Yintoni i-DHS kunye ne-DCS?
I-DHS (I-Dynamic Hip Screw)yi-implant yotyando esetyenziselwa ukunyanga ukwaphuka kwentamo ye-femoral kunye nokuqhekeka kwe-intertrochanteric. Iqulethe isikrufu kunye nenkqubo yepleyiti enika ukuqina okuzinzileyo ngokuvumela ucinezelo olunamandla kwindawo yokuqhekeka, okukhuthaza ukuphiliswa.
I-DCS (Isikrufu seDynamic Condylar)sisixhobo sokubopha esisetyenziselwa ukwaphuka kwe-distal femur kunye ne-proximal tibia. Sidibanisa iingenelo ze-multiple cannulated screws (MCS) kunye ne-DHS implants, sibonelela ngoxinzelelo olunamandla olulawulwayo ngokusebenzisa ii-screws ezintathu ezicwangciswe ngendlela eguqulweyo ye-triangular configuration.
Yintoni umahluko phakathi kwe-DHS kunye ne-DCS?
I-DHS (Dynamic Hip Screw) isetyenziswa kakhulu kwi-femoral neck kunye ne-intertrochanteric fractures, inika ukuqina okuzinzileyo nge-screw kunye ne-plate system. I-DCS (Dynamic Condylar Screw) yenzelwe ukwaphuka kwe-distal femur kunye ne-proximal tibia, inikezela ngoxinzelelo olulawulwayo olunamandla ngokusebenzisa ulungiselelo lwe-triangular screw.
Isetyenziselwa ntoni i-DCS?
I-DCS isetyenziselwa ukunyanga ukwaphuka kwethambo kwi-distal femur kunye ne-proximal tibia. Isebenza kakuhle kakhulu ekuboneleleni ngozinzo nokukhuthaza ukuphiliswa kwezi ndawo ngokusebenzisa ucinezelo olulawulwayo olunamandla kwindawo yokuqhekeka kwethambo.
Yintoni umahluko phakathi kwe-DCS kunye ne-DPL?
I-DPL (Ukuvala Uxinzelelo Olunamandla)lolunye uhlobo lwenkqubo yokubopha esetyenziswa kutyando lwamathambo. Nangona zombini i-DCS kunye ne-DPL zijolise ekuboneleleni ngokuqina kokuqhekeka kwamathambo, i-DPL isebenzisa izikrufu ezitshixayo kunye neepleyiti ukuze ifezekise ukuqina okuqinileyo, ngelixa i-DCS igxile ekucinezeleni okunamandla ukuphucula ukuphiliswa kokuqhekeka kwamathambo.
Yintoni umahluko phakathi kwe-DPS kunye ne-CPS?
I-DPS (Inkqubo yeDynamic Plate)kwayeI-CPS (Inkqubo yePlati yoXinzelelo)zombini zisetyenziselwa ukulungisa ukwaphuka. I-DPS ivumela ucinezelo olutshintshatshintshayo, olunokuphucula ukuphiliswa kwakwaphuka ngokukhuthaza intshukumo phakathi kwamalungu ngexesha lokuthwala ubunzima. I-CPS, kwelinye icala, inika ucinezelo oluzinzileyo kwaye isetyenziselwa ukwaphuka okuzinzileyo ngakumbi apho ucinezelo olutshintshatshintshayo lungafuneki khona.
Yintoni umahluko phakathi kwe-DCS 1 kunye ne-DCS 2?
I-DCS 1 kunye ne-DCS 2 zibhekisa kwizizukulwana ezahlukeneyo okanye uqwalaselo lwenkqubo ye-Dynamic Condylar Screw. I-DCS 2 inokubonelela ngophuculo ngokwendlela yoyilo, izixhobo, okanye ubuchule botyando xa kuthelekiswa ne-DCS 1. Nangona kunjalo, umahluko othile uya kuxhomekeka kuhlaziyo lomenzi kunye nokuqhubela phambili kwenkqubo.
Uyenza njani i-DHS?
I-DHS yinkqubo yotyando esetyenziselwa ukunyanga ukwaphuka kwe-proximal femur, kuquka ukwaphuka kwe-intertrochanteric kunye ne-subtrochanteric. Le nkqubo ibandakanya la manyathelo alandelayo:
1. Ukulungiselela Ngaphambi Kotyando: Isigulana sivavanywa kakuhle, kwaye ukwaphuka kwaso kuhlelwa ngokwezifundo zomfanekiso ezifana nee-X-ray.
