Nukae nye titanium elastic nail?

Intramedullary nails (ESINs) siwo li ke le elastic me la nye mɔnu si bɔ be woawɔ dɔ na ɖeviwo le amekoko me. Wozãnɛ geɖe tsɔ daa abɔta ƒe gbagbã si meli ke o, ulna, afɔkpodzi, kple ɣeaɖewoɣi la, afɔkpodzi kple humerus. Wozãnɛ hã tsɔ daa ƒu legbewo ƒe dɔléle ƒe gbagbã le ɖeviwo me. Esin naa fracture fixation si wotu evɔ meʋua gbagbãƒea, teƒe etɔ̃ ƒe liƒo, kple didime kple tɔtrɔ ɖe wo nɔewo ŋu le akɔta ƒe gbagbãƒe kpui siwo le tsia dzi me o. Abe agbatsɔtsɔ ƒe mɔnu ene la, enaa afɔbidɛwo ʋuʋuna kaba. Zi geɖe la, woɖea ɖa siwo le lãkusi me siwo li ke le elastically stable me le gbagbãƒe ƒe dɔyɔyɔ vɔ megbe.

Afɔkpodzi ƒe gbagbãƒewo .

Nusiwo ɖee fia be esin le afɔkpodzi ƒe gbagbãƒewoe nye: ƒe 4 kple 14 domee kple afɔkpodzi ƒe gbagbã le nuveviwɔame geɖe me .

Woɖo dɔnɔa ɖe ƒumeŋuɖui ƒe kplɔ̃ dzi, eye wotrɔ asi le afɔkpaa ƒe lolome ŋu wòsɔ ɖe ɖevia ƒe afɔ ƒe lolome nu. Wohiã fluoroscope la hena ŋgɔgbe-afɔti (AP) kple latero-lateral (ll) ƒe akɔta si ŋu dɔlélea le ƒe nukpɔkpɔwo xɔxɔ eye wodae ɖe edzi ale be woate ŋu akpɔ akɔta ƒe nɔnɔmetata tso akɔta vaseɖe klo dzi. Woléa ŋku ɖe nusiwo dzi woɖe kpɔtɔ xɔxɔ ŋu le AP kple LL ƒe nukpɔkpɔwo siaa me, eye woɖoa kpe tɔtrɔ hã dzi .

Tiatia le ɖawo ŋu Ele be ɖa ƒe didime nawɔ ɖe se si wozãna le goawo katã me dzi hena ɖawo tiatia. Woate ŋu azã hatsotso si gbɔna abe tɔtrɔ bubu ene, si do ƒome kple ɖevia ƒe ƒexɔxɔ:

- ƒe 6–8: 3 mm ƒe didime;

- ƒe 9–11: 3.5 mm ƒe didime;

- Ƒe 12–14: 4 mm ƒe didime.

Aɖabaƒoƒoawo ƒe didime sɔ kple didime si tso ƒunukpeƒe si le didiƒe gbɔ va ɖo trochanter ƒe tsitsi ƒe ƒunukpeƒe gãtɔ gbɔ .

Diaphyseal ƒe gbagbãƒewo .

Wotiaa akpa etɔ̃lia si te ɖe eŋu kple titina le diaphyseal ƒe gbagbãƒewo le etɔ̃lia si te ɖe eŋu kple titina, si nye C-nɔnɔme ƒe mɔnu, kple ɖa siwo wotsɔ de megbe to metaphysis si le didiƒe la me. Le ƒunukpeƒe siwo te ɖe wo nɔewo ŋu gome la, wobɔbɔa ɖaawo ƒe nugbɔ si te ɖe eŋu, gake le diaphyseal ƒe titina ƒe gbagbãƒewo gome la, lãgbalẽa titina ya ƒoa ƒu. Le dɔwɔwɔa ƒe nuwuwu la, le ƒu gbagbã siwo le ŋgɔgbe gome la, wokpɔa ŋusẽ ɖe kakɛawo dzi be woaƒo asa na susuhenuwo ƒe susɔewo, si ate ŋu ana abɔ kple afɔ siwo le ete ƒe didime nadidi o. Le ƒu ƒe gbagbã siwo le tsia dzi alo esiwo le ƒoƒom ɖe wo nɔewo ŋu gome la, wobɔbɔa nugbɔ si le didiƒe la ɖe ƒu me eye wòkpɔa ŋusẽ ɖe edzi be woaƒo asa na kakɛawo ƒe didiƒekpɔmɔ̃ kple ɖaƒoƒoawo ƒe ʋuʋu.

