Ibuyiselwe izipikili zomhlaseli we-Femorverary: indlela ethembisayo yokuqhekeka kwabesifazane

Ukuqhekeka kwabesifazane, okuthinta ithambo lethanga, kungaba yinselele ukuphatha ngempumelelo. Indlela yokubuyiselwa emuva yama-Floverraly Team Technical ivele njengendlela ethembisayo yokuphatha lezi zinhlaka. Kulesi sihloko, sizohlola izinzuzo, izindlela zokuhlinza, izinkinga ezingaba khona, kanye nokuthola kabusha okuhambisana ne-Femord Feoflevaltary Nail.

Ukuqalisa

Ama-fractures we-femur angaholela ebuhlungwini obukhulu, ukungasebenzi kahle, kanye nemikhawulo yokusebenza. Izindlela zokwelashwa kwendabuko zingaba nemikhawulo yokuthola imiphumela efanelekile. Inqubo yokubuyiselwa emuva ye-Floelveraltuvary Nail Technical inikeza umbono omusha wokuphathwa kwe-Fracture, ukuhlinzeka ngokuqina nokusekelwa ngesikhathi senqubo yokuphulukisa.

Ukuqonda ukubuyiselwa emuva kwezipikili zangemuva

I-Floelversed Floelveraltuundary Nail iyithuluzi lezokwelapha elakhelwe ukuzinza nokukhuthaza ukwelashwa ku-Feofractures. Kuyafana nesipikili esivamile esijwayelekile, kepha ngokuqamba kabusha. Isipikili sifakwa kusuka ekugcineni kwe-femur futhi sinwebe ngokumelene, ukuhlinzeka ngokuqina kanye nokuqondanisa ezingxenyeni zamathambo aqhekekile.

Izinkomba zokubuyiselwa emuva kwezipikili ze-feovelderaltuuntary

I-Feeversed Floelveraltuuntary Nail efanelekile ikakhulukazi izinhlobo ezithile ze-Femoral Fractures. Isetshenziselwa ukusetshenziselwa ukuqhekeka okutholakala esifundeni sase-femur, kufaka phakathi ama-supracondylar kanye ne-intracondylar fractures. Lezi zinhlaka zivame ukudinga ukulungiswa okuzinzile nokuqondanisa okuqondile kokuphulukiswa okuhle.

Inqubo yokuhlinza ebuyiselwe emuva kwabesifazane be-FlovelDeuntary Nail

Ukuhlelwa kobukhulu

Ukuhlelwa okuphelele okungcono kakhulu kubalulekile ukuze ubuyiselwe emuva ophumelele we-FeovelDeraly Nail Surgery. Lokhu kufaka phakathi ukuhlolwa okuphelele kwephethini yokuphuka, impilo yesiguli ephelele, nanoma yikuphi ukulimala okuhambisana nakho. Amasu wokulingisa, anjenge-X-ray, ama-CT Scans, noma i-MRI, asetshenziswa ukuhlola izici ze-Fracture futhi aqondise ukwenziwa izinqumo.

Ukubekwa kweziguli

Ngesikhathi sokuhlinzwa, isiguli sibekwe phansi etafuleni elisebenzayo. Umlenze othintekile uhleliwe futhi wadonswa ngendlela oyinyumba. Ukuma okufanele kubalulekile ukuvumela ukufinyelela okuphelele kwesayithi lokuphuka futhi kusebenze ukufakwa kwezipikili kusuka ekugcineni kwe-featur.

Ukuvela nokufinyelela

I-incision yenziwa ngaphezulu kwesiza sokuhlinza ukufinyelela ithambo elikhubazekile. Ubude nendawo ye-incision kuncike kuhlobo lwe-Fracture kanye nendawo yalo eduze kwe-distal femur. Ukuphathwa kwezicubu ezithambile ngokucophelela kubalulekile ukunciphisa usizi nokunciphisa ingozi yokutheleleka.

