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Global Addad Tibia Nailing Lebitso la 2025 Top 6 Ntlafatso ea 6

Maikutlo: 0 Sengoli: Sengoli sa Editor se phatlalabise: 2025-07-07: Sebaka

Maqhubu a Tibial

Shaft ea Tibia ke e 'ngoe ea libaka tse atileng haholo bakeng sa li-scracture, tsa liatlana bakeng sa 13.7% ea limela tsohle. Lintho tse ling tsa lintho li na le litšobotsi tsa anatomical tse kang puseletso ea phepelo ea phepelo ea phepelo ea mali le e bobebe e bobebe. Hang ha ho robeha ho hlaha, ho senya ha lisele tse bonolo le ho sekisetsa phepelo ea mali ea lehae ho ka eketsa bothata ba ho folisa. Ho feta moo, menyetla e phahameng ea likhechana le ho hloka botsitso li etsa hore ho khethoa mokhoa o loketseng oa ho buuoa ka mokhoa o nepahetseng oa bohlokoa.

Karolo e bohareng ea shaft e bohareng ea leraba e ka holimo ke tse tharo, ha karolo e ka tlase e le karolelano ea mantsoe. Ntlafatso ea bohareng le tlase ho karolo ea boraro e nyane haholo ebile e emetse phetoho e le 'ngoe, e e etsa sebaka se tloaelehileng ho se theohile.

Karolo ea boraro ea tibia e koahetsoe feela ke tšebeliso ea mesifa, e e nolofatseng e e etsang e bulehileng hore na likhechana tsa masapo li phunya letlalo kae. Le ha manyane ka maqeba a koatiloeng, ho robeha haholo ho feta ho senya letlalo le lithane tse tlaasana. Mid-Tibia e ne e haelloa ke mesifa ea mesifa, 'me likamore tse' ne tsa tloaelo li pota-potiloe ke Tibia le Filala. Keketseho ea litšoantšo tsa kaborone e phahame ho mekhabiso e meng ea Tiliria ha e bapisoa le maqeba a mang.

Ho senyeha ha motho ea robehileng

AO / OTA Fracture Drout Ho Laetsana

Classic ea Ao / OTA e hlalosang li-shaft li-shaft li-fracture tse 4 (tibia) 2 (shaft). Tlanya e tsamaellanang le likhechana tse bonolo tse nang le mohala o le mong oa ho robeha, e leng mofuta o atileng haholo. Mofuta oa li-bractures o na le sekhechana se nang le sebopeho se nang le bopetli se bulehileng. Mofuta oa mofuta o bakoa ke tsietsi e phahameng haholo mme e na le limela tse fetotsoeng likarolo.

Gustilo Clatiation bakeng sa ho putlama:

Thaepa i: Bolelele bo lemetseng ka tlase ho 1 cm, hangata bo le leqeba le hloekileng le leqeba le hloekileng ka ntlha ea masapo o hlasimolla letlalong. Tšenyo e bonolo ea linama e bonolo e nyane, ha ho na likotsi tse sithabetsang. Ho robeha ha ho bonolo, ho feto-fetoha, kapa ho khutsufala ntle le ho etsa chelete.
Type II: Leqeba le feta 1 cm, ka tšenyo e kholo e bonolo empa ha e na ho itlotsa kapa ho thelwa. Lithane tse bonolo li bontša ho lemala ka tsela e leka-lekaneng, litšila tse itekanetseng le ho beleha ka tekano ea ho robeha.
Tlanya III: Tšenyo e bonolo e bonolo e amanang le mesifa, letlalo, methapo ea mali le methapo ea kutlo.

Tlanya IIa: Leha ho na le likotsi tse ngata tsa ho senya kapa tsa matla
Type IIB: Tšenyo e baballang ea linama e bonolo le tahlehelo e bonolo, ka tšohanyetso e otlang le masapo a pepesitsoeng a tsamaeang le tšilafalo e matla.
Type IIIC: e amanang le ho lokisa likotsi tsa 'mele.

Likhetho tsa Phekolo

Phekolo e seng ea ho buoa e sa buuoeng mashano a mashano a ananele, tokiso ea kantle, kopano, ho fokotsa limaele, le tšebeliso ea liforeimi tsa kantle. Likhetho tsa ho buuoa li kenyelletsa lisebelisoa tsa ka hare tsa PleET le ho senyeha ha setlama le ho litsie.

