Isethi Yensimbi Yezinzipho Ehlehlisiwe Ye-Femoral & Gama

IVIDIYO YEMINININGWANE YOKUSEBENZA KOMKHIQIZO

CHA.	REF	Incazelo	Qty.
1	1200-0401	I-Drill Sleeve	1
2	1200-0402	I-Drill Sleeve	1
3	1200-0403	I-Drill Sleeve	1
4	1200-0404	Vula iWrench	1
5	1200-0405	I-Drill Bit Ø4.5 nge-Stopper	1
6	1200-0406	I-Drill Bit Ø4.5	1
7	1200-0407	I-Hex Screwdriver SW3.5	1
8	1200-0408	Ukujula kwe-Gague 0-90mm	1
9	1200-0409	I-K-wire	2
10	1200-0410	Intambo ye-K enentambo	2
11	1200-0411	I-Drill Bit	1
12	1200-0412	I-Solid Reamer Ø9	1
13	1200-0413	I-Solid Reamer Ø10	1
14	1200-0414	I-Solid Reamer Ø11	1
15	1200-0415	I-Solid Reamer Ø12	1
16	1200-0416	I-Solid Reamer Ø13	1
17	1200-0417	AWL	1
18	1200-0418	Isikrini	1
19	1200-0419	Quick Coupling T-isibambo	1
20	1200-0420	Isando	1
21	1200-0421	I-T-handle Solid Reamer	1
22	1200-0422	Umkhono	1
23	1200-0423	Umkhono	1
24	1200-0424	Indawo Forcep	1
25	1200-0425	Umkhono	1
26	1200-0426	Umkhono	1
27	1200-0427	Thepha	1
28	1200-0428	I-Uversal Joint	1
29	1200-0429	Indawo Forcep	1
30	1200-0430	Ibha yomhlahlandlela	1
31	1200-0431	I-Hex Key Enkulu	1
32	1200-0432	I-Hex Key Encane	1
33	1200-0433	Ukuphoqa Ikhoni Elifushane	1
34	1200-0434	Ukuphoqa Ikhoni Elide	1
35	1200-0435	Isixhumi	1
36	1200-0436	Isixhumi	1
37	1200-0437	Isibambo somhlahlandlela	1
38	1200-0438	Ibholidi	1
39	1200-0439	Ibholidi	1
40	1200-0440	I-Guider Wire	1
41	1200-0441	Ibhokisi le-Aluminium	1

Isethi Yethuluzi Le-Femoral & Gamma Ebuyiselwe emuva: Umhlahlandlela Ophelele

Uma kuziwa ekwelapheni ukuphuka kwe-femur, ukubethelwa kwe-intramedullary sekuyindlela edumile phakathi kodokotela abahlinzayo bamathambo. Phakathi kwezinhlobo ezihlukahlukene zezinzipho ze-intramedullary, izipikili ezihlehlisiwe ze-femoral kanye ne-gamma intramedullary zithole ukunakwa okuphawulekayo ngenxa yezinzuzo zazo eziningi. Kulesi sihloko, sizohlola ukuthi ziyini lezi zinzipho, izinzuzo zazo, isethi yensimbi edingekayo ukuze uhlinzwe, neminye imininingwane efanele.

Okuqukethwe

• Isingeniso

• I-Anatomy ye-Femur Bone

• Iyini I-Intramedullary Nail?

• Izinzipho Zangaphakathi Ze-Femoral kanye ne-Gamma: Ziyini?

• Izinzuzo Zezinzipho Ezihlehlisiwe Ze-Femoral kanye Ne-Gamma Intramedullary

• Izinkomba Zezinzipho Ezihlehlisiwe Ze-Femoral kanye ne-Gamma Intramedullary

• I-Contraindication ye-Reversed Femoral kanye ne-Gamma Intramedullary Nails

• Isu Lokuhlinza Izinzipho Ezihlehlisiwe Ze-Femoral kanye ne-Gamma Intramedullary

• I-Instrument Set Iyadingeka Ekubetheleni Okuhlehlisiwe Kwe-Femoral kanye ne-Gamma Intramedullary

• Ukunakekelwa Kwangemva Kokuhlinzwa Nokuvuselelwa

• Izinkinga ezingaba khona zokuhlehliswa kwesipikili se-Femoral ne-Gamma Intramedullary

• Isiphetho

• Imibuzo Evame Ukubuzwa

Isingeniso

Ukuphuka kwe-femur kungaba inselele ukwelapha ngenxa yobukhulu bethambo kanye ne-anatomy eyinkimbinkimbi. Ukusetshenziswa kwezipikili ze-intramedullary kuye kwanda kakhulu phakathi kodokotela abahlinzayo bamathambo ngenxa yezinzuzo zabo eziningi ngaphezu kwezinye izinhlobo zokwelapha. Kulesi sihloko, sizohlola ukusetshenziswa kwezinzipho ezihlehlisiwe ze-femoral ne-gamma intramedullary, izinzuzo zazo, indlela yokuhlinzwa edingekayo, isethi yensimbi edingekayo, kanye nezinkinga ezingaba khona.

