Video Huahana
Hōʻikeʻia ka Proximal Femoral Nail Antirotation (PFNA) no nāʻano likeʻole o ka male male, e like me nā haʻihaʻi intertrochanteric (maʻalahi a iʻole comminuted), nā haʻihaʻi subtrochanteric, nā haʻihaʻi pathological, non-/mal-union, a me nā osteoporotic fractures i nā poʻe maʻi kahiko. Hiki ke hoʻohana ʻia me nā ʻenehana hoʻonui no nā haʻihaʻi paʻa ʻole a i ʻole nā hihia e pono ai ke kūkulu hou ʻana i ka iwi.
Loaʻa i ka pahu mea kani kahi mea alakaʻi alakaʻi Distal (me nā kikoʻī 180-200 °, 90 °, a me 220/240), Proximal Guider Device, Hammer, Handle, nā bolts like ʻole (M6/36, M81 / 31.5, M81/41, M101.5 / 42.5), Long Nail Nail Distal. Mea Hoʻohui, Long Nail Distal Screw Location Device, Guider Sleeve (comprising Blade Screw Sleeve, Drill Sleeve Φ11.2/Φ3.2, and Sleeve Pin), Olive Guide Wire (Ø2.51000, Nitinol Alloy), a me Aluminum Box, ka huina o XX mau mea no ke kaʻina hana hoʻoponopono kino.
ʻO nā mea kani kiko'ī penei: Screwdriver Hex SW4.0, Proximal Hollow Drill Φ16.5, Proximal Hollow Position Stopper Φ10.6 / Φ3.2, Drill Bit Ø4.0 * 300, Limitator Ø4.0, Drill Sleeve (Out Sleeve Pine + Sleeve) Φ11/Φ8.2, Puʻupuʻu Drill Φ8.2/Φ4.0, Paʻa Puʻupuʻu Φ4.0, Ana Hohonu 70-120mm, Nut Screwdriver SW8.0, Wrench, Puʻu alakaʻi (Paʻa lima + Puʻu Paʻa), Pale Uea 5/Φ16 Φ16.5×140, Uku Hoʻowili ʻia, Uku Hoʻopaʻa Huʻu, Pāpaʻi Hoʻopaʻa Tissue, Hoʻopili wikiwiki i ka lima T, a me AWL.
Aia i loko o ka pahu mea kani he Guider Wire Holder, Distal Position Lock, Position Drill Ø5.2mm, Position Rod, Position Drill Bit Set (loa'a ka drill bit, drill sleeve, and drill bit component), Drill Sleeve Ø5.2mm, Position Drill Bit Ø5.2mm × 250mm, Nail Removal Bla5 M10, Nail Removal Bla M10. ʻO ka mea hoʻoheheʻe, ke koʻokoʻo hoʻohaʻahaʻa, ka pahu Reamer maʻalahi, ka wili K-wire Φ3.2 × 400mm (3 mau ʻāpana), ke alakaʻi hoʻopau hope Φ2.8mm, ke kiʻi no ka hoʻomohala ʻana, ke poʻo reamer, ka mea hoʻopiʻi nui, ka hui pū ʻana o ka lima (Position Rod Sleeve + Soft Tissue Separator, × Ø18. Mea Wehewehe Tissue, Wrench Wehe SW11.0, Ki Hex Nui SW5.0, a me Hex Ki Li'ili'i SW3.0.

ʻO ka ʻili nui a me ke anawaena kikoo paʻa i ka iwi cancellous i ka wā e hoʻokomo ʻia ai, e hoʻonui ana i ka ikaika paʻa.
Hāʻawi i nā koho laka distal static a dynamic no ke koho lapaʻau.
Hāʻawi ke anawaena proximal o 16mm i ka ikaika i ka hoʻopaʻa ʻana.
ʻO ke ʻano helical blade a me ka mīkini laka maʻalahi e pale i ka hoʻololi ʻana o ka maka a me ke poʻo femoral, e hoʻomaikaʻi i ke kūpaʻa.