Ho itšireletsana ha ho kulisa

Ho kenngoa ha sephooko se fumanehang ho sithabela maikutlong ka lebaka la ts'ebetso ea eona e bonolo ea ho buoa, e leng litsietsi tse nyane, tsa lipehelo, litlolo tse nyane, tse bonolo, tse nyane ka mor'a ho lemala. E fana ka tokiso e matla ea kahare, e lumella ho ikoetlisa pele le ho qoba mathata a lehae le a bohlale. Melemo ena e kopanya melao ea marang-rang ea kalafo.

Czmediture intrathellar - Tharollo ea Kola

Setsebi sa Setsebi sa Setsebi sa Lettradellary Nail

1.proximal ngaka e khaotsoeng

Ho itšeha ka ntle ho ANTINAL FEELA ho thibela ho halefa ho ligagante tsa patralar ligament.

2. Moralo o tsoetseng pele

Moralo oa pele oa ho noha o notlela botsitso bo lakatsehang bakeng sa sekhechana sa proximal.

3. Lock oblique Lock

Distal Dispit khetho ea ho noha ho thibela tšenyo e bonolo le ho eketsa botsitso ba sekhechana sa lintho tse etsahalang.

4. Scread Screw

Ho koala screw e etselitsoeng ka tjantjello ea pente e bonolo bakeng sa ho kenya habonolo.

Supharapal Wena Wenaedlanyar Nail & Sesebelisoa se Sebetse

Mochine oa ho notlela

Moralo oa ho notlolla tokiso e matla, fokotsa phallo ea methapo ea lifate.

Ts'ehetso ea lintlha tse ngata

Lintlha tse ngata tsa ho lokisa tse mabapi le botsitso le tšehetso e makatsang ea Patearia ea Tibiaria.

Mehato ea Bokhoni

Sesebelisoa se na le ts'ebetso ea phetoho e feto-fetohang, ka liphetoho tsa eona tsa bomolimo tse tlasa maemo a mantlha a pele) le compression).

Tlhahiso ea proximal-dal

Mokhoa oa ho kenya letsoho ho tsoa ho proximal le hole, bonts'a likhathatso tsa ho qetela tsa proximal le tsohle tse hlakileng.

Lintho tse sa tloaelehang tsa Tibiamellary nail (DTN) le sesebelisoa se behiloeng

Moralo o bataletseng bakeng sa ho kenella habonolo

Qetellong ea nail e ka sehloohong e na le moralo o bataletseng, e tobileng ho kenya letsoho habonolo ho kenella ka matla ho ea mahareng a mahareng.

Li-screw tsa aungolar

Li-screw tse peli tsa majabajaba ho tloha pheletsong ea proximal li thibela ho potoloha le ho fallisoa ha karolo e robehileng.

Anatomical curvature

Ho qala ka mokhoa o ikhethileng oa anatomical ho netefatsa hore nail e ka sehloohong e beiloe hantle kahara le mahareng a mahareng.

Ho kena ka har'a sekhahla sa Angle Locking

Ho ikhula ka mor'a nako e telele ho kenella pheletsong ea lintho tse bonahalang ho fana ka tšehetso e sebetsang le ho lokisa.

Marang a Tilial Atralandlary Nail le sesebelisoa

Ho fapanyetsana:

E loketse li-fractures tse ngata tsa manganga (midshaft le maqeba a mefuta e meng (ea maiketsetso (mohlala, DTN) li etselitsoe libaka tse ikhethileng tsa anatomical kapa lits'ila.

Mokhoa oa ho butsolele o holileng:

Mokhoa o tloaelehileng (parapatellar kapa transpatellar) o latela mokhoa o ikhethileng oa ho ithuta, athe mekhoa e khethehileng ea ho ithuta) e hloka koetliso ea theknoloji e eketsehileng.

Sebetsa se theko e boima:

Ha ho bapisoa le lipekere tse ikhethang joaloka setsebi sa lipetlele kapa dtn, lipekere tse tloaelehileng tsa titamednamery hangata li loketseng linyeoe tse tloaelehileng.

TLHOKOMELISO E PHELANG:

E lumellana le lisebelisoa tsa bokahohleng (mohlala, li-screws, lisebelisoa tse lebisitsoeng), athe lipekere tse ikhethang tse nang le litholoana tse ngata) li ka hloka lisebelisoa tsa ntlafatso.

