Ukuqhekeka kwentamo ye-femoral kubangela ama-50% okuqhekeka kwe-hip. Kwizigulane ezingengobantu abadala abanee-femoral neck fractures, unyango lokufakelwa kwangaphakathi ludla ngokucetyiswa. Nangona kunjalo, iingxaki emva kotyando, ezifana nokungadibani kokuqhekeka, i-femoral head necrosis, kunye ne-femoral neck shortening, zixhaphake kakhulu kwizonyango. Okwangoku, uninzi lophando lugxile kwindlela yokuthintela i-femoral head necrosis emva kokufakelwa kwangaphakathi kwee-femoral neck fractures, ngelixa ingqalelo encinci inikwa kumba wokufinyezwa kwentamo ye-femoral.
Okwangoku, iindlela zokubopha ngaphakathi zokwaphuka kwentamo ye-femoral, kuquka ukusetyenziswa kwezikrufu ezintathu ezifakwe kwi-cannulated, i-FNS (iFemoral Neck System), kunye nezikrufu ze-hip eziguquguqukayo, zonke zijolise ekuthinteleni i-femoral neck varus kunye nokubonelela ngoxinzelelo lwe-axial ukuze kuthintelwe ukungahambelani. Nangona kunjalo, ucinezelo olungalawulwayo okanye olugqithisileyo oluhambayo lukhokelela ekufinyezweni kwentamo ye-femoral. Ngenxa yesi sizathu, iingcali ezivela kwiSibhedlele sesibini sabantu esinxulumene neFujian University of Traditional Chinese Medicine, zicinga ngokubaluleka kobude bentamo ye-femoral ekuphilisweni kwamathambo kunye nomsebenzi wesinqe, zicebise ukusetyenziswa "kwesikrufu esichasene nokufinyezwa" kunye ne-FNS ekufakweni kwamathambo entamo ye-femoral. Le ndlela ibonise iziphumo ezithembisayo, kwaye uphando lupapashwe kwinqaku lamva nje lejenali i-Orthopaedic Surgery.
Eli nqaku likhankanya iintlobo ezimbini "zezikrufu ezichasene nokufinyeza": enye iyikrufu eqhelekileyo efakwe kwiikhani kwaye enye iyikrufu enoyilo lwemisonto emibini. Kwiimeko ezingama-53 kwiqela lezikrufu ezichasene nokufinyeza, ziimeko ezi-4 kuphela ezisebenzise isikrufu esinemisonto emibini. Oku kuphakamisa umbuzo wokuba ingaba isikrufu esinemisonto embalwa sinefuthe lokulwa nokufinyeza ngokwenene.
Xa zombini izikrufu ezinemisonto engaphelelanga kunye nezikrufu ezinemisonto emibini zahlalutywa kunye zaze zathelekiswa nokulungiswa kwangaphakathi kwe-FNS yendabuko, iziphumo zabonisa ukuba izinga lokufinyeza kwiqela lezikrufu ezichasene nokufinyeza laliphantsi kakhulu kunakwiqela le-FNS yendabuko kumanqaku okulandelela enyanga e-1, inyanga ezi-3, kunye nonyaka omnye, ngokubaluleka kwezibalo. Oku kuphakamisa umbuzo: Ngaba isiphumo sibangelwa sisikrufu esiqhelekileyo esinemisonto emibini okanye sisikrufu esinemisonto emibini?
Eli nqaku libonisa iimeko ezi-5 ezibandakanya izikrufu ezichasene nokufinyeza, kwaye xa kujongwa ngokusondeleyo, kunokubonwa ukuba kwiimeko zesi-2 nesesi-3, apho kusetyenziswe izikrufu ezinemisonto engaphelelanga, bekukho ukurhoxiswa nokufinyezwa kwezikrufu okubonakalayo (imifanekiso ebhalwe ngenani elifanayo ihambelana nemeko efanayo).
Ngokusekelwe kwimifanekiso yecala, ukusebenza kakuhle kwesikrufu esinemisonto emibini ekuthinteleni ukufinyezwa kuyabonakala. Ngokuphathelele izikrufu ezifakwe kwiikhabhathi, eli nqaku aliboneleli ngeqela elahlukileyo lokuthelekisa. Nangona kunjalo, eli nqaku linika umbono obalulekileyo malunga nokulungiswa kwangaphakathi kwentamo ye-femoral, ligxininisa ukubaluleka kokugcina ubude bentamo ye-femoral.
Ixesha leposi: Sep-06-2024
