Uzipho lwe-Tibial intramedullaryyiukufakelwa kwamathamboYenzelwe ngokukodwa ukuzinzisa nokuxhasa ukwaphuka kwe-tibia (ithambo elikhulu kumlenze ongezantsi). Le ndlela yotyando ithandwa kuba ayingeni kakhulu, ikhuthaza ukuphiliswa ngempumelelo kwamathambo, kwaye ivumela ukuba isigulana sihambe kwangethuba.
II-MASTIN intramedullary nailyinduku ende, ebhityileyo efakwa kumjelo we-medullary we-tibia. Umjelo udlula embindini we-tibia kwaye ubonelela ngendawo eqinileyo nezinzileyo yokuba uzipho lulungiswe. Olu tyando ludla ngokwenziwa ngokusikwa okuncinci kufutshane nedolo okanye iqatha, kwaye uzipho lwe-intramedullary lufakwa kulo. Nje ukubauzipho lwangaphakathi kwe-medullaryxa ifakiwe, kusetyenziswa izikrufu kwicala ngalinye ukuze ziqine zinamathele ethanjeni.
Iiseti yezipikili ze-intramedullaryIqulethe izipikili ze-MASTIN tibial, isigqubuthelo sokugqibela, i-DCD locking bolt, i-locking bolt njl.njl.
Iingenelo zeIngcali yeTibial Nail
1. Iprofayili esezantsi kwisiphelo esikufutshane
2. Umngxuma woxinzelelo lwe-axial olawulwayo, Umgama ophezulu woxinzelelo yi-7mm
3. Uyilo lwe-anteflexion oluyi-9º ukuze kube lula ukufaka iinzipho
Iinketho ezininzi zokutshixa ezikufutshane:
Iindlela ezintathu ezintsha zokutshixa, kunye nezikrufu zokutshixa ithambo ezirhoxisiweyo, zonyusa uzinzo lweqhekeza elikufutshane xa kuqhekeka iqhekeza lesithathu elikufutshane.
Iindlela ezimbini zokutshixa eziphakathi nezisecaleni ezisemgangathweni zivumela ukucinezelwa okuphambili okanye ukuguquguquka okulawulwayo kwesibini.
Isigqubuthelo sokugqibela sithintela ukukhula kwezicubu kwaye sincede ekukhutshweni kwezipikili
Isigqubuthelo sesiphelo esingu-0mm sihlala sithambile kunye nesipikili esinobukhulu obuyi-5mm kunye ne-10mm, sandisa ubude bezipikili ukuba isipikili sifakwe ngaphezulu.
Ifakwe kwi-cannulated
I-recess ezitshixayo ukuze kube lula ukuyithatha i-end cap kwaye kube lula ukuyifaka
Iindlela eziphambili zokutshixa ezikude:
Ukhetho lokutshixa olujikelezayo oluthintithayo ukuthintela ukonakala kwezicubu ezithambileyo kunye nokwandisa uzinzo
isiqwenga esikude
Iinketho ezimbini ze-ML kunye nenye ye-AP yokutshixa ukuze kuqiniswe iqhekeza elikude
Izikrufu zokutshixa amathambo ezirhoxiswayo:
Kuboniswe kwiindlela ezintathu zokutshixa ezikufutshane zazo zonke iidayamitha zezinzipho ze-tibial
Uyilo oluphambili oluphindwe kabini lokuthenga kakuhle kwithambo elirhoxisiweyo
I-Unicortical
Ubude: 40 mm–75 mm
Izikrufu zokutshixa eziqhelekileyo:
Icandelo elikhulu elinqamlezileyo lokuphucula ukumelana koomatshini
Ubude be-Φ4.0 mm kwi-Φ8.0 mm kunye ne-Φ9.0 mm yi-tibial nails, yi-28 mm–58 mm.
Ubude be-Φ5.0 mm kwiinzipho ze-tibial ze-Φ10.0 mm: 28 mm–68 mm