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Global Advanced Tibia Nailing Instruments hming 2025-a thil thar 6 zingah a langsar ber

Views: 0     Author: Site Editor A chhuah hun: 2025-07-07 A chhuahna: Hmun

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Tibial Fractures a awm thin

Tibial shaft hi ruh tliak tamna hmun pakhat a ni a, taksa ruh tliak zawng zawng zinga 13.7% a ni. Distal tibia hian anatomical characteristics a nei a, chu chu thisen supply compensation tha lo leh soft tissue coverage tlem ber a ni. Vawikhat ruh tliak a awm chuan soft tissue tihchhiat leh tualchhung thisen supply tihchhiat hian ruh tliak dam harsatna a tipung thei a ni. Tin, concurrent fibular fractures leh instability awm theihna a sang avangin surgical approach dik tak thlan a pawimawh hle bawk.

Mid-to-upper tibial shaft cross-section chu triangular a ni a, a hnuai lam third chu quadrilateral a ni thung. Middle leh lower thirds inzawmna hi a tawi hle a, a pianzia inthlak danglamna a entir a, hei vang hian fracture awmna hmun tlangpui a ni.

Tibia hmalam pathumna chu taksa peng (muscle coverage) nei lo vunin chauhin a khuh a, chu chuan ruh chi hrang hrangin vun a tihchhiatna hmunah chuan open fracture a nei awlsam hle. Closed fracture-ah pawh tibial fracture tam zawk hi vun leh subcutaneous tissue tihchhiatna nen a inzawm a ni. Mid-tibia hian muscle coverage a nei lo a, tibia leh fibula vel hi fascial compartment pali a awm bawk. Compartment syndrome vei hi tibial fracture-ah hian fracture dang nena khaikhin chuan a tam zawk.


Distal-Tibial--Intramedullary-Nail-(DTN) te chu a chhuak thei lo.

Distal Tibial intramedullary Nail (DTN) hmanga tihchhuah a ni.

Suprapatellar-Approach-Tibial-Intramedullary-Nail-ah chuan a chhuak leh ta a ni

Suprapatellar approach Tibial Intramedullary Nail hmanga siam a ni

Expert-Tibia-Intramedullary-Nail te chu a chhuak a

Expert Tibia intramedullary Nail hmanga siam a ni


Fracture chi hrang hranga awm dan

AO/OTA Fracture Dislocation awm dan chi hrang hrang

AO/OTA Arabic numeral classification chuan tibial shaft fracture chu 4 (tibia) 2 (shaft) tiin a tarlang. Type A hi fracture line pakhat neia fracture awlsam tak nen a inmil a, chu chu a tam ber a ni. Type B fracture-ah hian a inkar (intermediate wedge) ang chi fragment a awm a. Type C fracture hi high-energy trauma avanga lo awm a ni a, comminuted segmental fracture a ni.

Gustilo Classification chu Open Fractures te tan a ni:

  • Type I: Hliam sei zawng cm 1 aia tlem lo, a tlangpuiin puncture hliam thianghlim deuh, ruh tip vun atanga rawn chhuak a ni. Soft tissue chhiatna hi a tlem hle a, crushing injury a awm lo. Fracture hi a simple, transverse emaw short oblique emaw a ni a, comminution a awm lo.

  • Type II: Hliam hi cm 1 aia sei a ni a, soft tissue a tichhia nasa zawk a, mahse avulsion emaw flap emaw a awm lo. Soft tissue hian crushing injury mild to moderate, contamination moderate, leh fracture comminution moderate a lantir thin.

  • Type III: Soft tissue tihchhiatna nasa tak, taksa ruh, vun, thisen kalna leh nerve te a huam a, a bawlhhlawh nasa hle.

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

    • Type IIIB: Soft tissue nasa taka chhiatna leh hloh, periosteal stripping leh ruh langsar, contamination nasa tak nen.

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

Enkawlna kawng hrang hrang

Tibial fracture-a non-surgical treatment-ah chuan braces, plaster external fixation, traction, manual reduction, leh external fixation frame hman te a tel. Surgical option hrang hrangah hian locked plate internal fixation leh intramedullary nailing te, a dangte pawh a tel.

