Engtin nge intramedullary nail hi kan paih chhuah theih ang?

Intramedullary nails lakchhuah hi thil tih dan pangngai a ni a, a siamtu tin hian removal tools dik tak an pe vek a ni. Mahse, intramedullary nail kimchang tak lak chhuah a ngaih tak tak chu a tlem hle. Intramedullary nail a rupture tawh chuan thil awmdan chu a buaithlak zual hle. Hetih lai hian intramedullary nail hi paih chhuah nan hian instrument leh technique bik a ngai a ni.

Universal intramedullary nail removal leh broken nail removal sets te chu market-ah a awm a, heng sets te hian a chunga harsatna awmte hi a chinfel theih phah a ni. Mahse, blind surgery hi specialized tools tel lo chuan a tha lo.

Intramedullary nail tihbo dan tur chu a pawimawh hle. Internal fixation i lak chhuah hmain a tail chu a awm tur a ni a, a man tur a ni. Tail cap hi x-ray-a hriat harsa tak a ni fo a, hei vang hian doctor thenkhat chuan intramedullary nail hnathawh rei zawng a tihpun loh chuan tail cap hi hman an rawt lo. Tail cap i lakchhuah hnuah guide arm hmangin intramedullary nail chu man la, chutah chuan locking nail lakchhuahna lamah kal leh rawh. Main pin lakchhuah tum hmain locking pin zawng zawng chu paih vek tur a ni tih hriat reng a ngai. Intramedullary nail siamtu chu hriat theih a nih loh chuan, a grasping mechanism, thread chi leh size te pawh huamin, extraction tool dik tak thlan tur chuan intramedullary nail caudal end chu a tling tawka pholan a ngai a ni. Match ṭha famkim a awm theih loh chuan tapered extraction tool hman theihna option hian intramedullary nail tail man theihna a pui thei a ni. Nail hole chhungah emaw, nail chunglamah emaw ruh a in lut nia rinhlelh a nih chuan, a chhuah hmain sliding hammer hmangin millimeter tlemte hmangin nail chu a chhung lamah a tap thei a ni.

Tail caps specification hrang hrang chu intraoperative selection awlsam zawk nan leh intramedullary nail removal a nih theih nan ruahman a ni.

Damdawi thiam tawnhriat ngah tak tak eng emaw zatin intramedullary nail removal technique tam tak an khaikhawm a ni. Fracture tawp chhe tawh chu tihfai leh tihtlem nan hawn a ngai a nih chuan a tawp chhe tawh hmangin intramedullary nail chu lakchhuah theih a ni. A hnuaiah hian fractured end exposure ngai lo extraction method thenkhat chu tawi te tein kan rawn tarlang dawn a ni.

• Cannulated intramedullary nail chhe tawh chu engtin nge kan paih chhuah theih ang.

A tlangpuiin, intramedullary nail chhe tawh proximal portion chu lak chhuah a harsa vak lo. Proximal part chu lakchhuah a nih hnuah chuan fracture fragment hawn lovin distal part lakchhuah dan tur chu harsatna a lo ni ta a ni. Proximal medullary canal chu millimeter tlemtea reaming chuan distal nail removal a ti awlsam thei.

Nucleus sei tak emaw laparoscopic forceps emaw hmangin distal portion chu a chang chuan man theih a ni a, hlawhtling taka lak chhuah theih a ni bawk. Mahse, long forceps hian grip nghet tak a pe lo va, hlawhtling taka lak chhuah chu distal part a reh leh ni loah a innghat a ni.

Intramedullary nail te tak te emaw, distal broken nail-a manual reamer emaw khalh pawh hian a chang chuan a paih chhuak thei bawk. Driving lai hian distal locking pin chu lirthei khalh laiin distal portion a displacement belh loh nan vawn reng tur a ni. Thin intramedullary nail emaw manual reamer emaw chuan distal segment nena inzawmna nghet tak a neih hnuah distal locking nail chu la chhuakin knock back la, broken distal segment chu la chhuak rawh.

