![Intramedullary Nails le Egbegbe Ƒumeŋutinunya me A Game-Changer le Fracture Fixation me!]( "Intramedullary Nails in Modern Orthopedics A Game-Changer in Fracture Fixation？")
Kpɔkplɔyiɖeme
Ƒumeŋuɖui dzi kpɔkpɔ va trɔ ŋutɔ le ƒeawo me, eye ɖa siwo le ƒumeŋuɖui me (IM) wɔa akpa vevi aɖe le egbegbe ƒu ƒe gbagbãƒewo léle ɖe te me. Nusiwo wotsɔ dea ame me siawo va zu egbɔkpɔnu si wodina wu hena ƒu didi siwo gbã la li ke le esi womewɔa nu boo aɖeke o, woƒe dɔlékuiwo ƒe dɔwɔwɔ de ŋgɔ wu, kple ɣeyiɣi siwo me wohayana kabakaba wu ta.
Esi wowɔ ŋgɔyiyi le ƒumeŋuɖui ƒe aɖaŋuwɔwɔ, nusiwo woatsɔ awɔe, kple amekokomɔnu me ta la, dɔwɔnu si ŋu kakaɖedzi le va su ƒumeŋutinunyalawo si fifia be woatsɔ ada ƒu ƒe gbagbãƒewo nyuie wu. Nyati sia dzro alesi IM ɖawo wɔa dɔe, woƒe viɖewo, alesi wozãa wo zi geɖe, nu yeye siwo wowɔ nyitsɔ laa, kple nusita wole amewo xɔm le Spaingbedolawo ƒe nutowo kple Anyieheɣedzeƒe Asia me nyuie wu.
Intramedullary nails nye gati didi sesẽ siwo wotsɔ dea ƒua ƒe medullary cavity me be woakpe ɖe wo ŋu woasɔ ɖe ƒua ƒe gbagbãƒewo nu ahali ke. Wotsɔ titanium alo gakpo si mexɔ dzo o wɔ wo, eye wotsɔ gavi siwo xea mɔ na wo le woƒe nugbɔ eveawo, si xea mɔ na ʋuʋu si womedi o abe tɔtrɔ kple kpuiƒe ene.
Intramedullary Nails Ƒomeviwo
IM ɖawo ƒe nɔnɔme kple lolome le vovovo, eye wowɔ wo dometɔ ɖesiaɖe na ƒu kple ƒu ƒe gbagbã ƒe nɔnɔme tɔxɛ aɖewo:
– Wozãnɛ na afɔkpodzi ƒe gbagbã sesẽwo, vevietɔ subtrochanteric gbagbãwo.
– Wotrɔ asi le eŋu be wòana humerus shaft kple proximal humerus fractures nali ke.
– Enyo ŋutɔ na proximal femur fractures, vevietɔ le dɔnɔ tsitsi siwo ŋu ƒumeŋuɖui le gome.
– Tiatia si wozãna ɖaa na diaphyseal femur fractures.
– Tiatia si yiyi na tibial shaft fractures, si ɖea dɔyɔɣi dzi kpɔtɔna.
– Wotrɔ asi le eŋu na afɔkpodzi ƒe gbagbã le didiƒe, si kpɔa egbɔ be wowɔ ɖeka nyuie.
– Enaa tiatia geɖe wu be woaxe mɔ ɖe enu, si naa liƒo geɖe wu na akɔta ƒe gbagbã sesẽwo.
– Wozãnɛ zi geɖe le ɖeviwo ƒe gbagbãƒewo le eƒe wɔwɔme si te ŋu trɔna ta.
Nusitae Intramedullary Nails Le Tɔtrɔm le Fracture Fixation ŋu
Haya Kabakaba Kple Ʋuʋu Kaba
Viɖe gãtɔ siwo le IM ɖawo ŋu dometɔ ɖekae nye woƒe ŋutete be woado alɔ kpekpeme tsɔtsɔ kaba. Numekukuwo ɖee fia be dɔnɔ siwo wowɔ IM nailing hena woƒe gbagbã ate ŋu adze kpekpeme tsɔtsɔ ƒe akpa aɖe gɔme le kwasiɖa 4-6 me, ne wotsɔe sɔ kple kwasiɖa 8-12 na amesiwo wotsɔ agbalẽvi xoxowo da dɔe. Ʋuʋu kaba sia nana eƒe dɔyɔyɔ kabakaba eye wòɖea lãmekawo ƒe vuvu ƒe afɔkua dzi kpɔtɔna.
