Yiziphi izipikili ze-intramedullary?

Iyini i-intramedullary nail?

I-Intramedullary nailing ukuhlinzwa ukulungisa ithambo eliphukile futhi lihlale lizinzile. Amathambo avamile alungiswa yile nqubo ithanga, i-shin, inqulu, nengalo engenhla. Isipikili noma induku ehlala njalo ifakwa phakathi nendawo yethambo. Kuzokusiza ukuthi ukwazi ukubeka isisindo ethanjeni.

Iyini i-intramedullary nail esetshenziselwa?

Iningi le-femoral shaft fractures liphathwa ngokuhlinzwa. Ucwaningo oluningana lubonise ukuthi ukuzinza kokuhlinzwa kwangaphambi kwesikhathi kuhlotshaniswa nokuncipha kwezinkinga nokufa. Uzipho lwe-intramedullary induku yensimbi efakwa emgodini we-medullary wethambo nakuwo wonke ukuphuka ukuze inikeze ukusekela okuqinile kwethambo eliphukile. Ukubethelwa kwe-Intramedullary okwamanje kuthathwa 'njengezinga legolide' lokwelapha ukuphuka kwe-femoral shaft. Izinzuzo ezihlongozwayo zokubethelwa kwe-intramedullary zifaka ukuhlala isikhashana esibhedlela, ukuhlangana okusheshayo kokuphuka kanye nokusetshenziswa kwangaphambi kwesikhathi kwesitho .

Kunezinhlobo eziningi ezahlukene zezinzipho ze-intramedullary kanye namasu okuhlinza ahlobene asetshenziswayo. Enye impikiswano eyinhloko ukuthi ingabe isipikili kufanele sifakwe emseleni edolweni futhi siphushele phezulu umsele (ukubethelwa kabusha kwe-retrograde) noma enqulwini bese kwehla umsele (antegrade nailing). Indawo yokungena ye-antegrade nailing (piriformis fossa versus great trochanteric entry) nayo iyaphikisana. Enye inkinga ukuthi ingabe izinzipho ze-intramedullary kufanele zifakwe ngokuvuselelwa kabusha (lapho umgodi we-medullary unwetshwa ngaphambi kokufakwa kwezinzipho) noma ngaphandle kokuvuselelwa kabusha. Ngokufanayo, akuzange kube khona isivumelwano mayelana nemiphumela yezinhlobo ezahlukene zezipikili, njengezipikili ezihlangene (ezinamabholithi okukhiya abekwe ngaphesheya kwethambo ekugcineni kwe-nail ukuze ivikeleke endaweni) noma izipikili ze-Ender, lapho izipikili ezimbili noma ngaphezulu zibekwe ngaphakathi kwe-medullary cavity ngendlela ethile ukuze zibambe endaweni yazo.

Ingabe i-intramedullary nail idinga ukususwa?

Izinzipho ze-Intramedullary ezisetshenziselwa ukulungiswa kwe-femoral fracture zingadinga ukususwa ngenxa yezizathu ezihlukahlukene. Abanye batusa ukuthi zonke lezi zinzipho zisuswe ngemva kokuphuka kokuphuka, kuyilapho abanye bekhetha ukususa lezo kuphela ezibangela izimpawu. Kungakhathaliseki ukuthi yisiphi isizathu, ukususwa kozipho lwesifazane olungaguquki kungaba nzima futhi kudle isikhathi.

Ungasusa kanjani isipikili se-intramedullary?

Beka isiguli endaweni eqondile esemaceleni usebenzisa isikhwama sikabhontshisi noma esinye isisetshenziswa sokusibeka etafuleni elisebenza ngemisebe. Lungiselela wonke umlenze, isinqe sangemuva, nomzimba ezimbanjeni. Khipha umlenze ukuze uvumele ukunyakaza okugcwele kwe-hip nedolo ukuze kumiswe. Hlanganisa inqulu icishe ibe ngu-90°. Susa i-proximal ne-distal Izikulufu zokukhiya ngemfashini evamile. Beka i-guidewire ethangeni futhi uthole isithombe se-fluoroscopic se-proximal hip. Lungisa intambo ukuze iqondane nesipikili sesifazane ekubukeni kwezinhlangothi. Dweba umugqa eduze kocingo, ulunwebe esinqeni. Phendukisela ngaphandle ithanga bese umaka umugqa ngendlela efanayo ukuze unqume indawo yezinzipho ze-anteroposterior. Ukuphambana kwemigqa emibili kubonisa indawo yokusikeka yokubeka i-extractor. Uma ithambo le-heterotopic lizosuswa, ukusika kufanele kwenziwe kukhudlwana. Isilonda sinwetshwa ngokungananazi ngesikelo esikhulu seMayo. Uma isipikili sesifinyelelwe isikelo sisetshenziswa ukubamba isilonda sivuleke, bese kufakwa ucingo oluqondisayo oluyi-3.2 eduze nesikelo size sithinte isipikili. Isikelo siyasuswa, futhi iphinikhodi yomhlahlandlela iyalungiswa ize idlulele esiziphongweni. Izithombe ze-anteroposterior kanye ne-lateral ze-hip zitholakala ukuze kuqinisekiswe ukubekwa kwe-guidewire ku-nail. I-extractor ye-femal emise okwekhoni kubha yokukhipha ifakwa enxebeni, phezu kwephinikhodi. I-extractor iboshelwe ngobumnene kodwa ngamandla esikhonkwaneni. I-pass yokuqala ingase ingahlanganisi ngokugcwele isipikili, kodwa izosusa izicubu eziningi ezithambile ezihlanganisiwe. I-extractor iphinde ifakwe phezu kwephinikhodi noma ucingo futhi iqiniswe kuzipho ngamandla anele ukudinga ukusetshenziswa kwezikrufu. I-mallet eboshiwe isetshenziselwa ukubethela isipikili. Isilonda siyaniselwa futhi sivalwe ngendlela evamile.

Ungawathenga Kanjani Ama-Orthopedic Implants kanye Nezinsimbi Zamathambo?

Ngoba CZMEDITECH , sinomugqa womkhiqizo ophelele kakhulu wezimila zokuhlinza amathambo kanye namathuluzi ahambisanayo, imikhiqizo ehlanganisa izimila zomgogodla, izipikili ze-intramedullary, ipuleti lokuhlukumezeka, I-locking plate, i-cranial-maxillofacial, izitho zokufakelwa, amathuluzi amandla, Izilungisi zangaphandle, i-arthroscopy, ukunakekelwa kwezilwane kanye namasethi amathuluzi asekelayo.

Ngaphezu kwalokho, sizibophezele ekuthuthukiseni imikhiqizo emisha ngokuqhubekayo nokwandisa imigqa yemikhiqizo, ukuze sihlangabezane nezidingo zokuhlinzwa zodokotela abaningi neziguli, futhi senze inkampani yethu iqhudelane kakhulu kuwo wonke umhlaba Izifakelo zamathambo nomkhakha wezinsimbi.

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