5 wuluw tali sariyakolow ni opereli fɛɛrɛw!

Sariyakolo jɔnjɔnw minnu bɛ kɛ ni sɔgɔsɔgɔninjɛ ye

1. Ɲɛgɛnɛsiraw kɔnɔ sɔgɔsɔgɔninjɛ tariku

San 1910, Lilienthal aluminiyɔmu wuluwuluw kɛra ka senkɔniw karilenw furakɛ.

San 1913, Schone ye warijɛ nɛgɛw kɛ ka bolokɔniw karilenw furakɛ. 

Kuntscher (1900-1972) ye dɛmɛba don wuluw jɔli la ɲɛgɛnɛsira kɔnɔ. 

San 1960 ni 1970 waatiw ye nɛgɛw yiriwa teliya la. 

n ka jamana bɛ baara kɛ n' u ye ka caya kabini san 1990 waatiw la .

2. Dɔgɔyali dafalen ni dɔgɔyali dafalen

1. Senkɔniw karilenw bɛ se ka dɔgɔya opereli fɛ ni yeli tilennen ye walima ka datugu ni X-ray kɔlɔsili ye.

2. Da wulilen dɔgɔyali kari kɛnɛya waati ka jan, opereli senfɛ joli ka ca, ani da wulilen dɔgɔyali bɛ joli sɔrɔli tiɲɛ ka taa a fɛ ka taa kari laban na.

3. A ka ɲi ka baara kɛ ni dɔgɔyali dagalen ye ni aw bɛ se ka kɛ. A bɛ se ka kɛ ni fɛn dɔ ye min bɛ se ka fɛnw sama, walima ka tigɛ fitini dɔ kɛ kariyɔrɔ la walasa ka a sɔgɔsɔgɔ ani ka dɔ bɔ, o la, joli tali bɛ se ka kɛ kariyɔrɔ laban na, o bɛ dɔgɔya.

4. Ni dɔgɔyali dagalen dɛsɛra, kolotugudaw wulicogo walima ka lamini yɔrɔw sɔgɔ, ani kariyɔrɔba minnu bɔra u nɔ na, ​​opereli da wulilen dɔgɔyali bɛ se ka kɛ.

3. Fixation mechanism ka wulu min bɛ kɛ ɲɛgɛnɛsira kɔnɔ

1. Nɛgɛ kɔnɔna sirili fɛɛrɛ ye cɛmancɛ kɔnɔna sɔgɔli ye min bɛ kɛ ni simetriki ye.

2. Kari sirili ni nɛgɛ ye min bɛ degun tila, a tɛ degun lakanani sirili ye, o min bɛ kɛ sababu ye ka sɔgɔsɔgɔninjɛ cogoya.

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4. Ɲɛgɛnɛsiraw sirili bɛ kɛ sababu ye ka dɔgɔya da tugulen na walima ka dɔgɔya da wulilen danma.

4.Nafa minnu bɛ wuluw la minnu bɛ kɛ wuluwulu kɔnɔ

1. Gɛlɛya minnu bɛ sɔrɔ a la, olu ka dɔgɔn

2. Opereli taamasiɲɛw hakɛ cayalenba

3. Fixation (fixation) sabatilen

4. Joli baara dege joona

5. Ka girinya ta joona

6. A bɛ se ka kɛ ni kɔnɔnafili wɛrɛw ye

Suguw ni fɛɛrɛ jɔnjɔnw

1. Nɛgɛw kɔnɔnatumuw datugucogo ani u datugubali

2. Ɲɛgɛnɛsiraw kɔnɔnatumuw datugucogo fangama ni u jɔlen

3. Medullary expansion ani non-medullary fixation fɛɛrɛw

4. Da wulilen ni da datugulen fiyɛli fɛɛrɛw

Kɔrɔɲɔgɔnmaya ni ɲɔgɔndɛmɛbali

Nɛgɛso gansanw tɛ sabati aksidan na ani u ka torsion fanga ka dɔgɔn kosɛbɛ, nka u bɛ se ka wuli dɔɔni ani u bɛ se ka kɛnɛya u sɔgɔlen kɔfɛ, o bɛ kɛ sababu ye ka kolo kɔnɔ sɔgɔsɔgɔ dɔɔni dɔrɔn.

