I.Yiziphi izinkinga zokuxhumanisa isipikili se-femur?
I-Humerus interlocking nail system-multidimensional locking ihluke kancane ohlelweni lwezinzipho lwe-humerus oluxhumene ne-intramedullary.
I-Humerus interlocking intramedullary nail system yakhiwe ngezipikili ezi-humeral interlocking, i-humeral rotation blade, i-screw yokukhiya, isikhonkwane nekepisi kanye nesiphetho esinde. Ngenkathi i-humerus interlocking nail system-multidimensional locking yakhiwe ngohlelo lwe-humeral interlocking nail-multidimensional locking (izinhlobo kwesokunxele nakwesokudla),ΦI-4.5 multidimensional locking screw,Φ3.5 isikulufu sokukhiya, isivalo sokuphela kanye nesiphetho esinwetshiwe.
Yini edala lo mehluko phakathii-humerus interlocking nail system-multidimensional lockingfuthii-humerus ixhuma i-intramedullary nail system?
Idizayini yokukhiya enezinhlangothi eziningi ingakhiya indawo yokuphuka ngezindlela eziningi, inikeze umphumela wokulungisa ozinzile futhi onokwethenjelwa, unciphise ukunyakaza okuncane kokuphela kokuphuka, futhi kube lula ukuphulukiswa kokuphuka. Ifaneleka kakhulu ezimweni eziyinkimbinkimbi zokuphuka. I-non-dimensional locking interlocking intramedullary nail system ye-femur ifaneleka kakhulu ezimweni ezilula zokuphuka.
II.Yiziphi izinzuzo zokubethelwa kwe-intramedullary?
I-Humerus interlocking nail system-multidimensional locking yigama lezokwelapha elithuthukisiwe lokuphuka kwe-humeral. Izinzuzo zayo zibonakala kulezi zici ezilandelayo:
1)Intambo yangaphakathi ekhethekile yesikulufu ukuthuthukisa ukuzinza.
2)Isikulufu se-cortical esiphindwe kabili sinyusa ukuzinza kokuqhekeka kwe-transverse kanye ne-oblique emifushane.
3)Yenza isipikili esifushane nesipikili eside futhi kunezinhlobo eziningi zezikulufi ezikhetha ukuxazulula ukuphuka okulula nokuyinkimbinkimbi kwe-humerus ehamba phambili kanye ne-humeral axis. Ngokuhambisana ne-bone shaft, ukwakheka okuguquguqukayo okulawulwayo, ukunyakaza okuncane, kukhuthaze inyunyana.
4)Ngokusebenzisa amasu angavamisile kancane, ukuhlinza kuncane kakhulu, kunciphisa ukulimala kwezicubu ezithambile ezizungezile futhi kwehlisa ingozi yokutheleleka kwangemva kokuhlinzwa kanye nezinkinga.
5)Inokuqina okuhle kwe-axial nokujikeleza, ingakwazi ukumelana nomthwalo omkhulu wezinto eziphilayo, futhi ivumela umsebenzi wakuqala weziguli.
III.Kufanele ngiqale nini ukwelashwa ngemuva kokuphuka kwe-humerus?
Ukwelashwa ngokuhlinzwa:
1) I-Intramedullary nailing: Lokhu ukwelashwa okuthandwayo kokuphuka kwe-femoral shaft, ikakhulukazi ezigulini ezincane nezisebenzayo.
2)Ukulungiswa kwepuleti: Kwamanye amafracture ayinkimbinkimbi noma iziguli ezingafanele ukubethelwa kwe-intramedullary, ukulungiswa kwepuleti kungakhethwa.
3)I-fixator yangaphandle: Isetshenziselwa ikakhulukazi ukuphuka okuvulekile, iziguli ezinokulimala okuningi noma lezo ezidinga ukulungiswa kwesikhashana.
4）I-Arthroplasty: Ngokuphulwa kwe-femoral proximal, ikakhulukazi i-femoral neck fractures noma i-subcapital fractures ezigulini esezikhulile, i-hip arthroplasty ingase idingeke.
Ukwelashwa okungahlinzeki:
1）I-Traction therapy: Ilungele ezinye iziguli ezingakulungele ukuhlinzwa, njengabantu abadala, labo abasesimweni esibi ngokomzimba, noma labo abanezifo ezinzima zangaphakathi.
2）Ukulungiswa kukapulastela noma ukulungisa izisekelo: Kwezinye izitho zangasese ezilula nezingasuswanga endaweni ethile, ukufakwa kukakhonkolo noma ukulungiswa kwebrace kungatholwa.
Isikhathi sokuthumela: Jun-03-2025
