I-Proximal Lateral Tibial Locking Plate-I

Iyini i-Proximal Lateral Tibial Locking Plate?

I-CZMEDITECH LCP® Proximal Tibia Plate iyingxenye ye-LCP Periarticular Plating System, ehlanganisa ubuchwepheshe bezikulufu zokukhiya nezindlela ezijwayelekile zokucwenga. I-LCP Periarticular Plating System iyakwazi ukubhekana nokuphuka okuyinkimbinkimbi kwe-distal femur nge-LCP Condylar Plates, ukuphuka okuyinkimbinkimbi kwe-proximal femur nge-LCP Proximal Femur Plates kanye ne-LCP.

I-Proximal Femur Hook Plates, kanye nokuphuka okuyinkimbinkimbi kwe-proximal tibia uma usebenzisa i-LCP Proximal Tibia Plates kanye ne-LCP Medial Proximal Tibia Plates.

I-Locking compression plate (LCP) inezimbobo ze-Combi ku-plate shaft ehlanganisa imbobo yeyunithi yokucindezela enamandla (DCU) nembobo yesikulufu sokukhiya. Imbobo ye-Combi inikeza ukuguquguquka kwe-axial compression nekhono lokukhiya kubo bonke ubude be-plate shaft.

Izici zePlate:

• I-anatomically contoured ukulinganisa isici esiseceleni se-proximal tibia

• Ingacindezelwa ukuze udale isakhiwo sokwabelana ngokulayisha

• Itholakala ekucushweni kwesobunxele nakwesokudla, ngensimbi engagqwali engu-316L noma i-commercially pure (CP) titanium

• Itholakala ngezimbobo ze-Combi ezingu-5, 7, 9 noma ezingu-11 ku-plate shaft

• Izimbobo ezimbili eziyindilinga ezikude ekhanda zamukela izikulufu ze-cortex ezingu-3.5 mm kanye nezikulufu zethambo ezikhanselwayo ezingu-4.5 mm ukuze ziminyaniswe ngokwehlukana noma ukuze kuvikelwe indawo yepuleti.

• Imbobo ene-engeli, enentambo, eyi-distal kuya kwezimbobo ezimbili eziyindilinga, yamukela isikulufu sokukhiya esakheniwe esingu-3.5 mm. I-engeli yembobo ivumela lesi sikulufu sokukhiya ukuthi sihlangane nesikulufu sokukhiya esimaphakathi ekhanda lepuleti ukuze sisekele isiqeshana esiphakathi.

• Izimbobo ezihlanganisiwe, ezikude ukuya embobeni yokukhiya ene-engeli, hlanganisa imbobo ye-DCU nembobo yokukhiya enentambo

• Iphrofayela yokuxhumana enomkhawulo

  
  

imininingwane

Imikhiqizo	REF	Ukucaciswa	Ubukhulu	Ububanzi	Ubude
I-Proximal Lateral Tibial Locking Plate-I  (Sebenzisa i-3.5/5.0 Locking Screw/ 4.5 Cortical Screw)	5100-2501	3 izimbobo L	4.6	14	117
	5100-2502	5 izimbobo L	4.6	14	155
	5100-2503	7 izimbobo L	4.6	14	193
	5100-2504	9 izimbobo L	4.6	14	231
	5100-2505	11 izimbobo L	4.6	14	269
	5100-2506	3 izimbobo R	4.6	14	117
	5100-2507	5 izimbobo R	4.6	14	155
	5100-2508	7 izimbobo R	4.6	14	193
	5100-2509	9 izimbobo R	4.6	14	231
	5100-2510	11 izimbobo R	4.6	14	269

I-Proximal Lateral Tibial Locking Plate: Uhlolojikelele Lwezinkomba, Indlela Yokuhlinza, kanye Nemiphumela

Ukuphuka kwe-tibia eseduze kungase kube nzima ukuphatha, ikakhulukazi ezimweni zokuphulwa kwe-comminuted noma i-osteoporotic fractures. Ukusetshenziswa kwe-proximal lateral tibial locking plate (PLTLP) kuye kwavela njengendlela ephumelelayo yokwelapha lezi ziqhekeko eziyinkimbinkimbi. Kulesi sihloko, sizoxoxa ngezinkomba, indlela yokuhlinza, nemiphumela ehambisana nokusetshenziswa kwe-PLTLP.

Izinkomba

I-PLTLP isetshenziswa ngokuyinhloko ekwelapheni ukuphuka kwe-tibia eseduze, kuhlanganise nalezo ezibandakanya i-tibial plateau, i-condyles ephakathi nendawo, kanye ne-proximal shaft. Kuwusizo ikakhulukazi ukuphuka okunzima ukuzinza ngezindlela zendabuko, njengezinzipho ze-intramedullary noma izilungisi zangaphandle. I-PLTLP ingasetshenziswa futhi ezimeni zokungahlangani noma i-malunion ye-proximal tibia.

