Awọn itọkasi
1. Fẹlẹ ti ọrun ti femur
2. Fẹlẹ ti ipilẹ ọrun abo
3. Intertrochanteric egugun
4. Fẹlẹ ti ọpa abo
INTERTANIntramedullary àlàfo
Short apakan
koodu ohun kan. | Iwọn (mm) | Gigun (mm) |
14.19.02.07090185 | Φ9 | 185 |
14.19.02.07090200 | 200 | |
14.19.02.07090215 | 215 | |
14.19.02.07100185 | Φ10 | 185 |
14.19.02.07100200 | 200 | |
14.19.02.07100215 | 215 | |
14.19.02.07110185 | Φ11 | 185 |
14.19.02.07110200 | 200 | |
14.19.02.07110215 | 215 | |
14.19.02.07120185 | Φ12 | 185 |
14.19.02.07120200 | 200 | |
14.19.02.07120215 | 215 |
Abala gigun (Osi)
koodu ohun kan. | Iwọn (mm) | Gigun (mm) |
14.19.12.07090260 | Φ9 | 260 |
14.19.12.07090280 | 280 | |
14.19.12.07090300 | 300 | |
14.19.12.07090320 | 320 | |
14.19.12.07090340 | 340 | |
14.19.12.07090360 | 360 | |
14.19.12.07090380 | 380 | |
14.19.12.07090400 | 400 | |
14.19.12.07090420 | 420 | |
14.19.12.07100260 | Φ10 | 260 |
14.19.12.07100280 | 280 | |
14.19.12.07100300 | 300 | |
14.19.12.07100320 | 320 | |
14.19.12.07100340 | 340 | |
14.19.12.07100360 | 360 | |
14.19.12.07100380 | 380 | |
14.19.12.07100400 | 400 | |
14.19.12.07100420 | 420 | |
14.19.12.07110260 | Φ11 | 260 |
14.19.12.07110280 | 280 | |
14.19.12.07110300 | 300 | |
14.19.12.07110320 | 320 | |
14.19.12.07110340 | 340 | |
14.19.12.07110360 | 360 | |
14.19.12.07110380 | 380 | |
14.19.12.07110400 | 400 | |
14.19.12.07110420 | 420 | |
14.19.12.07120260 | Φ12 | 260 |
14.19.12.07120280 | 280 | |
14.19.12.07120300 | 300 | |
14.19.12.07120320 | 320 | |
14.19.12.07120340 | 340 | |
14.19.12.07120360 | 360 | |
14.19.12.07120380 | 380 | |
14.19.12.07120400 | 400 | |
14.19.12.07120420 | 420 |
Abala gigun (Ọtun)
koodu ohun kan. | Iwọn (mm) | Gigun (mm) |
14.19.22.07090260 | Φ9 | 260 |
14.19.22.07090280 | 280 | |
14.19.22.07090300 | 300 | |
14.19.22.07090320 | 320 | |
14.19.22.07090340 | 340 | |
14.19.22.07090360 | 360 | |
14.19.22.07090380 | 380 | |
14.19.22.07090400 | 400 | |
14.19.22.07090420 | 420 | |
14.19.22.07100260 | Φ10 | 260 |
14.19.22.07100280 | 280 | |
14.19.22.07100300 | 300 | |
14.19.22.07100320 | 320 | |
14.19.22.07100340 | 340 | |
14.19.22.07100360 | 360 | |
14.19.22.07100380 | 380 | |
14.19.22.07100400 | 400 | |
14.19.22.07100420 | 420 | |
14.19.22.07110260 | Φ11 | 260 |
