Misomali Yambiri Lock Humeral

Kanema watsatanetsatane wazomwe zikuchitika

CZMEDITECH Femoral Intramedullary Nail

Mawu Oyamba

CZMEDITECH Multi-Loc Humeral Misomali imapereka dongosolo lonse la chithandizo cha fractures za humeral. Dongosololi lili ndi misomali yaifupi komanso yayitali yokhala ndi zosankha zingapo zama screw kuti athane ndi fractures zosavuta komanso zovuta za proximal humerus komanso shaft humeral.

Kapangidwe katsopano

Dongosololi limaphatikizapo zinthu zingapo zatsopano zomwe zimapangidwira makamaka pazosowa zachipatala za

misomali ya humeral

1. Msomali wowongoka wokhala ndi malo apakati

2. Njira yapadera yopangira screw-in-screw, kuti mukhale okhazikika pomwe pakufunika *

3. Kuyika kwa polyethylene kwa zomangira zotetezeka za zomangira za proximal

4. Njira yokwera ya screw kuti ipereke chithandizo ku calcar

5. Multiplanar distal locking kuti muchepetse kuyika kwa implant

6. Kutsekera kolunjika kwa distal kwa msomali wawufupi

Zosankha zathunthu

Msomali Waufupi: Misomali yakumanja ndi yakumanzere yokhala ndi mainchesi 8.5 mm, kutalika kwa 160 mm

Msomali Wautali: Misomali yakumanja ndi yakumanzere yokhala ndi mainchesi 7.0 ndi 8.0 mm, 200 mm - 300 mm kutalika

Msomali Wowongoka Wokhala Ndi Malo Olowetsa Chapakati

- Zapangidwa kuti zipewe kuyika komwe kungachitike kudzera pamalo ophwanyika, ndikuwonjezera kukhazikika kwa biomechanical

- Zapangidwa kuti zipewe sulcus pakati pa tuberosity yayikulu ndi mutu wa humeral pomwe tendon ya supraspinatus imayika

Multi-Loc Screws

- Njira yapadera ya screw-in-screw, kuti pakhale bata pomwe pakufunika *

- Maupangiri osawoneka bwino ochepetsera zoopsa zomwe zimalumikizidwa ndi kuphulika kwachiwiri

- Mabowo anayi pa screw iliyonse, yolumikizira ma rotator cuff tendons

Proximal Fixation

- Zomangira zokwera za calcar ndi zosankha za 3.5 mm screw-in-screw zomwe zimapangidwira kuti ziwonjezeke kusuntha kwamutu, kusintha kwa varus komanso kuzungulira kwachubu.

Kuponderezana kwa Bicortical: Msomali Wautali

- Zapangidwa kuti ziwonjezere kukhazikika kwapang'onopang'ono pamipata yopingasa komanso yayifupi ya oblique

Kutsekera Patali: Msomali Wautali

- Zapangidwa kuti zikhale m'malo otetezeka pakati pa mitsempha yapakati ndi radial

- Zosankha ziwiri za distal zotsekera munjira ya anatomic AP, zopangidwira kuti zithandizire kutseka kwa manja kwaulere

Multi-Loc Humeral Nail: Njira Yatsopano Yopangira Ma Proximal Humerus Fractures

Proximal humerus fractures ndi kuvulala kofala komwe nthawi zambiri kumakhudza anthu okalamba omwe ali ndi matenda osteoporosis. Kuvulala kumeneku kungayambitse kupweteka, kutaya ntchito, ngakhalenso kulemala. Kuchiza kwa fractures izi kungakhale kovuta chifukwa cha zovuta zowonongeka za mapewa komanso chiopsezo chachikulu cha zovuta. Multi-Loc Humeral Nail ndi chipangizo chatsopano chomwe chapangidwa kuti chithetse mavutowa. M'nkhaniyi, tikambirana za mawonekedwe, maubwino, ndi zofooka za Multi-Loc Humeral Nail pochiza ma proximal humerus fractures.

Anatomy ndi Biomechanics ya Proximal Humerus

Tisanakambirane za Multi-Loc Humeral Nail, ndikofunikira kuti timvetsetse momwe thupi limapangidwira komanso biomechanics ya proximal humerus. The proximal humerus imakhala ndi mutu wa humeral, chubu chachikulu, chochepa kwambiri, ndi shaft. Mutu wa humeral umagwirizana ndi glenoid fossa ya scapula kuti apange mapewa. Ma tuberosity akulu ndi ang'onoang'ono amakhala ngati malo olumikizirana ndi minofu ya rotator cuff, yomwe ndi yofunika kwambiri kuti mapewa akhazikike komanso kugwira ntchito.

