Afɔdzidede ƒe atikewɔwɔ na abɔta ƒe malikenyenye le megbe .

Zi geɖe la, megbe abɔta ƒe malikenyenye tsoa megbe ƒe ʋuʋu si naa ame ƒe dzi gbãna alo abi si woxɔna le kamedede alo dɔwɔna bubuwo me si me womezãa nu boo aɖeke le o, eye ƒe sia ƒe ƒe nudzɔdzɔ 4.64 ye dzɔna le ame 100000 me ƒe sia ƒe. Woƒo nu tso amekokomɔnu geɖe siwo wozãna tsɔ daa abɔta ƒe megbe ƒe malikenyenye ŋu, siwo dometɔ aɖewoe nye lãkusi falɛfalɛwo ɖɔɖɔɖo kple amekoko si me woɖea ƒu si le ʋuʋu ɖi kple ƒunukpeƒetetedɔ le. Ke hã, amekoko ƒe kuxi siwo ŋu woka nya ta le kple alesi wogbugbɔ trɔ asi le wo ŋui la ƒe xexlẽme nye 14% kple 67%. Vevietɔ la, wobua ƒu ƒe lãkusiwo dada ɖe teƒe ɖeka pɛpɛpɛ, ʋuʋudedi ƒe ɖoɖo kple atikewɔwɔ na abi siwo kpe ɖe eŋu la be enye kuxi. Eyata ele be woana amekokomɔnuawo nanyo ɖe edzi.

Afɔɖeɖe ƒe afɔɖeɖewo:

• Wowɔ dɔ sia le atike si naa alɔ̃dɔdɔ ame le xexeame katã ƒe ƒuƒoƒo si nye nutome ƒe sulcus ƒe nutome block la te.

• Le iliac crest nuƒoƒoƒu gome la, wozãa atike siwo wua alɔ̃dɔdɔ le teƒea le lãkusi te kple eƒe akpa aɖewo.

• Wotsɔ dɔnɔa da ɖe ƒutazikpui aɖe si dzi megbe le le dzogoe 45 ° dzi be wòana iliac-kpea nado ka bliboe. Esi woɖe ƒu dodo vɔ la, dɔwɔwɔa yi edzi, eye dɔnɔa bɔbɔ nɔ anyi ɖe dzogoe si nye 70 ° dzi. Wotɔa dɔnɔa le mɔ si sɔ nu, eye wobɔbɔa alɔ si le dɔ wɔm la ɖe ŋgɔ 30 ° to ka si ƒe kpekpeme nye kilogram 2 va ɖo 3 me.

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Arthroscopic ƒunukpeƒe ƒe numekuku .

• Dɔdamɔnu sia zãa mɔnu eve alo etɔ̃. Woate ŋu azã ŋgɔgbe gbãtɔ (E) ƒe mɔnu atsɔ aku nu me tsitotsito le ƒunukpeƒewo ŋu.

  
  

• Woate ŋu atsɔ dometsotsowo ade ƒunukpeƒewo tẽ to rotator ƒe dometsotsowo me. Le go aɖewo me la, manya wɔ be woato kekeme la vɛ tẽ o (si nye, abi ƒe lãkusi ƒo xlã rotator ƒe dometsotso).

  
  

• Àte ŋu awɔ axadzi C ƒe mɔnu alo ŋgɔgbekpa D ƒe mɔnu, ale be nàte ŋu age ɖe teƒe si le acromion ƒe ta la te, ale be nàte ŋu alé ŋku ɖe rotator ƒe lãmeka ƒe teƒea ŋu.

  
  

• Wozã arthroscopic radiofrequency ablation tsɔ ʋu rotator ƒe dometsotso.

  
  

• Woɖoa toggle lever la ɖe ƒunukpeƒea to E ƒe gege ɖe eme me be wòatrɔ dometsotsoa ɖe ƒunukpeƒea ƒe akpa si le eme la ŋu.

  
  

• Le ƒunukpeƒea ƒe numekuku blibo megbe la, woda lãkusi falɛfalɛwo ƒe abiwo kple glenoid kple humeral ƒu ƒe bublu ƒe abi siwo do ƒome kplii (si nye, posterior glenoid lip, joint capsule, glenoid marginal lesion kple reverse Hill Sachs lesion) kpɔ.

  
  

• Esi woda glenohumeral ƒe ƒunukpeƒea kpɔ nyuie eye woɖo kpe dzesi siwo sɔ dzi vɔ la, woxɔ ƒu ƒe lãkusiwo.

