Ènya atike si wotsɔna ƒoa ɖa le lãkusi me ƒe ŋutinyaa?

Aɖatsi si le lãkusia me ƒe vava trɔ asi le ƒu ƒe gbagbã didiwo dada ŋu. Togbɔ be aɖaŋua nɔ anyi ƒe alafa geɖe hã la, meɖo eƒe nɔnɔme si li fifia gbɔ o vaseɖe ƒe alafa 20 lia ƒe afã evelia me.

Mɔ si dzi woato akpɔ dzidzedze menɔa bɔbɔe ɣesiaɣi o, elabena ɖikeke kple gbegbe agbalẽnyala geɖe va kpe aɖaŋua le ƒe alafa 20 lia ƒe afã gbãtɔ me. Egbea, to nu yeye siwo wowɔ le gaŋutinunya, amekokomɔnu kple fluoroscopic aɖaŋuwo me me la, intramedullary nailing va zu dzidzenu si dzi woato akpɔ ƒu didiwo gbɔ.

Ŋgɔyiyi siwo wowɔ le amegbetɔ ƒe agbenɔnɔmɔ̃ɖaŋununya ŋuti sidzedze me na be egbegbe aɖaŋu sia wɔwɔ te ŋu dzɔ. Egbegbe intramedullary nailing ƒe dzesi enye be dɔlékuiwo ƒe agbɔsɔsɔ si bɔbɔ, abi sue aɖe ko, eƒe gbagbã nyuie, kple dɔnɔwo ƒe ʋuʋu enumake.

Ŋutinya me numetoto si wowɔ le nyati sia me ƒe taɖodzinue nye be yeaƒo nu tso alesi lãkusia ƒe lãkusi trɔe ŋu kpuie, yeahe susu ayi yeƒe nu vevi veviwo dzi, atsɔ ɣeyiɣia ƒe nɔnɔme si me woazã lãkusia ƒe lãkusi gbãtɔ kple eƒe tɔtrɔ emegbe la afia, eye woaɖe ɖa ƒe ɖa ƒe teƒe le egbegbe ƒumeŋutinunya kple nuveviwɔame ŋuti nunya me (Kplɔ̃, Nɔnɔmetata 1).

Aɖa si le lãkusia me dzidzi .

Blema Egiptetɔwo zã mɔ̃ aɖe si le lãkusi me si ɖi ɖa zi gbãtɔ. Anɔ eme be amekoko ƒe gbagbãƒe si me nu sesẽwo le la menɔ anyi ƒe geɖe enye sia o.

Gake nusi ŋu kakaɖedzi le enye be blema Egiptetɔwo ƒe aɖaŋudzedze ƒe aɖaŋu gãwo nɔ wo si siwo do tso woƒe ŋutilã ƒe tsitretsitsi le agbenɔnɔ le ku megbe ƒe dzixɔse me.

Esia nɔ alea le mummy si woyɔna be usermontu si wokpɔ le Tutankhamun ƒe yɔdo me, afisi wotsɔ threaded nail de afɔkpodzi kple tibia dome be klonu ƒe ƒunukpeƒea nali ke (abe alesi wòle Nɔnɔmetata 2 lia me ene).

Blemanuwo ŋuti nunyalawo susui be menye ame kuku si le amekukuɖaka me la ŋutɔe nye usermontu o, ke boŋ ame bubu si wotsɔ blema yɔdo me adzodalawo ɖo eteƒe le ƒe 600 D.M.Ŋ.

Ƒe 2000 megbe la, Bernardino de Sahagun, si nye amegbetɔŋutinunyala le Hernando Cortes mɔzɔzɔa me, ka nya ta be wozã atike gbãtɔ si wotsɔ ƒoa lãkusi me zi gbãtɔ le dɔnɔ aɖe si le Mexico ŋu.

