Kedu ihe bụ DHS na DCS?
DHS (Hip Screw na-agbanwe agbanwe)bụ ihe ịwa ahụ a na-eji eme ihe maka ọgwụgwọ nke mgbaji olu femoral na intertrochanteric fractures. Ọ na-agụnye ịghasa na usoro efere nke na-enye nrụzi kwụsiri ike site n'ikwe ka mkpakọ dị ike na saịtị mgbawa, na-akwalite ọgwụgwọ.
DCS (Condylar Screw na-agbanwe agbanwe)bụ ngwaọrụ ndozi ejiri maka mgbaji nke femur distal na tibia proximal. Ọ na-ejikọta uru nke ma otutu cannulated skru (MCS) na DHS implants, na-enye mkpakọ ike na-achịkwa site na skru atọ ahaziri na nhazi triangular ntụgharị.
Kedu ihe dị iche n'etiti DHS na DCS?
DHS (Dynamic Hip Screw) bụ nke a na-eji maka olu femoral na mgbaji intertrochanteric, na-enye nhazi nke ọma na ịghasa na usoro efere. Emebere DCS (Dynamic Condylar Screw) maka mgbaji femur na tibia dị nso, na-enye mkpakọ ike na-achịkwa site na nhazi ịghasa triangular.
Kedu ihe DCS eji maka?
A na-eji DCS maka ọgwụgwọ mgbaji na femur distal na tibia proximal. Ọ dị irè karịsịa n'inye nkwụsi ike na ịkwalite ọgwụgwọ na mpaghara ndị a site n'itinye mkpakọ ike na-achịkwa na saịtị mgbawa.
Kedu ihe dị iche n'etiti DCS na DPL?
DPL (Mkpọchi nrụgide na-agbanwe agbanwe)bụ ụdị nhazi ọzọ a na-eji na ịwa ahụ ọkpụkpụ. Ọ bụ ezie na DCS na DPL abụọ na-achọ inye ndozi kwụsiri ike maka mgbaji, DPL na-ejikarị kpochie skru na efere iji nweta nrụzi siri ike, ebe DCS na-elekwasị anya na mkpakọ siri ike iji kwalite ọgwụgwọ mgbaji.
Kedu ihe dị iche n'etiti DPS na CPS?
DPS (Sistemụ Plate na-agbanwe agbanwe)naSistemụ mkpakọ efere (CPS)a na-eji ha abụọ edozi mgbaji. DPS na-enye ohere maka mkpakọ siri ike, nke nwere ike ịkwalite ọgwụgwọ mgbaji site n'ịkwalite mmegharị interfragmentary n'oge ibu ibu. CPS, n'aka nke ọzọ, na-enye mkpakọ static ma na-eji ya maka mgbaji siri ike karịa ebe mkpakọ siri 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 sistemu Condylar Screw Dynamic. DCS 2 nwere ike inye mmelite n'ihe gbasara imewe, ihe, ma ọ bụ usoro ịwa ahụ ma e jiri ya tụnyere DCS 1. Otú ọ dị, ọdịiche dị iche iche ga-adabere na mmelite na ọganihu nke onye nrụpụta na usoro ahụ.
Kedu ka esi eme DHS?
DHS bụ usoro ịwa ahụ a na-eji agwọ mgbaji nke femur dị nso, gụnyere intertrochanteric na subtrochanteric fractures. Usoro a gụnyere usoro ndị a:
1. Preoperative Preparation: A na-enyocha onye ọrịa ahụ nke ọma, a na-ekewakwa mgbaji ahụ site na iji ọmụmụ ihe oyiyi dị ka X-ray.
2.Anesthesia: A na-enye ọgwụ mgbu n'ozuzu ma ọ bụ nhụsianya mpaghara (dịka ọmụmaatụ, anesthesia).
3.Mbipu na ikpughe: A na-eme mbepụ n'akụkụ n'elu úkwù, a na-ewepụkwa uru ahụ iji kpughee femur.
