Spinal surgery tih a ni.

Kan chanchin .

Changzhou Meditech Technology Co., Ltd chuan a rawn ti a.., Changzhou Science & Education Town, Jiangsu Province-ah awmin, thil siamchhuahna orthopedic implant leh instrument-ah te a awm a, a man pawh a tlawm hle.

Kum 10 chuang zet zirchianna leh hmasawnna kan neih hnuah main product series 10 kan nei a, chu chu spinal system, intramedullary nail system, trauma plate leh screw system, locking plate leh screw system, CMF system, external fixator system, medical power tool system, general surgical instruments system, sterilization container system leh veterinary orthopedic system te an ni.

Kum sawm aia tam experience nei, leh CE leh ISO certificate nei medical devices exporter kan nih angin kan thil siamte hi USA, Germany, Argentina, Chile, Mexico, India,Thailand, Malaysia, Turkey, Egypt, South Africa, Ivory Coast, etc. ang ram tam takah kan thawn chhuak tawh a ni.

In the principle of 'quality first, service first, R&D First, Innovation First', kan company hian ram chhung leh ram pawnah pawh hmingthanna tha tak a nei a ni. Company hian damlote chu a tum nghet takah a hruai a, mihring hriselna atan pawh a tum tlat loh nan hma a la thin.

Spinal surgery tih a ni.

Spinal surgery chi hrang hrang a awm a, a bik takin minimally invasive leh open a ni. Lumbar fracture thenkhat, disc herniation, spinal tuberculosis, scoliosis te hi surgery hmanga enkawl theih a ni. Minimally invasive surgery-ah hian a bik takin: vertebroplasty, radiofrequency ablation, endoscopic nucleus pulposus lakchhuah, percutaneous pedicle screw rod internal fixation, etc. Open surgery-ah hian open reduction leh internal fixation, laminectomy, open decompression leh internal fixation, etc. te a tel a, chu chu pakhat hmangin kan rawn tarlang ang:

A. Cervical spondylosis .

Cervical disc herniation, cervical spondylotic myelopathy, leh cervical spine-a posterior longitudinal ligament ossification te hnathawh nan chuan damdawi in emaw doctor thenkhat chuan anterior surgery emaw posterior surgery emaw chauh an nei thin. Dik tak chuan surgery chi hrang hrang thlan tur a awm a. Mite chuan heng surgery chi hrang hrangah hian hlawhtlinna an nei nasa hle a, chu chu dinhmun hrang hrang angin a dik tawkin hman theih a ni a, technology, dinhmun leh ngaihtuahna zau tak tak awm lovin, surgery chi hrang hrangte hlawkna hrang hrangte chu full play an pe thei a ni. Complicated cervical spondylosis tan chuan anterior leh posterior approach hmanga decompression leh fixation te hian damdawi ina dah hun chu nasa takin a ti tawi thei a, complete decompression effect pawh a tha zawk.

• Anterior cervical decompression leh ruh graft leh internal fixation nena inzawm khawm:

Cervical spondylosis-ah hman theih a ni a, spur vegetation-a intervertebral discand short compression segment (1-3 spaces) protrusion a awm bawk. Lesion direct resection theihna a nei a, chu chu a awlsamin a awlsam hle. Routine operation hman tlanglawn ber leh cervical spondylosis enkawlna atana hmanraw bulpui ber a ni.

• Posterior Cervical decompression leh laminoplasty:

Cervical spondylosis-ah hian intervertebral disc compression leh spinal canal stenosis awm zat leh segment te, anterior compression na tak (posterior longitudinal ligament, intervertebral disc) te nen a hman theih a ni. Indirect decompression-a tel a ni a, chu chuan cervical motion function humhalh a thatna a nei a, a him tawk hle.

• Artificial cervical disc thlak danglam:

Kum 60 hnuai lam tan short segment anterior intervertebral disc compression nei tan hman theih a ni. Spinal cord compression decompressing leh relieving hian cervical spine hnathawh a vawng reng a, adjacent segments te degeneration ti chak thei a ti tlem a, chutiang chuan damlote chu operation hnuah a hmain an kal thei a, function chu physiological state nen a inhnaih zawk a ni.

• First Stage Anterior leh posterior Cervical decompression leh fixation .

