Maitiro ekubvisa iyo Intramealry Chikamambo?

Kubviswa kweiyo intramedullary zvipikiri maitiro maitiro, sezvo mumwe nemumwe mugadziri anopa zvishandiso zvakakodzera. Nekudaro, kuda chaiko kwekubvisa iyo yakazara intramedully chipikiri chisingawanzo. Kamwe chete zvipikiri zvemukati zvikamu, mamiriro acho anova anonyanya kunyengera. Panguva ino, zviridzwa zvakakosha uye maitiro anodikanwa kuti ubvise chipikiri chemukati.

Universal Inniversal Alamedy's Kubvisa nail uye kuputswa namafuro removal seti inowanikwa pamusika, uye aya matsime anogona kubatsira kugadzirisa matambudziko ari pamusoro apa. Nekudaro, kuvhiyiwa bofu hakukurudzirwe pasina zvishandiso zvine hunyanzvi.

Iyo yekuraira iyo iyo intramedudullary chipikiri chinobviswa chinoshorwa. Usati wabvisa kugadziriswa kwemukati, muswe unofanira kuwanikwa uye wakabatanidzwa. Iyo cap cap dzimwe nguva yakaoma kuziva paX-ray, uye nezvikonzero izvi, vamwe varapi havana kukurudzira kushandisa muswe cap kunze kwekunge yawedzera kureba kweiyo intramedullary mbambo. Mushure mekubvisa muswe cap, shandisa ruoko rwekutungamira kuti unzwisise zvipikiri zvemukati, uye uenderere mberi kusvika pakubviswa kwechipikiri chekuvhara. Inofanira kuchengetwa mupfungwa kuti zvese zvinokiya mapini chinofanira kubviswa usati waedza kubvisa iyo huru pini. Kana mugadziri wechipikiso chemukati chisingakwanisi kuzivikanwa, zvinofanirwa kufumura zvakakwana mugumo wechipikiri wekutaurisa kwayo, kusanganisira tambo uye saizi, uye kusarudza chishandiso chakakodzera. Kana mutambo wakakwana haukwanise, sarudzo yekushandisa taped yekubvisa chishandiso inogona kubatsira mukubata muswe weiyo intramedeny chipikiri. Kana pfupa rinopinda muhupfu hwepombi kana pamusoro pechipikiri chinofungidzirwa kuti, chipikiri chinogona kutorwa mukati memamita mashoma ane menyu anotsvedza asati abviswa.

Yakasiyana-siyana zvirevo zvemuswe mapepa akagadzirirwa kufambisa sarudzo inytraoperative uye ita shuwa intramedullary camval.

Vanachiremba vakati wandei vakapfupisa nhamba huru yeakapetwa intramoutulary nail nzira dzekubvisa. Kana iwo magumo akaputsika wetsvina achida kuvhurwa kuti vazarurwe nekudzikisira, chipikiri chemukati chinogona kubviswa kuburikidza nemucheto wakaputsika. Pazasi, isu tichasuma muchidimbu nzira dzekubvisa dzisingade kuoneswa kwemugumo wakaputswa.

• Maitiro Ekubvisa Zvakaputswa Cannulated Intramedulalary Chikamambo?

Kazhinji, hazvina kuoma kubvisa chikamu cheProximal cheiyo yakaputsika intramedullary mbambo. Kana chikamu cheProximal chabviswa, zvinova zvinonetsa kuti ungabvisa sei chikamu che distal pasina kuvhura chidimbu chakaputsika. Kugadziridza iyo proximal medullary canal nemamita mashoma inogona kufambisa disal nail.

Uchishandisa refu nucleus kana laparoscopic forceps, chikamu che distal chinogona dzimwe nguva chinobatwa uye chakabudirira kubviswa. Nekudaro, kureba mauto hakupi kubatwa kwakasimba, uye kubviswa kwakabudirira kunoenderana kana chikamu che distal chasunungurwa.

Kutyaira chipikiri chakatetepa Munguva yekutyaira, iyo distal inokiya pini inofanirwa kuchengetwa kudzivirira kumwe kudzikamwiswa kwechikamu che distal panguva yekutyaira. Kamwe chete manyikisheni yakatetepa

Mabhuku mazhinji anoshuma kushandisa zviridzwa zvakaburitswa kubvisa chikamu che distal chechipikiri chakaputswa. Iyo Hollow Cavity yechipikiri chemukati inogona kuzadzwa neyakawonda nyera waya mune kufanana nenzira yekubvisa hope kuti udzivise kugadzirisa panguva yekubvisa. Iyo yakawanda gwara raya waya kurongedza maitiro zvakare dzimwe nguva imwe nzira yekubvisa zvikorekedzo.

