Yala aw bɛ intramedullary nailing tariku dɔn wa?

Kɔnɔbara kɔnɔ nail nali ye fɛn caman sɛmɛntiya kolo karilenw furakɛli la. Hali ni o fɛɛrɛ tun bɛ yen kabini san kɛmɛ caman, a ma se k’a jɔyɔrɔ sɔrɔ sisan fo san kɛmɛ 20nan tilancɛ filanan.

Sira min tun bɛ taa ɲɛ, o tun man nɔgɔn tuma bɛɛ, bawo o fɛɛrɛ in tun bɛ kunbɛn ni sigasiga ni sɔsɔli ye dɔnnikɛla caman fɛ san kɛmɛ 20nan tilancɛ fɔlɔ la. Bi, fɛn kuraw fɛ nɛgɛko la, opereli fɛɛrɛw ni fluoroskopi sekow fɛ, nailing kɔnɔ nailing kɛra kolo karilen janw ladonni sariya ye.

Ɲɛtaa minnu kɛra hadamadenw ka biomekanikini dɔnniya la, olu ye nin bi dilancogo in daminɛ. Bi kɔnɔna na, nailing intramedullary bɛ sɔrɔ banakisɛ sɔrɔli hakɛ dɔgɔyali fɛ, a bɛ kɛ ni joginda hakɛ dɔgɔyali ye, a kari sabatili ɲuman, ani a ka teliya ka banabagatɔw lamaga.

Tariku lajɛ min kɛra nin barokun in kɔnɔ, o kun ye ka kɔnɔnin kɔnɔ wuluw ka sɛgɛsɛgɛli lajɛ, k’a taamasiyɛn nafamaw jira, ka kɔnɔnin kɔnɔ wuluw baaracogo fɔlɔ ni u jiginni waati jira, ani ka kɔnɔkisɛ kɔnɔ wulu yɔrɔ jira bi kolosinsinnanw ni bɔnɛw la (misali la, ja 1).

Nail intramedullaire bangeli .

Misira kɔrɔlenw tun bɛ baara kɛ ni minɛn dɔ ye fɔlɔ min bɛ i n’a fɔ nɛgɛ. Opereli ka kari gɛlɛnw ladonni tun tɛ se ka kɛ a san caman ye nin ye.

Nka, min ye tiɲɛ ye, o ye ko Misira kɔrɔlenw ka binkanni fɛɛrɛbaw tun bɛ yen minnu bɔra u ka dannaya la farikolo lakununni na ɲɛnamaya kɔfɛ.

O kɛra ni mumɛ ye min bɛ wele ko UserMontu min bɛ sɔrɔ Tutankhamun kaburu kɔnɔ, yɔrɔ min na nɛgɛbere dɔ donna senkɔni ni senkɔni cɛ walasa ka gɛnɛgɛnɛ joli sabati (i n’a fɔ ja 2 kɔnɔ).

Fɛnkɔrɔw dɔnbagaw b’a miiri ko sarcophagus kɔnɔna na, mumɛ tun tɛ UserMontu yɛrɛ ye, nka mɔgɔ wɛrɛ min tun bɛ kaburu kɔnɔ binkannikɛlaw nɔ na san 600 K.Ɲ.

San 2000 o kɔfɛ, Bernardino de Sahagun, min ye hadamadenya dɔnnikɛla ye Hernando Cortes ka taama in na, o y’a jira ko a ye nailing intramedullary kɛ banabagatɔ ɲɛnama dɔ la Mɛkisiki.

San 1524, a ye Aztek kolo operelikɛla dɔ ye (a tɔgɔ ye ko 'tezalo') ye koloci kɛ ni obsidian muru ye, ka sɔrɔ ka resin barajuru don medulari yɔrɔ la walasa ka kari sabati. K’a sababu kɛ opereli kɛcogo ɲumanw ni banakisɛfagalanw tɛ yen, o fɛɛrɛ ninnu gɛlɛya hakɛ ka bon ani u ka saya hakɛ ka bon.

