Intradellallary misomali mu ma rterhopdics amakono: yangeni sewero la serration kukhazikika?

Chiyambi

Chisamaliro cha Orthopedic Voumal chasintha kwambiri kwazaka zambiri, ndi intradellary (im) misomali yosewera njira yovuta kwambiri pakusintha kwamakono. Zingwe izi zakhala njira yothetsera vuto lalikulu la mafupa chifukwa cha zonyansa zawo, zopambana zachikhalidwe, komanso nthawi yobwezeretsa mwachangu.

Ndi kupititsa patsogolo zowoneka bwino, zida, ndi njira zopangira opaleshoni, madokotala ochita opaleshoni a Orthopedic tsopano ali ndi chida chodalirika chochiritsa tokha. Nkhaniyi imayang'ana kwambiri momwe misomali imagwirira ntchito, ntchito zake zofala, mapangidwe aposachedwa, zotulukapo zopangidwa ndiposachedwa, komanso chifukwa cha kutchuka kwa Spanish yaku Spain ndi Southeast Asia.

Kumvetsetsa misomali intramillary: Ndi chiyani?

AISTAMUDURLARY Misoils nditatali, zingwe zazitsulo zolimba zomwe zimayikidwa mu mawonekedwe a mafupa kuti athandizire kulumikizana ndikukhazikika. Zopangidwa kuchokera ku titanium kapena chitsulo chosapanga dzimbiri, amatetezedwa ndi zomangira zotsekemera kumapeto kwake konse, kupewetsa mayendedwe osafunikira monga kuzungulira ndikufupikitsa.

Mitundu ya intradellallary misomali

Im misomali imabwera mosiyanasiyana, iliyonse imapangidwa kuti ikhale mafupa apadera ndi mitundu yosiyanasiyana:

Kubwezedwanso Konzanso Intramillallary msomali

- imagwiritsidwa ntchito ku zovuta za femat, makamaka zotupa.

Humeral intradellary msomali

- Opangidwa kuti athetse Humerus shaft ndi proximal humerus fractures.

PFNA (Proximal FRUARORY FRORATION)

- Zoyenera kwa proximal fratives, makamaka kwa okalamba omwe ali ndi osteoporosis.

Intramullallallary msomali

- Njira Yogwiritsa Ntchito Yakufana ndi Masewera a Diapser.

Tibia intradellary msomali

- Kusankha kwa Gossial Shaft Shafts, kuchepetsa nthawi yochiritsa.

Kubwezeretsanso Intravellallary msomali

- Anapangidwa kuti akasagwedezeke kuwonongeka, ndikuwonetsetsa kuti kugwirizana bwino.

Humer-Lock Humerus intradellary msomali

- Amapereka njira zambiri zotsekera, kupereka bata lowonjezera la maliro a maliro.

Titanium Elastic Nail (Khumi)

- zomwe zimagwiritsidwa ntchito muzovala za ana chifukwa cha kapangidwe kake.

Chifukwa chiyani misomali ya intradellary ikusintha kukonzanso

Kubwezeretsa mwachangu komanso kuyenda koyambirira

Chimodzi mwazopindulitsa kwambiri za misomali ndi kuthekera kwawo kothandiza kwambiri. Kafukufuku akuwonetsa kuti odwala omwe amangokhala ndi misozi amatha kuyamba pang'ono kuchepa kwa masabata 4-6, poyerekeza ndi masabata 8-12 kwa omwe amathandizidwa ndi ziwalo zachikhalidwe. Kuyenda koyambirira kumeneku kumathetsa machiritso ndikuchepetsa chiopsezo cha minofu ya minofu.

Opaleshoni Yopitilira

Mosiyana ndi njira zachikhalidwe monga mbale, zomwe nthawi zambiri zimafuna zowoneka zazikulu komanso zowonjezera zofewa, misomali im ikhoza kuyikidwa m'mabwinja ang'onoang'ono. Izi zimachepetsa zoopsa, zimachepetsa chiopsezo cha matenda, ndipo amabweretsa chipatala zazifupi.

Kukhazikika kwa biomechanical

Chifukwa im misomali imayikidwa mkati mwa fupa, imagwirizana ndi ma axis okwanira thupi, kupereka bala lalikulu komanso kukhazikika kwa axial. Kapangidwe kameneka katanthauzani ma biomeranics achilengedwe a thupi, kuchepetsa zoopsa zowonongeka.

Chiopsezo chochepa cha zovuta

Poyerekeza ndi ma mbale ndi akunja akunja, misomali im imakhala ndi mitengo yotsikiramo. Kugwiritsa ntchito zomangira zolumikizira kumalepheretsa fupa komanso kufupika, kuchepetsa mwayi wa mphuno zoyipa kapena kusamvana.

