I-Gamma Intramedullary Nail – Uhlolojikelele Lomkhiqizo
Ividiyo ye-Gamma Nail
Imininingwane ye-Gamma Nail
I-Main Nail iyingxenye eyinhloko yesistimu ye-Gamma Nail, idivayisi ye-intramedullary eyakhelwe ukuqinisa ukuphuka kwe-femoral proximal, ikakhulukazi ukuphuka kwe-intertrochanteric kanye ne-subtrochanteric.
Lesi isikulufu esikhulu esiwububanzi, esiqinile esiyisisekelo sokukhiya esidizayinelwe ukunikeza amandla amakhulu okudonsa kanye nokuzinza ezimeni ezidinga ukulungiswa okuthuthukisiwe.
Isikulufu sokukhiya esingu-3.5mm sivamise ukusetshenziselwa ukukhiya okuseduze entanyeni nasekhanda le-femoral, ngokuvamile sisebenza njengesikulufu esinqanda ukuzungezisa eduze kwesikulufu esikhulu se-lag. Isikulufu sokukhiya esingu-4.5mm esisetshenziswa ezindaweni zokukhiya ezihlukahlukene zesistimu ye-Gamma Nail.
Ithuluzi elisethelwe i-Gamma intramedullary nail iyisethi ehlanganisayo yamathuluzi aklanywe ngokukhethekile asetshenziselwa ukuqinisekisa ukufakwa okuphephile nokunembile kwesipikili nezikulufu zaso.
![I-DFN Distal Femur Intramedullary Nail (Uhlobo Lwesikulufa se-Spiral Blade)]()
Isithombe Sangempela Se-Gamma Intramedullary Nail
![I-DFN Distal Femur Intramedullary Nail (Uhlobo Lwesikulufa se-Spiral Blade)]()
Izinzuzo Zomtholampilo ze-Gamma Intramedullary Nail
![I-DFN Distal Femur Intramedullary Nail (Uhlobo Lwesikulufa se-Spiral Blade)]()
Ibhulogi ye- Gamma Intramedullary Nail
I-Gamma Intramedullary Nail: Uhlolojikelele Oluphelele
Uma kuziwa ekuhlinzeni kwamathambo, enye yezinqubo ezivame kakhulu ukulungiswa kwe-bone fracture ngezipikili ze-intramedullary. Phakathi kwalokhu, i-gamma intramedullary nail iyisinqumo esithandwayo ngenxa yezinzuzo zayo ezihlukahlukene. Kulesi sihloko, sizoxoxa ngokuklama, izinkomba, amasu, izinkinga, nemiphumela ehambisana nokusetshenziswa kwe-gamma intramedullary nail.
Isingeniso
I-gamma intramedullary nail iwuhlobo lwedivayisi yokulungisa i-intramedullary esetshenziselwa ukwelapha ukuphuka kwethambo elide. Yethulwa okokuqala yi-AO Foundation ngeminyaka yawo-1980 futhi kusukela ngaleso sikhathi isibe yisinqumo esidumile sokuphatha ukuphuka kwe-femur, tibia, ne-humerus. I-gamma nail yakhelwe ukunikeza ukulungiswa okuzinzile kuyilapho ilondoloza isayensi yezinto eziphilayo yendawo yokuphuka futhi ivumela ukuthwala isisindo kwangaphambi kwesikhathi.
I-Anatomy kanye Nomklamo
I-gamma nail iyinduku ye-titanium alloy efakwa kumsele we-intramedullary wethambo. Induku inomumo ogobile, okuvumela ukuthi ilandele umkhonto wemvelo wethambo. Ukuphela okuseduze kwe-nail kunomumo ovuthayo, ohlinzeka ngokuzinza okujikelezayo futhi uvimbele ukufuduka kwe-nail. Ukuphela okude kwe-nail kunentambo yesikulufu, ehlangene nethambo lokukhansela futhi inikeza ukuzinza kwe-axial.
Izinkomba
I-gamma nail ikhonjiswe ekwelapheni ukuphuka kwamathambo amade, ikakhulukazi lawo ase-femur, tibia, ne-humerus. Ivame ukusetshenziselwa ukuphuka okuphakathi nendawo noma i-distal yesithathu yethambo. I-gamma nail iphinde ikhonjiswe ekwelapheni ukuphuka okungazinzile noma okufudukayo, kanye nokuphuka okwenziwe noma okunocezu lwevemvane.
I-Surgery Technique
Isu lokuhlinza lokufakwa kwe-gamma nail libandakanya ukusetshenziswa kwesethi yensimbi ekhethekile. Inqubo ngokuvamile yenziwa ngaphansi kwe-anesthesia ejwayelekile noma yesifunda. Ngemuva kokulungisa isiguli kanye nendawo yokuhlinza, ucingo oluqondisayo lufakwa emgodini we-intramedullary wethambo kusetshenziswa isiqondiso se-fluoroscopic. Khona-ke ucingo oluqondisayo luphinde lulungiswe ukuze kulungiswe umsele wezipikili. Isipikili se-gamma sishuthekwa phezu kwentambo yomhlahlandlela futhi sithuthukele kumsele size sifike endaweni yokuphuka. Izikulufu zokukhiya eziseduze nezakude zibe sezifakwa ukuze isipikili siqine.
