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Muli pano: Nyumba » Nkhani » » Kuzunguzika » Global Asterd Tibia misomali dzina Lomanga 2025 Zapamwamba 6

Zida zapamwamba za Tibia zapamwamba za Tibi

Maonedwe: 0     Wolemba: Mkonzi Wosindikiza Nthawi: 2025-07-07 Chiyambitso: Tsamba

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Tibial Fractures

Shaft shaft ndi imodzi mwazinthu zodziwika bwino za zojambulajambula, kumawerengera 13.7% ya zotupa zonse mthupi. Matenda a Tibral ali ndi mawonekedwe a anatomical monga kubweza kwabwino kwa magazi ndi minofu yochepa yochepa. Kuwonongeka kamodzi kuchitika, kuwonongeka kofewa kwa minofu ndi kusokoneza magazi komwe kumawonjezera zovuta zakumadzi. Kuphatikiza apo, kuthekera kwakukulu kwa mitundu yosiyanasiyana ya miyala ndi kusakhazikika kumasankha kusinthidwa kofunikira.

Gawo la mtanda wamtunda wapakatikati nditatuluka, pomwe wachitatu ndi quadrilal. Kulumikizana kwa pakati ndikutsika magawo atatu ali opapatiza ndikuyimira kusintha mawonekedwe, ndikupangitsa kuti malo wamba azithunzi.

Kuyambira kwachitatu kwa tibia kumakutidwa ndi khungu lopanda khungu, ndikupangitsa kuti azikhala otseguka kuti zidutswa zing'onozing'ono pomwe zidutswa za mafupa zimabowola khungu. Ngakhale m'matumba otsekeka, maluwa ambiri a tibial amatsagana ndi kuwonongeka kwa khungu ndi subcutaneous minofu. Pakati-tibia amakhala ndi minofu ya minofu, ndipo pali zigawo zinayi zozungulira tibia ndi fibula. Kuchuluka kwa ma cell syndrome kumakhala kokwera m'matauni a Tibial poyerekeza ndi ena oyenda.

Kugawidwa kwa Bracture

AO / OTA Frecture Stucking

Gulu la AO / Oo Arabic limapanga ma shaft shaft othamanga ngati 4 (tibia) 2 (shaft). Lembani zofananira ndi zopanda pake zokhala ndi mzere umodzi wowunda, womwe ndi mtundu wamba. Mtundu wa B B. Mtundu wa CR fraction umayambitsidwa ndi mphamvu yayikulu kwambiri ndipo imayatsidwa ndi ma frantials.

Gustilo kagulu lotseguka:

  • Lembani I: Tsegulani Kutalika kochepera 1 masentimita, nthawi zambiri kuthira mafuta ophatikizika ndi nsonga ya fupa ikutuluka pakhungu. Kuwonongeka kofewa kumakhala kochepa, osavulala. Kuwonongeka ndi kosavuta, zodetsa, kapena zazifupi, popanda cum.

  • Lembani II: bala limapitilira 1 masentimita, ndi zofewa zambiri minofu koma palibe mapangidwe a mphamvu. Mafuta ofewa amawonetsa modekha kuvulaza modekha, kuipitsidwa koyenera, komanso chinsinsi cha kuwonongeka.

  • Lembani III: Kuwonongeka kwakukulu minofu yokhudza minofu, khungu, mitsempha yamagazi, ndi mitsempha, kuipitsidwa kwambiri.

    • Lembani IIIIA: Ngakhale kuti mphamvu yovulala kwambiri kapena mapangidwe a Flap, kapena vuto lalikulu mosasamala kanthu za kukula kwa bala, pamakhala minofu yofewa pa kusokonekera.

    • Lembani IIIB: Kuwonongeka kwakukulu kwa minofu ndi kutayika, ndi persosteal yovula ndikuwululidwa, limodzi ndi kuipitsidwa ndi kuipitsidwa kwambiri.

    • Lembani IIIC: zimagwirizanitsidwa ndi kuvulala kwamphamvu komwe kumafuna kukonza.

Njira zosankha

Mankhwala osachita opareshoni a maluwa a tibial amaphatikizapo kutuluka kwa brack, mapepala, kuchepa kwa malembedwe, komanso kugwiritsa ntchito mafelemu akunja. Zochita zoperewera zimaphatikizira kusinthana kokhoma mkati ndi intravedillary kukanjana pakati pa ena.