Decompression hi a kimin a him a, severe leh special cervical spondylosis atan a tha hle. Cervical spondylotic myelopathy nei, clamp type emaw long segment spinal stenosis leh huge anterior compression nei te tan chuan anterior emaw posterior surgery-ah chauh pawh hian limitation engemaw zat a awm. Posterior surgery atan prone position kan la a, chutah chuan anterior surgery atan supine position kan la a, first stage anterior leh posterior decompression atan kan la bawk.

A thatna : Posterior decompression hnuah chuan cervical spinal cord chu a hnung lamah a drift thei a, cervical spinal cord hmaa space chu a sang deuh a, spinal canal-a pressure a tlahniam a, chu chuan anterior surgery neih theihna a ti tlem a ni. Chutih rual chuan bilateral compression chu a reh a, decompression chu a zo ta a, effect chu a lang chiang hle a, spinal cord function recovery-na atan a angkai hle a Damlote natna a tihziaawm a, damlote tan pawh pawm a awlsam hle. Vawi hnih damdawi ina dah te, surgery vawi hnihna te, natna rei tak kal te, damdawi ina dah te a humhim te a veng thei a ni.

• Posterior cervical foraminal decompression leh discectomy .

Anterior approach nena khaikhin chuan posterior cervical foraminal decompression hian bone graft fusion a mamawh lo va, cervical spine range of motion a hloh lo bawk. Posterior approach hmanga posterolateral cervical disc herniation nucleus pulposus lakchhuah hi direct vision hnuaiah tih a ni a, a awlsam hle a, chuvangin a him a, a rintlak bawk. Indications: Posterolateral cervical disc herniation, single level intervertebral foramen stenosis, multi level intervertebral foramen stenosis central spinal canal stenosis tel lo, leh anterior discectomy leh fusion hnua root symptoms awm reng te.

• Upper neck natna avanga surgery neih thin .

Upper cervical spine hliam leh natna hian spinal cord dysfunction na tak a thlen thei a ni. Complex anatomical structure avang hian damdawi in tam zawk chuan an enkawl thei lo. Entirnan, Atlantoaxial fracture leh dislocation, atlanto occipital malformation, leh rheumatoid upper cervical spondylopathy, anterior release leh posterior fixation te hi dislocation tihziaawmna tur, spinal cord compression tihziaawmna tur, leh nunna chhanhimna atan hman theih a ni.

b.lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, dispogenic low back pain

Intervertebral fusion hian a chhan hrang hrang avanga lumbar spinal stenosis emaw lumbar spondylolisthesis emaw a awm chuan pelvic bone removal a ngai lo. Operation neih chhan hmasa ber chu nerve te decompress a ni. Spine chu a nghet lo a nih chuan spinal fusion chu instability leh spondylolisthesis degree a zirin an teh thin. Postolerateral spinal bone graft (PLF) emaw interbody bone graft (PLIF) emaw chu pedicle screw internal fixation atana tha leh tha lo a awm leh awm loh thlan a ni. PLIF-ah chuan vertebral arch zawng zawng leh inferior articular process complex (median incision) te chu interbody bone graft fast atan hman a ni a, chu chuan bone graft material tha ber a hmu mai bakah pelvis atanga ruh ei loh emaw, interbody fusion cage lei a ngai lo emaw pawh a veng thei a, chu chuan ruh lakchhuahna complication a ti bo a, operation man a ti tlem hle bawk.

• Lumbar Disc Herniation 1000 a ni.

Pathological type hrang hrang atanga a lan dan chuan nucleus pulposus, laminectomy leh discectomy (a chang chuan bone graft fusion leh internal fixation nei) te fenestration leh artificial disc thlak dan tur thlan a ni.

• Lumbar spinal stenosis .

Spinal canal leh nerve root canal te decompression a awm thei. Spinal instability nei damlote tan chuan dynamic fixation emaw fusion fixation emaw chu thlan bik neia tih tur a ni a, chutiang chuan damlote chuan enkawlna tum chu a man tlawm berah an hlen thei ang a, result lawmawm tak an hmu thei ang.

