Titanium akyi akyi berɛmo fixation nhyehyɛe a wɔde di dwuma wɔ occipitocervical, soro awotwaa ne ase awotwaa mu stabilization applications.
Titanium a wɔde yɛ nneɛma
3.5mm a wɔde asi hɔ abaa
Screw-rod akyi fixation
Wɔde nhyehyɛe no kyerɛ ne occipital fixation akwan pii, low-profile 3.5mm poma nhyehyɛe, optional nnwinnade ma ayaresabea suban ahorow, ne polyaxial screw nhyehyɛe ma flexible construct nsakrae.
Wobetumi apaw akwan horow a wɔfa so de occipital fixation sɛnea oprehyɛn ho ɔbenfo pɛ ne asɛm no ahwehwɛde ahorow te.
Nhyehyɛe no de 3.5mm diameter fixed poma a ɛwɔ fam-profile akyi fixation construct di dwuma.
Nnwinnade a wobetumi apaw wɔ hɔ a ɛbɛboa ayaresabea su ahorow ne oprehyɛn adwumayɛ nhyehyɛe a wɔpɛ.
Nsusuwii a ɛba fam no boa ma ntini a ɛyɛ mmerɛw a atwa ho ahyia a atwa ɔdan no ho ahyia no nkanyan so tew.
Sɛnea wɔayɛ asaawa a ɛwɔ anim a enye no boa ma skru nsa no ntrɛw.
Titiriw-nhyehyɛe polyaxial skru nhyehyɛe no boa maximum unidirectional kankyee kosi 55°.
Wɔahyehyɛ adeyɛ no mu nsɛm sɛ kaad a wɔde aniwa hu enti ɛkenkan yiye wɔ intanɛt so sen PDF a wɔde trɛwee mfiase no. Fa adwumayɛfo a wɔde di dwuma ho amanneɛbɔ a ɛwɔ ɔfã yi atifi no sie bere a woretintim no.
Wɔde ɔyarefo no si baabi a ɔda fam te sɛ nea wɔyɛ wɔ mfinimfini kwan so akyi awotwaa mu ntwitwiridii a wɔtaa yɛ no. Da occipital bone, atlas no akyi arch, ne articular mass ne arch a ɛwɔ cervical fã a ɛsɛ sɛ wɔde bom no adi.
Bere a wɔahu baabi a wɔbɛhyɛn mu ne baabi a wɔbɛhyɛn mu akyi no, wɔde afiri a wɔabue mu tutu cortical bone no na wɔma tokuru no yɛ kɛse.
Wɔka screw entry point no ho asɛm sɛ ɛkɔ mu kɔ mfinimfini beae a ɛwɔ side mass no mu na 2mm kɔ soro. Wɔde ɔkwan a wɔfa so hyɛn mu no dan kɔ abɔnten 20°-25° na ɛkɔ ti no awiei 30°-40°, na ɛne articular surface a ɛbɛn hɔ no hyia.
Sɛ wɔde awotwaa no ase C3-C7 nkɔnsɔnkɔnsɔn si hɔ yiye a, ɛboa ma akyi berɛmo mu ntini ne ntini mu asiane so tew bere a ɛma nkɔnsɔnkɔnsɔn no tenten a ɛsen biara ne nea eye sen biara a wɔde si hɔ no.
Lower cervical C3-C7: screw entry point no yɛ 2-5mm wɔ akyi ano a ɛwɔ afã block no mu na 2-3mm wɔ ase wɔ articular surface a ɛwɔ soro facet no ase. Ɔkwan a wɔfa so hyɛn mu no yɛ 30°-45° wɔ coronal plane no mu, na sagittal plane no ne soro endplate no yɛ pɛ.
Upper cervical C1-C2: Wɔakyerɛkyerɛ C1 lateral mass screw entry mu bɛyɛ 18-20mm wɔ atlas no akyi tubercle no mfinimfini nkyɛn, a wɔhwɛ bun so bɛyɛ 28mm. Wɔakyerɛkyerɛ C2 pedicle screw entry mu wɔ mfinimfini a ɛwɔ vertical line no mfinimfini wɔ lateral mass no mfinimfini, a emu dɔ taa yɛ bɛyɛ 24-26mm.
Saa screw entry nkyerɛkyerɛmu yi yɛ professional reference content a efi IFU na egyina oprehyɛn tebea pɔtee no so.
