Top 5 hot issues of femoral neck fracture, ontanga yakho babhekene nalokhu!

Ukukhetha ukulungiswa kwangaphakathi kuqhathaniswa nokushintshwa okuhlanganyelwe

Njengamanje, ngokuvamile kukholelwa ukuthi ukulungiswa kwangaphakathi kwe-nail okungenalutho kwe-femoral neck fracture kunezinzuzo zesikhathi esifushane sokusebenza, ukuhlukumezeka okuncane kanye nezindleko eziphansi, kodwa iziguli eziningi esezikhulile zihambisana ne-osteoporosis, ngakho-ke ukuzinza kokulungiswa kwangaphakathi kufanele kucatshangelwe ngokugcwele. Ezigulini ezingazinzile zokuphuka kwentamo ye-femal, zidinga ukuhlala isikhathi eside embhedeni, futhi izazi eziningi zicabanga ukuthi azikwazi ukuthwala isisindo kusenesikhathi, okuthinta kakhulu izinga lempilo yeziguli. Ngaphezu kwalokho, kukhona ithuba lokuphuka kwe-nonunion kanye ne-femoral head necrosis.Ukushintshwa kwe-Hip kungaxazulula ngokuphelele izinkinga eziyinhloko ze-femoral neck fracture nonunion kanye necrosis ye-avascular yekhanda lesifazane ezigulini esezikhulile, futhi zingagwema izinkinga ezifana nokucindezeleka kokucindezeleka, ukutheleleka kokuphefumula kanye nokutheleleka komchamo ngangokunokwenzeka.

Ukuhlola isikhathi sokuthwala isisindo ngemva kokulungiswa kwangaphakathi

Izinkinga zesikhathi eside zeziguli ezine-femoral neck fixation yangaphakathi ziyi-nonunion kanye necrosis ye-avascular yekhanda lesifazane. Ezinye izazi zikholelwa ukuthi imisebenzi ethwala isisindo phakathi nesigaba sokuqala inethonya elikhulu ekuqhekekeni kwentamo ye-femoral postoperative, futhi ukuhlala embhedeni isikhathi eside ngemva kokuhlinzwa kunganciphisa ukugqugquzelwa ekugcineni kokuphuka futhi kunikeze indawo ezinzile yokuphulukiswa okushelelayo kokuphuka. Ukuncishiswa okunembile kwangaphambi kwesikhathi, ukulungiswa kwangaphakathi okuthembekile, ukunciphisa ukubhujiswa kwegazi lendawo kanye nokuthuthukiswa kokuchithwa kwegazi lendawo kunganciphisa ngokuphumelelayo ukuvela kwe-avascular necrosis yekhanda lesifazane ngemva kokuphuka kwentamo yesifazane.

Ingxoxo ye-Perioperative traction yokuphuka kwentamo yesifazane

I-Preoperative traction ibilokhu iyimpikiswano. Inhloso yayo eyinhloko ukukhulula ubuhlungu, ukunciphisa ukunyakaza kwesitho esithintekile, nokunciphisa amathuba okufuduka noma ukukhushulwa kokuhamba ekugcineni kokuphuka. Kodwa-ke, abanye abantu bacabanga ukuthi ukudonsa okungenangqondo kuzoholela ekwandeni kokucindezela kwe-capsule ehlangene, bese kuthinta ukunikezwa kwegazi ezungeze ikhanda lesifazane, okungukuthi, 'umphumela wokugxusha', ngaleyo ndlela kwandise izehlakalo ze-avascular necrosis yekhanda lesifazane.

Ucwaningo luye lwabonisa ukuthi izinga le-femoral necrosis lingama-27.8% kulabo abangenawo amandla okudonsa ngokweqile kanye nama-42% kulabo abadonsa kakhulu. Ukwengeza, ezinye izifundo zibonise ukuthi ukugcina isitho esithintekile endaweni engathathi hlangothi ejikelezayo ye-30 flexion ye-hip joint, i-30 flexion ye-knee joint kanye nokuthunjwa kwe-10 ngesikhathi sokudonsa kunganciphisa ukucindezelwa emgodini ohlangene we-hip futhi ukwandise ukunikezwa kwegazi kwekhanda lesifazane. Ngenxa yalesi sizathu, kunemibiko yomtholampilo yokuthi i-tibial tuberosity traction iqhutshwa amasonto angu-3 ngemuva kokulungiswa kwezipikili ezingenalutho, futhi isisindo sokudonsa singu-1.5kg, ukuze kugcinwe umlenze othintekile endaweni yokujikeleza engathathi hlangothi ye-30 flexion ye-hip joint, 30 flexion of knee joint and 10 abduction.

Inketho phakathi kokushintshwa kwenyonga okuphelele nokushintshwa kwekhanda lesifazane

Ukushintshwa kwe-hip okuphelele kuyindlela yokuhlinzwa esebenzisa i-prosthesis yokufakelwa ukuze ithathe indawo yezicubu ze-hip ezilimele, ezixazulula ngokuphumelelayo izinkinga zokuphuka kwentamo yesifazane kubantu asebekhulile, njenge-fracture nonunion kanye ne-femoral head necrosis ebangelwa ukuphazamiseka kokunikezwa kwegazi kanye ne-osteoporosis. Kodwa-ke, ngenxa yenqubo yokusebenza eyinkimbinkimbi, isikhathi eside sokusebenza kanye nokulimala okukhulu kokuhlinzwa, ingozi yokusebenza ezigulini esezikhulile iphezulu, futhi kunezinga elithile lokuguqa ngokuhlanganyela ngemva kokuhlinzwa.