I-Surgery Technique

I-PLTLP ivamise ukufakwa ngendlela ebheke ehlangothini elihlangene lamadolo. Udokotela ohlinzayo uzokwenza i-incision phezu kwesici esingemuva kwedolo, bese eveza indawo yokuphuka. Izingcezu zokuphuka zibe sezincishiswa futhi zilungiswe okwesikhashana endaweni ngezintambo ze-Kirschner. Okulandelayo, i-PLTLP ijikijelwa ukuze ilingane ne-proximal tibia futhi imiswe endaweni ngezikulufo zokukhiya. Izikulufu zokukhiya zinikeza ukuzinza ngokuzibandakanya nethambo nokuvimbela ukunyakaza okujikelezayo noma kwe-angular.

Imiphumela

Ucwaningo luye lwabonisa ukuthi ukusetshenziswa kwe-PLTLP kuholela emazingeni aphezulu enyunyana kanye nemiphumela emihle yomtholampilo. Olunye ucwaningo lubike izinga lenyunyana elingama-98% kanye nesilinganiso seNhlangano Yamadolo Amaphuzu angama-82 ekulandeleni okumaphakathi kwezinyanga ezingama-24. Olunye ucwaningo lubike izinga lenyunyana elingama-97% kanye nesilinganiso seNhlangano Yamadolo Amaphuzu angama-88 ekulandeleni okumaphakathi kwezinyanga ezingama-48. Kodwa-ke, kufanele kuqashelwe ukuthi imiphumela yomuntu ngamunye ingase ihluke kuye ngokuthi isiguli esithile kanye nezici zokuphuka.

Izinkinga Ezingenzeka

Izinkinga ezihlobene nokusetshenziswa kwe-PLTLP zifaka ukutheleleka, ukungavumelani, i-malunion, nokuhluleka kwehadiwe. Ukukhetha ngokucophelela isiguli kanye nezindlela zokuhlinza kubalulekile ukuze kuncishiswe ubungozi bezinkinga. Udokotela ohlinzayo kufanele futhi anakekele ukugwema ukulimaza izicubu ezithambile ezizungezile, njenge-peroneal nerve noma i-lateral collateral ligament.

Isiphetho

I-proximal lateral tibial locking plate iyithuluzi eliwusizo ekwelapheni ukuhlukana okuyinkimbinkimbi kwe-proximal tibia. Inikeza ukuzinza futhi ivumela ukuhlangana kwangaphambi kwesikhathi, okungaholela emiphumeleni engcono yomtholampilo. Nakuba izinkinga zingenzeka, ukukhetha ngokucophelela isiguli kanye nezindlela zokuhlinza kungasiza ukunciphisa ingozi. Sekukonke, i-PLTLP iyisengezo esibalulekile ku-armamentarium kadokotela ohlinzayo ekwelapheni ukuphuka kwe-tibia eseduze.

Imibuzo Evame Ukubuzwa

1. I-proximal lateral tibial locking plate iqhathaniswa kanjani nezinye izindlela zokwelapha i-proximal tibia fractures? I-PLTLP iboniswe njengendlela ephumelelayo yokwelapha ukuphuka okuyinkimbinkimbi kwe-proximal tibia, ikakhulukazi lezo okunzima ukuzinza ngezindlela zendabuko. Kodwa-ke, imiphumela yomuntu ngamunye ingase ihluke kuye ngokuthi isiguli esithile kanye nezici zokuphuka.

2. Yiziphi izinzuzo zokusebenzisa i-proximal lateral tibial locking plate? I-PLTLP inikeza ukulungiswa okuzinzile kwezingcezu zokuphuka futhi ivumela ukuhlanganisa kusenesikhathi, okungaholela emiphumeleni engcono yomtholampilo. Kuwusizo ikakhulukazi ukuphuka okuyinkimbinkimbi okunzima ukuzinza ngezindlela zendabuko.

3. Yiziphi izinkinga ezingaba khona zokusebenzisa i-proximal lateral tibial locking plate? Izinkinga ezihambisana nokusetshenziswa kwe-PLTLP zifaka ukutheleleka, ukungavumelani, i-malunion, nokuhluleka kwehadiwe. Ukukhetha ngokucophelela isiguli kanye nezindlela zokuhlinza kungasiza ekunciphiseni ubungozi bezinkinga.

4. Kuthatha isikhathi esingakanani ukuthi i-proximal lateral tibial locking plate iphole? Isikhathi esisithathayo ukuze i-PLTLP ilulame siyahlukahluka kuye ngesiguli ngasinye kanye nohlobo lokuphuka. Kodwa-ke, ucwaningo lubonise amazinga aphezulu enyunyana nokusetshenziswa kwe-PLTLP.

5. Ingabe i-proximal lateral tibial locking plate ingasuswa ngemva kokuba ukuphuka sekupholile? Yebo, i-PLTLP ingasuswa uma ukuphuka sekupholile uma kubangela ukungakhululeki noma ezinye izinkinga. Kodwa-ke, isinqumo sokususa i-hardware kufanele senziwe njalo futhi ngokubonisana nodokotela ohlinzayo wesiguli.