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Èle afisia: Aƒeme » Nyadzɔdzɔ » Vevesesegã » Xexeame katã ƒe Tibia Deŋgɔ Dɔwɔnuwo Ŋkɔ 2025 Top 6 Nu yeyewo

Xexeame katã ƒe Tibia Nailing Dɔwɔnuwo Ŋkɔ 2025 Top 6 Nu yeyewo .

Views: 0     Author: Nyatakakadzraɖoƒe ƒe Nuŋlɔla Ta Ɣeyiɣi: 2025-07-07 Dzɔtsoƒe: Teƒe

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Tibial ƒe gbagbãƒewo .

Tibial shaft nye teƒe siwo wogbãna wu la dometɔ ɖeka, si nye 13.7% le ƒu ƒe gbagbãwo katã me le ŋutilã me. Anatomical nɔnɔmewo abe ʋu ƒe sisi ƒe fetu si mede o kple lãkusi falɛfalɛwo ƒe xɔxlɔ̃ sue aɖe koe le ƒunukpeƒe si le didiƒe la ŋu. Ne ʋu ƒe gbagbã nya dzɔ ko la, lãkusi falɛfalɛwo ƒe gbegblẽ kple nutoa me ƒe ʋu si me gblẽ la ate ŋu ana ƒu ƒe gbagbã ƒe dɔyɔyɔ nadzi ɖe edzi. Tsɔ kpe ɖe eŋu la, alesi wòate ŋu adzɔe ŋutɔ be ka ƒe gbagbã le ɣeyiɣi ɖeka me kple malikemanɔmanɔ na be amekokomɔnu si sɔ tiatia hiã vevie.

Tibial shaft ƒe titina vaseɖe dzigbe gome ƒe akpa si wotso la nye dzogoe etɔ̃, gake etɔ̃lia si le ete ya nye dzogoe ene me tɔ. Akpa etɔ̃lia siwo le titina kple esiwo le anyime ƒe ƒoƒo ƒe ƒoƒo le kpuie vie eye wòtsi tre ɖi na tɔtrɔ le nɔnɔme me, si wɔe be wònye teƒe si bɔ na gbagbãƒewo.

Ŋutilã si me lãmeka mele o koe xɔa afɔkpodzia ƒe akpa etɔ̃lia ƒe akpa etɔ̃lia, si wɔnɛ be wòʋuna bɔbɔe be wòaʋu afisi ƒu kakɛawo toa ŋutigbalẽa me le. Le gbagbãƒe siwo wotu gɔ̃ hã me la, ƒunukpeƒewo ƒe gbagbã akpa gãtɔ kpena ɖe ŋutigbalẽa kple lãkusi si le lãkusi te ŋu. Lãmetsiwo ƒe ƒuƒoƒo mele tibia ƒe domedome o, eye fascial xɔ ene li siwo ƒo xlã afɔkpodzi kple fibula. Compartment syndrome ƒe dzɔdzɔ sɔ gbɔ wu le tibial ƒe gbagbã me ne wotsɔe sɔ kple ƒu ƒe gbagbã bubuwo.

Fracture ƒe hatsotso .

AO/OTA ƒe gbagbã ƒe ʋuʋu ƒe hatsotso .

AO/OTA Arabgbe me xexlẽdzesi ƒe hatsotsowo fia tibial shaft ƒe gbagbã be 4 (Tibia) 2 (asike). Ƒomevi A sɔ kple gbagbãƒe bɔbɔe siwo ƒe gbagbã ƒe fli ɖeka, si nye esi bɔ wu. Kakɛ si ƒe nɔnɔme le abe titina ene la ƒe akpa si le abe titina ene la le gbagbãƒewo. Ŋusẽ geɖe ƒe nuveviwɔame gbɔe wòtso be ŋusẽ geɖe le wo ŋu eye wonye akpa vovovowo ƒe gbagbã.

Gustilo ƒe hatsotsowo me toto na ʋuʋu le gaglãgbe:

  • Ƒomevi I: Abi ƒe didime mede cm 1 o, zi geɖe la, abi si me kɔ vie si me ƒu ƒe nugbɔ le dodom to ŋutigbalẽa me. Lãmetsi falɛfalɛwo ƒe nugbegblẽ le ame ŋu le sue ŋutɔ, eye abi aɖeke mele eŋu o. Akpa si le eŋu la le bɔbɔe, eƒe akpa si le ŋgɔgbe, alo esi le kpuie, si me mekɔ o, si me womeƒoa ƒu ɖo o.