  
  

Ƒu ƒe dodo kple edzadzraɖo .

• Woxɔ bicortical autograft la tso iliac crest si nye iliac anterior anterior iliac crest gbɔ be woakpɔ akɔta ƒe akpa si le eme la ta. Wɔ ŋutigbalẽ ƒe ʋuʋu abe 2cm ene le anterior superior iliac spine megbe eye 2cm le crest la te le iliac crest la dzi be abi ƒe wɔwɔme si tsyɔa ta la dzi tẽ.

  
  

• Esi wolé ŋku ɖe cortical bone α kple β ŋu vɔ la, wotsɔ kirschner pin eve siwo sɔ kple wo nɔewo la de axadzi cortex la me to doa me, si wotsɔ coracoid screw didi eve siwo tso arthroscopic latarjet device la me tsã (Fig. 1).

  
  

• Mɔfiame la ƒe asiléƒea le dzi yim ale be woate ŋu atsɔ ƒu si wodo la asɔ kple megbeƒu si le megbe la ƒe nɔnɔme. Mɔfianua ɖoɖo ɖe mɔ̃a dzi ɖea mɔ be woatia togbɛ si le etame la wòanye ƒu ƒe akpa si nye articular side.

  
  

• Emegbe, tu hollow coracoid process step drill ɖe Kirschner ka la dzi eye nàku do eve siwo ƒe didime nye 2.9mm le ƒu ƒe ʋuƒoa me. Woɖe drill bit la kple Kirschner pin la ɖa. Hafi nàde nutrenu si le etame la ɖe do si me woɖea nu le la me la, tsɔ tap si le etame la ƒo doa.

  
  

• Ne wonya ɖo ta si le etame ko la, zã swing saw alo bone hɛ nàtsɔ akpɔ iliac crest ƒe titina cortex ta eye nàŋe 2-cm × 1-cm × 1-cm grafts (Nɔnɔmetata 2 kple 3). Ne woɖe graft la vɔ la, wotsɔa ƒu ƒe ʋuƒoa doa ka kple coracoid process sleeve eye wozãa hollow coracoid process screws eve tsɔ wɔa unit si woate ŋu atrɔ asi le eŋu wòaɖo eƒe nɔƒe mamlɛtɔ (Fig. 4).

  
  

• Wotu iliac crest abi la ƒuƒoƒo ɖesiaɖe kple drainage tube eye wozã dressing. Emegbe nàtrɔ asi le dɔwɔwɔ ƒe kplɔ̃a ƒe megbe ŋu wòazu 70 °.

Figure 1. Woƒo ƒu si le ɖusime ƒu la nu ƒu esime dɔnɔa nɔ ƒutazikpui ƒe nɔnɔme me. Woɖoa Kirschner-aŋe eveawo ɖe teƒe ɖeka kple mɔ̃ si wotsɔna fiaa mɔe si nye double cannula, eye cannula la ƒe asiléƒea yia dzi. (Ant, ŋgɔgbe; DCG, Double Casing Guide; Inf, Lower Post, Megbe; Sup, Dzigbe.)

Figure 2. Ne dɔnɔa le ƒutazikpui ƒe nɔnɔme me la, woxɔa ɖusime iliac crest ƒe ƒu ƒe ƒuƒoƒo. Ɖe drill bit kple Kirschner ka la ɖa le iliac crest cortex ƒe axadzinuƒolanɔƒea kuku vɔ megbe, eye emegbe nàde 2 'hats'. (Ant, ŋgɔgbe; DCG, Double Casing Guide; Inf, Lower; Post, megbe; Sup, Dzigbe; th, Top Hat.)

Figure 3. Ne dɔnɔa le ƒutazikpui ƒe nɔnɔme me la, woɖea ɖusime iliac crest ƒe ƒu ƒe ƒuƒoƒo. Iliac crest la ƒe akpa si le eme la gakpɔtɔ le nenema le esi woŋe lãkusia vɔ megbe. (Ant, ŋgɔgbe; inf, ete; it, ememe kplɔ̃; post, megbe; sup, dzi.)