Nɛgɛ minnu bɛ ɲɔgɔn siri ɲɔgɔn na, olu bɛ se ka wuli ka wuli ani ka u degun ka ɲɛ, u bɛ sabati ka ɲɛ, wa u bɛ bɛn biologique fixation sariyakolo ma. U bɛ Kɛ kosɛbɛ senkɔniw kolo janw na. Kɛrɛnkɛrɛnnenya la, kari minnu bɛ yɔrɔ caman na ani minnu tigɛlen don, u sabatili ka fisa ni wulu gansanw ye minnu bɛ kɛ ɲɛgɛnɛsira kɔnɔ.

Fixation statique ka fanga bonya

Static locking intramedullary nails bɛ stress masking dɔɔnin dɔrɔn de lase u ma, wa sisan u fanba bɛ lafasa ka kɛ dynamisation wale ye min tɛ kɛcogo kɔrɔ ye.

Ni kariw ma kɛnɛya kalo 6 fo kalo 8 opereli kɔfɛ, a ka ca a la, kolotugudaw sɔgɔli yɔrɔ la walima ka wuluwulu minnu bonyalen don, olu falenni ni fanga ye.

Dynamisation bɛ se ka kɛ fɛɛrɛ ye walasa ka kari kɛnɛya sabati. A man ɲi ka kɛ tuma bɛɛ barisa a bɛ se ka kɛ sababu ye ka bolokɔniw surunya ani ka jiginni kɛ.

Sugunɛ falenni ani ɲɛgɛnɛsira tɛ minnu na

Ɲɛgɛnɛsiraw falenni bɛ se ka wuluw don ɲɛgɛnɛsira kɔnɔ minnu cɛmancɛ ka bon ani u fanga ka bon, o bɛ kɛ sababu ye ka baarakɛcogo dege joona ani ka dɔ bɔ wulu karilenw hakɛ la.

Kolow falenni bɛ se ka kolotugudaw caman bɔ ni kolotugudaw ye, o min bɛ kɛ sababu ye ka kolo karilenw kɛnɛya.

Sugunɛbilenni bɛna balodɛsɛbanakisɛw ni kɔnɔnatumuw joli sɔrɔcogo tiɲɛ, nka joli siraw bɛ se ka segin u cogo kɔrɔ la wuluw kɔnɔna na. Sugunɛbilenni fana bɛ se ka dɔ fara joli bolicogo kan farikolo yɔrɔ nɔgɔlenw lamini na, o bɛ kɛ sababu ye ka kari kɛnɛya sabati.

Sugunɛbilenni bɛ dɔ fara banakisɛ sɔrɔli ni joli-sira-funu sɔrɔli kan, wa a ka kan ka kɛ ni hakilijagabɔ ye ni kari dafalenw, jogin caman, ani joginda gɛlɛnw.

Nafa minnu bɛ medullary expansion na

1 Medullary expansion kɔfɛ, medullary nail ni kolo cɛ bɛ ɲɔgɔn sɔrɔ yɔrɔ min na, o bɛ bonya, o bɛ fixation sabatili ɲɛ. 

2 Ɲɛgɛnɛsiraw falenni kɔfɛ, ɲɛgɛnɛsira kɔnɔna na, a cɛmancɛ ka bon, o bɛ dɔ fara ɲɛgɛnɛsira fanga kan ani ka dɔ bɔ ɲɛgɛnɛsira karilenw hakɛ la. 

3 Kolotugudaw sɔgɔsɔgɔninjɛ kɔfɛ, o bɛ se ka kɛ sababu ye ka kolo kura dilan, o bɛ kɛ sababu ye ka kolo karilenw kɛnɛya.

Ni aw ye a suma ni ɲɛgɛnɛsiralabanaw ye minnu bɛ kɛ ni ɲɛgɛnɛsiralabanaw ye, u nafaw bɛ nin nafa ninnu na