  • Ƒomevi II: Abi wu sentimeta 1, eye lãkusi falɛfalɛwo ƒe nugbegblẽ si keke ta wu gake avulsion alo flap wɔwɔ aɖeke mele eme o. Lãmetsi falɛfalɛwo ɖea abi si le lãme na ame si mesẽ o va ɖo esi mede tututu o fiana, ɖiƒoƒo si sɔ gbɔ, kple eƒe gbagbãƒe si sɔ gbɔ.

  • Type III: Lãmetsi falɛfalɛwo ƒe nugbegblẽ geɖe siwo ku ɖe lãmekawo, ŋutigbalẽ, ʋukawo, kple lãmekawo ŋu, eye ɖiƒoƒo sesẽ aɖe le wo ŋu.

    • Type IIIA: Togbɔ be abi gã aɖe le avulsion alo flap formation ŋu, alo ŋusẽ geɖe ƒe nuveviwɔame eɖanye abi ƒe lolome kae o hã la, lãkusi falɛfalɛwo ƒe tsyɔ wo dzi nyuie le gbagbãƒea.

    • Type IIIB: Lãmetsi falɛfalɛwo ƒe nugbegblẽ kple nusiwo bu geɖe, kple ƒunukpeƒetetedɔ kple ƒu si woɖe ɖe go, eye ɖiƒoƒo sesẽ aɖe kpe ɖe eŋu.

    • Type IIIC: Do ƒome kple ʋuka me abi si hiã be woadzrae ɖo.

Atikewɔwɔ ƒe tiatiawɔblɔɖewo .

Dɔdamɔnu siwo menye amekoko o na tibia ƒe gbagbãwo dometɔ aɖewoe nye akɔtaɖonu, gotagome fixation, traction, asi dzi ɖeɖe kpɔtɔ, kple gotagome fixation frame zazã. Amekoko ƒe tiatiaawo dometɔ aɖewoe nye LOCK plate internal fixation kple intramedullary nailing, kple bubuawo.

Intramedullary Nailing Fixation .

Intramedullary nailing fixation nye nusi doa dzidzɔ na nuveviwɔame ƒe ƒunukpeƒedɔdala geɖe le eƒe amekoko bɔbɔe, lãkusi suewo, nuveviwɔame sue aɖe ko, kple ɖaɖeɖe si sɔ le gbagbãƒe ƒe dɔyɔyɔ vɔ megbe ta. Enaa ememe fixation sesẽ, si wɔnɛ be dɔwɔwɔ vɔ megbe kamedede kaba eye wòƒoa asa na nutoa me kple ɖoɖowɔɖi me kuxiwo. Viɖe siawo sɔ kple AO ƒe gɔmeɖose siwo le atikewɔwɔ me.

CzmediTech Tibial Intramedullary Nailing Solution .

Eŋutinunyala Tibia Intramedullary Nail & Instrument Set .

1.Proximal oblique cut .

Anterior oblique cutting le proximal end me xea mɔ na dzikudodo ɖe patellar ligament ŋu.

2. Deŋgɔ ƒe ʋuʋu ƒe nɔnɔme .

Advance proximal locking design dzia liƒo si wodi na proximal fragment la ɖe edzi.

3. Distal Oblique Lock .

Distal oblique locking option be woaxe mɔ ɖe lãkusi falɛfalɛwo ƒe gbegblẽ nu eye woadzi distal kakɛa ƒe liƒo ɖe edzi.

4. Kaƒoƒo eve ƒe ʋuƒo .

Locking screw si wowɔ kple ka eve ka be woate ŋu atsɔe ade eme bɔbɔe.

suprapatellar mɔnu tibial intramedullary nail & instrument set .

Mɔ̃ si wotsɔna ƒoa gae .

Locking design for stronger fixation, ɖe dɔwɔwɔ vɔ megbe kakɛwo ƒe ʋuʋu dzi kpɔtɔ.

Multi-point support .

Multi points of fixation naa dzogoe ƒe liƒo kple kpekpeɖeŋu si li ke na tibial palteau.

Nutete ƒe akpawo .

Mɔ̃a ƒe nɔnɔme trɔna ɖe nɔnɔme si trɔna ŋu, eye eƒe nɔnɔmetɔtrɔ siwo woɖe fia le nɔnɔmetataawo me le do ŋgɔ na ƒoƒo (nɔnɔme si me woɖea nu le) kple esi wotsɔ ƒo ƒui megbe (si sɔ pɛpɛpɛ) siaa te.