Ukufakwa kwezipikili

I-Feessled FeofleRedundary Nail ifakwa emaphethelweni e-feasur ye-femur, enweba umdlandla ebheke endaweni yokuphuka. Umhlahlandlela oqondile uyadingeka ukuqinisekisa ukubekwa nokuqondakala okuqondile. I-FluoRooscopic imaging isetshenziselwa ukuqinisekisa ukuma kwezipikili ngaphakathi kwe-feofied canal.

Ukubekwa kwesikulufa okukhiyiwe distal

Lapho izipikili zibekwe kahle, izikulufo ezikhiyiwe distal zifakiwe ukuvikela izipikili ngaphakathi kwethambo. Lezi zikulungi zinikeza ukuqina okwengeziwe futhi zivikele ukunyakaza okujikelezayo noma kwe-axial kwezingcezwana zokuqhekeka. Inombolo nokubekwa kwezikulufo kuncike kuphethini yokuphuka kanye nokuthandwa ngudokotela ohlinzayo.

Ukuvalwa kwenxelo

Ngemuva kokuqinisekisa ukuqondanisa okufanele nokulungiswa, ukuvela kuvaliwe kusetshenziswa ama-suture noma ama-staples. Ukuvalwa ngamalonda kwenziwa ngokucophelela ukukhuthaza ukwelashwa nokunciphisa ingozi yokutheleleka. Ukugqoka okulindile kusetshenziswa, futhi isiza sokuhliswa siyavikeleka.

Izinzuzo ze-Floversled Femorvelveldary Nail

Ukusetshenziswa kwe-feoserged feoserallevaltary nail ye-intrametundary kunikeza izinzuzo eziningana ngaphezu kwezindlela zokwelashwa kwendabuko. Ezinye izinzuzo ezibalulekile zifaka:

1. Ukuqondanisa okunembile: I-NEPRESERED PETRAITTIE ITHEPHA livumela ukuhambisana okunembile kwezingxenye zamathambo aqhekekile, ukukhuthaza ukwelashwa okuphezulu nokwehlisa ubungozi bokuma komhlaba.

2. Ukuqina okuthuthukile: Izipikili zangemuva ezibuyiselwe emuva zinikeza ukuqina okuthuthukile kwisiza se-Fracture, okuvumela amandla angcono okulayisha umthwalo kanye nemiphumela yokuphulukisa ethuthukisiwe.

3. Ukulondolozwa kokuhlinzekwa kwegazi: Ngokusebenzisa umsele we-intramentary bese ufaka isipikili esiphelweni se-distal, ubuyiselwe emuva kwabesifazane obuhle behlisa isithunzi ekuphazanyisweni kwegazi lethambo. Lokhu kulondolozwa kokugeleza kwegazi kubalulekile ukuze kuphulukiswe kahle kwamathambo kanye ne-fracture Union.

4. Ukunciphiswa kwezicubu ezithambile ezithambile: Ukubuyiselwa emuva kwenqubo yezipikili kubandakanya ukuhlukaniswa kwezicubu ezincanyana, okuholela ekunciphiseni okuthambile kwezicubu ezithambile. Lokhu kungaholela ekubuyiselweni okusheshayo, kuncishiswe izinhlungu ze-postoperative, futhi kunciphise engcupheni yezinkinga ezithambile zezicubu.

5. Ukukhulisa kusenesikhathi: Ngokubuyiselwa emuva kwabesifazane abayimfihlo, ukuhlanganisa kusenesikhathi kungenzeka. Lokhu kuvumela iziguli ukuthi ziqale ukuzivocavoca umzimba kanye nokuvuselela umzimba kungekudala, zithuthukisa ukululama ngokushesha kanye nemiphumela esebenzayo ethuthukisiwe.

   
   

Izinkinga ezingaba khona nobungozi

Ngenkathi ukubuyiselwa emuva kwabesifazane okuhlaziyiselwe kwezomnyengali ngezipikili kubhekwa njengokuphephile futhi kuyasebenza, kukhona izinkinga nezinkinga ezingaba khona kanye nobungozi obuhambisana nenqubo. Kubalulekile ukuthi iziguli ziqaphele la mathuba ngaphambi kokulashwa. Ezinye zezinkinga zifaka:

• Ukutheleleka: Njenganoma iyiphi inqubo yokuhlinzwa, kunengozi yokutheleleka. Kodwa-ke, amasu afanelekile afanele, ama-antibiotic prophylaxis, nokunakekelwa kwe-postoperative kunganciphisa kakhulu le ngozi.