1 Opereli waati ka surun ani joli bɔli ka dɔgɔn. 

2 A tɛ dankari dɔɔni kɔnɔbara la joli la ni farikolo yɔrɔ nɔgɔlenw jogincogo jugumanba bɛ u la.

Aplikasiyɔn ka wulu min bɛ kɛ ɲɛgɛnɛsira kɔnɔ

Humeral interlocking intramedullary nail (wuluwulu) min bɛ ɲɔgɔn cɛ

A jiracogo minnu bɛ kɛ ni wuluwuluw ye

Ɲɛjirali minnu bɛ kɛ ni wuluwuluw ye minnu bɛ ɲɔgɔn cɛ wuluwuluw karilenw furakɛli la, olu ye: wuluwuluw karilenw ni joli siraw ni farikolojidɛsɛw tiɲɛna, joginda caman, karilenw minnu tɛ sabati, kirinni banaw, ani ɲɛgɛnɛsiraw karilenw kɛrɛfɛ.

A yɔrɔ min bɛ Se ka Labɛn, o bɛ Bɔ santimɛtɛrɛ 2 la humeral kunkolo jukɔrɔ ka se santimɛtɛrɛ 3 ma olecranon fossa sanfɛ. Aw bɛ se k’a sugandi k’a labɛn ka bɔ kamankun na ni ɲɛgɛnɛsira ɲɛfɛla ye walima ka bɔ kɔkili la ni nɛgɛ ye min bɛ kɔfɛ.

Humeral nails (wuluwuluw) cogoyaw

Opereli fɛɛrɛ minnu bɛ kɛ ka ɲɛgɛnɛsira karilenw siri, olu ye plati sirili ye ani nɛgɛ sirili ye ɲɛgɛnɛsira kɔnɔ.

Plate fixation (plate fixation) bɛ ni wulicogo ni a kɔrɔtacogo barikama ye, wa a bɛ siri kosɛbɛ, nka opereli joginda ka bon, banakisɛ sɔrɔli ka ca, ani radial nerve bɛ tiɲɛ nɔgɔya la.

Bi wuluwulu minnu bɛ ɲɔgɔn siri ani minnu bɛ u yɛrɛ datugu, olu bɛ se sɔrɔ wuluwulu gansanw dɛsɛw kan i n’a fɔ aksidan basigibaliya, a jiginni kunbɛncogo jugu, ani a mago bɛ fɛn wɛrɛw la minnu bɛ u siri, walasa kari ka siri kosɛbɛ, joli bɔli ka dɔgɔn, farikolo yɔrɔ nɔgɔlenw bɔli ka dɔgɔn, ani ɲɛgɛnɛsira bonya bɛ bɛn sigida kolo cili ma, doni ka kɛ kelen ye tilalen don, callus bɛ bɔ joona, wa farikoloɲɛnajɛ baarakɛcogo bɛ se ka daminɛ opereli kɔfɛ.

Senkɔniw bɛ ɲɔgɔn cɛ wuluwulu kɔnɔ

Taamaʃyɛnw minnu bɛ senkɔniw siri ɲɔgɔn na

Kari suguya bɛɛ bɛ santimɛtɛrɛ 2 bɔ trochanteric vertebra jukɔrɔ ani ka tɛmɛ santimɛtɛrɛ 9 kan ka bɔ gɛnɛgɛnɛ joli la.

Senkɔni cɛmancɛ yɔrɔ karilen kɔrɔw.

Banabagatɔ minnu ka plati kɔnɔna sirili ma ɲɛ.

Senkɔni-nɛgɛ min bɛ ɲɔgɔn siri ɲɔgɔn na, o cogoyaw

Nafa minnu bɛ sɔrɔ masinw na

Senkɔni-nɛgɛ min bɛ ɲɔgɔn siri senkɔni kɔnɔ walasa ka kariw labɛn, o fanga bolo janya ka bon ni nɛgɛdaga ye, wa fanga bɛ tila ɲɔgɔn na kolo bɛɛ cɛmancɛ-yɔrɔ kan, o min kurulen don ani ka a sɔgɔli man nɔgɔn.

Nɛgɛ minnu bɛ sɔgɔsɔgɔninjɛ kun fila bɛɛ la, olu bɛ kolo kɛ fɛn bɛɛ ye ka bɔ sanfɛ ka taa duguma, wa nɛgɛ minnu bɛ datugu yɔrɔ jan na, olu bɛ se ka dɔ bɔ ɲɛgɛnɛsira kɔnɔna na bolokɔni girinya la, ka surunya ni jiginni bali, ani ka sabatili ni jɔli caman sɔrɔ walasa ka kariw jɔ.

