InterTAN Intramedullary ƙusa

Intertrochanteric hip fractures ne na kowa da kuma mummunan rauni musamman ga tsofaffi.Karyawar ƙwayar cuta (TF) ita ce karo na biyu da aka fi samun karaya na kusa da femur bayan karyewar wuyan mata kuma sune manyan tushen cututtuka da mace-mace a cikin yawan tsufa na yau.

A shekara ta 2050, an kiyasta adadin karaya na hip a duk shekara zai zarce miliyan 6.3 saboda yawan tsufa a yawancin ƙasashen yamma.A cikin Amurka kadai, an kiyasta adadin raunin hip zai karu daga kimanin 320,000 a kowace shekara zuwa 580,000 ta 2040. Wannan karuwar bukatar yana haifar da tashin hankali ga sabis na kiwon lafiya dangane da ma'aikata da albarkatun da ake bukata don gudanar da waɗannan marasa lafiya.A cikin Amurka, an kiyasta farashin kula da lafiya don kula da karyewar hip ya wuce dala biliyan 10 a kowace shekara, yayin da tasirin aikin kiwon lafiyar Burtaniya ya kai dala biliyan 2 a kowace shekara.Wadannan farashin ba wai kawai farashin aikin tiyata ba ne kawai amma har ma da kulawa mai tsanani, ciki har da gyarawa.Duk da yake aikin tiyata na hip yana da tasiri sosai, marasa lafiya suna iya samun ciwo mai tsanani game da ciwo, rashin jin daɗi da kuma iyakacin motsi yayin dawowarsu kuma a lokuta da yawa ba za su iya cimma matakan aiki na farko ba.Har ila yau, binciken ya nuna cewa akwai wata ƙungiya tsakanin raunin hip da kuma karuwar yawan mace-mace tare da 30% fiye da mutuwar da aka lura fiye da shekarun da suka dace da kuma ba tare da raguwa ba.Duk da haka, ya kamata a yi taka tsantsan wajen fassara irin waɗannan bayanai, saboda mutanen da suka sami karaya na hip suna iya zama mafi rauni kuma suna iya kamuwa da rashin lafiya.

A duk duniya, abin da ya faru na karaya na mata na kusa yana karuwa saboda canjin alƙaluma wanda ke haifar da tsawon rai.

Maganin fiɗa ita ce mafi kyawun dabara don sarrafa ɓarnawar intertrochanteric kamar yadda yake ba da damar gyarawa da wuri da dawo da aiki.

Don rage rikice-rikice na tsawaita rashin motsi, matakan aiki na lokaci-lokaci da ke ba da kwanciyar hankali mai kyau na ɓarke ​​​​da kuma fara tattarawar marasa lafiya sun zama mafita mafi kyau don maganin waɗannan raunuka.Da zarar gyare-gyare na ciki mai ƙarfi (DHS) yana ɗaya daga cikin mafi kyawun zaɓuɓɓukan farko, amma yana yin ƙasa da kyau tare da mafi girman abin da ya faru na gazawar gyarawa na ciki don rashin kwanciyar hankali TF.Bugu da ƙari, wannan aikin tiyata na iya haifar da asarar jini mai yawa, lalacewar nama mai laushi, da kuma tabarbarewar cututtukan da ke cikin tsofaffi marasa lafiya.Saboda haka, intramedullary fixation na'urorin sun zama mafi shahara saboda biomechanical abũbuwan amfãni a cikin lura da m TF idan aka kwatanta da DHS ciki kayyade.

Intertan Nail ta amfani da 2 cephalocervical screws a cikin haɗaɗɗiyar hanya, yana nuna karuwar kwanciyar hankali da juriya ga jujjuyawar ciki da na mata bayan tiyata idan aka kwatanta da tsarin ƙusa intramedullary na gargajiya.Wani bincike na nazarin halittu ya nuna cewa Intertan Nail yana da ƙarin fa'idodi na biomechanical don gyaran ciki na ɓarna mara ƙarfi idan aka kwatanta da tsarin ƙusa intramedullary na gargajiya na Intertan Nail.Wasu nazarin sun ba da rahoton cewa aikin tiyata yana da sakamako mai kyau na asibiti da ƙananan ƙananan matsalolin].Nazarin biomechanical na Nüchtern et al.ya nuna cewa Intertan Nail yana samun ƙarin kwanciyar hankali tare da mafi girman nisa mafi girma kuma yana jure manyan lodi.