Top 10 distal tibial intramedullary nails (DTN) Ameriki Woroduguyanfan na san 2025 zanwuyekalo la

locking plates .

Tiɲɛniba bɛ sɔrɔ farikolo yɔrɔ nugulamaw la, banakisɛ sɔrɔli hakɛ ka ca, a kɛnɛyali ka jan .

Antegrade wuluw .

Farati min bɛ gɛnɛgɛnɛ jogin na, a siribaliya, a ka teli ka kɛ a la .

DTN furakɛli .

Fɛɛrɛ min bɛ kɛ ni fɛn fitinin ye ni a donnacogo kɔfɛta ye .

1Tibial distal fractures (tibiyali yɔrɔjanw) ka ca, wa laadala furakɛli bɛ dan .

Tibial dibial fractures ye farikolo yɔrɔ dɔw kari suguya ye min ka teli ka sɔrɔ. Laadalata furakɛli i n’a fɔ dakunw datugucogo ani antegrade intramedullary nails kelen-kelen bɛɛ bɛ ni u ka dɛsɛ ye. Datugulanw bɛ se ka bana bila opereli kɔfɛ walima farikolo yɔrɔ nugulamaw la, ka kɛnɛya ka taa a fɛ; Hali ni antegrade wuluw bɛ don a la dɔɔni dɔɔni, u bɛ se ka gɛnɛgɛnɛ tiɲɛ, ka dimi bila mɔgɔ la, ani ka faratiw lase mɔgɔ ma minnu bɛ se ka u siri walima ka u siri, ka u kɛnɛya.

2Fura kura: distal tibial nail (DTN) .

Furakɛli suguya kura dɔ—distal tibial nail (DTN)—o bɛ hakilina kura di tibial distal fractures ɲɛnabɔli ma n’a ka retrograde dicogo kɛrɛnkɛrɛnnen ye.

Jaa 1: DTN kɔfɛla doncogo dilancogo .

1Banabagatɔ jɔyɔrɔ ni a dɔgɔyali labɛnni .

Banabagatɔ bɛ bila a da la. Yɛlɛma minnu bɛ bɔ u nɔ na, ​​olu ka kan ka dɔgɔya ni bolo ye; Ni a mago bɛ a la, aw bɛ jiginɛw kɛ ka dɛmɛ don sani aw ka DTN don a kɔnɔ. Ni fibular fracture (fibulari kari) bɛ yen, fibular alignment (fibulari) ɲuman bɛ se ka tibial (banakisɛ) dɔgɔya.

2DTN doncogo taabolo .

2–3 cm longitudinal incision bɛ kɛ Malleolus cɛmancɛ kun na walasa ka deltoid ligament sanfɛla jira. Guide pin dɔ bɛ don a la walima a bɛ kɛ a cɛmancɛ la dɔɔni ka se malleulus kun ma, milimɛtɛrɛ 4–5 ka bɔ joli-sira-funu-yɔrɔ la.

Jaa 2A: guide pin doncogo .

Jaa 2B: Lateral View .

Jaa 2C: Reaming taabolo .

Rehabilitation protocole .

• Senkɔniw kolotuguda baara bɛ daminɛ opereli kɔfɛ o yɔrɔnin bɛɛ .

• Aw bɛ aw yɛrɛ tanga girinya ma dɔgɔkun 4–6 .

• Yɛlɛma dɔɔnin dɔɔnin ka taa girinya dafalen na dɔgɔkun 8–12 kɔnɔ .

• A bɛ to ka kɔlɔsili kɛ radiyografi la a kɛnɛya waati la .

1Banabagatɔ 10 ka kɛnɛyako kɔlɔlɔw .

Kalan dɔ kɛra banabagatɔ 10 kan. Kalo 3 op kɔfɛ, bana 7 tun kɛnɛyara; Banabagatɔ bɛɛ ye kɛnɛya sɔrɔ kalo 6 kɔnɔ. Ko kelen varus ni recurvatum deformités kelen-kelen bɛɛ kɛra. Dɔgɔyali, banakisɛ sɔrɔli, gɛlɛya minnu bɛ sɔrɔ fɛnw doncogo la, walima joginni minnu bɛ sɔrɔ fɛnɲɛnamafagalanw na, olu ma ye.

1Biomekaniki sabatili .

Kɔnɔbara kɔfɛta bɛ kɛ ni aksidan ni jiginni gɛlɛya ye ni i ye a suma ni cɛmancɛ dasirilanw ye ani nɛgɛ minnu bɛ kɛ ka ɲɛ. Greenfield et al. Biomechanical testing (Biomekaniko sɛgɛsɛgɛli) kɛra min b’a jira ko ni baara kɛra ni distal vis fila ye DTN kɔnɔ, o ye 60–70% sɔrɔ compression stiffness (janya gɛlɛya) la ani 90% la torsional stiffness (banakisɛ gɛlɛyali) la ni i ye a suma ni screw saba ye.

2Nafa minnu bɛ DTN la .

Ni aw ye a suma ni da tugulanw ye, kɔnɔbara basigilenw bɛ kɛ sababu ye ka farikolo yɔrɔ dɔw tiɲɛ, kɛrɛnkɛrɛnnenya la minnu bɛnnen don banabagatɔ kɔrɔbaw ma ani mɔgɔ minnu jogincogo ka jugu, ni fanga caman bɛ u la. O wale in tɛ gɛnɛgɛnɛ jiginni wajibiya, o bɛ dɔ bɔ a dɔgɔyali farati la ani ka a kɛ a bɛnnen don banabagatɔw ma minnu ka gɛnɛgɛnɛ lamagacogo ka dɔgɔn.

3Kɛnɛyaso ka ɲɔgɔndan .

Antegrade nails non union ani malaligment hakɛ ye 0–25% ani 8,3–50% ye, o cogo kelen na; ka ɲɛsin dakunw ma, 0–17% ani 0–17%. Nin kalan in kɔnɔ, ko bɛɛ ye ɲɔgɔn sɔrɔ, wa 20% dɔrɔn de tun bɛ ni deformité >5° ye, min bɛ se ka suma ni laadala fɛɛrɛw ye.

DTN ka fɛn dilannenw .

Tibial distal intramedullary nail (DTN) .

Modèle: T1100-59 Bamako, Mali.

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Distal Tibial Intramedullary Nail (DTN) minɛn set .

Modèle:1200-27 Bamako, Mali.

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Tibial distal intramedullary nail (DTN) minɛn kɛsu .

Modèle:1000-0139 Bamako, Mali.

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