Emisumaali 10 egy'omu nnyindo 10 egy'omu nnyindo (DTN) mu North America mu January 2025

Ebipande ebisiba .

Okwonoonebwa okw’amaanyi mu bitundu ebigonvu, omuwendo gw’abakwatibwa obulwadde bungi, okuwona okumala ebbanga eddene .

Antegrade Emisumaali .

Obulabe bw’okufuna obuvune mu kiwanga, okunyweza okutali kumala, okutera okukola malalignment .

DTN Ekigonjoola .

Enkola etali ya kuyingirira nnyo nga erina dizayini y’okuyingiza okudda emabega .

1Okumenyeka kw’omugongo ogw’ewala (distal tibial fractures) kwa bulijjo, era obujjanjabi obw’ekinnansi bulina we bukoma .

Distal tibial fractures kye kika ky’okumenya ekitundu eky’okunsi ekya bulijjo. Enzijanjaba z’ekinnansi nga locking plates ne antegrade intramedullary nails buli emu erina ebizibu byayo. Ebipande ebisiba biyinza okuleeta yinfekisoni oluvannyuma lw’okulongoosebwa oba okufa kw’ebitundu ebigonvu, okuwangaala okuwanvuwa; Wadde ng’emisumaali egy’ekika kya antegrade tegiyingiramu nnyo, giyinza okwonoona ekinywa ky’okugulu, okuleeta obulumi, n’okutwala obulabe bw’okunyweza oba okukola malo, okulemesa okuwona.

2Ekizibu Ekipya: Omusumaali ogw’ewala ogw’omugongo (DTN) .

Enkola empya ey’obujjanjabi —Distal Tibial Nail (DTN) —egaba endowooza empya ey’okuddukanya okumenya kw’omugongo ogw’ewala n’enteekateeka yaayo ey’enjawulo ey’okudda emabega.

Ekifaananyi 1: Enkola y’okuyingiza DTN emabega .

1Okuteeka omulwadde mu kifo n’okukendeeza ku kukendeeza omulwadde .

Omulwadde ateekebwa mu mbeera ya supine. Okumenyaamenya okusenguddwa kulina okukendeezebwa mu ngalo; Bwe kiba kyetaagisa, kozesa ebyuma ebikendeeza ku kukendeeza ku kuyamba nga tonnaba kuyingiza DTN. Singa wabaawo okumenya kw’ekiwujjo ekiwerekerako, okukwatagana okutuufu okw’ekiwuziwuzi kuyinza okuyamba okukendeeza ku tibial.

2Enkola y'okuyingiza DTN .

Okusalako kwa sentimita 2–3 mu buwanvu kukolebwa ku ntikko y’omuguwa ogw’omu makkati ogw’omu makkati okulaga omuguwa ogw’okungulu ogw’ekikuta. PIN elungamya eyingizibwa mu oba katono wakati ku nsonga ya malleolus, mm 4–5 okuva ku ngulu w’ekitundu ky’omubiri.

Ekifaananyi 2A: Okuyingiza ppini y’omulagirizi .

Ekifaananyi 2B: Okulaba okw’ebbali .

Ekifaananyi 2C: Enkola y’okukola ‘reaming’ .

Enkola y'okuddaabiriza .

• Ankle joint activity etandika amangu ddala nga bamaze okulongoosebwa .

• Weewale okugejja okumala wiiki 4–6 .

• Okukyusa mpolampola okudda mu kuzitowa okujjuvu ku wiiki 8–12 .

• Okulondoola okulaba buli kiseera mu kiseera ky’okudda engulu .

1Ebiva mu bujjanjabi bw’abalwadde 10 .

Okunoonyereza kwaddiridde abalwadde 10. We zaaweredde emyezi 3 oluvannyuma lw’okukola, emisango 7 gyali giwonye; Abalwadde bonna baafuna okuwona mu myezi 6. Omusango gumu buli omu ku Varus ne recurvatum deformities gwagwawo. Tewali kufiirwa kukendeeza, yinfekisoni, ebizibu ebikwatagana n’okuteekebwamu, oba obuvune obw’ekika kya iatrogenic bwalabiddwa.

1Okutebenkera kw’ebiramu .

Emisumaali egy’okudda emabega girina obugumu obw’oku ntikko obw’ekyekulungirivu n’okuzimbulukuka bw’ogeraageranya n’obupande obusiba wakati n’emisumaali egy’omu maaso (antegrade). Greenfield et al. Yakola okugezesa kwa biomechanical okulaga nti okukozesa sikulaapu bbiri ez’ewala mu DTN yatuuka ku 60–70% ku kunyigirizibwa okunyigiriza n’obugumu bwa 90% bw’ogeraageranya ne sikulaapu ssatu.

2Ebirungi ebiri mu DTN .

Okugerageranya ku locking plates, intramedullary nails zireeta less soft tissue damage, naddala esaanira abalwadde abakadde n’abo abalina obuvune obw’amaanyi mu bitundu ebigonvu olw’okulumwa amaanyi amangi. Enkola eno tekyetaagisa kufukamira kugulu, ekikendeeza ku bulabe bw’okufiirwa okukendeeza n’okugifuula ennungi eri abalwadde abalina entambula y’okugulu okutono.

3Okugeraageranya mu bujjanjabi .

Emiwendo egitakwatagana n’emisumaali egy’ekika kya antegrade giri 0–25% ne 8.3–50%; Ku bipande ebisiba, 0–17% ne 0–17%. Mu kunoonyereza kuno, emisango gyonna gyatuuka ku kwegatta, era 20% bokka be baalina obulema >5°, nga bageraageranyizibwa ku nkola ez’ennono.

DTN Product Line .

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

Omukozi: T1100-59

     Ebikwata ku bikozesebwa .    

Distal tibial intramedullary nail (DTN) Ekintu ekiteekebwamu

Omukozi:1200-27

     Ebikwata ku bikozesebwa .    

Distal tibial intramedullary nail (DTN) Ekibokisi ky'ebikozesebwa .

Omukozi:1000-0139

     Ebikwata ku bikozesebwa .