Eminyakeni yamuva nje, njengoba abantu bekhula, ukwanda kokuphuka kwemisipha ye-proximal femoral kuye kwanda unyaka nonyaka. Ngokwezibalo ezingaphelele, bekukhona iziguli ezicishe zibe yizigidi ezingu-1.66 ezinesifo sokuwohloka kwemisipha ye-hip ezihlobene ne-osteoporosis emhlabeni wonke ngo-1990, futhi leli nani kulindeleke ukuthi lifinyelele ezigidini ezingu-6.26 ngo-2050.
Iziguli esezikhulile ezinezimpaphe ze-proximal femoral zibhekene nezinga eliphezulu lokufa ngenxa yezimo zomzimba kanye nezinkinga ezahlukahlukene. Phakathi kwazo, izinga lokufa ngenxa yezimpaphe ze-intertrochanteric liphezulu lifinyelela ku-15%–20%.
Ukuphuka kwe-intertrochanteric uhlobo oluvamile lokuphuka kwe-hip ezigulini esezikhulile, ikakhulukazi lezo ezine-osteoporosis. Ngokuphambene nalokho, iziguli ezisencane zivame ukuba nokulimala okunamandla amakhulu.
Ukwelashwa kokuhlinzwa kokuphuka kwe-intertrochanteric kuhlanganisa izinketho ezahlukene:
Ukuqina kwe-Extramedullary, njengesikulufu se-dynamic hip (DHS), isikulufu se-dynamic condylar, njll.
Ukulungiswa kwe-intramedullary, njengokuthiI-GammaNi-ail, Puzipho lwe-Femur olusezingeni eliphansi(PFN), i-proximaluzipho lwe-femorali-antirotation (PFNA), i-Intertan, njalo njalo.
Namuhla sifuna ukwethulaIsipikili Esixhumene Ngaphakathi Kwe-Medullaryubuchwepheshe.
Inzuzo enkulu kakhuluI-Titanium FemoralI-NaiI-l isendaweni yayo yangaphakathi kwe-medullary, ehlinzeka ngokusekelwa kwe-intramedullary ngomshini futhi ivimbele ukuwa ngokweqile, futhi lokhu cishe akuxhomekile ekutheni i-lateral cortex inawo yini amandla okusekela.
Ngaphezu kwalokho, indawo yangaphakathi kwe-medullary enengalo yesikhashana esifushane ngokwemfundiso inikeza izinzuzo ze-biomechanical futhi inganciphisa ukwanda kokwehluleka kokukhathala kwamadivayisi okulungisa kwangaphakathi. Okwamanje, uhlelo lokulungisa lwangaphakathi kwe-medullary aluthambekele kakhulu kwi-coxa vara ngisho nalapho i-medial cortex ilahlekelwa ukwesekwa. Ngakho-ke, ukunciphisa nokulungisa okuhlukile kwama-fractures e-trochanter angaphansi kwe-displaced ngokuvamile akukhuthazwa.
I-PFNAIsipikili se-Intramedullary
Uzipho lwekhanda lwe-PFNA lusebenzisa indlela yokukhiya i-spiral blade. I-blade inendawo enkulu ebusweni kanye nobubanzi obukhula kancane kancane. Uma ingena ethanjeni, i-spiral blade ingazijikisa ngokwayo, isebenzise umphumela wokucindezela esitokweni sethambo, ngaleyo ndlela ilondoloze isisindo sethambo futhi ifinyelele ukuxhumana okuseduze phakathi kwe-blade nethambo.
Lokhu kuthuthukisa amandla okubambelela kwe-spiral blade. Okwamanje, kunikeza ukumelana nokujikeleza kanye nokuqina kwe-angular, okunganciphisa ukwanda kokukhubazeka okufana ne-coxa vara.
I-InterzanIsipikili se-Intramedullary
I-Intertan iyisizukulwane esisha se-Uzipho Lwesifazane LwangaphakathiIklanyelwe ngqo ukuphuka kwe-femoral phakathi kwe-trochanteric. I-proximal cross-section yayo iyi-trapezoidal, ilingisa isakhiwo sengxenye eseduze ye-prostheses yamalunga, okuvumela uzipho ukuthi luhambisane kangcono nomgodi we-medullary futhi luvumelane nezici ze-biomechanical ze-proximal femur.
Okwamanje,I-Intertan Femoral Nailingalondoloza kakhulu ithambo lodonga oluseceleni lwe-trochanter enkulu ngesikhathi sokuhlinzwa futhi ithuthukise ikhono lokumelana nokujikeleza kanye nokucindezeleka okuseceleni.
Zombili izinhlobo zezinzipho zangaphakathi kwe-medullary zisebenzisa umklamo ofana nefoloko elikude, ongasabalalisa ukucindezeleka ngempumelelo.izikulufu zokukhiya ezikudezibekwe kude kakhulu nengxenye ekude yesipikili esiyinhloko, ngaleyo ndlela kunciphisa ingozi yokuphuka kwe-femoral ekude.
Uma ufuna ukufunda kabanzi mayelana ne-Isipikili Esixhumeneyo Se-Femur,sicela uzizwe ukhululekileXhumana nathi; ithimba lethu lizokunikeza ukwesekwa kochwepheshe kanye nezimpendulo.
Isikhathi sokuthunyelwe: Feb-24-2026