Chii chinonzi DHS neDCS?
DHS (Dynamic Hip Screw)chinhu chinoiswa pakuvhiya chinoshandiswa zvakanyanya kurapa kutyoka kwemutsipa wefemoral uye kutyoka kwemutsipa wepakati petrochanteric. Chine sikuruu uye sisitimu yeplate inopa kugadzikana kwakasimba nekubvumira kudzvanywa kwakasimba panzvimbo yekutyoka, zvichikurudzira kupora.
DCS (Dynamic Condylar Screw)mudziyo wekugadzirisa unoshandiswa pakutyoka kwe distal femur ne proximal tibia. Unobatanidza mabhenefiti e multiple cannulated screws (MCS) ne DHS implants, zvichipa kudzvanywa kwakasimba kuburikidza ne screws nhatu dzakarongwa mu inverted triangular configuration.
Ndeupi musiyano uripo pakati peDHS neDCS?
DHS (Dynamic Hip Screw) inonyanya kushandiswa pakupwanyika kwemutsipa wefemoral nepakati petrochanteric, zvichiita kuti pave nekugadzikana kwakasimba ne screw ne plate system. DCS (Dynamic Condylar Screw) yakagadzirirwa kupwanyika kwe distal femur ne proximal tibia, ichipa kudzvanywa kwakasimba kunodzorwa kuburikidza ne structure ye triangular screw.
Chii Chinoshandiswa neDCS?
DCS inoshandiswa kurapa kutyoka kwemapfupa mu distal femur ne proximal tibia. Inonyanya kushanda mukupa kugadzikana uye kukurudzira kupora munzvimbo idzi nekushandisa controlled dynamic compression panzvimbo yakatyoka.
Ndeupi musiyano uripo pakati peDCS neDPL?
DPL (Dynamic Pressure Locking)imwe mhando yenzira yekugadzirisa mapfupa inoshandiswa mukuvhiya kwemapfupa. Kunyange zvazvo DCS neDPL zvese zvichivavarira kupa nzira dzakagadzikana dzekugadzirisa mapfupa akatyoka, DPL inowanzo shandisa masikuruu anokiya nemaplate kuti iite kuti mapfupa akatyoka anyatsosimba, nepo DCS ichinyanya kudzvanya simba kuti iwedzere kupora kwemapfupa akatyoka.
Ndeupi musiyano uripo pakati peDPS neCPS?
DPS (Sisitimu yeDynamic Plate)uyeCPS (Sisitimu yePurati Yekudzvanya)ese ari maviri anoshandiswa kugadzirisa kutyoka kwetsandanyama. DPS inobvumira kudzvanywa kwesimba, izvo zvinogona kuwedzera kupora kwetsandanyama nekukurudzira kufamba kwetsandanyama pakati petsandanyama panguva yekutakura huremu. CPS, kune rumwe rutivi, inopa kudzvanywa kwesimba uye inoshandiswa pakutyoka kwakasimba uko kudzvanywa kwesimba kusingadiwi.
Ndeupi musiyano uripo pakati peDCS 1 neDCS 2?
DCS 1 neDCS 2 zvinoreva zvizvarwa zvakasiyana kana magadzirirwo eDynamic Condylar Screw system. DCS 2 inogona kupa kuvandudzwa maererano nedhizaini, zvinhu, kana nzira yekuvhiya zvichienzaniswa neDCS 1. Zvisinei, misiyano chaiyo inoenderana nekuvandudzwa kwemugadziri uye kufambira mberi kwesystem.
Maitiro ekuita DHS?
DHS inzira yekuvhiya inoshandiswa kurapa kutyoka kweproximal femur, kusanganisira kutyoka kweintertrochanteric nesubtrochanteric. Maitiro aya anosanganisira matanho anotevera:
1. Kugadzirira Kuvhiyiwa: Murwere anoongororwa zvakakwana, uye kutsemuka kunoiswa muzvikamu uchishandisa zvidzidzo zvemifananidzo zvakaita seX-rays.
2. Anesthesia: Anesthesia yakajairika kana anesthesia yemunharaunda (semuenzaniso, anesthesia yemusana) inopihwa.
3. Kuchekwa uye Kuonekwa: Kuchekwa kweparutivi kunoitwa pamusoro pehudyu, uye tsandanyama dzinodzoserwa kumashure kuti femur ionekwe.
