithandwayo. Kulesi sihloko, sizohlola izici, izinzuzo, kanye nezithiyo zazo zombili lezi zinhlobo zezinzipho ze-intramedullary, okukusiza ukuthi wenze isinqumo unolwazi.

Okuqukethwe

1. Isingeniso

2. Iyini i-Femoral Isipikili sangaphakathi komongo wethambo ?

• I-Anatomy kanye Nomklamo

• Izinkomba Zokusetshenziswa

• I-Surgery Technique

• Izinzuzo

• Ukubi

3. Iyini i-Femoral Reconstruction Isipikili sangaphakathi komongo wethambo ?

• I-Anatomy kanye Nomklamo

• Izinkomba Zokusetshenziswa

• I-Surgery Technique

• Izinzuzo

• Ukubi

4. Ukuqhathaniswa Phakathi Kwabesifazane Isipikili sangaphakathi komongo wethambo kanye Nokwakhiwa Kabusha Kwezinsikazi Isipikili sangaphakathi komongo wethambo

5. Imibuzo Evame Ukubuzwa

6. Isiphetho

1. Isingeniso

Ukuphuka kwe-femoral kuphakathi kwezinhlobo ezivame kakhulu zokuphuka, ikakhulukazi kubantu asebekhulile. Lokhu kuphuka kungase kube buhlungu kakhulu futhi kuqede amandla, kudinga ukunakekelwa kwezokwelapha ngokushesha. Nakuba izindlela zendabuko zokwelapha ukuphuka kwezinsikazi zihilela ukufakwa kukakhonkolo, lezi ngokuvamile azisebenzi ezimeni ezinzima. Ukubethelwa kwe-Intramedullary kuye kwavela njengendlela yokwelapha ephumelela kakhulu yokuphuka kwabesifazane, futhi izipikili ze-intramedullary zesifazane kanye nezipikili ze-intramedullary zokwakhiwa kabusha kwe-femoral ziyizinhlobo ezimbili zezipikili ezisetshenziswa odokotela abahlinzayo bamathambo.

2. Yini I-Femoral Isipikili sangaphakathi komongo wethambo ?

I-Anatomy kanye Nomklamo

I-femoral intramedullary nail iyinduku yensimbi ende, ezacile efakwa kumsele we-intramedullary we-femur. I-intramedullary canal yindawo engenalutho ngaphakathi kwethambo, lapho kukhiqizwa khona umnkantsha. Uzipho luklanyelwe ukuthi lulingane kahle ngaphakathi komsele, futhi lubanjwe ngezikulufu ezishuthekwa ethanjeni naseziphongweni. Uzipho ngokuvamile lwenziwa nge-titanium noma insimbi engagqwali, futhi lutholakala ngamadayamitha nobude obuhlukahlukene ukuze luvumelane nesimo somzimba wesiguli.

Izinkomba Zokusetshenziswa

Izinzipho ze-Femoral intramedullary zivame ukusetshenziselwa ukwelapha ukuphuka kwe-femoral shaft, okuwukuphuka okwenzeka maphakathi ne-femur. Lokhu kuphuka kungadalwa yizizathu ezihlukahlukene, okuhlanganisa ukuhlukumezeka, ukukhumuzeka kwamathambo, nomdlavuza. Izinzipho ze-Femoral intramedullary nazo zisetshenziselwa ukwelapha izinhlobo ezithile ze-proximal femoral fractures, njenge-subtrochanteric kanye ne-intertrochanteric fractures.

I-Surgery Technique

Inqubo yokuhlinza yokufaka isipikili se-femoral intramedullary ihlanganisa ukusika ethangeni nokudala imbobo encane ethanjeni eduze kwejoyinti le-hip. Uzipho lube selufakwa kumsele we-intramedullary futhi lwehle ngobude bethambo luze lufike endaweni yokuphuka. Uma isipikili sesisendaweni, izikulufu zifakwa ethanjeni nasezipho ukuze zisibambe sime.

