Duniya bɛɛ ka Tibia Nailing Instruments Tɔgɔ 2025 Top 6 Innovations

Nail intramedullaire tibial distal (DTN) .

Suprapatellar Approach Tibial Intramedullaire Nail

Expert Tibia intramedullaire Nail (Nɛgɛso kɔnɔna na).

1.Tigɛ Oblique Proximal (Tigɛ Oblique proximal).

Tigɛ min bɛ kɛ ɲɛfɛla la, o bɛ kɛ sababu ye ka dimi bali ka kɛ patellar ligament la.

2. Ɲɛnamaya kɛcogo ɲuman

Proximal locking design ɲɛfɛ, o bɛ dɔ fara sabatili ɲininen kan proximal fragment (kɛrɛnkɛrɛnnenya la yɔrɔ) la.

3. Distal Oblique Lock (Kɔrɔsili Oblique yɔrɔjan).

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

4. Ɲɛgɛnɛsiraw fila-fila

Kuru min dilannen don ni plɔmu fila ye walasa a doncogo ka nɔgɔn.

Kɔlɔsili fɛɛrɛ

Locking design for fixation barikama, ka opereli kɔfɛ fragment dislocation dɔgɔya.

Dɛmɛ min bɛ kɛ yɔrɔ caman na

Fixation yɔrɔ caman bɛ sabatili kɛ kɛrɛfɛ ani ka dɛmɛ sabatilen di tibial palteau ma.

Fasa minnu bɛ kɛ ka fɛnw degun

O minɛn in bɛ ni ladilanni baarakɛcogo ye min bɛ se ka ladamu, n’a cogoya caman yeli jiralen don ja ninnu na, a bɛ kɛ cogo min na ka kɔn degun ɲɛ (cogo lajɔlen) ani degun kɔfɛ (a bɛ bɛn kosɛbɛ) cogoyaw bɛɛ la.

Fixation Proximal-Distal (yɔrɔjan-yɔrɔ-yɔrɔ) la

Multi fixation method ka bɔ proximal ani distal la, o bɛ tibial proximal ni distal kari labanw jira.

Flat Design ka don nɔgɔya la

Nɛgɛba kunba yɔrɔjan bɛ kɛ ni fla ye, o bɛ a don nɔgɔya la ɲɛgɛnɛsira la.

Vis de blocage angulaires (Bros de blocage angulaires).

Kɔnɔna datugulan fila minnu bɛ a kɛrɛfɛ, olu bɛ kari yɔrɔ jiginni ni a jiginni bali.

Kurukuru Anatomique (Kurukuru Anatomique).

Kɛrɛnkɛrɛnnenya la, farikolola kurulen dɔ bɛ a to wulu kunba bɛ sigi cogo ɲuman na ɲɛgɛnɛsira kɔnɔ.

Angle Locking Screws minnu bɛ ɲɔgɔn cɛ

Angle locking screw saba minnu bɛ ɲɔgɔn cɛ, minnu bɛ yɔrɔjan dakun na, olu bɛ dɛmɛ ni fixation ɲuman di.

A bɛ se ka kɛ fɛn caman na:

A bɛnnen don senkɔniw kari fanba ma (cɛmancɛ la ani yɔrɔjan/kɛrɛfɛ kari dɔw), k’a sɔrɔ suguya wɛrɛw (misali la, DTN walima Expert Nail) dabɔra farikolo yɔrɔ kɛrɛnkɛrɛnnenw kama walima kari gɛlɛnw kama.

Opereli fɛɛrɛ kɔgɔlenw:

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

Musow ka musakaw:

Ni aw ye a suma ni wulu kɛrɛnkɛrɛnnenw ye i n’a fɔ Expert Nail walima DTN, a ka ca a la, wuluwulu minnu bɛ kɛ senkɔniw kɔnɔ, olu sɔngɔ ka gɛlɛn, o b’a to u bɛnnen don ko kɛcogo kɔrɔw ma.

Broad Implant Compatibilité: Bamako, Mali.

A bɛ se ka kɛ ni diɲɛ bɛɛ ka minɛnw ye (misali la, dasirilanw, laɲiniminɛnw), k’a sɔrɔ nɛgɛ kɛrɛnkɛrɛnnenw (misali la, Expert Nail ni dakun caman datugulanw) bɛ se ka kɛ ni baarakɛminɛnw ye minnu bɛ u yɛrɛ ta.

1. Labɛnni ka kɔn opereli ɲɛ

Ja jateminɛ : X-ray/CT sani opereli ka kɛ walasa ka kari suguya, ɲɛdawolo kanal cɛmancɛ ani a janya sɛgɛsɛgɛ, ni senkɔniw kɛrɛfɛla sumani ye i n’a fɔ a ɲɛfɔli.

Yɔrɔ jɔcogo : A jɔcogo da la ni gɛnɛgɛnɛ kurulen don 90°-120° ani ka kɔkili wuli dɔɔni (walasa ka dɔ bɔ senkɔniw jiginni na). Kɛrɛ saba radiyolucent frame bɛ se ka popliteal fossa dɛmɛ walasa ka a sama.

Sterile Draping (Stérile Draping): bolokɔniw sterilize ni draping standard, o bɛ a to bolokɔni C ka taama.

2. Kariw Dɔgɔyali

Dɔgɔyali fɛɛrɛ dagalenw

Bololabaarakɛlaw ka samali : Dɛmɛbaga bɛ janya janya kɛ ka operelikɛla bɛ senkɔni kuru ni ɲɛfɛla yɔrɔ minɛ walasa ka ɲɔgɔndan (janya, jiginni, kɛrɛfɛla) ladilan.

Minɛnw dɛmɛni:

• Joystick Technique : Schanz kurukuruw bɛ don proximal/distal fragments kɔnɔ walasa ka levier dɔgɔya.

• Percutaneous Clamping : Pinceps de réduction pointées pour la fractures oblique/spirale.

• Distracteur (Distracteur): Distracteur belebele min bilalen don koronawirisi la (close Schanz proximal parallèle à la plateau de tibial, pin distal dans le talus ou distal de tibia) walasa ka janya mara.

3. Dondaw sigiyɔrɔmako

Yɔrɔ minnu bɛ yen:

• Donda yɔrɔ ye santimɛtɛrɛ 1 ye ka se tibial plateau ɲɛfɛla da la, a bɛ bɛn ni medullary axis ye.

• Fluoroscopie confirmation : AP filɛli bɛ bɛn tibial crest ma, kɛrɛfɛla filɛli bɛ bɛn tibial axis ma.

Dakabanɔgɔ minɛnw:

• Drill cannulé sur guidewire (ni bololanɛgɛ min bɛ a tanga) walima awl solide curvé.

• Bololabaarakɛlaw (6-8mm) karilen kɔrɔw kama ni kanal datugulen don.

4. Guidewire doncogo & Reaming

Guidewire bilali : Guidewire min kunbere ye bolo ye, o bɛ kɔrɔta 10-15mm a kun na walasa ka kari tɛmɛ. Fluoroscopie confirmation à distal physeal scar (senkɔni cɛmancɛ).

Reaming Protocole:

• Reamers flexibles bɛ daminɛ milimɛtɛrɛ 8 la, ka dɔ fara 0,5mm kan fo ka se cortical 'chatter' ma (a ka ca a la 1-1,5mm > nail diameter).

• Kɔlɔsili: Ni aw bɛ bɔli kɛ tuma ni tuma, o bɛ nɔgɔw bɔ; aw bɛ aw yɛrɛ tanga thermal necrosis ma.

5. Nɛgɛso doncogo

Janya dantigɛli:

• Sumani kɛli opereli kɔnɔ : Guidewire overlap method walima fluoroscopic ruler (don yɔrɔ ka taa senkɔni joli la).

• Aw bɛ aw jija wulu kun ka se farikolojidɛsɛ ma ni a ma bɔ a kɛrɛfɛ.

Fɛn min bɛ don a kɔnɔ, o kɛcogo:

• Bolo-ɲɛnabɔli ka tɛmɛ guidewire kan; aw bɛ dɔgɔyali ladilan ni a kɛlɛli kɛra.

• Aw bɛ dɔgɔyali mara tɛmɛni waati la walasa ka kari yɔrɔjanw na.

6. Interlocking Screw Fixation (Jɛkulu min bɛ ɲɔgɔn cɛ

Sequence (Sɛbɛnni) fɛɛrɛ

• Kari minnu janya bɛ sabati: A bɛ da tugu ka surun fɔlɔ (kurun kelen bɛ sira di dinamisi ma).

• Janya-jɔbali/karilenw: Distal locking fɔlɔ bɛ tugu 'backslap' kɔ walasa ka compress.

Proximal Locking (kɛrɛnkɛrɛnnenya la).

• ≥2 juruw bɛ kɛ ni laɲiniminɛn ye (sira caman bɛ kɛ ka ɲɛsin kari gɛrɛgɛrɛw ma).

Distal Locking (Kɔrɔsili yɔrɔjan).

• Fluoroscopique fɛɛrɛ : Cɛmancɛ-fiɲɛ min bɛ jɔ ni burusi dingɛw ye ('sɛrɛkili dafalen'), a bɛ kɛ farikolo la.

• ≥2 juruw bɛ kɛ ka kari yɔrɔjanw na (a bɛ se ka AP/oblique orientations fara ɲɔgɔn kan).

7. Taabolo labanw

End Cap: Aw bɛ a don a kɔnɔ ni aw bɛ a yɛrɛ sago (a bɛ kolo don a kɔnɔ), aw bɛ aw jija kolotugudaw kana bɔ kɛnɛ kan.

Joginda datugucogo : Patellar tendon layɛrɛw dilancogo ni farikolo jukɔrɔla sɔgɔsɔgɔninjɛ lafiyalenw ye.

8. Opereli kɔfɛ ɲɛnabɔli

Labɛnni joona:

• Senkɔniw kɔrɔtacogo; kɔlɔsili kɛ ni compartiment syndrome ye sanga 24 kɔnɔ.

• Aw bɛ kolotugudaw lamagacogo waleyali daminɛ (senkɔni pɔnpew, gɛnɛgɛnɛ wulicogo) POD 1-2 kan.

Kisɛya-taama-porotokol:

• A bɛ girinya yɔrɔ dɔ ta dɔgɔkun 6 kɔnɔ (a bɛ ladilan sabatili kelen-kelen bɛɛ la), ka taa ɲɛ fo ka se a dafalen ma ni callus bɔra.

Kuntilenna: Dɔgɔtɔrɔso/radiyoziyɔn jateminɛ dɔgɔkun 2, 6 ani 12 kɔnɔ.