Izinkinga
Nakuba i-gamma nail ngokuvamile ibhekwa njengendlela yokwelapha ephephile futhi ephumelelayo, ayikho ngaphandle kwezinkinga zayo ezingase zibe khona. Izinkinga ezihambisana nokusetshenziswa kwe-gamma nail zingabandakanya:
Ukungalungi kahle noma ukonakala kwezipho
Ukuphuka kwesipikili noma ithambo
Inyunyana engelona inyunyana noma inyunyana ebambezelekile yokuphuka
Ukutheleleka
Ukuhluleka kwezingxenyekazi zekhompuyutha
Ukulimala kwezakhiwo ezizungezile, njengezinzwa noma imithambo yegazi
Imiphumela
Ucwaningo oluningi luye lwahlola imiphumela ehlobene nokusetshenziswa kwe-gamma nail ekwelapheni ukuphuka kwamathambo amade. Sekukonke, imiphumela ibe mihle, ngezinga eliphezulu lenyunyana yokuphuka, amanani aphansi ezinkinga, kanye nemiphumela emihle yokusebenza okubikiwe. Ukuhlaziywa kwemeta kwezifundo ezingama-22 kutholwe ukuthi ukusetshenziswa kwesipikili se-gamma kubangele izinga lenyunyana elingama-95% kanye nomphumela omuhle noma omuhle kakhulu ongu-92%.
Isiphetho
Ekuphetheni, i-gamma intramedullary nail iyindlela yokwelapha ethandwayo futhi ephumelelayo yokuphuka kwamathambo amade. Inikeza izinzuzo eziningi kunezinye izindlela zokulungisa, okuhlanganisa ukulungiswa okuzinzile, ukulondolozwa kwebhayoloji yendawo yokuphuka, kanye nokuthwala isisindo kwangaphambi kwesikhathi. Nakuba ingekho ngaphandle kwezinkinga zayo ezingase zibe khona, imiphumela iyonke ehambisana nokusetshenziswa kwe-gamma nail mihle kakhulu.
I-Gamma Nail FAQs
1: Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kwe-Gamma Nail?
Isikhathi sokululama ngemva kokuhlinzwa kwe-Gamma Intramedullary Nail siyahlukahluka kuye ngohlobo lokuphuka, indawo yokuphuka (njengokuphuka kwe-intertrochanteric noma i-subtrochanteric), ubudala besiguli, ikhwalithi yamathambo, kanye nesimo sempilo sisonke.
Ngokuvamile, iziguli eziningi ziqala ukuhlanganisa ngokushesha ngemva kokuhlinzwa futhi zingalindela ukululama kokusebenza kanye nokubuyela emisebenzini yansuku zonke phakathi kwezinyanga ezingu-3 kuya kwezingu-6 , inqobo nje uma zingekho izinkinga kanye nezinqubo zokuvuselela ezilandelwayo.
2: Ingabe i-Gamma Nail ifaneleka kukho konke ukuphuka kwamathambo amade?
Cha. Nakuba uhlelo lwe-Gamma Nail lusetshenziswa kabanzi ekulungiseni i-proximal femoral kanye nokuhlukaniswa kwethambo elide elikhethiwe, alifaneleki kuzo zonke izinhlobo zokuphuka .
Isibonakaliso sincike ezintweni ezifana nephethini yokuphuka, i-anatomy yamathambo, isimo sesiguli, nokuhlolwa kodokotela ohlinzayo. Ukukhethwa kokufakelwa kokugcina kufanele ngaso sonke isikhathi kusekelwe ekuhlolweni komtholampilo kanye nokwahlulela ngokuhlinzwa.
3: Ingabe ukufakwa kwe-Gamma Nail kuyinqubo ebuhlungu?
Ukufakwa kwe-Gamma Nail kwenziwa ngaphansi kwe-anesthesia evamile noma yesifunda , okusho ukuthi iziguli azizwa ubuhlungu ngesikhathi sokuhlinzwa ngokwayo.
Ubuhlungu obungemuva kokuhlinzwa noma ukungakhululeki kungase kwenzeke kodwa ngokuvamile kungokwesikhashana futhi kungaphathwa ngokuphumelelayo ngemithi yobuhlungu, ukuvuselelwa, nokunakekelwa okufanele kwangemva kokuhlinzwa.
4: Yiziphi izinkinga ezingaba khona ngokuhlinzwa kwe-Gamma Nail?
Njenganoma iyiphi inqubo yokufakelwa kwamathambo, ukuhlinzwa kwe-Gamma Nail kunezingozi ezingaba khona. Izinkinga ezingaba khona zingase zihlanganise ukungalungi kahle kokufakelwa, ukubambezeleka kokuhlanganiswa noma ukunganyuninyeni, ukutheleleka, ukwehluleka kwezingxenyekazi zekhompiyutha, ukuphuka eduze kwesifakelo, noma ukulimala kwemizwa ezungezile noma imithambo yegazi.
Isu lokuhlinza ngokucophelela, ukukhetha okufanele kokufakelwa, kanye nokuqapha kwangemva kokuhlinzwa kusiza ukunciphisa lezi zingozi.
5: Ingabe i-Gamma Intramedullary Nail idinga ukususwa ngemva kokuphola kokuphuka?
Ezimweni eziningi, i -Gamma Intramedullary Nail ayidingi ukususwa uma ukuphuka sekupholile.
Kodwa-ke, ukususwa kokufakelwa kungase kucatshangelwe uma isiguli sizwa ubuhlungu obuqhubekayo, ukucasuka okuhlobene nokufakelwa, noma ezinye izinkinga. Isinqumo kufanele senziwe udokotela ohlinzayo wamathambo owelaphayo ngokusekelwe ezimpawu zomtholampilo kanye nemiphumela yokucabanga.