1800S: A ka baara fɔlɔw .

San 1800 cɛmancɛ la, furakɛli gafe fɔlɔw ye kunnafoni di kɔnɔboli kan. Diefenbach, Langenbeck, Bardenheuer ani Alemaɲikan fɔbaga wɛrɛw y’a jira ko u ye nɛgɛberew kɛ ni nɛgɛberew ye kolo janw kɔnɔ walasa ka kolo gɛlɛya furakɛ.

O waati kelen na, Nicholas Senn min bɛ Chicago, n’o ye ɲininikɛla ye ani sɔrɔdasi operelikɛla ŋana ye, o ye kɔrɔbɔliw kɛ ni kɔnɔnajɛya ye. A tun bɛ baara kɛ ni sɔgɔsɔgɔninjɛ ye min bɛ kɛ ni bovine kolo ye ka a don medulla kɔnɔ walasa ka 'Pudarthrose' furakɛ kari kɔfɛ.

San 1886, Heinrich Bircher min bɛ Suwisi, o y’a ɲɛfɔ opereli lajɛ dɔ la, nɛgɛw donli kan medula kɔnɔ walasa ka kari gɛlɛnw furakɛli gɛlɛn kɛ (Jaa 3).

San damadɔ o kɔfɛ, themistocles bɛ ɲɔgɔn sɔrɔ Alimanjamana na, o ye nɛgɛ kɔnɔ nɛgɛ fɔlɔ da ni dingɛ ye nɛgɛ laban na, o cogo la, a bɛ tali kɛ ɲɔgɔn na siɲɛ fɔlɔ la.

O waati kelen na, Julius Nicolaysen min bɛ bɔ Norwij, ale de ye sɛbɛn fɔlɔ ye ka ɲɛsin biomekaniko sariyakolow ma minnu bɛ kɛ ni senkɔniw kariyɔrɔ gɛrɛgɛrɛw ye. A y’a sinsin a kan ko a ka kan ka dɔ fara a kɔnɔ nail janya kan walasa ka nafa caman sɔrɔ biomekaniki la ani ka lakana di kolo bɛɛ lajɛlen ma.

Ale fana de ye fɔlɔ ye ka hakilina min ye ka ɲɛsin nail/bonne interlocking proximal ani distal ma, o ye ka locking statique dilan. A bɛ jate dɔnnikɛla dɔw fɛ i n’a fɔ kɔnɔna nailing fa.

San 1800 cɛmancɛ la, tutigɛbagaw i n’a fɔ Ignaz Philipp Semmelweis min bɛ Vienne ani Josephlister min bɛ Glasgow, olu tun ye opereli sterilisation jusigilan sigi. O kɛra ɲɛtaa ye bawo a y’a to opereli fɛɛrɛ kuraw yiriwali ka se aseptiki ma.

1900 sànw: Evolution .

San 1912, Angletɛri operelikɛla Ernest Hay Groves ye opereli fɔlɔ ye min ye nɛgɛbere solide kɛ i n’a fɔ nɛgɛ min bɛ kɛ ni kɔnɔna na, ani a kɛra kɔfɛla ye min bɛ kɛ ni kɔji ye.

A y’a ka dɔnniya sɔrɔ diɲɛ kɛlɛ fɔlɔ waati la tuma min na a ye banabagatɔw furakɛ ni pseudarthrose banakisɛ bɛ u la minnu tun tɛ sɔn ka u farikolo yɔrɔw tigɛ. A ma dɔrɔn ka ɲɛfɔli kɛ kɔnɔbara kɔnɔ nailing fɛɛrɛ fɔlɔ kan min bɛ se ka kɛ sababu ye ka osseointegration kɛ ni joginda fitinin ye, nka a tun bɛ se fana ka baara kɛ ni kɔnɔbara basigilenw ni nɛgɛ misɛnninw ye walasa ka kariw labɛn.