Gamma Interlocking Intramedullaire Nail (Nɛgɛso kɔnɔna na).

Gamma nail taamasiɲɛw

A bɛ kɛ ɲɛgɛnɛsira kari suguya caman na, kɛrɛnkɛrɛnnenya la ɲɛgɛnɛsira kɔkanna karilenw.

Gamma nɛgɛ janyalen (nɛgɛ jɔli kokura) taamasiɲɛw

subtrochanteric fractures ka bon, trochanteric faralen ɲɔgɔn kan ni senkɔniw karilenw ye.

Nafa minnu bɛ Gamma nail la

A dabɔra ni wuluwulu sɔgɔlen ni wuluwulu kɔnɔna fɛɛrɛ faralen ye ɲɔgɔn kan, wulu kunba bɛ surunya ɲɛgɛnɛsira kɔnɔna na ka tɛmɛ kɔkili fɛnɲɛnamafagalan fangama kan, o la, nɛgɛ Gamma bɛ banabagatɔ girinya ta ka surunya senkɔniw ka sɔgɔsɔgɔninjɛ la ka tɛmɛ kɔkili fɛnɲɛnamafagalan fangama kan, o bɛ dɔ fara a donta masin fanga kan. Ni sɔgɔsɔgɔninjɛ karilenw ye minnu bɛ tali kɛ cɛmancɛla ɲɛdawolo tiɲɛni na, Gamma nail bɛ a yɛrɛ tanga kariw farikololabɔli ma, o la a nafa ka bon ɲɛgɛnɛsiraw ni ɲɔgɔn cɛ karilenw walima subtrochanteric karilenw na.

Senkɔniw sɔgɔli kɔfɛ

Senkɔniw bɛ kɔsegin taamasiɲɛw

A bɛ kɛ kɛrɛnkɛrɛnnenya la senkɔni sanfɛla karilenw na, i n’a fɔ kɔndili sanfɛla karilenw ani kɔndiliw ni ɲɔgɔn cɛ 'T' ni 'Y' karilenw minnu bɛ senkɔni yɔrɔ sen don.

A bɛ se ka kɛ fana senkɔniw karilenw na senkɔniw sɔgɔsɔgɔninjɛ jukɔrɔ.

Senkɔnibara, senkɔni sanfɛla, ani senkɔniw ni ɲɔgɔn cɛ karilenw 20CM kɔnɔ ka bɔ gɛnɛgɛnɛ joli la.

Minnu ma se ka plati fixation (plati fixation) kɛ.

Senkɔniw sɔgɔli kɔfɛ cogoyaw

Supracondylar femoral fracture ye kari jugumanba ye min ka gɛlɛn fɔlɔ, a dɔgɔyali ani filanan, kɔnɔna jɔli barikama. Gɛlɛyaw ka ca i n’a fɔ kari tɛ ɲɔgɔn na ani kɛnɛyali kɔfɛ.

Retrograde interlocking intramedullary nailing ye fɛɛrɛ ye min bɛ kɛ ka caya walasa ka senkɔni yɔrɔjan karilen furakɛ san laban ninnu na, min sabatili ka ɲi masin siratigɛ la, a bɛ se ka kari kɔfɛyɔrɔ kɔkanna jiginni ni a jiginni kunbɛn ka ɲɛ, wa a bɛ dɛmɛ don kolotugudaw lamaga joona.

Supracondylar combined femoral stem fracture bɛ labɛn ni supracondylar intramedullary nailing janyalen ye, o bɛ gɛlɛya ɲɛnabɔ min ɲɛnabɔli ka gɛlɛn ni senkɔni sɔgɔli ye min bɛ ɲɔgɔn cɛ. Minɛn in baara ka nɔgɔn, a jɔcogo bɛnnen don, a bɛ se ka da a kan a jɔcogo la, wa banabagatɔ bɛ se ka gɛnɛgɛnɛ baarakɛcogo daminɛ joona opereli kɔfɛ.

