Femur Nail

Vhidhiyo yekushanda kwechigadzirwa

CZMEDITECH Femoral Intramedullary Nail

Nhanganyaya

Femoral Intramedullary Nail, inozivikanwawo seFemoral Nail, idyarwa rekuvhiya rinoshandiswa kurapa kuputsika kwechidya (chidya). Isimbi tsvimbo inopinzwa mukati memhango yefemur uye inotambanudzira kureba kwebhonzo kupa kugadzikana nerutsigiro panguva yekupora. Chipikiri chinowanzo gadzirwa netitanium kana simbi isina tsvina uye inowanikwa muhukuru hwakasiyana uye maumbirwo kuti agare akasiyana marudzi ekutyoka uye chimiro chemurwere. Maitiro ekupinza mbambo yemukadzi anonzi intramedullary nailing kana IM nailing.

Chii chinonzi Femoral Intramedullary Nail?

Femoral intramedullary zvipikiri zvinowanzogadzirwa nezvinhu zvakaita sesimbi isina tsvina kana titanium alloy, ayo anowirirana uye anopa simba uye kusimba. Zvimwe zvipikiri zvinogonawo kuputirwa nezvinhu zvakadai sehydroxyapatite kukurudzira kukura kwemapfupa uye kubatanidzwa.

Ndeapi marudzi eFemoral Intramedullary Nail?

Kune marudzi akasiyana echikadzi intramedullary misumari, iyo inoshandiswa kune zviratidzo zvakasiyana uye huwandu hwevarwere. Mamwe marudzi akajairika anosanganisira:

1. Zvipikiri zvechikadzi zvakajairwa: Izvi zvinoshandiswa nyore nyore femoral shaft fractures uye inowanikwa muhukuru hwakasiyana nehurefu.

2. Retrograde femoral misumari: Aya anoshandiswa kune mamwe marudzi ekutyoka kwechikadzi ari padyo nemabvi akabatanidzwa. Iyo mbambo inopinzwa kubva pamabvi akabatanidzwa uye inopfuudza kumusoro kwechikadzi.

3. Trochanteric femoral misumari: Aya anoshandiswa kune femoral fractures iri munharaunda ye trochanter yakakura. Vane hurefu hwembambo hupfupi uye lateral uta hwekugadzirisa chimiro chemukadzi munharaunda ino.

4. Kuvakazve zvipikiri zvechikadzi: Idzi dzinoshandiswa kune dzakaoma kuputsika kwechikadzi, senge izvo zvinosanganisira proximal kana distal femur. Vanogona kunge vaine sarudzo dzakawanda dzekuvhara uye dzinogona kukwizwa kana kuve nechimiro chakakomberedzwa kuti chienderane neanatomy yemukadzi.

5. Pediatric femoral misumari: Izvi zvinoshandiswa pakutyoka kwevakadzi muvana nevechiri kuyaruka. Anowanikwa muhukuru hwakasiyana-siyana uye anogona kunge aine mamwe maficha anoenderana nekukura kwemwana.

   
   

Iyo chaiyo mhando yefemoral intramedullary nail inoshandiswa ichaenderana nehunhu hwemurwere uye chiratidzo chaicho chemaitiro.

Femur (Femoral) Nail Uses

1. Mafractures akabatanidzwa

2. Segmental fractures

3. Kutyoka nekurasikirwa nemapfupa

4. Proximal uye distal fractures

5. Nonunion

6. Subtrochanteric fractures

7. Intertrochanteric fractures

Nzira yekushandisa sei Femoral Intramedullary Nail?

Femoral intramedullary nails (IM nails) zvipikiri zvekuvhiya zvinoshandiswa kurapa kuputsika kwefemur, bhonzo refu pachidya. Maitiro acho anosanganisira kupinza chipikiri mukati me intramedullary canal (hollow centre) yefemur, uye kuichengetedza panzvimbo nema screws kana kukiya nzira kumagumo embambo.

Heano maitiro akajairwa ekushandisa femoral intramedullary nail:

1. Anesthesia: Murwere anopiwa kutindivadza, ingava yakawanda kana yenharaunda (muzongoza kana epidural).

2. Incision: Chiremba anovhiya anoita incision pedyo nechiuno kana mabvi akabatanidzwa, zvichienderana nenzvimbo yekuputsika.

3. Kugadzirira kwechikadzi: Chiremba anovhiya anogadzira mukana mubhonzo kuti asvike iyo intramedullary canal.

4. Kupinzwa kwembambo: Iyo mbambo inopinzwa mugero uye yakakwira kunzvimbo yekutsemuka.

5. Kururamisa: Chiremba anoshandisa fluoroscopy (chaiyo-nguva X-ray) kusimbisa kuti mbambo yakanyatsoenderana nefupa uye kuputsika kwakaderedzwa.

6. Kugadzirisa: Zvisungo kana nzira dzekuvhara dzinoshandiswa kuchengetedza mbambo panzvimbo pamagumo efupa.

7. Kuvharwa: Iyo incision yakavharwa ne sutures kana mastaples, uye yekupfeka isina hutachiona inoiswa.

   
   

Kuchengetwa kwepashure kunosanganisira kutonga kwemarwadzo, kurapwa kwemuviri, uye kutevera-X-rays kutarisa maitiro ekuporesa.