A ye fɛnw kɛcogo kɔlɔsi minnu dilannen don ni aliminiyɔmu, manje ani nɛgɛ ye ani ka biomekaniki nafa dɔn kari kɛnɛyali la. Hali n’o kɛra, Ernest Hay Groves ka fɛɛrɛ ye bana caman sɔrɔ, o de kama a tun man di a waati mɔgɔw ye ten.

San 1931, Smith-Petersen, Ameriki kolotugudaw operelikɛla dɔ, ye nɛgɛbere saba don a la walasa ka kɔnɔbara basigilen kɔfɛla kari furakɛli la. A ye da wulilen dɔ labɛn min ye iliac crest ɲɛfɛla sabanan tigɛ, ka don operatifu foro la ɲɛda-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ da la, o kɔfɛ a ye kariyɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-la.

K’a sababu kɛ Smith-Petersen ka kiritigɛ ye ɲɛtaa sɔrɔ, operelikɛla caman y’a daminɛ ka nɛgɛ dontaw kɔlɔsi walasa ka kariw kɛ. Sven Johansson ye kɔnɔnin kɔnɔna na, nɛgɛ min bɛ kɔnɔna na, o dabɔ san 1932; A ka hakilina kura in ye kerfing pikirijikɛlan dɔ kɛ min tun bɛ se ka kɛ sababu ye ka kɔnɔnatumuw don a kɔnɔ ni radiyodisiyɔn ye. A ye fɛɛrɛ jɔnjɔn minnu Kɛ, olu bɛ baara la hali bì.

Ka taa ɲɛ kelen na, Rush n’a balimakɛ ye hakilina min jira ka ɲɛsin elastic intramedullary nail ma san 1937.

They used an elastic, pre-bent stainless steel intramedullary nail and attempted to create an intramedullary three-point fixation structure to counteract the tendency for axial displacement around the fracture.

U ka hakilina na, tissu soft tissu yɔrɔ min ma tiɲɛ, o bɛ kɛ tension band ye min bɛ tension (janya) min bɛ sɔrɔ ka kɔn bent élastique (bent) ɲɛ, o kɛlɛ. U jɔli dan ye nɛgɛ nɔgɔlenw ka fɛnw ye minnu bɛ se ka wuli, minnu jiginna joona ka bɔ fɛnɲɛnamafagalanw tiɲɛni na ka taa plastiki tiɲɛni na. O laban in bɛ se ka kɛ sababu ye ka jiginni filanan kɛ ani ka tiɲɛni kɛ.

Ka fara o kan, fɛnɲɛnamafagalanw bɛ bɔ da la walima u bɛ don kolow kɔnɔ minnu bɛ kɛ kansɛri ye, walima hali u bɛ don joli kɔnɔ. O bɛɛ n’a ta, Vienne dɔnnikɛla Ender tora ka baara kɛ ni nin fɛɛrɛ in ye i n’a fɔ Ender School ka kari-yɔrɔ-ko-lakɔli la wa a bɛ baara kɛ hali bi denmisɛnw ka kari-yɔrɔw labɛnni na cogo la min bɛ se ka wuli ka bɔ u nɔ na.

Bone Marrow Nail .

San 1939, Alemaɲi operelikɛla Gerhard Küntscher, n’o ye Nobɛl ka laadalabato ye, o ye nɛgɛ inox dɔ sɔrɔ min bɛ kɛ ni nɛgɛ ye min tɛ sɔgɔ, ka ɲɛsin senkɔniw ka sɔgɔsɔgɔninjɛ furakɛli ma.

Küntscher ni mɔgɔ wɛrɛw ye u lawuli ni Smith-Petersen inox screws ye minnu bɛ kɛ ka senkɔniw kɔkanna kariw furakɛ ani u dalen tun b’a la ko o sariyakolo kelenw bɛ se ka kɛ jiribolo karilenw na. U ye nɛgɛ min Sɔrɔ a daminɛ na, o tùn bɛ Kɛ a daminɛ na ni V-cogo ye cross-section ani 7-10 mm cɛmancɛ la.

