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Global Advanced Tibia Nailing Instruments Kombo 2025 Top 6 Innovations

Botali: 0     Mokomi: Mobongisi ya site Tango ya kobimisa: 2025-07-07 Origine: Esika

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Ba Fractures ya Tibia

Arbre tibial ezali moko ya bisika oyo emonanaka mingi na ba fractures, ezali na 13,7% ya ba fractures nionso na nzoto. Tibia distal ezali na ba caractéristiques anatomiques lokola compensation ya mabe ya alimentation ya makila mpe couverture minimal ya ba tissus doux. Soki kaka fracture esalemi, kobeba ya ba tissus doux mpe makila oyo ezali na esika na yango oyo ezali na likama ekoki kobakisa mokakatano ya kobika ya fracture. En plus, probabilité makasi ya ba fractures fibulaire concurrentes mpe instabilité esalaka que pona approche ya chirurgie oyo ebongi ezala essentielle.

Eteni ya ekulusu ya arbre tibial ya katikati tii ya likoló ezali triangle, nzokande misato ya nse ezali quadrilatéral. Esika oyo eteni ya misato ya katikati mpe ya nse ekutani ezali moke mpenza mpe ezali komonisa mbongwana ya lolenge, yango wana ezali esika oyo bato mingi babukaka.

Eteni ya misato ya liboso ya tibia ezipami kaka na loposo oyo misisa ezipaka te, yango esalaka ete ezala na likama ya kobukana polele epai biteni ya mikuwa etɔbɔlaka loposo. Ata na ba fractures fermées, ba fractures mingi ya tibia esanganaka na kobebisama ya loposo mpe ya ba tissus sous-cutané. Tibia ya katikati ezangi ezipeli ya misisa, mpe ezali na bisika minei ya fascial oyo ezingi tibia mpe fibule. Incidence ya syndrome ya compartiment ezali mingi na ba fractures tibiales soki tokokanisi yango na ba fractures mosusu.


Distal-Tibial--Intramédullaire-Ongles-(DTN) Ezali na ntina mingi kozala na bomoi ya malamu.

Ongles intramédullaire tibial distal (DTN) .

Approche-Suprapatellar-Tibial-Intramédullaire-Ongles

Approche Suprapatellar Ongles Intramédullaire Tibial

Expert-Tibia-Intramédullaire-Ongles

Expert Tibia Ongles intramédullaire


Classification ya ba fractures

Classification ya dislocation ya fracture ya AO/OTA

Classification numérique arabe AO/OTA e désigner ba fractures ya arbre tibial lokola 4 (tibia) 2 (arbre). Lolenge A ekokani na ba fractures simples oyo ezali na ligne moko ya fracture, oyo ezali type oyo emonanaka mingi. Ba fractures ya type B ezalaka na fragment intermédiaire oyo ezali na forme ya wedge. Ba fractures ya type C esalemaka na ba traumatismes ya énergie makasi mpe ezali ba fractures segmentales comminuées.

Classification ya Gustilo mpo na ba Fractures Ouvertes:

  • Lolenge I: Bolai ya mpota na nse ya 1 cm, mbala mingi mpota ya kotɔbɔla oyo ezali pɛto mpenza mpe nsɔngɛ ya mikuwa ebimi na loposo. Kobeba ya ba tissus doux ezali moke, na ba blessures ya konyata te. Fracture ezali simple, transversale, to oblique mokuse, sans comminution.

  • Lolenge II: Mpota eleki 1 cm, na kobebisama mingi ya ba tissus doux kasi avulsion to formation ya flap te. Tissu doux elakisaka ba blessures ya konyata ya pete to ya moyenne, contamination ya moyenne, mpe comminution ya moyenne ya fracture.

  • Lolenge III: Kobeba monene ya misisa ya pɛtɛɛ oyo esangisi misisa, loposo, misisa ya makila mpe misisa, mpe ebebisami makasi.

    • Lolenge IIIA: Atako kozoka mingi na avulsion to formation ya lambeau, to traumatisme ya énergie makasi ata soki mpota ezali bonene, ezali na couverture ya tissus doux oyo ekoki likolo ya fracture.

