Isibhedlela Esihamba Phambili Sokuhlinza I-Proximal Femoral Nail (PFN) e-Hyderabad

Ukuhlinzwa Okuthuthukisiwe Kwezinzipho Zowesifazane (PFN).

Inani le-intertrochanteric femoral fracture lenyuke kakhulu eminyakeni embalwa edlule. Lokhu kuphuka kungenye yezinhlobo ezivamile zokuphuka kwe-hip kubantu asebekhulile. Ucwaningo lukhombisa ukuthi i-Proximal Femoral Nail (PFN) Surgery isiza iziguli ukuthi zilulame ngempumelelo. Odokotela abahlinzayo bafaka isipikili esiklanywe ngokukhethekile nge-trochanter enkulu esikhundleni se-trochanteric fossa. Le nqubo inikeza ukuzinza ku- ithambo eliphukile.

Ukuhlinzwa kwe-PFN kuletha izinzuzo eziningana ezigulini. Lokhu kwelashwa kunciphisa ukuhlala esibhedlela uma kuqhathaniswa nezinye izindlela. 

Lesi sihloko sihlanganisa konke iziguli okufanele zazi mayelana nokuhlinzwa kwe-PFN. Uzofunda futhi mayelana nezinyathelo zokulungisa nokululama ukuze uqonde kangcono le nqubo ebalulekile yamathambo.

Kungani Izibhedlela ze-CARE ziyisinqumo sakho esiphezulu sokuhlinzwa kwe-Proximal Femoral Nail (PFN) e-Hyderabad

Izibhedlela ze-CARE ziyisikhungo sokunakekelwa kwezempilo esihamba phambili ngezinqubo zamathambo. I umnyango wamathambo ihlanganisa iminyaka yokuhlangenwe nakho nobuchwepheshe besimanje ukwelapha okuhlukahlukene izimo ze-musculoskeletal. Ithimba elididiyelwe lodokotela abahlinza amathambo, odokotela ababulala izinzwa kanye nochwepheshe bokunakekela amanxeba lisebenza ndawonye. Baqinisekisa ukuthi isiguli ngasinye sithola ukunakekelwa komuntu siqu.

Odokotela Abahlinzayo Abangcono Kakhulu Be-Femoral Nail (PFN) eNdiya

Khetha indawo Hyderabad Visakhapatnam Bhubaneshwar Nagpur Raipur esilengayo I-Aurangabad Imitholampilo Nezikhungo Zezokwelapha

Khetha Isibhedlela CARE Hospitals, Banjara Hills, Hyderabad CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad CARE Hospitals, HITEC City, Hyderabad CARE Hospitals, Nampally, Hyderabad I-Gurunanak CARE Hospitals, Musheerabad, Hyderabad CARE Hospitals, Bhubaneswar I-Ganga CARE Hospital Limited, eNagpur I-Ramkrishna CARE Hospitals, eRaipur CARE Izibhedlela, Ramnagar, Visakhapatnam CARE Hospitals Outpatient Centre, HITEC City, Hyderabad CARE Hospitals, Malakpet, Hyderabad Izibhedlela ze-CARE CHL, e-Indore Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar CARE Izibhedlela, Health City, Arilova CARE Medical Center, Tolichowki, Hyderabad

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  UDkt. (Lt Col) P. Prabhakar

  Umqondisi Womtholampilo kanye Nomnyango Oyinhloko Wezokwelapha Zamathambo kanye Nokushintshwa Okuhlanganyelwe

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Anand Babu Mavoori

  Umqondisi Womtholampilo Wokululeka kanye ne-HOD, I-Orthopedics, Ukubuyisela Ngokuhlanganyela kanye Nokuhlinzwa Kwe-Arthroscopic

  I-Orthopedics

  Bhala iNqunto
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  UDkt. BN Prasad

