Uhlolojikelele lwekesi
Muva nje, ithimba le-orthopedic trauma eliholwa uDkt. Carlos Rivera esibhedlela sikaMasipala wase-Santa Rosa e-Lima, ePeru , liqede ngempumelelo uhlelo. ukunciphisa okuvaliwe kanye nokuhlinzwa kwangaphakathi kokulungisa ukuphuka kwe-intertrochanteric kwesokunxele. Isiguli sibonise inqubekelaphambili eqhubekayo yangemva kokuhlinzwa ngokukhuthaza ukululama komsebenzi kusenesikhathi.
Leli cala liqokomisa ukubaluleka kokuxilonga ngokushesha, ukukhethwa kwezimila ezifanele, kanye namasu okuhlinza angena kancane ekulawuleni ukuphuka kwenyonga ye-geriatric—inselele yomtholampilo ekhulayo emhlabeni wonke.
Ukuhlola Ngaphambi Kokuhlinzwa kanye Nokwenza Izinqumo Zokuhlinza
Ngemva kokubuyekeza isethulo somtholampilo wesiguli, okutholwe yi-X-ray, ukugula okuhambisana nakho, kanye nesimo somsebenzi jikelele, uDokotela Omkhulu Ohlinzayo uDkt. Rivera waphetha ngokuthi ukuncishiswa nokulungiswa okuvaliwe kusetshenziswa i-Intertan Isipikili sangaphakathi komongo wethambo kuzohlinzeka ngesixazululo esizinzile nesivuna i-biomechanically.
Isinqumo sasisekelwe esidingweni sokuthi:
Ukumelana okuthuthukisiwe kwamandla ajikelezayo
Ukulungiswa kwe-proximal okuqinile nokuqinile
Ukucindezela okulawulwayo endaweni yokuphuka
Ukufakwa okuncane kokuhlaselayo ukunciphisa ukuhlukumezeka kokuhlinzwa
Lokhu kubaluleke kakhulu ezigulini esezikhulile, lapho ukuhlangana kusenesikhathi kungathuthukisa kakhulu imiphumela futhi kunciphise izinkinga ezifana nenyumoniya, i-thrombosis, nokungakwazi ukuhamba isikhathi eside.
Isifinyezo secala
Isiguli, uNksz Ana Marisol Vásquez , owesifazane oneminyaka engu-82 ubudala onomlando wezokwelapha we- arterial hypertension , wethulwe esibhedlela ngemuva kokuwa kwekhaya. Ubike ubuhlungu obukhulu be-hip kwesokunxele kanye nokungakwazi ukuthwala isisindo.
Ukuhlolwa ngokomzimba kwembule:
Ukukhubazeka okubonakalayo enqulwini yesokunxele
Ibanga lokunyakaza elilinganiselwe ngokuphawulekayo
Ubumnene endaweni ye-intertrochanteric
Ukuqondanisa kwesitho esingezansi okungavamile
I-Radiographic imaging iqinisekise ukuphuka kwe-intertrochanteric okususiwe , okudinga ukungenelela okufika ngesikhathi ukuze kubuyiselwe ukuzinza nokuhamba.
I-Imaging Preoperative
I-X-ray yangaphambi kokuhlinzwa ebonisa ukuphuka kwe-intertrochanteric kwesobunxele esigulini esikhulile, e-Lima Peru
Isithombe se-Postoperative
![I-X-ray yangemva kokuhlinzwa ngemva kwe-Intertan Isipikili sangaphakathi komongo wethambo ukulungiswa kwe-intertrochanteric fracture-czmeditech kwesokunxele]( "Postoperative X-ray after Intertan Intramedullary Nail fixation of left intertrochanteric fracture-czmeditech")
I-X-ray yangemva kokuhlinzwa ebonisa i-Intertan Isipikili sangaphakathi komongo wethambo ukulungiswa kokuphuka kwe-intertrochanteric kwesokunxele, Peru
Isifinyezo Sokuhlinzwa
Phakathi nokuhlinzwa, uDkt. Rivera waphawula ukuthi CZMEDITECH I-Intertan Isipikili sangaphakathi komongo wethambo inikeze ukuzinza okuphakeme kwe-biomechanical kanye nokufakwa okushelelayo.
Izinzuzo ezibalulekile eziphawuliwe zihlanganisa:
1. Izinzuzo ze-Biomechanical
Izikulufu ezimbili ze-cephalocervical zithuthukise ukumelana nokujikeleza
Ukucindezelwa kwe-axial okuthuthukisiwe kuwo wonke umugqa wokuphuka
Ukulungiswa okuzinzile kunciphisa izingozi zokuwa kwe-varus
Ngisho nokusabalalisa amandla okukhuthaza ukuphulukiswa kwamathambo
2. Izinzuzo Zomklamo
Ithiphu yezinzipho ecijile futhi epholishiwe yavumela isigxivizo ukuthi sishelele emseleni we-medullary ngokumelana okuncane, kunciphisa ukuhlukumezeka kwezicubu.
