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Global Advanced Tibia Nailing Instruments Hming 2025 Top 6 Thil thar chhuah

A rilru a buai em em a, a 0     rilru a hah em em bawk a, a rilru a buai em em bawk a. Hmun

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Tibial fractures .

Tibial shaft hi ruh tliak awmna hmun tam ber zinga mi a ni a, taksa chhunga ruh tliak zawng zawng zinga 13.7% a ni. Distal tibia hian thisen supply compensation tha lo leh soft tissue coverage tlem te ang chi anatomical characteristic a nei a ni. Fracture a awm tawh chuan soft tissue tihchhiat leh local blood supply tihchhiat chuan ruh tliak damna a tisang thei a ni. Tin, concurrent fibular fractures awm theihna sang tak leh instability chuan surgical approach dik tak thlan a pawimawh hle bawk.

Mid-to-upper tibial shaft cross-section chu triangular a ni a, a hnuai lam pathumna chu quadrilateral a ni thung. Middle leh lower thirds junction hi a tawi hle a, a shape inthlak danglamna a entir a, chu chuan fractures awmna hmun tlangpui a ni.

Tibia anterior third chu vunin a khuh vek a, chu chuan ruh fracture te chu a tikehsawm awlsam hle a, chu chuan ruh a tikehsawm a ni. Closed fracture-ah pawh tibial fracture tam zawk hi vun leh subcutaneous tissue chhiatna nen a inzawm a ni. Mid-tibia-ah hian muscle coverage a tlachham a, tibia leh fibula chhehvel fascial compartment pali a awm bawk. Compartment syndrome vei hi tibial fracture-ah hian fracture dang nena khaikhin chuan a tam zawk a ni.

Fracture chi hrang hrang thliar hranna .

AO/OTA fracture dislocation classification .

AO/OTA Arabic numeral classification hian tibial shaft fractures chu 4 (tibia) 2 (shaft) tiin a tarlang a. Type A hi simple fractures nen a inmil a, chu chu fracture line pakhat chauh a ni a, chu chu type hman tlanglawn ber a ni. Type B fractures hian wedge ang chi fragment inkar a nei a. Type C fracture hi high-energy trauma avanga lo awm a ni a, comminuted segmental fractures a ni.

Gustilo classification chu open fractures atan a ni:

  • Type I: Hliam sei zawng chu cm 1 aia tlem a ni a, a tlangpuiin vun chhunga ruh tip chhuak, vun tip chu a fai deuh. Soft tissue chhiatna a tlem hle a, hliam na tak a awm lo. A fracture chu a awlsam a, a transverse a, a short oblique a ni a, comminution tel lovin a ni.

  • Type II: Hliam hi 1 cm aia tam a ni a, soft tissue a tichhia nasa zawk a, mahse avulsion emaw flap formation emaw a awm lo. Soft tissue hian crushing injury na lo leh na lo tak a nei a, contamination a nei tlem a, a fracture chu a comminution tlem hle bawk.

  • Type III: Soft tissue tihchhiatna nasa tak, ruh, vun, thisen kalna kawng, leh nerve te, bawlhhlawh nasa tak awmna.

    • Type IIIA: Avulsion injury emaw flap formation nasa tak nei mahse, hliam lian leh te pawh thliar lovin high-energy trauma awm mahse, fracture chungah soft tissue coverage tha tak a awm.

    • Type IIIB: Soft tissue chhiatna leh hlohna zau tak, periosteal stripping leh bone exposed, contamination nasa tak nen a inzawm.

    • Type IIC: Arterial injury siamthat ngai nen a inzawm.

Enkawl dan tur .

Tibial fractures enkawlna tur ni lo treatment-ah chuan braces, plaster external fixation, traction, manual reduction, leh pawn lam fixation frame hman te a tel. Surgical option hrang hrangah locked plate internal fixation leh intramedullary nailing te, a dangte pawh a tel.

Intramedullary nailing fixation .

Intramedullary nailing fixation hi trauma orthopedic surgeon tam tak chuan an duh ber a, a chhan chu a surgery tih awlsam tak, incisions te te, trauma tlem te te, leh fracture dam hnua nail lakchhuah awlsam tak avang te a ni. Internal fixation chak tak a pe a, postoperative functional exercise hmasa ber a siam thei a, local leh systemic complication pawh a veng thei bawk. Heng hlawknate hi AO principle of treatment nen a inmil a ni.

CZMedItech tibial intramedullary nailing solution a ni.

A rilru a buai em em a, a rilru a hah em em bawk a.

1.Proximal oblique cut .