14.19.22.07110280 | 280 | |
14.19.22.07110300 | 300 | |
14.19.22.07110320 | 320 | |
14.19.22.07110340 | 340 | |
14.19.22.07110360 | 360 | |
14.19.22.07110380 | 380 | |
14.19.22.07110400 | 400 | |
14.19.22.07110420 | 420 | |
14.19.22.07120260 | Φ12 | 260 |
14.19.22.07120280 | 280 | |
14.19.22.07120300 | 300 | |
14.19.22.07120320 | 320 | |
14.19.22.07120340 | 340 | |
14.19.22.07120360 | 360 | |
14.19.22.07120380 | 380 | |
14.19.22.07120400 | 400 | |
14.19.22.07120420 | 420 |
Lag dabaru
koodu ohun kan. | Iwọn (mm) | Gigun (mm) |
14.23.14.04100075 | Φ10 | 75 |
14.23.14.04100080 | 80 | |
14.23.14.04100085 | 85 | |
14.23.14.04100090 | 90 | |
14.23.14.04100095 | 95 | |
14.23.14.04100100 | 100 | |
14.23.14.04100105 | 105 | |
14.23.14.04100110 | 110 | |
14.23.14.04100115 | 115 | |
14.23.14.04100120 | 120 |
funmorawon dabaru
koodu ohun kan. | Iwọn (mm) | Gigun (mm) |
14.23.03.02064070 | Φ6.4 | 70 |
14.23.03.02064075 | 75 | |
14.23.03.02064080 | 80 | |
14.23.03.02064085 | 85 | |
14.23.03.02064090 | 90 | |
14.23.03.02064095 | 95 | |
14.23.03.02064100 | 100 | |
14.23.03.02064105 | 105 | |
14.23.03.02064110 | 110 | |
14.23.03.02064115 | 115 |
Fila
koodu ohun kan. | Iwọn (mm) | Gigun (mm) |
14.24.02.01012005 | Φ12 | 5 |
14.24.02.01012010 | 10 | |
14.24.02.01012015 | 15 |
Anti-yiyi dabaru
koodu ohun kan. | Iwọn (mm) | Gigun (mm) |
14.24.01.04008010 | Φ8 | 10 |
Anti-yiyi dabaru
koodu ohun kan. | Iwọn (mm) | Gigun (mm) |
14.24.02.04008010 | Φ8 | 10 |
Kotesi dabaru
koodu ohun kan. | Iwọn (mm) | Gigun (mm) |
14.22.01.02048030 | Φ4.8 | 30 |
14.22.01.02048032 | 32 | |
14.22.01.02048034 | 34 | |
14.22.01.02048036 | 36 | |
14.22.01.02048038 | 38 | |
14.22.01.02048040 | 40 | |
14.22.01.02048042 | 42 | |
14.22.01.02048044 | 44 | |
14.22.01.02048046 | 46 | |
14.22.01.02048048 | 48 | |
14.22.01.02048050 | 50 | |
14.22.01.02048052 | 52 | |
14.22.01.02048054 | 54 | |
14.22.01.02048056 | 56 | |
14.22.01.02048058 | 58 | |
14.22.01.02048060 | 60 |
Intertrochanteric hip fractures jẹ wọpọ ati awọn ipalara ti o buruju paapaa fun awọn agbalagba.Awọn fractures Trochanteric (TF) jẹ awọn fifọ keji ti o wọpọ julọ ti femur isunmọ lẹhin awọn fifọ ọrun abo ati pe o jẹ awọn orisun pataki ti ailera ati iku ni awọn eniyan ti ogbo ode oni.
