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DHS Kuvhiya uye DCS Kuvhiya: A Comprehensive Overview

Chii chinonzi DHS neDCS?

DHS (Dynamic Hip Screw)chirongwa chekuvhiya chinoshandiswa kunyanya kurapwa kwechikadzi mutsipa fractures uye intertrochanteric fractures. Iyo ine screw uye plate system inopa yakagadzikana gadziriso nekubvumira ine simba kudzvanya panzvimbo yekutyoka, kukurudzira kupora.

DCS (Dynamic Condylar Screw)chigadziro chekugadzirisa chinoshandiswa kune kuputsika kwe distal femur uye proximal tibia. Iyo inosanganisa mabhenefiti eese ari maviri akawanda cannulated screws (MCS) uye DHS implants, ichipa inodzorwa ine simba kudzvanya kuburikidza nemasruru matatu akarongwa mune inverted triangular configuration.

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Ndeupi Musiyano Pakati peDHS neDCS?

DHS (Dynamic Hip Screw) inonyanya kushandiswa kune femoral mutsipa uye intertrochanteric fractures, ichipa kugadzirisa kwakagadzikana ne screw uye plate system. DCS (Dynamic Condylar Screw) yakagadzirirwa distal femur uye proximal tibia fractures, inopa inodzorwa ine simba kudzvanya kuburikidza ne triangular screw configuration.

Chii chinonzi DCS Inoshandiswa?

DCS inoshandiswa pakurapa kuputsika mu distal femur uye proximal tibia. Inonyanya kushanda mukupa kugadzikana uye kukurudzira kuporeswa munzvimbo idzi nekushandisa inodzorwa ine simba yekumanikidza panzvimbo yekutyoka.

Ndeupi Musiyano Pakati peDCS neDPL?

DPL (Dynamic Pressure Locking)nderimwe rudzi rwekugadzirisa hurongwa hunoshandiswa mukuvhiya kwemapfupa. Nepo zvese zviri zviviri DCS neDPL zvichivavarira kupa gadziriso yakatsiga yezvakatyoka, DPL inowanzo shandisa masiruu ekukiya uye mahwendefa kuti iwane kugadzirisa kwakasimba, nepo DCS inotarisa pakumanikidza kune simba kuwedzera kuporeswa kwekutyoka.

Ndeupi Musiyano Pakati peDPS neCPS?

DPS (Dynamic Plate System)uyeCPS (Compression Plate System)ese ari maviri anoshandiswa kugadzirisa kuputsika. DPS inobvumira kudzvinyirirwa kune simba, izvo zvinogona kuwedzera kuporeswa kwekutyoka nekusimudzira kufamba kwepakati panguva yekuremerwa. CPS, kune rumwe rutivi, inopa static compression uye inoshandiswa kune zvakanyanya kugadzikana kuputsika uko kudzvanywa kwesimba kusingakodzeri.

Ndeupi Musiyano Pakati peDCS 1 neDCS 2?

DCS 1 neDCS 2 zvinoreva zvizvarwa zvakasiyana kana magadzirirwo eDynamic Condylar Screw system. DCS 2 inogona kupa kuvandudzwa maererano nemagadzirirwo, zvinhu, kana nzira yekuvhiya zvichienzaniswa neDCS 1. Zvisineyi, misiyano chaiyo ingaenderana nekuvandudzwa kwemugadziri uye kufambira mberi muhurongwa.

Nzira yekuita sei DHS?