Le ƒe 1524 me la, ekpɔ Aztektɔwo ƒe ƒudɔdala aɖe (si ŋkɔe nye 'tezalo') tsɔ wɔ ƒumegbe aɖe tsɔ zã hɛ si nye obsidian eye emegbe wòtsɔ aŋɔ ƒe ati de medullary cavity la me be wòali ke ɖe gbagbãƒea ŋu. Le amekokomɔnu nyuiwo kple dɔlékuiwutikewo ƒe anyimanɔmanɔ ta la, kuxi geɖe nɔ dɔdamɔnu siawo ŋu eye ame gbogbo aɖewo kuna le wo me.

Ƒe 1800-awo: Afɔɖeɖe Gbãtɔwo .

Le ƒe 1800 ƒeawo ƒe domedome lɔƒo la, atikewɔwɔ ŋuti magazine gbãtɔwo ka nya ta tso lãkusi si wotsɔna ƒoa nu ɖe ​​vidzidɔa me ŋu. Woka nya ta be Diefenbach, Langenbeck, Bardenheuer kple amekola bubu siwo doa Germanygbe la zã nyiɖu ƒe ɖa le ƒu didiwo ƒe lãkusi me tsɔ da ƒu ƒe mamãwo.

Le ɣeyiɣi ma ke me la, Nicholas Senn si tso Chicago, si nye numekula kple asrafowo ƒe amekola veviedonula wɔ dodokpɔwo le intramedullary fixation ŋu. Azã aŋe si me do le si me do le si wotsɔ nyiwo ƒe ƒu wɔe eye wòatsɔe ade medulla la me atsɔ ada 'pusdarthrosis' le gbagbã megbe.

Le ƒe 1886 me la, Heinrich Bircher si tso Switzerland ɖɔ le amekoko ƒe kpekpe aɖe me la, wotsɔ nyiɖu ƒe ɖawo de medulla me be woatsɔ ada abi sesẽwoe (Nɔnɔmetata 3).

Ƒe ʋɛ aɖewo megbe la, Themistocles Gluck le Germany wɔ ɖa gbãtɔ si wotsɔ nyiɖu wɔe si me do le le ɖa ƒe nuwuwu, si wɔe be woto nukpɔsusu si nye be woatsɔ wo aɖo wo nɔewo ŋu zi gbãtɔ vɛ.

Le ɣeyiɣi ma ke me la, Julius Nicolaysen si tso Norway ye nye ame gbãtɔ si ŋlɔ nu tso biomechanical gɔmeɖose siwo nye intramedullary nailing of proximal femoral fractures ŋu. Ete gbe ɖe alesi wòhiã be woadzi lãkusia ƒe lãkusi ƒe didime ɖe edzi be woakpɔ viɖe geɖe wu le biomechanical me eye woakpɔ ƒu bliboa kloe ta.

Eyae nye ame gbãtɔ hã si do susua ɖa be woawɔ proximal kple distal nail/bone interlocking be woawɔ static locking. Agbalẽnyala aɖewo bua eŋu be enye lãkusi me atitsotso fofo.

Kaka ƒe 1800 ƒeawo ƒe domedome naɖo la, mɔɖelawo abe Ignaz Philipp Semmelweis si le Vienna kple Josephlister le Glasgow ɖo gɔmeɖoanyi na amekoko ƒe vidzidzi. Esia nye nu yeye aɖe si wowɔ elabena eɖe mɔ be woato amekokomɔnu yeyewo vɛ le dɔlékuiwutikewo ƒe nɔnɔmewo me.

Ƒe 1900-awo: Nɔnɔmetɔtrɔ .

Le ƒe 1912 me la, Britaintɔ amekola Ernest Hay Groves ye nye amekola gbãtɔ si zã ga sesẽ ƒe atikplɔ abe lãkusi me ɖa ene eye wònye mɔɖela le megbedede ƒe lãkusi ƒe mɔnu si wotsɔna ƒoa ɖae la me.

Eƒe nuteƒekpɔkpɔ va su esi le Xexemeʋa I me esime wòda dɔ na dɔnɔ siwo ŋu pseudarthrosis si ŋu dɔlélea le siwo medi be yewoalã yewoƒe abɔwo kple afɔwo o. Menye ɖeko wòɖɔ lãkusi me ƒoƒo ƒe mɔnu gbãtɔ si ɖe mɔ ɖe ƒu ƒe ƒoƒo ŋu to nuveviwɔame suetɔ kekeake me ko o, ke ebi ɖe lãkusi me ɖa kple ɖa suewo zazã me hã be woatsɔ aɖɔ ƒunukpeƒewo ɖo.