Ntchito zazikuluzikulu za misomali ya intradellallary mu Orthopdics

Zovala za femat

Zovala zamasewera, makamaka zojambulajambula zojambula, zimathandizidwa kwambiri ndi misomali. Kafukufuku akuwonetsa kuti 95% ya mabowo oyenda ndi akazi omwe amathandizidwa ndi miyezi isanu ndi umodzi pomwe chisamaliro choyenera chogwiritsira ntchito chimatsatiridwa.

Tibial shaft

Tibial fractures a Tibial ndizofala mu milandu yamphamvu, monga ngozi zagalimoto komanso kuvulala kwamasewera. Im misomali imalola kuti azikhala ndi kulemera koyambirira, komwe ndikofunikira popewa zovuta ngati ma centr syndrome.

Ma Humeral Fractures

IM misomali imapereka zotsatira zabwino zogwira ntchito kuposa mbale mu shaft shaft, makamaka kwa odwala okalamba omwe ali ndi mafupa osteopotic.

Germatric ndi Osteoporitic

Ndi anthu okalamba ku Mexico, Brazil, Indonesia, ndi Philippines, FALIMAL, FREXER Fractures akuyamba kukhala pafupipafupi. PFNA misomali imakhala yothandiza kwambiri kuchiza izi, kupereka bata lokhwima kwa odwala omwe ali ndi mafupa osalimba.

Zosanja zaposachedwa ku Intradellary mitaing

Biodeggrad ndi maantibayotiki-okutidwa ndi misomali

Kafukufuku watsopano wayambitsa chitukuko cha biodegged komanso maamibionioning-ovekedwa misomali ya im, kuthandiza kuchepetsa kuchuluka kwa matenda ndikulimbikitsa machiritso mwachangu.

Masewera a 3D-osindikizidwa

Opanga tsopano akugwiritsa ntchito ukadaulo wa 3D kuti upange misomali yokhazikika im, ndikuonetsetsa kuti munthu aliyense azichita bwino.

Njira zotsogola

Kukhazikitsa kwa misomali yokhotakhota kwamisoma kwamphamvu mumilandu yovuta kuwonongeka, kupendekera kwa opaleshoni ndi njira zambiri zosinthira kusintha.

Msika: Chifukwa Chake Kufunikira kukukula m'magawo olankhula Chisipanya & Southeast Asia

Kuchulukitsa milandu

Latin America ndi Southeast Asia kukhala ndi mitengo yapamwamba kwambiri ya ngozi padziko lonse lapansi. Malinga ndi World Health Organisation (ndani), kufa kwambiri kwa 1.35 miliyoni kumachitika chaka chilichonse chifukwa cha ngozi zapamsewu, ndikupanga mankhwala osokoneza bongo.

Kukulitsa zomangamanga zathanzi

Mayiko monga Mexico, Thailand, ndi Indonesia zikukwera ndalama zambiri pantchito zathanzi, zomwe zimapangitsa kuti zikhale zachilengedwe zophatikizika zokhala ngati misomali.

Kukula Kukonda Titanium im misomali

Misomali ya Titanium ikupeza chimbudzi chifukwa cha zopanda pake, chilengedwe chopepuka, komanso kukana kutukuka. Mitundu ngati Colombia ndi Vietnam akusunthira ku Titanium im misomali pakutsogolera zoopsa zotsogola.

Momwe Ogawitsira Ogulitsa amatha kukhala ndi msika wokulirapo wa IIL

Zovuta Zogawa

Zovomerezeka (mwachitsanzo, zikuchitika ku Mexico, BPpom ku Indonesia).

Kutumiza Ntchito ndi Kugwiritsa Ntchito Kuyang'anira Umodzi.

Mwayi kwa Ogulitsa

Kuyanjana ndi zipatala za Orthopedic ndi zoopsa.

Kupereka mapulogalamu othandizira opaleshoni ya matekinoloje atsopano.

Kupatsa-ndi CE-CE-CE-Cerection kuti akwaniritse miyezo ya chipatala.

Mapeto

Intradellary misomali yasintha kukonzanso kwamphamvu popereka, kugwiritsa ntchito mphamvu zolimba, komanso mayankho oyambira kwambiri. Zofunikira zawo zikamapitiriza kukwera m'magawo olankhula Chisipanishi ndi Southeast Asia, ogulitsa ndi othandizira azaumoyo ayenera kudziwitsa za matekinoloje aposachedwa ndi zochitika zamisika.

Kwa opaleshoni, kumvetsetsa machitidwe abwino kwambiri chifukwa cha kusanja kwa iming kumatsimikizira zotsatira zabwino zolephera. Kwa ogawana, kuwononga ndalama zapamwamba kwambiri ndi mapulogalamu ophunzitsira kungathandize kukulitsa njira yokwanira ndikukhazikitsa mgwirizano wothandiza pa malonda a Orthopedic.