DHS inzira yekuvhiya inoshandiswa kurapa kuputsika kweproximal femur, kusanganisira intertrochanteric uye subtrochanteric fractures. Iyo nzira inosanganisira matanho anotevera:

1.Kugadzirira Kugadzirira: Murwere anonyatsoongororwa, uye kuputsika kunorongwa uchishandisa zvidzidzo zvekufungidzira zvakadai se-X-rays.
2.Anesthesia: General anesthesia kana anesthesia yenharaunda (somuenzaniso, musana anesthesia) inotungamirirwa.
3.Incision uye Exposure: A lateral incision inogadzirwa pamusoro pehudyu, uye misumbu inodzoserwa kuti ibudise femur.
4.Kuderedza uye Kugadzirisa: Kuputsika kunoderedzwa (kuenderana) pasi pekutungamirirwa kwefluoroscopic. A hombe cancellous screw (the lag screw) inopinzwa muhuro hwemukadzi uye musoro. Iyi screw inoiswa mukati mesimbi sleeve, iyo inonamirwa kune ndiro inogadziriswa kune lateral femoral cortex ine screws. Iyo DHS inobvumira kudzvanywa kwesimba, zvichireva kuti screw inogona kutsvedza mukati meiyo sleeve, ichisimudzira kutyora kwekupwanyika uye kuporesa.
5.Kuvharwa: Iyo incision yakavharwa muzvikamu, uye madhaini anogona kuiswa kudzivirira kuumbwa kwehematoma.

Chii chinonzi PFN Surgery?

PFN (Proximal Femoral Nail) kuvhiyiwa ndiyo imwe nzira inoshandiswa kurapa kutsemuka kwechikadzi. Inosanganisira kuiswa kwembambo ye intramedullary mumugero wechikadzi, iyo inopa kugadziriswa kwakagadzikana kubva mukati mefupa.

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Chii chinonzi Z Phenomenon muPFN?

Iyo "Z phenomenon" muPFN inoreva kukonzeresa kunogona kuitika uko chipikiri, nekuda kwekugadzirwa kwayo uye masimba akaiswa, anogona kukonzera kudonha kwevarus yemutsipa wemukadzi. Izvi zvinogona kutungamira kune kusarongeka uye kusashanda zvakanaka mhedzisiro. Zvinoitika kana chipikiri geometry uye masimba anoitwa panguva yekuremerwa anokonzeresa kuti chipikiri chifambe kana kuremara, zvichitungamira kune hunhu "Z" kushanduka kwechimiro mupikiri.

Chii chiri Nani: Intramedullary Nail kana Dynamic Hip Screw?

Sarudzo pakati pe intramedullary nail (yakadai sePFN) uye Dynamic Hip Screw (DHS) inotsamira pane zvakati wandei, kusanganisira rudzi rwekutyoka, kunaka kwebhonzo, uye hunhu hwemurwere. Zvidzidzo zvakaratidza kuti PFN inowanzopa mamwe mabhenefiti:

1.Kuderedza Kurasikirwa Kweropa: Kuvhiyiwa kwePFN kunowanzokonzera kurasikirwa kweropa kuduku kuenzaniswa neDHS.
2.Shorter Surgery Time: PFN maitiro anowanzo kukurumidza, kuderedza nguva pasi peanesthesia.
3.Early Mobilization: Varwere vanorapwa nePFN vanogona kazhinji kuunganidza uye kutakura uremu kare, zvichiita kuti kukurumidza kupora.
4.Kuderedza Matambudziko: PFN yakabatanidzwa nezvinetso zvishomanana, zvakadai sehutachiona uye malunion.

Nekudaro, DHS inoramba iri sarudzo inoshanda, kunyanya kune mamwe marudzi akatsiga mafractures uko dhizaini yayo inogona kupa kugadzirisa kunoshanda. Sarudzo inofanira kuitwa zvichienderana nezvinodiwa nemurwere wega wega uye hunyanzvi hwechiremba anovhiya.

PFN Inogona Kubviswa Here?

Muzviitiko zvakawanda, PFN (Proximal Femoral Nail) haifaniri kubviswa kana kuputsika kwapora. Zvisinei, kubvisa kunogona kutariswa kana murwere akasangana nekusagadzikana kana matambudziko ane chekuita nekudyara. Sarudzo yekubvisa PFN inofanira kuitwa mukubvunzana nachiremba wemapfupa anorapa, tichitarisa zvinhu zvakaita sehutano hwemurwere hwese uye njodzi dzinogona kuitika uye zvakanakira nzira yekubvisa.


Nguva yekutumira: Kubvumbi-19-2025