4. Kuderedza uye Kugadzirisa: Kutsemuka kunoderedzwa (kwakarongwa) pasi pechitarisiko chefluoroscopic. Skuruu hombe inodzima (skuruu yekurembera) inopinzwa mumutsipa wefemoral nemusoro. Skuruu iyi inoiswa mukati mesleeve yesimbi, iyo yakabatanidzwa neplate yakasungirirwa ku lateral femoral cortex ine screws. DHS inobvumira kudzvanywa kwesimba, zvichireva kuti skuruu inogona kutsvedza mukati mesleeve, zvichikurudzira kudzvanywa kweskuputsika uye kupora.
5. Kuvhara: Nzvimbo yacho inochekwa yakavharwa, uye madhireni anogona kuiswa kudzivirira kuumbwa kwe hematoma.
Chii chinonzi PFN Surgery?
Kuvhiya kwePFN (Proximal Femoral Nail) imwe nzira inoshandiswa kurapa kutyoka kwenhengo dzechikadzi dzeparutivi. Izvi zvinosanganisira kuisa nzara yemukati menhengo dzechikadzi muchikamu chenhengo dzechikadzi, izvo zvinoita kuti mapfupa agare akasimba kubva mukati mepfupa.
Chii chinonzi Z Phenomenon muPFN?
"Z phenomenon" muPFN inoreva dambudziko rinogona kuitika apo nzara, nekuda kwekugadzirwa kwayo uye simba rinoshandiswa, inogona kukonzera kudonha kwemutsipa wefemoral. Izvi zvinogona kukonzera kusarongeka zvakanaka uye mhedzisiro isina kunaka yekushanda zvakanaka. Izvi zvinoitika kana geometry yenzara uye simba rinoitwa panguva yekutakura huremu zvichiita kuti nzara ifambe kana kukanganisika, zvichikonzera kuchinja kwechimiro che "Z" munzara.
Ndeipi iri nani: Nzara yeIntramedullary kana Dynamic Hip Screw?
Kusarudzwa pakati penzara yemukati memedullary (senge PFN) neDynamic Hip Screw (DHS) kunoenderana nezvinhu zvakati wandei, kusanganisira rudzi rwekutyoka, mhando yemapfupa, uye hunhu hwemurwere. Zvidzidzo zvakaratidza kuti PFN inowanzo kupa zvakanakira:
1. Kurasikirwa Neropa Rakaderera: Kuvhiyiwa kwePFN kunowanzoita kuti ropa risanyanya kurasikirwa panguva yekuvhiyiwa zvichienzaniswa neDHS.
2. Nguva Pfupi Yokuvhiyiwa: Maitiro ePFN anowanzo kurumidza, zvichiita kuti nguva yekuvhiyiwa ideredze.
3. Kukurumidza Kufamba: Varwere vanorapwa nePFN vanogona kufamba nekukurumidza uye kutakura huremu nekukurumidza, zvichiita kuti vakwanise kupora nekukurumidza.
4. Matambudziko Akaderedzwa: PFN yave ichibatanidzwa nematambudziko mashoma, akadai sehutachiona uye malunion.
Zvisinei, DHS ichiri sarudzo inoshanda, kunyanya kune mamwe marudzi emapundu akagadzikana apo dhizaini yayo inogona kupa kugadziriswa kunobudirira. Sarudzo yacho inofanira kuitwa zvichienderana nezvinodiwa nemurwere mumwe nemumwe uye hunyanzvi hwachiremba wekuvhiya.
PFN inogona kubviswa here?
Kazhinji, PFN (Proximal Femoral Nail) haifanirwe kubviswa kana kukuvara kwapora. Zvisinei, kubviswa kunogona kufungwa nezvako kana murwere akasangana nekusagadzikana kana matambudziko ane chekuita nechinhu chakaisirwa. Sarudzo yekubvisa PFN inofanira kuitwa nekubvunzana nachiremba wemapfupa ari kurapa, tichifunga nezvezvinhu zvakaita sehutano hwemurwere pamwe nenjodzi dzinogona kuitika uye mabhenefiti ekubvisa.
Nguva yekutumira: Kubvumbi-19-2025
