InterTAN Intramedullary chipikiri

Intertrochanteric hip fractures inowanzoitika uye kukuvara kunoparadza kunyanya kune vakwegura.Trochanteric fractures (TF) ndiyo yechipiri inonyanya kutsemuka kwechikadzi mushure mekutyoka kwemutsipa wemukadzi uye ndiwo mabviro makuru ehurwere uye kufa muhuwandu hwanhasi hwekuchembera.

Pakazosvika 2050, nhamba yegore rose yekutyoka kwehudyu pasi rose inofungidzirwa kudarika 6.3 miriyoni nekuda kwekuchembera kwevanhu munyika zhinji dzekuMadokero.MuU.SA chete, nhamba yekutyoka kwehudyu inofungidzirwa kuwedzera kubva kune 320,000 pagore kusvika ku580,000 ne 2040. Kuwedzera kwekuda uku kunokonzera kushushikana kukuru kwebasa rehutano maererano nevashandi uye zviwanikwa zvinotarisirwa kutarisira varwere ava.MuU.SA, mari yehutano yehutungamiri hwekutyoka kwehudyu inofungidzirwa kudarika $ 10 bhiriyoni pagore, nepo kukanganisa kwehutano hwehutano hweUK hunofungidzirwa kuva $ 2 bhiriyoni pagore.Mari idzi dzinofambiswa kwete chete nemitengo yekuvhiyiwa kwakanyanya asiwo neiyo post-acute care, kusanganisira kudzoreredza.Kunyange zvazvo kuvhiyiwa kwehudyu kunobatsira zvikuru, varwere vangangosangana nehurwere hunokosha maererano nemarwadzo, kusagadzikana uye kufamba zvishoma panguva yekupora kwavo uye muzviitiko zvakawanda hazvibviri kuwana mazinga asati aputsika ekushanda.Zvidzidzo zvakare zvinoratidza kuti pane kushamwaridzana pakati pekutyoka kwehudyu uye kuwedzera kwehuwandu hwevanhu vanofa ne30% kufa kwakanyanya kucherechedzwa kupfuura vanhu vanofananidzwa nezera vane uye vasina kutsemuka kwehudyu.Nekudaro, kumwe kuchenjerera kunofanirwa kutorwa mukududzira data rakadaro, sevanhu vanosangana nekuputika kwehudyu vanogona kunge vaine hunhu husina kusimba uye hunogona kurwara.

Pasi rose, chiitiko chekutyoka kweproximal femur chiri kuwedzera nekuda kwekushanduka kwevanhu kunokonzera hupenyu hwepamusoro.

Kuvhiya kurapwa ndiyo nzira yakakwana yekugadzirisa intertrochanteric fractures sezvo ichibvumira kukurumidza kudzoreredzwa uye kushanda kupora.

Kuti kuderedze matambudziko ekusagadzikana kwenguva refu, kupindira kwepanguva yakakodzera kunopa kugadzikana kwekutsemuka uye kutanga kuunganidza kwevarwere kwakava mhinduro yakasarudzika yekurapa kwekuputsika uku.Kamwe dynamic hip screw (DHS) yemukati kugadzirisa ndeimwe yemhando dzekutanga sarudzo, asi inoita zvishoma mushe ine chiitiko chepamusoro chekutadza kugadzirisa kwemukati kweTF isina kugadzikana.Pamusoro pezvo, kuvhiyiwa uku kunogona kukonzera kurasikirwa kukuru kweropa, kukuvadzwa kwenyama yakapfava, uye kuwedzera kweiyo comorbidities iripo muvarwere vakura.Naizvozvo, intramedullary fixation zvishandiso zvave zvakakurumbira zvakanyanya nekuda kweiyo biomechanical zvakanakira mukurapa isina kugadzikana TF kana ichienzaniswa neDHS yemukati kugadzirisa.

Iyo Intertan Nail inoshandisa 2 cephalocervical screws mune yakasanganiswa meshini, inoratidza kuwedzera kugadzikana uye kuramba kune intraoperative uye postoperative femoral musoro kutenderera kana ichienzaniswa neyechinyakare intramedullary nailing system.Ongororo yebiomechanical yakaratidza kuti iyo Intertan Nail ine mamwe mabhenefiti e biomechanical yekugadzika kwemukati kwemafractures asina kugadzikana kana ichienzaniswa neyechinyakare intramedullary nailing system Intertan Nail.Zvimwe zvidzidzo zvakashuma kuti kuvhiyiwa kwaiva nemigumisiro yakanaka yekliniki uye nhamba shoma yezvinetso].Iyo biomechanical kudzidza yeNüchtern et al.yakaratidza kuti Intertan Nail inowana kugadzikana kwakawanda neakakwira tip apex chinhambwe uye inomira mitoro yepamusoro.