Zvakakosha kuziva kuti matanho chaiwo uye maitiro anogona kusiyana zvichienderana nerudzi rwechikadzi intramedullary chipikiri chiri kushandiswa, pamwe chete nezvinodiwa nachiremba uye ruzivo. Nzira yacho inofanira kuitwa chete nachiremba akadzidziswa uye ane ruzivo rwemapfupa emapfupa.

Femur (Femoral) Nail Contraindications

Dzidzo yechiremba, kudzidziswa uye kutonga kwehunyanzvi kunofanirwa kuvimbwa pakusarudza mudziyo wakakodzera uye kurapwa. 

Mamiriro ezvinhu anowedzera njodzi yekukundikana anosanganisira:

1. Chero hutachiona hunoshanda kana hunofungidzirwa hwakadzikama kana chiratidzo chekuzvimba mukati kana nezvenzvimbo yakabatwa.

2. Kukanganisa vascularity iyo inogona kutadzisa kukwana kweropa kugovera kune yakatyoka kana nzvimbo yekushanda.

3. Bone stock yakakanganiswa nechirwere, kutapukirwa kana kuiswa kwekutanga kusingakwanise kupa rutsigiro rwakakwana uye / kana kugadzirisa kwemidziyo.

4. Material senitivity, zvakanyorwa kana kufungidzirwa.

5. Kufutisa. Murwere anorema kana akafutisa anogona kuburitsa mitoro pane inoisirwa iyo inogona kukonzeresa kukundikana kwekugadziriswa kwechigadzirwa kana kutadza kwemudziyo pachayo.

6. Varwere vane kuvharika kwetishu yakakwana pamusoro penzvimbo yekuvhiya.

7. Kudyara kushandiswa kunozokanganisa zvimiro zveanatomical kana physiological performance.

8. Chero chipi nechipi chepfungwa kana neuromuscular disorder iyo inogona kuumba njodzi isingagamuchirwi yekutadza kugadzirisa kana matambudziko mukuchengetwa kwemashure.

9. Mamwe mamiriro ekurapa kana ekuvhiya ayo anogona kudzivirira mukana wekuvhiya.

Nzira yeKutenga Yakakwirira Hunhu Femoral Intramedullary Nail?

Kana iwe uri kutsvaga kutenga yemhando yepamusoro yefemoral intramedullary nail, heano mamwe maitiro akajairwa:

1. Tsvakurudza uye sarudza mugadziri ane mbiri kana mutengesi wemidziyo yekurapa. Tarisa makambani ane rekodhi rekodhi yekugadzira emhando yepamusoro maimplants uye zviridzwa.

2. Tarisa kune certification uye kutevedza kwemitemo. Ita shuwa kuti mugadziri kana mutengesi awana zvitupa zvinodiwa uye mvumo kubva kumasangano anodzora akadai seFDA (muUS), CE (muEU), kana ISO (International Organisation for Standardization).

3. Simbisa zvinorehwa nechigadzirwa. Tarisa kuti femoral intramedullary nail inosangana nezvinodiwa maererano nehukuru, chimiro, uye zvinhu.

4. Chimbofunga nezvezvinhu zvinoiswa. Tarisa zvinhu zvakadai senzira dzekuvhara, makona anogadziriswa, uye anti-rotation masimba, izvo zvinogona kupa mamwe mabhenefiti kune murwere uye chiremba anovhiya.

5. Bvunza nachiremba. Usati watenga, zvakakosha kuonana nenyanzvi yemapfupa kana imwe nyanzvi yezvehutano kuti uone kuti femoral intramedullary nail inokodzera zvaunoda chaizvo.

6. Iva nechokwadi chekuchengetedza uye kubata kwakakodzera. Mushure mekutenga iyo implant, ita shuwa kuichengeta uye kuibata zvinoenderana nemirairo yemugadziri kuti uve nechokwadi chekuti inoramba iri muchimiro chakanyanya chekushandiswa pakuvhiya.

Nezve CZMEDITECH

CZMEDITECH ikambani yezvigadzirwa zvekurapa inoshanda mukugadzira uye kutengeswa kwemhando yepamusoro yemapfupa emapfupa uye zviridzwa, kusanganisira intramedullary misumari. Iyo kambani ine makore anopfuura gumi nemana echiitiko muindastiri uye inozivikanwa nekuzvipira kwayo mukuvandudza, mhando, uye sevhisi yevatengi.

Paunenge uchitenga intramedullary mbambo kubva kuCZMEDITECH, vatengi vanogona kutarisira zvigadzirwa zvinosangana nemazinga epasi rose emhando uye chengetedzo, senge ISO 13485 uye CE certification. Kambani inoshandisa matekinoroji ekugadzira epamusoro uye maitiro akasimba ekudzora mhando kuona kuti zvigadzirwa zvese ndezvemhando yepamusoro uye zvinosangana nezvinodiwa nevavhiyi nevarwere.

Pamusoro pezvigadzirwa zvayo zvemhando yepamusoro, CZMEDITECH inozivikanwawo nekunaka kwayo basa revatengi. Iyo kambani ine timu yevamiriri vekutengesa vane ruzivo vanogona kupa nhungamiro nerutsigiro kune vatengi panguva yese yekutenga. CZMEDITECH inopawo yakazara mushure mekutengesa sevhisi, kusanganisira rutsigiro rwehunyanzvi uye kudzidziswa kwechigadzirwa.