Fa drill bit ne guide no di dwuma fa drill na kyerɛ bun a wobɛtu. Siesie akwankyerɛ no ma ɛnyɛ nsenia a ɛne no hyia na ama emu dɔ no ano hye.
Di drilling ahoɔhare ne bun so katee sɛnea wɔasusuw data. Gyae tutu ntɛm ara bere a woadu bun a wɔahyɛ ato hɔ no ho na amma akyi berɛmo no mu ntini no ankɔ mu dodo na asɛe ntini a ɛwɔ akyi anaa ntini mu ntini no.
Yi drill bit no bere a woawie tokuru no na tew nnompe a asɛe wɔ pilot tokuru no mu no ho.
Wɔde depth gauge no susuw screw kwan no mu dɔ na wɔpaw screws a ne tenten fata.
Sɛ dompe no yɛ den a, wobetumi de abɔ so.
Saa ɔfa yi dane implant insertion nkratafa no ma ɛyɛ wɛb nhyehyɛe a emu da hɔ a ɛwɔ procedural cards a wɔatew ne ho ne mfonini ahorow a ɛfa ho.
Fa skrudraiver no hyɛ skru draiver no mu. Fa skrudraiver no ahinanan no hyɛ skru no mu koraa, afei fa skru no hyɛ nsa a wɔde to mu no mu na fa skru no hyɛ mu.
Fa nkɔnsɔnkɔnsɔn a wɔde kura skru mu di dwuma na aboa ma wɔde skru no ahyɛ mu na wɔde asi hɔ. Fa nkɔnsɔnkɔnsɔn a aka no hyɛ mu nnidiso nnidiso di nhyehyɛe a ɛyɛ pɛ no akyi.
Paw poma tenten a ɛfata sɛnea ɔyarefo no nipadua a ɛkɔ akyiri te. Wɔtwa poma no na wɔde prebent sɛnea poma no kankan te ma ɛne akyi berɛmo no sagittal curve no hyia.
Ɛsɛ sɛ wɔkwati sɛ wɔbɛkotow dodo na wɔasan ayɛ no na ama nneɛma no akɔ so ayɛ pɛ. Ɛsɛ sɛ wɔhwɛ poma no yiye sɛ asɛe ansa na wɔde ahyɛ mu.
Fa afiri a ɛkura poma no kura poma no mu na fa gu nkɔnsɔnkɔnsɔn a wɔde ahyɛ mu no mu a ɛte sɛ U no mu.
Fa preload wrench no di dwuma, fa skru plug no hyɛ U-shaped threaded slot no mu. Mfiase no fa safe a ɛwɔ ahinanan no kyekyere skru biako a wɔahyɛ no den na ama abaa no abɔ ho ban bere tiaa bi.
Bere a wɔde akyi berɛmo poma no atra pedicle screws no mu a ɛte sɛ U no mu akyi no, wobetumi ayɛ reduction ne contouring maneuvers.
Compression: fa compression forceps si pedicle screws a ɛbɛn hɔ so na fa ahoɔden a wɔde to mu di dwuma de twe vertebrae abien bɛn wɔn ho denam poma linkage so.
Nneɛma a ɛtwetwe adwene: fa distractor si nkɔnsɔnkɔnsɔn abien a ɛbɛn ho ntam na twetwe w’adwene wɔ poma no ho na ama woasan anya akyi berɛmo no ntam sorokɔ a ayera na woagyae ntini ntini a wɔahyɛ no den.
Nkyinkyin: fa poma a ɛkyinkyini no kura poma no mu na dannan akyi berɛmo no wɔ skru U-slot no mu de siesie sagittal curvature na fa skru no bue no hyia.
Fa nsateaa a ɛko tia ɛkyinkyini di dwuma, fa skru plug no hyɛ skru no kwan a ɛte sɛ U no mu na fa safe a ɛwɔ ahinanan no kyekyere no denneennen bere tiaa bi.
To occipital ne cervical screws nyinaa mu fi soro kosi ase, na fa transverse connectors hyɛ mu sɛnea ɛho hia.
Bere a woahyɛ ahyiadi ne gyinabea a wopɛ sɛ wode bɛhyɛ mu no so dua akyi no, fa safe a wɔakyerɛ sɛ ɛto torque ano hye no yɛ nkɔnsɔnkɔnsɔn a wɔahyɛ no nyinaa mu den a etwa to.