1) Lumbar spine dynamic fixation - spine a stabilize mai bakah lumbar motion hnathawh a vawng reng bawk. A thatna te chu: (1)intervertebral disc pressure nasa takin a tihhniam thei a, intervertebral disc degeneration a veng thei bawk (2)Elastic connection hian motion segment-a three-dimensional balance chu a vawng reng a, a siam ṭha leh bawk.

2) Minimally invasive spinal canal decompression surgery with muscle integrity preserved - ram pawn atanga surgical method hmasawn tak rawn luh tir. Hmasawnna dang a awm hnuah, operation hian incision tlem a nei lo va, taksa ruh a peel lo va, ligament leh vertebrae te pianzia a vawng reng a, magnifying glass leh microscope hnuaia decompression chu a rintlak kim vek a, spine stability a tichhe lo va, postoperative response light a nei bawk. Damlote chu ni hnihnaah an kal thei a, ni 5-7 hnuah damdawi inah an chhuak thei bawk.

• Lumbar sponndylolisthesis 1000 a ni.

Decompression leh reduction, bone graft fusion, leh pedicle internal fixation atana indication tha ber a ni. Titanium plate fixation hmanga surgery chi hrang hrang tam ber a ni bawk. Operation hi a harsa a, a lian hle bawk. Spondylolisthesis, lumbar spondylolysis a thlen chhan emaw, a hmasa ber emaw chu a hun takah chuan hmachhawn a awlsam zawk hle.

1) Lumbar spondylolysis hi exercise tih nawn fo avanga lumbar spine (isthmus, small joint) thenkhat fatigue fracture vang a ni thei. A dam loh chuan, lumbar spondylolisthesis ven nan, a bik takin a natna lan chhuah dan a chiang chuan ruh graft hmang hian isthmus, screw pahnih leh titanium cable siam that theih a ni a, chu chu a awlsam a, a him bawk.

2) Lumbar spondylolisthesis chu surgical open reduction, intervertebral bone graft fusion (PLIF), leh pedicle internal fixation hmangin enkawl a ni. Operation neih chhan hmasa ber chu nerve te decompress a ni. Plif peek lumbar fusion cage an tih hian vertebral cage arch pum pui leh inferior articular process complex (median incision) chu interbody bone graft rang tak atan hman a ni a, chu chuan bone graft material tha ber a hmu thei mai bakah pelvis atanga ruh lak loh emaw, interbody fusion cage lei a ngai lo bawk a, chu chuan ruh removal chu a ti tlem a, a man a tisang a, a man pawh a tlawm zawk a ni.

• discogenic low back natna a ni.

Dynamic lumbar fixation, artificial disc thlak leh interbody fusion (anterior emaw posterior) thlan a ni.

C. Spinal fracture .

Upper cervical vertebra fracture atanga lumbosacral vertebra fracture thlengin, anterior emaw posterior decompression leh fixation of the spine te chu hman a ni.

1. Intraoperative myelography leh transpedicular decompression .

Open reduction-ah chuan thoracolumbar burst fracture decompression leh internal fixation-ah chuan decompression effect chu iatrogenic injury tihziaawmna turin a tha thei ang bera enfiah theih a ni.

2. Tarte vertebral compression fracture enkawlna atan minimally invasive percutaneous kyphoplasty .

Bone cement needle pakhat chauh inject theih a ni. Natna tihziaawmna tur leh operation hnu ni 1-3 chhunga natna tihziaawmna tur leh khum atanga chhuah theihna tur minimally invasive technology tak tak a ni.

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

A. Minimally invasive spine surgery (MISS) tum ber chu surgical treatment pangngaia nghawng a neih theih nan leh a theih ang anga surgical trauma tihziaawmna tur a ni a, chutiang chuan damlote chu an dam leh thei ang a, an dam leh thei ang bera an dam leh theih nan harsatna, intraoperative bleeding, hospital stay, etc. te chu a tlem thei ang bera tihtlem a ni ang.