Amekoko si me womewɔa nu boo aɖeke le o
To vovo na mɔnu xoxo siwo wozãna tsɔ léa ɖa abe agbalẽviwo ene, siwo hiãna zi geɖe be woatso lãmeka gãwo eye woaɖe lãmeka falɛfalɛwo ɖa vevie la, woate ŋu atsɔ IM- ɖawo ade eme to lãɖeɖe suewo me. Esia ɖea amekoko ƒe nuveviwɔame dzi kpɔtɔna, eɖea dɔlékuiwo xɔxɔ ƒe afɔkua dzi kpɔtɔna, eye wònana ame nɔa kɔdzi ɣeyiɣi kpui aɖe.
Biomechanical ƒe Liƒo Deŋgɔ
Esi wònye be wotsɔa IM ɖawo dea ƒua me ta la, wowɔa ɖeka kple ŋutilãa ƒe dzɔdzɔme kpekpeme tsɔtsɔ, si wɔnɛ be wòte ŋu nɔa te sesĩe le eƒe ʋuʋu kple eƒe axadzi. Aɖaŋu sia srɔ̃a ŋutilãa ƒe dzɔdzɔme nu gbagbewo ƒe dɔwɔwɔ, si ɖea afɔku siwo le ŋutilãa ƒe kpododonu me dzi kpɔtɔna.
Afɔku si Le Kuxiwo Me Dzi Ðeɖe Akpɔtɔ
Ne wotsɔe sɔ kple agbalẽviwo kple gotagome nusiwo wotsɔna léa ɖae la, kuxiwo ƒe agbɔsɔsɔme le IM- ɖawo ŋu le ʋɛ wu. Gavi siwo ƒoa ƒu ɖe wo nɔewo ŋu zazã xea mɔ na ƒuwo ƒe kpuiƒe kple woƒe ƒoƒo ɖe ɖoɖo nu, si wɔnɛ be mɔnukpɔkpɔ si li be ƒu mawɔ ɖeka alo mawɔ ɖeka o dzi ɖena kpɔtɔna.
Nu Vevi Siwo Wozãna Le Intramedullary Nails Le Ƒumeŋutinunya Me
Femoral Shaft ƒe Gbagbãƒewo
Wozãa IM ɖawo tsɔ daa afɔkpodzi ƒe gbagbã, vevietɔ akɔta ƒe gbagbã, nyuie wu. Numekukuwo ɖee fia be afɔkpodzi ƒe gbagbã siwo wotsɔ IM- ɖawo da dɔe ƒe 95% hayana le ɣleti ade me ne wowɔ beléle nyuitɔ le dɔwɔwɔ vɔ megbe.
Tibial Shaft ƒe Gbagbãƒewo
Afɔkpodzi ƒe gbagbã bɔ ɖe nuveviwɔame siwo ŋu ŋusẽ geɖe le, abe ʋufɔkuwo kple abixɔxɔ le kamedefefewo me ene me. IM nailing ɖea mɔ na kpekpeme tsɔtsɔ kaba, si le vevie ŋutɔ le mɔxexe ɖe kuxiwo abe compartment syndrome ene nu.
Humeral ƒe Gbagbãƒewo
IM-nails naa dɔwɔwɔ nyuie wu plates le humeral shaft fractures me, vevietɔ na dɔnɔ tsitsi siwo ƒe ƒuwo gblẽ.
Ame Tsitsiwo Kple Ƒumeŋuɖui ƒe Gbagbãƒewo
Esi amewo le tsitsim le Mexico, Brazil, Indonesia, kple Philippines ta la, akɔta ƒe gbagbã siwo te ɖe wo nɔewo ŋu va le dzidzim ɖe edzi. PFNA- ɖawo wɔa dɔ nyuie ŋutɔ le ƒu gbagbã siawo dada me, eye wònana dɔnɔ siwo ƒe ƒuwo me gblẽna la te ŋu trɔna nyuie wu.
Nu yeye siwo wowɔ nyitsɔ laa le Intramedullary Nailing me
IM Nails Siwo Gblẽna Kple Dɔlékuiwutikewo
Numekuku yeyewo na woto IM ɖa siwo gblẽna kple dɔlékuiwutikewo vɛ, si kpena ɖe ame ŋu be dɔlékuiwo ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna eye wòdoa ƒuwo ƒe dɔyɔyɔ kabakaba ɖe ŋgɔ.
3D-Tata Custom IM Nails
Fifia adzɔnuwo wɔlawo le 3D tata mɔ̃ɖaŋununya zãm tsɔ le IM- ɖa siwo wowɔ ɖe ɖoɖo nu wɔm, si na be woƒe ŋutilã ƒe wɔwɔme sɔ nyuie wu na dɔnɔ ɖesiaɖe.