Tibial interlocking intramedullary nails (sɔgɔsɔgɔninjɛ) minnu bɛ ɲɔgɔn cɛ

A jiracogo minnu bɛ kɛ ka tibial sɔgɔsɔgɔ

Kari sabatilenw senkɔni cɛmancɛ 1/3 la: kari minnu bɛ kɛ ka tɛmɛ, kari kunkurunninw bɛ kɛ senkɔni sɔgɔsɔgɔninjɛ, pseudarthrosis.

Kari minnu tɛ sabati cɛmancɛ senkɔni janya 60% kɔnɔ: kari minnu bɛ metafizi kɛrɛfɛ, kari jan minnu bɛ kɛ jiribolo la, kari tilayɔrɔw, kari tigɛlenw, kariw ni kolotugudaw bɛ u la.

Tibial nailing taamasiɲɛw

Senkɔni sɔgɔli min bɛ kɛ senkɔniw kɔnɔ, o bɛ kɛ ka caya senkɔniw cɛmancɛ karilenw na.

Hali ni a bɛ se ka kɛ fana senkɔniw karilenw na minnu bɛ kɛ kɛrɛfɛ ani minnu bɛ yɔrɔjan, gɛlɛya hakɛ ka ca, jɛɲɔgɔnya jugu bɛ kɛ ka caya, kari laban bɛ lamaga ≧1cm la a 1/2 la, ani fixation 1/4 bɛ dɛsɛ.

Sɛbɛnw y’a jira ko senkɔni yɔrɔjan karilen kɔlɔlɔ ka fisa ni senkɔni kɛrɛfɛ karilen ye fibula jɔli kɛcogo kɔrɔlen kɔfɛ.

Opereli kɛcogo minnu bɛ kɛ

Minɛn kɛrɛnkɛrɛnnenw labɛnni sani opereli ka kɛ

Kolotuguda dilan (traction bed) walima opereli dilan fluoroscopique standard; retracteur (baarakɛla min bɛ kɔsegin); ja fanga bonyalan.

Ɲɛgɛnɛsiraw janya sugandili ka ɲɛ endoprothèses sani opereli ka kɛ

Radiographie (radiographie) lajɛ

bolokɔniw janya sumani kɛrɛ fɛ

Nɛgɛso kɔnɔna cɛmancɛ

x-ray isthmus (fiɲɛbɔlan) bonya

Nɛgɛ janya sumanikɛlan kɔnɔbara kɔnɔ

1.Translucent sariyatigi latigɛ C-bolo masin jukɔrɔ

Kolo yɔrɔjanw ni a kɛrɛfɛyɔrɔw tun bɛ fiɲɛ cɛmancɛ la; faama tun bɛ taa ɲɔgɔn fɛ ni diaphyse ye.

2.Janya sumani ka kɛɲɛ ni farikolo yɔrɔ taamasiɲɛw ye

Senkɔni : senkɔni belebeleba kun → gɛnɛgɛnɛ kɛrɛfɛyɔrɔ walima senkɔni sanfɛla; tibia : gɛnɛgɛnɛ cɛmancɛ-kɛrɛfɛyɔrɔ → senkɔni kolotuguda ɲɛfɛla sen kɔkilida la.

Intramedullary Nail Insertion Technique - Donda yɔrɔ taabolo

Medullary cavity ka janya janya sira tilennen dɔ la

A man surun kojugu dondaw la

Janya bɛnnen : dilated - long; dilated - surun

(Don yɔrɔ dantigɛli tilennen tɛ; pulp dilation tɛ, farikolo yɔrɔ nɔgɔlenw lakanani tɛ wajibiya)

Senkɔniw doncogo paralɛli senkɔniw kɔnɔ

Donda yɔrɔ labɛnni senkɔni kɔnɔbara la min bɛ kɛ ɲɔgɔn fɛ

Hip flexion ani adduction (sɔgɔsɔgɔninjɛ) (adduction).

