Gịnị bụ DHS na DCS?
DHS (Nkwụnye úkwù na-arụ ọrụ)bụ ihe e ji arụ ọrụ ịwa ahụ nke a na-eji eme ihe maka ọgwụgwọ nke mgbawa olu femoral na mgbawa intertrochanteric. O nwere skru na sistemụ efere nke na-enye nkwụsi ike site n'ikwe ka mkpakọ na-arụ ọrụ ike na ebe mgbawa ahụ, na-akwalite ọgwụgwọ.
DCS (Nkwụnye Condylar Na-arụ Ọrụ)bụ ngwaọrụ ndozi eji eme ihe maka mgbawa nke femur distal na proximal tibia. Ọ na-ejikọta uru nke ma skru cannulated multiple (MCS) na DHS implants, na-enye nrụgide ike a na-achịkwa site na skru atọ edobere na nhazi triangle a tụgharịrị agbanwe.
Kedu ihe dị iche n'etiti DHS na D?CS?
A na-ejikarị DHS (Dynamic Hip Screw) eme ihe maka olu femoral na mgbawa intertrochanteric, na-enye ntọala siri ike na sistemụ skru na efere. Emebere DCS (Dynamic Condylar Screw) maka mgbawa femur na proximal tibia, na-enye nrụgide na-achịkwa site na nhazi skru triangle.
Gịnị ka e ji DCS eme?
A na-eji DCS agwọ ọkpụkpụ gbajiri agbaji na femur dị n'akụkụ na proximal tibia. Ọ na-arụ ọrụ nke ọma n'inye nkwụsi ike na ịkwalite ọgwụgwọ n'ebe ndị a site n'itinye nrụgide na-achịkwa na ebe mgbawa gbajiri agbaji.
Kedu ihe dị iche n'etiti DCS na DPL?
DPL (Mkpọchi Nrụgide Na-arụ Ọrụ)bụ ụdị usoro ndozi ọzọ eji eme ịwa ahụ ọkpụkpụ. Ọ bụ ezie na ma DCS na DPL na-achọ inye ndozi kwụsiri ike maka mgbawa ọkpụkpụ, DPL na-ejikarị skru na efere mkpọchi iji nweta ntọala siri ike, ebe DCS na-elekwasị anya na mkpakọ ike iji mee ka ọgwụgwọ mgbawa dịkwuo mma.
Kedu ihe dị iche n'etiti DPS na CPS?
DPS (Sistemụ Plate Na-arụ Ọrụ)naCPS (Sistemụ Mkpọchi Mkpọchi)A na-eji ha abụọ eme ihe maka idozi mgbawa. DPS na-enye ohere maka mkpakọ ike, nke nwere ike ime ka ọgwụgwọ mgbawa dịkwuo mma site n'ịkwalite mmegharị dị n'etiti iberibe na-ebu ibu. N'aka nke ọzọ, CPS na-enye mkpakọ ike ma ejiri ya mee ihe maka mgbawa siri ike karị ebe mkpakọ ike adịghị mkpa.
Kedu ihe dị iche n'etiti DCS 1 na DCS 2?
DCS 1 na DCS 2 na-ezo aka n'ọgbọ dị iche iche ma ọ bụ nhazi nke sistemụ Dynamic Condylar Screw. DCS 2 nwere ike inye mmezi n'ihe gbasara imewe, ihe, ma ọ bụ usoro ịwa ahụ ma e jiri ya tụnyere DCS 1. Agbanyeghị, ọdịiche pụrụ iche ga-adabere na mmelite na ọganihu nke onye nrụpụta na sistemụ ahụ.
Kedu otu esi eme DHS?
DHS bụ usoro ịwa ahụ a na-eji agwọ ọkpụkpụ nke femur proximal, gụnyere ọkpụkpụ intertrochanteric na nke subtrochanteric. Usoro a gụnyere usoro ndị a:
1. Nkwadebe Tupu Awa Ahụ: A na-enyocha onye ọrịa nke ọma, a na-ekewakwa ọkpụkpụ ahụ site na iji ihe onyonyo dịka X-ray.
2. Ọgwụ mgbu: A na-enye ọgwụ mgbu izugbe maọbụ ọgwụ mgbu mpaghara (dịka ọmụmaatụ, ọgwụ mgbu azụ).
