Nkà na ụzụ ntu intramedullary bụ usoro nhazi nke ime orthopedic a na-ejikarị.Enwere ike ịchọta akụkọ ihe mere eme ya na 1940s.A na-eji ya eme ihe n'ọtụtụ ebe na ọgwụgwọ ogologo ọkpụkpụ ọkpụkpụ, nonunions, wdg, site n'itinye ntu intramedullary n'etiti etiti oghere medullary.Dozie ebe mgbawa ahụ.N'okwu ndị a, anyị ga-ewebata gị ọdịnaya dị mkpa gburugburu mbọ intramedullary.
N'ikwu ya n'ụzọ dị mfe, ntu intramedullary bụ ogologo ihe owuwu nwere ọtụtụ oghere mkpọchi na nsọtụ abụọ iji dozie nso nso na njedebe nke mgbaji.Dị ka usoro dị iche iche si dị, enwere ike kewaa ha n'ime ihe siri ike, tubular, oghere oghere, wdg, nke kwesịrị ekwesị maka ndị ọrịa dị iche iche.Dịka ọmụmaatụ, mbọ intramedullary siri ike na-eguzogide ọrịa n'ihi na ha enweghị oghere nwụrụ anwụ n'ime.Ikike ka mma.
N'iji tibia dịka ọmụmaatụ, dayameta nke oghere medullary dịgasị iche iche na ndị ọrịa dị iche iche.Dị ka ma ọ dị mkpa reaming, ntu intramedullary nwere ike kewaa n'ime ntu reamed na ntu na-abụghị nke a na-emegharị.Ọdịiche dị na ma ọ dị mkpa ka ejiri reamers mee ihe maka reaming medullary, gụnyere akwụkwọ ntuziaka ma ọ bụ ngwaọrụ eletrik, wdg, na-eji obere ihe ọkụkụ buru ibu na-aga nke ọma iji mee ka oghere medullary dịkwuo elu iji nabata ntu intramedullary ka ukwuu.
Otú ọ dị, usoro nke ịgbasa ụmị ọkpụkpụ na-emebi endosteum, dị ka e gosiri na ọnụ ọgụgụ ahụ, ma na-emetụta akụkụ nke ọbara na-enye ọkpụkpụ nke ọkpụkpụ, nke nwere ike iduga necrosis avaskụla na-adịru nwa oge nke ọkpụkpụ mpaghara ma nwekwuo ohere nke ọrịa.Agbanyeghị, ọ metụtara ọmụmụ ụlọ ọgwụ na-agọnarị na enwere nnukwu ọdịiche.Enwekwara echiche ndị na-akwado uru nke ịmegharị ihe.N'otu aka ahụ, ntu intramedullary nwere dayameta buru ibu nwere ike iji mee reaming medullary.Ike na ịdịte aka na-abawanye na mmụba nke dayameta, na mpaghara kọntaktị na oghere medullary na-abawanye.E nwekwara echiche na obere ọkpụkpụ ọkpụkpụ ndị a na-emepụta n'oge usoro mgbasawanye ụmị na-arụkwa ọrụ ụfọdụ na ntụgharị ọkpụkpụ nke autologous.
Isi arụmụka na-akwado usoro a na-adịghị emegharị ahụ bụ na ọ nwere ike ibelata ihe ize ndụ nke ọrịa na pulmonary embolism, ma ihe a na-apụghị ileghara anya bụ na dayameta ya dị ntakịrị na-eweta ihe ndị na-adịghị ike na-arụ ọrụ, na-eme ka ọ dịkwuo elu.Ka ọ dị ugbu a, ọtụtụ mbọ intramedullary tibial na-ejikarị mbọ intramedullary gbasaa, mana ọ dị mkpa ka a tụọ uru na ọghọm ya dabere n'ogo oghere medullary onye ọrịa na ọnọdụ mgbaji.Ihe a chọrọ maka reamer bụ iji belata esemokwu n'oge ịcha ma nwee ọjà miri emi na obere ogwe osisi dayameta, si otú ahụ belata nrụgide na oghere medullary na izere ikpo ọkụ nke ọkpụkpụ na anụ ahụ dị nro kpatara esemokwu.Necrosis.
Mgbe etinyechara ntu intramedullary, a na-achọ ndozi screw.Ndozi ọnọdụ ịghasa ọdịnala ka a na-akpọ static locking, ụfọdụ ndị kwenyere na ọ nwere ike ibute ọgwụgwọ na-egbu oge.Dịka nkwalite, a na-emepụta oghere ụfọdụ na-ekpochi ka ọ bụrụ ọdịdị oval, nke a na-akpọ mkpọchi siri ike.
Ihe dị n'elu bụ mmeghe nke ihe ndị dị na intramedullary nailing.Na mbipụta na-esote, anyị ga-eso gị kerịta usoro nke ịwa ahụ intramedullary nailing.
Oge nzipu: Sep-16-2023