• Ukuphazanyiswa noma i-nonunion: Kwezinye izimo, izingcezwana zokuqhekeka kungenzeka zingapholi ngendlela efiselekayo noma yehluleke ukwelapha ngokuphelele. Izici ezifana nokwehliswa okunganele, ikhwalithi empofu yamathambo, noma ukuthwala isisindo ngokweqile kungasiza ekuhlanganeni noma ekungangeniseni. Ukuhlola okusondelene nokungenelela okwengeziwe, njengokuhlinzekwa kabusha kokuhlaziywa, kungahle kudingeke ukubhekana nalezi zinkinga.

• Izinkinga ezihlobene nokufakelwa: yize kungavamile, izinkinga ezihlobene nokufakelwa kungenzeka. Lokhu kungahlanganisa ukukhululwa okufakiwe, ukuqhekeka, noma ukucasuka. Uma kuphakama izinkinga ezinjalo, ukungenelela okunye ukuhlinzwa kungadingeka.

• Ukulimala kweZarr noma ukulimala kwegazi: Ngesikhathi senqubo yokuhlinzwa, kunengozi encane yokulimala komkhumbi we-nerve noma yegazi. Odokotela abahlinzayo bathatha izinyathelo zokunciphisa ubungozi, kepha iziguli kufanele ziqaphele ukuthi kungenzeka futhi zibike ngokushesha noma yiziphi izimpawu eziphikelelayo noma ezazi.

  
  

Ukuvuselelwa nokululama

Ngemuva kokubuyiselwa emuva kokuhlinza izipikili zomhlaba ezihlabeleleni, uhlelo lokuvuselelwa okuphelele lubalulekile ekuvuseleleni kahle. Uhlelo oluthile Lokuvuselela Ukulungiswa lungahluka ngokuya ngobunzima bokuqhekeka, iziguli, kanye nokuholwa ngudokotela ohlinzayo. Ukwelashwa ngokomzimba, kufaka phakathi uhla lokuzivocavoca lokunyakaza, ukuvivinya umzimba okuqinisa, kanye nokuqeqeshwa kwe-gait, kudlala indima ebalulekile ekubuyiselweni komsebenzi nokuthola kabusha.

Izifundo zamacala nezindaba zempumelelo

Iziguli eziningi zithole imiphumela ephumelelayo enenqubo yokubuyiselwa kwabesifazane ababuyiselwe emuva. Olunye ucwaningo lwecala lwabandakanya umuntu oneminyaka engama-45 ubudala nge-distal femuracture. Ngemuva kokuhlinzwa nge-Feessled Feoseralled Nail eyingqayizivele, isiguli sithole inyunyana eqinile ye-fracture, sathola amandla agcwele isisindo, futhi saphindela emisebenzini ejwayelekile kungakapheli izinyanga eziyisithupha.

Ukugcina

Ekuphetheni, ukubuyiselwa emuva kwabesifazane, inqubo yezipikili ye-wail eyinqaba inikeza isixazululo esithembisayo sokuphatha ukuqhekeka kwabesifazane, ikakhulukazi esifundeni sasemuva. Inikeza ukuqina okuthuthukile, ukuqondanisa okuqondile, kanye nekhono lokuhlanganisa kusenesikhathi. Ngenkathi kukhona izingozi nezinkinga ezingaba khona, ukuhlelwa okuphathelene ngokucophelela, okunembile inqubo yokuhlinza, nokunakekelwa okufanele kwe-postoperative kungasiza ukunciphisa lokhu kukhathazeka. Iziguli ezazibuyiselwe emuva kwabesifazane ezihlanjululweni kwezipikili zomhlaba, zilandelwa uhlelo lokuvuselelwa okuhlelwe kahle, zinamandla okuthola kabusha umsebenzi.