Ọkpụkpụ olu femoral na-akpata 50% nke mgbaji hip. Maka ndị ọrịa na-abụghị ndị agadi na-agbaji n'olu femoral, a na-akwadokarị ọgwụgwọ imezi ihe n'ime. Otú ọ dị, nsogbu ndị na-esochi ya, dị ka enweghị njikọ nke mgbaji, necrosis isi femoral, na mkpụbelata olu femoral, bụ ihe a na-ahụkarị na usoro ọgwụgwọ. Ugbu a, ọtụtụ nnyocha na-elekwasị anya na-esi egbochi femoral isi necrosis mgbe ime ime nke femoral n'olu fractures, ebe a na-elebara obere anya na okwu nke femoral olu shortening.
Ka ọ dị ugbu a, usoro nhazi ime ime maka mgbaji olu femoral, gụnyere iji skru atọ nwere cannulated, FNS (Femoral Neck System), na skru hip siri ike, ihe niile na-achọ igbochi olu femoral varus na inye mkpakọ axial iji zere enweghị njikọ. Otú ọ dị, mkpakọ mmịfe a na-achịkwaghị achịkwa ma ọ bụ gabigara ókè na-eduga na mbelata olu femoral. N'iburu n'uche nke a, ndị ọkachamara sitere na ụlọ ọgwụ mmadụ nke abụọ jikọtara ya na Mahadum Fujian nke Medicine Chinese, n'ịtụle mkpa ogologo olu femoral dị na ọgwụgwọ mgbaji na ọrụ hip, tụrụ aro iji "mkpọchi mgbochi mkpirisi" yana FNS maka nhazi olu femoral n'olu. Usoro a egosila nsonaazụ dị mma, e bipụtara nyocha ahụ na mbipụta kachasị ọhụrụ nke akwụkwọ akụkọ Orthopedic Surgery.
Isiokwu ahụ na-ekwu banyere ụdị abụọ nke "mgbochi mkpụbelata skru": otu bụ ọkọlọtọ cannulated ịghasa na nke ọzọ a ịghasa nwere a dual-thread imewe. N'ime ikpe 53 dị na otu mgbochi mgbochi mkpụbelata, naanị ikpe 4 jiri skru nwere eriri abụọ. Nke a na-ewelite ajụjụ ma skru nke nwere obere eri nwere n'ezie mmetụta mgbochi mkpụbelata.
Mgbe a tụlere skru nke nwere akụkụ abụọ na skru abụọ jikọtara ọnụ wee jiri ya tụnyere nhazi ime ime FNS ọdịnala, nsonaazụ ahụ gosipụtara na ogo nke mkpụbelata na mgbochi mkpirisi ihe mgbochi dị obere karịa na otu FNS ọdịnala na ọnwa 1, ọnwa 3, na otu afọ na-esochi isi ihe dị mkpa. Nke a na-ewelite ajụjụ a: Mmetụta ọ bụ n'ihi ọkọlọtọ cannulated screw ma ọ bụ nke nwere eriri abụọ?
Edemede a na-egosi ikpe 5 metụtara screws mgbochi mkpụbelata, na nyocha nke ọma, enwere ike ịhụ na n'ọnọdụ 2 na 3, ebe ejiri skru nke nwere obere eriri, enwere mbelata na mkpirisi (ihe onyonyo ndị akpọrọ ya na otu ọnụọgụ kwekọrọ n'otu ikpe ahụ).
Dabere na onyonyo ikpe ahụ, ịdị irè nke skru nwere eriri abụọ na-egbochi mbelata pụtara ìhè. Banyere kposara cannulated, isiokwu ahụ anaghị enye ha otu ntụnyere dị iche iche. Otú ọ dị, isiokwu ahụ na-enye echiche bara uru banyere ime ime n'olu femoral, na-ekwusi ike na ọ dị mkpa idobe ogologo olu femoral.
Oge nzipu: Sep-06-2024
