Global Advanced Tibia Nailing Instruments Name 2025 Top 6 Innovations

Nail ea Distal Tibial intramedullary (DTN)

Suprapatellar Atamela Tibial Intramedullary Nail

Setsebi sa Tibia intramedullary Nail

1.Proximal Oblique Cut

Anterior oblique cutting in proximal end e thibela ho teneha ho patellar ligament.

2. Advanced Locking Design

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

3. Distal Oblique Lock

Khetho ea ho notlela distal oblique ho thibela tšenyo ea lisele tse bonolo le ho eketsa botsitso ba sekhechana sa distal.

4. Double Thread Screw

Sekurufu sa ho notlela se entsoeng ka khoele e nang le loto e habeli bakeng sa ho kenya habonolo.

Mokhoa oa ho notlela

Moralo oa ho notlela bakeng sa ho lokisa ka matla, ho fokotsa ho kheloha ha sekhechana sa postoperative.

Multi-point Support

Lintlha tse ngata tsa ho lokisa li fana ka botsitso ba angular le tšehetso e tsitsitseng bakeng sa tibial palteau.

Mekhahlelo ea Compression

Sesebelisoa se na le ts'ebetso ea ho feto-fetoha ha maemo, ka liphetoho tsa eona tsa morphological tse bontšitsoeng lipapisong tlas'a maemo a mabeli pele ho khatello (boemo bo hlephileng) le maemo a morao-rao (a kentsoeng ka thata).

Proximal-Distal Fixation

Mekhoa e mengata ea ho lokisa ho tloha ho proximal le distal, e bonts'a maqheka a ho qetela le a distal tibial fractures.

Moqapi oa Flat bakeng sa ho Kena ha Bonolo

Karolo e ka thōko ea lenala le leholo e na le moralo o bataletseng, o nolofalletsang ho kenngoa ha bonolo ka har'a mokokotlo oa medulla.

Angular Locking Screws

Li-angular locking screws tse qetellong ea proximal li thibela ho potoloha le ho falla ha karolo ea ho robeha.

Anatomical Curvature

Mokokotlo o khethehileng oa anatomical o netefatsa hore lenala le ka sehloohong le behiloe hantle ka har'a mokokotlo oa medulla.

Li-Screws tsa ho Locking tse Hlahang

Likurufu tse tharo tse notlelang li-angle tse koalehang pheletsong ea distal li fana ka tšehetso e sebetsang le ho lokisa.

Mefuta-futa:

E loketse boholo ba fractures ea tibial shaft (midshaft le tse ling tsa distal / proximal fractures), athe mefuta e meng (mohlala, DTN kapa Expert Nail) e etselitsoe libaka tse itseng tsa anatomical kapa fractures e rarahaneng.

Mokhoa oa ho Buoa ka Matla:

Mokhoa o tloaelehileng (parapatellar kapa transpatellar) o latela mokhoa o hlophisitsoeng hantle o nang le sekhahla se tlaase sa ho ithuta, athe mekhoa e khethehileng (mohlala, suprapatellar) e hloka koetliso e eketsehileng ea theknoloji.

Litšenyehelo-ka katleho:

Ha li bapisoa le lipekere tse khethehileng tse kang Setsebi sa Nail kapa DTN, lipekere tse tloaelehileng tsa tibial intramedullary hangata li theko e tlaase, li etsa hore li tšoanelehe bakeng sa linyeoe tse tloaelehileng.

Tumellano e Pharalletseng ea Implant:

E lumellana le lisebelisoa tsa bokahohleng (mohlala, li-screws, lisebelisoa tse lebisitsoeng), athe lipekere tse khethehileng (mohlala, Nail ea Setsebi e nang le mekhoa e mengata ea ho notlela) e ka hloka lisebelisoa tsa botho.

1. Tokisetso ea Pele ho Ts'ebetso

Tlhahlobo ea ho Ingoaea: Pele ho ts'ebetso ea X-ray / CT ho netefatsa mofuta oa fracture, medulla canal bophara le bolelele, ka tekanyo ea contralateral tibia e le boitsebiso.

Positioning: Sebaka sa supine se nang le lengole la 90 ° -120 ° le ho kenngoa ha letheka hanyenyane (ho fokotsa tsitsipano ea patellar tendon). Foreimi ea radiolucent e khutlotharo e ka ts'ehetsa popliteal fossa bakeng sa ho hula.

Sterile Draping: Ho thibela maoto le matsoho ho tloaelehileng, ho netefatsa hore letsoho la C le tsamaea.