Cadaveric and Animal Studies kɔfɛ, a ye intramedullary nail ani opereli kɛcogo jira opereli lajɛ dɔ la Bɛrɛlin san 1940. A daminɛ na, a ka ko kura in kɛra a ka Alemaɲi baarakɛɲɔgɔnw fɛ, hali n’a ka fɛɛrɛ ye mɔgɔw kanu diɲɛ kɛlɛba filanan kɔfɛ.

Hippocrate (460-370 K.Ɲ.), Gɛrɛkikan waati dɔgɔtɔrɔ kɔrɔ min bɛ fɔ a ma tuma caman ko furakɛli fa, a y’a fɔ siɲɛ kelen ko, 'min b'a fɛ ka opereli kɛ, o ka kan ka taa kɛlɛ la'; O cogo kelen de tun bɛ Küntscher fana na.

Naziw ka waati la, Küntscher tun sigilen bɛ dɔgɔtɔrɔso dɔ la Finlande ɲɛfɛ. O yɔrɔ la, a sera ka baara kɛ banabagatɔw ni kɛlɛdenw kan o yɔrɔ la. A ye kolo-kɔnɔ-nailing hakilina don sen kan ni opereli kɛcogo dagalen ni da wulilen ye, o cogo kelen na.

O cogo dagalen na, a ye kɔnɔna nail tɛmɛ prograde sira fɛ ka tɛmɛ trochanter belebeleba fɛ k’a bila retraction tabali kan min bɛ baara kɛ ni sling ye. A karilen bɛ segin a cogo kɔrɔ la ani ka nɛgɛ don plan fila kɔnɔ ni kunkolo fluoroskopi ye. Open approach kɔnɔ, kɔnɔbara kɔnɔ nail bɛ don kari la medulla kɔnɔ ka tɛmɛ tigɛyɔrɔ dɔ fɛ kariyɔrɔ kɛrɛfɛ.Küntscher bɛ baara kɛ ni kɔnɔbara kɔnɔ nail ye walasa ka senkɔniw kariw furakɛ ka fara tibial ni humeral fractures kan.

Küntscher ka fɛɛrɛ ye dɔnniya sɔrɔ diɲɛ kɔnɔ dɔrɔn kɛlɛden kasodenw seginni kɔfɛ.

O cogo la, Ameriki ni Angletɛri operelikɛlaw ye ɲɔgɔn dɔn ni Küntscher ye kɔnɔboli-nɛgɛw dɔn, wa u y’a dɔn ko nafa jɛlen bɛ u la nin waati in na, n’o ye kari furakɛli kɛcogoyaw ye.

Waati kunkurunnin kɔnɔ, diɲɛ kɔnɔ operelikɛla caman y’a daminɛ k’a ka fɛɛrɛ ta, wa Küntscher ka kɔnɔboli kɔnɔ, a ye fɛn caman sɛmɛntiya kariw furakɛli la, a kɛtɔ ka banabagatɔ ka kɛnɛya waati dɔgɔya ni san kelen ye. Banabagatɔ minnu tun ka kan ka wuli ka bɔ u nɔ na kalo caman kɔnɔ, olu bɛ se ka kɛ mobili ye sisan tile damadɔ kɔnɔ.

Fɔ ka na se bi ma, Alemaɲi operelikɛla bɛ jate kɔnɔbolibaga jɔnjɔn ye, wa a jɔyɔrɔ ka bon kosɛbɛ joginda opereli tariku la.

A bɛ ka fɛnw bonya ka ɲɛsin fɛnɲɛnamafagalanw ma .

San 1942, Fisher et al. A ye fɔlɔ ka a ɲɛfɔ ko sɔgɔsɔgɔninjɛ min bɛ kɛ ka ɲɛgɛnɛ kɛ walasa ka dɔ fara a ka ɲɔgɔn sɔrɔli yɔrɔ kan kɔnɔbara basigilen ni kolo cɛ ani ka kari jɔli sabatili sabati.