Edo nusiwo wotsɔ de lãme na ame siwo wotsɔ aluminum, magnesium kple gakpo wɔe la kpɔ eye wòde dzesi biomechanics ƒe vevienyenye le gbagbãƒe ƒe dɔyɔyɔ me. Togbɔ be ele alea hã la, Ernest Hay Groves ƒe aɖaŋua kpe fu le dɔlékui gbogbo aɖe ta eye le esia ta eŋɔlimetɔwo melɔ̃e nenema o.

Le ƒe 1931 me la, Smith-Petersen, si nye Amerikatɔwo ƒe ƒumeŋutinunyala, to gakpo si mexɔ dzo o si wotsɔ gakpo si mexɔ dzo o ƒe aʋala etɔ̃ vɛ be woatsɔ ada afɔkpodzi ƒe kɔme ƒe kɔmeƒu ƒe akpa si le ƒunukpeƒewo me. Ewɔ mɔnu aɖe si le ʋuʋu ɖi si ɖe iliac crest ƒe ŋgɔgbe etɔ̃lia, ge ɖe dɔwɔwɔ ƒe agblea me le ŋgɔgbekpa dzi le fascial tensor gbadzaa la ŋu, emegbe egbugbɔ teƒe si wogbã la ɖo eye wòzã impactor tsɔ ʋu gakpo si mexɔ dzo o ƒe gavi la ɖe afɔkpodzi ƒe ta me (Nɔnɔmetata 4).

Le Smith-Petersen ƒe dodokpɔa ƒe dzidzedzekpɔkpɔ ta la, amekola geɖe te ga si wotsɔ dea lãme na ame la dodo kpɔ be woatsɔ agbãe. Sven Johansson to ɖa si me do le si me do le vɛ le ƒe 1932 me; Eƒe nu yeye wɔwɔ si me aɖaŋu le la zã aŋenu si wotsɔna ƒoa nu ɖe ​​nu ŋu si ɖe mɔ be woatsɔ nu si wotsɔ dea lãkusi me la ade eme le keklẽŋusẽ me. Wogale mɔ̃ɖaŋununya ƒe akpa vevi siwo wòzã la zãm egbea.

Ne míeyi ŋgɔ wu ema la, Rush kple nɔviaŋutsu to elastic intramedullary nail ƒe nukpɔsusu vɛ le ƒe 1937 me.

Wozãa ɖa si wotsɔ gakpo si mexɔ dzo o si wotsɔ gakpo si mexɔ dzo o wɔnae do ŋgɔ, si nɔ anyi do ŋgɔ nɛ eye wodze agbagba be yewoawɔ intramedullary etɔ̃-point fixation structure atsɔ atsi axial displacement ƒe nɔnɔme si ƒo xlã fracture la nu.

Le woƒe susu me la, lãkusi falɛfalɛ ƒe akpa si me gblẽ o la wɔa dɔ abe tension band si tsi tre ɖe tension si do ŋgɔ na bent elastic nail la he vɛ ene. Woƒe wɔwɔme seɖoƒe li na le gakpo si mexɔ dzo o ƒe nɔnɔme siwo te ŋu trɔna kabakaba, si trɔ kaba tso elastic deformation dzi va zu plastic deformation. Mlɔetɔa ate ŋu ana ame naxɔ ʋuʋu evelia eye wòada gbe le ame ŋu.

Tsɔ kpe ɖe eŋu la, lãkusi siwo le lãkusia me te ŋu dona le mɔa ƒe mɔnu alo gena ɖe ƒu ƒe wɔwɔme siwo tea fli ɖe eme me, alo doa go le ƒunukpeƒea gɔ̃ hã. Ke hã, Viennese agbalẽnyala Ender yi edzi zã mɔnu sia abe gɔmeɖoanyi na Ender School of Fracture Fixation eye wogazãnɛ egbea hena ɖeviwo ƒe gbagbã ƒe fixation si te ŋu trɔna bɔbɔe.

