Elastically stabilised intramedullary nails (ESINS) ye fɛɛrɛ ye min bɛ kɛ ka kolotugudaw kari janyalenw sabati opereli la. A bɛ kɛ ka caya walasa ka radiyali, ulna, femur, ani tuma dɔw la, senkɔniw ni sɔgɔsɔgɔninjɛw kariw furakɛ minnu tɛ sabati. A bɛ kɛ fana ka kolo janw ka kariw furakɛ minnu bɛ kɛ bana ye. ESIN bɛ kari jɔlen dagalen di k’a sɔrɔ a ma kariyɔrɔ da, a janya ni a jiginni ni a jiginni lakanani bɛ kɛ kariliw la minnu bɛ kɛ ni fɛn wɛrɛw ye, minnu bɛ kɛ ni fɛn ye min bɛ se ka kɛ fɛn ye. I n’a fɔ doni-falen-falen-minɛn, a bɛ sira Di farikolo yɔrɔ lamagacogo ma joona. A ka ca a la, sɔgɔsɔgɔninjɛ kɔnɔ, nɛgɛw bɛ bɔ u ka kari kɛnɛyalen kɔfɛ.
Femoral kari .
Esini taamasiɲɛw senkɔniw kariw la olu ye: u si bɛ san 4 ni san 14 cɛ ani senkɔniw karilenw bɛ sɔrɔ joginda caman kɔnɔ .
Banabagatɔ bɛ sigi kolotugudaw samalan tabali kan, wa a boti hakɛ bɛ bɛn den sen hakɛ ma. Fluoroskopu ka kan ka kɛ walasa ka ɲɛgɛnɛsiralabanaw (ll) ni latero-latera (LL) ye minnu bɛ sɔrɔ a la, olu bɛ sɔrɔ walasa ka a to a ka se ka senkɔniw yecogo ɲɛ ka bɔ kɔkili la ka se gɛnɛgɛnɛ ma. Dɔgɔyali sɔrɔli bɛ lajɛ AP ni LL filɛli fila bɛɛ la, wa jiginni fana bɛ sɛgɛsɛgɛ .
Sugandili ka kɛ wuluwuluw ye Ɲɛgɛnɛsiraw cɛmancɛ ka kan ka sariyaba labato wuluw sugandili la. Nin danfara in bɛ se ka kɛ fɛn wɛrɛ ye, min ni den si hakɛ bɛ tali kɛ ɲɔgɔn na:
- san 6–8: 3 mm cɛmancɛ;
- san 9–11 : a cɛmancɛ ye milimɛtɛrɛ 3,5 ye ;
- San 12–14: 4 mm cɛmancɛ.
nɛgɛw janya bɛ bɛn yɔrɔjan bonya kolotuguda ma ka taa trochanter growth cartilage belebeleba la .
Diaphyseal fractures .
A proximal ani middle sabanan diaphyseal fractures la proximal ani middle sabanan na, c-shaped approche, ni nɛgɛw donna retrograde fɛ distal metaphysis fɛ, o bɛ sugandi. Ni bolokɔniw bɛ kari ka surunya, nɛgɛw ka surunyali kun bɛ kɔrɔta, ka sɔrɔ cɛmancɛ kariw la, nɛgɛ cɛmancɛ bɛ kurukuru. Opereli laban na, ni kariw ye minnu bɛ ɲɔgɔn falen, a yɔrɔw bɛ nɔ bila walasa ka u yɛrɛ tanga fɛn tolen ma, o min bɛ se ka kɛ sababu ye ka duguma dakunw janya bɛnbali kɛ. Ni a karilen don ni oblique walima comunte ye, a yɔrɔ jan bɛ kɔrɔta ka don kolo la walasa ka a yɔrɔw teleskɔpi kɛ ani ka wuluw ka jiginni kɛ.
O kariw ka teli ka kɛ ka 5–10 mm surunya teliya la opereli kɔfɛ, o min bɛna kɛ sababu ye ka bonya lawuli karili sabatili waati la .
Tibial fractures .
Banabagatɔ jɔyɔrɔ ni a labɛnni banabagatɔ bɛ sigi kolotuguda tabali kan walasa ka dɔ bɔli nɔgɔya. Fluoroskopu sɔrɔli ye wajibi ye opereli kɔnɔna na. Opereli foro ka kan ka gɛnɛgɛnɛ sɔrɔ .
Kɔnɔw doncogo .
O nɛgɛw bɛ don tuma bɛɛ antegrade la proximal metaphysis kɔnɔ, antero-lateral ani anteromedial yɔrɔw la .
O kunsigi janya bɛ danfara milimɛtɛrɛ 2,5 ni 4 cɛ, ka kɛɲɛ ni banabagatɔ si hakɛ ye. Baara kɛli ni marto ye ka ɲɛsin wuluw ɲɛtaa ma, o bɛ se ka kɛ nka a ka kan ka kɛ ni hakili ye.
Dɔgɔyali cogoya bɛ sabati ni nɛgɛ cɛmancɛ ye ani a kurulen hakɛ.
Nɛgɛw man kan ka don yɔrɔjan metafizi kolo kɔnɔna na sani a ka dɔgɔya; N’o tɛ, latilenni kɛcogo bɛ se ka kolotugudaw lajɔ.
