Dugukolo kan Tibia Nailing Instruments tɔgɔ 2025 Top 6 Innovations .

1.Proximal oblique tigɛ .

Anterior oblique cutting in proximal end bɛ dimi bali ka kɛ patellar ligament ye.

2. Ɲɛnabɔli min bɛ kɛ ka ɲɛ .

Advance proximal locking design bɛ dɔ fara sabatili ɲininen kan proximal fragment kama.

3. Distal oblique lock .

Distal oblique locking option walasa ka farikolo yɔrɔ nugulamaw tiɲɛni bali ani ka dɔ fara distal yɔrɔ sabatili kan.

4. filanin fila .

locking screw min dilannen don ni fila ye min bɛ se ka don a kɔnɔ walasa a ka don nɔgɔya la.

locking mechanism .

locking design for strong fixation, ka opereli kɔfɛ fragment dislocation dɔgɔya.

Dɛmɛn min bɛ kɛ yɔrɔ caman na .

Multi points of fixation bɛ angular stabilité ani support sabatilen di tibial palteau ma.

Fasa minnu bɛ kɛ ka ɲɛsin degun ma .

Minɛn in bɛ ni ladamuni baarakɛcogo ye, n’a cogoya caman yeli jiralen bɛ jaw la minnu bɛ kɛ ka kɔn compression pre-compression (cogo la) ani post-compression (tightly fitted) cogoyaw la.

Fixation proximal-distal .

Multi fixation fɛɛrɛ min bɛ bɔ proximal ani distal la, olu bɛ tibial u laban ni distal kari.

fla design ka don nɔgɔya la .

Nakɔba in laban yɔrɔjan bɛ ni dilan fla ye, min bɛ don nɔgɔya la medulari kɔnɔ.

Angular locking screws .

Kɔnɔbara sirilan fila minnu bɛ kɛ kɛrɛfɛ, olu bɛ kariyɔrɔ yɔrɔ jiginni ni a jiginni bali.

Anatomique curvature .

Anatomical curvature kɛrɛnkɛrɛnnen bɛ a to wulu kunba ka sigi ka ɲɛ medullary cavity kɔnɔ.

Angle de locking (angle de locking) min bɛ ɲɔgɔn cɛ .

Angle locking screw saba minnu bɛ ɲɔgɔn cɛ yɔrɔjan na, olu bɛ dɛmɛ ni jɔli nafama di.

Fɛn caman kɛli:

A bɛnnen don tibial shaft fractures fanba ma (cɛmancɛ ni distal/proximal fractures dɔw), k’a sɔrɔ suguya wɛrɛw (misali la, DTN walima expert nail) dabɔra farikolo yɔrɔ kɛrɛnkɛrɛnnenw kama walima kari gɛlɛnw kama.

Opereli kɛcogo kɔgɔlen:

Fɛɛrɛ jɔnjɔn (parapatellar walima transpatellar) bɛ tugu fɛɛrɛ sigilen ɲuman na ni kalansira dɔgɔyali ye, k’a sɔrɔ fɛɛrɛ kɛrɛnkɛrɛnnenw (misali la, suprapatellar) bɛ fɛɛrɛ kalan wɛrɛw wajibiya.

musaka-dɛsɛ:

Ni aw ye a suma ni nɛgɛ kɛrɛnkɛrɛnnenw ye i n’a fɔ nail walima DTN dɔnbaga, tibial intramedullary nails standards bɛ sɔrɔ ka caya, o b’a to u bɛnnen don banaw ma minnu bɛ kɛ tuma bɛɛ.

Large implant compatibilité:

A bɛ se ka baara kɛ ni diɲɛ bɛɛ ka minɛnw ye (misali la, locking screws, targeting devices), k’a sɔrɔ nɛgɛ kɛrɛnkɛrɛnnenw (misali la, nɛgɛ dɔnbagaw ni dakun caman datugucogo) bɛ se ka kɛ baarakɛminɛnw ye minnu bɛ se ka kɛ u yɛrɛ ta ye.

1. Labɛnni ka kɔn opereli ɲɛ .

Ja lajɛ jateminɛ: X-ray/CT ka kɔn opereli ɲɛ walasa ka kari suguya, medullary kanal diamètre ani a janya dafa, ni senkɔniw sumani ye contralateral ye i n’a fɔ reference.

A jɔyɔrɔ: Aw bɛ a jɔ ni gɛnɛgɛnɛ ye 90°-120° ani ka kɔkiliw ta dɔɔni dɔɔni (walasa ka senkɔniw girinya dɔgɔya). Kalansen saba bɛ se ka popliteal fossa dɛmɛ ka ɲɛsin traction ma.

draping sterile (Farafinfurakɛli): farikolo yɔrɔ dɔw sɔgɔli ni u sirili, o bɛ C-arm lamagacogo sabati.

2. Kari dɔgɔyali .

dagalenw dɔgɔyali fɛɛrɛw .

