I-Perstrochanrictate Fractures ye-akhawunti ye-femur ye-50% ye-hip eqhekezayo kubantu abadala. Unyango lolondolozo luyekelekile kwiingxaki ezinje nge-vein tinmbos, i-pulmonary i-esmolism, izilonda zoxinzelelo, kunye nosulelo lwe-pulmorary. Ireyithi yokufa ngaphakathi konyaka omnye ungaphezulu kwe-20%. Ke ngoko, kwiimeko apho imeko yomzimba yesigulana ivumela, ukulungiswa kwangaphakathi kwengxamiseko yonyango lonyango olukhethiweyo lwe-PortroCharic Fractures.
I-Intramellary Nail yangaphakathi yokulungiswa kwangaphakathi okwangoku iGold Miganga lokunyanga i-Perstrokancric Fractures. Kwizifundo ezikwizinto ezibangela i-PFNA yangaphakathi yokulungiswa kwangaphakathi, izinto ezinje ngobude bePFNA Nangona kunjalo, ayikacaci nokuba ubukhulu bezipikili eziphambili zichaphazela iziphumo ezisebenzayo. Ukujongana nale nto, abaphengululi bamanye amazwe basebenzise izipikili ze-Intramellary enobude obulinganayo kodwa ubukhulu bobubanzi bokulungisa i-Interrounction Fractures kwi-Interrronseric Fractures kwi-Addrouncric Fractures kubantu abadala (50), bejolise ekuthelekiseni ukuba kukho umahluko kwiziphumo ezisebenzayo.
Olu phononongo lubandakanya iimeko ze-191 zamatyala e-Unilactial tyhrackaric, zonke ziphathwa nge-PFNA-II Ukulungiswa ngaphakathi. Xa i-trounter encinci yaphuphuma kwaye ikhutshiwe, yasetyenziswa i-200mm emfutshane; Xa i-trounter encinci yayingasebenzi okanye ayichongiswanga, yasetyenziswa i-170mmm. Ububanzi bezipikili eziphambili ukusuka kwi-9-12mm. Ukuthelekisa okuphambili ekufundisweni kugxilwe kwezi zikhombisi zilandelayo:
I-1. Ububanzi beRofanser Trochanter, ukuvavanya ukuba imeko yayiyimeko;
2. Ubudlelwane phakathi kwe-cortex yentloko yentloko kunye nesiqwengana se-distal, ukuvavanya umgangatho wokuncitshiswa;
3. I-TIP-APEX yomgama (i-TAD);
Umyinge we-4 I-NCR ngumyinge wezipikili zezipikili eziphambili kwi-carling ye-carling kwindiza ekutshintshisela kuyo i-disc.
Phakathi kwezigulana ezili-191 zibandakanyiwe, ukuhanjiswa kwamatyala okusekwe kubude obude nobubanzi bezipili eziphambili kubonisiwe kweli lizwe lilandelayo:
Umphakathi we-NCR wayengama-68.7%. Sebenzisa lo mndilili, amatyala nge-NCR mkhulu kune-avareji eyathathwa njengeyona nto iphambili kwi-NCR ye-NCR engaphantsi kwe-avarenti ye-ovenet yezahlulo. Oku kukhokelele ekuhlelweni kwezigulana kwiqela lezipikili ezili-90 (amatyala angama-90) kunye neqela lezipikili elicekeceke (amatyala ali-101).
Iziphumo zibonisa ukuba kwakungekho manqaku mayibalo phakathi kweqela lezipikili eliphambili kunye neqela elikhanyayo lezipikili, inqaku le-Koval, isiseko sokuphilisa kwakhona, kunye neengxaki ze-oridec.
Ifana nolu phononongo, inqaku lapapashwa "kwijenali ye-Orthoric Morauma" ngonyaka ka-2021: [Isihloko senqaku].
Olu phononongo lubandakanya abaguli abalupheleyo abayi-168 (ubudala> 60) nge-protracnric quations, zonke ziphathwa nge-chierhamelimellary. Ngokusekwe kububanzi bezipikili eziphambili, izigulana zahlulahlulwe zaba liqela le-10mmm kunye neqela elinemithambo engaphezulu kwe-10mm. Iziphumo zibonise ukuba kwakungekho manqanaba mathi manani kumazinga aphindaphindiweyo (nokuba iyosulela okanye engasulelekiyo) phakathi kwamaqela amabini. Ababhali besi sifundo babonisa ukuba, kwizigulana ezikhulileyo ezinamaqhekeza e-pergelchanrictate, kusetyenziswa isikhonkwane esiyi-10mm se-10mm siyeneleyo, kwaye akukho sipikili sokuzenzekelayo, njengoko sinokufezekisa iziphumo eziphezulu.
Ixesha leposi: NgoFebwe-23 ukuya kwi-2324
