Pulati yo Khiya ya Tibial ya le Matlhelo ya le kusuhi-II

Xana i yini Xiphepherhele xo Khiya xa Tibial xa le Matlhelo xa le Matlhelo?

CZMEDITECH 3.5 mm LCP® Proximal Tibia Plate i xiphemu xa LCP Periarticular Plating System, leyi hlanganisaka thekinoloji ya locking screw na tithekiniki ta ntolovelo ta plating. LCP Periarticular Plating System yi kota ku lulamisa ku tshoveka loku rharhanganeke ka distal femur hi 3.5 mm LCP Condylar Plates, ku tshoveka loku rharhanganeke ka proximal femur hi 3.5 mm LCP Proximal Femur Plates na 3.5 mm LCP

Tiplati ta Proximal Femur Hook, na ku tshoveka loku rharhanganeke ka tibia ya le kusuhi loko ku tirhisiwa 3.5 mm LCP Proximal Tibia Plates na 3.5 mm LCP Medial Proximal Tibia Plates.

Locking compression plate (LCP) yina ti Combi holes eka plate shaft leti hlanganisaka dynamic compression unit (DCU) hole na locking screw hole. Hole ya Combi yinyika ku cinca cinca ka axial compression xikan’we na vuswikoti byo pfala eka ku leha hinkwako ka plate shaft.

Swihlawulekisi swa Puleti:

• Anatomically contoured kuva yi tshinelela xiphemu xale tlhelo xa proximal tibia

• Kunga tensioniwa kuva ku endliwa load-sharing construct

• Yi kumeka hi swivumbeko swa ximatsi na swa xinene, hi 316L stainless steel kumbe commercially pure (CP) titanium

• Yi kumeka na 5、7、9 kumbe 11 wa ti Combi holes eka plate shaft

• Ti holes timbirhi ta xirhendzevutani letinga ekule na nhloko ti amukela 3.5 mm cortex screws na 3.5 mm cancellous bone screws eka interfragmentary compression kumbe ku tiyisisa xiyimo xa plate

• Xirhendzevutani xa angled, threaded, lexi nga ekule na makhumbi mambirhi ya xirhendzevutani, xi amukela 3.5 mm cannulated locking screw. Angle ya hole yi pfumelela screw leyi yo pfala kuva yi hlangana na screw yo pfala yale xikarhi eka nhloko ya plate kuva yi seketela xiphemu xale xikarhi

• Ti combi holes, letinga ekule na angled locking hole, tihlanganisa hole ya DCU na threaded locking hole

• Profayile ya vuhlanganisi lebyi nga nyawuriki

  
  

swihlawulekisi

Swikumiwa	REF	Ku hlamuseriwa	Ku tiya	Anama	Vulehi
Pulati yo Khiya ya Tibial ya le Matlhelo ya le kusuhi-II  (Tirhisa 3.5 Xikurufu xo Khiya/3.5 Xikurufu xa Cortical)	5100-2601	5 wa tiphuphu L	4.2	12.5	97
	5100-2602	7 wa tiphuphu L	4.2	12.5	124
	5100-2603	9 wa tiphuphu L	4.2	12.5	151
	5100-2604	11 wa tiphuphu L	4.2	12.5	178
	5100-2605	13 wa tiphuphu L	4.2	12.5	205
	5100-2606	5 wa tiphuphu R	4.2	12.5	97
	5100-2607	7 wa tiphuphu R	4.2	12.5	124
	5100-2608	9 wa tiphuphu R	4.2	12.5	151
	5100-2609	11 wa tiphuphu R	4.2	12.5	178
	5100-2610	13 wa tiphuphu R	4.2	12.5	205

Proximal Lateral Tibial Locking Plate: Nkatsakanyo wa Swikombiso, Thekiniki ya Vuhandzuri, na Mimbuyelo

Ku tshoveka ka proximal tibia swinga tika ku swi lawula, ngopfu ngopfu eka swiyimo swa comminuted kumbe osteoporotic fractures. Ku tirhisiwa ka proximal lateral tibial locking plate (PLTLP) swi humelerile tanihi ndlela leyi tirhaka yo tshungula ku tshoveka loku loku rharhanganeke. Eka xihloko lexi, hi ta bula hi swikombiso, endlelo ra vuhandzuri, na mimbuyelo leyi fambelanaka na ku tirhisiwa ka PLTLP.

Swikombiso

PLTLP yi tirhisiwa ngopfu eka vutshunguri bya ku tshoveka ka tibia ya le kusuhi, ku katsa na leti katsaka tibial plateau, ti condyles ta le xikarhi na ta le tlhelo, na shaft ya le kusuhi. Yi pfuna ngopfu eka ku tshoveka loku swi tikaka ku ku tiyisisa hi tindlela ta ndhavuko, ku fana na swipikiri swa le ndzeni ka medullary kumbe switirhisiwa swo khoma swilo swa le handle. PLTLP yinga tlhela yitirhisiwa eka swiyimo swa nonunion kumbe malunion ya proximal tibia.

