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

locking plate te .

Soft tissue chhiatna nasa tak, infection rate sang, dam rei tawh

Antegrade nail te pawh a awm bawk.

Khup ruh hliam hlauhawmna, fixation tha tawk lo, malalignment awlsam tak

DTN solution a ni a.

Retrograde insertion design hmangin minimally invasive approach a awm bawk.

1Distal tibial fractures hi a awm fo a, traditional treatment-ah chuan limitation a awm bawk .

Distal tibial fracture hi lower limb fracture chi khat a ni tlangpui. Traditional treatment-ah chuan locking plate leh antegrade intramedullary nails te hian an harsatna an nei vek a ni. locking plate hian postoperative infection emaw soft tissue necrosis emaw a thlen thei a, dam rei theihna a thlen thei bawk; Antegrade nail te hi a tlem berah invasive ni mahse, khup ruh a tichhia thei a, natna a thlen thei a, fixation tha lo emaw malalignment emaw a thlen thei a, recovery a tikhawlo thei bawk.

2A chinfel dan thar: Distal Tibial Nail (DTN) .

A novel treatment option—Distal Tibial Nail (DTN)—chuan distal tibial fractures enkawlna atan a retrograde design danglam tak hmanga enkawlna tur thlirna thar a siam a ni.

Fig. 1: DTN Retrograde Insertion Design .

1Damlo dinhmun leh tihtlem dan tur buatsaih dan .

Damlo chu supine position-ah dah a ni. Displaced fractures chu kut hmanga reducible tur a ni a; A tul chuan DTN dah hmain reduction forceps hmang la. Accompanying fibular fracture a awm chuan fibular alignment dik tak chuan tibial reduction a pui thei a ni.

2DTN dah dan tur .

Medial malleolus tip-ah hian 2–3 cm longitudinal incision siam a ni a, chu chuan superficial deltoid ligament a pholang a ni. Guide pin chu malleolus tip-ah emaw, a tip-ah emaw a medial deuh emaw, articular surface atanga 4–5 mm a hlaah emaw dah a ni.

Fig. 2A: Guide Pin dahna tur .

Fig. 2b: Lateral view .

Fig. 2C: Reaming kalpui dan tur .

Rehabilitation Protocol 1000 a awm bawk.

• Ankle joint activity chu operation zawh veleh tan nghal a ni .

• Kar 4–6 chhung zet taksa rihna nei lo turin .

• Kar 8–12-ah taksa rihna pum puiah a inthlak zauh zauh ang .

• Recovery phase chhunga radiographic monitoring neih fo thin .

1Damlo 10 te clinical outcome .

Zirna pakhat chuan damlo 10 a enkawl a ni. Thla 3 hnuah post-op-ah chuan case 7 a dam tawh a; Damlo zawng zawng hian thla 6 chhungin damna an nei vek a ni. Varus leh recurvatum deformities case pakhat theuh a awm a. Hliam, natna kai, implant nena inzawm harsatna, leh iatrogenic injury hloh a awm lo.

1Biomechanical stability a awm em?

Retrograde nail hian medial locking plate leh antegrade nail te nena khaikhin chuan axial leh rotational stiffness a nei tha zawk. Greenfield leh a thawhpui te chuan an zir chiang a. Biomechanical testing an neihah DTN-a distal screw pahnih hmangin compressive stiffness 60–70% leh torsional stiffness 90% chu screw pathum nen khaikhin chuan an hmu thei tih an hmuchhuak.

2DTN 1000 a thatna te.

Locking plate nena khaikhin chuan intramedullary nails hian soft tissue a tichhia tlem zawk a, a bik takin kum upa lam damlo leh high-energy trauma avanga soft tissue hliam na tak nei tan a tha hle. Hetianga an tih hian khup flexion a ngai lo va, tihtlem a nih theihna a ti tlem a, khup motion tlemte nei tan pawh a tha hle.

3Clinical tehkhin dan .

Antegrade nail-a nonunion leh malalignment rate chu 0–25% leh 8.3–50% a ni a; Plate locking atan chuan 0–17% leh 0–17% te an ni. He zirchiannaah hian case zawng zawng hian union an nei vek a, 20% chauhvin deformity >5° an nei a, traditional methods nen tehkhin theih a ni.

DTN product line 1000 a ni.

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

Model: T1100-59 a ni.

     Product details .    

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

Model:1200-27 a ni.

     Product details .    

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

Model:1000-0139 a ni.

     Product details .