hihia1
hihia2


Hōʻike
| ʻAʻOLE. | REF | wehewehe | Qty. |
| 1 | 1200-0701 | Uku Hex SW2.5 | 1 |
| 2 | 1200-0702 | Hollow Drill | 1 |
| 3 | 1200-0703 | Hollow Kūlana Kūʻai | 1 |
| 4 | 1200-0704 | ʻŌnaehana Ø4.3 | 1 |
| 5 | 1200-0705 | Puʻu wili | 1 |
| 6 | 1200-0706 | Puʻu wili | 1 |
| 7 | 1200-0707 | 70-120mm ka hohonu | 1 |
| 8 | 1200-0708 | Nati Owiliau | 1 |
| 9 | 1200-0709 | Uku | 1 |
| 10 | 1200-0710 | Ka lima alakaʻi | 1 |
| 11 | 1200-0711 | ʻOkolepili Cannulated | 1 |
| 12 | 1200-0712 | ʻOkoleki i hoʻopaʻa ʻia i ka huelo | 1 |
| 13 | 1200-0713 | Papa Palekana Tissue | 1 |
| 14 | 1200-0714 | Hoʻohui wikiwiki T-lima | 1 |
| 15 | 1200-0715 | AWL | 1 |
| 16 | 1200-0716 | Paʻa Uea alakaʻi | 1 |
| 17 | 1200-0717 | Laka Kūlana mamao | 1 |
| 18 | 1200-0718 | Kaulana Kūlana | 1 |
| 19 | 1200-0719 | Kūlana Rod | 1 |
| 20 | 1200-0720 | Kūlana Drill Bit | 1 |
| 21 | 1200-0721 | Laau Hoopau Nail | 1 |
| 22 | 1200-0722 | Ka Hohonu 0-100mm | 1 |
| 23 | 1200-0723 | Mea Hoʻolaulau Blade | 1 |
| 24 | 1200-0724 | Roda Hoemi | 1 |
| 25 | 1200-0725 | Bar Reamer hikiwawe | 1 |
| 26 | 1200-0726 | Uea K-Uila | 4 |
| 27 | 1200-0727 | Hoʻopau Kāpena alakaʻi | 1 |
| 28 | 1200-0728 | Papahana no ka Hooulu ana | 1 |
| 29 | 1200-0729 | Poʻo Reamer 8.5-13mm | 1 |
| 30 | 1200-0730 | Pākuʻi Pin Nui | 1 |
| 31 | 1200-0731 | Puʻu wili | 1 |
| 32 | 1200-0732 | Wrench Wehe | 1 |
| 33 | 1200-0733 | Ki Hex Nui | 1 |
| 34 | 1200-0734 | Hex kī liʻiliʻi | 1 |
| 35 | 1200-0735 | Mea hoʻokele alakaʻi mamao 180 | 1 |
| 36 | 1200-0736 | Mea Hoʻokele Ala Kaʻawale 90° 180/240 | 1 |
| 37 | 1200-0737 | Mea hoʻokele alakaʻi mamao 240 | 1 |
| 38 | 1200-0738 | Mea alakaʻi kokoke | 1 |
| 39 | 1200-0739 | Hamara | 1 |
| 40 | 1200-0740 | Kalima | 1 |
| 41 | 1200-0741 | Bolt | 1 |
| 42 | 1200-0742 | Bolt | 1 |
| 43 | 1200-0743 | Bolt | 1 |
| 44 | 1200-0744 | Bolt | 1 |
| 45 | 1200-0745 | Bar Alakaʻi Nail Nail lōʻihi | 1 |
| 46 | 1200-0746 | Ua ʻike ʻo Blade Screwdriver | 1 |
| 47 | 1200-0747 | Bar Alakaʻi Nail Nail lōʻihi | 1 |
| 48 | 1200-0748 | Hammer Slide | 1 |
| 49 | 1200-0749 | Mea hoʻohui | 1 |
| 50 | 1200-0750 | Nail Nail Distal Screw Location Device | 1 |
| 51 | 1200-0751 | Ka lima alakaʻi | 1 |
| 52 | 1200-0752 | Uea alakai Olive | 1 |
| 53 | 1200-0753 | Pahu Aluminum | 1 |
Kii maoli

Blog
Ke ʻimi nei ʻoe i kahi ala kūpono a hilinaʻi hoʻi e hoʻokō ai i ka ʻokiʻoki ʻana i ka intertrochanteric femur fracture? Mai nānā hou aku ma mua o ka PFNA nail instrument set. Ua hoʻololi kēia mea lapaʻau hou i ke ʻano o ka hoʻokokoke ʻana o nā kaukō i nā haʻihaʻi wahine, e hāʻawi ana i nā pono he nui no nā maʻi a me nā kauka. Ma kēia ʻatikala, e ʻimi mākou i nā hiʻohiʻona a me nā pono o ka PFNA nail instrument set, pehea e hana ai, a no ke kumu he koho maikaʻi loa ia no ka ʻokiʻoki ʻana i ka intertrochanteric femur fracture.
ʻO ka PFNA nail instrument set he mea hana ʻokiʻoki i hoʻohana ʻia e mālama i nā haʻihaʻi femur intertrochanteric. Loaʻa ia i kahi kui hollow, titanium intramedullary nail, kahi mīkini paʻa proximal a distal, a me nā ʻano mea hana kūikawā e hoʻomaʻamaʻa i ka hoʻokomo ʻana a me ka hoʻonohonoho ʻana o ke kui. Hoʻokomo ʻia ka mea hana i loko o ka femur, mai ka trochanter nui a hiki i ke poʻo femoral, hoʻopaʻa i ka haʻihaʻi a hāʻawi i ke kākoʻo no nā hana kaumaha a ka mea maʻi i ka wā o ka hoʻihoʻi ʻana.