Tlanya ka	e metle ea mantlha	mekhoa
Setsebi Nail	Li-fractures tse rarahaneng, Osteoporosis	Ho notlolla-Remix-Remixing, botsitso bo phahameng
Supharapar nail	Likhechana tsa proximal, bakuli ba batletsang	Mokhoa oa sulfaradar, o fokotsa mathata a mangoleng a mangole
Dtn	Li-fractures tse fapaneng (haufi le manonyeletso a akle)	Ho notlolla litataiso tse fapaneng tsa hole, ha li khothatsana
Nail ea maemo a tloaelehileng	Bohareng ba Shaft fractures e bonolo	Ts'ebetso e bonolo, e theko e boima

TLHALOSO EA TIIA KHOITS

Ho cheka lisebelisoa tsa ho cheka : Ho kenyelletsa likotoana tsa Drill, li-ramers le lisebelisoa tse ling ka ho toba tse sebelisoang bakeng sa ho cheka masapo.
Lisebelisoa tsa sepheo sa sepheo : Lisebelisoa tsa ho beha maemo le ho tataisa ho chechisa kapa ho beha liaparo tse takiloeng, joalo ka lithapo, tse tataisang le lisebelisoa.
Lisebelisoa tsa ho lokisa : Lisebelisoa tse sebelisetsoang ho hokahanya, ho notlela kapa ho fetola litšusumetso, tse kang manonyeletso, le liqhobosheane.
Ho lekanya lisebelisoa tsa ho lekanya botebo, ho beha maemo kapa ho thusa ho buuoa, joalo ka matla a ho fokotsa metheo, awl).

Lisebelisoa tsa ho lokisa

Lisebelisoa tsa ho cheka

Ho lekanya lisebelisoa

Lisebelisoa tse lebisitsoeng

Surgical mohato oa mohato

1. Boitokisetso ba pelehi

Tlhahlobo ea ho nahana: Preoperative X-Ray / CT ho netefatsa bophara ba cracture, tse metsu le bolelele, ka tekanyo ea ampantibia e ntse e bua ka eona.

Ho beha Boemo: Boemo ba supine ka ho feto-fetoha le mangole a 90 ° Mofuta oa traro ea pherekano o ka tšehetsa Poster Fossal Fossal bakeng sa tsela.

Sterli o hlakolwe: sterilization e tloaelehileng le sterilization ea li-lem tsa maoto

2. Phokotso ea bosholu

Mekhoa e koetsoeng ea Phokotso

Talpele ea Manague: Mothusi o etsa kopo ea koetliso ea mehala ha a bululetsoeng a koetliso ea manganga le sebaka sa ateromedinal ho fetola lisebelisoa (bolelele, ho potoloha, ho potoloha, ho potoloha, ho potoloha, ho potoloha, ho potoloha

Moeletsi - O Thusa:

Mokhoa oa Joystickick: Scanz scansz scons e kentsoeng ka har'a proximal / Oldagetion e ka holimo bakeng sa phokotso ea lever.
Ho ts'oaroa ka mokhoa o fapaneng: Forces ea pokello ea ho fokotsoa ke oblique / spiral.
Ho rekolla: Bothata bo boholo bo behileng ka har'a naha ea matloana (Pine e bolaeang.

3. Ho kena sebakeng sa tikoloho

Matšoao:

Point Point 1cm Data ho ea pheletsong ea Tibiau ea Tibiau, e hokahane le axis ea medullary.
Tiiso ea FluoroSCopic: Ap Sheba litsie ka likhalase tsa Tibia, pono ea morao-rao tse tšoanang li tšoana.

Ho bula lisebelisoa:

Canctire thahlela ho feta tsela (ka sleeve e sirelletsang) kapa e kobehileng ea seriti.
Barekisi ba letsoho (6-8mm) bakeng sa liphofu tsa khale ka canal oclusion.

4. Tsamaiso ea Invidwire & Phoso

Phetahelo ea khoebo: Tataiso e nang le boloi ea bolo e khumama 10w5mm ka ntlheng ea ho pharalla. Netefatso ea fluoroccopic ho DIYSEAL SCAR (setsi sa AKLE).

Phetisetso protocol:

Ho qala matlotlo a feto-fetoha le 8mm, ho eketsa 0.5mm ho fihlela cortical '(hangata 1-1.5mm> bophara ba lipekere).
Tlhokomeliso: DingBAL e seng molaong e hlahang; Qoba necrosis ea molumo e futhumetseng.