Ni ọdun 2050, nọmba ọdọọdun ti awọn fifọ ibadi ni agbaye ni ifoju lati kọja 6.3 milionu nitori ẹda eniyan ti ogbo ni ọpọlọpọ awọn orilẹ-ede Oorun.Ni AMẸRIKA nikan, nọmba awọn fifọ ibadi ni ifoju lati pọ si lati nipa 320,000 fun ọdun kan si 580,000 nipasẹ 2040. Ibeere ti o pọ si n ṣẹda ẹdọfu nla fun iṣẹ ilera ni awọn ofin ti oṣiṣẹ ati awọn ohun elo ti o nilo lati ṣakoso awọn alaisan wọnyi.Ni AMẸRIKA, awọn idiyele ilera fun iṣakoso ti awọn fifọ ibadi ni ifoju lati kọja $10 bilionu fun ọdun kan, lakoko ti ipa lori iṣẹ ilera UK jẹ $ 2 bilionu fun ọdun kan.Awọn idiyele wọnyi jẹ idari kii ṣe nipasẹ awọn idiyele ti ilana iṣẹ abẹ nla ṣugbọn tun itọju lẹhin-nla, pẹlu isọdọtun.Lakoko ti iṣẹ abẹ ikọsẹ ibadi jẹ doko gidi, awọn alaisan le ni iriri aarun nla ni awọn ofin ti irora, aibalẹ ati iṣipopada lopin lakoko imularada wọn ati ni ọpọlọpọ awọn ọran ko ṣeeṣe lati ṣaṣeyọri awọn ipele iṣẹ-iṣaaju-isẹgun.Awọn ẹkọ-ẹkọ tun daba pe ajọṣepọ kan wa laarin fifọ ibadi ati awọn oṣuwọn ti o pọ si ti iku pẹlu 30% diẹ sii iku ti a ṣe akiyesi ju awọn eniyan ti o baamu ọjọ-ori pẹlu ati laisi fifọ ibadi.Sibẹsibẹ, diẹ ninu awọn iṣọra yẹ ki o gba ni itumọ iru data bẹẹ, bi awọn ẹni-kọọkan ti o ni iriri ikọlu ibadi le jẹ alailagbara diẹ sii ati ni ifaragba si ilera.
Ni kariaye, isẹlẹ ti awọn fifọ ti abo ti o sunmọ ti n pọ si nitori iyipada ti ara ẹni ti o mu ki ireti igbesi aye ti o ga julọ.
Itọju abẹ jẹ ilana ti o dara julọ fun iṣakoso awọn fractures intertrochanteric bi o ṣe ngbanilaaye isọdọtun tete ati imularada iṣẹ-ṣiṣe.
Lati dinku awọn ilolu ti aiṣedeede gigun, awọn iṣẹ iṣiṣẹ ti akoko ti n pese imuduro ohun ti fifọ ati koriya ni kutukutu ti awọn alaisan ti di ojutu ti o fẹ julọ fun itọju awọn fifọ wọnyi.Ni kete ti fọwọkan ibadi ibadi (DHS) imuduro inu jẹ ọkan ninu awọn aṣayan akọkọ julọ, ṣugbọn o ṣe diẹ sii daradara pẹlu isẹlẹ ti o ga julọ ti ikuna imuduro inu fun TF aiduro.Ni afikun, ilana iṣẹ abẹ yii le ja si ipadanu ẹjẹ nla, ibajẹ asọ rirọ, ati buru si awọn aarun alakan ti o wa tẹlẹ ninu awọn alaisan agbalagba.Nitorinaa, awọn ẹrọ imuduro intramedullary ti di olokiki diẹ sii nitori awọn anfani biomechanical ni itọju ti TF aiduroṣinṣin ni akawe pẹlu imuduro inu inu DHS.
Àlàfo Intertan ni lilo awọn skru cefalocervical 2 ni ẹrọ iṣọpọ, fihan iduroṣinṣin ti o pọ si ati atako si inu iṣan ati yiyi ori abo lẹhin iṣẹ-ṣiṣe ni akawe pẹlu eto eekanna intramedullary ibile.Iwadi biomechanical kan fihan pe Intertan Nail ni awọn anfani biomechanical diẹ sii fun imuduro inu ti awọn fifọ riru ni akawe pẹlu eto eekanna intramedullary ibile ti Intertan Nail.Diẹ ninu awọn ijinlẹ royin pe ilana iṣẹ abẹ ni abajade ile-iwosan ti o dara ati nọmba kekere ti awọn ilolu].Iwadi biomechanical ti Nüchtern et al.fihan pe Intertan Nail ṣe aṣeyọri iduroṣinṣin diẹ sii pẹlu aaye ti o ga julọ ti o ga julọ ati ki o koju awọn ẹru ti o ga julọ.