Tigɛ janyalen bɛ kɛ ka surunya trochanter belebeleba la

A ma yɔrɔ jan kojugu kɔfɛ

Pini ɲɛminɛbaga bilali

Farikolo nɔgɔlenw ka tangalan bilali

Senkɔni kɔfɛla nɛgɛ dondaw la

30° gɛnɛgɛnɛ kurulen

Gafe min bɛ ɲɛminɛbaga ka pini janya, o bɛ taa sira kelen fɛ ni senkɔni yɔrɔ jan ye

Kirschner pinɛ donni senkɔni yɔrɔjan na patellar ligament fɛ ka tɛmɛ bolokɔni lakanani fɛ: orthogonal - senkɔni cɛmancɛ fossa intercondylar; lateral - Blumensaat ka layini

PCL daminɛyɔrɔ ni jogin tɛ

Tibial intramedullary nail dondaw bɛ kɛ paralɛli ye

Medullary cavity cɛmancɛ la

Tibial plateau ɲɛfɛla dakun

A ka bon cogo min na, k’a sɔrɔ a ma tiɲɛni kɛ plateau la

Gɛnɛgɛnɛ kɔrɔtacogo min ka ca ni tɔw bɛɛ ye

Aw bɛ tigɛ tibial tuberosity-inferior pole of patella kɛrɛfɛ medullary cavity fɛ

Aw bɛ ɲɛdawolo da wuli : aw bɛ a ɲɛminɛ pinɛ min bɛ 15° la ka taa senkɔni jiribolo janyalen sagittal plane la

Jaa fanga bonyalan jɔyɔrɔ

Marrowing fɛɛrɛw

Kuranko fanga dɔgɔyali

kari kura minnu bɛ sɔrɔ

Bololabaarakɛlaw ka dɔgɔyali

kɔrɔ kari ni pseudoarthrosis ye, sklerose min bɛ kɛ medullary cavity la

Tourniquet tɛ kɛ inflation jukɔrɔ

joli-sira-funu ye nɛnɛ fura ɲuman ye

Yɔrɔw sigicogo kura fɛɛrɛw

Kɔnɔbara basigilen sɔgɔsɔgɔninjɛ min bɛ kɛ ɲɔgɔn fɛ

Kun minnu na gɛlɛya bɛ senkɔniw karilenw seginni na

Ni aw ye farikolo yɔrɔ nɔgɔlenw siri ka ɲɛ, o tɛ a to a ka se ka don kolo la

Pikirijikɛlan dondaw tɛ se ka ye ka ɲɛ

Hip joint adduction → kɔkolo fascia tension → kari surunyali

Tibial karilenw dɔgɔyali

Manipulasiyɔn (manipulaire).

A fanba bɛ kɛ fari jukɔrɔ ani a minɛni ka nɔgɔn

Kari sabatilen - kari suguya A ni B cɛmancɛ walima yɔrɔjan

Oblique fractures - ka mɔgɔ faga kojugu

Intramedullaire nailing→displacement baarakɛminɛnw

Dɔgɔyali fɛɛrɛ dɛmɛnanw

Point reduction foroko

senkɔniw (tibia); farikolojidɛsɛ walima joginda tali

Retracteur belebelebaw (braces) .

dɔgɔyali min bɛ mɛn sen na; bolokɔniw surunyali

Waati dɔɔnin Schanz vis

1 Senkɔni, senkɔni

2 Ka surunya kariyɔrɔ la ni a bɛ se ka kɛ

3 Kɛrɛnkɛrɛnnenya la, a bɛ kɛ ni kɔri kelen ye

4Aw bɛ baara kɛ ni universel chuck ye ni T-handle ye walasa ka manɛwɛri nɔgɔya

Poller ka wulu

1Metaphyseal fracture (ka fanga layini latilen, ka seginkanni sabati, ka opereli segin a cogo kɔrɔ la) .

2 senkɔni yɔrɔjan walima senkɔni yɔrɔjan karilen (shear stress → pressure) .

3 Ɲɛgɛnɛsiraw kɔnɔ nɛgɛ minnu ma sigi ka ɲɛ, olu bɛ don ɲɛgɛnɛsira kɔrɔ la opereli filanan waati

4 Donda yɔrɔ man ɲi, a kɛrɛfɛla karicogo ma ɲɛ (kuru min bilalen don ka ɲɛ ka kɛɲɛ ni endoplant ka jiginni ye min bɛ se ka kɛ) .

Tourniquet min ka bon kosɛbɛ

1 senkɔniw (tibia).