Izinzuzo

Izinzipho ze-Femoral intramedullary zinezinzuzo eziningana kunezinye izindlela zokwelapha ukuphuka kwabesifazane. Lokhu kubandakanya:

• Ukulimala kwezicubu ezithambile kancane

• Izikhathi zokuphulukisa ngokushesha

• Ukuncipha kwengozi yokutheleleka

• Ukuzinza okukhulu kwendawo yokuphuka

• Ukuhlala isikhashana esibhedlela

Ukubi

Naphezu kwezinzuzo zabo eziningi, izipikili ze-femoral intramedullary azikho ngaphandle kokushiyeka kwazo. Ezinye zezinkinga ezivamile zihlanganisa:

• Ingozi yokungahambi kahle kwezipikili

• Ingozi yokungeyona inyunyana yokuphuka

• Ingozi yokutheleleka endaweni yokuhlinzwa

• Okungaba khona ukwehluleka kwehadiwe

• Isisindo esinqunyelwe isikhathi esithile ngemva kokuhlinzwa

3. Kuyini Ukwakhiwa Kabusha Kwabesifazane Isipikili sangaphakathi komongo wethambo ?

I-Anatomy kanye Nomklamo

I-femoral reconstruction nail intramedullary iwuhlobo lwe-intramedullary nail eklanyelwe ukunikeza ukuzinza okukhulu endaweni yokuphuka. Iqukethe izingxenye ezimbili ezihlukene: umzimba oseduze kanye nozipho olude. Umzimba osondelene mkhulu ngobubanzi kuneziphopholi ezikude, futhi unomkhawulo onentambo ongenela ethanjeni. I-distal nail ifakwe ku-canal ye-intramedullary futhi yehlise ubude bethambo.

Izinkomba Zokusetshenziswa

Izinzipho ze-intramedullary zokwakhiwa kabusha kwe-Femoral ngokuvamile zisetshenziselwa ukwelapha ukuphuka kwe-femoral okuyinkimbinkimbi, njengalokho okubangelwa ukuhlukumezeka okunamandla amakhulu noma izimila zamathambo. Zibuye zisetshenziselwe ukwelapha okungezona izinyunyana kanye ne-malunions ye-femur.

I-Surgery Technique

Inqubo yokuhlinza yokufaka isikhonkwane se-femoral reconstruction intramedullary ihilela ukusika ethangeni nokudala imbobo encane ethanjeni eduze kwe-hip joint. Umzimba oseduze ube usukhonkwane ethanjeni, bese uzipho olukude lufakwe kumsele we-intramedullary futhi lwehle ngobude bethambo luze lufike endaweni yokuphuka. Uma isipikili sesisendaweni, izikulufu zifakwa ethanjeni nasezipho ukuze zisibambe sime.

Izinzuzo

I-Femoral reconstruction izinzipho ze-intramedullary zinezinzuzo eziningana kunezinye izindlela zokwelapha ukuphuka okuyinkimbinkimbi kwe-femoral. Lokhu kubandakanya:

• Ukuzinza okukhulu kwendawo yokuphuka

• Ukunciphisa ingozi yokungahambi kahle kwezipikili

• Ingozi encishisiwe yokungeyona inyunyana yokuphuka

• Izikhathi zokuphulukisa ngokushesha

• Ukuncipha kwengozi yokutheleleka

Ukubi

Naphezu kwezinzuzo zabo eziningi, izipikili ze-intramedullary zokwakhiwa kabusha kwabesifazane azikho ngaphandle kokushiyeka kwazo. Ezinye zezinkinga ezivamile zihlanganisa:

• Ingozi yokwehluleka kwehadiwe

• Ubunzima bokukhipha isipikili ngemva kokuphulukiswa

• Isisindo esinqunyelwe isikhathi esithile ngemva kokuhlinzwa

4. Ukuqhathaniswa Phakathi Kwabesifazane Isipikili sangaphakathi komongo wethambo kanye Nokwakhiwa Kabusha Kwezinsikazi Isipikili sangaphakathi komongo wethambo

Zombili izipikili ze-intramedullary ze-femoral kanye nezinzipho ze-intramedullary zokwakhiwa kabusha kwe-femoral ziyizinketho zokwelapha eziphumelelayo zokuphuka kwabesifazane. Nokho, kukhona umehluko omkhulu phakathi kwalezi zinhlobo ezimbili zezipikili. Izipikili ze-intramedullary zokwakhiwa kabusha kwe-Femoral zinikeza ukuzinza okukhulu endaweni yokuphuka, futhi ngaleyo ndlela zikhethwa ukuhlukana okuyinkimbinkimbi. Ngakolunye uhlangothi, izipikili ze-intramedullary zesifazane zinengozi ephansi yokuhluleka kwe-hardware futhi kulula ukususa ngemva kokuphulukiswa. Ukukhethwa kwezipikili kuncike ezidingweni ezithile zesimo sesiguli, kanye nobuchwepheshe bodokotela ohlinzayo.

5. Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ukululama kusukela ekuhlinzweni kokuphuka kwesifazane?

• Isikhathi sokuthola kabusha siyahlukahluka kuye ngobunzima bokuphuka, kodwa ngokuvamile kuthatha amaviki ambalwa kuya ezinyangeni.

1. Ingabe ukuhlinzwa kwe-femoral fracture kubuhlungu?

• Ubuhlungu ngemva kokuhlinzwa buvamile, kodwa bungalawuleka ngemithi yobuhlungu.

1. Ngingakwazi yini ukuthwala isisindo emlenzeni wami ngemva kokuhlinzwa kokuphuka kwesifazane?

• Imikhawulo enesisindo incike ekuqineni kokuphuka kanye nohlobo lwezipikili ezisetshenzisiwe. Udokotela wakho uzokweluleka ngokuthi ungaqala nini ukuthwala isisindo.

1. Ingabe i-femoral reconstruction nail intramedullary ingasuswa?

• Yebo, kodwa ukususwa kungaba inselele futhi kungase kudinge ukuhlinzwa okwengeziwe.

1. Yiziphi izinkinga zokubethelwa kwe-femoral intramedullary?

• Izinkinga zingabandakanya ukungalungi kahle kwesipikili, ukungahlangani kokuphuka, nokutheleleka.

6. Isiphetho

Izinzipho ze-Femoral intramedullary kanye nezinzipho zokwakhiwa kabusha kwe-femoral intramedullary zombili izindlela zokwelapha eziphumelelayo zokuphuka kwe-femoral, kodwa ziyehluka ezinkomba zokusebenzisa, ukuklama, amasu okuhlinza, kanye nezinkinga ezingase zibe khona. Ukukhethwa kwezipikili kuncike ezidingweni ezithile zesimo sesiguli kanye nobuchwepheshe bodokotela ohlinzayo. Ukubethelwa kwe-Femoral intramedullary kanye nokwakhiwa kabusha kwe-femoral ukubethelwa kwe-intramedullary kokubili kunganikeza imiphumela emihle kakhulu ezigulini ezinokuphuka kwesifazane, kodwa kubalulekile ukukala ngokucophelela izinzuzo kanye nokubi kwenketho ngayinye ngaphambi kokwenza isinqumo.

7. Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ukululama kusukela ekuhlinzweni kokuphuka kwesifazane?

• Isikhathi sokuthola kabusha siyahlukahluka kuye ngobunzima bokuphuka, kodwa ngokuvamile kuthatha amaviki ambalwa kuya ezinyangeni.

1. Ingabe ukuhlinzwa kwe-femoral fracture kubuhlungu?

• Ubuhlungu ngemva kokuhlinzwa buvamile, kodwa bungalawuleka ngemithi yobuhlungu.

1. Ngingakwazi yini ukuthwala isisindo emlenzeni wami ngemva kokuhlinzwa kokuphuka kwesifazane?

• Imikhawulo enesisindo incike ekuqineni kokuphuka kanye nohlobo lwezipikili ezisetshenzisiwe. Udokotela wakho uzokweluleka ngokuthi ungaqala nini ukuthwala isisindo.

1. Ingabe i-femoral reconstruction nail intramedullary ingasuswa?

• Yebo, kodwa ukususwa kungaba inselele futhi kungase kudinge ukuhlinzwa okwengeziwe.

1. Yiziphi izinkinga zokubethelwa kwe-femoral intramedullary?

• Izinkinga zingabandakanya ukungalungi kahle kwesipikili, ukungahlangani kokuphuka, nokutheleleka.

Ekuphetheni, izipikili ze-femoral intramedullary kanye nezipikili ze-femoral intramedullary zombili zingamathuluzi abalulekile ekwelapheni ukuphuka kwabesifazane. Inketho ngayinye inesethi yayo yezinzuzo kanye nokubi, futhi ukukhetha phakathi kwalokhu kokubili kuncike ezidingweni ezithile zesiguli. Kungakhathaliseki ukuthi hlobo luni lwezinzipho ezisetshenzisiwe, kubalulekile ukulandela ngokucophelela yonke imiyalelo yangemva kokuhlinzwa futhi ufune usizo lwezokwelapha ngokushesha uma kuphakama noma yiziphi izinkinga.