4.Mbelata na Ndozi: A na-ebelata mgbawa (kwekọrọ) n'okpuru nduzi fluoroscopic. A na-etinye nnukwu skru nke kagbuo (skru lag) n'olu femoral na isi. A na-edobe ihe nkedo a n'ime ogwe aka ígwè, nke a na-etinye na efere a na-edozi n'akụkụ cortex femoral nke nwere skru. DHS na-enye ohere maka mkpakọ siri ike, nke pụtara na ịghasa nwere ike ịmịnye n'ime aka aka, na-akwalite mkpakọ mgbaji na ọgwụgwọ.
5.Mmechi: A na-emechi mbepụ ahụ n'ígwé, a pụkwara itinye drains iji gbochie ịmepụta hematoma.
Kedu ihe bụ ịwa ahụ PFN?
Ịwa ahụ PFN (Proximal Femoral Nail) bụ usoro ọzọ a na-eji na-agwọ mgbaji femoral dị nso. Ọ na-agụnye ntinye ntu intramedullary n'ime ọwa femoral, nke na-enye nhazi nke ọma site n'ime ọkpụkpụ.
Kedu ihe bụ Z Phenomenon na PFN?
Ihe “Z phenomenon” dị na PFN na-ezo aka na mgbakasị ahụ nwere ike ime ebe ntu, n'ihi imewe ya na ike etinyere ya, nwere ike bute mgbada n'olu femoral. Nke a nwere ike ibute mmebi na arụ ọrụ adịghị mma. Ọ na-apụta mgbe geometry nke ntu na ike ndị a na-etinye n'oge ibu ibu na-eme ka ntu ahụ akwaga ma ọ bụ gbanwee, na-eduga n'ụdị nrụrụ ụdị "Z" na ntu ahụ.
Kedu nke ka mma: Ntu intramedullary ma ọ bụ ihe mkpuchi hip siri ike?
Nhọrọ n'etiti ntu intramedullary (dị ka PFN) na Dynamic Hip Screw (DHS) dabere n'ọtụtụ ihe, gụnyere ụdị mgbaji, ogo ọkpụkpụ, na njirimara onye ọrịa. Nnyocha egosiwo na PFN na-enyekarị uru ụfọdụ:
1.Ibelata Ọbara Mbelata: Ịwa ahụ PFN na-ebutekarị mfu ọbara intraoperative ma e jiri ya tụnyere DHS.
2.Shorter Surgery Time: Usoro PFN na-adịkarị ngwa ngwa, na-ebelata oge n'okpuru nkụnwụ.
3.Early Mobilization: Ndị ọrịa na-agwọ PFN nwere ike igbakọta ma buru ibu na mbụ, na-eduga na mgbake ngwa ngwa.
4.Reduced Complications: PFN e jikọtara ya na obere nsogbu, dị ka ọrịa na malunion.
Agbanyeghị, DHS ka bụ nhọrọ ga-ekwe omume, ọkachasị maka ụfọdụ ụdị mgbawa kwụsiri ike ebe imewe ya nwere ike inye ndozi dị mma. Ekwesịrị ime mkpebi a dabere na mkpa onye ọrịa n'otu n'otu yana ọkachamara dọkịta na-awa ahụ.
Enwere ike iwepụ PFN?
N'ọtụtụ ọnọdụ, PFN (Proximal Femoral Nail) adịghị mkpa ka ewepụ ya ozugbo mgbaji ahụ gwọchara. Agbanyeghị, enwere ike ịtụle iwepụ ma ọ bụrụ na onye ọrịa ahụ enwete ahụ erughị ala ma ọ bụ nsogbu metụtara etinyere ya. Ekwesịrị ịme mkpebi iji wepụ PFN site na ịkpọtụrụ dọkịta dọkịta na-awa ahụ na-agwọ ọrịa, na-atụle ihe ndị dị ka ahụike zuru oke nke onye ọrịa na ihe ize ndụ na uru dị na usoro iwepụ ya.
Oge nzipu: Eprel-19-2025