2. Phokotso ea ho robeha

Mekhoa e Koetsoeng ea Phokotso

Manual Traction: Mothusi o sebelisa mokhoa oa longitudinal ha ngaka e buoang e palama tibial crest le anteromedial surface ho lokisa ho lumellana (bolelele, ho potoloha, ho fokotseha).

Thuso ea Seletsa:

• Mokhoa oa Joystick: Li-screw tsa Schanz tse kentsoeng ka har'a likhechana tsa proximal / distal bakeng sa ho fokotsa lehare.

• Percutaneous Clamping: Li-forceps tse hlakileng tsa ho fokotsa ho robeha ha oblique/spiral.

• Distractor: Setsietsi se seholo se behiloe coronally (proximal Schanz screw parallel to tibial plateau, distal pin in talus kapa distal tibia) ho boloka bolelele.

3. Keno Point Localization

Libaka:

• Sebaka sa ho kena 1cm distal ho ea anterior tibial plateau bohale, e tsamaellanang le medullary axis.

• Netefatso ea Fluoroscopic: Pono ea AP e lumellana le tibial crest, pono ea lateral e tšoana le tibial axis.

Lisebelisoa tsa ho Bula:

• Boro e entsoeng ka makotikoting holim'a terata ea tataiso (e nang le letsoho le sireletsang) kapa thapo e thata e kobehileng.

• Li-reamers tsa letsoho (6-8mm) bakeng sa maqheka a khale a koalehileng kanale.

4. Tataiso ea ho Kenyeletsoa & Reaming

Tataiso ea ho beoa: Wire e nang le ntlha e nang le bolo e kobehileng 10-15mm ntlheng ea ho robeha. Netefatso ea fluoroscopic ho distal physeal scar (bohareng ba maqaqailana).

Reaming Protocol:

• Li-reamer tse feto-fetohang li qala ho 8mm, li eketseha ka 0.5mm ho fihlela cortical 'chatter' (hangata 1-1.5mm> bophara ba manala).

• Tlhokomeliso: Ho tsoa ka nakoana ho tlosa lithōle; qoba necrosis ea mocheso.

5. Ho Kenya Nail

Boikemisetso ba Bolelele:

• Tekanyo ea Intraoperative: Mokhoa oa ho kopana oa Guidewire kapa rula ea fluoroscopic (ho kena lenonyeletsong la maqaqailana).

• Etsa bonnete ba hore ntlha ea manala e fihla lebaleng la physeal ntle le proximal protrusion.

Mokhoa oa ho Kena:

• Hand-advance over guidewire; lokisa phokotso haeba khanyetso e etsahala.

• Boloka phokotso nakong ea ho feta bakeng sa fractures ea distal.

6. Interlocking Screw Fixation

Leano la Tatelano

• Ho robeha ha nako e telele: Ho notlela nako e telele pele (sekoti se le seng se lumella matla a matla).

• Bolelele bo sa tsitsang / bo sa khaotseng: Ho notlela ka thōko pele ho lateloa ke 'backslap' ho hatella.

Proximal Locking

• ≥2 screws ka sesebediswa se lebisitsoeng (multidirectional bakeng sa fractures proximal).

Ho notlela ka thōko

• Mokhoa oa Fluoroscopic: Beam e bohareng perpendicular to screw holes ('perfect circle'), percutaneous drilling.

• ≥2 li-screw bakeng sa fractures ea distal (e ka kopanya mekhoa ea AP / oblique).

7. Mekhoa ea ho Qetela

Sekoahelo sa Qetello: Ho kenya ka boikhethelo (ho thibela ho kena ha masapo), etsa bonnete ba hore ha ho na lenonyeletso le hlahang.

Ho Koala Leqeba: Ho lokisoa ha tendon ea patellar e nang le lesela le nang le li-sutures tse hlephileng.

8. Tsamaiso ea Postoperative

Tsosoloso ea Pele:

• Ho phahama ha maoto; leihlo bakeng sa compartment syndrome nakong ea lihora tse 24.

• Qala ts'ebetso e sebetsang e kopanetsoeng (lipompo tsa maqaqailana, ho phunya lengole) ho POD 1-2.

Boima ba Boima:

• Ho jara boima ba 'mele bakeng sa libeke tse 6 (ho lokisoa ho ea ka botsitso), ho tsoela pele ho tlala ha callus e hlaha.

Latela-morao: Tlhahlobo ea kliniki / radiological ho 2, 6, le libeke tse 12.