Xana Titanium Elastic Nail I Yini?

Elastically stabilized intramedullary nails (ESINS) i ndlela leyi tolovelekeke yo tiyisisa hi vuhandzuri ku tshoveka ka marhambu yo leha eka vana. Yitirhisiwa ngopfu ku tshungula ku tshoveka lokunga tshamisekangiki ka radius, ulna, femur, naswona nkarhi wun’wana tibia na humerus. Yitlhela yitirhisiwa ku tshungula ku tshoveka ka marhambu yo leha eka vana. Esin yi nyika ku pfaleka loku pfalekeke handle ko pfula ndzhawu ya ku tshoveka, ku tiya ka tinhla tinharhu, na ku hlayisiwa ka ku leha na ku rhendzeleka eka ku tshoveka loku tsemakanyaka, ko koma ka oblique. Tanihi xitirhisiwa xo avelana ndzhwalo, xi pfumelela ku famba-famba ka xirho xa le mahlweni ka ha ri ni nkarhi. Hi ntolovelo, swipikiri swa intramedullary leswi tiyeke hi ndlela ya elastically swa susiwa endzhaku ka ku hola ka ku tshoveka.

ku tshoveka ka xirho xa le ndzeni xa khwiri .

Swikombiso swa Esin eka ku tshoveka ka femoral i: malembe ya le xikarhi ka 4 na 14 wa malembe na ku tshoveka ka femoral endzeni ka trauma yo tala .

Muvabyi u vekiwa etafuleni ra ku koka ra marhambu, naswona mpimo wa xibutsa wu fambisana ni mpimo wa nenge wa n’wana. Fluoroscope ya laveka kuva yi kuma mavonelo ya antero-posterior (AP) na latero-lateral (LL) ya xirho xa le ndzeni lexi khumbekaka naswona yi vekiwa leswaku kuta pfumeleriwa ku voniwa ka femur kusuka eka levele ya hip kuya eka matsolo. Ku kumiwa ka ku hungutiwa ku kamberiwa eka mavonelo ya AP na LL, naswona ku rhendzeleka na kona ku tiyisisiwile .

Ku hlawula swipikiri diameter ya swipikiri yifanele ku languta nawu wo angarhela wo hlawula swipikiri. Ku hlawuriwa loku landzelaka ku nga tirhisiwa tanihi muxaka wun’wana, lowu fambelanaka na malembe ya n’wana:

- 6–8 wa malembe: 3 mm hi vukulu;

- 9–11 wa malembe: 3.5 mm hi ku anama;

- 12–14 wa malembe: 4 mm hi vukulu.

Ku leha ka swipikiri swi ringana na mpfhuka kusuka eka distal growth cartilage kuya eka greater trochanter growth cartilage .

Ku tshoveka ka ti- diaphyseal .

Xiphemu xa vunharhu xa le kusuhi na xa le xikarhi eka xiyimo xa ku tshoveka ka diaphyseal eka xiyimo xa vunharhu xa le kusuhi na xa le xikarhi, ndlela ya xivumbeko xa C, na swipikiri leswi nghenisiweke endzhaku hi ku tirhisa metaphysis ya le kule, ya hlawuriwa. Eka xiyimo xa ku tshoveka ka le kusuhi, nhloko ya le kusuhi ya swipikiri yi govekile, kasi eka ku tshoveka ka le xikarhi ka diaphyseal, exikarhi ka xipikiri ku govekile. Eku heleni ka ntirho, eka xiyimo xa ku tshoveka ka transverse, swiphemu swi khumbeka leswaku ku papalatiwa ku kavanyetiwa loku saleke, loku nga vaka na vutihlamuleri eka ku leha loku nga ringaniki ka swirho swa le hansi. Eka oblique kumbe comminuted fractures, distal tip yi goveka naswona yi khumbeka eka marhambu ku papalata ku telescoping ka swiphemu na ku rhurha ka swipikiri.