Kuphulika kwamtundu wa humerus kungaphatikizepo mutu wa humeral, chubu chachikulu, chochepa kwambiri, kapena shaft. Kuphulika kumeneku kungayambitse kusuntha kwa zidutswa za fupa, kutaya mafupa, ndi kuwonongeka kwa minofu yofewa yozungulira. Chithandizo cha proximal humerus fractures zimadalira kuopsa kwa kuvulala, mlingo wa kusamuka, ndi msinkhu wa wodwalayo ndi mlingo ntchito.

Zosankha Zamakono Zamakono za Proximal Humerus Fractures

Njira zamakono zothandizira kuphulika kwa humerus fractures zimaphatikizapo kusamalidwa kopanda opaleshoni, kuchepetsa kutsegula ndi kukonza mkati (ORIF), ndi mapewa arthroplasty. Kusamalidwa kopanda opaleshoni kungakhale koyenera kwa fractures yaing'ono yosatha kwa odwala omwe ali ndi zofuna zochepa. ORIF imaphatikizapo kukonza opaleshoni yothyoka ndi mbale, zomangira, kapena misomali. Mapewa arthroplasty atha kukhala ofunikira pakakhala kusamuka kwakukulu, comminution, kapena osteoporosis.

Ngakhale kupita patsogolo kwa njira zopangira opaleshoni ndi mapangidwe a implants, chithandizo cha proximal humerus fractures chimakhalabe chovuta. Zovuta monga kulephera kwa implants, kusagwirizana, malunion, ndi avascular necrosis zimatha kuchitika, makamaka kwa odwala okalamba omwe ali ndi mafupa osauka. Multi-Loc Humeral Nail ndi chipangizo chatsopano chomwe cholinga chake ndi kukonza zotsatira za chithandizo cha proximal humerus fracture.

Mawonekedwe ndi Ubwino wa Multi-Loc Humeral Nail

Multi-Loc Humeral Nail ndi chipangizo cha intramedullary chomwe chimayikidwa mu proximal humers kuti chikhazikitse chophukacho. Chipangizocho chimakhala ndi msomali, zomangira zotsekera zingapo, ndi bawuti yolumikizirana distal. Msomali umalowetsedwa mu ngalande ya medullary ya humerus ndipo imatsekedwa ndi zomangira zokhoma. Bawuti yolumikizirana yakutali imalowetsedwa mu tsinde la humerus kuti ateteze kusuntha kwa msomali ndi axial.

Chimodzi mwazinthu zofunika kwambiri za Multi-Loc Humeral Nail ndi makina ake otsekera amitundu yambiri. Zomangira zotsekera zimatha kuyikidwa mbali zingapo, zomwe zimapangitsa kuti pakhale kukhazikika komanso kukonza kwa zidutswa zosweka. Dongosolo lotsekera lamitundu yambiri limachepetsanso chiwopsezo cha kulephera kwa implant komanso kusakhala mgwirizano.

Ubwino wina wa Multi-Loc Humeral Nail ndi njira yake yolowera pang'ono. Msomali ukhoza kulowetsedwa kudzera m'kang'ono kakang'ono ndipo sufuna kupatukana kwakukulu kwa minofu yofewa. Izi zimachepetsa chiopsezo cha zovuta monga matenda, kuvulala kwa mitsempha, komanso kuchira bwino kwa chilonda.

Multi-Loc Humeral Nail imagwirizananso ndi njira zosiyanasiyana za opaleshoni, kuphatikizapo deltopectoral, anterior, and lateral njira. Kusinthasintha kumeneku kumapangitsa dokotalayo kuti asankhe njira yabwino kwambiri potengera malo ndi kuuma kwa fracture, komanso momwe wodwalayo alili komanso zovuta zake.

