Wowɔ nsɛmmisa bi?        +86-=0=0==        Song@orthopedic-china.com .
Please Choose Your Language
Wowɔ ha: Fie » Kaseɛbɔ » Dɛmdie » Wiase nyinaa Advanced Tibia Nailing Instruments Edin 2025 Top 6 Nneɛma Foforo

Wiase nyinaa advanced Tibia nnadewa nnwinnade din 2025 Top 6 Nneɛma foforo .

Views: 0     Ɔkyerɛwfo: Site Editor Publish Time: 2025-07-07 Mfiase: Beaeɛ

Facebook kyɛfa bɔtn .
Twitter so kyɛfa bɔtn .
Line kyɛfa bɔtn .
WeChat kyɛfa bɔtn .
LinkedIn kyɛfa bɔtn .
Pinterest kyɛfa bɔtn .
Kyɛ saa kyɛfa bɔtn no mu .

Tibial akisikuru .

Tibial shaft no yɛ mmeae a wɔtaa kɔ abubu no mu biako, na ɛyɛ 13.7% wɔ nipadua no mu abubu nyinaa mu. Distal tibia no wɔ nipadua mu su te sɛ mogya a wɔde ma no yiye ne ntini a ɛyɛ mmerɛw a ɛkata so kakraa bi. Sɛ mpaapaemu ba a, ntini a ɛyɛ mmerɛw a ɛsɛe ne mogya a ɛwɔ mpɔtam hɔ a asɛe no betumi ama ayɛ den sɛ ɛbɛsa yare no kɛse. Bio nso, sɛnea ɛbɛyɛ yiye sɛ fibular fractures ne instability a ɛkɔ so bere koro mu no ma oprehyɛn kwan a ɛfata a wɔpaw no ho hia.

Mfinimfini kosi mfinimfini tibial shaft no cross-section yɛ ahinanan, bere a nea ɛto so abiɛsa no yɛ ahinanan. Sɛnea mfinimfini ne nea ɛwɔ fam no hyia no yɛ teateaa na egyina hɔ ma nsakrae a ɛwɔ ne nsusuwii mu, na ɛma ɛyɛ beae a wɔtaa kɔ hɔ ma mpaapaemu ba.

Wora a enni ntini nkutoo na ɛkata tibia no anim nkyem abiɛsa mu biako so, na ɛma ɛyɛ mmerɛw sɛ ebebue mpaapaemu a ɛwɔ baabi a nnompe asinasin no tutu honam ani no. Wɔ akisikuru a wɔato mu mpo mu no, tibial a ɛpaapae dodow no ara ne honam ani ne honam ani ntini a ɛsɛe no ka ho. Tibia a ɛwɔ mfinimfini no nni ntini a ɛkata so, na fascial compartments anan na ɛwɔ tibia ne fibula no ho. Sɛ wɔde compartment syndrome no toto tibial fractures ho kɛse bere a wɔde toto abubuw afoforo ho a.

Mmubui mu nkyekyem .

AO/OTA mu mpaapaemu a ɛkɔ fam no nkyekyem .

AO/OTA Arabic akontabuo nkyekyɛmu no kyerɛ tibial shaft a ɛpaapae sɛ 4 (Tibia) 2 (shaft). Type A no ne mpaapaemu a ɛnyɛ den a ɛwɔ abubuw biako, a ɛno ne ɔkwan a wɔtaa fa so yɛ no hyia. Type B abubu no wɔ asinasin a ɛte sɛ wedge a ɛwɔ ntam. Type C mu mpaapaemu no fi ahoɔden kɛse a ɛyɛ ahodwiriw na ɛyɛ comminited segmental fractures.

Gustilo nkyekyɛmu ma mpaapaemu a ɛbue:

  • Type I: Akuru no tenten nnu cm 1, mpɛn pii no ɛyɛ kuru a ɛho tew kakra a nnompe no ano puepue wɔ were no mu. Ntini a ɛyɛ mmerɛw a ɛsɛe no sua koraa, na opira biara nni mu. Mmubui no yɛ mmerɛw, ɛyɛ nea ɛtrɛw, anaasɛ ɛyɛ tiawa, a ɛnyɛ nea ɛyɛ hu.