Intramedullary-a Nailing Fixation hmanga siam a ni

Intramedullary nailing fixation hi trauma orthopedic surgeon tam tak chuan an duh ber a, a chhan chu a surgical procedure awlsam tak, incision te te, trauma tlem te, leh fracture healing hnua nail awlsam taka lakchhuah theih a nih vang a ni. Internal fixation chak tak a pe a, postoperative functional exercise hmasa ber a siamsak a, local leh systemic complications a veng thei bawk. Heng thatnate hi enkawlna atana AO principle nen a inmil hle.

CZMEDITECH Tibial Intramedullary-a Nailing Solution hmanga siam a ni

Expert Tibia Intramedullary Nail & Instrument Set hmanga siam a ni

1.Proximal Oblique Cut a ni

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

2. Locking Design hmasawn tak tak a awm

Advance proximal locking design hian proximal fragment tan stability duhthusam a tipung a ni.

3. Distal Oblique Lock hmanga siam a ni

Distal oblique locking option hmangin soft tissue chhiatna a veng a, distal fragment stability a ti sang bawk.

4. Double Thread Screw hmanga siam a ni

Locking screw chu double lead thread hmanga design a ni a, a luh awlsam zawk nan.

Expert Tibia Intramedullary Nail hmanrua Set hmanga siam a ni

1200-09 chhung a ni
SA

Suprapatellar Approach Tibial Intramedullary Nail & Instrument Set hmanga siam a ni

Locking Mechanism a ni

Locking design hmanga fixation chak zawk, postoperative fragment dislocation tihtlem.

Point hrang hrang atanga tanpuina

Multi points of fixation hian tibial palteau tan angular stability leh stable support a pe a ni.

Compression Phase hrang hrangte

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

Proximal-Distal-a Fixation hmanga siam a ni

Proximal leh distal atanga multi fixation method hmangin, proximal leh distal tibial fracture hnuhnung ber a awm tih a tarlang.

Suprapatellar Approach Tibial Intramedullary Nail hmanrua Set hmanga siam a ni

1200-15 thleng a ni
 SA

Distal Tibial Intramedullary Nail (DTN) leh hmanraw set hmanga siam a ni

Flat Design hmangin awlsam taka dah theih a ni

Main nail distal end hian flat design a nei a, medullary cavity chhungah awlsam taka dah theih a ni.

Angular Locking Screw hmanga siam a ni

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

Anatomical Curvature a ni

Special anatomical curvature hmangin main nail chu medullary cavity chhungah a awm tha ber a ni.

Angle Locking Screw inzawmkhawm te

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

Distal Tibial Intramedullary Nail (DTN) hmanga hmanraw hman tur siam a ni

1200-27 thleng a ni
THAR

Tibial Intramedullary Nail & Instrument Set hmanga siam a ni

Thil chi hrang hranga hman theihna:

Tibial shaft fracture tam zawk (midshaft leh distal/proximal fracture thenkhat) tan a tha a, chi dang (eg, DTN emaw Expert Nail) erawh chu specific anatomical region emaw complex fracture emaw atan siam a ni thung.

Puitling Surgical Technique hman dan: 1.1.

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

A man tlawm zawk: 1.1.

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

Broad Implant nena inmil theihna:

Universal instrumentation (eg, locking screw, targeting devices) nena inmil, chutih laiin specialized nail (eg, Expert Nail multi-directional locking system nei) erawh chuan proprietary tools a mamawh thei thung.

Type tha ber berte Core Advantages
Expert Nail a ni Shaft fracture complex tak tak, ruh natna (osteoporosis) a awm Multi-planar locking, stability sang tak a ni
Suprapatellar Nail hmanga siam a ni Proximal fractures, thau lutuk damlo te Suprapatellar approach, khup hmalam harsatna a tihziaawm
DTN a ni Distal fractures (ankle joint bulah) a awm a. Multi-directional distal locking, tih tawi a do thei
Standard Nail hmanga siam a ni Mid-shaft-ah chuan simple fractures a awm Operation awlsam tak, man tlawm zawk
Distal-Tibial--Intramedullary-Nail-(DTN) te chu a chhuak thei lo.

Distal Tibial intramedullary Nail (DTN) hmanga tihchhuah a ni.

Suprapatellar-Approach-Tibial-Intramedullary-Nail-ah chuan a chhuak leh ta a ni

Suprapatellar approach Tibial Intramedullary Nail hmanga siam a ni

Expert-Tibia-Intramedullary-Nail te chu a chhuak a

Expert Tibia intramedullary Nail hmanga tihchhuah a ni

Tibia Nailing Instruments hrang hrangte chi hrang hrang

  1. Drilling Instruments : Drill bit, reamer, leh ruh drilling atana hman tur direct-a hmanraw dangte a tel.

  2. Targeting Devices : Drill emaw implant dahna hmun tur leh kaihhruaina hmanrua, guide wire, guide sleeve, leh aiming device te.

