Ọkpụkpụ nke mpaghara intertrochanteric nke femur na-akpata 50% nke mgbawa hip na bụ ụdị mgbagwoju anya na-emekarị na ndị ọrịa agadi.Ntuzi ntu intramedullary bụ ọkọlọtọ ọla edo maka ọgwụgwọ ịwa ahụ nke mgbaji intertrochanteric.Enwere nkwenye n'etiti ndị dọkịta na-awa orthopedic iji zere "mmetụta dị mkpirikpi" site na iji ogologo mbọ ma ọ bụ mkpụmkpụ, ma ugbu a enweghị nkwenye na nhọrọ n'etiti mbọ ogologo na mkpụmkpụ.
Na tiori, mbọ dị mkpụmkpụ nwere ike belata oge ịwa ahụ, belata mfu ọbara, ma zere imegharị ahụ, ebe mbọ ogologo na-enye nkwụsi ike ka mma.N'oge usoro ntinye ntu, usoro a na-emekarị maka ịlele ogologo mbọ ogologo bụ iji tụọ omimi nke ntu ntụnye ntinye.Otú ọ dị, usoro a anaghị abụkarị nke ziri ezi, ma ọ bụrụ na e nwere ọdịiche dị ogologo, dochie ntu intramedullary nwere ike iduga n'ọbara ka ukwuu, mụbaa trauma ịwa ahụ, na ogologo oge ịwa ahụ.Ya mere, ọ bụrụ na enwere ike nyochaa ogologo oge achọrọ nke ntu intramedullary tupu oge eruo, enwere ike imezu ebumnuche ntinye ntu n'otu mbọ, na-ezere ihe egwu intraoperative.
Iji dozie ihe ịma aka ụlọ ọgwụ a, ndị ọkà mmụta si mba ọzọ ejirila igbe nkwakọba ntu intramedullary (Igbe) iji nyochaa ogologo oge ntu intramedullary dị n'okpuru fluoroscopy, nke a na-akpọ "Technical Box".Mmetụta ngwa ụlọ ọgwụ dị mma, dịka ekesara n'okpuru:
Nke mbụ, tinye onye ọrịa ahụ n'àkwà traction ma mee mbelata emechiri emechi n'okpuru traction.Mgbe emechara mbelata afọ ojuju, were ntu intramedullary na-emegheghị (gụnyere igbe nkwakọ ngwaahịa) wee tinye igbe nkwakọ ngwaahịa n'elu femur nke akụkụ ahụ metụtara:
Site n'enyemaka nke igwe fluoroscopy C-arm, ntụaka dị nso bụ iji dozie njedebe dị nso nke ntu intramedullary na cortex n'elu femoral olu ma tinye ya na ntule nke ntinye ntinye nke ntu intramedullary.
Ozugbo ọnọdụ dị nso na-eju afọ, nọgide na-enwe ọnọdụ dị nso, wee gbanye C-arm na njedebe dị anya ma mee fluoroscopy iji nweta ezi echiche n'akụkụ ikpere ikpere.Ntụ aka dị anya bụ ọkwa intercondylar nke femur.Dochie ntu intramedullary na ogologo dị iche iche, na-achọ iji nweta anya n'etiti njedebe dị anya nke ntu intramedullary femoral na intercondylar notch nke femur n'ime 1-3 dayameta nke ntu intramedullary.Nke a na-egosi ogologo oge kwesịrị ekwesị nke ntu intramedullary.
Na mgbakwunye, ndị ode akwụkwọ kọwara njirimara onyonyo abụọ nwere ike igosi na ntu intramedullary dị ogologo:
1. A na-etinye njedebe njedebe nke ntu intramedullary n'ime ebe dị anya 1/3 nke elu nkwonkwo patellofemoral (n'ime akara ọcha dị na foto dị n'okpuru).
2. A na-etinye njedebe dị anya nke ntu intramedullary n'ime triangle nke akara Blumensaat mere.
Ndị ode akwụkwọ jiri usoro a tụọ ogologo mbọ intramedullary n'ime ndị ọrịa 21 wee chọpụta ọnụego ziri ezi nke 95.2%.Otú ọ dị, enwere ike inwe nsogbu na usoro a: mgbe etinyere ntu intramedullary n'ime anụ ahụ dị nro, enwere ike inwe mmetụta dị elu n'oge fluoroscopy.Nke a pụtara na n'ezie ogologo ntu intramedullary ejiri nwere ike ịdị mkpụmkpụ karịa nha tupu ịwa ahụ.Ndị ode akwụkwọ ahụ hụrụ ihe omume a na ndị ọrịa buru ibu ma tụọ aro na maka ndị ọrịa buru oke ibu, ogologo ntu intramedullary kwesịrị ịdị mkpụmkpụ nke ukwuu n'oge nha ma ọ bụ hụ na anya dị n'etiti njedebe nke ntu intramedullary na intercondylar notch nke femur dị n'ime. 2-3 dayameta nke ntu intramedullary.
Na mba ụfọdụ, enwere ike ịchịkọta mbọ intramedullary n'otu n'otu ma tinye ya ụzọ, mana n'ọtụtụ ọnọdụ, ogologo mbọ dị iche iche nke intramedullary na-agwakọta ọnụ ma na-agbakọta ọnụ site n'aka ndị nrụpụta.N'ihi ya, ọ gaghị ekwe omume ịlele ogologo ntu intramedullary tupu sterilization.Otú ọ dị, usoro a nwere ike imecha mgbe etinyere drapes sterilization.
Oge nzipu: Eprel-09-2024