  • Type II: Akuru no boro cm 1, na ntini a ɛyɛ mmerɛw no sɛe kɛse nanso avulsion anaasɛ flap formation biara nni hɔ. Ntini a ɛyɛ mmerɛw da opira a emu nyɛ den kosi nea ɛkɔ fam adi, efĩ a ɛkɔ fam, ne nea ɛma ɛyɛ mmerɛw sɛ ɛbɛpaapae no.

  • Type III: Ntini a ɛyɛ mmerɛw a ɛsɛe kɛse a ɛfa ntini, honam ani, mogya ntini, ne ntini ahorow ho, a efĩ kɛse wom.

    • Type IIIA: Ɛmfa ho sɛ avulsion opira kɛse anaasɛ flap formation, anaasɛ ahoɔden kɛse ahodwiriw ɛmfa ho kuru no kɛse no, soft tissue coverage a ɛfata wɔ fracture no so.

    • Type IIIB: Ntini a ɛyɛ mmerɛw a ɛsɛe kɛse ne nea ɛyera, a periosteal yiyi ne dompe a ɛda adi, a efĩ a emu yɛ den ka ho.

    • Type IIIC: a ɛne ntini mu opira a ɛhwehwɛ sɛ wosiesie no wɔ abusuabɔ.

Ayaresa a wɔpaw .

Ayaresa a ɛnyɛ oprehyɛn a wɔde sa tibial fractures no bi ne braces, plaster external fixation, traction, manual reduction, ne external fixation frames a wɔde di dwuma. Oprehyɛn a wɔpaw no bi ne mprɛte a wɔatoto mu a wɔde hyɛ mu ne nnadewa a wɔde hyɛ mu, ne afoforo.

Intramedullary nnadewa a wɔde hyɛ mu .

Nnadewa a wɔde hyɛ nipadua no mu a wɔde hyɛ nipadua mu no yɛ nea nnompe ho oprehyɛn ho animdefo pii pɛ esiane oprehyɛn a wɔyɛ no mmerɛw, ntwitwiridii nketenkete, adwenemhaw kakraa bi, ne nnadewa no a woyi fi hɔ bere a wɔasa no yare no nti. Ɛma wonya mu fixation a emu yɛ den, na ɛma oprehyɛn akyi dwumadi apɔw-mu-teɛteɛ a wɔyɛ no ntɛm na ɛkwati mpɔtam ne nhyehyɛe mu nsɛnnennen. Saa mfaso horow yi ne AO nnyinasosɛm ahorow a ɛfa ayaresa ho no hyia.

Czmeditech tibial intramedullary nnadewa ano aduru .

Ɔbenfo tibia intramedullary nail & instrument set .

1.Proximal oblique a wɔatwa .

Anterior oblique twitwa wɔ proximal awiei no siw abufuw to patellar ligament.

2. Advanced locking nhyehyɛe .

Advance proximal locking design ma prostility a wɔpɛ ma proximal fragment no yɛ kɛse.

3. Distal oblique lock .

Distal oblique locking option a ɛbɛma ntini a ɛyɛ mmerɛw no asɛe na ama distal fragment no agyina.

4. Asaawa a ɛwɔ afã abien .

Locking screw a wɔayɛ no abien lead thread ma ɛyɛ mmerɛw sɛ wode bɛhyɛ mu.

suprapatellar kwan so tibial intramedullary nnadewa & nnwinnade a wɔahyehyɛ .

afiri a wɔde to mu .

Locking design ma fixation a emu yɛ den, tew oprehyɛn akyi fragment dislocation so.

Nneɛma pii a wɔde boa .

Multi points of fixation ma angular stability ne stable support ma tibial palteau.

Compression phases .

Afiri no wɔ adaptive adjustment function, a ne morphological nsakrae a wɔada no adi wɔ mfonini ahorow no mu wɔ pre-compression (loose state) ne post-compression (tightly fitted) tebea horow no nyinaa mu.

Proximal-distal fixation .

