Multi-Lock Humeral Nails

Ividiyo yemininingwane yokusebenza komkhiqizo

I-CZMEDITECH Femoral Intramedullary Nail

Isingeniso

I-CZMEDITECH Multi-Loc Humeral Nails inikeza uhlelo oluphelele lokwelapha ukuphuka kwe-humeral. Uhlelo luqukethe izinzipho ezimfushane nezinde ezinezinketho eziningi zezikulufu zokubhekana nokuphuka okulula nokuyinkimbinkimbi kwe-proximal humerus kanye ne-humeral shaft.

Umklamo omusha

Uhlelo luhlanganisa izici ezimbalwa eziqanjiwe eziklanyelwe ngqo izidingo zomtholampilo ze

ukubethelwa kwe-humeral

1. Isipikili esiqondile esinephuzu lokufaka elimaphakathi

2. Inketho ehlukile ye-screw-in-screw, ukuze kube nokuzinza okuthuthukisiwe lapho kudingeka khona*

3. I-polyethylene inlay yokulungiswa okuvikelekile kwesikulufu sezikulufu eziseduze

4. Inketho yesikulufu esinyukayo ukuze unikeze usekelo ku-calcar

5. Ukukhiya kwe-multiplanar distal yokuguqula okuncane kokufakelwa

6. Ukukhiya kwe-distal okuqondiswe ngokugcwele kuzipho ezimfushane

Izinketho eziphelele

Uzipho Olufushane: Izinzipho zesokudla nesobunxele ezinobubanzi obungu-8.5 mm, ubude obungu-160 mm

Uzipho Olude: Izinzipho zesokudla nesokunxele ngo-7.0 mm no-8.0 mm ububanzi, 200 mm – 300 mm ubude

Isikhonkwane Esiqondile Esinephoyinti Lokufaka Elimaphakathi

- Idizayinelwe ukugwema ukufakwa okungenzeka endaweni yokuphuka, ukwandisa ukuzinza kwe-biomechanical

- Idizayinelwe ukugwema i-sulcus phakathi kwe-tuberosity enkulu nekhanda elithambile lapho i-supraspinatus tendon ifaka khona

Izikulufu ze-Multi-Loc

- Inketho ehlukile ye-screw-in-screw, ukuze kube nokuzinza okuthuthukisiwe lapho kudingeka khona *

- Amathiphu ngezikulufo ezingacacile zokunciphisa izingozi ezihlobene nokubhobozwa kwesikulufu sesibili

- Izimbobo ezine ze-suture ngesikulufu ngasinye, zokunamathisela imisipha ye-rotator cuff

I-Proximal Fixation

- Isikulufu se-calcar esikhuphukayo kanye nezinketho ze-screw-in-screw ezingu-3.5 mm ezidizayinelwe ukukhulisa ukumelana nokufuduka kwekhanda, ukuwohloka kwe-varus kanye nokujikeleza okukhulu kwe-tuberosity

Ukucindezelwa kweBicortical: Uzipho Olude

- Idizayinelwe ukukhulisa ukuzinza kwe-fracture ekuqhekekeni okuguquguqukayo nokufushane kwe-oblique

Ukukhiya i-Distal: Uzipho Olude

- Yakhelwe ukuthi ibe sendaweni ephephile phakathi kwe-median ne-radial nerve

- Izinketho ezimbili zokukhiya i-distal ekuqondeni kwe-anatomic AP, eziklanyelwe ukwenza lula ukukhiya ngesandla kwamahhala

I-Multi-Loc Humeral Nail: Isixazululo Esisha Se-Proximal Humerus Fractures

I-Proximal humerus fractures ukulimala okuvamile okuvame ukuthinta abantu asebekhulile abane-osteoporosis. Lokhu kulimala kungabangela ubuhlungu, ukulahlekelwa umsebenzi, ngisho nokukhubazeka. Ukwelashwa kwalokhu kuphuka kungase kube inselele ngenxa ye-anatomy eyinkimbinkimbi ye-joint joint kanye nengozi enkulu yezinkinga. I-Multi-Loc Humeral Nail iyithuluzi elisha elakhelwe ukubhekana nalezi zinselele. Kulesi sihloko, sizoxoxa ngezici, izinzuzo, kanye nemikhawulo ye-Multi-Loc Humeral Nail yokwelashwa kwe-proximal humerus fractures.

