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Global Advanced Tibia Nailing Instruments Erinnya 2025 Ebiyiiya 6 Ebisinga Obukulu

Views: 0     Omuwandiisi: Site Editor Obudde bw'okufulumya: 2025-07-07 Ensibuko: Ekibanja

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Okumenya Amagulu (Tibial Fractures).

Ekitundu ky’omugongo kye kimu ku bifo ebisinga okumenyeka, nga kikola ebitundu 13.7% ku kumenya kwonna mu mubiri. Ekisambi eky’ewala kirina engeri z’omubiri nga okuliyirira obubi omusaayi n’okubikka ebitundu ebigonvu ebitono. Oluvannyuma lw’okumenya, okwonooneka kw’ebitundu ebigonvu n’omusaayi mu kitundu okutabuka kiyinza okwongera ku buzibu bw’okuwona kw’okumenya. Okugatta ku ekyo, emikisa mingi egy’okumenya emiguwa mu kiseera kye kimu n’obutabeera mu ntebenkevu bifuula okulonda enkola entuufu ey’okulongoosa okwetaagisa.

Ekitundu ekisalasala eky’omugongo ogw’omu makkati okutuuka waggulu kirimu enjuyi essatu, ate eky’okusatu ekya wansi kya njuyi nnya. Enkulungo y’ekitundu eky’okusatu eky’omu makkati n’ekya wansi nfunda nnyo era ekiikirira enkyukakyuka mu nkula, ekigifuula ekifo ekya bulijjo eky’okumenya.

Ekitundu eky’okusatu eky’omu maaso eky’ekisambi kibikkibwako olususu lwokka olutaliiko binywa, ekigifuula etera okumenya amagumba agaggule ng’ebitundutundu by’amagumba bifumita olususu. Ne mu kumenya okuggaddwa, okumenya kw’ekisambi okusinga kuwerekerwako okwonooneka kw’olususu n’ebitundu ebiri wansi w’olususu. Ekitundu eky’omu makkati eky’omugongo tekirina binywa bibikka, era waliwo ebitundu bina eby’omugongo (fascial compartments) ebyetoolodde ekisambi ne fibula. Omuwendo gw’obulwadde bwa compartment syndrome gusinga mu kumenya amagulu bw’ogeraageranya n’okumenya okulala.


Distal-Tibial--Omusumaali-ogw'omu lubuto-(DTN) .

Omusumaali ogw’omu mazzi ogw’ewala (DTN) .

Suprapatellar-Enkola-Ekifuba-Munda mu misumaali-Omusumaali

Enkola ya Suprapatellar Omusumaali mu Tibial Intramedullary

Omukugu-Tibia-Intramedullary-Omusumaali

Omukugu Tibia Intramedullary Nail


Ensengeka y’okumenya

Ensengeka y’okusereba kw’okumenya kwa AO/OTA

Ensengeka y’ennamba z’Oluwarabu eya AO/OTA eraga okumenya kw’omuggo gw’omugongo nga 4 (tibia) 2 (shaft). Ekika kya A kikwatagana n’okumenya okwangu nga kulina layini emu ey’okumenya, nga kino kye kika ekisinga okumanyibwa. Emenyese ez’ekika kya B zirina akatundu akalinga akawoowo ak’omu makkati. Okumenya okw’ekika kya C kuva ku buvune obw’amaanyi amangi era nga kumenya kwa bitundutundu (comminuted segmental fractures).

Ensengeka ya Gustilo ku biwuka ebiggule:

  • Ekika I: Obuwanvu bw’ekiwundu obutawera sentimita emu, ebiseera ebisinga kiwundu ekiyonjo ennyo ekifumita ng’ensonga y’amagumba efulumye mu lususu. Okwonooneka kw’ebitundu ebigonvu kutono, nga tewali buvune bubetenta. Okumenya kwangu, kwa transverse oba short oblique, nga tekuliimu kukendeera.

  • Ekika II: Ekiwundu kisukka sentimita emu, nga kisingako okwonooneka kw’ebitundu ebigonvu naye nga tewali avulsion oba flap formation. Ebitundu ebigonvu biraga obuvune obutono oba obw’ekigero obw’okumenya, obucaafu obw’ekigero, n’okumenya okw’ekigero okw’okumenya.