O bɛɛ n’a ta, Küntscher ye reaming drill flexible-guided (reaming drill) jira min bɛ baara kɛ hali bi, wa a bɛ reaming (sɔgɔli) dɛmɛ kolosinsinnan ka medullary cavity (medullary cavity) janya bɛɛ kan walasa ka nɛgɛw doncogo nɔgɔya ni cɛmancɛba kɔnɔ wuluw ye.

A daminɛ na, furakɛli kɔnɔna na, sɛgɛsɛgɛli kɛra walasa ka dɔ fara kosɛbɛ koloci yɔrɔ kan ni kɔnɔbara basigilen ye walasa ka kari jɔlen sabati ani ka banabagatɔw lamaga teliya la.

I n’a fɔ Smith ni a ɲɔgɔnnaw y’a ɲɛfɔ cogo min na, medulariw ka bonya milimɛtɛrɛ 1 o kelen bɛ dɔ fara ɲɔgɔnkanu yɔrɔ kan ni 38% ye. O bɛ kɛ sababu ye ka baara kɛ ni kɔnɔw ye minnu ka bon ani minnu ka gɛlɛn, olu bɛ kɛ sababu ye ka kari jɔli sigicogo bɛɛ sabati.

Nka, hali ni Küntscher kɔnɔ nail n’a ka intramedullary reaming drill ye min bɛ se ka wuli ka bɔ a nɔ na, ​​o kɛra kɔnɔna fiɲɛbɔlan sugandili bɛnnen ye koloci kama, Academia ma diya a ye san 1960 labanw na ka arbeitsgemeinschaft flisynthesefragen (AO) ka plate kura labɛn.

1960 sànw: Dibi waatiw .

San 1960 waatiw la, kɔnɔboli kɔnɔ, a barika banna ka bɔ a la ka ɲɛsin plate ni screw fracture fixation ma.

Hali ni Küntscher ka fɛɛrɛ tun bɛ baara kɛ ka ɲɛ, diɲɛ fan bɛɛ la, operelikɛlaw banna u la k’a sababu kɛ opereli kɔfɛ nɔ juguw ye.

Ka fara o kan, operelikɛla dɔw y’a daminɛ ka fiɲɛ bila u la, i n’a fɔ kunkolodimi, barisa operelikɛlaw fari fagara kɔlɔlɔ juguw fɛ minnu bɛ sɔrɔ fiɲɛ fɛ. Nailing intramedullary yiriwali ma jɔ yen, hali ni diɲɛ bɛɛ ka bɛnkanba ye ka ɲɛsin plate interne fixation systems ma.

Küntscher, Alemaɲi dɔgɔtɔrɔ dɔ, y’a dɔn ko nafa minnu bɛ sɔrɔ ka fɛnw siri ɲɔgɔn na ani ka fɛnw labɛn minnu bɛ i n’a fɔ cloverleaf, a ye minnu tɔgɔ da ko 'detention nail'. O waati in kɔnɔ, akilila kɔnɔna na, o waati la, o tun ye sebaliya ye ka kari walima kariw sabati minnu tun tigɛlen don kosɛbɛ, minnu tun bɛ wuli ka kɛ yɔrɔbaw ye, o gɛlɛya in ɲɛnabɔli tun ye sirilanw ye minnu bɛ datugu.

O gɛlɛya in fura tun ye ka kɔnɔboli kɔnɔna sabati ni sɔgɔlilan ye.

O cogo la, fɛn min bɛ don a kɔnɔ, o tun bɛ se ka kurukuruw ni torsional fanga kɛlɛ ka ɲɛ ka sɔrɔ ka bolokɔniw surunyali bali. Baara kɛ ni hakilinaw faralen ye ɲɔgɔn kan ka bɔ Küntscher, Klaus Klemm, ani Wolf-Dieter Schellmann, kɔnɔnin kɔnɔ, nɛgɛ min bɛ sɔrɔ a kɔnɔ, o dabɔra walasa ka sabatiliba sɔrɔ ni a ye ka kɔn ka a siri ni kurukuruw ye minnu bɛ se ka siri ani ka u di ni kɔnɔnatumu ye, o min tun sirilen bɛ ni kuru donna a kɔnɔ.

