I-Practures yendawo ye-Interrrochanateric ye-akhawunti ye-femur ye-50% yeflakisi ye-hip kwaye lolona hlobo luqhelekileyo lokuqhekeka kwizigulana ezikhulileyo. Ukulungiswa kwe-Intramellary Kukho imvumelwano phakathi kogqirha wamathambo ukuthintela "isiphumo esifutshane" ngokusebenzisa izipikili ezinde okanye ezimfutshane, kodwa okwangoku azikho imvumelwano phakathi kweenzipho ezide nezifutshane.
Kwithiyori, izikhonkwane ezimfutshane zinokuphelisa ixesha lokuhlinqwa, zinciphise ilahleko yegazi, kwaye zithini ukunqanda ukuhlengahlengiswa, ngelixa izipikili ezinde zibonelela ngokuzinza kakuhle. Ngexesha lenkqubo yokufakelwa isikhonkwane, indlela yesiqhelo yokulinganisa ubude bezipikili ezinde kukulinganisa ubunzulu bePIN yeSikhokelo esiFiziweyo. Nangona kunjalo, le ndlela ihlala ingachaneki kakhulu, kwaye ukuba kukho ukuphambuka, ukutshintsha isipikili se-intramerary kunokukhokelela ekulahlekelweni kwegazi enkulu, ukwandisa i-sumical hamare, kunye nexesha lotyando. Ke ngoko, ukuba ubude bezipili zentsulungene zinokuvavanywa ngendlela efanelekileyo, injongo yokufakelwa isikhonkwane inokufezekiswa kwilinge elinye, ukunqanda umngcipheko we-intraoperation.
Ukulungisa lo mngeni weklinikhi, abaphengululi bamanye amazwe basebenzise ibhokisi yokupakisha i-Intramelilary Nations ye-Inrameling (ibhokisi) ukuba baphinde bahlole ubude beleyile ye-intramellary ephantsi kwe-fluoroscody ephantsi kwe-fluoroscopy, ekubhekiswa kuyo "ubuchule bebhokisi". Iziphumo zekliniki zilungile, kuba kwabelwane ngayo apha ngezantsi:
Okokuqala, beka isigulana kwibhedi yendlela kwaye wenze inkqubo evaliweyo evaliweyo phantsi kwengqungquthela. Emva kokufikelela kunciphiso okwanelisayo, thatha isikhonkwane esingafakwanga i-ivamerlary (kubandakanya ibhokisi yokupakisha) kwaye ubeke ibhokisi yokupakisha ngaphezulu kwe-femur yelungu elichaphazelekayo
Ngoncedo lwe-C-Arm Armooroscopy, indawo ye-proximal kukuhambelana nesiphelo se-intramellary kunye ne-cortex enesipikithi sendawo yokungena kwi-intramellary.
Nje ukuba indawo yeproximal iyoneliseka, gcina indawo ye-proximal, emva koko tyhala i-C-ARM ukuya kwisiphelo se-dioloroscopy ukuze ufumane umbono olandelayo wedolo. Isalathiso se-distal indawo ye-intercondylar itch ye-femur. Buyisela i-Inramellary Nail enobude obahlukeneyo, ojolise ekufezekiseni umgama phakathi kokuphela kwe-torallary ye-feramellary kunye ne-itch ye-femur kwi-1 yeedayimitha ye-diamerlary. Oku kubonisa ubude obufanelekileyo besikhonkwane se-intramellary.
Ukongeza, ababhali bachaza iimpawu ezimbini ezibonisa ukuba zinokubonisa ukuba isikhonkwane se-intramellary side kakhulu:
I-1. Ukuphela kokuphela kwe-intramellary kufakwe kwinxalenye ekude ye-1/3 yenxalenye ye-patelloferal ye-patelloferal (ngaphakathi kumgca omhlophe kumfanekiso ongezantsi).
2. Ukuphela kokuphela kwe-intramelimerary ifakwe kwinxantathu eyenziwe ngumgca weBlumensiat.
Ababhali basebenzise le ndlela ukulinganisa ubude bezikhonkwane ze-inimerellary kwizigulana ezingama-21 kwaye bafumana inqanaba lokuchaneka kwe-95.2%. Nangona kunjalo, kunokubakho umcimbi onokubakho ngale ndlela: Xa i-Intramellary Napile ifakwe kwizicubu ezithambileyo, kunokubakho isiphumo sokukhulisa ngexesha le-fluoroscopy. Oku kuthetha ukuba ubude bokwenyani besikhonkwane se-intramellary osetyenzisiweyo unokufuna ukuba mfutshane kancinci kunenyathelo lokuthintela. Ababhali baphawula le nto kwizigulana ezityebileyo kwaye bacebisa ukuba abaguli abathobelayo banesipikili okanye baqinisekise ukuba umgama phakathi kwesipikili se-femur siphakathi kwe-2-3 i-Diameter ye-Deramellary Natimer Nations.
Kwamanye amazwe, izikhonkwane ze-intramelimery zinokupakishwa ngokukodwa kwaye zisetyenziswa kwangaphambili, kodwa kwiimeko ezininzi, ubude obahlukeneyo bezikhonkwane ze-intramelimes zixutywe kwaye zidityaniswe ngokudibeneyo. Ngenxa yoko, isenokungakwazi ukuvavanya ubude besikhonkwane se-intramellary ngaphambi kokucocwa. Nangona kunjalo, le nkqubo inokugqitywa emva kokuba iidrayini ze-Sterilizal zisetyenzisiwe.
Ixesha leposi: Apr-09-2024