Ntshikelelo wa ntumbuluko wa ku tshoveka loku i ku hlohlotela ku koma ka 5–10 mm hi ku hatlisa endzhaku ka vuhandzuri, leswi nga ta tlheriseriwa hi ku hlohloteriwa ka ku kula hi nkarhi wa ku hlanganisiwa ka ku tshoveka .

Tibial fractures .

Ku vekiwa na ku lulamisiwa ka muvabyi Muvabyi u vekiwa eka tafula ra marhambu leswaku a ta olovisa ku hungutiwa. Vukona bya fluoroscope byi boha eka vulawuri bya le ndzeni ka vuhandzuri. Nsimu ya vuhandzuri yi fanele ku katsa matsolo .

Ku nghenisiwa ka swipikiri . 

Ti elastic nails ti tshama ti nghenisiwa antegrade eka proximal metaphysis, eka tindzhawu ta antero-lateral na anteromedial .

Xiphemu xa swipikiri xihambana exikarhi ka 2.5 na 4 mm, kuya hi malembe ya muvabyi. Ku tirhisiwa ka hammer ku yisa emahlweni swipikiri swa pfumeleriwa kambe swifanele kutirhisiwa hi vukheta.

Khwalithi ya kuhungutiwa yi tiyisisiwa hi diameter ya swipikiri xikan’we na degree ya ku gombonyoka.

Swipikiri aswifanelanga ku khumbeka eka marhambu ya cancellous ya distal metaphysis loko kungase hunguteka ku hetiseka; Handle ka sweswo, maendlelo yo lulamisa ma nga ha endla leswaku osteosynthesis yi nga tshamiseki.

Loko kungaseva na impaction, ku rhendzeleka ka swiphemu swikamberiwa naswona, eka xiyimo xa vukona bya residual varus deformity, leswi swi lulamisiwa hiku gombonyoka ngopfu ka xipikiri. Eku heleni ka vuhandzuri, traction yi ntshunxekile naswona swiphemu swi khumbeka.

Eka ti comminuted fractures, ti proximal tips ta swipikiri leswi siyiwaka ehandle ka marhambu ti govekile eka 90° naswona ti khumbeka eka cortical bone ku sivela ku telescoping ka swiphemu.

Ku tshoveka ka swirhumbana swa humeral .

Swikombiso swa esin eka humeral fractures swa hambana kuya hi ndzhawu ya fracture: proximal metaphysis kumbe diaphysis. Eka ku tshoveka ka nhamu ya vuhandzuri bya humerus, Esin yi kombisiwa hikuva yi hunguta nkarhi wa ku nga fambi loku lavekaka eka vutshunguri bya vuhlayiseki .

Eka ku tshoveka ka diaphyseal, ku tirhisiwa ka swipikiri swa elastic swi kombisiwa ku nga khathariseki vukona bya radial nerve lesions.

Ku nghenisiwa ka swipikiri Swipikiri swi nghenisiwa hi ku tirhisa ndlela ya retrograde. Tindhawu to nghenisa ti kumeka eka margin ya le tlhelo ya ndhawu ya supracondylar, leyi nga na ndlela ya postero-lateral na proximal inclination . Tindzhawu to nghena ti lulamisiwa hiku tirhisa drill hikuva marhambu ya cortical eka ndzhawu leyi ya tika swinene. Diameter ya swipikiri yihambana exikarhi ka 2.5 na 3.5 mm, naswona yi govekile hindlela yofana. Swipikiri swi nghenisiwa hi vertical manual pressure na ku famba famba loku rhendzelekaka. Loko ku tshoveka eka ndzhawu ya proximal metaphyseal swinga hungutiwi hindlela leyi ringaneleke, ku rhendzeleka ka 1800 ka swipikiri swi olovisa kuhunguteka loku. Loko, hambiswiritano, kuhunguteka swinga koteki, Kirschner guide-wire yi vekiwa eka xiphemu xa proximal loko kungase hunguteka kuhunguteka. Eka xiyimo xa oblique diaphyseal fractures, i swa nkoka ku papalata swipikiri leswi humaka eka medullary canal naswona swi rhurhela endzhaku eka radial nerve sulcus. Endzhaku kaloko swipikiri hivumbirhi bya swona swi tsemakanye ndzhawu ya fracture, swi khumbeka eka cancellous bone ya proximal metaphysis.