Multi fixation kwan fi proximal ne distal, kyerɛ awiei proximal ne distal tibial fractures.

Distal tibial intramedullary nail (DTN) & nnwinnade a wɔde yɛ adwuma .

Flat Design ma ɛyɛ mmerɛw sɛ wode bɛhyɛ mu .

Nnadewa titiriw no awiei a ɛwɔ akyirikyiri no wɔ nhyehyɛe a ɛyɛ tratraa, na ɛma ɛyɛ mmerɛw sɛ wɔde bɛhyɛ medullary cavity no mu.

Angular locking nkɔnsɔnkɔnsɔn .

Angular locking screws abien a ɛwɔ proximal end no siw fracture fã no a ɛkyinkyini na ɛkɔ baabi foforo no ano.

Anatomical curvature .

Anatomical curvature soronko bi hwɛ hu sɛ nnadewa titiriw no wɔ beae a eye sen biara wɔ medullary cavity no mu.

Nneɛma a ɛwɔ anim a ɛtwa ho hyia .

Nkyene abiɛsa a ɛtwa ho hyia wɔ akyirikyiri no ma mmoa ne nea wɔde si hɔ a etu mpɔn.

Tibial intramedullary nail & instrument set .

Nneɛma a wɔde di dwuma wɔ akwan horow so:

Ɛfata ma tibial shaft fractures dodow no ara (midshaft ne distal/proximal fractures binom), bere a wɔayɛ ahorow afoforo (sɛ nhwɛso no, DTN anaa expert nail) ama nipadua no mmeae pɔtee bi anaasɛ abubu a ɛyɛ den.

Oprehyɛn a ɛho akokwaw:

Standard kwan (Parapatellar anaa transpatellar) di akyi kwan a wɔde asi hɔ yiye a adesua kwan a ɛba fam, bere a akwan titiriw (sɛ nhwɛso no, suprapatellar) hwehwɛ mfiridwuma ho ntetee foforo.

Ka a wɔbɔ no yiye:

Sɛ wɔde toto nnadewa titiriw te sɛ Expert Nail anaa DTN ho a, standard tibial intramedullary nails taa yɛ nea ne bo yɛ den, na ɛma ɛfata ma nsɛm a wɔtaa yɛ.

Nneɛma a wɔde hyɛ nipadua mu a ɛtrɛw a ɛne ne ho hyia:

Ɛne amansan mfiri (sɛ nhwɛso no, nkɔnsɔnkɔnsɔn a wɔde to mu, mfiri a wɔde si wɔn ani so) hyia, bere a nnadewa titiriw (sɛ nhwɛso no, nnadewa a ɛyɛ animdefo a wɔde nneɛma a wɔde to mu a wɔde di dwuma wɔ akwan horow so) betumi ahwehwɛ nnwinnade a ɛyɛ wɔn de.

Type Best Indications Core Advantages .
Expert Nail . Ntini mu akisikuru a ɛyɛ den, nnompe mu yare . Multi-planar locking, ahoɔden a ɛkorɔn .
nnadewa a ɛboro so . Proximal fractures, ayarefo a wɔayɛ kɛse mmoroso . Suprapatellar kwan so, ɛtew nkotodwe anim nsɛnnennen so .
DTN . Distal fractures (a ɛyɛ ankle joint a ɛbɛn) . Multi-directional distal locking, resists shortening .
Standard Nail . Mid-shaft a ɛyɛ mmerɛw a ɛyɛ mmerɛw . Adwumayɛ a ɛnyɛ den, ɛho ka sua .

Tibia Nnwinnade a Wɔde Yɛ Nnadewa a Wɔahyehyɛ .

  1. Drilling Instruments : Nea ɛka ho ne drill bits, reamers, ne nnwinnade afoforo a wɔde di dwuma tẽẽ ma dompe drilling.

  2. Mfiri a wɔde si wɔn ani so : Nnwinnade a wɔde si fam na ɛkyerɛ kwan a wɔde tutu fam anaasɛ wɔde hyɛ mu, te sɛ akwankyerɛ nhama, akwankyerɛ nsateaa, ne mfiri a wɔde si so.