    • Lolenge IIIB: Kobeba mpe kobungisa mingi ya ba tissus doux, na kolongolama ya périoste mpe mokuwa oyo ezali polele, elongo na contamination makasi.

    • Lolenge IIIC: Ezali na boyokani na kozoka ya misisa ya makila oyo esengaka kobongisama.

Ba options ya traitement

Ba traitements oyo ezali ya lipaso te mpo na ba fractures tibiales ezali ba braces, fixation extérieure na plâtre, traction, réduction manuel, mpe kosalela ba cadres ya fixation extérieure. Ba options ya lipaso ezali fixation interne ya plaque bloquée mpe courage intramédullaire, parmi d’autres.

Fixation ya Clouage Intramédullaire

Fixation ya clou intramédullaire ezali favorisé na ba chirurgiens orthopédiques ya traumatisme mingi mpo na procédure na yango ya lipaso ya pete, ba incisions ya mike, ba traumatismes minimal, mpe kolongolama ya nsuki na ndenge ya malamu sima ya kobika ya fracture. Ezali kopesa fixation interne makasi, ko permettre exercice fonctionnel post-opératoire ya début mpe ko éviter ba complications locales mpe systémiques. Ba avantages oyo ezo correspondre na ba principes ya AO ya traitement.

CZMEDITECH Solution ya kosala clous intramédullaire tibial

Expert Tibia Ensemble ya Ongles & Instruments Intramédullaire

1.Kokata Oblique ya Proximal

Kokata oblique antérieur na suka ya proximal epekisaka irritation na ligament patellar.

2. Design ya kokangama ya likolo

Conception ya blocage proximal avancé ematisaka stabilité oyo elingi pona fragment proximal.

3. Blocage Oblique Distal

Option ya blocage oblique distal pona ko prévenir ba dégâts ya tissus doux pe ko augmenter stabilité ya fragment distal.

4. Vis ya Fil mibale

Vis ya blocage oyo esalemi na fil ya plomb double mpo na kokɔtisa yango na pɛtɛɛ nyonso.

Expert Tibia Ensemble ya ba instruments ya ongles intramédullaire

1200-09 na mokolo ya 1200
MOLUNGE

Approche Suprapatellar Tibial Intramédullaire Ensemble ya Ongles & Instruments

Mecanisme ya kokanga

Conception ya blocage pona fixation ya makasi, ko réduire dislocation ya fragment post-opératoire.

Lisungi ya ba points ebele

Multi points ya fixation epesaka stabilité angulaire mpe soutien stable mpo na palteau tibial.

Ba Phases ya Compression

Dispositif yango ezali na fonction ya ajustement adaptatif, na ba changements morphologiques na yango oyo elakisami na ba illustrations na conditions nionso mibale avant compression (état lax) mpe post-compression (etightly fitted).

Fixation Proximale-Distal oyo ezali na kati

Méthode multi fixation à partir ya proximal na distal, elakisaka ba fractures tibiales proximales na distales ultimes.

Approche Suprapatellar Ensemble ya ba instruments ya ongles intramédullaire tibial

1200-15 na mokolo ya 15
 MOLUNGE

Ongles Intramédullaire Tibial Distale (DTN) & Ensemble ya ba instruments

Design Plat mpo na Insertion Facile

Nsuka ya mosika ya nsuki monene ezali na motindo ya patatalu, oyo ezali kopesa nzela na kokɔtisa yango na pɛtɛɛ nyonso na kati ya cavité médullaire.

Vis ya blocage angulaire

Ba vis mibale ya blocage angulaire na suka ya proximal epekisaka rotation mpe déplacement ya segment ya fracture.

Curvature Anatomique ya kosala

Courbure anatomique spéciale esalaka que ongle principal ezala positionné optimal na kati ya cavité médullaire.

Vis ya blocage ya angle intersectant

Ba vis misato ya blocage angle intersectant na suka distal epesaka soutien mpe fixation efficace.

Ensemble ya ba instruments ya ongles intramédullaire tibial distal (DTN).