Ƒumeŋuɖui ƒe ɖa .

Le ƒe 1939 me la, Germanytɔ amekola Gerhard Küntscher, si nye Nobel Nunana ƒe ametia, to gakpo si mexɔ dzo o ƒe lãkusi me ɖa hena afɔkpodzi ƒe lãkusi ƒe gbagbã.

Smith-Petersen ƒe gakpo siwo mexɔ dzo o siwo wozãna tsɔ daa kɔ ƒe kɔ ƒe gbagbãwoe ʋã Küntscher kple ame bubuwo eye woxɔe se be woate ŋu azã gɔmeɖose mawo ke ɖe ke ƒe gbagbã ŋu. Aɖa si wodo ɖe lãkusi me si woto vɛ la nɔ abe V ene le gɔmedzedzea me le cross-section me eye eƒe didime nye 7-10 mm.

Le ame kuku kple lãwo ŋuti numekukuwo wɔwɔ vɔ megbe la, etsɔ ɖa si wotsɔ ƒo ƒu ɖe lãme na ame kple amekokomɔnu si wozã le amekoko ƒe kpekpe aɖe me le Berlin le ƒe 1940. Le gɔmedzedzea me la, eƒe nu yeye si wòwɔ la nye fewuɖunya le eƒe dɔwɔhati siwo le Germany, togbɔ be eƒe mɔnu va xɔ ŋkɔ le Xexemeʋa II megbe hã.

Hippocrates (ƒe 460-370 D.M.Ŋ.), blema Helatɔwo ƒe ɣeyiɣia me atikewɔla si woyɔna zi geɖe be atikewɔwɔ fofo, gblɔ ɣeaɖeɣi be, 'Amesi di be yeawɔ dɔ na ye la, ele be wòayi aʋa dzi'; Nenema kee wònɔ le Küntscher hã gome.

Le Nazitɔwo ƒe ɣeyiɣia me la, Küntscher nɔ kɔdzi aɖe le Finlandtɔwo ƒe ŋgɔgbe. Afimae wòte ŋu wɔ dɔ le le dɔnɔwo kple aʋawɔlawo ƒe gaxɔ me le nutoa me. Eto ƒumeŋuɖui ƒe atitsotso ƒe susua vɛ to amekokomɔnu si wotu kple esi le ʋuʋu ɖi me zazã me.

Le mɔnu si wotu me la, eto lãkusi si le lãkusia me la ŋu le mɔ si sɔ nu to trochanter gãtɔ me eye wòtsɔe da ɖe kplɔ̃ si wogbugbɔ tsɔna ɖe megbe si wotsɔ aŋe wɔe dzi. Wotrɔa asi le gbagbãƒea ŋu eye wotsɔa tagbɔ ƒe fluoroscopy dea yameʋu eve me. Le mɔnu si le ʋuʋu ɖi me la, wotsɔa lãkusi si le lãkusia me la dea eme to lãkusia me toa lãkusia me to lãkusi si te ɖe fli si gbã la ŋu.Küntscher zãa lãkusi si le lãkusia me tsɔ daa afɔkpodzi ƒe gbagbãƒewo kpakple lãkusi kple humeral gbagbãƒewo.

Esi Küntscher ƒe aɖaŋua va xɔ ŋkɔ le dukɔwo dome esi wogbugbɔ wɔ aʋa kple Dukɔ Siwo Bla Nu ƒe gaxɔmenɔnɔ vɔ megbe hafi.

To mɔ sia dzi la, Amerika kple Britain ƒe amekolawo va nya nu tso lãkusi si Küntscher to vɛ ŋu eye wòkpɔ viɖe siwo dze ƒã le ɣeyiɣi sia si me wowɔa dɔ le gbagbã me la dze sii.