Ku tshoveka ka voko ra le mahlweni .

Vutshunguri bya marhambu eka ku tshoveka ka voko ra le mahlweni bya amukeriwa, kambe swipimelo leswi pfumeleriweke swa angulation leyi pfuxetiweke hi ku tisungulela swa tiviwa swinene. Loko swipimelo leswi swi tlula kumbe eka xiyimo xa ku tsandzeka ka vutshunguri bya marhambu, ku hunguteka loku pfalekeke na esisin swi kombisiwa eka ku tshoveka ka voko ra le mahlweni .

thekiniki ya vuhandzuri muvabyi u vekiwa eka dorsal decubitus, na voko ra le mahlweni leri khumbekaka eka tafula ra radiotransparent.

Diameter ya swipikiri leswi tirhisiwaka yihambana exikarhi ka 2.5 na 3 mm. Xipikiri xa ulnar xile kusuhi naku kongoma, kasi radial nail yina marked bending leswaku kuta vuyiseriwa pronatory curve ya radius.

Ku lulamisiwa hi ntolovelo ku sungula hi marhambu lawa ya olovaka ku ma hunguta. Eka radius, ndzhawu yo nghena yi kumeka eka distal metaphysis, ehenhla ka distal growth cartilage, exikarhi ka ti tendons ta ti extensors to leha na to koma ta thumb. Marhambu ya cortical ya paluxiwa hiku tsemiwa lokuntsongo naswona ku boriwa khumbi, leri kurisiweke hiku famba famba ka xirhendzevutani. Xipikiri xi nghenisiwa eka medullary canal kuya fika eka ndzhawu ya fracture. Kuhungutiwa ka fracture swiendliwa naswona xipikiri xiyisiwa emahlweni eka xiphemu xale kusuhi ehansi ka vulawuri bya fluoroscopic .

Endlelo ro fana na leri ri endliwa eka ULNA, hi ku tirhisa thekiniki ya antegrade, na ndhawu yo nghena eka margin ya le xikarhi ya Olecranon.

Ndlela Yo Xava Switirhisiwa Swa Marhambu Na Switirhisiwa Swa Marhambu.

Swa CzMediTech , hi na layini ya swikumiwa leyi heleleke swinene ya switirhisiwa swa vuhandzuri bya marhambu na switirhisiwa leswi fambelanaka na swona, switirhisiwa ku katsa na . Swilo leswi nghenisiwaka hi nkolo ., Swipikiri swa le ndzeni ka khwiri ., Xiphepherhele xa khombo ., Xiphepherhele xo pfala ., Cranial-maxillofacial ., Prosthesis ., Switirhisiwa swa Matimba ., Vahlayisi va le handle ., Arthroscopy ., Nkhathalelo wa Swiharhi na tisethi ta vona ta switirhisiwa swo seketela.

Ku engetela kwalaho, hi tiyimiserile ku ya emahlweni hi tumbuluxa swikumiwa leswintshwa na ku ndlandlamuxa milayeni ya swikumiwa, leswaku hi ta fikelela swilaveko swa vuhandzuri bya madokodela yo tala na vavabyi, na ku tlhela hi endla leswaku khamphani ya hina yi phikizana swinene eka indasitiri hinkwayo ya misava hinkwayo ya swirho swa marhambu na switirhisiwa.

Hi rhumela ehandle emisaveni hinkwayo, leswaku u ta kota ku . Tihlanganisi na hina eka adirese ya email song@orthopedic-china.com ku kuma xikombelo xa mahala, kumbe u rhumela rungula eka WhatsApp ku kuma nhlamulo ya xihatla +86-18112515727.

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