Proximal-distal fixation .

Multi fixation mɔnu tso proximal kple distal, fia mamlɛtɔ proximal kple distal tibial fractures.

Distal Tibial Intramedullary Nail (DTN) & Dɔwɔnu ƒe Ðoɖo .

Flat design na nudede bɔbɔe .

Aɖaŋu gbadzaa le ɖa vevitɔa ƒe nuwuwu si le didiƒe la ŋu, si wɔnɛ be woate ŋu ade lãkusia me bɔbɔe.

Angular ƒe ʋuƒo siwo wotsɔna ƒoa ʋuƒoe .

Dzogoe ƒe ʋuƒo eve siwo le dzogoe ene me le nuwuƒe si te ɖe eŋu la xea mɔ na akpa si gbã la ƒe tɔtrɔ kple eƒe ʋuʋu.

Anatomical curvature .

Anatomical curvature tɔxɛ aɖe kpɔa egbɔ be ɖa vevitɔa le nyuie le medullary cavity la me.

Dzogoe ƒe ʋuʋu ƒe ʋuƒo siwo le wo nɔewo dome .

Dzogoe ƒe ʋuƒo etɔ̃ siwo le wo nɔewo ŋu le nuwuƒe si le didiƒe la naa kpekpeɖeŋu kple fixation nyuie.

Tibial Intramedullary Nail & Instrument Set .

Nu geɖe wɔwɔ:

Wosɔ na tibial shaft ƒe gbagbã akpa gãtɔ (midshaft kple distal/proximal fractures aɖewo), gake wowɔ ƒomevi bubuwo (le kpɔɖeŋu me, DTN alo eŋutinunyala ƒe ɖa) na ŋutilã ƒe akpa aɖewo koŋ alo gbagbãƒe sesẽwo.

Amekokomɔnu si tsi nyuie:

Mɔnu si wozãna ɖaa (parapatellar alo transpatellar) zɔna ɖe ɖoɖo si woɖo anyi nyuie si me nusɔsrɔ̃ ƒe mɔnu si bɔbɔ ɖe anyi wu le dzi, gake mɔnu tɔxɛwo (le kpɔɖeŋu me, suprapatellar) ya hiã mɔ̃ɖaŋununya ƒe hehe bubuwo.

Gazazã nyuie:

Ne wotsɔe sɔ kple ɖa tɔxɛwo abe ɖa alo DTN si nye eŋutinunyala ene la, zi geɖe la, tibial intramedullary ɖa siwo wozãna ɖaa la ƒe asi bɔbɔ wu, si wɔe be wosɔ na nusiwo wowɔna edziedzi.

Broad Implant Compatibility:

si sɔ kple xexeame katã ƒe dɔwɔnuwo (le kpɔɖeŋu me, ʋuƒo siwo wotsɔna ƒoa nu, mɔ̃ siwo woɖo taɖodzinu na), gake ɖa tɔxɛwo (le kpɔɖeŋu me, ɖaƒoƒo ŋuti nunyala siwo si mɔ̃ geɖe le) ya ate ŋu abia dɔwɔnu siwo nye wo tɔ.

Type Best Indications Nu Veviwo ƒe Viɖewo .
Eŋutinunyala ƒe Nail . Aŋutsrɔe ƒe gbagbã sesẽwo, ƒumeŋuɖui . Multi-planar locking, li ke kɔkɔ .
Suprapatellar ƒe ɖa . Proximal fractures, dɔnɔ siwo lolo akpa . suprapatellar mɔnu, ɖea ŋgɔgbe klo ƒe kuxiwo dzi kpɔtɔna .
DTN . Distal fractures (si te ɖe afɔkpodzi ƒe ƒuƒoƒo ŋu) . Multi-directional distal locking, tsi tre ɖe shortening ŋu .
Standard Nail . Mid-shaft bɔbɔe ƒe gbagbãƒewo . Dɔwɔwɔ bɔbɔe, si me gazazã mele o .

Tibia ƒe atiwo ƒe ƒoƒo ƒe dɔwɔnuwo ƒe hatsotsowo .

  1. Dɔwɔnu siwo wotsɔna kua tome : Elɔ drill bits, reamers, kple dɔwɔnu bubu siwo wozãna tẽ hena ƒu kuku ɖe eme.

  2. Mɔ̃ siwo woatsɔ aɖo taɖodzinu na : Dɔwɔnu siwo woatsɔ aɖo tome kple mɔfiadzesiwo alo woatsɔ wo ade eme, abe mɔfiakawo, mɔfianu ƒe abɔtawo, kple mɔ̃ siwo woɖona ene.