San damadɔ nataw kɔnɔ, ɲɛtaa minnu kɛra ja jɛlen fluoroskopi la, olu y’a to ka kari dadon ni dɔgɔyali fɛɛrɛw sugandi kokura.

1970 sànw ni 1980 sànw: Lakununni .

San 1970 waatiw la, nafa min tun bɛ Alemaɲi operelikɛla Küntscher kɔnɔ, o tun ka bon kosɛbɛ.

dagalen dɔgɔyali kɔnɔ nail fixation intramedullary for fractures, n’a ka ɲɔgɔndan ye reaming flexible ni interlocking hakilinaw ye ani ka fluoroskopi fɛɛrɛw jɛyali bonya, ka ɲɛtaa ni a jɛnsɛnni kɛ nin opereli fɛɛrɛ ɲuman in na, min bɛ sɔrɔ farikolo yɔrɔ nugulamaw tiɲɛni fitinin fɛ, sabatili ɲuman, ani teliya la banabagatɔw ka taamacogo.

O waati la, kalanko diɲɛ bɛɛ lajɛlen ye ko kura caman kɛ minnu ye kɔnɔboli-yɔrɔ filanan yiriwali bila sen kan.

San 1976, Grosse ni KEMPF ye kɔnɔnin dɔ da min kɔnɔna yɔrɔ dɔw ye slotted intramedullary nail ye walasa ka gɛlɛya ɲɛnabɔ elastic modulus of the intramedullary nail. Kɔnɔbara kɔnɔna na, a ma sɔgɔ yɔrɔ la min bɛ gɛrɛ ɲɔgɔn na, wa a tun bɛ ni nɛgɛdaga ye min bɛ kɛ ka ɲɛ, o min tun bɛ don a la ni a bɛ kɛ ni 45 ye, walasa ka kɔnɔboli kɔnɔna na, a kɔnɔna fiyɛli fanga bonya fanga bonya.

San damadɔw o kɔfɛ, AO donna kɔnɔw ka wuluwuluw dilanni taabolo la, u kɛtɔ ka kɔnɔw labɛn minnu bɛ sɔrɔ o cogo kelen na (Jaa 5) .

San 1984, Weinquist et al. Propos the dynamic approach, min tun ye ka fracture laban kɛnɛya bonya ni locking screw holes belebelebaw kɛli ye, ka locking screws statics bɔ, ani o kɔfɛ ka locking vises holes caman sɛmɛntiya ka kɛ oval oval holes in a more modern design ye.

O fɛɛrɛ barikama in kun ye ka kari kɛnɛya sabati ani ka kolobaliya bali ka da baara kɔfɛ.

Sisan, nailing dynamique kɔnɔ nailing dynamique bɔnɛna a lafasabagaw la i n’a fɔ fɛɛrɛ jɔlen, wa a bɛ kɛ sisan dɔrɔn i n’a fɔ fura min musaka ka dɔgɔ ka tɛmɛ kɔnɔna fixation system caman cili kan pewu kariw furakɛli la minnu tɛ kɛnɛya ye.

Biomekaniki kalan dɔ kɔnɔ, Gimeno et al. y’a jira ko tɛmɛsira yɔrɔ min bɛ sɔgɔsɔgɔninjɛ kɔnɔ, o yɔrɔ minnu tɛ sɔgɔ ani minnu bɛ sɔgɔ, olu bɛ kɛ sababu ye ka degunw hakɛ sɔrɔ ani ka opereli dɛsɛ kɔnɔbara basigilen doncogo la.