2 bɛ fara a kan ni traction walima retractor ye

3 Aw bɛ a kɛ ni hakilisigi ye farikolo yɔrɔ nɔgɔlenw joginni jugumanw na

4 Aw k’a to a ka surun

5 Aw bɛ medullary expansion bali ni a fiyɛlen don

Nail locking sequence: distal o kɔfɛ proximal

Nafa minnu b’a la

knockback nɔgɔya, kari karilenw degun; farali bɔli ɲɔgɔn na; dɔgɔyali baara minnu bɛ kɛ.

Dɔgɔyali fɛɛrɛw opereli kɔfɛ & nonunion

Gɛlɛya minnu bɛ se ka sɔrɔ opereli kɔfɛ

Axiale deformité (kurukuruni, kùnkolo-yɔrɔ-ko ani walima jiginni) .

Bonya in ka granulation tissu

Kolow bɛ sɔgɔsɔgɔ joona

Sklerose de fracture bɛ kari ni ɲɛgɛnɛsira datugulen don

Kolotugudaw sɔgɔsɔgɔninjɛ

Gɛlɛya minnu bɛ se ka sɔrɔ opereli kɔnɔ

Expander ni ɲɛgɛnɛsira kɔnɔna na jiginni → ɲɛgɛnɛsira doncogo ɲɛgɛnɛsira la

Kɔnɔnafili → kɔsegin

A kun tigɛlenw bɔli → Poller ka nɛgɛ, plate fixation

Fɛɛrɛ minnu bɛ kɛ walasa ka fanga siraw bali minnu tɛ cogo la

Proximal - don yɔrɔ bɛnnen

Distal - intramedullary nail min bɛ kɛ medullary cavity cɛmancɛ la

Gɛlɛya minnu bɛ sɔrɔ sɔgɔsɔgɔninjɛ la

★Banakisɛ

★Nɛrɛw tiɲɛni

★Kariw kɛnɛyali tiɲɛnen

★Dɔgɔtɔrɔso ka karilenw

Kɛnɛma jiginni, torsion, valgus, kɔnɔna jiginni, angulation

★Kɛrɛfɛ kolotugudaw dimi

★Embolisme tuluma

★Kɔnɔnafili hɛtɛrotopiki

★Fogonfogon la sɔgɔsɔgɔninjɛ

★Ka kari kokura

★Trombose (banakisɛfagalan).

★Joinw ka gɛlɛya

★Non-union de fracture, kolo nonunion

★Kɔnɔna fixation dɛsɛ

★Bolociw surunyali

★Wɛrɛw

Gɛlɛya minnu bɛ sɔrɔ a la--Banakisɛ

1.A daminɛ na, kari dafalenw tun jatera ko a tɛ se ka kɛ ni sɔgɔsɔgɔninjɛ ye.

2.Opereli kɔfɛ banakisɛ sɔrɔli kari dafalenw na, o bɛ bɔ farikolo yɔrɔ nugulama jogincogo ni nɔgɔ cogoya la

Banakisɛ sɔrɔli da wulilen kɔfɛ karilen kɔfɛ, o bɛ bɔ farikolo yɔrɔ nugulama jogincogo ni a nɔgɔli cogoya la ani fana farikolo yɔrɔ nɔgɔlenw ɲɛnabɔcogo kan.

3.Nɛgɛjugu minnu ka fin, olu bɛ dɔ fara banakisɛ sɔrɔli kan; non-expanded locking intramedullary nails fixation ka dɔgɔn kosɛbɛ, wa kolo dakunw bɛ

Nɛgɛso kɔnɔnatumu min tɛ bonya, o sirili man ɲi kosɛbɛ, ni kolo karilen laban bɛ lamaga ni mikroskɔpi ye ka fara a tolenw kan, o min ka nɔgɔn banakisɛw falenni na.

4. Ni aw bɛ medullary fixation expanded ani expanded expanded kɛ, o tɛ dan karilen sabatili ma dɔrɔn, nka a bɛ yɔrɔ salen dɔ dabɔli fana bali.

Fat Embolisme Syndrome (banakisɛfagalan min bɛ wele ko Fat Embolisme Syndrome).

1.FES min bɛ sɔrɔ tubabukan kolo janw na, o hakɛ ye 0,5% fo 2% ye.