Kuphatikiza apo, Multi-Loc Humeral Nail idapangidwa kuti isunge mafupa ndikuchepetsa kuwonongeka kwa minofu yofewa yozungulira. Msomali umalowetsedwa mu ngalande ya medullary ya humerus, yomwe imasunga magazi a periosteal ndikuthandizira kuchira kwa fracture. Kuphatikiza apo, zomangira zotsekera zimatha kulowetsedwa kudzera m'magawo ang'onoang'ono, omwe amachepetsa kuchuluka kwa minofu yofewa ndikusunga zomata za rotator.

Zochepa za Multi-Loc Humeral Nail

Ngakhale zili ndi zabwino zambiri, Multi-Loc Humeral Nail ili ndi zofooka zina zomwe ziyenera kuganiziridwa. Choyamba, chipangizocho sichiri choyenera kwa mitundu yonse ya proximal humerus fractures. Msomali umakhala wothandiza kwambiri pazigawo ziwiri ndi zitatu zosweka ndi valgus kapena varus angulation. Kwa fractures zovuta kwambiri kapena fractures ndi commition yaikulu, njira zina zothandizira zingakhale zoyenera kwambiri.

Chachiwiri, njira yoyikapo Multi-Loc Humeral Nail imafuna maphunziro apadera komanso ukadaulo. Dokotala wa opaleshoniyo ayenera kudziwa bwino za anatomy ndi biomechanics za mgwirizano wa mapewa, komanso mfundo zochepetsera fracture ndi kukonza. M'manja osadziwa, chipangizochi chingayambitse mavuto monga malunion, osagwirizanitsa, ndi kulephera kwa implant.

Potsirizira pake, Multi-Loc Humeral Nail ndi chipangizo chatsopano ndipo deta yanthawi yayitali pakuchita bwino kwake ndi chitetezo ndizochepa. Ngakhale kuti zotsatira zoyamba zakhala zikulonjeza, maphunziro ochulukirapo amafunikira kuti ayese zotsatira za nthawi yayitali za chipangizocho ndikuchiyerekeza ndi njira zina zothandizira.

Mapeto

Mwachidule, Multi-Loc Humeral Nail ndi chipangizo chatsopano chomwe chimapereka maubwino angapo pochiza ma proximal humerus fractures. Dongosolo lake lotsekera lokhala ndi mapulaneti ambiri, njira yolowera pang'onopang'ono, komanso kuyanjana ndi njira zosiyanasiyana zopangira opaleshoni kumapangitsa kuti ikhale njira yodalirika yopumira magawo awiri ndi atatu okhala ndi valgus kapena varus angulation. Komabe, chipangizocho sichiri choyenera kwa mitundu yonse ya ma proximal humerus fractures ndipo chimafuna maphunziro apadera ndi ukadaulo kuti alowetse bwino. Maphunziro owonjezera amafunikira kuti awone zotsatira za nthawi yayitali za chipangizocho ndikuchiyerekeza ndi njira zina zamankhwala.

FAQs

• Kodi Multi-Loc Humeral Nail ndi yoyenera mitundu yonse ya ma proximal humerus fractures?

  Ayi, chipangizochi chimakhala chothandiza kwambiri pazigawo ziwiri ndi zitatu zosweka ndi valgus kapena varus angulation.

  
  

• Kodi Multi-Loc Humeral Nail imafuna minofu yofewa yochulukirapo?

  Ayi, chipangizocho chikhoza kulowetsedwa kudzera mu kang'ono kakang'ono ndipo sichifuna kuti tidutse minofu yofewa kwambiri.

  
  

• Ndizovuta ziti zomwe zingachitike pogwiritsa ntchito Multi-Loc Humeral Nail?

  Zovuta zomwe zingatheke ndi malunion, osagwirizanitsa, ndi kulephera kwa implant.

  
  

• Kodi Multi-Loc Humeral Nail ingagwiritsidwe ntchito ndi njira zosiyanasiyana za opaleshoni?

  Inde, chipangizochi chimagwirizana ndi njira zosiyanasiyana zopangira opaleshoni, kuphatikizapo deltopectoral, anterior, and lateral njira.

  
  

• Kodi kugwiritsa ntchito nthawi yayitali bwanji komanso chitetezo cha Multi-Loc Humeral Nail?

  Deta ya nthawi yayitali yokhudzana ndi mphamvu ndi chitetezo cha chipangizocho ndi yochepa, ndipo maphunziro ochulukirapo amafunikira kuti ayese zotsatira zake za nthawi yayitali ndikuziyerekeza ndi njira zina zothandizira.