Le ɣeyiɣi kpui aɖe ko me la, amekola geɖe wu le xexeame godoo va te eƒe mɔnua zazã, eye Küntscher ƒe ɖa si le lãkusia me trɔ asi le eƒe gbagbã ŋu to dɔnɔa ƒe hayahayaɣi dzi ɖeɖe kpɔtɔ ƒe ɖeka kloe me. Dɔnɔ siwo wòahiã be woaɖe mɔ na wo le amesiwo woawɔ dɔ le ɣleti geɖe me hafi la ate ŋu azɔ mɔ azɔ le ŋkeke ʋɛ aɖewo ko me.

Vaseɖe fifia la, wobua Germanytɔ amekolaa be eyae nye nu vevitɔ si tua ɖa le lãkusia me, eye teƒe vevi aɖe le esi le amekoko si me wowɔa nuvevi ame le ƒe ŋutinya me.

Kekeɖenu le lãkusi me .

Le ƒe 1942 me la, Fisher kple exɔlɔ̃wo gblɔ be: Ði gbã la, woƒo nu tso alesi wozãa lãkusi si le kekem ɖe enu ŋu be woadzi teƒe si lãkusi si le lãkusia me kple ƒu dome la ƒe kadodo ɖe edzi eye wòana ƒumegbã ƒe fixation nali ke nyuie wu.

Ke hã, Küntscher to reaming drill si wofiaa mɔe si woate ŋu atrɔ asi le la vɛ si wogazãna egbea eye wòdoa alɔ reaming le ƒu ƒe ke ƒe medullary cavity ƒe didime bliboa me be wòanɔ bɔbɔe be woatsɔ intramedullary nails siwo ƒe didime lolo wu la ade eme.

Le gɔmedzedzea me la, wowɔ intramedullary reaming be wòana ƒu ƒe kadodo kple lãkusi si le lãkusia me nadzi ɖe edzi ŋutɔ be ƒunukpeƒea ƒe gbagbã kple dɔnɔa ƒe ʋuʋu kabakaba nalé ɖe te.

Abe alesi Smith et al ɖɔe ene la, medullary kekeɖenudɔ 1 ɖesiaɖe dzia kadodo ƒe teƒea ɖe edzi 38%. Esia wɔnɛ be woate ŋu azã lãkusi siwo lolo wu eye wosẽna wu, si wɔnɛ be woli ke le gbagbãƒe ƒe xɔtunua ƒe liƒo bliboa dzi.

Ke hã, togbɔ be Küntscher intramedullary nail kple eƒe intramedullary reaming drill si te ŋu trɔna la va zu tiatia si sɔ na ememe fixation device na osteotomy hã la, agbalẽnyanya megalɔ̃ ɖe edzi le ƒe 1960 ƒeawo ƒe nuwuwu tsɔ do alɔ plate yeye siwo wowɔ le ArbeitsGemeinschaft).

Ƒe 1960-awo me: Viviti Ɣeyiɣiwo .

Le ƒe 1960-awo me la, woɖe intramedullary nailing ɖa vivivi zi ɖeka tsɔ da asi ɖe plate kple screw fracture fixation dzi.

Togbɔ be Küntscher ƒe mɔnua wɔ dɔ nyuie hã la, amekola siwo le xexeame godoo gbe wo le dɔwɔwɔ vɔ megbe me tsonu manyomanyo ta.

Tsɔ kpe ɖe eŋu la, amekola aɖewo te keklẽŋusẽ zazã ƒe mɔnuwo, abe ta ƒe fluoroscopy ene, elabena amekolawo va nyɔ ŋu na ame le nugbegblẽ le ame ŋu le nugbegblẽ le ame ŋu si do ƒome kple keklẽŋusẽ ta. Intramedullary nailing ƒe ŋgɔyiyi metɔ ɖe afima o, togbɔ be dukɔwo dome nukpɔsusu ɖeka le plate internal fixation systems zazã me hã.