Figure 4. Dzra ƒu ƒe ƒuƒoƒo ɖo ɖe axadzikplɔ̃a dzi. Esi woŋe lãkusia vɔ la, wotsɔ cannula eve siwo wotsɔ xea mɔ na nuawoe do ka kple ƒu si wodo la ɖe cannula eveawo ŋu. (Ant, ŋgɔgbe; DCG, cannula eve ƒe mɔfiame; IBG, iliac ƒu dodo; inf, anyime; post, megbe; sup, dziƒo.)

Mɔdodowo kple mɔ siwo dzi woato age ɖe eme le megbe .

• Zi geɖe la, wozãa mɔ̃ eve va ɖo etɔ̃. Taɖodzinuae nye be woatsɔ megbe si le megbe la asɔ kple glenohumeral joint line la alesi woate ŋui. Eyata ƒunukpeƒescope lae kpɔa edzi. Eyata wowɔa esia koŋ le dɔwɔwɔ vɔ megbe tso ŋgɔgbe axadzi ƒe mɔ̃a me.

  
  

• Wotsɔa anterolateral ƒe mɔnu E la dana ɖe rotator lãmeka ƒe teƒe si le biceps lãmekaa tame, si ate ŋu aɖe glenoid ƒe nugbɔ ƒe megbe ƒe akpa si le megbe la afia bliboe (Tabla 1).

  
  

• Zi geɖe la, mɔ̃ aɖeke megahiã o; Gake ne ehiã la, woate ŋu azã megbeƒuƒu ƒe mɔnu bubu si to megbefɔti me (le kpɔɖeŋu me, atsɔ akpɔ labial prostheses siwo kpe ɖe wo nɔewo ŋu dzi).

  
  

• Le mɔ nyuitɔ nu la, mɔnu A le Glenohumeral Joint Line ƒe axadzi tututu.

  
  

• To mɔnu E ƒe ŋgɔgbe kple megbekpɔkpɔ me la, tsɔ aŋe 2 ƒo ɖe megbe le didime si nye sentimeta 2.5 va ɖo 3 me, eye nàde ƒunukpeƒea ɖe teƒe ɖeka le gaƒoƒo 7 kple gaƒoƒo 9 (ɖusime abɔta).

  
  

• Wɔ ŋutigbalẽ ƒe ʋuʋu le aŋe 2 la dome eye nàzãe abe megbe ene (Nɔnɔmetata 5A kple B).

Figure 5. (a) Dɔnɔa ade dzesi ŋutigbalẽ ƒe ʋuʋu le 70 ° dzogoe si bɔbɔ nɔ anyi, ɖusime abɔta kple e gege ɖe eme ƒe nɔnɔme me. Be woate ŋu aɖo megbe nyuitɔ kekeake le megbe si me tsi tona kple glenohumeral joint line dome la, wotsɔa akɔtaƒu eve dea megbe be woatsɔ anya dzesi si fia be ŋutigbalẽa ƒo ɖe eme.

(b) ƒunukpeƒe ƒe nukpɔkpɔ le susu me, ɖusime abɔta, kple elektrɔnik mɔ̃ si wotsɔ kpɔa dɔnɔa kple aŋea le 70 ° anyinɔƒe ƒe nɔnɔme me. (Ant, ŋgɔgbe; DCG, mɔfianu eve; GL, Glenoid; inf, anyime; post, megbe; PC, megbe capsule; SN, akɔta ƒe aŋe; SUP, superior.)

Glenoid dzadzraɖo .

• Wotoa megbe (A) ƒe mɔ̃a me toa dɔwɔnua me.

  
  

• Ɖe labrum kple megbe kapsule la ɖa le 7 va ɖo 10 (ɖusime abɔta) to VAPR kple Razor zazã me (Fig. 6A kple B, Video 1).

  
  

• Tsɔ arthroscopic burrs ƒo megbe glenoid kɔa vaseɖe esime ƒu si le dodom la nadze eye woawɔ yameʋua (Fig. 7). Ne glenoid kɔa nya sɔ gbe ko la, wololona ɖe megbe si le megbe la dzi be woate ŋu ato graft kple double coracoid cannula la me.

  
  

• Woateŋu azã scalpel la atsɔ akeke lãmekawo ƒe mama kple cystotomy ɖe enu, gake woate ŋu azã trocar si le dzogoe ene me si me mekɔ o (subscapular passage) atsɔ akeke mɔzɔzɔa ɖe enu (Nɔnɔmetata 8).