5. Intry Contristion

Boikemisetso ba bolelele:

Tekanyo e sa kenelletseng: Business e fetang ea tsela kapa 'musi oa fluoroscopic (ntlha ea ho kena ho manyolo a manyane).
Etsa bonnete ba hore KELETSO A King o fihlela afysel Scar ntle le ho ba le eona.

Mokhoa oa ho kenya:

Kemiso ea letsoho ka letsoho; Fetola phokotso haeba ho hanyetsa ho etsahala.
Boloka phokotso nakong ea temana ea lintho tse fapaneng.

6. Ho kena-kenana le thepa ea screw

Leano la tatellano

Li-fractures tse nang le bolelele: Ho koala ha proximal pele (sekoti se le seng se lumella ho matha).
Li-fractures tse sa tsitsang / tse sa fetoheng: Ho nosetsa pele ho ka ha ho lateloa ka 'boyslap ' ho hatella.

Ho notlolla

≥2 screaws ka sesebelisoa se shebiloeng (multirectactal bakeng sa limela tsa proximal).

Ho notlolla

Mokhoa oa fluoroscopic: Bohareng ba BeaM borikhoe ho screw masoba ( 'Circley '), ho cheka ka mokhoa o hlakileng.
≥2 screaws bakeng sa likhechana tse fapaneng (li ka kopanya li-ap / oblique Resourtation).

7. Litsamaiso tsa ho qetela

Bofelo Cap: Ho kenella ka boikhethelo (ho thibela mosony ungrowth), netefatsa hore ha ho na bosholu bo kopaneng.

Ho koaloa ha maqeba: terata ea pastelar ea pastelar e nang le lipalesa tse otlolohileng.

8. Tsamaiso ea postoperative

Khohlopo ea pele:

Liliba tsa maoto; shebina bakeng sa compartment Syndrome ea 24hrs.
Qala ho kopanya ho kopanya le ho feta

Protocol e nang le boima ba 'mele:

Ho boloka boima ba 'mele bakeng sa libeke tse 6 (ho fetoloa ho tsitsitseng), ho hatela pele ho felletseng ha mongoli o hlaha.

Ho latela: Tlhahlobo ea bongaka ea bongaka ka 2, 6, le libeke tse 12.

Phapang e ikhethang

Jonany synthey (Johnson & Johnson)

Li-ntlo-kholo: Raynham, Massachusetts, USA

Lihlahisoa tsa Flaghip:

Setsebi sa Tibial sa thella (ENN) - E etselitsoe botsitso ho theosa le lipula tse rarahaneng.
T2 Tibiaria nail - e fana ka lisebelisoa tse ntlafalitsoeng le compression.

LITLHAKISO TSA HABO: R & D, LITLHAKISO TSA BOPHELO, LE LITLHAKISO TSE TLANG NAKO EA TEMOHO

★★★★

Jonany synthey (Johnson & Johnson)

Setsebi sa Tibial la '
t2 t2 t2 tibial nail

Sryker

Li-ntlo-kholo: Kalamazoo, Michigan, USA

Lihlahisoa tsa Flaghip:

T2 Tibial nail - Sisteme ea Morusu bakeng sa likhechana tsa mekhabisong ea manganga.
Gabma3 tibiaria na - e kopanya attrampellery nail ka likhetho tsa ho notlela.

Merero ea Bohlokoa: Liroboto tse tsoetseng pele (Makang Liroboto tse hlantšetso le li-rantisi tsa ho hlaseloa habonolo le ho sithabela maikutlong.

★★★★

Sryker

T2 Tibial Nail
Namman3 Tibial nail

Smith & Nephew

Ntlo-kholo: London, UK

Lihlahisoa tsa Flaghip:

Trigen Tibial - e etselitsoe ho nolofatsa ho kenya letsoho le botsitso.
Im Tibial nail - Tokelo ea ho kenella ka ho khetheha bakeng sa masholu a mekhelo.

Merero ea Bohlokoa: Shebana le meriana ea lipapali le khatello ea maikutlo, lisebelisoa tse ncha.

★★★★

Smith & Nephew

Nail ea Trigen Tibial
Nail Im Tibial nail

Czmediture

Li-ntlo-kholo: Changzhou, China

Lihlahisoa tsa Flaghip:

Li-Tibia tsa Tiliamlillary Keil (DTN) - e ntlafalitsoe bakeng sa maqeba a lintho tse fapaneng.
Setsebi sa Tiria intrampellery nail - boqapi bo phahameng ba melatium balloy.
Supharapal Anna Apalled Tinal Strastellary Nail - Ho hlaseloa habonolo.
Keils ea mangaal attrastery nail - likhetho tsa ho tsamaisa thepa e fapa-fapaneng.