2. I-Anesthesia: Kunikezelwa i-anesthesia eqhelekileyo okanye i-anesthesia yengingqi (umz., i-anesthesia yomqolo).
3. Ukusikwa kunye nokuVezwa: Kwenziwa ukusikwa ecaleni kwesinqe, kwaye izihlunu ziyarhoxa ukuze kuvele i-femur.
4. Ukunciphisa kunye nokulungiswa: Ukwaphuka kuyancitshiswa (kulungelelaniswe) phantsi kwesikhokelo se-fluoroscopic. Iskrufu esikhulu esirhoxisayo (isikrufu esilagiweyo) sifakwa entanyeni nasentloko ye-femoral. Esi skrufu sifakwe ngaphakathi kwisleeve yesinyithi, enamathele kwipleyiti enamathele kwi-cortex ye-femoral esecaleni ngeeskrufu. I-DHS ivumela ucinezelo olunamandla, oko kuthetha ukuba isikrufu sinokutyibilika ngaphakathi kwisleeve, sikhuthaze ucinezelo nokuphiliswa kwaso.
5. Ukuvalwa: I-incision ivalwe ngokweengqimba, kwaye imibhobho yamanzi ingafakwa ukuthintela ukwakheka kwe-hematoma.
Yintoni i-PFN Surgery?
Utyando lwe-PFN (Proximal Femoral Nail) yenye indlela esetyenziselwa ukunyanga ukwaphuka kwe-proximal femoral. Lubandakanya ukufakwa kwe-intramedullary nail kumjelo we-femoral, nto leyo enika ukuqina okuzinzileyo ngaphakathi kwethambo.
Yintoni i-Z Phenomenon kwi-PFN?
I-"Z phenomenon" kwi-PFN ibhekisa kwingxaki enokubakho apho isikhonkwane, ngenxa yoyilo lwaso kunye namandla asetyenziswayo, sinokubangela ukudilika kwentamo ye-femoral. Oku kunokukhokelela ekungalungelelani kakuhle kunye neziphumo ezingasebenzi kakuhle. Kwenzeka xa i-geometry yesikhonkwane kunye namandla asetyenziswa ngexesha lokuthwala ubunzima kubangela ukuba isikhonkwane sifuduke okanye sijike, nto leyo ekhokelela ekuguqukeni kwesimo se-"Z" kwisikhonkwane.
Yeyiphi engcono: I-Intramedullary Nail okanye i-Dynamic Hip Screw?
Ukukhetha phakathi kweenzipho ezifakwe ngaphakathi kwe-medullary (ezifana ne-PFN) kunye ne-Dynamic Hip Screw (DHS) kuxhomekeke kwizinto ezininzi, kuquka uhlobo lokuphuka, umgangatho wethambo, kunye neempawu zesigulana. Izifundo zibonise ukuba i-PFN ngokubanzi inika iingenelo ezithile:
1. Ukulahlekelwa Yigazi Okunciphileyo: Utyando lwe-PFN ludla ngokubangela ukuba ukulahlekelwa yigazi okuncinci ngexesha lotyando xa kuthelekiswa ne-DHS.
2. Ixesha Elifutshane Lotyando: Iinkqubo ze-PFN zihlala zikhawuleza, zinciphisa ixesha elichithwa phantsi kwe-anesthesia.
3. Ukunyakaza Kwangethuba: Izigulana ezinyangwa nge-PFN zihlala zikwazi ukuhambahamba kwaye zithwale ubunzima kwangethuba, nto leyo ekhokelela ekuchacheni ngokukhawuleza.
4. Iingxaki Ezincitshisiweyo: I-PFN inxulunyaniswa neengxaki ezimbalwa, ezinje ngokosuleleka kunye nokungasebenzi kakuhle kwesibindi.
Nangona kunjalo, i-DHS iseyindlela efanelekileyo, ingakumbi kwiintlobo ezithile zeemfanta ezizinzileyo apho uyilo lwayo lunokubonelela ngokulungiswa okusebenzayo. Isigqibo kufuneka senziwe ngokusekelwe kwiimfuno zesigulana ngasinye kunye nobuchule bukagqirha otyandayo.
Ngaba i-PFN ingasuswa?
Kwiimeko ezininzi, i-PFN (Proximal Femoral Nail) ayidingi kususwa emva kokuba ukwaphuka kupholile. Nangona kunjalo, ukususwa kunokuqwalaselwa ukuba isigulane sifumana ukungakhululeki okanye iingxaki ezinxulumene nokufakelwa. Isigqibo sokususa i-PFN kufuneka senziwe ngokubonisana nogqirha wezifo zamathambo, kuthathelwa ingqalelo izinto ezifana nempilo yesigulana iyonke kunye neengozi kunye neenzuzo ezinokubakho zenkqubo yokususa.
Ixesha leposi: Epreli-19-2025