Pakupedzisira, kana zvese zviri pamusoro pekubvisa maitiro ekubvisa zvisina kubudirira, distal kubviswa kwechipikiri chakapindirwa chinogona kuyedzwa. Semuenzaniso, chikamu chakaputsika chisingaiti chechikadzi intramedudullary chinobviswa kuburikidza nekuvhura mumakomita distal femur kuburikidza nebvi rakabatana. Iko kudhiraivha kwakanangana nekuguma kweKrisimasi kwechikara chinomarara, uye kuvhura kwakakura zvakakwana kuti vagare iyo yemiorivhi-yakatwasuka gwara refaira neaseti. Iyo inotungamira waya inopfuura neyakavharwa nehombodo yechipikidzo Maitiro akafanana anogona kushandiswa kuTibia, nekudzoreredzwa kwekuisa kwekuvhurwa kwa waya yekutungamira paMedial Mallleolus. Dzimwe nguva, waya yemusi weSteiner inoiswa kuburikidza nekuvhurika uye nekupikisana nemikombi yakaputsika panguva yekupera, iyo inobatsira kudzoreredza kuiswa kwejira rekutungamira uye kubviswa kwembambo yakaputsika.

• Maitiro Ekubvisa Zvakaputswa Solid IntrameduDaly Chikamambo?

Zvipikiri zvakasimbiswa zvakanyanyisa zvinowanzoitika kuti zviome kubvisa kupfuura cannulated intramedullary zvipikiri. Maitiro ayo anobvisa anosanganisira kudzokorora kweiyo proximal medullary cavity uye kubatwa nekuchenjera kwembambo yakatyoka yakaputsika. Laparoscopic claw hook inogona kushandiswa kuzonzwisisa zvipikiri zvakakoromorwa. Mabhuku akataurwawo neyechinjo chakakosha kutenderedza muswe wembambo. Nekudaro, kushandiswa kwezvishandiso zvakasiyana-siyana zvinogona kunge kusakwanisa kunyatso kubata mbambo dzakatyoka yakaputsika. Mune ino kesi, zvipikiri zvakaputswa zvinofanirwa kugogodzwa kubva kune mumwe mugumo wepfupa. Nhungamidzo yehunyanzvi yakafanana neiyo yeiyo cannulated intramedullary mbambo. Shandisa maturusi akadai seyekushomeka zvinyoro uye zvakaoma kutungamira mapini kuti ugogodza zvipikiri zvakaputswa zvakananga kune proximal mugumo.

• Maitiro Ekubvisa Zvakaputsika Interlocking Intramedullary Chikamambo?

Musoro kana chikamu cheProximal chechiitiko chekuvhiringidza chinogona kubviswa uchishandisa iyo inoenderana screwdriver. Dzimwe nguva tambo dzechisungo chekuvhiringidza chinogona kutsvedza mukati mepfupa, inoda kutengeswa kutenderedza musoro weiyo screw ine forrew ine forreps uye screwdriver kuti isazadzisa. Akakuvadzwa Screw misoro ingangoda zvishandiso zvakakosha pakubviswa, senge mukati mekugadziriswa kwemukati kubvisa kits yakadai seyakaomeswa-madhiri. Chikamu chechokwadi chechiputi chakaputswa dzimwe nguva chinosunungurwa zvachose, chisingabate kubviswa kwechikuru checrew, uye chinogona kusiiwa mumuviri kana zvikasakanganisa kushanda kwakazotevera kurapwa. Nekudaro, dzimwe nguva pfuti dzakaputsika-dzakatyoka hadzi dzinogona kukonzera iatrogenic kupwanya kana mbambo huru yabviswa, uye zvakafanira kuti ubvise. Nzira inowanzoshandiswa ndeyekuti iyo screw yeScrew, iyo screw inobviswa panzvimbo yayo yepamoyo Pini inosundidzirwa kunze kuburikidza neiyo pini gomba mune contralateral cortix uye inobviswa kuburikidza neyakaiparadzana incision.

Matenga sei kuti utenge orthopedic mispende uye zviridzwa zveOrthopedic?

Nekuti Czmeditech​ Spine Implants, intramedullary zvipikiri, Traumal Plate, Locking Plate, cranial-maxillofacial, prostisesa, Zvishandiso zvine simba, vekunze taxators, arthroscopy, kutarisirwa kwevaterinary uye yavo inotsigira chiridzwa.

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