Mainstream Minimally Invasive Surgery-ah hian:

1. Endoscopic technology hmanga siam a ni.

Spinal endoscopy tih hian surgeon chuan, operation neih chhunga X-ray emaw navigation emaw kaihhruaina hnuaiah, vun atanga spinal lesions thlenga puncture expansion tools hmangin, endoscopic leh surgical operation channel a din a, chu chu medium atan tui a hmang a, a chhunga result leh lesions te chu high-definition display screen-a endocos hmangin a entir a ni. Surgery hman tam ber chu: lateral lumbar foraminal endoscopy, posterior lumbar lamina approach endoscopy, leh posterior cervical endoscopic surgery te a ni. Traditional surgery emaw microsurgery emaw nen khaikhin chuan a hnuaia hlawkna te hi a nei a ni: (1) indication zau tak, thisen chhuah tlem leh trauma, normal spinal structure tihchhiat loh, a tlangpuiin cm 1 aia tlem lo a ni (2) Local anesthesia hnuaia hnathawh chu thlan theih a ni a, doctor leh damlote inkara real-time communication a awm a, chu chuan hnathawh awlsam zawk leh intraoperative nerve injury a awm loh nan (3) harsatna tlem zawk, dam chak, operation hnua khum atanga chhuak, ni 1-2 chhunga chhuah theih, emaw outpatient surgery emaw; (4) natna kai zat a hniam; (5) Fusion hmasa lama segment inhnaih tak takte chu accelerated degeneration accelerated problem a awm lo. A that lohna te chu: (1) Recurrence rate engemaw zat a awm. Recurrence a lo thlen chuan operation hmasa ber scar adhesion avang hian reoperation chu a harsa zawk ang a, risky zawk a ni ang. (2) Complication thenkhat a awm a, chu chu residual nucleus pulposus compression, dural leh nerve root injury, intervertebral space infection, thisen chhuah, postoperative sensory abnormalities te a ni (3) Surgical indication te hi a tlem hle a, a bik takin simple intervertebral disc herniation enkawlna atan a ni. Complex intervertebral disc herniation emaw combined spinal stenosis emaw tan chuan enkawl theih a ni bawk. A effect a tha lo a nih chuan open surgery a ngai leh a ni.

2. Minimally invasive fusion leh internal fixation technology .

Lumbar fusion leh internal fixation hi lumbar disorder enkawlna atana surgical technique bulpui ber a ni. Lumbar spine, bone grafting emaw fusion cage, facet joint leh intertransverse process-a anterior, anterolateral, lateral, posterolateral leh posterior approach hmangin intervertebral space-ah dah a ni a, chutiang chuan lumbar joint inkara ruh inzawmna (bone bonding) a awm thei a, chu chuan lumbar spine dinhmun nghet tak a din a, a vawng reng a ni. Theory-ah chuan surgical segment chu a lo lang leh dawn lo. Minimally invasive fusion leh internal fixation technique hrang hrangah hian minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) leh minimally invasive lateral lumbar interbody fusion (LIF) te a awm a. LLIF hian vertical lateral fusion cage (DLIF) leh oblique lateral fusion (OLIF) lar ber a huam bawk. Minimally invasive fusion internal fixation technology hian a bik takin special expander leh tubular retractor te a rawn hmang a, chu chuan soft tissue tihchhiatna a tihziaawm bakah operation area-a visualization tha ber a siam thei a ni. Operating microscope emaw high-power magnifying glass nen a thawk ho thei a, chu chuan surgical field of vision a ti lian thei a, chutiang chuan vun incision leh internal tissue tihchhiatna a tihziaawm thei ang a, spinal surgery hmangin iatrogenic damage tlem ber hmanga enkawlna tha ber pawh a kalpui thei ang. Open surgery nena khaikhin chuan minimally invasive fusion internal fixation technology hian damdawi ina awm, thisen hloh, dam leh hun leh nun pangngaia kir leh theihna kawngah result tha zawk a nei a ni. Chutih rual chuan, a tlangpuiin a ruhro posterior column structure chu a vawng reng thei a, taksa ruh a ti tlem thei a, chu chuan postoperative pain a ti tlem thei bawk. Minimally invasive fusion leh internal fixation technology hian indication hrang hrang a nei a, chung zingah chuan spinal degenerative disease hrang hrang, spinal stenosis, complex disc herniation, instability, scoliosis, etc. endoscopy atana tha lo, natna khirh tak tak nei tan chuan chutiang operation chu lak tam a ngai a ni.