Hwɛ sɛ wɔato nneɛma no nyinaa mu yiye na nea wɔayɛ no gyina hɔ pintinn ansa na wɔato kuru no mu.
Hyɛ no nsow: torque-limiting wrench no yɛ ade a wobetumi apaw na wɔtɔn no soronko.
Si alignment, implant gyinabea, component locking na construct stability ansa na wɔato mu.
Tables a ɛwɔ aseɛ ha no dane PDF product ho nsɛm kɔ wɛbsaet tables a ɛyɛ mmuaeɛ mu ma ɛyɛ mmerɛ sɛ wobɛhwehwɛ mu na woayɛ index.
| REF | Diameter | Tenten a Ɛwɔ Hɔ |
|---|---|---|
| CPPS3512 na ɛwɔ hɔ | Φ3.5 na ɛwɔ hɔ | 12mm na ɛwɔ hɔ |
| CPPS3514 na ɛwɔ hɔ | Φ3.5 na ɛwɔ hɔ | 14mm na ɛwɔ hɔ |
| CPPS3516 na ɛwɔ hɔ | Φ3.5 na ɛwɔ hɔ | 16mm na ɛwɔ hɔ |
| CPPS3518 na ɛwɔ hɔ | Φ3.5 na ɛwɔ hɔ | 18mm na ɛwɔ hɔ |
| CPPS3520 na ɛwɔ hɔ | Φ3.5 na ɛwɔ hɔ | 20mm na ɛwɔ hɔ |
| CPPS3522 na ɛwɔ hɔ | Φ3.5 na ɛwɔ hɔ | 22mm na ɛwɔ hɔ |
| CPPS3524 na ɛwɔ hɔ | Φ3.5 na ɛwɔ hɔ | 24mm na ɛwɔ hɔ |
| CPPS3526 na ɛwɔ hɔ | Φ3.5 na ɛwɔ hɔ | 26mm na ɛwɔ hɔ |
| CPPS3528 na ɛwɔ hɔ | Φ3.5 na ɛwɔ hɔ | 28mm na ɛwɔ hɔ |
| CPPS3530 na ɛwɔ hɔ | Φ3.5 na ɛwɔ hɔ | 30mm na ɛwɔ hɔ |
| CPPS4010 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 10mm na ɛwɔ hɔ |
| CPPS4012 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 12mm na ɛwɔ hɔ |
| CPPS4014 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 14mm na ɛwɔ hɔ |
| CPPS4016 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 16mm na ɛwɔ hɔ |
| CPPS4018 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 18mm na ɛwɔ hɔ |
| CPPS4020 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 20mm na ɛwɔ hɔ |
| CPPS4022 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 22mm na ɛwɔ hɔ |
| CPPS4024 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 24mm na ɛwɔ hɔ |
| CPPS4026 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 26mm na ɛwɔ hɔ |
| CPPS4028 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 28mm na ɛwɔ hɔ |
| CPPS4030 na ɛwɔ hɔ | Φ4.0 na ɛwɔ hɔ | 30mm na ɛwɔ hɔ |
| REF | Nkyerɛkyerɛmu |
|---|---|
| RJHHL35 na ɛwɔ hɔ | 35mm na ɛwɔ hɔ |
| RJHHL40 na ɛwɔ hɔ | 40mm na ɛwɔ hɔ |
| RJHHL45 na ɛwɔ hɔ | 45mm na ɛwɔ hɔ |
| REF | Ne tenten |
|---|---|
| TB35100 na ɛwɔ hɔ | 100mm na ɛwɔ hɔ |
| TB35200 na ɛwɔ hɔ | 200mm na ɛwɔ hɔ |
| REF | Nkyerɛkyerɛmu |
|---|---|
| RJHZG na ɔkyerɛwee | / |
Wɔahyehyɛ nnwinnade nhyehyɛe ho nsɛm afi PDF pon a edi kan no so ayɛ no nhyehyɛe nhyehyɛe a ɛkari pɛ, a ɛyɛ wɛb adamfofa su.
Wɔde adwinnade biara a wɔakyerɛw din no dodow 1 ma sɛnea mfitiase nnwinnade nhyehyɛe pon no te.