Dzɔdzɔme ƒe nɔnɔme si le gbagbã siawo ŋue nye be woahe 5–10 mm ƒe kpuiƒe vɛ enumake le dɔwɔwɔ vɔ megbe, si woatsɔ tsitsi ƒe dzodzo le gbagbãƒea ƒe ƒoƒo ɖekae me aɖo eteƒe .

Tibial ƒe gbagbãƒewo .

Dɔnɔa ƒe nɔƒe kple edzadzraɖo le dɔnɔa dzi le ƒumeŋuɖui ƒe kplɔ̃ dzi be wòana edziɖeɖekpɔtɔ nanɔ bɔbɔe. fluoroscope ƒe anyinɔnɔ nye sedziwɔwɔ be woawɔ dɔ le dɔwɔwɔ nɛ me. Ele be kloa nalɔ dɔwɔwɔ ƒe agblea ɖe eme .

Nails la dede eme . 

Wotsɔa elastic nails la dea eme ɣesiaɣi do ŋgɔ na proximal metaphysis, le antero-lateral kple anteromedial teƒewo .

Aɖatsi ƒe didime le vovovo tso milimeta 2.5 va ɖo 4, le ƒe si dɔnɔa xɔ nu. Woɖe mɔ be woazã akplɔa atsɔ ado ɖaawo ɖe ŋgɔe gake ele be woaɖɔ ŋu ɖo.

Wokpɔa egbɔ be woɖe edzi kpɔtɔ le ɖa ƒe didime kple alesi gbegbe wòbɔbɔe ta.

Mele be woakpɔ ŋusẽ ɖe ɖaawo dzi ɖe ƒu si tea fli ɖe eme si le didiƒe ƒe metaphysis la me hafi dziɖeɖea dzi ɖena kpɔtɔna o; Ne menye nenema o la, ɖɔɖɔɖo ƒe ɖoɖowo ate ŋu ana ƒumeŋuɖui natɔ te.

Hafi woatsɔ akpɔ ŋusẽ ɖe wo dzi la, wodoa kakɛwo ƒe tɔtrɔ kpɔna eye le varus ƒe nɔnɔme madeamedzi siwo susɔ ƒe anyinɔnɔ gome la, woɖɔa esia ɖo to ɖa ƒe ŋeŋe fũ me. Le dɔwɔwɔa ƒe nuwuwu la, woɖea dzi ɖi eye wokpɔa ŋusẽ ɖe kakɛawo dzi.

Le ƒu ƒe gbagbã siwo wowɔ ɖekae gome la, wobɔbɔa ɖa siwo wogblẽ ɖe ƒu godo ƒe nugbɔ siwo te ɖe wo nɔewo ŋu la ɖe 90° eye wokpɔa ŋusẽ ɖe wo dzi yia ƒu si le lãkusi me la me be woatsɔ axe mɔ ɖe kakɛwo ƒe didiƒekpɔkpɔ nu.

Humeral fractures .

Nusiwo fia be esin le humeral fractures me toa vovo le afisi wogbã teƒe si wogbã nu le nu: proximal metaphysis alo diaphysis. Le humerus la ƒe amekoko ƒe kɔ ƒe gbagbãƒewo me la, woɖea esin fiana elabena eɖea ɣeyiɣi si me womeʋãna o si hiã le atikewɔwɔ si me womezãa atike aɖeke le o gome dzi kpɔtɔna .

Le diaphyseal fractures gome la, woɖea elastic nails zazã fiana metsɔ le eme be radial nerve ƒe abi siwo le wo ŋu la li o.