Küntscher, si nye Germanytɔ atikewɔla, kpɔ viɖe siwo le interlocking eye wòto cloverleaf-nɔnɔme ƒe interlocking intramedullary nail, si wòtsɔ ŋkɔ na 'tetention nail'. Achilles ƒe afɔkpodzi si le ɣeyiɣi ma me ƒe ɖa ƒe ɖa ƒe nɔnɔme ŋue nye ŋutete si mele wo si be woali ke le gbagbãƒe alo gbagbãƒe siwo ƒo ƒu ŋutɔ siwo woɖe ɖe go ɖe dzogoe gãwo me o la ƒe kuxi sia gbɔkpɔnue nye ʋuƒo siwo wotsɔ xea mɔ na wo zazã.

Kuxi sia gbɔ kpɔnue nye be woatsɔ gavi si wotsɔna ƒoa gae la aɖo lãkusi si le lãkusia me la ŋu.

To mɔ sia dzi la, nusi wotsɔ dea lãme na ame ate ŋu atsi tre ɖe ŋusẽ siwo wobɔbɔ kple esiwo wotsɔna ƒoa woe ŋu nyuie wu esime wole mɔ xem ɖe abɔ kple afɔ ƒe kpuiƒe nu. Wozã susu vovovo siwo tso Küntscher, Klaus Klemm, kple Wolf-Dieter Schellmann gbɔ tsɔ wɔ ɖa si le lãkusia me la be wòana wòali ke geɖe wu to do siwo me do siwo te ɖe lãkusi si le lãkusia me ŋu do ŋgɔ me, si wotu ɖe gavi si wotsɔ de eme la ŋu.

Le ƒe ʋɛ siwo kplɔe ɖo me la, ŋgɔyiyi siwo wowɔ le fluoroscopic image clarity me na be wogbugbɔ tia fracture closure kple reduction techniques.

Ƒe 1970 kple 1980 ƒeawo me: Gbugbɔgadzɔ .

Le ƒe 1970-awo me la, ɖetsɔleme ɖe Germanytɔ amekola si nye Küntscher si nye amekola si nye amekola ƒe susu ŋu la nu sẽ ŋutɔ.

Closed reduction intramedullary nail fixation for fractures, kple eƒe nutome si nye reaming si te ŋu trɔna bɔbɔe kple interlocking concepts kple fluoroscopic mɔnuwo ƒe eme kɔ nyuie si wodo ɖe ŋgɔ, ʋu ŋgɔyiyi kple amekokomɔnu nyui sia ƒe kaka, si ƒe dzesi enye be lãmeka falɛfalɛwo ƒe gbegblẽ suetɔ kekeake, liƒo nyui, kple dɔnɔwo ƒe ʋuʋu enumake.

Ɣemaɣi la, wokplɔ agbalẽnyalawo ƒe xexeame ɖo ɖe nu yeye siwo kplɔ wo nɔewo ɖo siwo ʋãa dzidzime evelia si nye intramedullary nailing ƒe ŋgɔyiyi me.

Le ƒe 1976 me la, Grosse kple Kempf wɔ lãkusi si me ʋuʋudedi le ƒe akpa aɖe tsɔ kpɔ ɖa si le lãkusi me ƒe elastic modulus ƒe kuxia gbɔ. Wometsɔ ʋuƒo si le lãkusia me la ƒo ɖe nuto si te ɖe eŋu me o eye ɖa ƒe do nɔ eŋu na proximal screw, si wotsɔ de dzogoe 45 ƒe dzogoe dzi be wòadzi ɖa ƒe ememe fixation structure ƒe liƒo ƒe ŋusẽ ɖe edzi.

Ƒe ʋee aɖewo megbe la, AO va kpe ɖe lãkusi me ɖa ƒe ŋgɔyiyi ƒe nɔnɔme ŋu to ɖa siwo wosusu nenema ke la toto vɛ me (Nɔnɔmetata 5) .

Le ƒe 1984 me la, Weinquist kple exɔlɔ̃wo gblɔ be: do susua ɖa be woawɔ mɔnu si trɔna, si nye be woatsɔ ado ŋusẽ nuwuƒe ƒe dɔyɔyɔ ɖe ŋgɔ to do siwo me woɖea gaviwo le siwo lolo wu la zazã me, woaɖe ʋuƒo siwo me womezãa ga le o la ɖa, eye emegbe woatrɔ asi le do siwo me wotsɔa ʋuƒo ƒoa nui ŋu be woatsɔ awɔ ʋuƒo siwo le abe ʋuƒo ene le nɔnɔme si sɔ ɖe egbegbe tɔ nu wu me.