Merero ea Bohlokoa: Tharollo e sebetsang e sebetsang, e hlahisa ho ba teng hoa lefatše.

★★★★

Czmediture

Distal Tibial Istrampellery Nail (DTL (DTL (DTL (DTN (DTN
(
)
DTN

Zimmer Biomet

Li-ntlo-kholo: Warsaw, Indiana, USA

Lihlahisoa tsa Flaghip:

ZNN Tilial Nail - moralo oa anatomic bakeng sa ho ntlafala.
Sistimi ea tlhaho ea lipekere - - limmatic tsa tlhaho tsa tlhaho.

Merero ea Bohlokoa: E matla ha e le mosebetsi o kopaneng, ho kopaneloa ha likolopele le tharollo ea botho.

★★★★

Zimmer Biomet

ZNN Tilial nail
tlhaho ea tlhaho ea nail

Orthofix

Li-ntlo-kholo: Lewisville, Texas, USA

Lihlahisoa tsa Flaghip:

Lon Tibial nail (lateral marthopetic nail) - e etselitsoeng ho kena hamorao.

Merero ea Bohlokoa: E ngotsoe ka matla a kholo ea masapo a susumetsang a masapo, khalemelo ea li-limb.

★★★★

Orthofix

Lon Tibial Nail (Lateral Orthopetic Nail)

Sephetho

Czmediturech e fana ka tharollo e felletseng ea masapo a maholo, a daical, a nang le meralo e mengata ea ho notlolla lefatše le lipheo tsa li-bilmechanics le liphihlelo tsa bongaka.

Litšupiso

[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 Loetse 2024, https://mpmp.weixin.qq.com/s/g7pe8xf-25zsvlbxbluc99.

[2] theme. (nd). Itrampellerllary naille bakeng sa the ea Tibial Shaft (mokhoa oa ho buoa]. Selelekela se Buisanong sa AO. Fumana ka la 10 Phupu, 2024, ho tloha https://surgeryreepzzzzon.aofouandation-trauthepec-trauma/tibal-Safrall-Sailing

Global Addad Tibia Nailing Lebitso la 2025 Top 6 Ntlafatso ea 6

Maqhubu a Tibial

Ho senyeha ha motho ea robehileng

AO / OTA Fracture Drout Ho Laetsana

Gustilo Clatiation bakeng sa ho putlama:

Likhetho tsa Phekolo

Ho itšireletsana ha ho kulisa

Czmediture intrathellar - Tharollo ea Kola

Setsebi sa Setsebi sa Setsebi sa Lettradellary Nail

1.proximal ngaka e khaotsoeng

2. Moralo o tsoetseng pele

3. Lock oblique Lock

4. Scread Screw

Supharapal Wena Wenaedlanyar Nail & Sesebelisoa se Sebetse

Mochine oa ho notlela

Ts'ehetso ea lintlha tse ngata

Mehato ea Bokhoni

Tlhahiso ea proximal-dal

Lintho tse sa tloaelehang tsa Tibiamellary nail (DTN) le sesebelisoa se behiloeng

Moralo o bataletseng bakeng sa ho kenella habonolo

Li-screw tsa aungolar

Anatomical curvature

Ho kena ka har'a sekhahla sa Angle Locking

Marang a Tilial Atralandlary Nail le sesebelisoa

Ho fapanyetsana:

Mokhoa oa ho butsolele o holileng:

Sebetsa se theko e boima:

TLHOKOMELISO E PHELANG:

TLHALOSO EA TIIA KHOITS

Surgical mohato oa mohato

1. Boitokisetso ba pelehi

2. Phokotso ea bosholu

Mekhoa e koetsoeng ea Phokotso

3. Ho kena sebakeng sa tikoloho

4. Tsamaiso ea Invidwire & Phoso

5. Intry Contristion

6. Ho kena-kenana le thepa ea screw

7. Litsamaiso tsa ho qetela

8. Tsamaiso ea postoperative

Phapang e ikhethang

Jonany synthey (Johnson & Johnson)

Sryker

Smith & Nephew

Czmediture

Zimmer Biomet

Orthofix

Sephetho

Litšupiso

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