Intradellallary yachidule

Intradellallary Seadetion amakondedwa ndi madokotala ambiri opanga orthopedic chifukwa cha opaleshoni yake yosavuta ya opaleshoni, zing'onozing'ono, zoopsa zazing'ono, komanso kuchotsedwa kwa msomali atachiritsa. Imapereka mawonekedwe a mkati mwamphamvu, kulola zolimbitsa thupi zolimbitsa thupi ndikupewa zovuta zapadera komanso mwatsatanetsatane. Izi zabwino zimagwirizana ndi ao mfundo zamankhwala.

Czmeditech Tibial intradellary inveang

Katswiri tibia intradellary msomali & chida chokhazikitsidwa

1.mproxil oblique kudula

Kudula kosakwera kumalepheretsa kukwiya ku Patellar Vori.

2. Mapangidwe apamwamba otseguka

Khalidwe lotseguka lotsekeka limawonjezera kukhazikika komwe mukufuna.

3. Kusaka koloko

Njira yotsekereza yotseka kuti mupewe kuwonongeka kwa minofu ndikuwonjezera kukhazikika kwa chidutswa cha chofalikire.

4..

Chotseka chokongoletsedwa chopangidwa ndi ulusi wowongolera kawiri kuti muike kosavuta.

Suprapatellar Pitilizani Tibial Intradellary Nail & chida chokhazikitsidwa

Njira Yotsekera

Kutseka mapangidwe amphamvu pakusintha kwamphamvu, kuchepetsa kuchepa kwa ntchito.

Thandizo la Mination

Malangizo a mitundu yambiri amapereka bata laungula ndi chithandizo chokhazikika cha tibial Palteau.

Magawo ophatikizika

Chipangizochi chimakhala ndi ntchito yosintha mosintha, ndi zosintha zake morphological zomwe zikuwonetsedwa m'mafanizo omwe ali pansi pa zisanachitike (malo omasuka) ndi malo oyenera).

Kukonzekera kwa Proxal

Njira yokhazikika yochokera ku proximal komanso yovuta, sonyezani kuti pali zotupa za tibial.

Kulima tibial intradellallary msomali (DTN) & chida chokhazikitsidwa

Kupanga kwathyathyathya kosavuta

Kumapeto kwa msomali waukulu kumakhala ndi kapangidwe kake kathunthu, kuthandizira kuyika mosavuta kulowa mkati mwa mphaka.

Zomata zangular

Zomangira ziwiri zotsekemera zotsekemera kumapeto kwa proximal molakwika ndikuchotsa gawo la kusokonekera.

Kupindika kwa anatomical

Mafuta apadera aatomical amawonetsetsa kuti msomali waukulu umayikidwa bwino mkati mwa medillary.

Kuphatikizira makona otsekemera

Kutsekemera katatu kotseka pamapeto pa distal kumapereka chithandizo chokwanira komanso kukhazikika.

Tibial intradellallary nail & chida chokhazikitsidwa

Kusiyanitsa:

Oyenera kukhetsa kwamitundu yambiri ya tibial (Midshaft ndi kuwonongeka kwina / kolowera), pomwe mitundu ina (mwachitsanzo, katswiri) amapangidwira madera apadera kapena zotupa.

Njira Yoyendetsa Opaleshoni:

Njira yofikira (parapatellar kapena transpatel

Kugwiritsa ntchito mtengo:

Poyerekeza ndi misomali yapadera monga katswiri wazakatswiri kapena dtn, tibial tibial intramullary misomali imakha mtengo kwambiri, ndikuwapangitsa kuti azichitapo kanthu pazomwezi.

Kugwirizana kwakukulu:

Chogwirizana ndi chipilala cha Universal (mwachitsanzo, zomata, zida zolimbana), pomwe misomali yapadera (mwachitsanzo, katswiri wazakatswiri wokhala ndi malo otsetsereka) amafunikira zida zoyendera.

Lembani Zizindikiro Zabwino Kwambiri Core
Katswiri wamisala Makina osokoneza bongo ozungulira, osteoporosis Kutseka kosiyanasiyana, kukhazikika kwambiri
Suprapatellar msomali Odwala a proxalimal, odwala onenepa Njira ya Suprapatellar, imachepetsa zovuta zakumbuyo
Dr Mafuta osokoneza (pafupi ndi ankle Kutsekeka kwakukulu kwa magawo ambiri, kumangokhalira kufupika
Msomali wamba Makina osavuta pakati Ntchito yosavuta, yotsika mtengo

Kukakamiza kwa Zida Zosanja za Tibia

  1. Zida zokumba : zimaphatikizapo ma bits, ogulitsa, ndi zida zina zomwe zimagwiritsidwa ntchito mwachindunji pobowola mafupa.