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. KSPraveen Kumar

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Sandeep Singh

  Inhloko yoMnyango - I-Orthopedics,
  Umeluleki Omkhulu - Ukuhlinzwa Kwerobhothi Nokulimala Kwezemidlalo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Behera Sanjib Kumar

  Umqondisi Womtholampilo kanye neNhloko Yomnyango - I-CARE Bone and Joint Institute

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Sharath Babu N

  Umxhumanisi - Ukubuyiselwa Kwamajoyinisi, Udokotela Ohlinzayo Wamathambo kanye NeRobhothi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. P. Raju Naidu

  umxhumanisi

  ISITHOMBE SAMAJOPHO

  Bhala iNqunto
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  Dr. AK Jinsiwale

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Jagan Mohana Reddy

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ankur Singhal

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Lalit Jain

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pankaj Dhabaliya

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Manish Shroff

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Prasad Patgaonkar

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Repakula Kartheek

  Umxhumanisi - Odokotela Bamathambo kanye Nokuhlinzwa Kokubuyisela Ngokuhlanganyela

  I-Orthopedics kanye Nokushintshwa Kwamalunga

  Bhala iNqunto
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  UDkt. Chandra Sekhar Dannana

  Sr. Consultant

  I-Trauma kanye ne-Orthopedics

  Bhala iNqunto
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  UDkt. Hari Chaudhari

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Kotra Siva Kumar

  Umxhumanisi - I-Orthopedics & Sports Medicine

  Imithi Yamathambo Nezemidlalo

  Bhala iNqunto
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  UDkt. Romil Rathi

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Shiva Shankar Challa

  I-Consultant Joint Replacement & Robotic Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Mir Zia Ur Rahaman Ali

  Sr. Consultant Orthopedic & Joint Replacement Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Arun Kumar Teegalapally

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ashwin Kumar Talla

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pratik Dhabalia

  umxhumanisi

  I-Orthopedics (Ukubuyisela Ngokuhlanganyela)

  Bhala iNqunto
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  UDkt. Subodh M. Solanke

  I-Arthroplasty engu-Consultant (Ukubuyisela Ngokuhlanganyela) kanye Nodokotela Wamathambo

  Umnyango Wokuhlinza Amathambo

  Bhala iNqunto
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  UDkt. Raghu Yelavarthi

  Umxhumanisi - Udokotela Wamathambo, Ukubuyisela Ngokuhlanganyela kanye Nodokotela Ohlinza Izandla

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ravi Chandra Vattipalli

  I-Robotic Knee Replacement Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Madhu Geddam

  Umxhumanisi - Udokotela Wamathambo, Ukushintshwa Kwamalunga, Ukuhlukumezeka kanye Nodokotela Ohlinza Amathambo

  Uchwepheshe wezifo zamathambo kanye nemithi yezemidlalo

  Bhala iNqunto
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  UDkt. Vasudeva Juvvadi

  Umxhumanisi - Udokotela Wokuhlinza Amathambo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ashok Raju Gottemukkala

  Umqondisi Womtholampilo kanye Nomeluleki Sr. - Amathambo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Yadoji Hari Krishna

  Umxhumanisi - Udokotela Wamathambo & Udokotela Ohlinza I-Arthroscopy

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ajay Kumar Paruchuri

  Sr. Consultant - I-Orthopedics

  I-Orthopedics

  Bhala iNqunto
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  UDkt. ES Radhe Shyam

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pushpvardhan Mandlecha

  Sr. Consultant Pediatric Orthopedist

  I-Pediatric Orthopedics

  Bhala iNqunto
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  UDkt. Zafer Satvilkar

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto

Izindlela Ezintsha Zokuhlinza Ezisezingeni eliphezulu ezibhedlela ze-CARE

Izibhedlela ze-CARE manje zinikeza okuthuthukisiwe Ukuhlinzwa okusizwa ngamarobhothi ngohlelo lwe-Hugo no-da Vinci X Robotic. Amakamelo ethu okuhlinza anobuchwepheshe besimanje aletha imiphumela yokuhlinzwa enembile. Isibhedlela sihlala isithwebuli se-CT sokuqala esinemithombo emibili eyi-128-slice CT ukuze uthole izithombe ezinemininingwane. Indlela yabo yokuhlinzwa inciphisa ukulimala kwezicubu, ukulahlekelwa igazi, kanye nobungozi bokutheleleka.