Figure 6. (AB) Glenoid dzadzraɖo ƒe nɔnɔmetata le arthroscopy te, dɔnɔ si bɔbɔ nɔ 70 ° dzogoe, ɖusime abɔta, elektrɔnik mɔnu ƒe nɔnɔme. Le glenoid la dzadzraɖo me la, zã VAPR kple lãgbalẽŋudɔwɔnu nàtsɔ aɖe glenoid nuyi kple megbeƒuƒu ƒe lãkusi ɖa le 7:00 vaseɖe 10:00. (Ant, ŋgɔgbe; gl, glenoid; HH, humeral ta; inf, anyime; PC, megbe lãkusi;ti, megbe; sup, superior; V, vapr.)

Figure 7. Arthroscopic visualization of glenoid preparation: Dɔnɔa bɔbɔ nɔ dzogoe si nye 70 °, ɖusime abɔta, e-portal view. Dodo le megbe glenoid kɔ le glenoid dzadzraɖo me. (Ant, ŋgɔgbe; b, burr; gl, glenoid; inf, anyime; pgn, megbe glenoid kɔ;ti, megbe; sup, etame.)

Figure 8. Glenoid dzadzraɖo ƒe ƒunukpeƒeŋusẽ ƒe nɔnɔmetata: Dɔnɔa bɔbɔ nɔ dzogoe si nye 70 °, ɖusime abɔta, e-portal view. Do megbea ɖe edzi si me wotsɔa trocar si me mekɔ o. (Ant, ŋgɔgbe; bt: blunt trocar; GL, glenoid; inf, anyime; PC, megbe kapsule;ti, megbe; sup, dzigbe.)

Graft ƒe nɔƒe kple fixation .

Wotsɔ lãkusia to megbemɔa dzi eye asiléƒea dze ŋgɔ dzi (Fig. 9) eye wòma to lãmekaa kple ƒunukpeƒe ƒe kapule me vaseɖe esime wògogo megbe glenoid la ƒe kɔ eye wòaʋuʋu kple glenoid ƒe articular surface. Ele be afɔɖeɖe sia nalé fɔ ɖe mama ƒe dzadzraɖo ŋu, vevietɔ ʋu si le infraspinatus si le ʋeʋẽm eye wòsẽ ŋu la ʋuʋu eye wòaxe mɔ ɖe graft la ƒe yiyi nu.

• Ele vevie be woazã scalpel ƒe asike atsɔ aʋu fascia la geɖe. Ne ehiã la, le amekoko ƒe akpa si woawɔ emegbe me la, ne tsi si le dodom le eme la le vevie akpa be wòalé abɔta ƒe nyaƒoɖeamenu si sɔ me ɖe asi la, woate ŋu azã dɔwɔnuwo atsɔ axe abi si wowɔ na amea ƒe akpa aɖe (le kpɔɖeŋu me, abi ƒe akpa siwo wotsɔ ƒoe).

  
  

• Wotsɔa coracoid cannula la dana ɖe lãkusia ƒe akpa si le abe lãkusi ene la nu ale be kirschner ka kple gavi siwo kplɔe ɖo nagage ɖe ƒunukpeƒea me le wo dede me o.

  
  

• Wotsɔ Kirschner ka eve siwo didi milimeta 1.5 la de eme to coracoid process screws siwo me do le la me be woatsɔ aɖɔ graft si le megbe glenoid neck la ɖo (Fig. 10).

  
  

• Mele be Kirschner ka la dede eme nawu 40mm be woaƒo asa na to si le ŋgɔgbe glenoid kɔ me o, si ate ŋu agblẽ nu le ŋgɔgbe kple ahɔhɔ̃mekawo ƒe wɔwɔme ŋu, togbɔ be subscapularis lãmeka ƒe akpa aɖe koe le kɔ kple ahɔhɔ̃mekawo ƒe wɔwɔme dome be woakpɔ eta hã.

Figure 9. Dɔnɔa de graft la eme le 70 ° anyinɔƒe, eye wòlé ŋku ɖe ɖusime abɔta kple megbeƒuƒu ƒe akpa ŋu. Wotsɔa megbegboa toa megbegboa me eye wotsɔa asiléƒea dzea ŋgɔ etame. (Ant, ŋgɔgbe; DCG, Double Casing Guide; inf, anyime;ti, megbe; sup, dziƒo.)