I-Anatomy kanye ne-Biomechanics ye-Proximal Humerus

Ngaphambi kokuthi sixoxe nge-Multi-Loc Humeral Nail, kubalulekile ukuqonda i-anatomy kanye ne-biomechanics ye-proximal humerus. I-proximal humerus iqukethe ikhanda le-humeral, i-tuberosity enkulu, i-tuberosity encane, kanye ne-shaft. Inhloko ye-humeral ihambisana ne-glenoid fossa ye-scapula ukuze yakhe ihlombe lehlombe. Ama-tuberosity amakhulu futhi amancane asebenza njengezindawo zokunamathisela zemisipha ye-rotator cuff, ebaluleke kakhulu ekuzinzeni kwehlombe nokusebenza.

I-proximal humerus fractures ingabandakanya ikhanda le-humeral, i-tuberosity enkulu, i-tuberosity encane, noma i-shaft. Lokhu kuphuka kungabangela ukugudluzwa kwezingcezu zamathambo, ukulahlekelwa amathambo, nokulimala kwezicubu ezithambile ezizungezile. Ukwelashwa kwe-proximal humerus fractures kuncike kubukhulu bokulimala, izinga lokufuduka, kanye neminyaka yesiguli kanye nezinga lomsebenzi.

Izinketho Zamanje Zokwelapha Ze-Proximal Humerus Fractures

Izinketho zamanje zokwelapha ze-proximal humerus fractures zihlanganisa ukuphathwa okungezona ukuhlinzwa, ukunciphisa okuvulekile nokulungiswa kwangaphakathi (ORIF), kanye ne-shoulder arthroplasty. Ukuphathwa okungezona ukuhlinzwa kungase kulungele ukuphuka okuncane okufuduka ezigulini ezinezidingo eziphansi zokusebenza. I-ORIF ibandakanya ukulungiswa kokuhlinzwa kokuphuka ngamapuleti, izikulufu, noma izinzipho. I-arthroplasty yamahlombe ingase idingeke ezimeni zokufuduka okukhulu, ukuguquguquka, noma i-osteoporosis.

Naphezu kwentuthuko yamasu okuhlinza kanye nemiklamo yokufakelwa, ukwelashwa kwe-proximal humerus fractures kuseyinselele. Izinkinga ezifana nokuhluleka kokufakelwa, okungezona inyunyana, i-malunion, ne-avascular necrosis zingenzeka, ikakhulukazi ezigulini esezikhulile ezinekhwalithi embi yamathambo. I-Multi-Loc Humeral Nail iyisisetshenziswa esisha esihlose ukuthuthukisa imiphumela yokwelashwa kokuphuka kwe-humerus.

Izici Nezinzuzo ze-Multi-Loc Humeral Nail

I-Multi-Loc Humeral Nail iyisisetshenziswa se-intramedullary esishuthekwa ku-proximal humerus ukuze kusimame ukuphuka. Idivayisi iqukethe isipikili, izikulufu zokukhiya eziningi, kanye nebhawodi elixhumene le-distal. Uzipho lufakwa kumsele we-medullary we-humerus futhi lukhiyelwe endaweni ngezikulufu zokukhiya. I-distal interlocking bolt ifakwe ku-shaft ye-humerus ukuvimbela ukunyakaza okujikelezayo kanye ne-axial ye-nail.

Esinye sezici ezibalulekile zeMulti-Loc Humeral Nail wuhlelo lwayo lokukhiya olunezinhlelo eziningi. Izikulufu zokukhiya zingafakwa eziqondisweni eziningi, okuvumela ukuzinza okuthuthukisiwe nokulungiswa kwezingcezu zokuphuka. Lolu hlelo lokukhiya olunezinhlelo eziningi luphinde lunciphise ubungozi bokwehluleka kokufakelwa kanye nokungeyona inyunyana.

Enye inzuzo ye-Multi-Loc Humeral Nail yindlela yayo yokufaka ehlasela kancane. I-nail ingafakwa nge-incision encane futhi ayidingi ukuhlukaniswa kwezicubu ezithambile. Lokhu kunciphisa ingozi yezinkinga ezinjengokutheleleka, ukulimala kwemizwa, nokuphola kabi kwesilonda.

I-Multi-Loc Humeral Nail ibuye ihambisane nezindlela ezihlukahlukene zokuhlinza, kuhlanganise nezindlela ze-deltopectoral, anterior, ne-lateral. Lokhu kuvumelana nezimo kuvumela udokotela ohlinzayo ukuba akhethe indlela engcono kakhulu esekelwe endaweni nobukhulu bokuphuka, kanye ne-anatomy yesiguli kanye ne-comorbidities.