3. Mbepụ na Mkpughe: A na-eme mbepụ n'akụkụ n'elu úkwù, a na-emekwa ka akwara ndị ahụ laghachi azụ iji gosipụta femur.
4. Mbelata na Ndozi: A na-ebelata mgbawa ahụ (nhazi) site na nduzi fluoroscopic. A na-etinye nnukwu skru cancellous (skru lag) n'ime olu na isi femoral. A na-etinye skru a n'ime aka uwe ígwè, nke ejikọtara na efere nke ejiri skru kwụnye na cortex femoral n'akụkụ. DHS na-enye ohere maka mkpakọ ike, nke pụtara na skru ahụ nwere ike ịmịda n'ime aka uwe ahụ, na-akwalite mkpakọ mgbawa na ọgwụgwọ.
5. Mmechi: A na-emechi mbepụ ahụ n'ime akwa, a pụkwara itinye mmiri mmiri iji gbochie mmepe nke hematoma.
Gịnị bụ ịwa ahụ PFN?
Ịwa ahụ PFN (Proximal Femoral Mbọ aka) bụ ụzọ ọzọ e si agwọ ọkpụkpụ gbajiri agbaji nke femoral. Ọ gụnyere itinye ntu intramedullary n'ime ọwara femoral, nke na-enye nkwụsi ike site n'ime ọkpụkpụ.
Kedu ihe bụ ihe na-eme ka Z pụta ìhè na PFN?
Ihe "Z" dị na PFN na-ezo aka na nsogbu nwere ike ime ebe mbọ ahụ, n'ihi nhazi ya na ike e tinyere, nwere ike ibute ọdịda olu femoral. Nke a nwere ike ibute nsogbu na arụmọrụ na-adịghị mma. Ọ na-eme mgbe ọdịdị mbọ ahụ na ike ndị a na-etinye n'oge ibu ibu mere ka mbọ ahụ kwaga ma ọ bụ gbanwee, na-eduga na mgbanwe ọdịdị "Z" na mbọ ahụ.
Kedu nke ka mma: Mkpịsị aka Intramedullary ma ọ bụ Mkpịsị aka Ndagharị?
Nhọrọ dị n'etiti ntu intramedullary (dịka PFN) na Dynamic Hip Screw (DHS) dabere n'ọtụtụ ihe, gụnyere ụdị mgbawa ọkpụkpụ, ịdị mma ọkpụkpụ, na njirimara onye ọrịa. Nnyocha egosila na PFN na-enye ụfọdụ uru:
1. Mbelata Ọbara: Ịwa ahụ PFN na-emekarị ka ọbara ghara ịpụ apụ n'oge ịwa ahụ ma e jiri ya tụnyere DHS.
2. Oge Ịwa Ahụ Dị Mkpirikpi: Usoro PFN na-adịkarị ngwa ngwa, na-ebelata oge a na-eji ọgwụ anestetiiki eme ihe.
3. Ịkwalite Mmegharị n'oge: Ndị ọrịa ejiri PFN gwọọ nwere ike ịmaliteghachi ma buru ibu n'oge, nke na-eme ka ha gbakee ngwa ngwa.
4. Mbelata Nsogbu: PFN ejikọtala ya na obere nsogbu, dịka ọrịa na malunion.
Agbanyeghị, DHS ka bụ nhọrọ dị mma, ọkachasị maka ụdị ụfọdụ nke mgbawa siri ike ebe nhazi ya nwere ike inye aka idozi nke ọma. Ekwesịrị ime mkpebi ahụ dabere na mkpa onye ọrịa nke ọ bụla na ahụmịhe nke dọkịta na-awa ahụ.
Enwere ike iwepụ PFN?
N'ọtụtụ oge, ọ dịghị mkpa iwepụ PFN (Proximal Femoral Nail) ozugbo ọkpụkpụ gbawara agbawa. Agbanyeghị, a pụrụ ịtụle iwepụ ya ma ọ bụrụ na onye ọrịa ahụ enwee ahụ erughị ala ma ọ bụ nsogbu metụtara ihe e tinyere n'ime ahụ. Ekwesịrị ime mkpebi iwepụ PFN site na mkparịta ụka na dọkịta na-awa ahụ na-agwọ ọrịa, na-atụle ihe ndị dị ka ahụike onye ọrịa ahụ dum na ihe egwu na uru ndị nwere ike ịdị na usoro mwepụ ahụ.
Oge ozi: Eprel-19-2025