Figure 10. Arthroscopic visualization of graft positioning, dɔnɔ si bɔbɔ nɔ 70 ° dzogoe, ɖusime abɔta, e gege ɖe eme ƒe nɔnɔme. Kirschner pin eve siwo wotsɔ de eme la naa lãkusia nɔa te ɖe megbe glenoid kɔa dzi. (Ant, ŋgɔgbe; GL, Glenoid; IBG, iliac ƒu ƒe ƒuƒoƒo; inf, anyime; kw, kirschner ka; post, megbe; sup, dzigbe.)

Esi wònye be wokpɔa 30 ° arthroscope la tso portal vein la ƒe ŋgɔgbe ta la, le dzɔdzɔme nu la, elɔ̃na be yeakɔ lãkusia ɖe dzogoe aɖe dzi, si wɔnɛ be eƒe akpa si le ete la dzena nyuie tsɔ wu be wòaɖiɖi. Ele vevie be woalé ŋku ɖe eŋu nenye be ƒu si wodo ɖe lãme na ame la gakpɔtɔ nye nusi woate ŋu awɔ le atike si wodo ɖe lãme nɛ la megbe hã.

• Ne graft la nya tsi kple megbe glenoid margin ko la, ɖe coracoid screw didi gbãtɔ ɖa eye nàku 3-2mm keke bicortical glenoid tunnel le Kirschner ka la dzi.

  
  

• Le afɔɖeɖe sia me la, ele vevie be woanɔ anyi kpoo le nuwɔna gbãtɔa megbe. Ele be kpekpeɖeŋudɔwɔlawo nalé be na wo kple asi eveawo (Nɔnɔmetata 11).

  
  

• Ele be woadzra ɖo be woatsɔ Kirschner ƒe pin etɔ̃lia ade doa me, elabena zi geɖe la, drill bit la léa Kirschner pin ɖe eƒe nɔnɔme gbãtɔ me le eɖokui si.

  
  

• Ele be woakpɔ nyuie be woagaɖe Kirschner ka la ɖa ne wole drill bit la hem to coracoid sleeve la me o. Emegbe, tsɔ 4.5 mm ƒe latarjet-gavi si ƒe akpa aɖe wotsɔ ka ƒo la de Kirschner ka (Fig. 12) me eye nàde eme bliboe be wòagatrɔ o, eye emegbe nàku gavi si le etame la. Le mɔ nyuitɔ nu la, mele be gavi la ƒe didime nawu milimeta 32 va ɖo 36 o.

  
  

• Didime ɖesiaɖe si wu milimeta 40 la bia be woalé ŋku ɖe eŋu nyuie, elabena esia ate ŋu atso dzogoe si dzi wodoe ɖo le lãkusia me ne wotsɔe sɔ kple glenoid ƒe anyime, si ate ŋu ana woadoe ɖe lãkusi me. Le afɔɖeɖe sia me la, woate ŋu aɖɔ alesi wodoe ɖe afisi wodoe ɖo la ɖo kokoko to glenoid la ƒe tɔtrɔ ɖe gavi si le ete ŋu me.

  
  

• Ne wotsɔ gavi gbãtɔ (si le ete) de eme vɔ la, woate ŋu aɖe Kirschner pin gbãtɔa ɖa. De gavi evelia eme le mɔ ma ke nu.

  
  

• Ne ètsɔ gavi 2 de eme eye nèɖe Kirschner ka la ɖa vɔ la, zã nusi wotsɔna dzroa nu me le mɔnu A me nàtsɔ alé ŋku ɖe afisi wodoe ɖo mamlɛtɔ ŋu (Nɔnɔmetata 13). Ele be woatsɔ ʋuʋudediwo atso lãkusia ƒe akpa ɖesiaɖe si do ɖe gota la me, eye mele be woatsɔ lãkusi falɛfalɛwo adzra ɖo be woatsɔ axe mɔ ɖe ƒunukpeƒewo ƒe sesẽ nu o.

Figure 11. Woɖo graft la ɖe teƒe si woɖo ɖe teƒe aɖe eye woɖo wo ɖe teƒe ɖeka. Dɔnɔa bɔbɔ nɔ dzogoe 70 ° dzi eye wokpɔ eƒe ɖusibɔ si wokpɔ tso dziƒo. Le nusi wotsɔ dea lãme na ame me kple le etutu vɔ megbe la, na mɔfiala la nanɔ asi eveawo dzi be mɔ si dzi K la nagaɖe mɔ le o. (Ant, ŋgɔgbe; DCG, cannula eve ƒe mɔfiame; KW, Kirschner ka; post, megbe; sup, dziƒo.)