2. Ɲɛgɛnɛsiraw bonya ni ɲɛgɛnɛsiraw bonyabaliya tɛ nɔba bila fogonfogon la fiɲɛbɔ la.

3.Ni aw bɛ medulla bonya, fɛɛrɛ ka kan ka kɛ ka mugumugu dɔɔni dɔɔni, ka aw yɛrɛ tanga fanga caman ma ani baara gɛlɛn ma.

4.FES sɛgɛsɛgɛli min bɛ sen na sisan, o bɛ sariyaw ta hali bi, Gurd ye minnu fɔ san 1974, wa furakɛli sɛgɛsɛgɛli kɔfɛ, o bɛna furakɛli waati ɲuman bila kɔfɛ, wa a bɛ se ka kɔlɔlɔ juguw lase a ma.

Kariw kɛnɛyali kɔfɛ ani kolotugudaw farali ɲɔgɔn kan

Fɛn suguya caman bɛ nɔ bila kari kɛnɛyali la wuluwulu sirilen kɔ senkɔni kɔnɔ, wa a sababuw bɛ se ka sɛgɛsɛgɛ nin cogo la.

1.yɔrɔ nɔgɔlen min bɛ don karilen laban na

2. Kari tigɛlenw dakunw farali ɲɔgɔn kan

3. Banabagatɔ ka kɔrɔya

4. Kari da wulilen, farikolo yɔrɔ nɔgɔlenw jogin juguman, sigida la joli segincogo juguman walima banakisɛ.

5. Nɛgɛw sirili jugumanba kɔnɔbara la

6. Jabɛtibana faralen ɲɔgɔn kan walima bana wɛrɛw minnu bɛ mɔgɔ dun.

Furakɛcogo karilenw

Dɔgɔtɔrɔso ka kari minnu bɛ sɔrɔ, olu fanba ye kari filananw ye minnu bɛ sɔrɔ fɛn dilanni jugu fɛ wuluwulu sirili waati la.

Opereli kɔnɔna na, aw ka kan ka jateminɛ kɛ a la

1. Ni aw ma wulu don yɔrɔ sugandi cogo bɛnnen na, o bɛ se ka kɛ sababu ye ka a kɛrɛfɛla kari.

2. Aw kana a gɛlɛya ni fanga ye ɲɛgɛnɛsira bonya la.

3. Pulp expansion dondaw ka kan ka kɛ sira kelen fɛ ni nɛgɛ doncogo ye.

4. Aw kana fanga kɛ ni aw bɛ wuluw don ɲɛgɛnɛsira la yɔrɔjan dakun na.

Dimi bɛ kɛ kolotugudaw la minnu bɛ ɲɔgɔn kɛrɛfɛ

1. Ka ɲɛgɛnɛ kɛ ɲɛgɛnɛsira kɔnɔ, o bɛ kɛ ni farikolo yɔrɔ nɔgɔlenw ye ani hali kolotuguda furakisɛ min bɛ kolotuguda 1 lamini na a dɔgɔyalenba la.

2. Kɔnɔbara basigilen bɛ siri cɛmancɛla ɲɛgɛnɛsira ɲɛfɛla la ni gɛnɛgɛnɛ sɔgɔsɔgɔninjɛ ye, wa a bɛ kɛ yɔrɔ lakananen ye senkɔni tuberosity sanfɛ fo ka se nin yɔrɔ in ma. Ni nɛgɛdaga surunyara sanfɛ kojugu walima ni nɛgɛso kɔnɔna cɛmancɛ ka bon kojugu, o bɛ se ka kɛ sababu ye ka joli segin yɔrɔw tiɲɛ, o bɛ na ni gɛnɛgɛnɛ dimi ye opereli kɔfɛ.

3. Nɛgɛso bɔli kɛrɛfɛ ani koloci hɛtɛrotopiki ye kɔdimi sababuba ye senkɔniw kɔnɔbara opereli kɔfɛ.

4. Nɛgɛw bɔli kɛrɛfɛ, wulu minnu bɛ datugu kɛrɛfɛ, olu ŋɛɲɛ ani wuluwulu jiginni, olu ye kamankun dimi sababuba ye wuluwulu kɔnɔna na sɔgɔsɔgɔninjɛ kɔfɛ.