  3. Nnwinnade a wɔde siesie nneɛma : Nnwinnade a wɔde di dwuma de ka nneɛma a wɔde hyɛ nipadua no mu bom, wɔde to mu, anaasɛ wɔde siesie nneɛma te sɛ amansan nkwaa, nsateaa, nkɔnsɔnkɔnsɔn, ne hama.

  4. Nnwinnade a wɔde susuw nneɛma : Nnwinnade a wɔde susuw bun, gyinabea, anaa mmoa a wɔde ma wɔ oprehyɛn mu, te sɛ bun gauges, reduction forceps, ne bone awls (AWL).

Nneɛma a wɔde siesie nneɛma .
Nnwinnade a wɔde tu fam .
Nnwinnade a wɔde susuw nneɛma .
Mfiri a wɔde si wɔn ani so .
    

Oprehyɛn a wɔyɛ no oprehyɛn anammɔn biara .

1. ahosiesie a wɔyɛ ansa na wɔayɛ oprehyɛn .

Mfoniniyɛ nhwehwɛmu: ansa na wɔreyɛ oprehyɛn no x-ray/CT de si fracture type, medullary canal diameter ne tenten so dua, a wɔsusuw contralateral tibia sɛ reference.

Gyinabea: Supine gyinabea a kotodwe a ɛbɔ 90°-120° ne asen mu a ɛba fam kakra (na ama patellar ntini no mu ayɛ den). Ebia radiolucent frame a ɛyɛ ahinanan betumi aboa popliteal fossa no ma ɛtwetwe.

sterile draping: standard limb sterilization ne draping, a ɛma C-Arm no tumi tu.

2. Mmubui a ɛso tew .

Nneɛma a wɔde tew so a wɔato mu .

Manual Traction: Assistant de longitudinal traction di dwuma bere a oprehyɛn ho ɔbenfo no de ne nsa bɔ tibial crest ne anteromedial surface de siesie alignment (tenten, rotation, angulation).

Nnwinnade a wɔde boa:

  • Joystick Technique: Schanz nkɔnsɔnkɔnsɔn a wɔde ahyɛ proximal/distal fragments mu ama lever reduction.

  • Percutaneous clamping: Pointed reduction forceps ma oblique/spiral fractures.

  • Distractor: Distractor kɛse a wɔde si coronally (proximal schanz screw a ɛne tibial plateau hyia, distal pin wɔ talus anaa distal tibia mu) sɛnea ɛbɛyɛ a ɛbɛkɔ so ayɛ tenten.

3. Entry point a ɛwɔ baabi a ɛwɔ no .

Nneɛma a ɛwɔ hɔ: .

  • Entry point 1cm distal to anterior tibial plateau ano, a ɛne medullary axis hyia.

  • Fluoroscopic confirmation: AP View ne tibial crest hyia, lateral view parallels tibial axis.

Nnwinnade a wɔde bue ano:

  • Cannulated drill wɔ guidewire so (a ɛwɔ nsa a ɛbɔ ho ban) anaasɛ curved solid awl.

  • Nsa reamers (6-8mm) ma dedaw mu abubu a ɛwɔ canal occlusion.

4. Guidewire a wɔde hyɛ mu & reaming .

Guidewire placement: ball-tipped guidewire bent 10-15mm wɔ tip ma fracture passage. Fluoroscopic si so dua wɔ distal physeal scar (ankle center).

Reaming protocol: .

  • Reamers a ɛyɛ mmerɛw a efi ase wɔ 8mm, ɛkɔ soro 0.5mm kosi cortical 'chatter' (mpɛn pii no 1-1.5mm > nnadewa ntwemu).

  • Hyɛ no nsow: Sɛ obi twe ne ho bere ne bere mu a, ɛma nneɛma a asɛe no fi hɔ; Kwati ɔhyew a ɛyɛ hyew.

5. Nnadewa a wɔde hyɛ mu .

Tenten a wɔde si gyinae:

  • Intraoperative susudua: GuideWire overlap kwan anaa fluoroscopic ruler (entry point to ankle joint).