He nui nā pōmaikaʻi o ka mea hana nail PFNA ma mua o nā mea hana ʻokoʻa ʻē aʻe i hoʻohana ʻia no ka mālama ʻana i nā haki femur intertrochanteric. Aia kekahi o kēia mau pōmaikaʻi:
Hoʻomaikaʻi i ke kūpaʻa implant a me ka hōʻemi ʻana i ka hopena o ka hiki ʻole o ka implant
ʻOi aku ka wikiwiki o ka manawa hoʻōla no nā maʻi
Hoʻemi ʻia ka ʻeha a me ka ʻehaʻeha no nā poʻe maʻi ma hope o ka ʻoki ʻana
Hoʻemi ʻia ka pilikia o nā pilikia e like me ka maʻi, ke kahe koko, a me ka pōʻino aʻalolo
ʻOi aku ka haʻahaʻa o ka hoʻoponopono hou ʻana i hoʻohālikelike ʻia me nā mea hana ʻokiʻoki ʻē aʻe
Hana ʻia ka mea hana kui PFNA ma ka hoʻopaʻa ʻana i ka iwi haʻihaʻi ma o ke ala intramedullary. Ke hoʻonohonoho pono ʻia ka iwi, hoʻokomo ʻia ke kui i loko o ka femur ma o ka trochanter nui, a laila i loko o ke poʻo femoral. Hāʻawi ka mīkini paʻa ma nā ʻaoʻao proximal a me distal o ke kui i ke kūpaʻa a me ke kākoʻo. Hoʻokomo ʻia ka hoʻokomo ʻana i ke kui e nā mea hana kūikawā i hoʻokomo ʻia i loko o ka hoʻonohonoho, e like me ka reamer a me ka mea hoʻokomo.
ʻO ka hoʻokomo ʻana i ka mea hana nail PFNA pono i ka ʻenehana kūpono a me ke akamai. ʻO ka mea mua, hoʻonoho ʻia ka mea maʻi ma ko lākou kua ma ka papaʻaina. Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻaoʻao ʻaoʻao o ka trochanter nui, a hoʻokomo ʻia kahi uea alakaʻi ma ka ʻāʻī femoral a i loko o ke poʻo femoral. Hoʻohana ʻia ka reamer e hoʻonui i ke kahawai intramedullary, a hoʻokomo ʻia ke kui i loko o ka femur. Hoʻokomo ʻia nā wili laka ma nā wēlau proximal a me ka mamao o ke kui, e hāʻawi ana i ka paʻa hou.
ʻO ka PFNA nail instrument set kahi koho maikaʻi loa no ka ʻokiʻoki ʻana i ka intertrochanteric femur fracture. Hāʻawi ia i nā pōmaikaʻi he nui ma luna o nā mea hana ʻokoʻa ʻē aʻe, me ka hoʻomaikaʻi ʻana i ke kūpaʻa implant, ka wikiwiki o ka hoʻihoʻi ʻana, a me ka hōʻemi ʻana i ka pilikia o nā pilikia. Pono ka ʻenehana hoʻokomo i ke akamai a me ka ʻenehana kūpono, akā ke hana pololei ʻia, hiki i ka PFNA nail instrument set ke hāʻawi i nā hopena maikaʻi loa no nā maʻi.
Ua kūpono anei ka mea hana kui PFNA no nā ʻano haʻihaʻi femur intertrochanteric?
ʻAʻole, ua hoʻonohonoho pono ʻia ka mea hana nail PFNA no nā haʻihaʻi intertrochanteric femur paʻa a paʻa ʻole.
Pehea ka lōʻihi o ka hana ʻana i ka hoʻohana ʻana i ka mea hana nail PFNA?
ʻO ka hana maʻamau ma waena o 45 mau minuke a 1 hola.
Pehea ka lōʻihi o ka hoʻihoʻi ʻana ma hope o ke ʻoki ʻana me ka mea hana nail PFNA?
ʻOkoʻa ka manawa hoʻihoʻi ma muli o ka mea maʻi a me ka paʻakikī o ka haʻihaʻi, akā hiki i ka hapa nui o nā maʻi ke hoʻomaka i nā hana kaumaha i loko o 24 mau hola o ke kaʻina.
Hiki ke hoʻohana ʻia ka mea hana nail PFNA i nā ʻano haʻihaʻi ʻē aʻe?
ʻAʻole, ua hoʻonohonoho pono ʻia ka mea hana nail PFNA no nā haʻihaʻi intertrochanteric femur a ʻaʻole ʻōlelo ʻia no nā ʻano haʻihaʻi ʻē aʻe.
ʻO ka holoʻokoʻa, ʻo ka PFNA nail instrument set he mea lapaʻau maikaʻi loa a hilinaʻi hoʻi no ka mālama ʻana i nā intertrochanteric femur fractures. ʻO kāna mau pōmaikaʻi ma luna o nā mea hana ʻokoʻa ʻē aʻe, e like me ka hoʻomaikaʻi ʻana i ke kūpaʻa implant a me ka wikiwiki o ka hoʻihoʻi ʻana, e lilo ia i koho kaulana no nā maʻi a me nā kauka. Me ka ʻenehana kūpono a me ke akamai, hiki i ka PFNA nail instrument set ke hāʻawi i nā hopena maikaʻi aʻe a kōkua i ka poʻe maʻi e hoʻōla koke a palekana.
Nā hiʻohiʻona a me nā pono