  3. Fixation Instruments : Dɔwɔnu siwo wozãna tsɔ doa ka, ƒoa wo, alo trɔa asi le wo ŋu, abe xexeame katã ƒe ƒunukpeƒewo, safuiwo, gaviwo, kple akplɔwo ene.

  4. Dzidzenu : Dɔwɔnu siwo woatsɔ adzidze goglome, teƒe si woaɖo wo ɖo, alo kpekpeɖeŋu nana le amekoko me, abe goglomedzidzenuwo, ŋusẽ si dzi ɖena kpɔtɔna, kple ƒu ƒe ʋuʋu (awl) ene.

Dɔwɔnu siwo wotsɔna léa ŋku ɖe nu ŋu .
Dɔwɔnu siwo wotsɔna kua tome .
Dɔwɔnu siwo wotsɔ dzidzea nu .
Mɔ̃ siwo woɖo taɖodzinu na .
    

Amekoko afɔɖeɖe ɖesiaɖe .

1. Dzadzraɖo do ŋgɔ na dɔwɔwɔ nɛ .

Nɔnɔmetatawo ƒe dodokpɔ: do ŋgɔ na dɔwɔwɔ na X-ray/Ct be woaɖo kpe ƒuƒu ƒomevi, medullary canal diameter kple didime, kple dzidzedze le contralateral tibia abe reference.

Teƒe si woanɔ: Supine position kple klo ƒe ʋuʋu 90°-120° kple akɔta ƒe ʋuʋu vie (be woaɖe patellar tendon tension dzi akpɔtɔ). Dzogoe etɔ̃ me radiolucent ƒe xɔtunu ate ŋu ado alɔ popliteal fossa be wòahe.

Draping si me dɔlékui mele o: abɔ kple afɔ ƒe sterilization kple draping si wozãna ɖaa, si naa C-Arm ƒe ʋuʋu.

2. Afɔkpodzi dzi ɖeɖe kpɔtɔ .

Mɔnu siwo wotu ɖe edzi ɖeɖe kpɔtɔ ƒe mɔnuwo .

Asitelefon: Assistant wɔa didime hehe esime amekola pallpates tibial crest kple anteromedial surface be woatrɔ asi le alignment (didime, rotation, angulation).

Haƒonu-kpekpeɖeŋu:

  • Joystick Technique: Schanz screws siwo wotsɔ de proximal/distal fragments me hena lever dzi ɖeɖe kpɔtɔ.

  • Percutaneous clamping: pointed reduction forceps na oblique/spiral fractures.

  • Distractor: Distractor gã si woda ɖe coronally (proximal schanz screw si sɔ kple tibial plateau, distal pin le talus alo distal tibia) be wòalé didime ɖe te.

3. Entry Point ƒe teƒeteƒewo nɔnɔ .

Dzesiwo:

  • Ge ɖe eme 1cm le didiƒe vaseɖe ŋgɔgbe tibial plateau edge, si sɔ kple medullary axis.

  • Fluoroscopic kpeɖodzi: AP View sɔ kple tibial crest, lateral view parallels tibial axis.

Haƒonuwo Ʋuʋu:

  • Cannulated drill over guidewire (kple ametakpɔnu abɔta) alo curved solid awl.

  • Asi Reamers (6-8mm) na xoxo gbagbãwo kple canal occlusion.

4. GuideWire Dede & Reaming .

GuideWire Placement: GuideWire Bent 10-15mm le nugbɔ na gbagbãƒe ƒe mɔzɔzɔ. Fluoroscopic ƒe kpeɖodzi le distal physeal scar (afɔkpodzi titina).

Reaming Protocol:

  • Reamers siwo te ŋu trɔna ɖe nɔnɔmewo ŋu dzea egɔme tso 8mm, dzia 0.5mm ɖe edzi vaseɖe cortical 'chatter' (zi geɖe la, 1-1.5mm > ɖa ƒe didime).

  • MIDE DZESII: Woɖea asi le nu ŋu le ɣeyiɣi aɖewo me be woaɖe gbeɖuɖɔwo ɖa; Ƒo asa na dzoxɔxɔ ƒe kuku.