Proximal end-a anterior oblique cutting hian patellar ligament a ti na thei lo.

2. Locking design hmasawn tak .

Advance Proximal Locking Design hian proximal fragment tan stability duhthusam a ti sang a.

3. Distal oblique lock 10 a awm.

Distal oblique locking option soft tissue tihchhiat loh nan leh distal fragment stability tihpun nan.

4. Double thread screw 1000 a ni.

Locking screw design a ni a, double lead thread hmanga siam a ni a, awlsam zawka dah theih a ni.

A rilru a buai em em a, a rilru a hah em em bawk a. Tibial Intramedullary Nail & Instrument Set

Lock dan tur .

Locking Design Fixation chak zawk neih nan postoperative fragment dislocation tihtlem.

Multi-point a support .

Multi points of fixation hian angular stability a pe a, tibial palteau tan pawh stable support a pe bawk.

Compression phase hrang hrang .

Device hian adaptive adjustment function a nei a, a morphological changes chu pre-compression (loose state) leh post-compression (tightly fitted) condition pahnih hnuaia illustrations-a tarlan a ni.

Proximal-Distal fixation .

Multi fixation method Proximal leh distal atanga lo chhuak, proximal leh distal tibial fractures hnuhnung ber tarlang rawh.

A rilru a buai em em a, a rilru a hah em em bawk a.

Flat design a ni a, awlsam taka dah theih a ni.

Main nail distal end hian flat design a nei a, medullary cavity chhunga awlsam taka dah luh a awlsam phah a ni.

Angular locking screw te pawh a awm bawk.

Proximal end-a angular locking screw pahnih chuan fracture segment rotation leh displacement a veng thei.

Anatomical curvature 1000 a ni.

Special anatomical curvature chuan main nail chu medullary cavity chhungah a tha berin a awm theih nan a enkawl a ni.

Angle locking screw hrang hrang inzawmkhawm a ni.

Distal end-a angle locking screw pathum inzawmkhawm chuan support leh fixation tha tak a pe a ni.

Tibial intramedullary nail & instrument set a ni a.

Versatility:

Tibial shaft fracture tam zawk tan a tha (midshaft leh distal/proximal fracture thenkhat), chutih laiin chi dang (eg, DTN emaw expert nail emaw) chu anatomical region bik emaw, complex fractures emaw atan an siam a ni.

Surgical technique puitling tak tak: 1.1.

Standard approach (parapatellar emaw transpatellar) hian zirlai curve hniam zawk neia kalphung mumal tak a zawm a, chutih laiin specialized approach (eg, suprapatellar) chuan technical training dang a mamawh thung.

A man tlawm zawkna: 1.1.

Expert nail emaw DTN ang chi specialized nail te nen khaikhin chuan standard tibial intramedullary nails hi a tlangpuiin a man tlawm zawk a, hei vang hian routine case atan a tha hle.

Implant nena inmilna zau tak:

Universal instrumentation (eg, locking screw, targeting devices) nen a inmil a, chutih laiin specialized nail (eg, expert nail with multi-directional locking systems) chuan proprietary tools a mamawh thei thung.

Type Best indications A hlawkna bulpui ber .
Expert nail . Complex shaft fractures, ruh natna (osteoporosis) a awm bawk. Multi-planar locking, stability sang tak a awm bawk.
suprapatellar nail . Proximal fractures, damlo thau lutuk te . suprapatellar approach, anterior khup natna a tihziaawm
Dtn a ni a. Distal fractures (ankle joint bulah) . Multi-directional distal locking, shortening a do thei
Standard nail 100 a ni. Mid-shaft simple fractures . A hman dan awlsam, a man pawh a tlawm zawk .

Tibia nailing instrument hrang hrangte thliar hranna .

  1. Drilling instruments : drill bit, reamers, leh ruh drilling atana direct-a hman hmanrua dangte a huam a ni.

  2. Targeting Devices : Drilling emaw implant placement positioning leh guiding atana hmanrua, guide wire, guide sleeves, leh aiming devices te.

  3. Fixation Instruments : Implant inzawmkhawm, lock, emaw siamremna atana hmanrua, universal joint, wrench, screw, leh hammer te.

  4. Measuring Tools : Depth tehna hmanrua, positioning, emaw surgery-a puihna hmanrua, depth gauges, reduction forceps, leh bone awls (AWL) te ang chi te.

Fixation hmanrua te .
Drilling hmanrua te .
A tehna hmanrua .
Targeting devices te .
    

Surgical step-by-step .

1. operation hmaa inbuatsaihna .