Wotsɔa lãgbalẽawo dea eme to megbedede ƒe mɔnu zazã me. Wokpɔa teƒe siwo wotsɔ de eme le le supracondylar ƒe akpaa ƒe axadzi, eye woƒe akpa aɖe nyea postero-lateral direction kple proximal inclination . Wozãa drill tsɔ dzraa teƒe siwo woage ɖo la ɖo elabena cortical bone si le nuto sia me la sesẽ ŋutɔ. Kpeawo ƒe didime toa vovo le milimeta 2.5 va ɖo 3.5 dome, eye wobɔbɔna ɖe wo nɔewo nu. Wotsɔa asi ƒe nyaƒoɖeamenu si le tsitrenu kple ʋuʋu siwo trɔna la dea lãgbalẽawo me. Ne womate ŋu aɖe gbagbãƒe si le proximal metaphyseal area me dzi akpɔtɔ nyuie o la, 1800 ƒe tɔtrɔ le ɖawo ŋu naa edziɖeɖe sia nɔa bɔbɔe. Gake ne womate ŋu aɖe edzi akpɔtɔ o la, wotsɔa Kirschner mɔfianu-ka ɖe kakɛ si te ɖe eŋu la me hafi woɖea edzi kpɔtɔna le gaglãgbe. Le oblique diaphyseal fractures gome la, ele vevie be woaƒo asa na nails le dzodzom le medullary canal me eye woaʋu ayi megbe ayi radial nerve sulcus me. Ne ɖa eveawo siaa tso afisi wogbãe ɖo vɔ la, wokpɔa ŋusẽ ɖe wo dzi yia ta me metaphysis si te ɖe wo ŋu ƒe ƒu si tea fli ɖe eme la me.

Abɔta ƒe gbagbãwo .

Wolɔ̃ ɖe ƒumeŋuɖui ƒe dɔwɔwɔ le abɔta ƒe gbagbã me dzi, gake wonya seɖoƒe siwo ŋu woɖe mɔ ɖo be woagbugbɔ aɖɔ ɖo le wo ɖokui si. Ne wowu seɖoƒe siawo nu alo le ƒumeŋuɖui ƒe atikewɔwɔ ƒe kpododonu gome la, woɖea asi le wo dzi ɖeɖe kpɔtɔ kple ESIN ŋu le abɔta ƒe gbagbã me .

Dɔwɔwɔ ƒe Mɔnu Dɔnɔa Woɖoa akɔta le akɔta ƒe ʋuʋu me, eye eƒe abɔta si ŋu dɔlélea le la le radiotransparent kplɔ̃a dzi.

Aɖatsi siwo wozãna ƒe didime toa vovo le milimeta 2.5 va ɖo 3 dome. Ulnar ɖa la le dzɔdzɔe kloe, gake radial nail la ƒe bending dze ƒã be woatsɔ agbugbɔ aɖo pronatory curve of the radius.

Zi geɖe la, ƒu si dzi ɖeɖe kpɔtɔ le bɔbɔe wu la dzea egɔme. Le radius gome la, wokpɔa teƒe si wogena ɖo la le distal metaphysis, si le didiƒe ƒe tsitsi ƒe ƒunukpeƒewo tame, le asibidɛ ƒe lãkusi didi kple kpuiawo ƒe lãkusiwo dome. Woɖea ƒu si le lãkusia me la ɖe go to lãkusi sue aɖe me eye woɖea do aɖe, si wokekena ɖe edzi to ʋuʋu si le gota gome. Wotsɔa lãgbalẽa dea medullary canal la me vaseɖe afisi wogbãa nu le. Woɖea akɔta ƒe gbagbã dzi kpɔtɔna eye wodoa ɖa la ɖe ŋgɔ ɖe akpa si te ɖe eŋu me le fluoroscopic control me .

Wowɔa ɖoɖo ma tɔgbe na ulna, si zãa antegrade mɔnu, kple afisi wogena ɖo le olecranon ƒe titina ƒe akpa dzi.

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 .

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