Walasa ka nin gɛlɛyaw ɲɛnabɔ, Russel ni Taylor et al. A ye nɛgɛ fɔlɔ min tɛ sɔgɔ, min ma dila, o ye nɛgɛ kɔnɔ nɛgɛ ye san 1986, ni a jaabiw ye minnu bɛ mɔgɔ wasa.

O waati kɔnɔna na, gɛlɛya min tun bɛ sɔrɔ fɛnɲɛnamafagalanw ni ɲɔgɔn cɛ, o fana tora ka taa ɲɛ, wa i n’a fɔ an b’a dɔn cogo min na bi, ka ɲɔgɔn siri ni nɛgɛ ye min bɛ tɛmɛ fɛnɲɛnamafagalanw kɔnɔ, o tun ye Klemm ni Schleman ka dilan ye Alimanjamana na. O kuru in doncogo tun bɛna ɲɛminɛ ni freehand fluoroscopie ye, o tun bɛna operelikɛla bila fiɲɛ caman na.

Bi, o gɛlɛya in ɲɛnabɔra ni laɲini yɔrɔjan ye min bɛ kuran-yɔrɔ-ko-taama-fɛɛrɛw don a kɔnɔ, freehand technology guidée fluoroscopiquement, ani nail installation guide proximate tigitigi.

1990 sànw: Titanium intramedullary nail .

San tan nataw kɔnɔ, Russel-Taylor intramedullary nail kɛra fɛn ye min diyara kosɛbɛ diɲɛ kolotugudaw la. Ladonni sariya kɛra dɔɔni dɔɔni kɔnɔ nailing kɔnɔ ni juruw dacogo jɔlen ye, i n’a fɔ a jiralen bɛ cogo min na Brumback ni a ɲɔgɔnnaw ka sɛgɛsɛgɛli jaabiw fɛ.

Nin ɲinini nata in na, jaabiw y’a jira ko da tuguli ye jaabi ɲumanw sɔrɔ a fanba la, wa a ma tali kɛ karibaliya la.

Ɲɛtaa minnu kɛra nɛgɛko la, olu kɛra sababu ye ka titanium intramedullary nails bɔ, minnu bɛ kɛ ka caya biyomedikɛli baara la k’a sababu kɛ u fanga ye, u ka sɔgɔli ɲuman ani u ka ɲɛnamaya kɛcogo ɲuman.

Alta intramedullary nailing system tun ye titanium intramedullary nail fɔlɔ ye min bɛ sɔrɔ, wa a bisimilalen don kosɛbɛ furakɛli jɛkulu fɛ k’a sababu kɛ titanium ka masina jogo ye, o min ka barika ka bon nka a man gɛlɛn ka tɛmɛ nɛgɛ kan.

Nka, sisan sɛbɛnw bɛ sigasiga ko titaniyɔmu ye fɛn ye min bɛnnen don kɔnɔna jɔli ma ka tɛmɛ nɛgɛ intan kan, kɛrɛnkɛrɛnnenya la, ka da musaka caman kan minnu bɛ tali kɛ titaniyɔmu tali la.

Nka, nafa dɔw bɛ titaniyɔmu na, i n’a fɔ modulu elastik min ka surun kolosinsinnan kolo ni magnɛti rezɔn ja la, o b’a kɛ sugandili ye min bɛ mɔgɔ sama.

Ka fara o kan, titanium ye fɛɛrɛ ye min bɛ mɔgɔ ɲɛnajɛ kosɛbɛ ni a cɛmancɛ kɔnɔna na, a ka kan ka kɛ ni a cɛmancɛ ye.

Sisan taabolow .

San tan tɛmɛnenw ka ɲɛtaa n’u ka dɛsɛ kɔfɛ, kolotugudaw operelikɛlaw ka dɔnniya ka bon kosɛbɛ kɔnɔbara basigilen na.

senkɔniw, senkɔniw ani ɲɛgɛnɛsiraw karili kɔnɔ, o kɛra kari dagalen fanba ladonni sariya ye ani kari dafalen dɔw. Laɲini ni jɔyɔrɔfalen sira kura ye taabolo nɔgɔya ani ka segin a kan hali operelikɛlaw ma minnu tɛ se kosɛbɛ.