Taɖodzinu si le mɔnu si me ŋusẽ le ŋue nye be woado ƒu ƒe gbagbã ɖe ŋgɔ eye woaƒo asa na ƒu ƒe ƒuƒoƒo le dɔwɔwɔ megbe ta.

Fifia la, intramedullary nailing dynamics bu eƒe taʋlilawo abe mɔnu si le eɖokui si ene eye fifia wozãnɛ abe egbɔkpɔnu si me gazazã mele o ene wu ememe fixation system ɖɔliɖɔli bliboe le non-haya ƒe gbagbãƒewo dada me.

Le biomechanical numekuku aɖe me la, Gimeno et al. ka nya ta be tɔtrɔƒe si le lãkusia ƒe akpa siwo wometsɔ ƒo ƒu o kple esiwo woɖe ɖe vovo dome la na nuteɖeamedzi ƒe ƒuƒoƒo kple amekoko si me wotsɔ nutunu si wotsɔ blaa nu le ememe la do kpo dɔwɔwɔ.

Be woakpɔ kuxi siawo gbɔ la, Russel kple Taylor et al. Wowɔ lãkusi gbãtɔ si me ʋuʋudedi mele o, si metso eme o, le ƒe 1986 me, eye nu nyuiwo do tso eme.

Le ɣeyiɣi sia me la, kuxi si nye be woatsɔ lãkusi siwo le lãkusia me ƒe ƒoƒo ɖe wo nɔewo ŋu hã yi edzi nɔ ŋgɔ yim, eye abe alesi míenyae egbea ene la, kadodo kple gavi la to do si me do do ɖo do ŋgɔ me lae nye Klemm kple Schleman ƒe wɔwɔme le Germany. Woatsɔ fluoroscopy si woate ŋu azã faa akplɔ gavi la dede eme, si ana amekolaa nanya nu tso keklẽŋusẽ geɖe ŋu.

Egbea la, wokpɔ kuxi sia gbɔ to taɖodzinu didi ƒe ɖoɖo aɖe si me elektrikŋusẽ ƒe mɔ̃ɖaŋununya, fluoroscope ƒe mɔ̃ɖaŋununya ƒe mɔ̃ɖaŋununya, kple mɔfianu si le proximal si le proximal si me.

Ƒe 1990-awo me: Titanium intramedullary nail .

Le ƒe ewo siwo kplɔe ɖo me la, Russel-Taylor Intramedullary Nail va xɔ ŋkɔ ŋutɔ le dukɔwo dome ƒumeŋutinunyalawo ƒe habɔbɔa me. Belélename ƒe dzidzenua va zu intramedullary nailing vivivi kple static locking of screws, abe alesi numekuku si Brumback et al.

Le numekuku sia si wowɔ le mɔkpɔkpɔ me me la, emetsonuwo ka nya ta be ʋuʋu he emetsonu nyuiwo vɛ le go akpa gãtɔ me eye medo ƒome kple non-union of the fracture o.

Ŋgɔyiyi siwo wowɔ le gaŋutinunya me na be titanium intramedullary nails do, siwo wozãna le atikewɔwɔ me le atikewɔwɔ me le woƒe ŋusẽ, corrosion resistance nyui kple biocompatibility ta.

Alta intramedullary nailing system nye titanium intramedullary nail gbãtɔ si li, eye atikewɔlawo xɔe nyuie le titanium ƒe mɔ̃ɖaŋununya ƒe nɔnɔmewo ta, si nye ga si sesẽ wu gake mesẽ boo o wu gakpo si mexɔ dzo o.

Gake agbalẽ siwo li fifia la kea ɖi nenye be titanium nye nusi sɔ wu na ememe nuléle ɖe nu ŋu wu gakpo si mexɔ dzo o, vevietɔ le ga si wozãna ɖe titanium zazã ŋu ƒe dzidziɖedzi ta.

