Ukuphuka kwentamo ye-femoral kubanga u-50% wokuphuka kwenqulu. Ezigulini ezingezona asebekhulile ezinezimpaphe ze-femoral, ukwelashwa kokulungiswa kwangaphakathi kuvame ukunconywa. Kodwa-ke, izinkinga zangemva kokuhlinzwa, njengokungahlangani kokuphuka, i-femoral head necrosis, kanye nokufinyezwa kwentamo ye-femoral, zivame kakhulu emtholampilo. Njengamanje, ucwaningo oluningi lugxile endleleni yokuvimbela i-femoral head necrosis ngemuva kokulungiswa kwangaphakathi kwezimpaphe ze-femoral, kuyilapho kunganakwa kakhulu endabeni yokufinyezwa kwentamo ye-femoral.
Njengamanje, izindlela zokubopha ngaphakathi zokuphuka kwentamo ye-femoral, okuhlanganisa nokusetshenziswa kwezikulufo ezintathu ezifakwe ama-cannulated, i-FNS (Femoral Neck System), kanye nezikulufo ze-hip eziguquguqukayo, konke kuhlose ukuvimbela i-femoral neck varus nokunikeza ukucindezela kwe-axial ukuze kugwenywe ukungahlangani. Kodwa-ke, ukucindezela okungalawuleki noma okweqile okushelelayo kuholela ekufinyezweni kwentamo ye-femoral. Ngenxa yalokhu, ochwepheshe base-Second People's Hospital Affiliated ne-Fujian University of Traditional Chinese Medicine, becabanga ngokubaluleka kobude bentamo ye-femoral ekwelapheni ukuphuka kanye nomsebenzi we-hip, baphakamise ukusetshenziswa "kwesikulufo esilwa nokufinyeza" kanye ne-FNS ukuze kulungiswe ukuphuka kwentamo ye-femoral. Le ndlela ibonise imiphumela ethembisayo, futhi ucwaningo lushicilelwe kumagazini wakamuva wephephabhuku i-Orthopaedic Surgery.
Lesi sihloko sikhuluma ngezinhlobo ezimbili "zezikulufo ezilwa nokufinyeza": esinye siyi-screw ejwayelekile efakwe ku-cannulation kanti esinye siyi-screw enomklamo wentambo ekabili. Kumacala angu-53 eqenjini lezikulufo ezilwa nokufinyeza, amacala amane kuphela asebenzise isikulufo esinentambo ekabili. Lokhu kuphakamisa umbuzo wokuthi ingabe isikulufo esinentambo engxenye sinomphumela wokulwa nokufinyeza ngempela.
Lapho zombili izikulufo ezinemicu engaphansi kanye nezikulufo ezinemicu emibili zihlaziywa ndawonye futhi ziqhathaniswa nokulungiswa kwangaphakathi kwendabuko kwe-FNS, imiphumela ibonise ukuthi izinga lokufinyeza eqenjini lezikulufo ezilwa nokufinyeza laliphansi kakhulu kunaseqenjini lendabuko le-FNS emaphuzu okulandelela enyanga e-1, izinyanga ezi-3, kanye nonyaka o-1, ngokubaluleka kwezibalo. Lokhu kuphakamisa umbuzo: Ingabe umphumela ubangelwa isikulufo esijwayelekile esinemicu noma isikulufo esinemicu emibili?
Lesi sihloko siveza amacala ama-5 ahilela izikulufo ezilwa nokufinyeza, futhi uma sihlolisiswa kahle, kungabonakala ukuthi ezimweni 2 no-3, lapho kusetshenziswe khona izikulufo ezinemicu eyingxenye, kube nokuhoxiswa nokufinyezwa okubonakalayo kwezikulufo (izithombe ezibhalwe ngenombolo efanayo zihambisana necala elifanayo).
Ngokusekelwe ezithombeni zekesi, ukusebenza kahle kwesikulufu esinezintambo ezimbili ekuvimbeleni ukufinyezwa kusobala kakhulu. Ngokuphathelene nezikulufu ezifakwe ku-cannule, lesi sihloko asinikezi iqembu elihlukile lokuqhathanisa. Kodwa-ke, lesi sihloko sinikeza umbono obalulekile ngokuqina kwangaphakathi kwentamo ye-femoral, sigcizelela ukubaluleka kokugcina ubude bentamo ye-femoral.
Isikhathi sokuthunyelwe: Septhemba-06-2024