  • Ekika III: Okwonooneka okw’amaanyi okw’ebitundu ebigonvu nga kuzingiramu ebinywa, olususu, emisuwa n’obusimu, nga waliwo obucaafu obw’amaanyi.

    • Ekika kya IIIA: Wadde nga waliwo obuvune obw’amaanyi obw’okukutuka oba okutondebwa kw’ekifuba, oba okulumwa okw’amaanyi amangi awatali kulowooza ku bunene bw’ekiwundu, waliwo okubikka kw’ebitundu ebigonvu ebimala ku kumenya.

    • Ekika kya IIIB: Okwonooneka kw’ebitundu ebigonvu ennyo n’okufiirwa, nga waliwo okuggyibwako eggumba n’amagumba agalabika, nga kuwerekerwako obucaafu obw’amaanyi.

    • Ekika IIIC: Kikwatagana n’obuvune bw’emisuwa nga kyetaagisa okuddaabirizibwa.

Enkola z’Obujjanjabi

Enzijanjaba ezitali za kulongoosa ku kumenya amagulu mulimu ebisiba, okunyweza ebweru wa pulasita, okusika, okukendeeza mu ngalo, n’okukozesa fuleemu ezinyweza ebweru. Enkola z’okulongoosa mulimu okunyweza munda mu pulati ezikubiddwa n’okusiba emisumaali mu nnyindo, n’ebirala.

Okunyweza emisumaali mu misuwa

Intramedullary nailing fixation esinga okwagalibwa abasawo bangi abalongoosa amagumba abafunye obuvune olw’enkola yaayo ennyangu ey’okulongoosa, okusalako obutonotono, obuvune obutono, n’okuggyawo omusumaali mu ngeri ennyangu oluvannyuma lw’okuwona okumenya. Ewa okunyweza okw’amaanyi okw’omunda, okusobozesa dduyiro ow’emirimu nga bukyali oluvannyuma lw’okulongoosebwa n’okwewala ebizibu eby’omu kitundu n’eby’enkola. Ebirungi bino bikwatagana n’emisingi gya AO egy’obujjanjabi.

CZMEDITECH Ekizigo ky’okusiba emisumaali mu tibial Intramedullary

Omukugu Tibia Intramedullary Nail & Ebikozesebwa Set

1.Okusala Oblique okumpi

Okusala okw’omu maaso (anterior oblique cutting) mu nkomerero y’okumpi (proximal end) kuziyiza okunyiiga kw’omusuwa gw’omugongo (patellar ligament).

2. Enteekateeka y’okusiba ey’omulembe

Advance proximal locking design eyongera ku stability eyagala eri ekitundu proximal.

3. Ekizibiti eky’ewala (Distal Oblique Lock).

Distal oblique locking option okuziyiza okwonooneka kw’ebitundu ebigonvu n’okwongera okutebenkera kw’ekitundu eky’ewala.

4. Sikulufu y’obuwuzi obubiri

Sikulufu y’okusiba ekoleddwa n’obuwuzi bwa lead obw’emirundi ebiri okusobola okwanguyirwa okugiyingiza.

Omukugu Tibia Intramedullary Nail Ebikozesebwa Set

1200-09
OKWOOKYA

Enkola ya Suprapatellar Tibial Intramedullary Omusumaali & Ebikozesebwa Set

Enkola y’okusiba

Locking design for stronger fixation, okukendeeza ku postoperative fragment dislocation.

Obuwagizi obw’ensonga eziwera

Ebifo ebingi eby’okunyweza biwa okutebenkera okw’enkoona n’obuwagizi obutebenkevu eri tibial palteau.

Emitendera gy’okunyigiriza

Ekyuma kino kirina omulimu gw’okutereeza okukyusakyusa (adaptive adjustment function), ng’enkyukakyuka zaakyo mu nkula y’ebintu ziragiddwa mu bifaananyi wansi w’embeera zombi eza pre-compression (loose state) ne post-compression (tightly fitted).

Okunyweza okumpi n’ewala

Enkola ya multi fixation okuva ku proximal ne distal, eraga ultimate proximal ne distal tibial fractures.