I-Anatomy ye-Femur Bone

Ngaphambi kokungena ku-intramedullary nailing, kubalulekile ukuqonda i-anatomy yethambo lesifazane. I-femur iyithambo elide kunawo wonke futhi eliqine kunawo wonke emzimbeni womuntu, lisuka ejoyintini lenyonga liye ejoyintini ledolo. Ukuphela okuseduze kwe-femur kuhambisana nethambo le-hip, kuyilapho ukuphela kwe-distal kuhambisana nethambo le-tibia lomlenze.

Iyini I-Intramedullary Nail?

Uzipho lwe-intramedullary yinduku ende, ezacile yensimbi efakwe engxenyeni engenalutho yethambo ebizwa ngokuthi i-medullary canal. Induku ngokuvamile yenziwe nge-titanium noma insimbi engagqwali futhi yakhelwe ukuzinzisa ithambo phakathi nenqubo yokuphola. I-Intramedullary nailing ivame ukusetshenziselwa ukuphuka kwamathambo amade, njenge-femur ne-tibia.

Izinzipho Zangaphakathi Ze-Femoral kanye ne-Gamma: Ziyini?

Izinzipho ze-femoral kanye ne-gamma intramedullary ezihlehlisiwe ziyizinhlobo zezinzipho ze-intramedullary ezisetshenziselwa ukuphuka kwe-femur. Izinzipho zesifazane ezihlehlisiwe zenzelwe ukufakwa ku-femur kusukela ekugcineni kwethambo, ngokuphambene nendawo yokufakwa kwe-intramedullary nail yendabuko. Izinzipho ze-Gamma, ngakolunye uhlangothi, zishuthekwa zisuka ekugcineni kwe-femur futhi zenzelwe ukugoba ngaphakathi kwethambo.

Izinzuzo Zezinzipho Ezihlehlisiwe Ze-Femoral kanye Ne-Gamma Intramedullary

Ukusetshenziswa kwezinzipho ze-femoral kanye ne-gamma intramedullary ezihlehlisiwe kunikeza izinzuzo ezimbalwa ngaphezu kwamasu endabuko wokubethela e-intramedullary. Lezi zinzuzo zihlanganisa:

• Ukunciphisa isikhathi sokuhlinzwa nokulahlekelwa igazi

• Izimbobo ezincane

• Ukulimala okuncane kwezicubu ezithambile ezizungeze ukuphuka

• Ukuthwala isisindo kwangaphambilini nokubuyela emsebenzini

• Ukuqondanisa okungcono kokuphuka

Izinkomba Zezinzipho Ezihlehlisiwe Ze-Femoral kanye ne-Gamma Intramedullary

Izinzipho ezihlehlisiwe ze-femoral ne-gamma intramedullary zivame ukusetshenziselwa ukuphuka kwe-femur ezigulini zabo bonke ubudala, kuhlanganise nabantu abadala kanye nezingane. Ziwusizo ikakhulukazi ekwelapheni ukuphuka okutholakala maphakathi ne-femur shaft noma lezo ezidlulela ezindaweni eziseduze noma ezikude ze-femur.

I-Contraindication ye-Reversed Femoral kanye ne-Gamma Intramedullary Nails

Nakuba ukuhlehliswa kwesipikili se-femoral ne-gamma intramedullary kunikeza izinzuzo ezimbalwa, azifanele zonke iziguli. Contraindications lezi zinqubo zihlanganisa:

• Amafracture atholakala eduze kwe-hip joint noma idolo elihlangene

• I-osteoporosis enzima noma ezinye izifo zamathambo ezibeka engcupheni amandla amathambo

• Ukungakwazi ukubekezelela ukuhlinzwa ngenxa yezimo zezempilo ezingaphansi

Isu Lokuhlinza Izinzipho Ezihlehlisiwe Ze-Femoral kanye ne-Gamma Intramedullary

Indlela yokuhlinza yokuhlehla isipikili se-femoral ne-gamma intramedullary ibandakanya izinyathelo ezimbalwa. Okokuqala, isiguli sibekwe ngaphansi kwe-anesthesia ejwayelekile, futhi ukuphuka kubonakala kusetshenziswa i-fluoroscopy noma ezinye izindlela zokucabanga. Okulandelayo, ukusika okuncane kwenziwa ekugcineni kwe-distal noma eduze kwe-femur, kuye ngokuthi hlobo luni lwesipikili olusetshenziswayo. Uzipho lube selufakwa ku-medullary canal futhi luqondiswe endaweni kusetshenziswa izinsimbi ezikhethekile. Uma isipikili sesisendaweni efanele, izikulufo zokukhiya ziyafakwa ukuze isipikili siqine ethanjeni.