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

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

Fixation hmanrua te
Drilling hmanrua te
Thil tehna hmanrua
Targeting Devices te pawh a awm

Surgical Step hrang hranga tih tur a ni

1. Operation hmaa inbuatsaihna

Imaging Evaluation: Fracture chi, medullary canal diameter leh sei zawng hriat chian nan Preoperative X-ray/CT hmangin, contralateral tibia tehna chu reference atan hman a ni.

Positioning: Supine position-ah khup flexion 90°-120° leh hip adduction tlem (patellar tendon tension tihziaawmna turin). Triangular radiolucent frame hian popliteal fossa chu traction atan a support thei a ni.

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

2. Fracture tihziaawmna

Closed Reduction technique hrang hrang te

Manual Traction: Assistant hian longitudinal traction a hmang a, surgeon chuan tibial crest leh anteromedial surface te chu palpate in alignment (length, rotation, angulation) a siamrem thung.

Instrument hmanga puih theih:

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

  • Percutaneous Clamping: Oblique/spiral fracture te tan pointed reduction forceps hman a ni.

  • Distractor: Distractor lian tak chu a sei zawng vawng reng turin coronally (proximal Schanz screw parallel to tibial plateau, distal pin in talus emaw distal tibia) dah a ni.

3. Entry Point awmna hmuna awm dan

Hmun pawimawh tak tak:

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

  • Fluoroscopic confirmation: AP view chu tibial crest nen a inmil a, lateral view chu tibial axis nen a inmil bawk.

Hawnna hmanrua: 1.1.

  • Guidewire (protective sleeve nei) emaw curved solid awl emaw chungah cannulated drill hmanga siam a ni.

  • Canal occlusion nei fracture hlui tan hand reamers (6-8mm) hman a ni.

4. Guidewire dah luh & Reaming

Guidewire dahna: Ball-tipped guidewire chu a tip-ah 10-15mm a ben a, fracture kal theihna turin. Distal physeal scar (ankle center)-ah fluoroscopic hmanga nemngheh a ni.

Reaming Protocol chu: 1.1.

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

  • Note: Intermittent withdrawal hian bawlhhlawh a tifai a; thermal necrosis tih loh tur.

5. Nail Insertion tih a ni

A sei zawng tihfel dan:

  • Intraoperative measurement: Guidewire overlap method emaw fluoroscopic ruler (ankle joint thlenga luhna hmun) emaw hmanga tehna.

  • Nail tip chu physeal scar thlengin proximal protrusion awm lovin enfiah rawh.

Insertion hman dan: 1.1.

  • Guidewire chungah kut hmanga hmalak; resistance a awm chuan reduction siamrem rawh.

  • Distal fractures tan passage laiin reduction vawng reng ang che.

6. Interlocking Screw hmanga innghahna

Sequence hman dan tur ruahmanna (Sequence Strategy) a ni

  • Length-stable fractures: Proximal locking hmasa ber (screw pakhat hmangin dynamization a awm thei).

  • Length-unstable/comminuted fractures: Distal locking hmasa ber chu 'backslap' hmanga compress turin.

Proximal Locking a ni

  • ≥2 screws chu aiming device hmangin (proximal fracture tan multidirectional) a ni.

Distal Locking a ni

  • Fluoroscopic technique: Central beam chu screw hole-a perpendicular ('perfect circle'), vun hmanga drilling.

  • Distal fracture (AP/oblique orientations inzawmkhawm thei) tan screw ≥2.

7. Thiltih dan tur hnuhnung ber

End Cap: Optional insertion (bony ingrowth a veng), joint protrusion awm lo turin enfiah rawh.

Hliam khar: Layered patellar tendon siamthat a ni a, subcutaneous sutures loose tak tak a awm bawk.

8. Operation hnu lama enkawl dan

Rehabilitation hmasa ber: 1.1.

  • Limb sang lutuk; 24hrs chhungin compartment syndrome a awm leh awm loh enfiah thin ang che.

  • POD 1-2 ah hian active joint mobilization (ankle pump, khup flexion) tan tir thin ang che.

A rit zawng tehna Protocol:

  • Kar 6 chhung partial weight-bearing (adjusted per stability), callus a lo lan chuan full-ah a kal zel.

