Chii chinonzi intramedullary misumari?

Chii chinonzi intramedullary nail?

Intramedullary nailing kuvhiyiwa kugadzirisa bhonzo rakatyoka uye kuti rirambe rakatsiga. Mabhonzo anonyanya kugadziriswa nenzira iyi ndeye chidya, shin, hip, uye ruoko rwepamusoro. Chipikiri chekusingaperi kana tsvimbo inoiswa pakati pebhonzo. Zvichakubatsira iwe kukwanisa kuisa uremu pabhonzo.

Chii chinonzi intramedullary nail inoshandiswa?

Kutyoka kwefemoral shaft kwakawanda kunorapwa nekuvhiyiwa. Ongororo dzakati wandei dzakaratidza kuti kudzikamisa kwekuvhiya kwekutanga kunoenderana nekuderedzwa kwematambudziko uye kufa. Chipikiri che intramedullary isimbi yesimbi inopinzwa mumedullary cavity yebhonzo uye nepakati pekutyoka kuitira kupa tsigiro yakasimba yebhonzo rakatyoka. Intramedullary nailing parizvino inonzi 'yegoridhe chiyero' yekurapa kwechikadzi shaft fractures. Zvakanakira zve intramedullary nailing zvinosanganisira kugara muchipatara kwenguva pfupi, kukurumidza kubatana kwekutyoka uye kutanga kushanda kwenhengo.

Kune akawanda akasiyana marudzi e intramedullary mbambo uye akabatana ekuvhiya maitiro ari kushandiswa. Imwe gakava guru nderekuti mbambo yacho inofanira kupinzwa mugero riri pamabvi here uye yosundidzira kumusoro mugero (retrograde nailing) kana pahudyu yosundira pasi mugero (antegrade nailing). Nzvimbo yekupinda yeantegrade nailing (piriformis fossa versus mukuru trochanteric entry) iriwo kupokana. Imwe nyaya ndeyekuti zvipikiri zve intramedullary zvinofanirwa kupinzwa zvine reming (apo medullary cavity inokwidziridzwa isati yapinzwa) kana pasina kudzokororwa. Saizvozvowo, hapana kubvumirana pamusoro pemigumisiro yemarudzi akasiyana-siyana ezvipikiri, zvakadai sezvipikiri zvakavharwa (ane mabhoti ekuvhara akaiswa pamapfupa pamagumo echipikiri kuti achengetedze panzvimbo) kana Ender misumari, apo mbambo mbiri kana kupfuura inoiswa mukati me medullary cavity nenzira chaiyo yekuvabata panzvimbo.

Iyo intramedullary nail inoda kubviswa here?

Intramedullary misumari inoshandiswa kugadzirisa kuparara kwechikadzi inogona kuda kubviswa kwezvikonzero zvakasiyana-siyana. Vamwe vanokurudzira kuti zvipikiri zvose zvakadaro zvibviswe mushure mekuporeswa kwekutyoka, nepo vamwe vachida kubvisa chete izvo zvinokonzera zviratidzo.Pasinei nechikonzero, kubviswa kwembambo yemukadzi yakasimba kunogona kuva kwakaoma uye kunopedza nguva.

Nzira yekubvisa sei intramedullary nail?

Isa murwere panzvimbo yakatwasuka necheparutivi uchishandisa bhinzi kana imwe mudziyo wekuisa patafura yekushandisa ine radiolucent. Gadzirira gumbo rose, lateral buttock, uye torso kune mbabvu. Bvisa gumbo kunze kuti ubvumire hudyu yakazara nemabvi kufamba kwekuisa. Nyora hudyu kusvika ku90 °. Bvisa proximal uye distal locking screws mune yakajairwa fashoni. Isa gwara pahudyu uye uwane mufananidzo wefluoroscopic wehudyu yakapfuura. Rongedza waya kuti ienderane nechipikiri chemukadzi pane lateral maonero. Dhirowa mutsara uchienda newaya, uchiiendesa kugaro. Kunze tenderedza chidya womaka mutsara nenzira yakafanana kuti uone anteroposterior chipikiri chinzvimbo. Mharadzano yemitsara miviri inoratidza nzvimbo yekuchekeresa yekuisa iyo yekudhonza. Kana heterotopic bone ichizobviswa, iyo incision inofanira kuitwa yakakura. Ronda racho rinowedzerwa zvisina kujeka neMayo scissors. Kana chipikiri chasvika chigero chinoshandiswa kubata chironda chakavhurika, uye 3.2 guidewire inopinzwa pamwe nechigero kusvika yabata chipikiri. Chigero chinobviswa, uye pini yemutungamiri inogadziriswa kusvikira yapinda mupikiri. Anteroposterior uye lateral mifananidzo yehudyu inowanikwa kuti isimbise kuiswa kweguidewire mupikiri. Iyo cone-shaped femoral extractor pane yekubvisa bar inopinzwa muronda, pamusoro pepini yekutungamira. Iyo inodhonza zvinyoro-nyoro asi zvine simba yakakwenenzverwa muchipikiri. Kupfuura kwekutanga kunogona kusanyatso batanidza chipikiri, asi inobvisa yakawanda yakapindirana yakapfava tishu. Iyo inodonhedza inodzoserwa pamusoro pepini yekutungamira kana waya uye yakasimbiswa pachipikiri nechisimba chinokwana kuda kushandiswa kwezvipanera. Iyo mallet yakatsvetwa inoshandiswa kurovera chipikiri kunze. Ronda racho rinodiridzwa uye rakavharwa nenzira yakajairika.

Nzira yeKutenga Orthopedic Implants uye Orthopedic Instruments?

For CZMEDITECH , isu tine yakakwana kwazvo chigadzirwa mutsara we orthopedic kuvhiyiwa implants uye anowirirana zviridzwa, zvigadzirwa zvinosanganisira mishonga yemuzongoza, intramedullary misumari, trauma plate, kukiya ndiro, cranial-maxillofacial, prosthesis, zvishandiso zvemagetsi, vagadziri vekunze, arthroscopy, veterinary care uye yavo inotsigira chiridzwa seti.

Pamusoro pezvo, takazvipira kuenderera mberi nekugadzira zvigadzirwa zvitsva uye kuwedzera mitsara yechigadzirwa, kuitira kuti tisangane nekuvhiyiwa kwevamwe vanachiremba nevarwere, uye zvakare kuita kuti kambani yedu iwedzere kukwikwidza muindasitiri yepasi rose yemapfupa emapfupa uye zviridzwa.

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