Bololabaara: Dɛmɛbaga bɛ janya janya kɛ ka a sɔrɔ operelikɛla bɛ tibial crest ni anteromedial surface kɛ walasa ka alignment (janya, jiginni, angulation) ladilan.

Minɛnw dɛmɛni:

• Joystick fɛɛrɛ: Schanz vis minnu bɛ don proximal/distal fragments kɔnɔ walasa ka levier dɔgɔya.

• Percutané clamping: Reduction pointées pointées pour bérés oblique/spiral.

• Distractor: Distractor belebele min bɛ bila koronawirisi la (sɛrɛkili min bɛ kɛ ni sɔgɔsɔgɔninjɛ ye min bɛ bɛn tibial plateau ma, pinɛ yɔrɔjan talu la walima tibia distal) walasa ka janya mara.

3. Donda yɔrɔ sigiyɔrɔmako .

Yɔrɔ minnu bɛ yen:

• Donda 1cm distal ka taa ɲɛfɛ tibial plateau da la, a bɛ bɛn ni medullary axis ye.

• Fluoroscopic confirmation: AP view bɛ ɲɔgɔn sɔrɔ ni tibial crest ye, lateral view parallèles tibial axis.

Dakunw daminɛcogo:

• Cannulée drill over guidewire (ni bolokɔtaa ye) walima aw ka solide solide.

• Bolo reamers (6-8mm) ka fara kari kɔrɔw kan ni kanal occlusion ye.

4. GuideWire Insertion & Reaming .

GuideWire bilali: GuideWire bent-tipped 10-15mm at tip for fracture passing. Fluoroscopic confirmation (fluoroskopi) bɛ kɛ ni distal physeal scar ye (senkɔni cɛmancɛ).

Reaming Protocol:

• Reamɛri minnu bɛ se ka wuli ka bɔ u nɔ na, olu bɛ daminɛ 8mm na, ka 0,5mm fara ɲɔgɔn kan fo ka se kɔriti 'chatter' ma (a ka c’a la, 1-1,5mm > nɛgɛ cɛmancɛ).

• KƆLƆSI: Ka bɔli kɛ waati ni waati, o bɛ nɔgɔw bɔ; Aw bɛ aw yɛrɛ tanga nekɔrɔsi funteni ma.

5. Ɲɛgɛnɛsiraw doncogo .

Janya latigɛ: .

• Opereli kɔnɔ sumani: GuideWire Overlap Method walima Fluoroscopic ruler (Donni yɔrɔ la senkɔniw na).

• Aw bɛ a lajɛ ko wuluwulu kun bɛ se farikolokisɛ ma ni a ma bɔ a yɛrɛ la.

A doncogo fɛɛrɛ:

• bolo-kɔrɔ-fɔli ka ɲɛsin GuideWire ma; Aw bɛ dɔgɔyali ladilan ni resistance bɛ sɔrɔ.

• Aw bɛ dɔ bɔ a tɛmɛsira la ka fara yɔrɔjan kariw kan.

6. Interlocking vis fixation .

Sequence stratégie .

• Janya-stable kari: proximal locking fɔlɔ (Single screw bɛ a to dinamizasiyɔn).

• Janya min tɛ se ka sigi/min minitiw ye: distal locking bɛ tugu fɔlɔ ka 'backslap' ka compress.

Locking proximal .

• ≥2 buruburuw laɲini minɛn fɛ (a ka ca a la, a bɛ se ka kɛ kariw ye minnu bɛ kɛ ka ɲɛ.

Distal locking .

• Fluoroscopic technique: Central beam perpendicular to vis ('Sira dafalen'), percutaneous drilling.

• ≥2 kuruw ka fara kari (a bɛ se ka AP/Oblique Orientations fara ɲɔgɔn kan).

7. Taabolo labanw .

end cap: optional insertion (a bɛ kolosinsinnanw bali), aw bɛ a lajɛ ni joli bɔli tɛ.

Jogindaw dacogo: Aw bɛ senkɔniw dilan ni u farikolo jukɔrɔla suturaw ye minnu bɛ lafiya.

8. Opereli kɔfɛ ɲɛnabɔli .

Labɛnni joona:

• bolokɔniw kɔrɔtacogo; Aw bɛ a lajɛ ni a bɛ sɔrɔ yɔrɔ la min bɛ wele ko compartment syndrome.

• Aw bɛ joli-sira-funu (ankle pumps, gène flexion) daminɛ pod 1-2 kan.

Kisɛw ka baarakɛcogo:

• girinya yɔrɔ dɔ dɔgɔkun 6 kɔnɔ (a ladilanna sabatili kelen na), ka taa ɲɛ fo ka se a dafalen ma ni Callus bɔra.

Kundanako: Dɔgɔtɔrɔso/radiyolozi jateminɛ dɔgɔkun 2, 6 ani 12 la.