3. Percutaneous vertebroplasty .

Minimally invasive surgery-ah a tel a, chung zingah chuan percutaneous vertebroplasty (PVP) leh percutaneous balloon kyphoplasty (PKP) te pawh a tel. Technology a ni a, medical bone cement emaw artificial bone biomaterials emaw chu natna nei vertebral body ah hian vun natna hmangin vertebral body tichak turin an inject thin a ni. Natna hman theihte chu: 1. Osteoporotic vertebral compression fracture, chu chu brace emaw damdawi hmanga enkawlnaah a tangkai lo 2. vertebral taksa a benign tumor emaw malignant metastatic tumor emaw; 3. Spinal fracture chu osteonecrosis emaw, fracture hnua nonunion emaw a ni; 4. Compression fracture nghet lo emaw multi segment emaw vertebral compression fracture; 5. Burst fracture chu vertebral taksa hnung lam bang intact tak a ni. He operation characteristics: 1. Local anesthesia hnuaia minimally invasive interventional treatment hian operation hun rei lo tak a nei a, incision chu 0.5cm chhungin a awm a, thisen chhuah chu 2-3ml a ni a, analgesic effect pawh a chiang hle. Natna tihziaawmna leh ruh biomechanical strength chu a ruala siam thar lehna hna a nei a ni. 2. Tar leh chak lo damlote tan chuan surgical risk a tlem a, immobilization avanga harsatna awm thei te pawh a awm lo. 3. Postoperative recovery a rang a, damdawi ina dah hun pawh a rei lo. 4. Natna a hun taka tihdam a nih avangin natna tidamtu ei hian a side effect leh ruihhlo a innghahna te chu a pumpelh a, nunphung pawh a ti tha zawk a ni. 5. Damlote khumah chawlh hahdam hun a ti tlem hle a, enkawltu mamawh a ni.

4. Robot hmanga puih leh navigated spinal surgery .

Spine surgery-ah chuan doctor-te chu dik taka hnathawh a ngai a, tihsual tenau tak takte chuan a rah chhuah chhiatthlak tak a thlen ang. Entirnan, lumbar pedicle screw insertion technology atan chuan screw insertion process chhung hian pedicle chhungah screw chu dah a nih theih nan enfiah a ngai a ni. Lumbar pedicle diameter chu 8mm vel a ni a, pedicle chhung leh hnuai lam chu nerve structure pawimawh tak a ni. Kan screw diameter hi 6.5 mm a ni a, chu chu pedicle chhung leh hnuai lam bang atanga screw a rawn luh chuan nerve chhiatna nasa tak a thlen thei tihna a ni. Chuvangin, screw insertion dikna leh himna hi a pawimawh hle. Orthopedic surgical robot leh navigation system, 3D images hmanga kaihhruai chuan pedicle screw-a automatic emaw semi-automatic emaw screw-a screw-te chu dik takin a dah thei a, a chhehvela taksa ruh leh soft tissue dangte chhiatna chu a ti tlem thei a, surgery-a a dikna leh a him leh him loh a enfiah thei bawk. Endoscopic technology atan chuan combined navigation hian operation hun chhung, soft tissue tihchhiat leh operation chhunga damlote nuam tihna chu nasa takin a ti tlem thei bawk. Robot assisted leh navigation spinal surgery hman hian spinal disease nei damlote tan nasa takin a hlawkpui dawn a ni.

Thumal khata sawi chuan, minimally invasive spine technology chuan a theih ang anga hliam chu a tlem thei ang bera tihtlem a, him leh tha taka therapeutic purpose a tihlawhtling thei a ni. Open spine surgery ang chiah emaw a tha zawk emaw a thlen theih laiin, damlote surgical trauma a tih tlem theih laiin, an dam hmasakna a tichak thei a, surgery hnuhnung ber pawh a ti tlem thei bawk. Mahse, minimally invasive spine surgery chuan traditional spine surgery chu a thlak vek thei lo. Specific operation plan chu damlo dinhmun, damdawi lam technology, doctor leh damlote inbiakpawhna leh thil dang a zirin hriat tur a ni. Conventional open surgery-a thil tawn chu minimally invasive surgery dinna bulpui ber a ni. Minimally invasive surgery hian harsatna a tawh chuan damlote himna leh surgery thatna tur atan a hun taka open surgery-ah thlak a ngai a ni. A tawp berah chuan, surgical patient-te chu operation hlawhtling taka enkawl leh scientific exercise pawh a pawimawh hle tih kan hriattir tur a ni a, hei hian rehabilitation quality tha tak a siam thei mai bakah, a lo lang leh emaw, a kianga vertebral natna emaw a awm loh nan kan hriattir tur a ni.

