I.Ndeapi matambudziko ekubatanidza femur nail?
Humerus inopindirana mbambo system-multidimensional kukiya kwakasiyana zvishoma kubva kune humerus inopindira intramedullary nail system.
Humerus inopindirana intramedullary nail system inoumbwa neye humeral yakavharira chipikiri, humeral kutenderera blade, kukiya screw, chipikiri uye cap uye kureba yekupedzisira cap. Nepo humerus inopindirana mbambo system-multidimensional kukiya inoumbwa nehumeral inopindirana mbambo system-multidimensional kukiya (kuruboshwe uye kurudyi mhando),Φ4.5 multidimensional yekuvhara sikuru,Φ3.5 yekukiya screw, end cap uye kurebesa end cap.
Chii chinokonzera kusiyana ukuhumerus inopindirana mbambo system-multidimensional kukiyauyehumerus inopindira intramedullary nail system?
Iyo yakawanda-dimensional yekuvhara dhizaini inogona kuvhara saiti yekutyoka munzira dzakawanda, ichipa yakagadzikana uye yakavimbika kugadzirisa mhedzisiro, kuderedza micro-kufamba kweiyo magumo ekutyoka, uye kufambisa kuporeswa kwekupwanyika. Iyo inonyanya kukodzera kune yakaoma fracture mamiriro. Iyo isiri-yakawanda-dimensional yekuvhara yakavharira intramedullary nail system yefemur inonyanya kukodzera kune nyore kuputsika mamiriro.
II.Ndezvipi zvinobatsira zve intramedullary nailing?
Humerus interlocking nail system-multidimensional kukiya ishoko repamusoro rekurapa rehumeral fractures. Zvakanakira zvayo zvinoratidzwa mune zvinotevera zvinhu:
1)Yakakosha yemukati shinda ye screw yekuvandudza kugadzikana.
2)Double cortical screw inowedzera kugadzikana kwekuchinjika uye kupfupi oblique fractures.
3)Gadzira yezvipikiri zvipfupi uye mbambo refu uye kune akawanda marudzi e screws anosarudza kugadzirisa akapusa uye akaoma mafractures e proximal humerus uye humeral axis. Zvinoenderana nepfupa shaft, inodzoreka ine simba dhizaini, micro kufamba, kusimudzira mubatanidzwa.
4)Nekutora hunyanzvi hwekuita zvishoma, kuvhiyiwa kunenge kudiki, kuderedza kukuvadzwa kune dzakatenderedza tishu dzakapfava uye kudzikisa njodzi yepostoperative hutachiona uye matambudziko.
5)Iyo ine yakanaka axial uye inotenderera kugadzikana, inogona kutsungirira yakakura physiological mutoro, uye inobatsira kune yekutanga basa revarwere.
III.Ndirini pandinofanira kutanga kurapwa mushure mekuputsika kwehumerus?
Kuvhiya kurapwa:
1) Intramedullary nailing: Uku ndiko kurapwa kwakasarudzika kwechikadzi shaft fractures, kunyanya kune vadiki uye vanoshingaira varwere.
2)Plate fixation: Kune mamwe akaoma mafractures kana varwere vasina kukodzera intramedullary nailing, plate fixation inogona kusarudzwa.
3)External fixator: Inonyanya kushandiswa kuvhurika kuputsika, varwere vane kukuvara kwakawanda kana avo vanoda kugadziriswa kwenguva pfupi.
4）Arthroplasty: Nokuda kwekuputsika kwechikadzi, kunyanya kuputika kwemutsipa kwevakadzi kana kuti subcapital fractures muvarwere vakwegura, hip arthroplasty inogona kudiwa.
Non-kuvhiya kurapwa:
1）Traction therapy: Inokodzera vamwe varwere vasina kukodzera kuvhiyiwa, vakadai sevakweguru, avo vane hutano husina kunaka, kana avo vane zvirwere zvakanyanya zvemukati.
2）Plaster fixation kana brace fixation: Kune mamwe akareruka uye asiri-akadzingirwa femoral fractures, plaster fixation kana simbi inogadziriswa inogona kugamuchirwa.
Nguva yekutumira: Jun-03-2025
