Izikhonkwane ezininzi ze-Humeral zokutshixa

Iinkcukacha zokusebenza kwemveliso ividiyo

CZMEDITECH Femoral Intramedullary Nail

Intshayelelo

I-CZMEDITECH Iikhonkwane ze-Multi-Loc Humeral zibonelela ngenkqubo ebanzi yonyango lwe-humeral fractures. Inkqubo iqulethe izikhonkwane ezimfutshane kunye nezide kunye neenketho ezininzi ze-screw ukujongana nezaphulelo ezilula kunye neziyinkimbinkimbi ze-humerus ehamba phambili kunye ne-humeral shaft.

Uyilo oluyilayo

Inkqubo ibandakanya izinto ezininzi ezintsha eziyilelwe ngokukodwa iimfuno zekliniki

nailing humeral

1. Isikhonkwane esithe tye esinendawo yokufaka ephakathi

2. Ukhetho olulodwa lwe-screw-in-screw, lokuphucula uzinzo apho kufuneka khona*

3. I-polyethylene inlay yokulungiswa okukhuselekileyo kwe-screw of proximal screws

4. Ukunyuka kwesikrufu ukhetho ukubonelela ngenkxaso kwikharikhari

5. Ukutshixa kwe-distal ye-Multiplanar ukwenzela ukuguqulwa kokufakela okuncinci

6. Ukutshixa i-distal ejoliswe ngokupheleleyo kwisikhonkwane esifutshane

Iinketho ezibanzi

Isikhonkwane esifutshane: Izikhonkwane zasekunene nezasekhohlo kububanzi obuyi-8.5 mm, ubude be-160 mm

Izikhonkwane ezinde: Izikhonkwane zasekunene nasekhohlo kwi-7.0 mm kunye ne-8.0 mm ububanzi, 200 mm - 300 mm ubude

Isikhonkwane esiNqolileyo esineNdawo yokuFaka eseMbindini

-Yenzelwe ukuphepha ukufakwa okunokuthi kwenzeke kwindawo yokuphuka, ukwandisa ukuzinza kwe-biomechanical

-Yenzelwe ukunqanda i-sulcus phakathi kwe-tuberosity enkulu kunye nentloko ye-humeral apho i-supraspinatus tendon ifaka khona

Izikrufu ze-Multi-Loc

-Ukhetho olulodwa lwe-screw-in-screw, lokuphucula uzinzo apho kufuneka khona *

-Iingcebiso zesijija ezibuthuntu zokunciphisa imingcipheko eyayanyaniswa nokugqobhozwa kwesikrufu sesibini

-Imingxuma emine ye-suture nge-screw, yokunamathisela i-rotator cuff tendons

Ukulungiswa kweProximal

-Isikrufu se-calcar esinyukayo kunye ne-3.5 mm iinketho ze-screw-in-screw eyenzelwe ukwandisa ukuxhathisa ukufuduka kwentloko, i-varus deformation kunye nokujikeleza okukhulu kwe-tuberosity.

Uxinzelelo lweBicortical: Isikhonkwane esinde

-Yenzelwe ukwandisa ukuzinza kwe-fracture kwi-transverse kunye ne-oblique fractures emfutshane

Ukutshixa okukude: Isikhonkwane esinde

-Yenzelwe ukuba ibe kwindawo ekhuselekileyo phakathi kwe-median kunye ne-nerve ye-radial

-Iinketho ezimbini zokutshixa i-distal kwicala le-anatomic AP, eyenzelwe ukuququzelela ukutshixwa kwesandla sasimahla

I-Multi-Loc Humeral Nail: Isisombululo esitsha se-Proximal Humerus Fractures

I-proximal humerus fractures kukwenzakala okuqhelekileyo okuhlala kuchaphazela abantu abadala abane-osteoporosis. Olu konzakala lunokubangela intlungu, ukulahlekelwa ngumsebenzi, kunye nokukhubazeka. Ukunyangwa kwezi ziqhekeza kunokuba ngumngeni ngenxa ye-anatomy eyinkimbinkimbi yegxalaba kunye nomngcipheko omkhulu weengxaki. I-Multi-Loc Humeral Nail sisixhobo esitsha esiphuhlisiwe ukujongana nale mingeni. Kweli nqaku, siza kuxoxa ngeempawu, izibonelelo, kunye nemida ye-Multi-Loc Humeral Nail kunyango lwe-proximal humerus fractures.

