ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡ꯫

ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯃꯥ ꯅꯠꯔꯒꯥ ꯃꯄꯥ ꯑꯃꯅꯥ ꯕꯥꯊꯔꯨꯃꯗꯥ ꯆꯦꯅꯁꯤꯜꯂꯒꯥ "ꯃꯍꯥꯛꯀꯤ ꯍꯤꯞ ꯁꯣꯀꯄꯥ" ꯍꯥꯌꯕꯥ ꯇꯥꯈꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯆꯤꯜ-ꯏꯅꯥꯑꯣꯁꯤꯡꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯩ ꯃꯗꯨꯗꯤ "ꯅꯍꯥꯛꯅꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯑꯗꯨ ꯊꯨꯒꯥꯏꯔꯣꯏꯗꯕꯅꯤ꯫" ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯕꯗꯤ ꯍꯤꯞ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯃꯊꯛꯀꯤ ꯁꯔꯨꯛ (ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ Femur ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ), ꯍꯤꯄꯐꯝ (hip joint)ꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ, ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯥ ꯑꯗꯨꯅꯤ, ꯊꯣꯡꯅꯥꯑꯣ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯁꯔꯨꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯊꯨꯒꯥꯏꯅꯕꯒꯤꯗꯃꯛ, ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯕꯥ ꯏꯝꯄꯦꯛꯇ ꯑꯃꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ, ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯗ ꯐꯜ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯨꯝꯅꯥ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯐꯤꯛꯁ ꯇꯧꯅꯕꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯍꯤꯞ ꯖꯣꯟ ꯑꯁꯤ ꯕꯣꯜ-ꯑꯦꯟꯗ-ꯁꯣꯀꯦꯠ ꯖꯣꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯂꯩ꯫ ꯈꯣꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯕꯣꯜ ꯃꯈꯂꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯦꯂꯚꯤꯁꯇꯥ ꯂꯩꯕꯥ ꯁꯣꯀꯦꯠ ꯑꯃꯗꯥ ꯌꯥꯎꯏ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯕ꯭ꯔꯦꯛ ꯑꯗꯨꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯐꯤꯃꯔꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫

• ꯐꯦꯃꯣꯔꯦꯜ ꯍꯦꯗ ꯐ꯭ꯔꯦꯀꯆꯔ (femoral head fractures): ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯕꯣꯜ ꯃꯑꯣꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫
• ꯐꯦꯃꯣꯔꯦꯜ ꯅꯦꯛ ꯐ꯭ꯔꯦꯀꯆꯔ (femoral neck fractures): ꯕꯣꯜ ꯃꯑꯣꯡꯒꯤ ꯃꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯂꯝꯕꯤꯒꯤ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯒꯥ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯐꯤꯃꯔꯒꯤ ꯊꯣꯡꯅꯥꯎꯒꯨꯝꯕꯥ ꯁꯔꯨꯛ (neck) ꯑꯗꯨꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯈꯂꯅꯤ꯫
• ꯏꯟꯇꯔꯠꯔꯣꯆꯦꯟꯇꯦꯔꯤꯛ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ (intertrochanteric fractures): ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯄ꯭ꯔꯣꯃꯤꯅꯦꯟꯁ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯦꯟꯗꯣꯅꯁꯤꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯃꯐꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯕ꯭ꯔꯦꯛ ꯑꯃꯥ꯫

ꯍꯤꯄꯐꯝ (hip) ꯁꯣꯟꯊꯔꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯤꯄꯐꯝ (hip fracture) ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯀꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫

ꯃꯁꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯁꯔꯨ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯀꯅꯕꯥ ꯏꯝꯄꯦꯛꯇ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

• ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯒꯤ (ꯂꯦꯗꯔ, ꯌꯨꯃꯊꯛ)꯫
• ꯀꯥꯔꯒꯣ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯥꯔꯒꯣ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯄꯣꯔꯇꯁ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ: ꯀꯟꯇꯦꯛꯇ ꯁ꯭ꯄꯣꯔꯇꯁꯀꯤ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ꯫

ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯍꯤꯞ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯔꯕꯁꯨ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?

ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯄꯨꯈꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ, ꯑꯅꯥꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯇꯧꯒꯅꯤ꯫

• ꯍꯤꯞ ꯑꯦꯛꯁ-ꯔꯦ ꯇꯧꯕꯥ꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ? ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯍꯤꯞ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯩ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫

1. ꯍꯤꯞ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ / ꯍꯤꯞ ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ: ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ, ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯄꯨꯝꯕꯥ (ꯑꯄꯨꯅꯕꯥ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ) ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯈꯛꯇꯃꯛ (ꯄꯥꯔꯁꯤꯑꯦꯜ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ) ꯍꯣꯡꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