Imibandela Yokuhlinza I-Proximal Femoral Nail (PFN)

Ukuhlinzwa kwe-PFN kusiza iziguli:

• I-Intertrochanteric fractures (phakathi kwama-trochanters amakhulu namancane)
• I-Pertrochanteric fractures
• Ukuphuka okuphezulu kwe-subtrochanteric
• I-Ipsilateral trochanteric fractures
• Ukuphuka kwe-Pathological

Ukuphuka kwe-hip kubangela izingozi ezinkulu ezigulini esezikhulile futhi kungasongela ukuphila kwazo. Ubuchwepheshe be-CARE ekuhlinzeni nge-PFN bubonakala bubalulekile kulezi zimo.

Izinhlobo Zezinqubo Ze-Proximal Femoral Nail (PFN).

Odokotela abahlinzayo bangakhetha kumiklamo eminingana ye-PFN esekelwe ezinhlotsheni zokuphuka. Izinhlobo zifaka:

• I-PFN ejwayelekile: Isebenza kahle kakhulu ekuqhekekeni kwe-pertrochanteric kanye ne-intertrochanteric
• I-PFN ende: Ifanele ama-subtrochanteric aphansi kanye nokuphuka okunwetshiwe
• I-Proximal Femoral Nail Antirotation type 2 (PFNA2): Isebenzisa i-helical blade ehlanganisa ithambo kangcono
• I-Trochanteric Fixation Nail Advanced (TFNA): Ifaka phakathi ububanzi obuncane be-proximal obugcina ithambo lomdabu

Odokotela abahlinzayo be-CARE bafanisa ukufakelwa okufanele kakhulu esimweni sesiguli ngasinye ngokusekelwe endaweni yokuphuka, i-anatomy kanye nekhwalithi yamathambo.

Ukulungiselela Ngaphambi Kokuhlinzwa

Ukuhlela kuhlanganisa:

• Odokotela benza ama-X-ray nama-CT scan ukuze babuyekeze ukuphuka futhi bahlele inqubo ngempumelelo. 
• Iziguli zidinga ukumisa izinto ezinciphisa igazi futhi zizile ukudla amahora ambalwa ngaphambi kokuhlinzwa. 
• Inani legazi nokunye ukuhlola kusiza odokotela bahlole impilo yesiguli iyonke.

I-Proximal Femoral Nail (PFN) Inqubo Yokuhlinza

Izinyathelo zokuhlinza zihlanganisa:

• Odokotela abahlinzayo babeka iziguli emhlane wazo etafuleni elikhanyayo umlenze othintekile udonswe ngu-10-15 °. 
• Odokotela banikeza izinzwa futhi basika kancane eduze kwe-trochanter enkulu. 
• Uzipho lungena kumsele wesifazane bese luvikelwa ngezikulufu zokukhiya eziseduze ne-distal. 
• Odokotela abahlinzayo bahlola ukuzinza kwelunga futhi bavale i-incision.

Ukubuyisela ngemva kokuhlinzwa

Iziguli zihlala esibhedlela izinsuku ezingu-6-8. 

• The physiotherapist uqondisa iziguli ngokuzivocavoca kwe-isometric ngosuku lokuqala ngemva kokuhlinzwa. 
• Iziguli ziqala ukuhamba ngemishini yokusekela kusukela osukwini lwesibili. 
• Umugqa wesikhathi wokuthwala isisindo esigcwele uncike ekutheni izinze kangakanani ukuphuka kanye nekhwalithi yethambo. Ukuphulukiswa kuqeda phakathi kwamaviki ayi-10-15.