Thekiniki ya Vuhandzuri

PLTLP hi ntolovelo yi nghenisiwa hi ku tirhisa ndlela ya le tlhelo eka nhlangano wa matsolo. Dokodela wa vuhandzuri u ta endla ku tsemiwa ehenhla ka xiphemu xa le tlhelo xa matsolo, ivi a paluxa ndhawu leyi ku tshovekeke eka yona. Kutani swiphemu leswi tshovekeke swa hungutiwa kutani swi vekiwa swa xinkarhana endhawini ya swona hi tintambhu ta Kirschner. Endzhaku ka sweswo, PLTLP yi contoured leswaku yita ringanela proximal tibia naswona yi vekiwa endhawini ya yona hi swikwirikiri swo pfala. Ti screws to pfala tinyika kutshamiseka hiku hlangana na marhambu xikan’we naku sivela ku rhendzeleka kumbe ku famba ka angular.

Mimbuyelo

Mindzavisiso yi kombisile leswaku ku tirhisiwa ka PLTLP swi endla leswaku ku va na mimpimo ya le henhla ya nhlangano na mimbuyelo ya kahle ya tliliniki. Nkambisiso wun’wana wu vikile mpimo wa union wa 98% na xiringaniso xa Knee Society Score ya 82 eka xiringaniso xa ku landzelerisa ka 24 wa tinhweti. Dyondzo yin’wana yi vikile mpimo wa union wa 97% na xiringaniso xa Knee Society Score ya 88 eka xiringaniso xa ku landzelerisa ka 48 wa tinhweti. Hambiswiritano, swi fanele ku xiyiwa leswaku mimbuyelo ya munhu hi xiyexe yi nga ha hambana ku ya hi swihlawulekisi swo karhi swa muvabyi na ku tshoveka.

Swiphiqo leswi nga vaka kona

Swiphiqo leswi fambelanaka na ku tirhisiwa ka PLTLP swi katsa ku tluleriwa, nonunion, malunion, na ku tsandzeka ka hardware. Ku hlawula muvabyi hi vukheta ni endlelo ra vuhandzuri i swa nkoka leswaku ku hunguta khombo ra swiphiqo. Dokodela wa vuhandzuri u fanele a tlhela a tivonela leswaku a papalata ku onha tinyama to olova leti rhendzeleke, to tanihi peroneal nerve kumbe lateral collateral ligament.

Mahetelelo

Proxim lateral tibial locking plate i xitirhisiwa lexi pfunaka eka vutshunguri bya ku tshoveka loku rharhanganeke ka proximal tibia. Swi nyika ku tshamiseka naswona swi pfumelela ku hlengeletiwa ka ha ri na nkarhi, leswi nga tisaka mimbuyelo yo antswa ya tliliniki. Hambileswi swiphiqo swi nga kotekaka, ku hlawula muvabyi hi vukheta ni endlelo ra vuhandzuri swi nga pfuna ku hunguta khombo. Hi ku angarhela, PLTLP i ku engeteriwa ka nkoka eka armamentarium ya dokodela wa vuhandzuri bya marhambu eka vutshunguri bya ku tshoveka ka tibia ta le kusuhi.

Swivutiso leswi talaka ku vutisiwa

1. Xana proximal lateral tibial locking plate yi pimanisiwa njhani na tindlela tin’wana to tshungula ku tshoveka ka proximal tibia? PLTLP yi kombisiwile tani hi ndlela leyi tirhaka yo tshungula ku tshoveka loku rharhanganeke ka proximal tibia, ngopfu ngopfu loku swi tikaka ku tiyisisa hi tindlela ta ndhavuko. Hambiswiritano, mimbuyelo ya munhu hi xiyexe yi nga ha hambana ku ya hi swihlawulekisi swo karhi swa muvabyi ni swa ku tshoveka.

2. Hi swihi swipfuno swa ku tirhisa proximal lateral tibial locking plate? PLTLP yi nyika ku khomiwa loku tiyeke ka swiphemu swa ku tshoveka naswona yi pfumelela ku hlengeletiwa ka ha ri na nkarhi, leswi nga tisaka mimbuyelo yo antswa ya tliliniki. Yi pfuna ngopfu eka ku tshoveka loku rharhanganeke loku swi tikaka ku ku tiyisisa hi tindlela ta ndhavuko.

3. Hi swihi swiphiqo leswi nga vaka kona swa ku tirhisa proximal lateral tibial locking plate? Swiphiqo leswi fambelanaka na ku tirhisiwa ka PLTLP swi katsa ku tluleriwa,nonunion, malunion, na ku tsandzeka ka hardware. Ku hlawula muvabyi hi vukheta ni endlelo ra vuhandzuri swi nga pfuna ku hunguta khombo ra swiphiqo.

4. Xana swi teka nkarhi wo tanihi kwihi leswaku proximal lateral tibial locking plate yi hola? Nkarhi lowu wu tekaka PLTLP ku hola wa hambana kuya hi muvabyi un’we na muxaka wa ku tshoveka. Hambiswiritano, tidyondzo ti kombisile mimpimo ya le henhla ya ku hlangana na ku tirhisiwa ka PLTLP.

5. Xana proximal lateral tibial locking plate yinga susiwa endzhaku kaloko ku tshoveka ku horile? Ina, PLTLP yi nga susiwa loko ku tshoveka ku horile loko ku vanga ku nga tsaki kumbe timhaka tin’wana. Hambiswiritano, xiboho xo susa hardware xi fanele xi endliwa hi ku ya hi xiyimo xin’wana ni xin’wana naswona hi ku burisana ni dokodela wa vuhandzuri wa muvabyi.