Follow-Up: Kar 2, 6, leh 12-ah clinical/radiological evaluation neih a ni.

Brand hrang hranga danglamna


DePuy Synthes (Johnson leh Johnson te) te chuan an siam chhuak a.

Headquarters: Raynham, Massachusetts, USA-a awm a ni

Flagship Products te chu:

  • Expert Tibial Nail (ETN) – Tibial fracture complex tak takah stability atana siam a ni.

  • T2 Tibial Nail – Fixation leh compression tihchakna a pe thei.

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

LOGO-1 ah hian a awm
★★★★★ a ni
DePuy Synthes (Johnson leh Johnson te) te chuan an siam chhuak a.
Expert Tibial Nail (ETN)
T2 Tibial Nail hmanga siam a ni

Stryker a ni

Headquarters: Kalamazoo, Michigan, USA-a awm a ni

Flagship Products te chu:

  • T2 Tibial Nail – Tibial shaft tihchhiatna atana modular system.

  • Gamma3 Tibial Nail – Intramedullary nailing leh locking option te a thlunzawm.

Thil chakna pawimawh: Robotics hmasawn (Mako), solutions invasive tlem ber, leh trauma portfolio chak tak.

LOGO-2 ah hian a awm
★★★★★ a ni
Stryker a ni
T2 Tibial Nail
Gamma3 Tibial Nail

Smith leh a farnu te

Headquarters: London, UK-ah a awm a

Flagship Products te chu:

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

  • IM Tibial Nail – Tibial ruh tliak a awm chuan intramedullary fixation a ni.

Thil chakna pawimawh: Sports medicine leh trauma, thil thar siamna lam ngaihtuah.

LOGO-3-ah hian a awm
★★★★★ a ni
Smith leh a farnu te
TRIGEN Tibial Nail
IM Tibial Nail

CZMEDITECH a ni

Headquarters: China ram Changzhou-ah a awm a

Flagship Products te chu:

  • Distal Tibial Intramedullary Nail (DTN) – Distal fracture tan pawh a tha ber.

  • Expert Tibia Intramedullary Nail – Titanium alloy design chakna sang tak nei.

  • Suprapatellar Approach Tibial Intramedullary Nail – A rilru a buai em em a, a rilru a hah em em bawk a.

  • Tibial Intramedullary Nail – Fixation atana hmanraw tangkai tak tak.

Key Strengths: solution man tlawm zawk, khawvel pum huapa awmna tihpun.

LOGO-6 ah hian a awm
★★★★★ a ni
CZMEDITECH a ni
Distal Tibial Intramedullary Nail (DTN)
Expert Tibia Intramedullary Nail
Suprapatellar approach Tibial Intramedullary Nail
Tibial Intramedullary Nail

Zimmer Biomet chuan a rawn ti a

Headquarters: Warsaw, Indiana, USA-ah a awm a

Flagship Products te chu:

  • ZNN Tibial Nail – Fit tha zawk nan anatomic design a ni.

  • Natural Nail System – Natural ruh mechanics ang chi a ni.

Thil chakna pawimawh: Joint reconstruction, biologics integration, leh personalized solutions lama chak.

LOGO-4-ah hian a awm
★★★★★ a ni
Zimmer Biomet chuan a rawn ti a
ZNN Tibial Nail
Natural Nail System hmanga siam a ni

Orthofix tih a ni

Headquarters: Lewisville, Texas, USA-a awm a ni

Flagship Products te chu:

  • LON Tibial Nail (Lateral Orthopedic Nail) – Lateral entry approach atana siam a ni.

Key Strengths: Ruh thanna tichaktu, limb deformity siamthatna lama tui tak a ni.

LOGO-5 ah hian a awm
★★★★★ a ni
Orthofix tih a ni
LON Tibial Nail (Lateral Orthopaedic Nail) tih a ni a, a chhuahna hmun hi a nuam hle.

Tawpna

CZMEDITECH hian proximal, distal, leh complex fracture tan tibial nailing solution kimchang tak a pe a, design thar (eg, multi-directional locking, suprapatellar approach) hmangin biomechanics leh clinical outcomes lama khawvel puma brand lar tak takte nen tehkhin theih a ni.

Min rawn biak theih reng e

I CZMEDITECH Orthopaedic Expert te zawt rawh

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Changzhou-a Meditech Technology Co., Ltd. chuan a rawn ti a.

Thil siam chhuah te

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