I-Anatomy kunye ne-Biomechanics ye-Proximal Humerus

Ngaphambi kokuba sixoxe nge-Multi-Loc Humeral Nail, kubalulekile ukuqonda i-anatomy kunye ne-biomechanics ye-humerus ehamba phambili. I-proximal humerus iquka intloko ye-humeral, i-tuberosity enkulu, i-tuberosity encinci, kunye ne-shaft. Intloko ye-humeral ichaza kunye ne-glenoid fossa ye-scapula ukwenza igxalaba. I-tuberosities enkulu kunye nencinci isebenza njengeendawo zokunamathisela kwimisipha ye-rotator cuff, ebaluleke kakhulu ekuzinzeni kwamagxa kunye nomsebenzi.

I-proximal humerus fractures inokubandakanya intloko ye-humeral, i-tuberosity enkulu, i-tuberosity encinci, okanye i-shaft. Ezi fractures zinokubangela ukufuduka kwamathambo, ukulahleka kwethambo, kunye nomonakalo kwizicubu ezithambileyo ezijikelezayo. Unyango lwe-proximal humerus fractures luxhomekeke kubunzima bokulimala, iqondo lokufuduka, kunye nobudala besigulane kunye nenqanaba lomsebenzi.

Ukhetho lwangoku loNyango lweProximal Humerus Fractures

Iinketho zonyango zangoku kwi-proximal humerus fractures zibandakanya ulawulo olungenalo utyando, ukunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi (ORIF), kunye ne-shoulder arthroplasty. Ulawulo olungenalo utyando lunokufaneleka kwiifractures ezincinci zokufuduka kwizigulane ezineemfuno eziphantsi zokusebenza. I-ORIF ibandakanya ukulungiswa kotyando lokuqhekeka ngeepleyiti, izikrufu, okanye izikhonkwane. I-arthroplasty yamagxa inokuba yimfuneko kwiimeko zokufuduka okukhulu, ukuhanjiswa, okanye i-osteoporosis.

Ngaphandle kokuhambela phambili kubuchule botyando kunye noyilo lokufakelwa, unyango lwe-proximal humerus fractures luhlala lucelomngeni. Iingxaki ezifana nokungaphumeleli kokufakelwa, ukungabikho komanyano, i-malunion, kunye ne-avascular necrosis ingenzeka, ngakumbi kwizigulane ezisebekhulile ezinomgangatho ophantsi wamathambo. I-Multi-Loc Humeral Nail sisixhobo esitsha esijolise ekuphuculeni iziphumo ze-proximal humerus fracture treatment.

Iimpawu kunye neeNzuzo zeMulti-Loc Humeral Nail

I-Multi-Loc Humeral Nail iyisixhobo se-intramedullary esifakwe kwi-proximal humerus ukuzinzisa ukuphuka. Isixhobo siqukethe isikhonkwane, izikrufu ezininzi zokutshixa, kunye nebholithi edibeneyo edibeneyo. Isikhonkwane sifakwe kwi-medullary canal ye-humerus kwaye ivalwe kwindawo kunye nezikhonkwane zokuvala. I-distal interlocking bolt ifakwe kwi-shaft ye-humerus ukukhusela ukunyakaza okujikelezayo kunye ne-axial yesikhonkwane.

Enye yezinto eziphambili ze-Multi-Loc Humeral Nail yinkqubo yokutshixa i-multi-planar. Izikhonkwane zokutshixa zingafakwa kwiindlela ezininzi, ezivumela ukuzinza okuphuculweyo kunye nokulungiswa kwamaqhekeza okuqhekeka. Le nkqubo yokutshixa i-multi-planar ikwanciphisa umngcipheko wokungaphumeleli kokufakelwa kunye nokungabikho komanyano.

Olunye uncedo lwe-Multi-Loc Humeral Nail yindlela yayo yokufaka encinci. Isikhonkwane sinokufakwa nge-incision encinci kwaye ayifuni ukuchithwa kwezicubu ezithambileyo. Oku kunciphisa umngcipheko weengxaki ezinjengosulelo, ukwenzakala kwemithambo-luvo, kunye nokuphola kakubi kwenxeba.

I-Multi-Loc Humeral Nail ikwahambelana neendlela ezahlukeneyo zotyando, kubandakanywa ne-deltopectoral, anterior, and lateral approaches. Oku kuguquguquka kuvumela ugqirha ukuba akhethe eyona ndlela ilungileyo ngokusekelwe kwindawo kunye nobukhulu beqhekeza, kunye ne-anatomy yesigulane kunye ne-comorbidities.