Literature tam tak chuan cannulated broken nails distal portion chu paih chhuah nan hooked instruments hman dan a report a. Intramedullary nail hollow cavity chu extraction hook lam hawi zawng zawngah parallel-a guide wire tam tak dah theih a ni a, chu chu extraction process chhunga decoupling loh nan a ni. Multiple guide wire packing technique pawh hi a chang chuan extraction hook ai chuan a danglamna a ni bawk.

A tawp berah chuan a chunga proximal removal technique zawng zawng hi a hlawhtling lo a nih chuan intramedullary nail distal removal chu tih theih a ni. Entirnan, femoral intramedullary nail-a distal portion chhe tawh chu distal femur-a opening hmangin khup joint kaltlangin an paih chhuak a. Drill hi intramedullary nail distal end lam hawi a ni a, a hawnna chu a lian tawk a, olive-tipped guide wire gasket nei a awm thei bawk. Guide wire chu retrograde-in intramedullary nail hollow kaltlangin a kal a, proximal femur hawnna atang chuan a rawn chhuak a, spacer nei olive lu chuan distal broken nail chu proximal femur atang chuan a rawn chhuah tir thei a ni. Tibia atan pawh hetiang technique hi hman theih a ni a, medial malleolus-a guide wire distal opening retrograde dah a ni bawk. A châng chuan, steiner-a wire chu a hawnna aṭangin dahin, distal end-ah chuan nail chhe tawh chu an knock a, chutiang chuan nail chhe tawh chu a hnaih deuhin a kal thei a, chu chu guide needle retrograde-a dah leh nail chhe tawh paih chhuahna atan a ṭangkai hle.

• A rilru a buai em em a, a rilru a hah em em bawk a. solid intramedullary nail

Solid intramedullary nails hi a tlangpuiin cannulated intramedullary nails aiin lak chhuah a harsa zawk tlangpui. A paih chhuah dan zingah hian proximal medullary cavity reaming leh distal broken nail chu effective grasping a ni. Laparoscopic claw hooks hi distal broken nails man nan hman theih a ni. Literature-ah chuan nail hnungzang vel chu grasping forceps bik a ni tih an sawi bawk. Mahse, hmanraw hrang hrang hman hian distal broken nail chu a man thei lo mai thei. Chutiang a nih chuan nail chhe tawh chu ruh tawp atang chuan knock out a ngai a ni. Technical principle chu cannulated intramedullary nail nen a inang a ni. Soft drills leh hard guide pin ang chi hmanrua hmangin distal broken nails chu proximal end-ah direct-in knock out rawh.

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

Interlocking screw lu emaw proximal portion emaw chu matching screwdriver hmangin a chhuak thei tlangpui. A châng chuan interlocking screw-a thread-te chu ruh chhungah a tlu thei a, chu chuan forceps leh screwdriver hmangin screw lu vel chu traction a mamawh a, chu chuan a phelh a ngai a ni. Screw lu chhia chuan a chhuahna tur hmanraw bik a mamawh thei a, chu chu internal fixation removal kits counter-threaded drills ang chi te a ni. Screw chhe tawh distal part chu a chang chuan a lo chhuak vek a, chu chuan main screw lakchhuahna a nghawng lo va, a hnu lama enkawlna hnathawh a nghawng loh chuan taksaah dah theih a ni bawk. Mahse, a chang chuan distal nail chhe tawh chuan main nail lakchhuah a nih chuan iatrogenic fracture a thlen thei a, chu chu lak chhuah a ngai a ni. A hman tlanglawn ber chu screw-a push-out technique a ni a, chu chu main screw chu a awmna hmunah a la chhuak a, chutiang chuan ruh chunglama screw hole chu intramedullary nail locking hole nen line khatah a awm a, screw chhe tawh chu steiner’s wire, malleus rod te tak te emaw screwdriver emaw hmangin a chhuak a ni. Pin chu contralateral cortex-a pin hole hmangin an nawr chhuak a, incision hran hmangin an la chhuak a ni.

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