Ịghọta Mbọ Aka Intramedullary

Teknụzụ nkuchi anya n'ime intramedullary bụ usoro a na-ejikarị eme ihe n'ime orthopedic. Akụkọ ihe mere eme ya nwere ike ịpụta na afọ 1940. A na-ejikarị ya agwọ ọkpụkpụ gbawara agbawa, enweghị njikọ, wdg, site n'itinye ntu n'etiti oghere medullary. Dozie ebe mgbawa ahụ gbawara agbawa. N'okwu ndị a, anyị ga-ewebata gị ọdịnaya dị mkpa gbasara mbọ n'ime intramedullary.

N'ikwu ya n'ụzọ dị mfe, ntu intramedullary bụ ogologo ihe owuwu nwere ọtụtụ oghere skru mkpọchi n'akụkụ abụọ iji dozie nsọtụ proximal na distal nke mgbawa ahụ. Dịka usoro dị iche iche si dị, enwere ike kewaa ha n'ime siri ike, tubular, oghere mepere emepe, wdg, nke dabara adaba maka ndị ọrịa dị iche iche. Dịka ọmụmaatụ, mbọ intramedullary siri ike na-eguzogide ọrịa n'ihi na ha enweghị oghere dị n'ime. Ike ka mma.

Dịka ọmụmaatụ, dayameta nke oghere medullary dị iche iche n'etiti ndị ọrịa dị iche iche. Dabere na ma ọ dị mkpa ka a gbanwee ntọala ahụ, enwere ike kewaa mbọ intramedullary ka ọ bụrụ ntu e ji aka mee na ntu e ji aka mee na ntu e ji aka mee na-anaghị agbanwe agbanwe. Ihe dị iche bụ ma a ga-eji ihe e ji aka mee mee ntu e ji aka mee, wdg., a na-ejikwa obere ihe e ji egwuri egwu buru ibu mee ka oghere medullary dịkwuo elu iji nabata mbọ intramedullary buru ibu.

Agbanyeghị, usoro nke mgbasawanye akwara na-emebi endosteum, dịka egosiri na eserese ahụ, ma na-emetụta akụkụ nke isi iyi ọbara nke ọkpụkpụ ahụ, nke nwere ike ibute necrosis avascular nwa oge nke ọkpụkpụ mpaghara ma mee ka ohere ibute ọrịa dịkwuo elu. Agbanyeghị, ọ metụtara ya Ọmụmụ ihe ahụike na-agọnahụ na enwere nnukwu ọdịiche. E nwekwara echiche ndị na-akwado uru nke medullary reaming. N'otu aka, enwere ike iji mbọ intramedullary nwere dayameta buru ibu maka reaming medullary. Ike na ogologo oge na-abawanye ka dayameta na-abawanye, mpaghara kọntaktị na oghere medullary na-abawanye. E nwekwara echiche na obere iberibe ọkpụkpụ e mepụtara n'oge usoro mgbasawanye akwara na-arụkwa ọrụ ụfọdụ na transplantation ọkpụkpụ autologous.

Isi ihe na-akwado usoro a na-anaghị eji eme ihe bụ na ọ nwere ike ibelata ihe ize ndụ nke ọrịa na embolism nke akpa ume, mana ihe a na-apụghị ileghara anya bụ na dayameta ya dị gịrịgịrị na-eweta ihe ndị na-adịghị ike n'ime ahụ, na-ebute mmụba dị elu nke ọrụ ahụ. Ugbu a, ọtụtụ mbọ aka tibial na-ejikarị mbọ aka intramedullary gbasaa, mana uru na ọghọm ka dị mkpa ịtụle dabere na nha oghere medullary nke onye ọrịa na ọnọdụ mgbawa ya. Ihe achọrọ maka reamer bụ ibelata esemokwu n'oge ịkpụ ma nwee ọjà miri emi na obere ogwe dayameta, si otú a na-ebelata nrụgide dị na oghere medullary ma zere oke okpomọkụ nke ọkpụkpụ na anụ ahụ dị nro nke esemokwu kpatara. Necrosis.

Mgbe etinyere ntu intramedullary, a chọrọ idozi skru. A na-akpọ ndozi ọnọdụ skru ọdịnala mkpọchi kwụ ọtọ, ụfọdụ ndị kwenyere na ọ nwere ike ibute ọgwụgwọ na-egbu oge. Dịka mmezi, a na-emepụta ụfọdụ oghere skru mkpọchi ka ọ bụrụ ọdịdị oval, nke a na-akpọ mkpọchi na-agbanwe agbanwe.

Ihe dị n'elu bụ okwu mmalite maka ihe ndị dị na ntu intramedullary. N'akwụkwọ na-esote, anyị ga-akọwara gị usoro dị mkpirikpi nke ịwa ahụ ntu intramedullary.