Enkola ya Suprapatellar Tibial Intramedullary Nail Ebikozesebwa Set

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 OKWOOKYA

Distal Tibial Intramedullary Nail (DTN) & Ekikozesebwa mu kukola ebikozesebwa

Flat Design okusobola okwanguyirwa okuyingiza

Enkomerero y’omusumaali omukulu ey’ewala erina dizayini ya fulaati, ekyanguyiza okugiyingiza mu kisenge ky’omubiri ekiyitibwa medullary cavity mu ngeri ennyangu.

Sikulufu ezisiba mu ngeri ey’enkoona

Sikulufu bbiri ezisiba enkoona ku nkomerero ey’okumpi ziziyiza okukyukakyuka n’okusengulwa kw’ekitundu ky’okumenya.

Okukoona kw’omubiri (Anatomical Curvature).

Enkola ey’enjawulo ey’okukoona mu mubiri ekakasa nti omusumaali omukulu guteekeddwa bulungi munda mu kisenge ky’omubiri ekiyitibwa medullary cavity.

Sikulufu ezisiba enkoona ezisalagana

Sikulufu ssatu ezisiba enkoona ezisalagana ku nkomerero ey’ewala ziwa obuwagizi obulungi n’okunyweza.

Distal Tibial Intramedullary Nail (DTN) Ekikozesebwa mu kukola ebikozesebwa mu kukola emisumaali egy’ewala

1200-27
PYA

Tibial Intramedullary Omusumaali & Ebikozesebwa Set

Okusobola okukola ebintu bingi:

Esaanira okukutuka kw’omugongo ogusinga obungi (midshaft n’okumenya okumu okw’ewala/okw’okumpi), so ng’ate ebika ebirala (okugeza, DTN oba Expert Nail) bikoleddwa ku bitundu ebitongole eby’omubiri oba okumenya okuzibu.

Enkola y’okulongoosa abantu abakulu:

Enkola ey’omutindo (parapatellar oba transpatellar) egoberera enkola emanyiddwa obulungi ng’erina enkola ey’okuyiga eya wansi, so ng’ate enkola ez’enjawulo (okugeza, suprapatellar) zeetaaga okutendekebwa okw’ekikugu okw’enjawulo.

Okukendeeza ku nsaasaanya:

Bw’ogeraageranya n’emisumaali egy’enjawulo nga Expert Nail oba DTN, emisumaali egy’omutindo ogwa tibial intramedullary gitera okuba egy’ebbeeyi, ekigifuula esaanira mu mbeera eza bulijjo.

Okukwatagana kw’ebintu ebiteekebwa mu mubiri mu bugazi:

Ekwatagana n’ebikozesebwa eby’ensi yonna (okugeza, sikulaapu ezisiba, ebyuma ebigenderera), so ng’ate emisumaali egy’enjawulo (okugeza, Expert Nail with multi-directional locking systems) giyinza okwetaaga ebikozesebwa eby’obwannannyini.

Ekikozesebwa mu kukola emisumaali mu tibial Intramedullary

1200-02
OKWOOKYA
Ekika Ebiraga Ebisinga Obulungi Ebirungi Ebikulu
Omukugu Omusumaali Okumenya ebikondo ebizibu, okuzimba amagumba Multi-planar okusiba, okutebenkera okw’amaanyi
Omusumaali gwa Suprapatellar Okumenya okumpi, abalwadde abagejjulukuka Enkola ya Suprapatellar, ekendeeza ku bizibu by’okugulu okw’omu maaso
DTN Okumenya ewala (okumpi n’ekinywa ky’enkizi) . Multi-directional distal okusiba, okuziyiza okufunza
Omusumaali ogwa Standard Mid-shaft simple okukutuka Enkola ennyangu, etali ya ssente nnyingi
Distal-Tibial--Omusumaali-ogw'omu lubuto-(DTN) .

Omusumaali ogw’omu mazzi ogw’ewala (DTN) .