Izikulufu eziqinile ze-titanium alloy cephalic zaqinisekisa ukuhambisana okuhle kakhulu kwe-biocompatibility nokuqina kwesikhathi eside.
3. Ithuluzi Setha Ukusebenza
Isethi yensimbi ezinikele ye-Intertan ihlinzekiwe:
Ukuma kwe-guidewire okunembile
Ukuvuselela okubushelelezi nokufakwa kwezinzipho
Ukukhomba okunembile kokubeka isikulufu
Isikhathi esifushane sokusebenza
Ukwehliswa kokuchayeka kwe-fluoroscopy
Lokhu kusize ukuncishiswa okuzinzile nokulungiswa okuthembekile, ukuhlangabezana nezidingo ze-biomechanical zephethini yokuphuka.
Izicaciso zokufakelwa
Ukuhlinzwa kusebenzise CZMEDITECH isistimu ye-Intertan Isipikili sangaphakathi komongo wethambo kanye nesethi yayo yezinsimbi ezihlanganisiwe.
![CZMEDITECH I-Intertan Isipikili sangaphakathi komongo wethambo enezikulufu ezimbili ze-cephalocervical]( "CZMEDITECH Intertan Intramedullary Nail with dual cephalocervical screws")
I-Intertan Isipikili sangaphakathi komongo wethambo
Izicaciso zokufakelwa
![I-Intertan Isipikili sangaphakathi komongo wethambo insimbi ehlanganisiwe isethwe kusukela ku CZMEDITECH]( "Intertan Intramedullary Nail integrated instrument set from CZMEDITECH")
Uma ufuna ukufunda kabanzi mayelana naleli cala lokuhlinzwa noma ukuhlola imininingwane ephelele yesistimu yethu ye-Intertan Isipikili sangaphakathi komongo wethambo , sicela ukhululeke ukuxhumana nathi. Ithimba lethu lizokunikeza ukwesekwa okuningiliziwe kwezobuchwepheshe nezimpendulo ezichwepheshile.→
Inqubekelaphambili yangemva kokusebenza
Ngemuva kokulungiswa, isiguli saqala ukugqugquzela ukusiza. Ubuhlungu behliswa kakhulu, ukulungiswa kwemilenze kwabuyiselwa, futhi ama-radiographs alandelayo aqinisekisa ukuma okuzinzile kokufakelwa ngezimpawu zokuphulukiswa okuqhubekayo kokuphuka.
Leli cala libonisa ukuthi uhlelo lwe-Intertan lunikeza ukulungiswa okuthembekile kanye nemiphumela emihle ezigulini esezikhulile—ngisho nalezo ezine-osteoporosis.
Umshwana wokuzihlangula
Wonke amagama ezibhedlela, amagama odokotela, kanye nolwazi lwesiguli olusetshenziswe kulo mbiko amagama mbumbulu ngezinjongo zokubonisa kuphela.
FAQ
1. Kungani i-Intertan Isipikili sangaphakathi komongo wethambo ikhethelwe lokhu kuphuka kwe-intertrochanteric ePeru?
Isiguli kwakungowesifazane oneminyaka engu-82 ubudala onekhwalithi elinganiselwe yamathambo kanye nokuphuka kwe-intertrochanteric kwesokunxele. I-Intertan Isipikili sangaphakathi komongo wethambo inikezela ngedizayini edidiyelwe ye-cephalomedullary nezikulufu ezimbili ze-cephalocervical, ehlinzeka ngokuzinza okuqinile kokujikeleza nokucindezelwa okulawulwayo endaweni yokuphuka, elungele ukugqugquzelwa kwangaphambi kwesikhathi ezigulini eziphuka inqulu.
2. Yiziphi izinzuzo eziyinhloko ze CZMEDITECH Intertan Isipikili sangaphakathi komongo wethambo kulesi simo?
I CZMEDITECH I-Intertan Isipikili sangaphakathi komongo wethambo ihlanganisa izikulufu ezikabili ze-cephalocervical nethiphu yezinzipho ecindezelweyo nephucuziwe. Lo mklamo wandisa ubushelelezi bokudlula kumsele we-medullary, wehlisa ukulimala kwezicubu ezithambile, uthuthukisa ukumelana nokuxegiswa kwe-implant, futhi usize ukuzuza ukuhlangana kwamathambo okuthembekile ekuqhekekeni kwe-intertrochanteric okungazinzile.
3. Ithuluzi elididiyelwe lesethi lasekela kanjani ukuhlinzwa esibhedlela sikaMasipala sase-Santa Rosa?
Ithuluzi elizinikele le-Intertan Isipikili sangaphakathi komongo wethambo elisethwe kusukela ku CZMEDITECH linikeza imihlahlandlela enembile, iziqalisi kabusha namadivayisi okukhomba. Lo mklamo ohlanganisiwe wenze lula izinyathelo zokuhlinza, waqinisekisa ukubekwa okunembile kwesikulufu ngaphansi kwe-fluoroscopy futhi waba nesandla ekuhambeni komsebenzi wokuhlinzwa okushelelayo kwethimba likaDkt. Carlos Rivera.