Kɔsa in na, ko minnu bɛ kɛ, olu b’a jira ko nɛgɛ titaniyɔmu ni nɛgɛ nɔgɔlenw bɛ ni modulu ye min ka bon kosɛbɛ, wa ko degunw bɛ degun minnu bɛ mɔgɔ dimi, olu datugu, minnu ka kan ka kɛ kolo kɛnɛyali la. Biomateriels kuraw i n’a fɔ manjesiyɔmu bɔgɔlanw, u cogoya hakilijagabɔlanw ani fɛn minnu bɛ se ka wuli, olu bɛ ka sɛgɛsɛgɛ sisan kalanko la.

Intramedullary nails minnu dilannen don ni polimɛriw ye minnu bɛ to ka bɔ karɔbɔni na ni modulu ye min bɛ se ka wuli ka bɔ u nɔ na ani sɛgɛn fanga ka bon sisan. Manje alloyw bɛ ni modulu ye min bɛ tali kɛ kolosinsinnan kolo la ani u bɛ se ka tiɲɛ.

Kɔsa in na, Li et al. ye nafa caman jira kolotugudaw kari furakɛli la baganw ka misaliw la minnu bɛ tali kɛ manje ni zoledronati dacogo faralen ɲɔgɔn kan kari dilancogo la, o ye cogoya ye min bɛ se ka kɛ kolotugudaw kari furakɛli ye don nataw la.

Kuncɛli

Sanw kɔnɔna na, ni ɲɛtaa caman bɛ sɔrɔ fɛnɲɛnamafagalanw dilanni na, nɛgɛko fɛɛrɛw, ani opereli fɛɛrɛw la, sɔgɔsɔgɔninjɛ kɔnɔ naili kɛra ka kɛ sisan kolo karilen janw ladonni hakɛ ye sisan, wa a ye fɛɛrɛ ye min bɛ se ka kɛ fɛn ye, min tɛ se ka segin a cogo kɔrɔ la.

Nka, k’a sababu kɛ fɛnɲɛnamafagalanw dilanni caman ye, kunnafoni caman tɛ sɔrɔ u ka opereli kɔfɛ kɔlɔlɔw kan. Sɛgɛsɛgɛli caman ka kan ka kɛ walasa ka sɔgɔsɔgɔninjɛ suguya hakɛ ɲuman dɔn, a jogo ani a kurukuruni.

An b’a fɔ ko fɛn kuraw minnu bɛ sɔrɔ biomateriyaliw la, olu bɛna nail intramedullary kura bɔli bange.

Orthopedic Implants ani Orthopedic Instruments (Fɛn minnu bɛ se ka kɛ ka ɲɛgɛnɛ kɛ) san cogo min na, o ye .

Kosɔn czmeditech , An bɛ ni kolotuguda opereli fɛnw ye minnu dafalen don kosɛbɛ ani minɛnw minnu bɛ bɛn o ma, o ye fɛn ye . Spine Implants ., Nails intramedullaires ., Plate de traume ., locking plate ., kunkolo-maxillo-facial ., Prothèse ., Seko ni dɔnko baarakɛminɛnw ., kɛnɛma fixateurs ., Arthroscopie ., Baganw ladonni n’u dɛmɛnanw.

Ka fara o kan, an b’an jija ka fɛn kuraw dilan tuma bɛɛ ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndan ye diɲɛ kɔnɔ kolotugudaw ni minɛnw dilanni bɛɛ la.

An bɛ taa jamana wɛrɛw la, o la aw bɛ se ka . Aw ye anw sɔrɔ email adrɛsi la song@orthopedic-china.com ka sɔrɔ ka quotation sɔrɔ fu, walima ka ci bila WhatsApp kan walasa ka jaabi teliya sɔrɔ +86- 18112515727 .

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