Suprapatellar-Enkola-Ekifuba-Munda mu misumaali-Omusumaali

Enkola ya Suprapatellar Omusumaali mu Tibial Intramedullary

Omukugu-Tibia-Intramedullary-Omusumaali

Omukugu Tibia Intramedullary Nail

Okugabanya Ebikozesebwa mu Kukuba Emisumaali mu Tibia

  1. Ebikozesebwa mu Kusima : Mulimu ebikozesebwa mu kusima, ebisala amagumba, n’ebikozesebwa ebirala ebikozesebwa butereevu mu kusima amagumba.

  2. Ebyuma Ebigenderera : Ebikozesebwa mu kuteeka mu kifo n’okulungamya okusima oba okuteekebwa mu mubiri, gamba nga waya ezilungamya, emikono egy’okulungamya, n’ebyuma ebigenderera.

  3. Ebikozesebwa mu kunyweza : Ebikozesebwa mu kuyunga, okusiba oba okutereeza ebintu ebiteekebwa mu mubiri, gamba ng’ebiyungo ebimanyiddwa nga universal joints, ebisumuluzo, sikulaapu, n’ennyondo.

  4. Ebikozesebwa mu kupima : Ebikozesebwa mu kupima obuziba, okuteeka mu kifo oba okuyamba mu kulongoosa, gamba ng’ebipima obuziba, ebyuma ebikendeeza, n’ebikozesebwa mu kulongoosa amagumba (AWL).

Ebikozesebwa mu Kunyweza
Ebikozesebwa mu Kusima
Ebikozesebwa mu Kupima
Ebyuma Ebigenderera

Okulongoosa Omutendera ku Mutendera

1. Okwetegekera nga tonnalongoosebwa

Okukebera ebifaananyi: Preoperative X-ray/CT okukakasa ekika ky’okumenya, medullary canal diameter n’obuwanvu, nga okupima contralateral tibia nga reference.

Okuteeka mu kifo: Okuyimirira ng’onyiganyiga ng’okugulu kufukamidde 90°-120° n’okusiba ekisambi katono (okukendeeza ku kusika omuguwa kw’emisuwa gy’omugongo). Fuleemu ya radiolucent ey’enjuyi essatu eyinza okuwanirira ekifo ekiyitibwa popliteal fossa okusobola okusika.

Sterile Draping: Standard limb sterilization ne draping, okukakasa okutambula kw’omukono gwa C.

2. Okukendeeza ku kumenya

Obukodyo bw’okukendeeza ku kuggalawo

Manual Traction: Assistant akozesa longitudinal traction ate omusawo alongoosa akwata ku tibial crest ne anteromedial surface okutereeza alignment (obuwanvu, okukyusakyusa, angulation).

Ebikozesebwa nga biyambibwako:

  • Enkola ya Joystick: Schanz screws ziteekebwa mu bitundutundu ebiriraanye/ewala okusobola okukendeeza ku lever.

  • Percutaneous Clamping: Ebipimo ebikendeeza ebisongovu (pointed reduction forceps) ku kumenya kwa oblique/spiral.

  • Ekiwugulaza: Ekiwugulaza ekinene ekiteekebwa mu kkoona (proximal Schanz screw parallel to tibial plateau, distal pin mu talus oba distal tibia) okukuuma obuwanvu.

3. Okuteeka ekifo ky’ekifo eky’okuyingira

Ebifo eby’enjawulo:

  • Ekifo ekiyingira 1cm distal to anterior tibial plateau edge, nga kikwatagana ne medullary axis.

  • Okukakasa mu ngeri ya fluoroscopic: Okulaba kwa AP kukwatagana ne tibial crest, okulaba okw’ebbali kukwatagana n’ekisiki ky’ekisambi.

Ebikozesebwa mu kuggulawo:

  • Cannulated drill ku guidewire (nga erina omukono ogw’obukuumi) oba curved solid awl.

  • Hand reamers (6-8mm) ku mmenyeka enkadde nga zizibikira omwala.

4. Okuyingiza waya za Guidewire & Reaming

Okuteeka waya ezikulembera: Waya ya guide eriko ensonga y’omupiira efukamidde mm 10-15 ku ntikko okusobola okuyita mu kumenya. Okukakasa mu ngeri ya fluoroscopic ku nkovu y’omubiri ey’ewala (amasekkati g’enkizi).

