Indlela ye-PFNA yangaphakathi yokulungisa
I-PFNA (i-proximal ye-femil antirotation), i-proximal yokuchasa i-themoral anti-yokujikeleza kwe-intramellary. Ilungele iintlobo ngeentlobo zamandla e-themoral. ubuxoki base-subtrichateric; I-themoral yentamo yesiseko; I-femolral yentsebenzo edityanisiweyo kunye ne-femoral faft; I-themoral i-pertochancric fictures idityaniswe ne-femoral faft.
Inqaku loyilo lweeNibail kunye nezibonelelo
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(3) isikhonkwane se-hollow, kulula ukuyifaka;
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I-Spiral Blade:
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. Ngokuqhuba kwaye ecinezela ithambo elinqamlezileyo, amandla akhutshiwe kwibala le-helical linokuphuculwa, olufaneleke ngakumbi kwizigulana ezinamaqhekeza okukhululekileyo;
. Isiphelo sokuqhekeka sinokwazi okomeleleyo ukuwa kunye nokusebenza kweVers emva kokufunxa.
La manqaku alandelayo kufuneka athathelwe ingqalelo kunyango lwezinto zentomoral ngeInkqubo yangaphakathi yePFNA:
(1) Uninzi lwabaguli abalupheleyo banesifo esisiseko sonyango kwaye banyamezelekile. Phambi kotyando, imeko ngokubanzi yesigulana kufuneka iphononongwe ngokuchanekileyo. Ukuba isigulana sinokuyinyamezela utyando, utyando kufuneka lwenziwe kwangoko, kwaye umlenze ochaphazelekayo kufuneka usetyenziswe kwangoko emva kotyando. Ukuthintela okanye ukunciphisa ukuvela kweengxaki ezahlukeneyo;
. Ububanzi beyona ntetho iphambili kwi-1-2 mm incinci kuneyona ndawo iphambili ye-mequllary, kwaye ayifanelekanga ekubekweni kobundlobongela ukuthintela ukwenzeka kweengxaki ezifana nokuqhekeka kuka-femur.
. Ingqungquthela eyaneleyo kunye nokuncitshiswa kwe-quations phantsi kweFluoroscopypy zizitshixo zovavanyo;
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. Ukuba kukho imfuneko, intambo yentsimbi inokusetyenziselwa ukubopha ibhlokhi ye-friction, kodwa iya kuchaphazela ukuphiliswa okuqhelekileyo kwaye kufuneka kuthintelwe;
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Izibonelelo kunye nokusikelwa umda kwe-PFNA
Njengohlobo olutsha lweIsixhobo sokulungisa intramellary, I-PFNA inokudlulisela umthwalo ngokuphuma, ukuze amacala angaphakathi anokuthwalisa uxinzelelo olufanayo, emva koko afezekise injongo yokuphucula uzinzo kunye nokusebenza kwangaphakathi. Iziphumo eziqinisekisiweyo zilungile kwaye kunjalo.
Ukusetyenziswa kwe-PFNA ikwasikelwe umda othile, onjengobunzima ekubekeni isikhafu sokutshixa esitshixwayo, ukunyuka komngcipheko wokuqhekeka kwi-screw screw, i-COXA Versus Forment ebangelwa kukucaphuka kwe-iriotigial band. I-Osteoporosis, kunjaloUkulungiswa kwe-intramellaryihlala inamandla okulungisa kunye nokuqhekeka kwento.
Ke ngoko, kubaguli abalupheleyo abanamaqhekeza entsalela engazinzanga kunye ne-osteoporousis eqatha, ukubaluleka komzimba akavunyelwanga emva kokuthatha iPFna.
IXESHA LOKUQALA: UPE-30 ukuya kwi-2022