Ukushintshwa kwekhanda lokufakelwa kwe-femoral kunganciphisa ngokuphumelelayo ukuhlukumezeka kokuhlinzwa futhi kunciphise isikhathi sokuvuselela ngemuva kokuhlinzwa kweziguli, kodwa kunezinkinga ezithile ezifana nokugqoka kwe-acetabular esikhathini eside, okuzothinta umsebenzi we-hip we-postoperative weziguli.

Ukukhethwa kwezitho zokufakelwa zikasimende eziqhathaniswa ne-biologic

Iziguli esezikhulile zivame ukuba yinkimbinkimbi nge-osteoporosis, ngakho-ke kusekhona impikiswano mayelana nokuthi kufanele kukhethwe i-bone cement femoral prosthesis noma i-biological femoral prosthesis.

I-bone Cement inganikeza amandla amahle okuluma ekuqaleni, futhi ingakwazi ukuzivumelanisa ne-femoral medullary cavity ngethambo elimpofu, ukuze iziguli esezikhulile zikwazi ukubuyisela umsebenzi ohlangene we-hip ngaphambi kwesikhathi futhi zinciphise ukuvela kwezinye izinkinga zesistimu. Kodwa-ke, kuye kwabikwa ukuthi i-bone cement implantation syndrome ingase yenzeke ngesikhathi sokusebenza kwe-bone cement prosthesis, okuholela ekufeni okukhulu ngesikhathi nangemva kokusebenza, ikakhulukazi ezigulini ezine-cardiopulmonary dysfunction ngaphambi kokusebenza, futhi ukubuyekezwa kwesikhathi eside kunzima kakhulu.

I-Biological prosthesis ingagwema i-bonecement implantation syndrome futhi inciphise isikhathi sokusebenza. Kodwa-ke, i-biological femoral prosthesis idinga ukuthi isibambo se-prosthesis kufanele sihambisane kahle ne-metaphysis kanye ne-medullary cavity ye-femoral shaft, ngaphandle kwalokho kuzoholela ekuthukululeni nasekucwiliseni i-prosthesis esikhathini esizayo esiseduze noma esikhathini eside, ikakhulukazi i-Dorr C chimney femoral cavity, ejwayele ukuba nezinkinga kanye ne-medulastic emva kokuhlinzwa okufana nokuphuka.

Mayelana I-CZMEDITECH

Iqhutshwa ukholo lokuthi wonke umuntu kule planethi ufanelwe insiza yezempilo engcono. I-CZMEDITECH isebenza ngentshiseko ukusiza abanye baphile ngokungesabi. Siyaziqhenya lapho iziguli ezihlomule kakhulu futhi zibe nempilo engcono ngenxa yemikhiqizo yethu kanye nezinyathelo zethu sezikhule zafinyelela emazweni angaphezu kuka-70, lapho iziguli, odokotela kanye nozakwethu ngokufanayo bethembele CZMEDITECH ukuqhubekela phambili. Wonke ama-orthopedic implant akhiqizwa yithi ahlangabezana nezindinganiso zekhwalithi ephezulu kakhulu.

Saqala uhambo olungajwayelekile ngokufakwa kwamathambo eminyakeni eyi-13 edlule. Kulolu hlelo, ulayini wokukhiqiza uhlukaniswe waba izimila ze umgogodla, ukuhlukumezeka, i-cranial-maxillofacial, izitho zokufakelwa, amathuluzi kagesi, izilungisi zangaphandle, arthroscopy futhi ukunakekelwa kwezilwane , kanye ne amathuluzi asetshenziswa ezinkambisweni zokuhlinza ezihlobene.

Zonke izinto zethu zokusetshenziswa zivela kubahlinzeki bekhwalithi ephezulu basekhaya nabaphesheya. Uma kuziwa endabeni yekhwalithi, asilokothi sigodle izindleko kunjongo yethu yokuhlala sihamba ibanga elide, ngalokho simisa ilebhu yethu yokuhlola ukuze siqinisekise ikhwalithi yezinto ezingavuthiwe. Yonke imishini yethu yokukhiqiza ingeniswa ivela e-USA, Germany, Japan kanye nemikhiqizo ephezulu e-Domestic ukuqinisekisa ukunemba kwawo wonke umkhiqizo esiwukhiqizile.

Kutshalwe isikhathi esiningi nomzamo ekucwaningeni ngentuthuko nokukhuphula umkhiqizo wokugcina. Sinethimba labacwaningi abaqeqeshiwe, ithimba labakhiqizi kanye nethimba le-QC lokuqinisekisa ikhwalithi engcono kakhulu kanye nokwesekwa kwethimba lethu labadayisi ukuxazulula bonke ubunzima nokuhlinzeka ngesevisi engcono kakhulu ngemva kokuthengisa.

Sinothando ngokholo lwethu, sihlala sicindezela imikhawulo yolwazi lwethu ukuze sinikeze izixazululo zemikhiqizo emisha yawo wonke amakhasimende ethu emhlabeni wonke futhi senza imizamo engapheli yempilo yabantu.