Enkola ya Reaming:

  • Flexible reamers okutandika ku 8mm, okweyongera 0.5mm okutuusa cortical 'chatter' (mu ngeri entuufu 1-1.5mm > nail diameter).

  • Weetegereze: Okuggyayo ssente mu biseera ebitali bimu kigogola ebifunfugu; weewale obulwadde bw’okufa (thermal necrosis).

5. Okuyingiza Omusumaali

Okusalawo obuwanvu:

  • Okupima mu kulongoosa: Enkola ya guidewire overlap oba fluoroscopic ruler (ekifo ekiyingira mu kiwanga ky’enkizi).

  • Kakasa nti ensonga y’omusumaali etuuka ku nkovu y’omubiri nga tewali kufuluma kumpi.

Enkola y’okuyingiza:

  • Engalo-okugenda mu maaso ku guidewire; tereeza okukendeeza singa okuziyiza kubaawo.

  • Kuuma okukendeeza mu kiseera ky’okuyita ku kumenya okw’ewala.

6. Okunyweza sikulaapu ezikwatagana

Enkola y’okuddirira

  • Emenyeka ezitebenkedde mu buwanvu: Okusooka okusiba okumpi (sikulufu emu ekkiriza okukola amaanyi).

  • Obuwanvu-obutanywevu/obumenyamenya: Okusiba ewala okusooka okugobererwa 'backslap' okunyigiriza.

Okusiba Okumpi (Proximal Locking).

  • ≥2 sikulaapu nga ziyita mu kyuma ekigenderera (multidirectional for proximal fractures).

Okusiba Ewala

  • Enkola ya fluoroscopic: Central beam perpendicular ku bituli bya sikulaapu ('perfect circle'), okusima okuyita mu lususu.

  • ≥2 screws for distal fractures (eyinza okugatta AP/oblique orientations).

7. Enkola Ezisembayo

End Cap: Okuyingiza mu ngeri ey’okwesalirawo (okuziyiza amagumba okukula munda), kakasa nti tewali kifuba kifulumye.

Okuggalawo ebiwundu: Okuddaabiriza emisuwa egy’omugongo (layered patellar tendon) ng’okozesa emisono egy’okusiba wansi w’olususu.

8. Enzirukanya y’emirimu oluvannyuma lw’okulongoosebwa

Okuddaabiriza nga bukyali:

  • Okugulumizibwa kw’ebitundu by’omubiri; okulondoola obulwadde bwa compartment syndrome mu 24hrs.

  • Tandika okutambuza ennyondo okukola (empapula z’enkizi, okufukamira okugulu) ku POD 1-2.

Enkola y’okusitula obuzito:

  • Okusitula obuzito ekitundu okumala wiiki 6 (okutereezebwa buli kutebenkera), okugenda mu maaso okutuuka ku bujjuvu nga callus efulumye.

Okugoberera: Okukebera obujjanjabi/radiological ku wiiki 2, 6, ne 12.

Enjawulo ezikwata ku kika (Brand-Specific).


DePuy Synthes (Johnson ne Johnson) abakola emirimu egy’enjawulo.

Ekitebe: Raynham, Massachusetts, Amerika

Ebintu Ebikulu:

  • Expert Tibial Nail (ETN) – Ekoleddwa okutebenkera mu kumenya kw’amagulu okuzibu.

  • T2 Tibial Nail – Ewa okunyweza n’okunyigiriza okunywezeddwa.

Amaanyi amakulu: R&D ey’amaanyi, okusaasaanya mu nsi yonna, n’okukwatagana n’ebigonjoola ebizibu ebizibu.

LOGO-1
★★★★★
DePuy Synthes (Johnson ne Johnson) abakola emirimu egy’enjawulo.
Omusumaali gw’omugongo ogw’ekikugu (ETN)
T2 Omusumaali gw’omugongo

Stryker

Ekitebe: Kalamazoo, Michigan, Amerika

Ebintu Ebikulu:

  • T2 Tibial Nail – Enkola ya modulo ey’okumenya ekikondo ky’omugongo.

