Isikhonkwane seTibial intramedullaryyiukufakelwa kwamathambongokukodwa eyenzelwe ukuzinzisa kunye nokuxhasa ukuphuka kwe-tibia (ithambo elikhulu kumlenze ophantsi). Obu buchule botyando buyathandwa ngenxa yokuba bungangeneleli kancinci, bukhuthaza ukuphiliswa kokwaphuka okusebenzayo, kwaye ivumela ukuhlanganiswa kwangaphambili kwesigulana.
IMASTIN intramedullary isikhonkwaneyintonga ende, ebhityileyo efakwe kwi-medullary canal ye-tibia. Umjelo uhamba phakathi kwe-tibia kwaye unikezela indawo eyomeleleyo, ezinzileyo ukuze kulungiswe isikhonkwane. Utyando ngokuqhelekileyo lwenziwa nge-incision encinci kufuphi nedolo okanye i-ankle, kwaye i-intramedullary nail ifakwe kuyo. Kanye iisikhonkwane se-intramedullaryifakwe, izikrufu zisetyenziselwa ekupheleni ukuze zilungiswe ngokuqinileyo kwithambo.
Iiseti ye-intramedullary nailiquka i-MASTIN tibial nail, i-cap end, i-DCD yokuvala ibholithi, i-bolt yokutshixa njl.
Izinto ezilungileyo zeIngcali yeTibial Nail
1.Iprofayile esezantsi ekupheleni kweproximal
2.I-axial compression hole elawulekayo, Umgama woxinzelelo oluphezulu yi-7mm
3. 9º uyilo lwe-anteflexion ukwenzela ukuba kube lula ukufaka iinzipho
Iinketho ezininzi zokutshixa:
Iinketho ezintathu zokutshixa ezintsha, ngokudityaniswa nezikrufu zokutshixa amathambo, zonyusa uzinzo lweqhekeza elisondeleleneyo lokwaphuka kwesithathu.
Iinketho ezimbini zobugcisa bokutshixa i-medio-lateral zenza ukuba ucinezeleko oluphambili okanye i-dynamization elawulwayo yesibini.
I-End cap ikhusela ukungena kwezicubu kwaye iququzelele ukutsalwa kwezikhonkwane
I-0mm end cap ihleli ngokugungxulwa ngesikhonkwane 5mm kunye ne-10mm end caps yandisa ubude besikhonkwane ukuba isikhonkwane sifakiwe.
I-Cannulated
Ukuzitshixa kwekhefu lokuphela komgudu wokuthatha kunye nokufaka ngokulula
Iinketho ezikwinqanaba eliphezulu lokutshixa:
Inketho yokutshixa i-Distal oblique ukukhusela umonakalo wezicubu ezithambileyo kunye nokwandisa ukuzinza kwe
iqhekeza elikude
Ii-ML ezimbini kunye ne-AP enye yokutshixa iinketho zokuzinza kweqhekeza elikude
Izikrufu zokutshixa amathambo eCancellous:
Iboniswe kwiinketho ezintathu zokutshixa ezisondele kuzo zonke iidayamitha zezikhonkwane ze-tibial
Uyilo olungundoqo oluphindwe kabini lokuthenga okulungiselelwe kwithambo elirhoxisayo
Unicortical
Ubude: 40 mm-75 mm
Izikrufu eziqhelekileyo zokutshixa:
Icandelo elikhulu lomnqamlezo lokuphucula ukuxhathisa koomatshini
Φ4.0 mm ye-Φ8.0 mm kunye ne-Φ9.0 mm iinzipho ze-tibial, ubude: 28 mm–58 mm
Φ5.0 mm ye-Φ10.0 mm iinzipho ze-tibial, ubude: 28 mm–68 mm