5. Nail insertion .

didime ƒe tameɖoɖo kplikpaa:

  • Dɔwɔwɔ le dɔwɔwɔ me: GuideWire Overlap Method alo Fluoroscopic Ruler (geɖeƒe ɖe afɔkpodzi ƒe ƒunukpeƒe).

  • Kpɔ egbɔ be ɖa ƒe nugbɔ ɖo physeal scar gbɔ si me proximal protrusion mele o.

Mɔnu si wotsɔ dea nu me:

  • asi-ŋgɔyiyi le GuideWire dzi; Trɔ asi le edziɖeɖe ŋu ne tsitretsitsi ɖe eŋu dzɔ.

  • Lé edzi ɖeɖe kpɔtɔ me ɖe asi le mɔzɔzɔ me hena didiƒe ʋĩ ƒe gbagbãƒewo.

6. Interlocking screw fixation .

Sequence ƒe aɖaŋu .

  • Kekeli ƒe gbagbã siwo li ke: Proximal locking gbã (single screw ɖe mɔ ɖe dynamization ŋu).

  • Didime-si me mekɔ o/si wowɔ ƒe gbagbã: Distal locking gbãtɔ kplɔe ɖo kple 'backslap' be woaƒoe ɖe enu.

Proximal locking .

  • ≥2 Screws to Aiming Device (Multidirectional for proximal fractures) dzi.

Distal locking .

  • Fluoroscopic mɔnu: titina beam si le tsitre ɖe do siwo me woɖea gaviwo le ŋu ('nu ƒokpli deblibo '), tomekuku le tome.

  • ≥2 screws na distal fractures (ate ŋu aƒo AP/Oblique ƒe mɔfiamewo nu ƒu).

7. Dɔdamɔnu Mamlɛawo .

End cap: Optional insertion (exea mɔ na ƒu ƒe ʋuʋu), kpɔa egbɔ be ƒunukpeƒe aɖeke megadona o.

Abi ƒe Nutrenu: layered patellar tendon repair kple userose subcutaneous sutures.

8. Dɔwɔɖui megbe dɔdzikpɔkpɔ .

Gbugbɔgaɖɔɖo kaba:

  • abɔ kple afɔ ƒe kɔkɔme; Monitor for compartment syndrome le 24hrs me.

  • Dze dɔwɔwɔ gɔme le ƒunukpeƒewo ƒe ʋuʋu (afɔkpodzi pɔmpiwo, klo ƒe ʋuʋu) le pod 1-2 dzi.

Nusiwo woatsɔ awɔ kpekpemee ƒe ɖoɖowɔɖi:

  • Kpekpeme ƒe akpa aɖe kwasiɖa 6 (wotrɔ asi le eŋu le liƒo ɖesiaɖe dzi), yia edzi va ɖoa blibo ne callus dze.

Wokplɔe ɖo: Dɔdaƒe/Radiological ƒe dodokpɔ le kwasiɖa 2, 6, kple 12 me.

Vovototo siwo le adzɔnu ƒe ŋkɔ koŋ ŋu .


DePuy ƒe hadzidziwo (Johnson & Johnson) .

Dɔwɔƒegã: Raynham, Massachusetts, U.S.A.

Nusiwo wowɔna le mɔ̃ɖaŋununya me:

  • Eŋutinunyala Tibial Nail (ETN) – wowɔe be wòali ke le tibial ƒe gbagbã sesẽwo me.

  • T2 Tibial Nail – Enaa Ŋgɔyiyi kple Nutete si Wodo Ðe Ŋgɔ.

Ŋusẽ Veviwo: Numekuku kple Dɔwɔna sesẽwo, xexeame katã ƒe mama, kple ɖekawɔwɔ kple nuveviwɔame ƒe kuxiwo gbɔ kpɔnu.

Logo-1.
★★★★★ .
DePuy ƒe hadzidziwo (Johnson & Johnson) .
Eŋutinunyala Tibial Nail (ETN)
T2 Tibial Nail .

Stryker .

Dɔwɔƒegã: Kalamazoo, Michigan, U.S.A.

Nusiwo wowɔna le mɔ̃ɖaŋununya me:

  • T2 Tibial Nail – Modular ɖoɖo na tibial shaft gbagbãwo.

  • Gamma3 Tibial Nail – ƒo ƒu ɖe intramedullary nailing kple locking tiatia.

Ŋusẽ Veviwo: Robotics Deŋgɔ (Mako), egbɔkpɔnu siwo me womezãa nu boo aɖeke le o, kple nuveviwɔame ƒe portfolio sesẽ.