Imaging Evaluation: Fracture type, medullary canal diameter leh a sei zawng tihchian nan preoperative X-ray/CT, reference atan contralateral tibia tehna hmangin.

Positioning: Knee flexion 90°-120° leh hip adduction tlem (patellar tendon tension tihtlem nan) a awm. Triangular radiolucent frame chuan popliteal fossa chu traction atan a support thei a ni.

Sterile draping: Standard limb sterilization leh draping, C-arm mobility a awm theih nan.

2. Fracture tihziaawmna .

Closed reduction technique 1.1.

Manual traction: Assistant chuan longitudinal traction a hmang a, surgeon chuan tibial crest leh anteromedial surface chu alignment (length, rotation, angulation) siamrem turin a palpate bawk.

Instrument hmanga puih:

  • Joystick Technique: Lever tihtlem nan proximal/distal fragment-a dah Schanz screw.

  • Percutaneous clamping: Oblique/spiral fractures te tan pointed reduction forceps.

  • Distractor: distractor lian tak chu coronally-ah dah (proximal Schanz screw parallel to tibial plateau, distal pin in talus emaw distal tibia emaw) a sei zawng a awm reng theih nan.

3. Entry point localization .

Hmun pawimawh tak tak:

  • Entry point 1cm chu anterior tibial plateau edge atanga hla takah a awm a, medullary axis nen a inmil a ni.

  • Fluoroscopic Confirmation: AP view chu tibial crest nen a inmil a, lateral view hian a parallels a tibial axis a ni.

Instrument hawn theihna: 1.1.

  • Cannulated drill over guidewire (a humhimna sleeve nei) emaw curved solid awl emaw a ni thei bawk.

  • Hand reamers (6-8mm) chu canal occlusion nei fracture hlui tan a ni.

4. GuideWire dah luh & reaming .

GuideWire dahna: Ball-tipped guidewire bent 10-15mm chu a tip a fracture passage a awm theih nan. Distal physeal scar (ankle center)-ah fluoroscopic confirmation a awm.

Reaming protocol:

  • Flexible reamers chu 8mm atanga tan a ni a, cortical 'chatter' (a tlangpuiin 1-1.5mm > nail diameter) thlengin 0.5mm a pung ang.

  • Note: Intermittent withdrawal hian debris a tifai a; Thermal necrosis hi pumpelh tur a ni.

5. Nail dahna tur .

A sei zawng tehna: 1.1.

  • Intraoperative tehna: guidewire overlap method emaw fluoroscopic ruler (ankle joint lam hawi) emaw a ni.

  • Nail tip hian physeal scar chu proximal protrusion awm lovin a thlen theih nan enfiah rawh.

Insertion technique: 1.1.

  • guidewire hmanga kut chhuak; Resistance a awm chuan reduction siamrem rawh.

  • Distal fractures tan passage laiin tihtlem a ni reng.

6. Screw fixation inzawmkhawm (interlocking) .

Sequence hmanga ruahmanna siam .

  • Length-stable fractures: Proximal locking hmasa ber (single screw hian dynamization a phal).

  • Length-unstable/comminuted fractures: distal locking hmasa ber chu 'backslap' a ni a, compress turin.

Proximal locking a awm bawk.

  • ≥2 Screws hmangin aiming device hmangin (proximal fractures atan multidirectional).

distal locking a ni.

  • Fluoroscopic Technique: Screw holes ('perfect circle'), percutaneous drilling-a central beam perpendicular-a siam.

  • ≥2 Screws chu distal fractures atan a ni (AP/Oblique orientations a inzawm thei).

7. A tawp bera tih dan tur .

End cap: Optional insertion (bony ingrowth a veng), joint protrusion awm lohna tur.

Hliam khar: Layered patellar tendon siam thatna chu a hnuai lam subcutaneous sutures a ni.

8. operation hnua enkawl dan tur .

Rehabilitation hmasa ber:

  • kut leh ke a elevation; 24hrs chhunga compartment syndrome awm leh awm loh enfiah.

  • POD 1-2 ah hian active joint mobilization (ankle pump, knee flexion) tan tir rawh.

Weight-bearing protocol: 1.1.

  • Partial weight-bearing chu kar 6 chhung (adjusted per stability), Callus a lo lan chuan a full thlengin a kal zel.

Follow-up: kar 2, 6 leh 12-naah clinical/radiological evaluation neih a ni ang.

Brand-specific variation te .


Depuy Synthes (Johnson & Johnson) te chuan an ziak a.