Gake viɖe aɖewo siwo le titanium ŋu, abe elastic modulus si te ɖe cortical bone kple magnetic resonance imaging compatibility ŋu ene, na wònye tiatia si hea ame.

Tsɔ kpe ɖe eŋu la, titanium nye tiatia si hea ame ŋutɔ ne wobia be woawɔ lãkusi siwo le lãkusi me ƒe didime suewo.

Nusiwo le edzi yim fifia .

Le ƒe bla nane siwo va yi ƒe dzidzedzekpɔkpɔ kple kpododonu megbe la, ƒumeŋutinunyalawo ƒe nuteƒekpɔkpɔ geɖe wu le ƒumeŋutinunyalawo si le lãkusi me ƒoƒo ŋu.

Afɔkpodzi, tibial kple humeral fractures ƒe ɖa ƒe ɖaƒoƒo ɖe intramedullary ƒe ɖaƒoƒo me va zu beléle na akpa gãtɔ siwo wotu kple gbagbãƒe aɖewo siwo le ʋuʋu ɖi. Taɖodzinu yeye siwo woɖo ɖe wo ŋu kple esiwo woɖo ɖe teƒeteƒewo na be ɖoɖoa le bɔbɔe eye woate ŋu agbugbɔe awɔ na amekola siwo si nuteƒekpɔkpɔ geɖe mele o gɔ̃ hã.

Nusiwo dzɔ nyitsɔ laa ɖee fia be titanium kple gakpo siwo mexɔ dzo o ƒe ga siwo te ŋu trɔna bɔbɔe la sɔ gbɔ ŋutɔ eye be etea gbe ɖe nuteɖeamedzi siwo doa dziku na ƒuwo ƒe dɔyɔyɔ dzi. Wole biomaterials yeyewo abe magnesium alloys, shape memory alloys kple resorbable materials dom kpɔ fifia le academia me.

Intramedullary nails siwo wotsɔ carbon fiber-reinforced polymers siwo me elastic modulus nyo ɖo kple ɖeɖiteameŋu ƒe ŋusẽ gã aɖe le la li fifia. Magnesium alloys ƒe modulus ƒe elasticity sɔ kple esi le cortical bone me eye wogblẽa nu le nugbagbewo ŋu.

Numekuku siwo Li et al ƒe numekukuwo wɔ nyitsɔ laa. Woɖe viɖe gãwo fia le ƒumeŋuɖui ƒe gbagbã dada me le lãwo ƒe kpɔɖeŋu siwo wogblɔ be etso magnesium kple zoledronate ƒe nutrenu si wotsɔ ƒo ƒu hena ƒu ƒe gbagbã gbɔ kpɔkpɔ me, si nye mɔnu si ate ŋu ava zu ƒumeŋuɖui ƒe gbagbã le etsɔme.

Nyanuwuwuw

Le ƒe siwo va yi me la, esi wowɔ ŋgɔyiyi ɖedzesi aɖe le ɖa ƒe lãkusi ƒe wɔwɔme, gaŋutinunya ƒe mɔnuwo, kple amekokomɔnu ŋu la, lãkusi me ƒoƒo va zu beléle na ƒu ƒe gbagbã didi akpa gãtɔ ƒe dzidzenu si li fifia eye wònye dɔdamɔnu si wɔa dɔ nyuie, si me womezãa nu boo aɖeke le o, eye wògbugbɔa ame wɔa.

Gake le ɖa ƒe nɔnɔme gbogbo siwo le lãkusia me ta la, nyatakaka gbogbo aɖewo mele wo si ku ɖe woƒe dɔwɔwɔ vɔ megbe me tsonu ŋu o. Numekuku geɖe hiã be woatsɔ anya ɖa ƒe ƒomevi ƒe lolome si sɔ nyuie wu, eƒe nɔnɔmewo kple eƒe didime ƒe didime.

Míegblɔe ɖi be nu yeye siwo woawɔ le nugbagbewo ƒe nugbagbewo ƒe akpa dzi ana ɖa ƒe ɖa ƒe nɔnɔme yeyewo nado.

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 ŋu, 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.