Hlola isipikili sethu se-Tibial Intramedullary

Kutheni utyando lwe-Tibial Nail luyimfuneko?
I-Tibial IntramedullaryIsikhonkwaneIhlala ilunyango olukhethwayo kubantu abadala abaphuke umngxuma we-tibial ongazinzanga nongashukumiyo. Iinjongo zonyango lotyando kukubuyisela ubude, ukulungelelaniswa, kunye nokujikeleza kwe-tibia kunye nokufezekisa ukuphiliswa kwamathambo. Iingenelo zokuIi-ntramedullaryNegulayoziquka ukwenzakala okuncinci kotyando kunye nokugcinwa okufanelekileyo kwegazi lendawo ephukileyo.Ingcali yeTibial Nailinika uzinzo olufanelekileyo lokuqhekeka kwe-biomechanical kwaye isebenza njengezixhobo zokwabelana ngomthwalo, okuvumela ukuhanjiswa kwangoko emva kotyando. Inkqubela phambili kuyilo lwezipikili zangaphakathi kunye neendlela zokunciphisa ziye zandisa imiqondiso yokulungiswa kwezipikili zangaphakathi, kubandakanya ukwaphuka kwe-tibial ekufutshane kunye nokuqhekeka kwesithathu esiphakathi nesikude se-tibia.

I-Intramedullary Nail

Zithini ii-ci-linicalaiziceloye-Tibial Nail Implant?
Ukuqhekeka okuzinzileyo kwe-1/3 ephakathi ye-tibia: ukuqhekeka okunqamlezileyo, ukuqhekeka okufutshane kwe-oblique, i-pseudarthrosis.Ukuqhekeka okungazinzanga ngaphakathi kwama-60% obude obuphakathi kwe-tibial: ukuqhekeka kufutshane ne-metaphysis, ukuqhekeka okude okujikelezayo, ukuqhekeka kwe-segmental, ukuqhekeka okudibeneyo, ukuqhekeka okuneziphene zamathambo.

Zeziphi izinto eziphambili zeinkqubo yezinzipho ze-intramedullary tibial?
NgokwesiqheloI-Tibial NailLe nkqubo inezipikili ze-tibial, i-lock bolt kunye ne-end cap.
Inkqubo yokuqinisa umqolo yangaphakathi inesikrufu, isikrufu esibekiweyo, intonga yokudibanisa, kunye ne-crosslink.

Zithini iingenelo zeZinzipho zethu eziQokelelweyo?
Izikhonkwane ze-Orthopedic
Iprofayili esezantsi kwisiphelo esikufutshane
Umngxuma woxinzelelo lwe-axial olawulekayo
Umgama ophezulu wokucinezela yi-7mm
Uyilo lwe-anteflexion oluyi-9º ukuze kube lula ukufaka iinzipho

I-Tibial Nail

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.

I-Bolt yokutshixa

Isiphetho soMgca
Isigqubuthelo sokugqibela sithintela ukukhula kwezicubu kwaye sincede ekukhutshweni kwezipikili
Isigqubuthelo sesiphelo esingu-0mm sihlala sithambile kunye nesipikili esinobubanzi obuyi-5mm kunye ne-10mm, sandisa ubude bezipikili ukuba isipikili silungile.ifakiwe ngaphezulu
Ifakwe kwi-cannulated
I-recess ezitshixayo ukuze kube lula ukuyithatha i-end cap kwaye kube lula ukuyifaka
I-Bolt yokutshixa

I-Bolt yokutshixa
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
Isikrufu sokutshixa

 


Ixesha leposi: Disemba-04-2025