1200-27 na mokolo ya 1200
YA SIKA

Ensemble ya Ongles & Instruments Intramédullaire Tibial

Kosalela makambo mingi:

Ebongi mpo na ba fractures mingi ya arbre tibial (arbre milieu mpe mwa ba fractures distal/proximales), nzokande mitindo mosusu (ndakisa, DTN to Expert Nail) esalemi mpo na ba régions anatomiques spécifiques to ba fractures complexes.

Technique ya lipaso oyo ekɔmeli:

Approche standard (parapatellar to transpatellar) elandi procédure bien établie na courbe ya apprentissage ya se, alors que ba approches spécialisées (par exemple, suprapatellar) esengaka formation technique ya kobakisa.

Kozala na ntalo moke:

Soki tokokanisi yango na ba ongles spécialisés lokola Expert Nail to DTN, ba ongles intramédulaires tibiaux standards ezalaka typiquement plus abordable, yango esalaka que ezala approprié na ba cas routinières.

Compatibilité ya Implant ya large:

Compatible na instrumentation universelle (par exemple, ba vis ya blocage, ba appareils ya ciblage), alors que ba ongles spécialisés (par exemple, Expert Nail na ba systèmes ya blocage multi-directionnel) ekoki kosenga ba outils propriétaires.

Ensemble ya ba instruments ya ongles intramédullaire tibial

1200-02 na mokolo ya 1200
MOLUNGE
Type Meilleurs Indications Avantages ya moboko
Expert Nail Fractures complexes ya arbre, osteoporose Blocage multi-planaire, stabilité ya likolo
Ongles ya Suprapatellar Fractures proximales, ba malades obeses Approche suprapatellar, ekitisaka ba complications ya genoux antérieur
DTN Fractures distal (pene na articulation ya cheville) . Blocage distal multi-directionnel, ezo résister na mokuse
Ongles ya Standard Fractures simples ya arbre milieu Fonctionnement simple, ya talo moke
Distal-Tibial--Intramédullaire-Ongles-(DTN) Ezali na ntina mingi kozala na bomoi ya malamu.

Ongles intramédullaire tibial distal (DTN) .

Approche-Suprapatellar-Tibial-Intramédullaire-Ongles

Approche Suprapatellar Ongles Intramédullaire Tibial

Expert-Tibia-Intramédullaire-Ongles

Expert Tibia Ongles intramédullaire

Classification ya ba Instruments ya Couche ya Tibia

  1. Bisaleli ya kotimola : Ezali na biloko ya kotimola, ba-reamers, mpe bisaleli mosusu oyo basalelaka mbala moko mpo na kotimola mikuwa.

  2. Ba dispositifs ya ciblage : Bisaleli mpo na ko positionner mpe ko guider placement ya forage to implant, lokola ba fils guide, manches guide, mpe ba appareils ya viser.

  3. Bisaleli ya kokanga : Bisaleli oyo basalelaka mpo na kokangisa, kokanga to kobongisa biloko oyo batyaka na nzoto, na ndakisa matonga ya bato nyonso, ba clés, ba vis mpe ba marteaux.

  4. Bisaleli ya komeka : Bisaleli mpo na komeka bozindo, positionnement, to kosunga na lipaso, lokola ba jauge ya bozindo, pince ya réduction, mpe ba awls ya mikuwa (AWL).

Bisaleli ya Fixation
Bisaleli ya kotimola
Bisaleli ya komeka
Ba Appareils ya ko cibler

Lipaso Etape na Litambe

1. Kobongisa liboso ya lipaso

Evaluation ya imagerie : Rayons X/CT préopératoire mpo na ko confirmer type ya fracture, diamètre ya canal médullaire mpe longueur, na mesure ya tibia contralatérale lokola référence.

Positionnement : Position supine na flexion ya genoux 90°-120° mpe mwa adduction ya hanche (mpo na ko réduire tension ya tendon patellar). Cadre radiolucent triangulaire ekoki ko soutenir fosse popliteal mpo na traction.

Draping stérile: Stérilisation standard ya maboko mpe draping, ko assurer mobilité ya loboko C.