  2. Zolinga za Zipangizo : Zida zoyimitsa ndikuwongolera zobowola kapena kuwonongeka, monga mawaya owongolera, matalala, ndi zida.

  3. Zida zokonzekera : Zida zomwe zimagwiritsidwa ntchito polumikiza, kutseka, kapena kusintha zokutira, monga kulumikizana kwa chilengedwe, zomangira, ndi nyundo.

  4. Zida Zoyezera : Zipangizo zoyezera zakuya zakuya, kapena kuthandiza opareshoni, monga ma boges, kuchepetsa mphamvu, ndi mafupa (awl).

Zida Zokonza
Zida zokumba
Zida Zoyezera
Zipangizo Zankhondo
    

Opaleshoni ya Opaleshoni

1. Kukonzekera

Kuganizira kuwunika: Prereative X-ray / CT / CT / CT / CT CETRARE TRAMARTE NDI KUKHALA

Kukhazikitsa: Malo a Supine okhala ndi bondo flexion 90 ° -120 ° -120 ° - Chimango cha radiolarrar chimatha kuchiza popliteal fossa kuti alandire.

Kukula kwa Steale: Kukula kwa miyendo ndikujambula, ndikuwonetsetsa kuti c-d-mkono.

2. Kuchepetsa

Njira Zotsetsereka

Chitseko chamanja: Ntchito yothandizira imagwira ntchito yayitali pomwe dokotala wa opaleshoni amakula tibial ndi anteridial mawonekedwe kuti asinthe (kutalika, kusinthana).

Chida-Kuthandizidwa:

  • Njira Yachisangalalo: Zomangira za schanz zokhazikitsidwa mu proximal / schoal zidutswa kuti muchepetse.

  • Kuyaka kokwanira: Kuchepetsa mphamvu kwa oblique / sporraft.

  • Kukhumudwitsa: Kusokoneza kwakukulu kuyika molondola (proxamul shathanz screwlinel to tibial plateau, pini yolunjika mu talus kapena digial Tibia) Kuti mukhale ndi kutalika.

3..

Zizindikiro:

  • Kulowerera 1cm Gardel kwa tibial tibial m'mphepete mwa nyanja, yolumikizidwa ndi axis axis.

  • Chitsimikizo cha Fluoroscopic: AP amaphatikizana ndi Tibial Crest, omwe ali ndi malingaliro ofanana ndi a nchibial axis.

Kutsegula zida:

  • Wothamangitsa Kuyendetsa mowongolera (ndi malaya oteteza) kapena opindika awl.

  • Manja Ogulitsa (6-8mm) kwa ma fractures akale omwe ali ndi ngalande.

4..

Kuyika kwam'magazi: Gulu lankhondo lomwe lili ndi vuto la mpira limakhazikika 10-15mm pa nsonga za kusokonekera. Chitsimikizo cha Fluoroscopic pa Distal Scal Scal (Ankle Center).

Kubwezeretsa Protocol:

  • Zosintha zosinthika kuyambira pa 8mm, zowonjezera 0.5mm mpaka patter 'Chateter ' (nthawi zambiri).

  • Chidziwitso: Kuchotsa pansi kumayeretsa zinyalala; Pewani matenthedwe a necrosis.

5.

Kutalika:

  • Kukula kwamphamvu: Njira yowongolera zowongolera kapena wolamulira wa fluoroscopic (kulowa kolowera).

  • Onetsetsani kuti mutu wa msomali umafika ku bala la physeal popanda proximal.

Njira Yoyikitsira:

  • Dzanja limatsogolera; Sinthani kuchepetsa ngati kukana kumachitika.

  • Khalani ochepetsa nthawi yofananira.

6. Kukhazikika kwa malo osokoneza bongo

Njira Zotsatira

  • Kutalika kokhazikika: Kutseka koyambira koyamba (cholakwika chimodzi chimalola dambotion).

  • Kutalika kwambiri - Zosakhazikika / Zokongoletsedwa: Kutsekeka koyambira koyamba kutsatiridwa ndi 'kubwerera.'

Kutseka kolowera

  • ≥2 zomangira kudzera pa chipangizocho (zolimbitsa thupi za proximal fractures).

Kutsekeka Kwambiri

  • Njira ya Fluoroscopic: Central Blat Perpendicular kupita pamabowo ( ') mozungulira.

  • ≥2 zomata zokongoletsa zakumaso (zitha kuphatikiza AP / Oneental).