A hmunpui chu: Raynham, Massachusetts, USA-ah a awm a.

Flagship thil siam chhuah te:

  • Expert Tibial Nail (ETN) – Complex tibial fractures-a stability atana siam a ni.

  • T2 Tibial Nail – hian fixation leh compression tihchangtlunna a pe a.

Thiltihtheihna pawimawh: R&D chak tak, khawvel pum huapa sem chhuah, leh trauma solution nena inzawmna.

Logo-1.
★★★★ .
Depuy Synthes (Johnson & Johnson) te chuan an ziak a.
A rilru a buai em em a, a rilru a hah em em bawk a.
T2 tibial nail .

Stryker 100 a ni.

A hmunhma: Kalamazoo, Michigan, USA

Flagship thil siam chhuah te:

  • T2 Tibial Nail – Tibial shaft ruh tliak te tan modular system a awm.

  • Gamma3 Tibial Nail – Intramedullary nail leh locking option te a inzawm khawm.

Thiltihtheihna pawimawh tak tak: Robotics Advanced (Mako), Minimally Invasive Solutions, leh Trauma portfolio chak tak tak te.

Logo-2 a ni.
★★★★ .
Stryker 100 a ni.
T2 tibial nail
gamma3 tibial nail . 

Smith & A farnu te chuan an rawn ti a.

A hmunpui: London, UK

Flagship thil siam chhuah te:

  • Trigen Tibial Nail – A luh awlsamna leh a nghet theih nan siam a ni.

  • Im tibial nail – tibial fractures a awm chuan intramedullary fixation a awm.

Thiltihtheihna pawimawh: Infiamna damdawi leh trauma, thil thar siam chhuahna lam ngaihtuah.

Logo-3 a ni.
★★★★ .
Smith & A farnu te chuan an rawn ti a.
Trigen tibial nail
im tibial nail .

CZMedItech 1000 a ni.

A hmunpui: Changzhou, China

Flagship thil siam chhuah te:

  • Distal Tibial Intramedullary Nail (DTN) – distal fractures atana hman theih tur a ni.

  • Expert tibia intramedullary nail – Titanium chakna sang tak nei alloy design.

  • Suprapatellar approach tibial intramedullary nail – a tlem berah invasive insertion.

  • Tibial intramedullary nail – a hman dan tur dik tak a ni.

Thiltihtheihna pawimawh: Hmanraw man tlawm zawk, khawvel pum huapa awmna tihzauh.

Logo-6 a ni.
★★★★ .
CZMedItech 1000 a ni.
A rilru a buai em em a,
a rilru a hah em em bawk a,
a rilru a buai em em bawk a,
a rilru a hah em em bawk a .

Zimmer Biomet 1000 a ni.

A hmunpui: Warsaw, Indiana, USA

Flagship thil siam chhuah te:

  • Znn Tibial Nail – Fit tha zawk neih theihna tur anatomic design a ni.

  • Natural nail system – Natural bone mechanics ang chiah a ni.

Thiltihtheihna pawimawh: Joint reconstruction, biologics integration, leh personalized solution-ah te a chak hle.

Logo-4 a ni.
★★★★ .
Zimmer Biomet 1000 a ni.
Znn Tibial Nail
Natural Nail System 1000 a awm bawk.

orthofix 1000 a ni.

A hmunpui: Lewisville, Texas, USA

Flagship thil siam chhuah te:

  • Lon tibial nail (lateral orthopedic nail) – Lateral entry approach atana siam a ni.

Thiltihtheihna pawimawh: Ruh thanna tichaktu, limb deformity correction-a specialized.

Logo-5 a ni.
★★★★ .
orthofix 1000 a ni.
Lon tibial nail (lateral orthopedic nail) a ni.

Tawpna

CZMedItech hian proximal, distal, leh complex fractures te tan tibial nailing solutions kimchang tak a pe a, design thar (eg, multi-directional locking, suprapatellar approach) te nen global leading brands in biomechanics leh clinical outcome te nen tehkhin theih a ni.

Thuhriltute .

[1].德康医痗. A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk .a A rilru a buai em em a, a rilru a hah em em bawk a..

[2].AO Foundation-ah a awm. (ND) a ni. A rilru a buai em em a, a rilru a hah em em bawk a, a rilru a buai em em bawk a. AO surgery tih a ni. July 10, 2024-a 1000 aṭanga lak chhuah a ni. https://surgeryreference.aofoundation.org/orthopedic-trauma/a puitlin-trauma/tibial-shaft/simple-fracture-spiral/intramedullary-nailing?Searchurl=/searchresults

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