I.Zithini iingxaki zokutshixa uzipho lwe-femur?
Inkqubo yezipikili edibanisa iHumerus-ukutshixa okunemilinganiselo emininzi kwahlukile kancinci kwinkqubo yezipikili edibanisa ihumerus ne-intramedullary.
Inkqubo yezipikili ye-Humerus interlocking intramedullary yenziwe ngezipikili ezidibanisa i-humeral, i-humeral rotation blade, i-locking srcrew, izipikili kunye nesiciko kunye nesigqubuthelo sokugqibela esinde. Ngelixa inkqubo yezipikili edibanisa i-humerus interlocking-multidimensional locking yenziwe yinkqubo yezipikili edibanisa i-humeral interlocking-multidimensional locking (iintlobo zasekhohlo nasekunene),ΦIsikrufu sokutshixa esinemilinganiselo emininzi esingu-4.5,ΦIsikrufu sokutshixa esingu-3.5, isigqubuthelo sokugqibela kunye nesigqubuthelo sokugqibela esinde.
Yintoni ebangela lo mahluko phakathiinkqubo yezipikili edibanisa ihumerus-ukutshixa okunemilinganiselo emininzikwayeinkqubo yezinzipho ezinxibelelana ne-humerus intramedullary?
Uyilo lokutshixa olunemilinganiselo emininzi lunokuvala indawo yokuqhekeka kwiindlela ezahlukeneyo, lubonelele ngesiphumo sokuqina esizinzileyo nesithembekileyo, lunciphise intshukumo encinci yesiphelo sokuqhekeka, kwaye lwenze kube lula ukuphiliswa kokuqhekeka. Lufaneleke ngakumbi kwiimeko zokuqhekeka ezinzima. Inkqubo yezipikili ze-intramedullary ezivalekayo ezingaphakathi kwe-femur zilungele ngakumbi kwiimeko zokuqhekeka ezilula.
II.Zithini iingenelo zokubethela ngaphakathi kwe-medullary?
I-Humerus interlocking nail system-multidimensional locking ligama eliphambili lezonyango lokuqhekeka kwe-humeral. Iingenelo zayo zibonakala kwezi zinto zilandelayo:
1)Intambo ekhethekileyo yangaphakathi yesikrufu ukuphucula uzinzo.
2)Izikrufu ze-cortical ezimbini zonyusa uzinzo lwezaphuko ezinqamlezileyo nezimfutshane.
3)Zenziwe ngezikhonkwane ezimfutshane nezikhonkwane ezinde kwaye kukho iintlobo ezininzi zezikrufu ezikhethwayo ukusombulula ukwaphuka okulula nokuntsonkothileyo kwe-humerus ekufutshane kunye ne-humeral axis. Ngokuhambelana nomngxuma wethambo, uyilo olulawulekayo oluguquguqukayo, intshukumo encinci, ikhuthaza umanyano.
4)Ngokusebenzisa iindlela ezingangenisi kakhulu, ukusika ngotyando kuncinci, kunciphisa umonakalo kwizicubu ezithambileyo ezijikelezileyo kwaye kunciphisa umngcipheko wosulelo kunye neengxaki emva kotyando.
5)Izinzile kakuhle kwi-axial nakwi-rotational, inokumelana nomthwalo omkhulu we-physiological, kwaye inceda izigulane ukuba zisebenze kwangoko.
III.Ndingaqala nini unyango emva kokuqhekeka kwe-humerus?
Unyango lotyando：
1) Ukubethelwa kwezipikili ngaphakathi kwe-intramedullary: Olu lolona nyango lukhethwayo xa kuqhekeka imingxunya ye-femoral, ingakumbi kwizigulana eziselula nezisebenzayo.
2)Ukufakelwa kwepleyiti: Kwiziphako ezintsonkothileyo okanye izigulana ezingafanelekanga ukubethelwa ngaphakathi kwe-medullary, ukufakelwa kwepleyiti kunokukhethwa.
3)I-External fixator: Isetyenziswa kakhulu kwiingozi ezivulekileyo, izigulane ezineengozi ezininzi okanye ezo zifuna ukulungiswa okwethutyana.
4）I-Arthroplasty: Kwizaphuko ze-proximal femoral, ingakumbi izaphuko zentamo ye-femoral okanye izaphuko ze-subcapital kwizigulane ezindala, i-hip arthroplasty inokuba yimfuneko.
Unyango olungengotyando:
1）Unyango lokutsalwa kwemithambo: Lufanelekile kwabanye abaguli abangafanelekanga utyando, njengabantu abadala, abo bakwimeko embi yomzimba, okanye abo banezifo zangaphakathi ezinzima.
2）Ukufakelwa kweplasta okanye i-brace: Kwiingxaki zokuqhekeka kwe-femoral ezilula nezingenakususwa, ukufakelwa kweplasta okanye i-brace kungasetyenziswa.
Ixesha lokuthumela: Juni-03-2025