I-Instrument Set Iyadingeka Ekubetheleni Okuhlehlisiwe Kwe-Femoral kanye ne-Gamma Intramedullary

Ukwenza isipikili se-femoral ne-gamma intramedullary ehlehlisiwe kudinga isethi yensimbi ekhethekile. Isethi ngokuvamile ihlanganisa:

• Ama-Intramedullary reamers

• Ukufakwa kwezinzipho kanye nemishini yokukhomba

• Izintambo zokuqondisa nezikulufu zokukhiya

• Izinsimbi zokulungiselela ithambo nezicubu ezithambile ezizungeze ukuphuka

Ukunakekelwa Kwangemva Kokuhlinzwa Nokuvuselelwa

Ngemva kokuhlinzwa, iziguli ngokuvamile zidinga izinsuku ezimbalwa zokulaliswa esibhedlela. Umlenze awunyakazi usebenzisa ukhonkolo noma i-brace, futhi imithi yobuhlungu inqunywa njengoba kudingeka. Iziguli zivame ukululekwa ukuba zigweme ukubeka isisindo emlenzeni othintekile amasonto ambalwa ukuze kuvunyelwe ukuphulukiswa okufanele. Ukwelapha ngokomzimba kungase kunconywe ukusiza ukubuyisela amandla kanye nohlu lokunyakaza emlenzeni othintekile.

Izinkinga ezingaba khona zokuhlehliswa kwesipikili se-Femoral ne-Gamma Intramedullary

Njenganoma iyiphi inqubo yokuhlinzwa, ukuhlehliswa kwe-femoral and gamma intramedullary nailing kungaba nezingozi ezithile kanye nezinkinga. Lokhu kungase kuhlanganise:

• Ukutheleleka

• Amahlule egazi

• Ukulimala kwezinzwa noma imithambo yegazi

• Ukwehluleka kokufakelwa noma ukufuduka

• Ibambezelekile noma engeyona inyunyana yokuphuka

Isiphetho

Ukuhlehliswa kwezipikili ze-femoral kanye ne-gamma intramedullary sekuvele njengezinketho ezidumile zokwelapha ukuphuka kwe-femur. Lawa masu ahlinzeka ngezinzuzo ezimbalwa ngaphezu kokubethelwa kwe-intramedullary okungokwesiko, okuhlanganisa isikhathi esincishisiwe sokuhlinzwa, ukusikeka okuncane, nezikhathi zokululama ngokushesha. Kodwa-ke, azifanele zonke iziguli futhi zinezingozi ezithile kanye nezinkinga. Ukukhetha ngokucophelela isiguli kanye namasu okuhlinza kubalulekile ukuze kuzuzwe imiphumela emihle.

Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ukululama ekubethelweni okubuyiselwe emuva kwe-femoral noma i-gamma intramedullary?

• Izikhathi zokululama zingahluka kuye ngobulukhuni bokuphuka kanye nempilo yonke yesiguli. Ngokuvamile, iziguli eziningi zingalindela ukuphuma ezinyaweni zazo amasonto ambalwa futhi zingadinga izinyanga ezimbalwa zokwelapha ngokomzimba ukuze ziphinde zithole amandla aphelele nobubanzi bokunyakaza.

1. Ingabe i-femoral ehlehlisiwe noma i-gamma intramedullary nailing ibuhlungu?

• Iziguli zingase zizwe izinhlungu nokungakhululeki ngemva kokuhlinzwa, okungalawulwa ngemithi yezinhlungu enqunywe udokotela.

1. Ukhona yini ongashayelwa isipikili se-femoral noma se-gamma intramedullary?

• Cha, lezi zindlela azifanele zonke iziguli. Udokotela wakho uzohlola isimo sakho kanye nomlando wezokwelapha ukuze anqume ukuthi ungumuntu ofanele yini kulezi zinqubo.

1. Ukuhlinzwa kuthatha isikhathi esingakanani?

• Ukuhlinzwa ngokuvamile kuthatha phakathi kwamahora angu-1-2, kodwa lokhu kungahluka kuye ngobunkimbinkimbi bokuphuka kanye nesimo somzimba womuntu ngamunye wesiguli.

1. Ingabe zikhona ezinye izindlela zokwelapha zokuhlehlisa isipikili se-femoral noma i-gamma intramedullary?

• Yebo, kunezinye izindlela zokwelapha eziningana zokuphuka kwe-femoral, okuhlanganisa ukulungiswa kwangaphandle, ukubethelwa kwe-intramedullary ngokwesiko, nokunciphisa okuvulekile nokulungiswa kwangaphakathi. Udokotela wakho uzoncoma indlela yokwelapha engcono kakhulu esekelwe ezidingweni zakho ngabanye kanye nesimo sakho.