2. ꯑꯣꯄꯟ ꯔꯤꯗꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯔꯅꯦꯜ ꯐꯤꯛꯁꯦꯁꯟ (ORIF): ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯁ꯭ꯛꯔꯨ, ꯄꯤꯟ, ꯄ꯭ꯂꯦꯠ ꯅꯠꯠꯔꯒꯥ ꯙꯥꯇꯨꯒꯤ ꯔꯣꯗ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯐꯝ ꯆꯥꯅꯥ ꯂꯩ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯧꯊꯣꯛꯀꯗꯕꯅꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

• ꯑꯦꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯅꯦꯛꯔꯣꯁꯤꯁ (Avascular Necrosis) : ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯀꯀꯊꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯤꯔꯀꯏ꯫
• ꯅꯟ-ꯌꯨꯅꯤꯌꯟ: ꯱.ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ (bone fragments) ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯤꯠ ꯇꯧꯗꯕꯥ꯫
• ꯃꯥꯂꯌꯨꯅꯤꯌꯟ: ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ (mislaignment) ꯑꯃꯥ꯫
• ꯕꯣꯟ ꯏꯅꯐꯦꯛꯁꯟ (Osteomyelitis): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ (open fracture) ꯑꯣꯏꯔꯕꯗꯤ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫

ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯁꯣꯀꯄꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯊꯥ ꯀꯌꯥ ꯆꯪꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯍꯤ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯪꯕꯥ ꯃꯇꯝ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ:

• ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯈꯜ꯫
• ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ꯫
• ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ (PT) ꯍꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯊꯥ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯤ.ꯇꯤ. ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯠꯄꯥ ꯉꯃꯍꯅꯒꯅꯤ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯀꯔ, ꯀ꯭ꯔꯨꯆ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯤ?

ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ ꯃꯔꯃꯗꯤ, ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯁꯤꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯁꯨ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯇꯞꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫ ꯁꯔꯖꯔꯤ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡ ꯇꯥꯔꯀꯄꯥ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯃꯈꯣꯌꯒꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯇꯗꯤ ꯈꯔꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯍꯤꯄꯐꯝ (hip fracture) ꯅꯥꯔꯕꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯁꯤꯑꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡꯗꯒꯤ ꯂꯥꯄꯊꯣꯀꯄꯥ ꯍꯟꯊꯩ꯫ ꯃꯁꯤꯒꯤ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩꯔꯤ꯫

• ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯒꯤ ꯑꯀꯣꯌꯔꯣꯟ ꯑꯗꯨ ꯁꯥꯐꯕꯥ ꯑꯣꯏꯍꯅꯒꯗꯕꯅꯤ: ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯋꯥꯌꯥꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐ꯭ꯂꯣꯔꯗꯒꯤ ꯂꯧꯊꯣꯀꯎ꯫ ꯕꯥꯊꯔꯨꯃꯗꯥ ꯅꯟ-ꯁ꯭ꯂꯤꯞ ꯃꯦꯠ ꯑꯃꯥ ꯊꯝꯃꯨ꯫ ꯑꯐꯕꯥ ꯃꯉꯥꯜ ꯂꯩꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯂꯩꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨꯒꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯜꯂꯨ: ꯀꯦꯂꯁꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯚꯤꯇꯥꯃꯤꯟ D ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫
• ꯕꯣꯟ ꯗꯦꯟꯁꯤꯇꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯎ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯔꯕꯗꯤ, ꯕꯣꯟ ꯗꯦꯟꯁꯤꯇꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
• ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯧ:ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯤꯠ ꯕꯦꯜꯇ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯟꯅꯔꯕꯗꯤ, ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯁꯦꯐꯇꯤ ꯏꯛꯌꯨꯏꯄꯃꯦꯟꯇ ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯒꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ: ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯧꯅꯕꯥ ꯆꯦꯌꯥꯔ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯕꯂꯁꯤꯡꯗꯥ ꯆꯦꯅꯒꯅꯨ꯫ ꯆꯨꯅꯕꯥ ꯂꯦꯗꯔ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯆꯠꯀꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯈꯨꯗꯛꯇꯥ ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯑꯃꯗꯥ ꯀꯧꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫

ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯕꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯑꯣꯏꯕ꯭ꯔꯥ?

ꯑꯐꯕꯥ ꯑꯃꯠꯇꯥ ꯅꯠꯇꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯍꯤꯄꯐꯝ (hip) ꯁꯣꯟꯊꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯑꯃꯗꯥ ꯀꯧꯕꯤꯌꯨ꯫ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯐꯦꯁ꯭ꯅꯦꯂꯁꯤꯡ ꯂꯥꯛꯇꯨꯅꯥ ꯃꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯄꯨꯊꯣꯛ ꯄꯨꯁꯤꯟ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯑꯁꯤ ꯃꯍꯥꯀꯄꯨ ꯂꯦꯡꯗꯅꯥ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯕꯅꯤ꯫ ꯈꯣꯡꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯊꯃꯒꯅꯨ, ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯠꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯨ꯫