Intramedullary nailing chanchin i hria em?

Intramedullary nail lo chhuahna hian ruh tliak rei tak takte enkawlna chu a tidanglam ta a ni. Kum zabi tam tak chhung chu he technique hi awm tawh mah se, kum zabi 20-na chanve hnuhnung ber thleng khan a dinhmun chu a thleng thei lo.

Hlawhtlinna kawng chu a awlsam ngai lo va, kum zabi 20-na chanve hmasa berah khan mithiam tam takin rinhlelhna leh hnialna an tawk a ni. Tunah chuan metallurgy, surgical technique leh fluoroscopic skills lama thil thar chhuah hmangin intramedullary nailing chu ruh tliak rei tak enkawlna standard a lo ni ta a ni.

Mihring biomechanical hriatna lama hmasawnna chuan he tunlai design siam hi a ti thei ta a ni. Tunlai intramedullary nailing hi natna hrik kai tlem, hliam tlem, ruh tliak tha tak, leh damlo kal theihna tur a ni.

He thuziak-a historical review neih hian intramedullary nail evolution chu a tawi zawngin tarlan a tum a, a thil pawimawh tak takte a tarlang a, intramedullary nail hman hmasak ber hun leh a hnu lama boruak a lo chhuah hun chhung boruak a rawn tarlang a, tunlai orthopedics and traumatology-a intramedullary nail awmna hmun a rawn tarlang bawk (eg, figure 1).

Intramedullary nail pianna .

Hmanlai Aigupta mite chuan nail ang chi intramedullary device an hmang hmasa ber a. Complex surgical fracture care hi kum tam tak kalta khan a awm tawh a rinawm loh.

Mahse, thil chiang tak chu, hmân lai Aigupta mite chuan thih hnua taksa thawhlehna an rinna aṭanga lo chhuak embalming technique ropui tak tak an nei tih hi a ni.

Hei hi Tutankhamun-a thlan atanga hmuh chhuah, Usermontu an tih mummy-ah a ni a, chutah chuan khup ruh nghet taka siam turin femur leh tibia inkarah threaded nail dah a ni (Figure 2-a kan hmuh ang hian).

Archaeologist-te chuan Sarcophagus chhunga mummy chu amah ngei pawh usermontu a ni lo va, BCE 600-a hmân lai thlan rukbo tawhte thlaktu dang a ni zawk niin an sawi.

Kum 2000 hnuah Hernando Cortes expedition-a anthropologist Bernardino de Sahagun chuan Mexico rama damlo nung pakhata intramedullary nailing hman hmasak ber a nih thu a sawi.

Kum 1524 khan Aztec bone surgeon (a named 'tezalo') pakhatin obsidian knife hmangin osteotomy a tih lai a hmu a, chutah chuan medullary cavity-ah resin rod a dah lut a, chu chuan a hliam chu a ti nghet a ni. Surgical technique leh antiseptics tha tak tak a awm loh avangin heng procedure te hian complication rate sang tak an nei a, thihna rate pawh a sang hle.

1800s: Step hmasa ber .

Kum 1800 chho lai vel khan medical journal hmasa ber chuan intramedullary nailing chungchang an report a. Diefenbach, Langenbeck, Bardenheuer leh German tawng hmang surgeon dangte chuan ruhro tihtawp nan ruh sei tak tak (marrow of long bones)-ah ivory nail an hmang tih an sawi.

Hetihlai hian Chicago-a Nicholas Senn, researcher leh sipai surgeon ngaina tak chuan intramedullary fixation hmangin experiment an nei a. Bovine ruh atanga siam hollow perforated splint a hmang ang a, medulla chhungah a dah lut ang a, 'pseudarthrosis' chu a hliam hnuah a enkawl ang.

Kum 1886 khan Switzerland rama Heinrich Bircher chuan surgical meeting-ah complex fractures acute treatment atan medulla-ah ivory nail dah a nih thu a sawi a (Figure 3).

Kum tlemte hnuah Germany-a Themistocles Gluck chuan ivory intramedullary nail hmasa ber chu nail tawp lamah khur neiin a siam a, chu chuan a vawi khatna atan interlocking concept a rawn pholang ta a ni.

Hemi hun chhung vek hian Norway atanga lo kal Julius Nicolaysen chuan proximal femoral fractures-a intramedullary nailing biomechanical principle chungchang a ziak hmasa ber a ni. Biomechanical advantage nasa zawk hmuh theihna tur leh ruh zawng zawng deuhthaw humhimna tur atan intramedullary nail sei zawng tihpun a tul thu a sawi bawk.

Static locking design turin proximal leh distal nail/bone interlocking concept a rawn rawt hmasa ber bawk. Mithiam thenkhat chuan intramedullary nailing pa angin an ngai a.

Kum 1800 chho lai vel khan Vienna-a Ignaz Philipp Semmelweis leh Glasgow-a Josephlister-te ang pioneer-te chuan surgical sterilization dinna tur lungphum an phum tawh a ni. Hei hi aseptic condition hnuaia surgical technique thar siam theihna a nih avangin thil tihhlawhtlinna tur a ni.

1900s: Evolution .

Kum 1912 khan British surgeon Ernest Hay Groves chu surgeon zingah solid metal rod hmanga intramedullary nail atana hmang hmasa ber a ni a, retrograde intramedullary nail approach hmahruaitu a ni bawk.

Indopui I-na lai khan a thil tawn a nei a, chu chu natna hrik kai, pseudarthrosis vei, an ke ruh tan duh lote a enkawl a ni. Minimal trauma hmanga osseointegration phalsaktu intramedullary nailing technique hmasa ber a sawi mai bakah, fractures fix nan intramedullary nail leh nail te zawk hmangin a thiam hle bawk.

Aluminum, magnesium leh steel hmanga siam implant a experiment a, fracture healing-a biomechanics pawimawhzia a hre chiang hle. Chuti chung pawh chuan Ernest Hay Groves-a technique chuan natna kai tamna a tuar a, chuvangin a hun laia mite pawhin an duh lo hle.

Kum 1931 khan American orthopedic surgeon, Smith-Petersen chuan intra-articular capsule femoral neck fractures enkawlna atan nupui pathum nei stainless steel screw a siam a. A design chu open approach a ni a, chu chuan iliac crest-a anterior third chu a incised a, broad fascial tensor hmalam edge-ah operative field-ah a lut a, chutah chuan fracture chu a dah leh a, impactor hmangin stainless steel screw chu femoral head-ah a khalh lut a ni (Figure 4).

Smith-Petersen trial hlawhtlinna avang hian surgeon tam tak chuan fractures atan metal implant an experiment tan a. Sven Johansson-a chuan kum 1932 khan hollow intramedullary nail chu a siam chhuak a; A thil siam chhuah thiam tak chuan kerfing needle a hmang a, chu chuan controlled radioological guided insertion chu intramedullary nail-ah a dah thei a ni. Core technical components a hman te chu tun thlengin hman a la ni reng.

Step khata kal lehin Rush leh a unaupa chuan kum 1937 khan elastic intramedullary nail concept an rawn hmang tan a.

Anni hian elastic, pre-bent stainless steel intramedullary nail an hmang a, fracture chhehvela axial displacement tendency dona atan intramedullary three-point fixation structure siam an tum a ni.

An concept-ah chuan intact soft tissue area hian tension band angin hna a thawk a, chu chuan pre-bent elastic nail atanga tension siam chu a do a ni. An sak dan chu stainless steel elastic property vangin a tlem a, elastic deformation atanga plastic deformation-ah a inthlak hma hle. A hnuhnung zawk hian secondary displacement leh deformity healing a thlen thei.

Chu bakah, intramedullary nails te chu luhnaah an chhuak emaw, cancellous bone structures an luhchilh emaw, joint chhunga perforate emaw pawh an ni thei bawk. Chuti chung pawh chuan, Viennese Scholar Ender chuan he technique hi Ender School of Fracture fixation bulpui atan a hmang chhunzawm zel a, tun thlengin pediatric fractures flexible fixation atan a la hmang reng a ni.

Bone marrow nail .

Kum 1939 khan German surgeon Gerhard Küntscher, Nobel Prize nominee chuan femoral stem-a ruh tliak enkawlna atan stainless steel intramedullary nail a siam a.

Küntscher leh midangte chu Smith-Petersen stainless steel screw hmanga femoral neck fracture enkawlna atana hman thinte atanga infuih an ni a, stem fracture-ah pawh hetiang principle hi hman theih a nih an ring bawk. Intramedullary nail an siam chu a tir lamah chuan V-shaped a ni a, cross-section leh 7-10 mm diameter a ni.

Cadaveric leh animal study a neih hnuah, Berlin-a kum 1940-a Berlin-a surgical meeting-a intramedullary nail leh surgical approach chu a present a, a tir lamah chuan a thil thar siam chu a German thawhpuiten an nuihzat a, mahse a method chuan Indopui II-na hnuah a lar chho ta hle a ni.

Hippocrates (460-370 BC), hmân lai Greek hunlaia doctor chuan damdawi lam pa tia sawi fo, vawi khat a sawi ṭhin, 'Hur surgery tih duh chuan indonaah a kal ngei tur a ni Küntscher-a pawh chutiang bawk chu a ni.

Nazi hun lai khan Küntscher chu Finland hmatawnga damdawi inah a awm a. Chutah chuan chu lai hmuna damlo leh indonaa tangte chu a thawk thei ta a ni. Bone marrow nailing concept chu closed leh open surgical approach hmangin a rawn pholang a ni.

Closed approach-ah chuan Greater Trochanter kaltlangin Prograde lam hawiin intramedullary nail chu a paltlang a, sling hmanga operate retraction table-ah a dah a. Fracture chu reposition a ni a, nail chu head fluoroscopy hmangin plane pahnih ah dah a ni. Open approach-ah chuan intramedullary nail chu fracture hmangin medulla chhungah fracture line bula incision hmangin an dah lut a ni.Küntscher hian intramedullary nail hmangin femoral stem fracture bakah tibial leh humeral fracture te a enkawl a ni.

Küntscher-a technique hian allied prisoners of war-a an hruai kir leh hnuah chauh international recognition a dawng a ni.

Chutiang chuan American leh British surgeon-te chuan Küntscher-a’n a siam intramedullary nail chu an hre chiang ta a, he fracture treatment modalities hunlaia a thatna chiang tak chu an hre chiang ta a ni.

Hun rei lo te chhungin khawvel hmun hrang hranga surgeon tam zawk chuan a hmanrua chu an hmang tan ta a, Küntscher-a intramedullary nail chuan damlo dam leh hun chu kum khat dawn lai a tihtlem avangin ruh tliak enkawlna chu a tidanglam ta a ni. Thla tam tak chhunga cast-a immobilized ngai tur damlote chu tunah chuan ni rei lote chhungin mobile an ni thei tawh ang.

Tun thleng hian German surgeon hi intramedullary nail siamtu pawimawh takah ngaih a ni a, trauma surgery chanchinah hmun pawimawh tak a chang bawk.

Intramedullary nail tihzauh .

Kum 1942 khan Fisher et al. Intramedullary nail leh ruh inkar contact area tihpun nan leh fracture fixation stability tihchangtlun nan marrow-expanding grinding drill hman dan kan sawi hmasa ber a.

Chuti chung pawh chuan Küntscher chuan tun thlenga hman theih la, flexible-guided reaming drill chu a rawn hmang a, ruh zung medullary cavity sei zawng zawngah reaming a support a, chu chuan diameter lian zawk intramedullary nails dah luh a ti awlsam a ni.

A tirah chuan intramedullary reaming chu ruh intlawmna hmun zau zawka tihpun nan an siam a, chu chu intramedullary nail nen a inzawm a, chu chuan a ruh tliak leh damlo chetna chak tak a fixation a ni.

Smith et al-te sawi dan chuan medullary expansion mm 1 mm tin hian contact area chu 38% zetin a tipung a ni. Hei hian intramedullary nail lian zawk leh nghet zawk hman theihna a siam a, fracture fixation structure zawng zawng stability a tichak a ni.

Mahse, Küntscher intramedullary nail chu a flexible intramedullary reaming drill chu osteotomy atana internal fixation device thlan tur tha tak ni ta mahse, academia chuan kum 1960 chho tawp lam khan Arbeitsgemeinschaft Für osteosynthesefragen (Ao) plate siam tharte duh zawngin a duh zawk a ni.

1960s: Dark Ages .

Kum 1960 chhoah khan intramedullary nailing chu plate leh screw fracture fixation duh zawngin an phase out nghal a.

Küntscher-a kalphung chu a kal tluang hle nachungin, khawvel hmun hrang hranga surgeon-te chuan postoperative result ṭha lo tak avangin an hnawl a ni.

Chu bakah, surgeon thenkhat chuan radiation technique, head fluoroscopy ang chi te chu an kalsan tan a, a chhan chu surgeon te chu radiation nena inzawm adverse side effects te chuan an huat em em a ni. Plate internal fixation system hman chungchangah international consensus tlangpui awm mah se, chutah chuan intramedullary nailing hmasawnna chu a tawp lo.

German doctor Küntscher chuan interlocking thatna chu a hre chiang a, cloverleaf ang chi interlocking intramedullary nail a siam a, chu chu 'detention nail' tiin a vuah a ni. Chutih hunlaia intramedullary nail design-a Achilles heel chu a fractures emaw fractures comminute tak tak, angle lian tak takah a inthlak danglam thei lo chu he harsatna chinfelna chu locking screw hman a ni.

He harsatna chinfel dan chu intramedullary nail chu locking screw hmanga stabilize a ni.

Chutiang chuan implant chuan bending leh torsional force te chu a do thei zawk a, chutih rualin limb shortening a veng thei bawk. Küntscher, Klaus Klemm, leh Wolf-Dieter Schellmann-a ngaihtuahna inzawmkhawm hmangin, intramedullary nail chu intramedullary nail-a proximal leh distal-a screw holes pre-drilling-in stability nasa zawk pe turin an siam a, chu chu inserted screw-ah an khar a ni.

Kum engemaw zat hnuah chuan fluoroscopic image clarity lama hmasawnna chuan fracture closure leh reduction technique thlan thar a phalsak a ni.

Kum 1970 leh 1980 chho: Harhna .

Kum 1970 chhoah khan German surgeon Küntscher-a intramedullary nailing concept ngaihvenna chu a nasa hle a.

Closed reduction intramedullary nail fixation for fractures, with its intersection of flexible reaming and interlocking concepts and enhanced clarity of fluoroscopic techniques, he surgical technique tha tak, soft tissue chhiatna tlem ber, stability tha tak, leh damlo mobility nghal te hian hmasawnna leh thehdarhna a thlen a ni.

Chutih lai chuan zirna khawvel chu thil thar chhuah hrang hrangin a rawn nuai a, chu chuan intramedullary nailing thlah hnihna hmasawnna a thlen a ni.

Kum 1976 khan Grosse leh Kempf te chuan intramedullary nail elastic modulus buaina chinfel nan intramedullary nail partially slotted an siam a. Intramedullary nail chu proximal region-ah slot a ni lo va, proximal screw atan nail hole a nei a, chu chu 45-degree angle-ah dah a ni a, chu chuan intramedullary nail internal fixation structure stability strength a ti sang a ni.

Kum tlemte hnuah AO chuan intramedullary nail development trend chu a zawm a, chutiang bawka ngaihtuah chhuah intramedullary nails chu a siam chhuak ta a ni (Figure 5)

Kum 1984 khan Weinquist et al. Proposed the dynamic approach, chu chu fracture end healing tihchakna tur a ni a, locking screw holes lian zawk hmangin static locking screw te chu paih chhuakin, chumi hnuah locking screw holes te chu oval nail holes te chu tunlai zawk design-a siam danglam a ni.

Dynamic approach hian a tum ber chu fracture healing tihhmasawn leh late activity avanga bone nonunion awm loh nan a ni.

Tunah hian intramedullary nailing dynamics chuan stand-alone technique angin a advocates te chu a hloh a, tunah chuan non-healing fractures enkawlna atana internal fixation system thlak kim ai chuan solution man tlawm zawk atan chauh hman a ni.

Biomechanical study-ah chuan Gimeno leh a thawhpuiten an zirchiannaah chuan, an zirchiannaah chuan, an zirchiannaah chuan, a zirtîrte chu an zirtîr a ni. report chuan intramedullary nail-a non-slotted leh slotted portion inkar transition zone chuan stress concentration a thlen a, internal fixation implant surgical failure a thlen bawk.

Heng harsatnate sutkian nan hian Russel leh Taylor et al. Kum 1986-a non-slotted, non-dilated intramedullary nail hmasa ber design a ni a, a rah chhuah chu a hlawhtling hle.

Hetih lai hian intramedullary nails interlocking buaina pawh a kal zel a, tunlaia kan hriat angin, intramedullary nail pre-drilled hole kal tlanga screw hmanga interlocking chu Germany rama Klemm leh Schleman te design a ni. Screw dah luh chu freehand fluoroscopy hmanga kaihhruai a ni ang a, chu chuan surgeon chu radiation tam takah a hruai lut ang.

Tunah chuan he harsatna hi distal targeting system hmangin chinfel a ni tawh a, chutah chuan electromagnetic field tracking technology, fluoroscopically guided freehand technology, leh proximal nail installation guide dik tak te a tel a ni.

1990s: Titanium chhunga Nail-a Nail .

Kum sawm chhungin Russel-Taylor intramedullary nail chu international orthopedic community-ah a lar hle a. Standard of care chu zawi zawiin intramedullary nailing with static locking of screws a lo ni ta a, hei hi Brumback et al.

He prospective study-ah hian result chuan locking hian a tam zawkah chuan result tha tak a siam a, fracture union non-union nen a inzawm lo tih a tarlang.

Metallurgy lama hmasawnna chuan titanium intramedullary nails a lo chhuak a, hei hi biomedical industry-ah hian an chak a, an chakna, corrosion resistance tha tak leh biocompatibility an neih avangin an hmang nasa hle.

Alta intramedullary nailing system hi titanium intramedullary nail awm hmasa ber a ni a, titanium mechanical property avang hian medical community chuan an lawm hle a, hei hi stainless steel aiin metal chak zawk mahse rigid lo zawk a ni.

Mahse, tuna literature-ah chuan titanium hi stainless steel aiin internal fixation atana hman tur thil tha zawk a ni em tih chu rinhlelhna a ni a, a bik takin titanium hmanna nena inzawm senso a san vang a ni.

Mahse, titanium thatna thenkhat, cortical bone hnaih elastic modulus leh magnetic resonance imaging compatibility te hian duhthlan tur ngaihnawm tak a siam a ni.

Tin, Titanium hi a hmuhnawm hle a, diameter te zawk intramedullary nails a ngai a nih chuan a tha hle bawk.

Tuna trend hrang hrang .

Kum sawmhnih kalta chhunga hlawhtlinna leh hlawhchhamna hnuah chuan orthopedic surgeon-te chuan intramedullary nailing chungchangah hian tawnhriat an nei tam zawk a ni.

Intramedullary nail fixation of femoral, tibial leh humeral fractures chu fracture khar tam zawk leh open fracture thenkhat enkawlna standard a lo ni ta a ni. Target leh positioning system thar chuan surgeon tawnhriat nei lo ber berte tan pawh he kalphung hi a ti awlsam a, a siam thar leh thei bawk.

Tun hnaia trend-ah chuan titanium leh stainless steel metals te hian elasticity modulus sang tak an nei a, chu chuan ruh damna atana mamawh irritating stresses te chu a tibuaitu a ni tih a tarlang. Tunah hian academia-ah biomaterial thar, magnesium alloy, shape memory alloy leh resorbable materials te chu test mek a ni.

Tunah hian elastic modulus tha zawk leh fatigue strength nasa tak nei, carbon fiber-reinforced polymer chhunzawm zel atanga siam intramedullary nails te chu a awm mek a ni. Magnesium alloys hian cortical bone ang chiah elasticity modulus an nei a, biodegradable an ni.

Tun hnaia zirchianna hrang hrangte chuan Li et al. An ran model-a osteoporotic fracture enkawlnaah magnesium leh zoledronate coating inkawp avanga ruh tliakte enkawlnaah osteoporotic fracture enkawlnaah hlawkna nasa tak an lantir a, hei hi modality a ni a, nakin lawkah osteoporotic fracture enkawlna a ni thei ang.

Tawpna

Kum tam tak chhung chu, intramedullary nail design, metallurgical techniques, leh surgical techniques-ah hmasawnna nasa tak a awm a, intramedullary nailing chu ruh tliak rei ber enkawlna standard-ah a lo thang chho a, a hlawkpui a, a invasive lo hle a, reproducible procedure a ni bawk.

Mahse, intramedullary nail design tam tak avang hian an postoperative outcome chungchangah hian thu tam tak a tlachham a ni. Intramedullary nail type size, characteristic leh radius of curvature tha ber hriat theih nan zirchianna tam zawk neih a ngai a ni.

Biomaterials lama thil thar chhuah chuan intramedullary nail design thar lo chhuahna a thlen dawn niin kan sawi.

Orthopedic implants leh orthopedic instruments lei dan

Tan CZMedItech , Orthopedic surgery implant leh a kaihhnawih instruments product line kimchang tak kan nei a, a product te pawh a tel Spine implant te pawh a awm ., Intramedullary nail te pawh a awm bawk., Trauma plate 1000 a ni., locking plate a ni., Cranial-maxillofacial 1000 a ni., Prosthesis 1000 a ni., Power hmanrua te ., Pawn lam fixator te ., arthroscopy 1000 a ni., veterinary care leh an supporting instrument sets te a ni.

Chu bakah, thil thar siam chhunzawm zel leh product line tihzauh zel kan tum tlat a, chutiang chuan doctor leh damlo tam zawkte surgical mamawh phuhrukna tur leh, chubakah kan company chu global orthopedic implants and instruments industry pumpuiah pawh inelna nei thei zawka siam kan tum a ni.

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