I-InterTAN Intramedullary isikhonkwane

I-Intertrochanteric hip fractures zixhaphakile kwaye zilimaza ukulimala ngokukodwa kubantu abadala.I-Trochanteric fractures (TF) zezona ziqhekekileyo zesibini ezixhaphakileyo ze-femur proximal emva kokwaphuka kwentamo ye-femoral kwaye yimithombo emikhulu yokugula kunye nokufa kubantu abalupheleyo namhlanje.

Ngo-2050, inani lonyaka le-hip fractures liqikelelwa ukuba lidlule kwi-6.3 yezigidi ngenxa yokuguga kwabantu kumazwe amaninzi aseNtshona.E-USA kuphela, inani le-hip fractures liqikelelwa ukuba linyuke ukusuka malunga ne-320,000 ngonyaka ukuya kwi-580,000 ngo-2040. Le mfuno yandayo idala uxinzelelo olubalulekileyo kwinkonzo yezempilo ngokubhekiselele kubasebenzi kunye nezibonelelo ezifunekayo ukulawula ezi zigulane.E-USA, iindleko zokunakekelwa kwezempilo zokulawulwa kwe-hip fractures ziqikelelwa ukuba zidlula i-10 yeebhiliyoni zeedola ngonyaka, ngelixa impembelelo kwinkonzo yezempilo yase-UK iqikelelwa ukuba i-2 yeebhiliyoni zeedola ngonyaka.Ezi ndleko ziqhutywa kungekuphela nje ngeendleko zenkqubo yotyando oluqatha kodwa kunye nokhathalelo lwangemva koku, kubandakanywa nokuvuselelwa.Ngelixa utyando lwe-hip fracture lusebenza kakhulu, izigulane zinokuba namava okugula okuphawulekayo malunga neentlungu, ukungahambi kakuhle kunye nokuhamba okulinganiselwe ngexesha lokubuyisela kwaye kwiimeko ezininzi akunakwenzeka ukuba bafezekise amanqanaba omsebenzi wangaphambili.Uphononongo lukwabonisa ukuba kukho unxibelelwano phakathi kokuqhekeka kwe-hip kunye namazinga anyukileyo okufa kunye ne-30% yokufa okungaphezulu okubonwayo kunabantu abaneminyaka yobudala kunye nangaphandle kokuphuka kwe-hip.Nangona kunjalo, isilumkiso esithile kufuneka sithatyathwe ekutolikeni idatha enjalo, njengoko abantu abafumana i-hip fracture banokuba buthathaka kwaye basengozini yokugula.

Ehlabathini lonke, izehlo zokwaphuka kwe-proximal femur ziyanda ngenxa yotshintsho lwedemografi olukhokelela kubomi obuphezulu obulindelekileyo.

Unyango lotyando lolona cwangciso lufanelekileyo lokulawula i-intertrochanteric fractures njengoko ivumela ukuvuselelwa kwangaphambili kunye nokubuyisela ukusebenza.

Ukunciphisa iingxaki zokunyanzeliswa kwexesha elide, ukungenelela okusebenzayo ngexesha elifanelekileyo ukunika ukuzinzisa okuvakalayo kokuqhekeka kunye nokuhlanganiswa kwangaphambili kwezigulane kuye kwaba sisisombululo esikhethiweyo sonyango lwezi fractures.Emva kokuba i-dynamic hip screw (i-DHS) ukulungiswa kwangaphakathi yenye yezona zikhetho eziphambili, kodwa iqhuba kakuhle kancinci kunye nesehlo esiphezulu sokusilela ukulungiswa kwangaphakathi kwi-TF engazinzanga.Ukongeza, le nkqubo yotyando inokubangela ukulahleka kwegazi okukhulu, ukonakala kwezicubu ezithambileyo, kunye nokwanda kwe-comorbidities ekhoyo kwizigulana ezisele zikhulile.Ke ngoko, izixhobo zokulungiswa kwe-intramedullary ziye zathandwa kakhulu ngenxa yeenzuzo ze-biomechanical kunyango lwe-TF engazinzanga xa kuthelekiswa nokulungiswa kwangaphakathi kwe-DHS.

I-Intertan Nail isebenzisa izikrufu ze-cephalocervical ezi-2 kwindlela edibeneyo, ibonisa ukuzinza okunyukayo kunye nokuchasana nokujikeleza kwentloko ye-femoral intraoperative kunye ne-postoperative xa kuthelekiswa nenkqubo yendabuko ye-intramedullary nailing system.Uphononongo lwe-biomechanical lubonise ukuba i-Intertan Nail inezibonelelo ezininzi ze-biomechanical zokulungiswa kwangaphakathi kweefractures ezingazinzanga xa kuthelekiswa nenkqubo yesikhonkwane ye-intramedullary ye-Intertan.Olunye uphando luchaze ukuba inkqubo yotyando inesiphumo esihle sekliniki kunye nenani eliphantsi leengxaki].Uphononongo lwe-biomechanical lweNüchtern et al.ibonise ukuba i-Intertan Nail ifezekisa uzinzo ngakumbi ngomgama ophakamileyo wencopho kunye nokumelana nemithwalo ephezulu.