2. Kokitisa kobukana ya kobukana

Ba Techniques ya Réduction oyo ekangami

Traction manuel : Assistant asalelaka traction longitudinale tango monganga ya lipaso azali ko palper crête tibiale na surface anteromédiale mpo na ko ajuster alignment (longueur, rotation, angulation).

Esalisami na bisaleli:

  • Technique ya Joystick: Ba vis ya Schanz oyo ekotisami na ba fragments proximales/distals pona réduction ya levier.

  • Pinza percutanée: Pince ya réduction pointue mpo na ba fractures obliques/spirales.

  • Distracteur : Distracteur ya munene oyo etiemaki na coronalement (vis proximal Schanz parallèle na plateau tibial, broche distal na talus to tibia distal) mpo na kobatela bolai.

3. Localisation ya Point d’entrée

Bisika ya ntina:

  • Point d’entrée 1cm distal na bord ya plateau tibial antérieur, aligné na axe médullaire.

  • Confirmation fluoroscopique : Vue AP ezo aligner na creste tibial, vue latérale ezo parallèle na axe tibial.

Bisaleli ya kofungola:

  • Perceuse canulé likolo ya nsinga ya guide (na manche ya protection) to awl solide courbe.

  • Ba reamers ya maboko (6-8mm) pona ba fractures ya kala na occlusion ya canal.

4. Insertion & Reaming ya nsinga ya guide

Placement ya fil guide: Fil guide ya boule egumbami 10-15mm na pointe pona passage ya fracture. Confirmation fluoroscopique na cicatrice physique distal (centre ya cheville).

Protocole ya kosala reaming:

  • Ba reamers flexibles kobanda na 8mm, encrementant 0,5mm tiii na cortical 'chatter' (typiquement 1-1,5mm > diamètre ya ongles).

  • Liyebisi: Kolongolama mbala na mbala elongolaka biloko oyo ebebi; koboya nécrose thermique.

5. Kokɔtisa nsuki

Koyeba bolai:

  • Mesure intraopératoire : Méthode ya superposition ya fil guide to règle fluoroscopique (point ya entrée na articulation ya cheville).

  • Assurer que pointe ya ongles ekoma na cicatrice physique sans protrusion proximale.

Technique ya kokɔtisa biloko:

  • Kokende liboso na maboko likolo ya nsinga ya kotambwisa; bongisa réduction soki résistance esalemi.

  • Bobatela réduction na tango ya passage pona ba fractures distales.

6. Fixation ya vis ya interlocking

Stratégie ya séquence

  • Fractures stable na longueur: Blocage proximité liboso (vis unique epesaka nzela na dynamisation).

  • Fractures ya longueur-instable/comminuted: Blocage distal elandami liboso na 'backslap' pona ko compresser.

Bokangami ya penepene

  • ≥2 vis na nzela ya dispositif ya viser (multidirectionnel mpo na ba fractures proximales).

Bokangami ya Distal

  • Technique fluoroscopique: Faisceau central perpendiculaire na ba trous ya vis ('cercle parfait'), forage percutané.

  • ≥2 vis mpo na ba fractures distales (ekoki kosangisa ba orientations AP/obliques).

7. Misala ya nsuka

Casquette ya suka: Insertion optionnelle (epekisaka mikuwa ekoli na kati), assurer que articulation ebima te.

Bokangami ya mpota: Kobongisa tendon patellar na couches na ba sutures sous-cutanées oyo ekangami te.

8. Bokambami ya sima ya lipaso

Bobongisi ya liboso:

  • Botomboli ya maboko na nzoto; monitor mpo na syndrome ya compartiment na kati ya 24hrs.

  • Initier mobilisation active ya articulation (pompes ya cheville, flexion ya genoux) na POD 1-2.

Protocole ya komema kilo:

  • Komema kilo ya ndambo na boumeli ya baposo 6 (ebongisami na stabilité moko), kokende liboso kino na mobimba ntango callus ebimi.

Bolandi: Evaluation clinique/radiologique na poso 2, 6, mpe 12.

Variations spécifiques ya marque


Ba Synthèses ya DePuy (Johnson & Johnson) .