4. Waba yini umphumela wangemva kokuhlinzwa kwalesi siguli esikhulile eLima?
Ngemva kokunciphisa okuvaliwe nokulungiswa kwe-Intertan Isipikili sangaphakathi komongo wethambo , isiguli sazuza ukulungiswa okuzinzile kokuphuka kanye nokululama kokusebenza kwangaphambi kwesikhathi. Ubuhlungu buyehliswa kakhulu, ukulungiswa kwemilenze kwabuyiselwa futhi ukucabanga okulandelwayo kwaqinisekisa isikhundla esihle sokufakelwa kanye nokuphulukiswa okuqhubekayo kokuphuka.
5. Ingabe i-Intertan Isipikili sangaphakathi komongo wethambo ilungele ezinye izinhlobo zokuphuka kwenyonga?
I-Intertan Isipikili sangaphakathi komongo wethambo iboniswa ngokuyinhloko ukuphuka okuzinzile nokungazinzile kwe-intertrochanteric kanye nokuphuka okuthile kwe-subtrochanteric ye-femur. Idizayini yayo ye-cephalomedullary ivumela ukuthi ibhekane namaphethini ayinkimbinkimbi okuphuka kwe-femal proximal, kodwa inkomba yokugcina kufanele ihlolwe ngudokotela ohlinzayo wamathambo ngokuvumelana nokwakheka kwesiguli ngasinye kanye nekhwalithi yamathambo.
6. Ukulungiswa kwesikulufu esikabili se-cephalocervical kuthuthukisa kanjani ukuzinza ekuqhekekeni kwe-intertrochanteric?
Izikulufu ezimbili ze-cephalocervical zikhulisa indawo yokuxhumana ekhanda lentamo nentamo, zithuthukisa ukulawula ukuzungezisa nokugoqeka kwe-varus futhi zivumele ukucindezelwa okulawulwayo kuwo wonke umugqa wokuphuka. Lokhu kusiza ukugcina ukuncipha futhi kunciphisa ingozi yokusikwa kokufakelwa noma ukulahlekelwa ukulungiswa kwethambo le-osteoporotic.
7. Iyiphi into esetshenziselwa izikulufu ze-cephalic kusistimu ye CZMEDITECH Intertan?
Izikulufu ze-cephalic kusistimu ye CZMEDITECH Intertan Isipikili sangaphakathi komongo wethambo zenziwe nge-alloy ye-titanium yamandla aphezulu. Lesi sici sinikeza i-biocompatibility enhle kakhulu, ukumelana nokugqwala namandla okukhathala isikhathi eside, kunciphisa ubungozi bokuguga kokufakelwa sekwephuzile noma ukusabela okubi.
8. Ingabe CZMEDITECH ingakwazi ukunikeza osayizi abenziwe ngokwezifiso noma amasethi aphelele kubasabalalisi nezibhedlela?
Yebo. I CZMEDITECH inikezela ngobubanzi obugcwele be-Intertan Izipikili zangaphakathi komongo wethambo namathuluzi afanayo. Ngokwesidingo sendawo somtholampilo, abasabalalisi nezibhedlela bangakhetha osayizi abajwayelekile noma baxoxe ngezicaciso ezenziwe ngokwezifiso futhi zisethe ukucushwa ukuze kuhlangatshezwane nezidingo zabo zokuhlinzwa ngenxa yokulimala kwamathambo.
9. Yiziphi izinto ezicatshangelwayo ze-perioperative ezibalulekile ezigulini esezikhulile ezine-intertrochanteric fractures?
Ezigulini esezikhulile, kubalulekile ukulawula ukugula okuhambisana nomfutho wegazi ophakeme, ukwandisa ubungozi bokubulala izinzwa, unciphise ukuhlukumezeka kokuhlinzwa futhi uqale ukuhlanganisa kusenesikhathi ngaphansi kokuvikelwa. Ukulungiswa kwangaphakathi okuzinzile nge-Intertan Isipikili sangaphakathi komongo wethambo kusekela ukuthwala isisindo ngaphambi kwesikhathi futhi kusiza ukunciphisa izinkinga ezihlobene nokuphumula kombhede isikhathi eside.
10. Leli cala lasePeru lingakwazi kanjani ukusekela amakhasimende amazwe ngamazwe ahlola CZMEDITECH izixazululo zokuphuka kwenyonga?
Leli cala lase-Lima, e-Peru libonisa ukuthi CZMEDITECH i-Intertan Isipikili sangaphakathi komongo wethambo inganikeza ukulungiswa okuthembekile kanye nemiphumela emihle ekusebenzeni kwangempela komtholampilo. Kubasabalalisi bamazwe ngamazwe nezibhedlela, imibiko enjalo yesimo somhlaba wonke isiza ukwakha ukuzethemba ekusebenzeni komkhiqizo, ikhwalithi yezinsimbi nosekelo lobuchwepheshe oluvela ku CZMEDITECH .
