I.Yiziphi izinkinga zokuboshwa kwezinzipho ze-femur?
Uhlelo lwezipikili oluhlanganisa i-humerus-multidimensional locking luhluke kancane ohlelweni lwezipikili oluhlanganisa i-humerus intramedullary.
Uhlelo lwezipikili oluhlanganisa i-humerus interlocking luqukethe izipikili ezihlanganisa i-humeral interlocking, i-humeral rotation blade, i-locking srcrew, i-nail kanye ne-cap kanye ne-end cap ende. Ngenkathi uhlelo lwezipikili oluhlanganisa i-humerus interlocking-multidimensional luqukethe uhlelo lwezipikili oluhlanganisa i-humeral interlocking-multidimensional locking (izinhlobo zesobunxele nesokudla),ΦIsikulufu sokukhiya esinezilinganiso eziningi esingu-4.5,ΦIsikulufu sokukhiya esingu-3.5, isivalo sokugcina kanye nesivalo sokugcina eside.
Yini ebangela lo mehluko phakathiuhlelo lwezipikili oluxhumene ne-humerus - ukukhiya okunezilinganiso eziningifuthiuhlelo lwezinzipho oluxhumene ne-humerus intramedullary?
Umklamo wokukhiya onezinhlangothi eziningi ungakhiya indawo yokuqhekeka ngezindlela eziningi, unikeze umphumela wokuqiniswa ozinzile nothembekile, unciphise ukunyakaza okuncane kwengxenye yokuqhekeka, futhi wenze kube lula ukuphulukiswa kokuqhekeka. Kufaneleka kakhulu ezimweni zokuqhekeka eziyinkimbinkimbi. Uhlelo lwezipikili olungenazinhlangothi eziningi oluxhumene nokukhiya lwe-femur lufaneleka kakhulu ezimweni zokuqhekeka ezilula.
II.Yiziphi izinzuzo zokuzinameka ngezipikili ngaphakathi kwe-medullary?
Ukukhiya kwezinzipho okuxhumene ne-humerus kuyigama elithuthukisiwe lezokwelapha lokuqhekeka kwezinzipho. Izinzuzo zalo zibonakala kulezi zici ezilandelayo:
1)Intambo ekhethekile yangaphakathi yesikulufu ukuthuthukisa ukuzinza.
2)Isikulufu se-cortical esikabili sandisa ukuqina kokuqhekeka okuqondile nokuqondile okufushane.
3)Ukwakheka kwezipikili ezimfushane nezipikili ezinde futhi kunezinhlobo eziningi zezikulufo ezikhethwayo ukuxazulula ukuqhekeka okulula nokuyinkimbinkimbi kwe-humerus eseduze ne-humeral axis. Ngokuhambisana nomgodi wamathambo, ukwakheka okuguquguqukayo okulawulwayo, ukunyakaza okuncane, kukhuthaza ukuhlangana.
4)Ngokusebenzisa amasu angangenisi kakhulu, ukusikwa kokuhlinzwa kuncane kakhulu, kunciphisa umonakalo ezicutshini ezithambile ezizungezile futhi kunciphisa ingozi yokutheleleka kanye nezinkinga ngemva kokuhlinzwa.
5)Inokusimama okuhle kwe-axial kanye nokujikeleza, ingamelana nomthwalo omkhulu womzimba, futhi ikhuthaza ukusebenza kweziguli kwasekuqaleni.
III.Kufanele ngiqale nini ukwelashwa ngemva kokuphuka kwe-humerus?
Ukwelashwa ngokuhlinzwa：
1) Ukuzinaphaza nge-intramedullary: Lena yindlela yokwelapha ekhethwayo yokuphuka kwe-femoral shaft, ikakhulukazi ezigulini ezisencane nezisebenzayo.
2)Ukufakwa kwepuleti: Kwabanye abaphukile noma iziguli ezingafaneleki ukubethelwa kwezipikili ngaphakathi kwe-medullary, ukufakwa kwepuleti kungakhethwa.
3)I-fixator yangaphandle: Isetshenziswa kakhulu ekwaphukeni okuvulekile, iziguli ezinezinhlungu eziningi noma lezo ezidinga ukulungiswa kwesikhashana.
4）I-Arthroplasty: Uma kwenzeka ukwaphuka kwe-femoral proximal, ikakhulukazi ukwaphuka kwentamo ye-femoral noma ukwaphuka kwe-subcapital ezigulini esezikhulile, i-hip arthroplasty ingadingeka.
Ukwelashwa okungeyona eyokuhlinzwa:
1）Ukwelashwa ngokudonsa: Kufanelekile kwezinye iziguli ezingafaneleki ukuhlinzwa, njengasebekhulile, labo abasesimweni esibi somzimba, noma labo abanezifo zangaphakathi ezinzima.
2）Ukufakwa kweplasta noma i-brace: Kwezinye izimpaphe ze-femoral ezilula nezingenakususwa, ukufakwa kweplasta noma i-brace kungasetshenziswa.
Isikhathi sokuthunyelwe: Juni-03-2025