Ngaphezu kwalokho, i-Multi-Loc Humeral Nail yakhelwe ukulondoloza amathambo futhi inciphise ukulimala kwezicubu ezithambile ezizungezile. Uzipho lufakwa kumsele we-medullary we-humerus, ogcina ukunikezwa kwegazi kwe-periosteal futhi ukhuthaze ukuphulukiswa kokuphuka. Ukwengeza, izikulufu zokukhiya zingafakwa ngokusebenzisa izimbobo ezincane, okunciphisa inani lokuhlukaniswa kwezicubu ezithambile futhi kulondoloze okunamathiselwe kwe-rotator cuff.

Imikhawulo ye-Multi-Loc Humeral Nail

Naphezu kwezinzuzo zayo eziningi, i-Multi-Loc Humeral Nail inemikhawulo ethile okufanele icatshangelwe. Okokuqala, idivayisi ayifaneleki kuzo zonke izinhlobo ze-proximal humerus fractures. I-nail iphumelela kakhulu ekuqhekekeni kwezingxenye ezimbili nezingxenye ezintathu nge-valgus noma i-varus angulation. Ukuze uthole ukuphuka okuyinkimbinkimbi noma ukuphuka okuqhubekayo okuphawulekayo, ezinye izinketho zokwelapha zingase zifaneleke kakhulu.

Okwesibili, indlela yokufaka i-Multi-Loc Humeral Nail idinga ukuqeqeshwa okukhethekile kanye nobuchwepheshe. Udokotela ohlinzayo kumele ajwayelane ne-anatomy kanye ne-biomechanics yejoyinti lehlombe, kanye nemigomo yokunciphisa ukuphuka nokulungiswa. Ezandleni ezingenalwazi, idivayisi ingaholela ezinkingeni ezifana ne-malunion, okungezona inyunyana, nokuhluleka kokufakelwa.

Okokugcina, i-Multi-Loc Humeral Nail iyidivayisi entsha uma kuqhathaniswa futhi idatha yesikhathi eside ngokusebenza kwayo nokuphepha ilinganiselwe. Nakuba imiphumela yokuqala ibilokhu ithembisa, ucwaningo olwengeziwe luyadingeka ukuze kuhlolwe imiphumela yesikhathi eside yedivayisi futhi uyiqhathanise nezinye izindlela zokwelapha.

Isiphetho

Kafushane, i-Multi-Loc Humeral Nail iyithuluzi elisungulayo elinikeza izinzuzo ezimbalwa zokwelashwa kwe-proximal humerus fractures. Uhlelo lwayo lokukhiya lwe-multi-planar, inqubo yokufaka kancane kancane, nokuhambisana nezindlela ezihlukahlukene zokuhlinza kwenza kube inketho ethembisayo yezingxenye ezimbili kanye nezingxenye ezintathu zokuphuka nge-valgus noma i-varus angulation. Kodwa-ke, idivayisi ayifanele zonke izinhlobo ze-proximal humerus fractures futhi idinga ukuqeqeshwa okukhethekile kanye nobuchwepheshe ukuze ifakwe kahle. Kudingeka ucwaningo olwengeziwe ukuze kuhlolwe imiphumela yesikhathi eside yedivayisi bese uyiqhathanisa nezinye izindlela zokwelapha.

Imibuzo Evame Ukubuzwa

• Ingabe i-Multi-Loc Humeral Nail ilungele zonke izinhlobo ze-proximal humerus fractures?

  Cha, idivayisi iphumelela kakhulu ekuqhekekeni kwezingxenye ezimbili nezingxenye ezintathu nge-valgus noma i-varus angulation.

  
  

• Ingabe i-Multi-Loc Humeral Nail idinga ukuhlukaniswa kwezicubu ezithambile ezibanzi?

  Cha, idivayisi ingafakwa ngokusika okuncane futhi ayidingi ukuhlukaniswa kwezicubu ezithambile.

  
  

• Yiziphi izinkinga ezingaba khona zokusebenzisa i-Multi-Loc Humeral Nail?

  Izinkinga ezingaba khona zihlanganisa i-malunion, i-non-union, nokwehluleka kokufakelwa.

  
  

• Ingabe i-Multi-Loc Humeral Nail ingasetshenziswa ngezindlela ezihlukene zokuhlinza?

  Yebo, idivayisi iyahambisana nezindlela ezihlukahlukene zokuhlinza, kuhlanganise nezindlela ze-deltopectoral, zangaphambili, nezangemuva.

  
  

• Iyini ukusebenza kahle nokuphepha kweMulti-Loc Humeral Nail?

  Idatha yesikhathi eside ekusebenzeni kahle nokuphepha kwedivayisi inqunyelwe, futhi ucwaningo olwengeziwe luyadingeka ukuze kuhlolwe imiphumela yayo yesikhathi eside nokuyiqhathanisa nezinye izinketho zokwelapha.