  • Gamma3 Tibial Nail – Egatta okusiba emisumaali mu misuwa n’engeri y’okusiba.

Amaanyi amakulu: Robotics ez’omulembe (Mako), eby’okugonjoola ebizibu ebitono, n’ekifo eky’amaanyi eky’obuvune.

LOGO-2
★★★★★
Stryker
T2 Omusumaali gw’omugongo
Gamma3 Omusumaali gw’omugongo

Smith & Muganda wa Muganda

Ekitebe: London, Bungereza

Ebintu Ebikulu:

  • TRIGEN Tibial Nail – Ekoleddwa okwanguyirwa okugiyingiza n’okutebenkera.

  • IM Tibial Nail – Okunyweza mu nnyindo (intramedullary fixation) olw’okumenya amagulu.

Amaanyi amakulu: Essira lisse ku ddagala ly’emizannyo n’okulumwa, ebikozesebwa ebiyiiya.

LOGO-3
★★★★★
Smith & Muganda wa Muganda
TRIGEN Omusumaali gw’omugongo
IM Omusumaali gw’omugongo

CZMEDITECH EKITUNDU

Ekitebe: Changzhou, China

Ebintu Ebikulu:

  • Distal Tibial Intramedullary Nail (DTN) – Ekoleddwa bulungi ku kumenya okw’ewala.

  • Omukugu Tibia Intramedullary Nail – Dizayini ya titanium alloy ey’amaanyi amangi.

  • Enkola ya Suprapatellar Tibial Intramedullary Nail – Okuyingiza mu ngeri etali ya maanyi nnyo.

  • Tibial Intramedullary Nail – Enkola ez’okunyweza mu ngeri ez’enjawulo.

Amaanyi Amakulu: okugonjoola ebizibu ebitali bya ssente nnyingi, okugaziya okubeerawo mu nsi yonna.

LOGO-6
★★★★★
CZMEDITECH EKITUNDU
Distal Tibial Intramedullary Nail (DTN)
Omukugu Tibia Intramedullary Nail
Enkola ya Suprapatellar Enkola ya Tibial Intramedullary
Nail Omusumaali ogw’omu kifuba ogw’omu kifuba

Zimmer Biomet

Ekitebe: Warsaw, Indiana, Amerika

Ebintu Ebikulu:

  • ZNN Tibial Nail – Dizayini ya anatomic okusobola okulongoosa mu kukwatagana.

  • Enkola y’emisumaali ey’obutonde – Ekoppa makanika w’amagumba ag’obutonde.

Amaanyi amakulu: Amaanyi mu kuddamu okuzimba ebinywa, okugatta ebiramu, n’okugonjoola ebizibu ebikwata ku muntu.

LOGO-4
★★★★★
Zimmer Biomet
ZNN Tibial Nail
Enkola y'emisumaali egy'obutonde

Enkola y’okulongoosa (Orthofix).

Ekitebe: Lewisville, Texas, Amerika

Ebintu Ebikulu:

  • LON Tibial Nail (Lateral Orthopedic Nail) – Ekoleddwa okuyingira mu mabbali.

Amaanyi amakulu: Yakuguse mu kusitula okukula kw’amagumba, okutereeza obulema bw’ebitundu by’omubiri.

LOGO-5
★★★★★
Enkola y’okulongoosa (Orthofix).
LON Tibial Nail (Omusumaali gw’amagumba ogw’ebbali) .

Mu bufunzi

CZMEDITECH egaba eby’okugonjoola emisumaali mu bigere ebijjuvu ku kumenya okumpi, okw’ewala, n’okuzibu, nga zirina dizayini eziyiiya (okugeza, okusiba mu ngeri ez’enjawulo, enkola ya suprapatellar) ezigeraageranyizibwa ku bika ebikulembedde mu nsi yonna mu biomechanics n’ebiva mu bujjanjabi.

Tukwasaganye

Weebuuze ku bakugu bo aba CZMEDITECH mu by'amagumba

Tukuyamba okwewala emitego gy’okutuusa omutindo n’okutwala obwetaavu bwo obw’amagumba ng’ekikulu, mu budde ne ku mbalirira.
Changzhou Meditech Tekinologiya Kkampuni, Ltd.

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