  • Hwɛ hu sɛ nnadewa no ano du physeal scar a proximal protrusion nni mu.

Ɔkwan a wɔfa so de hyɛ mu: .

  • Nsa a wɔde di dwuma wɔ akwankyerɛ hama so; Siesie reduction sɛ resistance ba a.

  • Kura so tew bere a wɔretwam no ma distal fractures.

6. Nkitahodi a ɛda skru a wɔde hyɛ mu .

Ntoatoaso ho nhyehyɛe .

  • Length-stable fractures: Proximal locking kan (Screw biako ma kwan ma ɛyɛ dynamization).

  • Mmubui a enni ahoɔden/a ɛnyɛ nea ɛyɛ den: Distal locking a edi kan a 'backslap' di akyi de compress.

Proximal a wɔde to mu .

  • ≥2 screws via aiming device (multidifictional ma proximal fractures).

Distal locking .

  • Fluoroscopic technique: mfinimfini beam a ɛteɛteɛ skru ntokuru ('akwansin a ɛyɛ pɛpɛɛpɛ'), percutaneous drilling.

  • ≥2 screws ma distal fractures (ebetumi aka AP/oblique orientations abom).

7. Nneɛma a etwa to a wɔyɛ .

End Cap: Optional insertion (esiw nnompe a ɛkɔ nipadua no mu ano), hwɛ hu sɛ joint protrusion biara nni hɔ.

Wound closure: Layered patellar tendon repair a wɔde nhama a ɛyɛ mmerɛw ahyɛ ase.

8. Oprehyɛn akyi nhyehyɛe .

Nsiesiei a ɛba ntɛm:

  • akwaa a ɛkorɔn; Monitor for compartment syndrome wɔ 24hrs mu.

  • Fi ase yɛ nnam wɔ nkwaa mu (ankle pumps, kotodwe flexion) wɔ POD 1-2 so.

Protocol a ɛma obi mu duru yɛ adwuma:

  • Adapɛn 6 (wɔyɛ nsakrae wɔ sɛnea ɛyɛ den biara mu), ɛkɔ so yɛ ma bere a Callus pue no.

Nea edi akyi: Ayaresa/Radiological nhwehwɛmu wɔ adapɛn 2, 6, ne 12 mu.

Nsonsonoe a ɛwɔ brand-specific mu .


DePuy Synthes (Johnson & Johnson) .

Asafo ti: Raynham, Massachusetts, U.S.A.

Nneɛma a ɛyɛ fɛ:

  • Expert Tibial Nail (ETN) – a wɔayɛ ama agyina wɔ tibial a ɛpaapae a ɛyɛ den mu.

  • T2 Tibial Nail – de fixation ne compression a ɛkɔ anim ma.

Ahoɔden titiriw: R&D a emu yɛ den, wiase nyinaa nkyekyɛmu, ne nkabom ne adwenemhaw ano aduru.

Logo-1.
★★★★★
DePuy Synthes (Johnson & Johnson) .
Abenfo tibial nnadewa (ETN)
T2 tibial nnadewa .

Stryker .

Asafo ti: Kalamazoo, Michigan, U.S.A.

Nneɛma a ɛyɛ fɛ:

  • T2 tibial nnadewa – modular nhyehyɛe ma tibial shaft abubu.

  • Gamma3 Tibial Nail – Ɛka intramedullary nnadewa ne locking options bom.

Ahoɔden atitiriw: Robɔt a ɛkɔ akyiri (MAKO), ano aduru a ɛnyɛ den pii, ne adwenemhaw a ɛyɛ den.

Logo-2.
★★★★★
Stryker .
T2 tibial nnadewa
gamma3 tibial nnadewa . 

Smith & Nephew .

Asafo ti: London, UK

Nneɛma a ɛyɛ fɛ:

  • Trigen Tibial Nail – Wɔayɛ no sɛnea ɛbɛyɛ a ɛbɛyɛ mmerɛw sɛ wɔde bɛhyɛ mu na ayɛ den.

  • Im tibial nail – intramedullary fixation ma tibial fractures.