Sani Impaction ka se, a yɔrɔw jiginni bɛ lajɛ ani, ni varus tolen bɛ yen, o bɛ latilen ni nɛgɛ kɔrɔtalen kojugu ye. Opereli laban na, traction bɛ lafiya ani a yɔrɔw bɛ nɔ bila.
Ni kari minnu bɛ tigɛ, nɛgɛ minnu bɛ to kolo kɔkan, olu kunberew bɛ kɔrɔta 90° la, ka sɔrɔ ka u sɔgɔ ka don kɔri kolo la walasa ka a yɔrɔw teleskɔpi bali.
humeral fractures .
Esini taamasiɲɛw bɛ sɔrɔ ɲɛgɛnɛsira karilenw na ka kɛɲɛ ni kariyɔrɔ ye: proximal metaphysis walima diaphysis. Kɔnɔbara opereli kɔ karilenw na, Esin bɛ jira bawo a bɛ dɔ bɔ jɔli waati la min ka kan ka kɛ furakɛli kɔrɔlen na .
Diaphyseal fractures (diaphyseal fractures) la, a bɛ jira ni elastikiw ye, a bɛ kɛ cogo o cogo, a bɛ kɛ ni nɛrɛmugu radiyali ye.
Nakɔw donli nɛgɛw bɛ don ni kɔfɛ-fɛɛrɛ ye. A doncogo yɔrɔw bɛ sɔrɔ supracondylar yɔrɔ kɛrɛfɛla la, min bɛ kɛ ni kɔfɛla ye ani min bɛ a kɛrɛfɛ . Donda yɔrɔw bɛ labɛn ni drill ye bawo o yɔrɔ in na, kolosinsinnan kolo ka gɛlɛn kosɛbɛ. Nɛgɛw cɛmancɛ bɛ ɲɔgɔn Bɔ milimɛtɛrɛ 2,5 ni 3,5 cɛ, wa u bɛ Kɔrɔta cogo kelen na. O nɛgɛw bɛ Dòn ni bolo degun jɔlenw ye ani lamaga-lamagaliw ye minnu bɛ Yɛlɛma. Ni kari min bɛ sɔrɔ metafizi yɔrɔ la, o tɛ se ka dɔgɔya ka ɲɛ, nɛgɛw jiginni 1800 bɛ o dɔgɔyali nɔgɔya. Nka, ni dɔgɔyali tɛ se ka kɛ, Kirschner Guide-Wire bɛ bila yɔrɔ surun na ka sɔrɔ ka jigin da la. Diaphyseal fractures obliques ta fan fɛ, a nafa ka bon ka aw yɛrɛ tanga nɛgɛw ma minnu bɛ bɔ medullary kanal la ani ka taa kɔfɛ ka taa nerveux sulcus radiale la. O kɔ fɛ, nɛgɛ fla bɛɛ ye kariyɔrɔ tigɛ, u bɛ nɔ bila proximal metaphysis kolo cancellous la.
bolokɔniw karilenw .
kolotugudaw furakɛli bɛ sɔn bolokɔniw karilenw na, nka dan minnu bɛ se ka kɛ u yɛrɛ la, olu bɛ dɔn kosɛbɛ. Ni o danw tɛmɛna walima ni kolotugudaw furakɛli ma se, ni u bɛ dɔgɔya ni ɛsinɛ ye, ni u bɛ jira bolokɔniw karilenw na .
Opereli fɛɛrɛ banabagatɔ bɛ sigi kɔkolo la, ni a bolokɔni min bɛ a la, o bɛ sɔrɔ tabali kan.
Nɛgɛ minnu bɛ Kɛ, olu cɛmancɛ bɛ Yɛlɛma milimɛtɛrɛ 2,5 ni 3 cɛ. Ulnar nail bɛ ɲini ka tilennen, ka sɔrɔ radial nail bɛ ni taamasiyɛn ye walasa ka radius ka pronatoire curve segin.
A ka ca a la, fiɲɛ bɛ daminɛ ni kolo ye min dɔgɔyali ka nɔgɔn. Radius ta la, don yɔrɔ bɛ sɔrɔ distal metaphysis la, distal growth cartilage sanfɛ, bolokɔni janya ni a kun surunw senkɔniw cɛ. Kolotuguda kolo bɛ bɔ kɛnɛ kan ni tigɛ fitinin ye ani dingɛ bɛ sɔgɔ, o bɛ bonya ni lamaga-lamagaliw ye. O nɛgɛ bɛ don medulari kanal kɔnɔ fo ka se kariyɔrɔ ma. kari dɔgɔyali bɛ kɛ ani nɛgɛ bɛ taa ɲɛ ka don yɔrɔ surun na , fluoroskopi kɛlɛli kɔrɔ .
O cogo kelen bɛ kɛ Ulna la, ka baara kɛ ni antegrade fɛɛrɛ ye, ni dondaw bɛ olecranon cɛmancɛ da la.
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 .
Ni aw b'a fɛ ka kunnafoni wɛrɛw dɔn,click . CzMeditech ka kunnafoni wɛrɛw sɔrɔ.