Ngapha koko, iMulti-Loc Humeral Nail yenzelwe ukugcina isitokhwe samathambo kunye nokunciphisa umonakalo kwizicubu ezithambileyo ezijikelezileyo. Isikhonkwane sifakwe kwi-medullary canal ye-humerus, egcina i-periosteal blood supply kunye nokukhuthaza ukuphulukiswa kwe-fracture. Ukongezelela, i-screws yokukhiya inokufakwa ngeendlela ezincinci, ezinciphisa ubuninzi be-tissue dissection kunye nokugcina izinamathiselo ze-rotator cuff.

Unyino lwe-Multi-Loc Humeral Nail

Ngaphandle kweenzuzo ezininzi, i-Multi-Loc Humeral Nail inemida ethile ekufuneka iqwalaselwe. Okokuqala, isixhobo asifanelekanga kuzo zonke iintlobo zeefractures ze-humer proximal. Isikhonkwane sisebenza kakhulu kwi-fractures yamacandelo amabini kunye nesithathu kunye ne-valgus okanye i-varus angulation. Ukophuka okuntsonkothileyo okanye ukuqhekeka ngokunyuka okubalulekileyo, ezinye iindlela zonyango zinokufaneleka ngakumbi.

Okwesibini, ubuchule bokufaka i-Multi-Loc Humeral Nail bufuna uqeqesho olukhethekileyo kunye nobuchule. Ugqirha kufuneka aqhelane ne-anatomy kunye ne-biomechanics ye-joint joint, kunye nemigaqo yokunciphisa i-fracture kunye nokulungiswa. Kwizandla ezingenamava, isixhobo sinokukhokelela kwiingxaki ezifana ne-malunion, i-non-union, kunye nokungaphumeleli kokufakelwa.

Ekugqibeleni, i-Multi-Loc Humeral Nail sisixhobo esitsha kwaye idatha yexesha elide malunga nokusebenza kwayo kunye nokhuseleko lulinganiselwe. Nangona iziphumo zangaphambili ziye zathembisa, uphando oluninzi luyafuneka ukuvavanya iziphumo zexesha elide zesixhobo kwaye zithelekise nezinye iindlela zonyango.

Ukuqukumbela

Isishwankathelo, i-Multi-Loc Humeral Nail sisixhobo esitsha esibonelela ngeenzuzo ezininzi kunyango lwe-humerus fractures. Inkqubo yayo yokuvala i-multi-planar yokuvala, ubuchule obuncinci bokufaka, kunye nokuhambelana neendlela ezahlukeneyo zotyando zenza ukuba kube yinto ethembisayo yokuqhekeka kwamacandelo amabini kunye ne-valgus okanye i-varus angulation. Nangona kunjalo, isixhobo asifanelekanga kuzo zonke iintlobo ze-humerus fractures kwaye zifuna uqeqesho olukhethekileyo kunye nobuchule bokufakwa ngokufanelekileyo. Uphononongo olongezelelweyo luyafuneka ukuvavanya iziphumo zexesha elide zesixhobo kunye nokuthelekisa nezinye iindlela zonyango.

Ii-FAQs

• Ngaba i-Multi-Loc Humeral Nail ifanelekile kuzo zonke iintlobo ze-humerus fractures?

  Hayi, isixhobo sisebenza kakhulu kumacandelo amabini kunye namacandelo amathathu kunye ne-valgus okanye i-varus angulation.

  
  

• Ngaba i-Multi-Loc Humeral Nail ifuna ukuchithwa kwezicubu ezithambileyo?

  Hayi, isixhobo sinokufakwa ngokusikeka okuncinci kwaye asifuni ukuchithwa kwezicubu ezithambileyo.

  
  

• Zeziphi iingxaki ezinokubakho zokusebenzisa iMulti-Loc Humeral Nail?

  Iingxaki ezinokuthi ziquka i-malunion, i-non-union, kunye nokusilela kokufakelwa.

  
  

• Ngaba i-Multi-Loc Humeral Nail ingasetyenziswa ngeendlela ezahlukeneyo zotyando?

  Ewe, isixhobo siyahambelana neendlela ezahlukeneyo zotyando, kubandakanya ne-deltopectoral, yangaphambili, kunye neendlela ezisecaleni.

  
  

• Yintoni ukusebenza kwexesha elide kunye nokhuseleko lwe-Multi-Loc Humeral Nail?

  Idatha yexesha elide malunga nokusebenza kwesixhobo kunye nokhuseleko lulinganiselwe, kwaye izifundo ezininzi ziyafuneka ukuvavanya iziphumo zayo zexesha elide kwaye zithelekise nezinye iindlela zonyango.