Top 10 Distal Tibial Intramedullary Nails (DTN) wɔ Amerika Atifi fam ma January 2025 .

Mprɛte a wɔde to mu .

Ntini a ɛyɛ mmerɛw a ɛsɛe ade kɛse, ɔyare mmoawa dodow a ɛkɔ soro, bere tenten a wɔsan nya .

antegrade nnadewa .

Asiane a ɛwɔ hɔ sɛ wobepira wɔ kotodwe mu, a ɛnyɛ nea ɛfata, a ɛyɛ mmerɛw sɛ ɛbɛbɔ no .

DTN ano aduru .

Minimally invasive kwan a ɛwɔ retrograde insertion design .

1Distal tibial fractures abu so, na atetesɛm mu ayaresa wɔ anohyeto ahorow .

Distal tibial fractures yɛ ade a ɛtaa ba wɔ ase a ɛyɛ mmerɛw. Amanne kwan so ayaresa te sɛ mprɛte a wɔde to mu ne nnadewa a wɔde hyɛ ntini mu no mu biara wɔ wɔn sintɔ ahorow. Mprɛte a wɔde to mu no betumi ama obi anya ɔyare no wɔ oprehyɛn no akyi anaasɛ ntini a ɛyɛ mmerɛw a ɛyɛ mmerɛw, na ama ne ho atɔ no akyɛ; Ɛwom sɛ antegrade nnadewa no ntumi nkɔ nipadua no mu kakraa bi de, nanso ebetumi asɛe kotodwe no nkwaa, ɛde ɛyaw aba, na ɛde asiane a ɛne sɛ ɛbɛhyɛ no yiye anaasɛ ɛnyɛ nea ɛfata, asiw ahotɔ kwan.

2Ano aduru foforo: Distal tibial nail (DTN) .

Aduruyɛ foforo a wɔpaw—distal tibial nail (DTN)—ma wonya adwene foforo a wɔde bedi distal tibial fractures ho dwuma denam ne nsusuwii soronko a ɛwɔ akyi no so.

Mfonini 1: DTN Retrograde Nhyɛso Nhyehyɛe .

1Ɔyarefo gyinabea ne ahosiesie a wɔde tew so .

Wɔde ɔyarefo no si baabi a ɔda fam no. Ɛsɛ sɛ wɔde nsa tew mpaapaemu a wɔatu afi wɔn afie mu no so; Sɛ ɛho hia a, fa reduction forceps boa ansa na wode DTN no ahyɛ mu. Sɛ fibular fracture a ɛka ho wɔ hɔ a, fibular alignment a ɛfata betumi aboa tibial reduction.

2DTN a wɔde hyɛ mu no ho nhyehyɛe .

Wɔyɛ 2–3 cm longitudinal incision wɔ mfinimfini malleolus no ano de da deltoid ligament a ɛwɔ soro no adi. Wɔde akwankyerɛ pin bi hyɛ Malleolus no ano anaasɛ ɛyɛ mfinimfini kakra, na efi articular no ani yɛ mm 4–5.

Mfonini 2A: akwankyerɛ pin a wɔde hyɛ mu .

Mfonini 2B: Afã a ɛwɔ akyi no .

Mfonini 2C: Reaming nhyehyɛe .

Ahosiesie ho nhyehyɛe .

• Ankle nkwaa dwumadi fi ase bere a wɔayɛ no oprehyɛn akyi pɛɛ .

• Kwati sɛ wobɛsoa wo mu duru adapɛn 4–6 .

• Nsakrae nkakrankakra a ɛkɔ mu duru a ɛyɛ pɛ so wɔ adapɛn 8–12 mu .

• Radiographic a wɔhwɛ so daa wɔ bere a wɔresan anya ahoɔden no mu .

1Nea efii ayarefo 10 mu bae wɔ ayaresabea .

Nhwehwɛmu bi dii ayarefo 10 akyi. Eduu asram 3 wɔ akyi no, na nsɛm 7 ayɛ yiye; Ayarefo no nyinaa nyaa ayaresa wɔ asram 6 ntam. Asɛm biako a emu biara yɛ varus ne recurvatum dɛmdi ahorow no sii. Wɔanhu sɛ ɛso tew, ɔyare mmoawa, ɔhaw ahorow a ɛfa nneɛma a wɔde hyɛ nipadua mu ho, anaa iatrogenic opira biara.

1Biomechanical a ɛyɛ den .

Retrograde nnadewa wɔ axial a ɛkorɔn ne rotational stiffness sɛ wɔde toto medial locking plates ne antegrade nnadewa ho a. Greenfield ne afoforo. Wɔyɛɛ biomechanical sɔhwɛ a ɛkyerɛ sɛ distal screws abien a wɔde di dwuma wɔ DTN no mu no nyaa 60–70% wɔ compressive stiffness no mu ne 90% a ɛyɛ torsional stiffness no sɛ wɔde toto screws abiɛsa ho a.

2Mfaso a ɛwɔ DTN so .

Sɛ wɔde toto mprɛte a wɔde to mu ho a, nnadewa a ɛwɔ ntini no mu no mma ntini a ɛyɛ mmerɛw no nsɛe pii, na nea ɛfata titiriw ma ayarefo a wɔn mfe akɔ anim ne wɔn a wɔapirapira wɔn ntini a ɛyɛ mmerɛw a emu yɛ den a efi apirakuru a ahoɔden kɛse wom mu ba no. Adeyɛ no nhwehwɛ sɛ wɔbɔ nkotodwe, na ɛtew asiane a ɛwɔ hɔ sɛ wɔbɛtew so no so na ɛma ɛfata ma ayarefo a wɔn kotodwe no ntumi nkɔ wɔn so no.

3Ayaresa mu ntotoho .

Antegrade nnadewa no a ɛnyɛ nkabom ne nea ɛnyɛ biako no yɛ 0–25% ne 8.3–50%, sɛnea ɛte biara; Wɔ mprɛte a wɔde to mu ho no, 0–17% ne 0–17%. Wɔ saa nhwehwɛmu yi mu no, nsɛm no nyinaa nyaa nkabom, na 20% pɛ na na ɛwɔ dɛmdi >5°, a wɔde toto atetesɛm akwan ho.

DTN Product Line .

Distal tibial intramedullary nnadewa (DTN) .

Nhwɛsode: T1100-59.

     Aguade ho nsɛm .    

Distal tibial intramedullary nail (DTN) adwinnade a wɔde yɛ .

Nhwɛsode:1200-27.

     Aguade ho nsɛm .    

Distal tibial intramedullary nail (DTN) nnwinnade adaka .

Nhwɛsode:1000-0139

     Aguade ho nsɛm .