Mɔnu Deŋgɔ Siwo Wotsɔna Ʋɔa Nu
Woto ɖa siwo wotsɔ xea ɖa geɖee vɛ na be woƒe liƒo nyo ɖe edzi le ɖa ƒe gbagbã ƒe nɔnɔme sesẽwo me, si na amekolawo kpɔ mɔnu geɖe wu be woatrɔ asi le alesi woatɔ te woe ŋu.
Asitsatsa ƒe Nɔnɔmewo: Nusita Nudidi Le Dzidzim Ðe Edzi le Spaingbe Dolawo ƒe Nutowo Me & Anyieheɣedzeƒe Asia
Nuveviwɔame ƒe Nyawo ƒe Dzidziɖedzi
Latin Amerika kple Anyieheɣedzeƒe Asia ye nye dukɔ siwo me mɔdododzifɔkuwo dzɔna le wu le xexeame katã. Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) gblɔ be ame miliɔn 1.35 kple edzivɔ kuna ƒe sia ƒe le ʋufɔkuwo ta, si wɔe be atikewɔwɔ na ame ƒe gbagbã nye nu vevitɔ kekeake.
Lãmesẽnyawo Gbɔkpɔha ƒe Dɔwɔɖoɖowo Kekeɖenudɔ
Dukɔwo abe Mexico, Thailand, kple Indonesia ene le ga geɖe dem lãmesẽnyawo gbɔ kpɔkpɔ ƒe ŋgɔyiyi me, si wɔe be amewo va le ƒumeŋuɖui siwo wotsɔ dea ƒumeŋuɖuiwo me abe IM nails ene zãm geɖe wu.
Titanium IM Nails ƒe Lɔlɔ̃nu Si Le Dzidzim Ðe Edzi
Titanium-ɖawo le hehem ɖe megbe le woƒe nugbagbewo ƒe dɔwɔwɔ, woƒe kpekpeme le bɔbɔe, kple woƒe xɔxlɔ̃ ta. Dukɔwo abe Colombia kple Vietnam ene le tɔtrɔm ɖe titanium IM nails ŋu le kɔdzi xɔŋkɔ siwo me wowɔa nuvevi ame le.
Alesi Mamãlawo Ate Ŋu Akpɔ Ga Le IM Nail Asi si Le Dzidzim Ðe Edzi Me
Kuxi Siwo Le Nuwo Mama Me
Sedziwɔwɔ ƒe mɔɖeɖewo (le kpɔɖeŋu me, COFEPRIS le Mexico, BPOM le Indonesia).
Nusiwo wotsɔ tso duta vɛ ƒe adzɔwo kple nuzazãwo ƒe kɔsɔkɔsɔwo dzikpɔkpɔ.
Mɔnukpɔkpɔwo na Amemalawo
Hadede kple ƒumeŋutinunyalawo ƒe kɔdziwo kple dɔwɔƒe siwo kpɔa nuveviwɔame gbɔ.
Amekolawo ƒe hehenana ƒe ɖoɖowo nana ɖe mɔ̃ɖaŋununya yeye siwo wotsɔ dea ame me ŋu.
Nusiwo wotsɔ dea ame me siwo ŋu FDA kple CE da asi ɖo nana be woaɖo kɔdzi ƒe nuƒle ƒe dzidzenuwo gbɔ.
Nyanuwuwuw
Intramedullary nails trɔ gbagbã ƒe nutete to egbɔkpɔnu siwo mewɔa nu boo aɖeke o, siwo ŋu ŋusẽ le le biomechanically, kple esiwo te ŋu tsɔa kpekpeme kabakaba nana me. Esi woƒe didi yi edzi le dzidzim ɖe edzi le Spaingbedolawo ƒe nutowo kple Anyieheɣedzeƒe Asia ta la, ele be nu mamãlawo kple lãmesẽdɔwɔlawo nanya nu tso mɔ̃ɖaŋununya yeyewo kple asitsatsa ƒe nɔnɔmewo ŋu.
Le amekolawo gome la, IM-ƒoƒo ƒe mɔnu nyuitɔwo gɔmesese nana be dɔnɔwo ƒe dɔwɔwɔ nyo wu. Le mamalawo gome la, gadede IM ɖa nyuiwo kple hehenana ƒe ɖoɖowo me ate ŋu akpe ɖe wo ŋu woakeke asitsatsa ɖe enu eye woaɖo hadomeɖoɖo sesẽwo ɖe ƒumeŋuɖui dɔwɔƒea.