Biro monene: Raynham, Massachusetts, États-Unis

Biloko ya liboso:

  • Expert Tibial Nail (ETN) – Esalemi mpo na stabilité na ba fractures tibiales complexes.

  • T2 Tibial Nail – Epesaka fixation mpe compression oyo ebakisami.

Bokasi ya ntina : R&D ya makasi, bopanzani na mokili mobimba, mpe bosangisi na ba solutions ya traumatisme.

LOGO-1
★★★★★
Ba Synthèses ya DePuy (Johnson & Johnson) .
Expert Ongles Tibial (ETN)
T2 Ongles Tibial

Stryker ya mosala

Biro monene: Kalamazoo, na etúká ya Michigan, na États-Unis

Biloko ya liboso:

  • T2 Ongles tibial – Système modulaire pona ba fractures ya arbre tibial.

  • Gamma3 Tibial Nail – Esangisaka clou intramédullaire na ba options ya blocage.

Bokasi ya ntina: Robotique avancée (Mako), ba solutions minimalement invasives, mpe portefeuille ya ba traumatismes ya makasi.

LOGO-2
★★★★★
Stryker ya mosala
T2 Ongles Tibial
Gamma3 Ongles Tibial

Smith & Mwana ya ndeko

Biro monene: Londres, Royaume-Uni

Biloko ya liboso:

  • TRIGEN Tibial Nail – Esalemi mpo na kokotisa na pete mpe kozala stabilité.

  • IM Ongles Tibial – Fixation intramédullaire mpo na ba fractures tibiales.

Bokasi ya ntina: Tyá likebi mingi na nkisi ya masano mpe na ba traumatismes, biloko ya sika.

LOGO-3
★★★★★
Smith & Mwana ya ndeko
TRIGEN Ongles Tibial
IM Ongles Tibial

CZMEDITECH YA LIBOSO

Biro monene: Changzhou, na Chine

Biloko ya liboso:

  • Ongles intramédullaire tibial distal (DTN) – Ebongisami malamu mpo na ba fractures distales.

  • Expert Tibia Ongles Intramédullaire – Conception ya alliage ya titane ya makasi mingi.

  • Approche suprapatellar Ongles intramédullaire tibial – Insertion minimalement invasive.

  • Ongles Intramédullaire Tibial – Ba options ya fixation polyvalente.

Bokasi ya ntina : ba solutions ya talo moke, kopanzana ya présence mondiale.

LOGO-6
★★★★★
CZMEDITECH YA LIBOSO
Expert Ongles Intramédullaire Tibial Distale (DTN)
Tibie Ongles Intramédullaire
Approche Suprapatellar Ongles Intramédullaire Tibial
Ongles Intramédullaire Tibial

Biomet ya Zimmer

Biro monene: Varsovie, Indiana, États-Unis

Biloko ya liboso:

  • ZNN Tibial Nail – Design anatomique mpo na kobongisama ya boyokani.

  • Système naturel ya ongles – Ezali ko imiter mécanique ya mikuwa ya naturelle.

Bokasi ya ntina: Makasi na reconstruction ya articulation, intégration ya ba biologiques, mpe ba solutions personnalisées.

LOGO-4
★★★★★
Biomet ya Zimmer
ZNN Ongles Tibial
Système ya Ongles Naturel

Orthofix ya nzoto

Biro monene: Lewisville, na etúká ya Texas, na États-Unis

Biloko ya liboso:

  • LON Ongles Tibial (Ongles Orthopédiques Latéraux) – Esalemi mpo na approche ya entrée latérale.

Bokasi ya ntina: Spécialisé na stimulation ya croissance ya mikuwa, correction ya déformité ya maboko.

LOGO-5
★★★★★
Orthofix ya nzoto
LON Ongles Tibial (Ongles orthopédiques latéraux) .

Maloba ya nsuka

CZMEDITECH epesaka ba solutions ya clouage tibial ya mobimba mpo na ba fractures proximales, distalles, mpe complexes, na ba conception ya sika (par exemple, blocage multi-directionnel, approche suprapatellar) oyo ekokani na ba marques ya liboso ya mokili mobimba na biomécanique mpe ba résultats cliniques.

Bokutana na biso

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