Izingozi Nezinkinga

Izinkinga ezijwayelekile zihlanganisa:

• IHematoma
• Ukutheleleka 
• Ukwehluleka kokufakelwa kuhlanganisa ukuphuka kwezinzipho
• Isikulufu esisikiwe 
• Ukukhubazeka kwe-Varus nokunciphisa okungalungile 
• Ukufuduka kwesibili

Iziguli zingase zibhekane nezingozi ezijwayelekile njengezinkinga zenhliziyo nemithambo yegazi, inyumoniya, Futhi i-pulmonary embolism. Lokhu akuvamile futhi kungaphathwa ngokunakekelwa kochwepheshe.

Izinzuzo Zokuhlinza I-Proximal Femoral Nail (PFN).

I-PFN ibonisa imiphumela engcono ngokulahleka kwegazi okuphansi kunokuhlinzwa okujwayelekile okuvamile. Iziguli zizuza ezikhathini ezimfushane zokusebenza kanye nokuchayeka emisebeni okuncane uma kuqhathaniswa nezinye izindlela. Inqubo ihlinzeka ngokuzinza okuhle kakhulu kokujikeleza kanye nezinzuzo zokufakelwa ezingaqashiwe.

Usizo Lomshwalense Wokuhlinza Izinzipho Eziseduze Kwabesifazane

Iningi lezinhlelo zomshuwalense wezempilo zihlanganisa izindleko zokuhlinzwa ze-PFN. Izikimu zikahulumeni ezifana ne-CGHS ne-Ayushman Bharat zamukela iziguli ngaphandle kwezikhathi zokulinda. Umshwalense wangasese uhlanganisa izinto ezisetshenziswayo zokuhlinzwa, izimila, kanye ne-post-surgery physiotherapy.

Umbono Wesibili Wokuhlinzwa Kwezinzipho Eziseduze Kwabesifazane

Imibono eyengeziwe yochwepheshe isiza ukuqinisekisa ukuxilongwa kanye nezinhlelo zokwelashwa. Iziguli zithola ukunakekelwa okufanele okusekelwe kuphethini yazo ethile yokuphuka kanye nekhwalithi yamathambo ngale ndlela.

Isiphetho

Ukuhlinzwa kwe-PFN kuyindlela yokwelapha ebalulekile ezigulini eziphuke isifazane. Le nqubo inezinzuzo ezibalulekile kunezinye izindlela zokwelapha. Iziguli zilahlekelwa igazi elincane, zichitha isikhathi esincane ekuhlinzweni, futhi zelaphe ngokushesha. Bangakwazi ukuqala izivivinyo ezilula ngosuku nje ngemva kokuhlinzwa futhi baqale ukusekelwa ukuhamba ngosuku olulandelayo.

Izibhedlela ze-CARE zihamba phambili kule nqubo ngobuchwepheshe bazo obusezingeni eliphezulu nongoti abanamakhono. Izikhungo zabo zesimanje zenza izinkulungwane zokuhlinza amathambo unyaka ngamunye, okubenza bakwazi ukuphatha amacala ayinkimbinkimbi.

Njenganoma iyiphi inqubo yezokwelapha, ukuhlinzwa kwe-PFN kunezingozi ezithile. Nokho, abantu abafanelekayo ngokuvamile bathola ukuthi izinzuzo zidlula kude lokhu kukhathazeka. Ukuphuka kweziguli eziningi ziphola ngokuphelele phakathi kwamaviki angu-10-15 ngemva kokuhlinzwa.

Ukuphuka kwe-hip kuzokhuphuka emhlabeni jikelele njengoba inani labantu likhula. I-PFN kanye nezinqubo zokuhlinza ezifanayo zisiza iziguli ukuthi zihlale zihamba futhi zigcine izinga lempilo yazo ngemva kwalokhu kulimala. Imiphumela engcono kakhulu ivela ekukhetheni amaqembu okuhlinzwa anolwazi nokulandela imihlahlandlela yokululama ngokucophelela.