E. spinal tumor leh inflammation .

Tumor, tuberculosis leh suppurative inflammation te chu a hnah, thoracic leh lumbar vertebrae te a ni.

F. Thutawp .

1. Spinal surgery-ah hian mitdelna hmun a awm lo .

Safety leh reliability hi spinal surgery zawn hmasak ber a ni. A tlangpuiin a ruhro natna (degenerative diseases) a hmuchhuak a, a enkawl ber a, chu chu cervical spondylotic myelopathy, thoracic ligamentum flavum ossification, lumbar spinal stenosis, segment tinah cervical spine atanga lumbar spine thlenga disc heniation te, posterior longitudinal ligament ossification te a ni. Chu bakah, ruhroa hliam leh natna chi hrang hrang, ruhro ruh tliak leh ruh tliak, ruhro, ruhro (primary and metastatic), spinal tuberculosis emaw suppurative infection emaw te pawh a huam tel bawk.

2. Cervical surgery tih theih loh .

Cervical spondylotic myelopathy hnathawh leh cervical spine posterior longitudinal ligament ossification atan chuan damdawi in emaw doctor thenkhat chuan anterior emaw posterior operation chauh an nei thin. Dik tak chuan operation chi hrang hrang thlan tur a awm - anterior cervical decompression leh bone grafting leh internal fixation, posterior cervical laminoplasty (single door, double door), leh one-stage anterior leh posterior decompression leh internal fixation te a awm. Hetiang operation chi hrang hrangah hian hlawhtling taka tawnhriat kan nei a, chu chu dinhmun hrang hranga hman theih a ni a, eng technology pawh, dinhmun leh ngaihtuahna tawi tak takte pawhin a khap lo va, kawng hrang hranga hlawkna hrang hrangte chu full play a pe a ni.

3. Thoracic vertebra surgery hi a awlsam a, a rintlak bawk .

Hospital lian tam tak harsa leh hlauhthawn tak, thoracic posterior longitudinal ligament ossification atan chuan segmental posterior decompression kan nei a. Anterior compression nei damlote tan (ligaments emaw intervertebral discs protrusion emaw), spinal cord anterior decompression chu tunnelling method hmangin 360 ° complete decompression a awm theih nan an ti a, chu chuan thoracotomy kal tlanga anterior decompression a veng a, trauma a ti tlem hle bawk. He 360 ​​° decompression technique hi thoracic intervertebral disc prolapse leh osteoporotic compression fracture avanga lower limb paralysis hnathawh danah pawh hman a ni bawk.

4. Intervertebral fusion hian pelvic bone extraction a mamawh lo .

Lumbar spinal stenosis emaw lumbar spondylolisthesis emaw chhan hrang hrang avanga lo awm tan chuan operation tum hmasa ber chu nerve decompression a ni. Spine chu a nghet lo a nih chuan spinal fusion chu instability leh spondylolisthesis degree a zirin an teh thin. Postolerateral spinal bone graft (PLF) emaw interbody bone graft (PLIF) emaw chu pedicle screw internal fixation atana tha leh tha lo a awm leh awm loh thlan a ni. PLIF-ah chuan vertebral arch zawng zawng leh inferior articular process complex (median incision) te chu interbody bone graft fast atan hman a ni a, chu chuan bone graft material tha ber a hmu mai bakah pelvis atanga ruh ei loh emaw, interbody fusion cage lei a ngai lo emaw pawh a veng thei a, chu chuan ruh lakchhuahna complication a ti bo a, operation man a ti tlem hle bawk.

Tan czmeditech , kan nei a, product line kimchang tak kan nei a, a . Spinal surgery implant leh . 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, a rilru a hah em em bawk a, a rilru a hah em em bawk a, a rilru a hah em em bawk a, a rilru a hah em em bawk a. sets 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.