Ahoɔden titiriw: Fa w’adwene si agumadi mu nnuruyɛ ne ahodwiriw so, nneɛma foforo.

Logo-3.
★★★★★
Smith & Nephew .
Trigen tibial nnadewa
im tibial nnadewa .

Czmeditech .

Asafo ti: Changzhou, China

Nneɛma a ɛyɛ fɛ:

  • Distal tibial intramedullary nail (DTN) – a wɔayɛ no yiye ama distal fractures.

  • Abenfo Tibia Intramedullary Nail – Titanium aduru a ahoɔden wom kɛse.

  • suprapatellar kwan so tibial intramedullary nnadewa – invasive a wɔde hyɛ mu kakraa bi.

  • Tibial intramedullary nail – Nneɛma a wɔde hyɛ mu a ɛyɛ adwuma pii.

Ahoɔden titiriw: Ano aduru a ɛho ka sua, wiase nyinaa a ɛwɔ hɔ a ɛretrɛw.

Logo-6.
★★★★★
Czmeditech .
Distal tibial intramedullary nail (DTN)
ho ɔbenfo Tibia intramedullary nail
suprapatellar kwan a ɛkɔ tibial intramedullary
nail tibial intramedullary nnadewa .

Zimmer Biomet .

Asafo ti: Warsaw, Indiana, U.S.A.

Nneɛma a ɛyɛ fɛ:

  • ZNN Tibial Nail – Anatomic nhyehyɛe a ɛma ɛfata yiye.

  • Natural nail system – suasua natural bone mechanics.

Ahoɔden Titiriw: Ɛyɛ den wɔ nkabom a wɔsan yɛ no foforo mu, biologics nkabom, ne ano aduru a wɔayɛ ama obiara.

Logo-4.
★★★★★
Zimmer Biomet .
Znn tibial nnadewa
abɔde mu nnade nhyehyɛe .

Orthofix .

Adwumayɛbea ti: Lewisville, Texas, U.S.A.

Nneɛma a ɛyɛ fɛ:

  • Lon Tibial Nail (anom nnompe nnadewa) – a wɔayɛ ama afã a ɛkɔ mu no kwan.

Ahoɔden atitiriw: Ɛyɛ titiriw wɔ nnompe nyin nkanyan mu, ne nsa ne ne nan mu dɛmdi.

Logo-5.
★★★★★
Orthofix .
Lon tibial nnadewa (nnompe mu nnadewa a ɛwɔ akyi) .

Awie

CzmeDitech de tibial nailing ano aduru a ɛkɔ akyiri ma proximal, distal, ne complex fractures, a wɔayɛ no foforo (sɛ nhwɛso no, multi-directional locking, suprapatellar kwan) a wɔde toto wiase nyinaa nnwumakuw a wodi kan wɔ biomechanics ne ayaresabea mu aba ho.

Nsɛm a wɔde gyina hɔ ma .

[1].德康医疗. denam 德康​ 25ZSVLBXBluc9Q..

[2].AO Fapem. (nd). Intramedullary nnadewa a wɔde yɛ tibial shaft a ɛnyɛ den spiral fracture [surgical technique]. AO oprehyɛn ho nkyerɛkyerɛmu. Wɔfaa no July 10, 2024, fii 1999 mu. https://surgeryreference.aofoundation.org/orthopedic-trauma/mpanyin-trauma/tibial-shaft/simple-fracture-spiral/intramedullary-nailing?searchurl=/searchresults .

Yɛne yɛn nkasa .

Hwɛ wo Czmeditech nnompe ho abenfo .

Yɛboa wo ma wokwati afiri no sɛ wode bɛma wo nnompe ho ahiade no su na ɛsom bo, bere ano ne sika a wode bɛyɛ adwuma no.
Changzhou Meditech Mfiridwuma ho nimdeɛ Co., Ltd.

Nneɛma a wɔyɛ .

Asoɛeɛ

Nsɛmbisa seesei .
© 2023 Changzhou Meditech Technology Co., Ltd. na ɛwɔ hokwan sɛ wɔde yɛ adwuma. Hokwan ahorow nyinaa wɔ hɔ.