Logo-2.
★★★★★ .
Stryker .
T2 Tibial Nail
Gamma3 Tibial Nail . 

Smith & tɔɖiayɔvi .

Dɔwɔƒegã: London, UK

Nusiwo wowɔna le mɔ̃ɖaŋununya me:

  • Trigen Tibial Nail – Wotrɔ asi le eŋu be wòanɔ bɔbɔe be woatsɔe ade eme eye wòali ke.

  • Im tibial nail – intramedullary fixation na tibial fractures.

Ŋusẽ Veviwo: Lé fɔ ɖe kamedefefewo ƒe atikewɔwɔ kple nuveviwɔame, nu yeyewo ŋu.

Logo-3.
★★★★★ .
Smith & tɔɖiayɔvi .
Trigen Tibial Nail
im Tibial Nail .

CzmediTech .

Dɔwɔƒegã: Changzhou, China

Nusiwo wowɔna le mɔ̃ɖaŋununya me:

  • Distal tibial intramedullary nail (DTN) – si wowɔ nyuie na distal fractures.

  • Eŋutinunyala tibia intramedullary nail – ŋusẽ gã titanium alloy design.

  • suprapatellar mɔnu tibial intramedullary nail – nu sue aɖe ko ƒe nudede eme.

  • Tibial intramedullary nail – versatile fixation tiatia.

Ŋusẽ Veviwo: Egbɔkpɔnu Siwo Me Gazazã Le O, Xexeame Katã ƒe Anyinɔnɔ Kekea Ðe Edzi.

Logo-6.
★★★★★ .
CzmediTech .
Distal Tibial Intramedullary Nail (DTN)
Eŋutinunyala Tibia Intramedullary Nail
Suprapatellar Mɔnu Tibial Intramedullary Nail
Tibial Intramedullary Nail

Zimmer biomet .

Dɔwɔƒegã: Warsaw, Indiana, U.S.A.

Nusiwo wowɔna le mɔ̃ɖaŋununya me:

  • Znn Tibial Nail – Anatomic Design na Fit si nyo wu.

  • Dzɔdzɔme ɖa ƒe ɖoɖo – srɔ̃a dzɔdzɔme ƒu ƒe mɔ̃ɖaŋununya.

Ŋusẽ Veviwo: Sesẽ le ƒunukpeƒewo gbugbɔgatu me, nugbagbeviwo ƒe ƒoƒo ɖekae, kple egbɔkpɔnu siwo wowɔ na ame ŋutɔ.

Logo-4.
★★★★★ .
Zimmer biomet .
Znn Tibial Nail
Dzɔdzɔme Nail System .

Orthofix .

Dɔwɔƒegã: Lewisville, Texas, U.S.A.

Nusiwo wowɔna le mɔ̃ɖaŋununya me:

  • Lon Tibial Nail (Lateral Orthopedic Nail) – wowɔe na axadzi yiyi mɔnu.

Ŋusẽ Veviwo: Etɔxɛe le ƒu ƒe tsitsi ƒe dzodzo, abɔ kple afɔ ƒe nɔnɔme madeamedziwo ɖɔɖɔɖo me.

Logo-5.
★★★★★ .
Orthofix .
Lon Tibial Nail (Afɔkpodzi Ƒumeŋuɖui ƒe Nail) .

Nyanuwuwuw

CZMediTech naa tibial nailing solutions siwo me kɔ nyuie na proximal, distal, kple complex fractures, kple designs yeyewo (le kpɔɖeŋu me, multi-directional locking, suprapatellar mɔnu) si sɔ kple xexeame katã ƒe ŋgɔdolawo le biomechanics kple dɔdamɔnu me tsonu me.

Nusiwo woŋlɔ ɖe eme .

[1].德康医疗. 德康骨骨折解决方案——vere 医疗胫 10. Nu kae nye 10. Nu kae nye ʋeʋeʋeʋeʋeʋeʋetɔ si le 10..

[2].AO Gɔmeɖoanyi. (ND). Intramedullary nailing na tibial shaft simple spiral fracture [amekokomɔnu]. AO Amekoko ƒe Nyatakaka. Woɖee le July 10, 2024 dzi, tso ƒe 1999 me. https://surgeryreference.aofoundation.org/orthopedic-trauma/adult-trauma/tibial-shaft/simple-fracture-spiral/intramedullary-nailing?Searchurl=/di didi ƒe ɖoɖowo

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