Figure 12. Arthroscopic visualization of graft fixation, dɔnɔ si bɔbɔ nɔ 70 ° dzogoe, ɖusime abɔta, elektrɔnik mɔnu kpɔkpɔ. 4.5mm si le anyime si nye Latarjet screw si wotsɔ ka ƒo ɖe akpa aɖe dzi la le Kirschner pin la tame gbã. (Ant, ŋgɔgbe; GL, Glenoid; IBG, iliac ƒu ƒe ƒuƒoƒo; inf, anyime; s, screw;ti, megbe; sup, etame.)

Figure 13. Arthroscopic visualization of graft positioning, dɔnɔ si bɔbɔ nɔ 70 ° dzogoe, ɖusime abɔta, e gege ɖe eme ƒe nɔnɔme. Ne ètsɔ gavi eve de eme eye nèɖe Kirschner ka la ɖa vɔ la, lé ŋku ɖe teƒe si wodoe le mamlɛtɔ ŋu. Ƒu ƒe lãkusi sia ƒomevi ƒe nutete nyo eye dada aɖeke mele eŋu o. (Ant, ŋgɔgbe; GL, Glenoid; HH, humeral ta; IBG, iliac ƒu ƒe ƒuƒoƒo; inf, anyime; post, megbe; sup, dziƒo.)

Le amekokoa megbe la, wotsɔ 20 ° abduction angle kple neutral rotation ɖo abɔta kwasiɖa 6:

• Le ŋufɔke le dɔwɔwɔ vɔ megbe la, dze abɔta, abɔta kple asi ƒe ʋuʋu ƒe kamedede si mewɔa dɔ o gɔme. Ele be woaƒo asa na ʋuʋu kple ʋuʋu si me vevesese le.

  
  

• Le kwasiɖa 3 me la, dze kamedede siwo le dɔ wɔm le ʋuʋu me gɔme.

  
  

• Ne woɖo kpe alesi wodoe ƒe liƒo dzi to fotoɖeɖe le kwasiɖa 6 megbe le dɔwɔwɔ nɛ vɔ megbe la, woate ŋu adze kamedede sesẽ gɔme.

  
  

• Le kamedefefewɔla siwo le hayahayam kabakaba gome la, ele be woawɔ tomography le kɔmpiuta dzi le ɣleti 3 megbe le amekokoa megbe be woatsɔ akpɔ graft ƒe ƒoƒo ɖekae.

  
  

Ale Si Nàƒle Ƒumeŋutinunya Kple Ƒumeŋuɖuiwo ƒe Dɔwɔnuwo)

na . czmediTech , míekpɔa atike ƒomevi aɖe si de blibo ŋutɔ le ƒumeŋutinunya ƒe dɔwɔwɔ na ame ƒe ŋutilã kple dɔwɔnu siwo sɔ kplii me, atikeawo dometɔ aɖewoe nye . Akɔta ƒe nusiwo wotsɔ dea akɔtae ., Intramedullary ƒe ɖawo ., nuveviwɔame ƒe agbalẽvi ., Locking Plate ., Tagbɔ-maxillofacial ., Ametia ƒe akpa aɖe ., Ŋusẽ Dɔwɔnuwo ., External fixators ., Arthroscopy ., Lãwo ƒe dɔlélewo gbɔ kpɔkpɔ kple woƒe dɔwɔnu siwo kpena ɖe wo ŋu.

Tsɔ kpe ɖe eŋu la, míeɖoe kplikpaa be míayi edzi anɔ atike yeyewo tum ɖo eye míakeke atikewo ɖe enu, ale be míakpɔ ɖɔkta kple dɔnɔ geɖe ƒe amekoko ƒe nuhiahiãwo gbɔ, eye míana míaƒe dɔwɔƒea hã nate ŋu aʋli ho le xexeame katã ƒe ƒumeŋutinunya kple dɔwɔnuwo ƒe dɔwɔƒe bliboa me.

Míeɖoa wo ɖe xexeame katã, ale be nàte ŋu awɔ . Ka ɖe mía dzi le email adrɛs song@orthopedic-china.com hena nyayɔyɔ femaxee, alo ɖo gbedasi ɖe WhatsApp hena ŋuɖoɖo kaba +86- 18112515727 .

Ne èdi be yeanya nyatakaka bubuwo la,zi edzi CzmediTech be nàkpɔ nyatakaka bubuwo.