I.Ndi zovuta zotani zolumikiza msomali wa femur?
Humerus interlocking nail system-multidimensional locking ndi yosiyana pang'ono ndi humerus interlocking intramedullary msomali dongosolo.
Humerus interlocking intramedullary msomali dongosolo imakhala ndi humeral interlocking misomali, humeral rotation tsamba, locking srcrew, msomali ndi kapu ndi kutalika mapeto captain. Pomwe humerus yotsekera msomali dongosolo-multidimensional kutseka kumapangidwa ndi humeral interlocking msomali dongosolo-multidimensional kutseka (kumanzere ndi kumanja),Φ4.5 multidimensional locking screw,Φ3.5 zotsekera zomangira, chipewa chomaliza ndi kapu yotalikirapo.
Zomwe zimayambitsa kusiyana ukuhumerus interlocking msomali dongosolo-multidimensional kutsekandihumerus interlocking intramedullary msomali dongosolo?
Mapangidwe otsekera amitundu yambiri amatha kutseka malo ophwanyidwa m'njira zingapo, kupereka kukhazikika kokhazikika komanso kodalirika, kuchepetsa kusuntha kwapang'onopang'ono kumapeto kwa fracture, ndikuthandizira kuchiritsa kwa fracture. Ndiwoyenera kwambiri pazovuta zovuta zowonongeka. The non-dimensional locking interlocking intramedullary misomali dongosolo la femur ndiloyenera kwambiri pazochitika zosavuta zothyoka.
II.Kodi ubwino wa intramedullary nailing ndi chiyani?
Humerus interlocking msomali dongosolo-multidimensional locking ndi mawu apamwamba azachipatala kwa humeral fractures. Ubwino wake ukuwonekera m'mbali zotsatirazi:
1)Ulusi wapadera wamkati wa screw kuti ukhale wokhazikika.
2)Zomakona zapawiri zimawonjezera kukhazikika kwa fractures zopingasa ndi zazifupi.
3)Pangani misomali yaifupi ndi msomali wautali ndipo pali mitundu yambiri ya zomangira zomwe zimasankha kuthetsa zosavuta komanso zovuta zowonongeka za proximal humerus ndi humeral axis. Mogwirizana ndi tsinde la mafupa, mawonekedwe osinthika osinthika, kuyenda pang'ono, kulimbikitsa mgwirizano.
4)Pogwiritsa ntchito njira zochepetsera pang'ono, opaleshoniyi imakhala yochepa kwambiri, kuchepetsa kuwonongeka kwa minofu yofewa yozungulira ndikuchepetsa chiopsezo cha matenda obwera pambuyo pa opaleshoni ndi zovuta.
5)Imakhala ndi kukhazikika kwa axial komanso kusinthasintha, imatha kupirira katundu wambiri wamthupi, ndipo imathandizira kuyambika kwa odwala.
III.Ndiyenera kuyamba liti chithandizo pambuyo pa kusweka kwa humer?
Chithandizo cha opaleshoni:
1) Intramedullary nailing: Ichi ndiye chithandizo chomwe chimakonda kwambiri pakusweka kwa shaft yachikazi, makamaka kwa odwala achichepere komanso okangalika.
2)Kukonzekera kwa mbale: Kwa fractures zovuta kapena odwala omwe sali oyenera kukhomerera intramedullary, kukonza mbale kungasankhidwe.
3)Kukonzekera Kunja: Amagwiritsidwa ntchito makamaka paziphuphu zotseguka, odwala ovulala kangapo kapena omwe amafunikira kukonza kwakanthawi.
4）Arthroplasty: Pafupipafupi fractures yachikazi, makamaka kuphulika kwa khosi lachikazi kapena subcapital fractures kwa odwala okalamba, hip arthroplasty ingakhale yofunikira.
Chithandizo chosapanga opaleshoni:
1）Thandizo Lokoka: Ndiloyenera kwa odwala ena omwe sali oyenera kuchitidwa opaleshoni, monga okalamba, omwe ali ndi thanzi labwino, kapena omwe ali ndi matenda aakulu amkati.
2）Kukonza pulasitala kapena kulumikiza zingwe: Paziphuphu zachikazi zosavuta komanso zosasunthika, kukonza pulasitala kapena kulumikiza zingwe kungatengedwe.
Nthawi yotumiza: Jun-03-2025