7. Njira zomaliza

Mapeto a Cap: Kuyika kusankha (kumalepheretsa Bonrowth), onetsetsani kuti palibe cholumikizira.

Kutsekedwa kwa mabala

8..

Kukonzanso koyambirira:

  • Kukwera miyendo; Yambirani kuwunikira matenda a Syndrome mkati mwa 24hrs.

  • Yambitsani kulimbikitsa maulendo ophatikizira (mapampu a anke, bondo flexion) pa pod 1-2.

Protocol-Brocol:

  • Kulemera pang'ono, kubereka kwa milungu isanu ndi umodzi (kusinthidwa kukhazikika), kupita patsogolo kwathunthu pomwe callis akuwoneka.

Kutsatira: Kuzindikira Kwachipatala / Mutu wa 2, 6, ndi masabata 12.

Kusintha Kwakanthawi


Zonyansa (Johnson & Johnson)

Akuluakulu: Raynham, Massachusetts, USA

Zogulitsa:

  • Katswiri wampikisano (etn) - anapangira kukhazikika mu ma Tibial a TIBAL BRORURES.

  • T2 Tibial Nail - imapereka kukonzanso ndikukakamiza.

Mphamvu zazikulu: Mphamvu ya R & D, Global Globation, ndikuphatikizidwa ndi zothetsera zovuta.

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Zonyansa (Johnson & Johnson)
Katswiri wampikisano (etn)
t2 tibial msomali

Storyker

Akuluakulu: Kalamazoo, Michigan, USA

Zogulitsa:

  • T2 Tibial Nail - modzila dongosolo la zotupa zazitali.

  • Gail tibial msomali - kuphatikiza intradellary yolumikizira ndi zosankha zotsekera.

Mphamvu zazikulu: Robotics (Mako), zothetsera mavuto ambiri, komanso zolakwa zamphamvu.

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Storyker
T2 Tibial Nail
gamma3 tibial msomali 

Smith & mwana wang'one

Likulu: London, UK

Zogulitsa:

Mphamvu zazikulu: yang'anirani zamasewera zamasewera ndi zoopsa, zinthu zatsopano.

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Smith & mwana wang'one
Trigen tibial msomali
msomali msomali

Czmeditech

Likulu: Changzhou, China

Zogulitsa:

  • Kufatsa tibial intradellary msomali (DTN) - Kukhazikika kwa kuwonongeka kwa ma freel.

  • Katswiri Tibia intradellary msomali - mphamvu yayikulu Titanium alloy.

  • Suprapathellar ikuyandikira tibial intradellary msomali - kusungunuka.

  • Tibial intradellallary msomali - njira zosinthasintha.

Mphamvu zazikulu: Mayankho okwera mtengo, kukulitsa kupezeka kwapadziko lonse lapansi.

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Czmeditech
Intual tibial intradellary msomali wa
Tibia intradellary
mitupaperlar kuyandikira tibial intradellary
intradellary intradellary msomali

Zimmer biomet

Akuluakulu: Warsaw, Indiana, USA

Zogulitsa:

  • Znn Tibial Nail - kapangidwe kayamanic ya bwino.

  • Dongosolo lachilengedwe - maphikidwe achilengedwe amalo.

Mphamvu zazikulu: zolimba pokonzanso mgwirizano, kuphatikiza kwa zinthu zachilengedwe, komanso mayankho a umunthu.

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Zimmer biomet
Znn Tibial msomali
wachilengedwe

Orthofix

Akuluakulu: Lewisville, Texas, USA

Zogulitsa:

  • Lon Tibial msomali wamkati (wofalikira)

Mphamvu zazikulu: zopangidwa ndi mafupa kukongoletsa, kukonzekera kwa miyendo.

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Orthofix
Lon Tibial msomali (Wofananira)

Mapeto

Czmeditech imapereka kusamvana kokwanira kwa proximal, yofatsa, komanso yopingasa, yokhala ndi njira zingapo zodzikongoletsera, zofanana ndi zipatala.

Maumboni

[1]. 德康医疗. 德康医疗胫骨骨折解决方案 - 胫骨髓内钉. 德康医疗, 26 September 2024, https://mp.weixin.qq.com/g7pe8xf- zgsvlbluc.

[2] .ao maziko. (ND). Intradellallary amapezera tibial shaft shaff yosavuta yopanda pake [Njira yochitira opaleshoni]. Kuchita opaleshoni. Kubwezeretsedwanso Julayi 10, 2024, kuchokera https://surgeryreecreecjec.ofungdic.opdic-

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