RQPJ01.
XCmedico .
1 pcs (Nnɔnhwerew 72 a wɔde ma) .
Humeral .
Aduruyɛ mu dade a ɛnyɛ den .
CE/ISO:9001/ISO13485.etc .
Nneɛma a wɔayɛ no sɛnea wɔpɛ nnafua 15 delivery (a ɛnyɛ bere a wɔde mena no fi hɔ.
FedEx. dhl.tnt.ems.etc .
Nneɛma a ɛwɔ hɔ: | |
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Dodoɔ: | |
Nneɛma a wɔyɛ . | Mfonini ahorow . | Nkyerɛmu | ||||
Tibial intramedullarynail adwinnade a wɔahyehyɛ(PN:RQPJ01) . | ![]() ![]() |
1 | N-02-1. | Tibial nnadewa tray . | 1 | |
2 | N-02-2. | amansan nyinaa nkwaa . | 1 | |||
3 | N-02-3 . | Drill nsateaa . | 1 | |||
4 | N-02-4. | Fixed connector . | 1 | |||
5 | N-02-5. | Ntɛm ara a wɔde ka bom T-handle . | 1 | |||
6 | N-02-6. | Beae a ɛwɔ no poma . | 1 | |||
7 | N-02-7. | Screwdriver . | 1 | |||
8 | N-02-8. | T-handle drill bit 5.2mm . | 1 | |||
9 | N-02-9. | Nneɛma a emu dɔ Gague 10-100mm . | 1 | |||
10 | N-02-10 . | Drill bit 5.2 * 300mm . | 1 | |||
11 | N-02-11 . | Drill bit 4.0 * 300mm . | 1 | |||
12 | N-02-12 . | Drill bit a ɛwɔ anohyeto 4.0 * 300mm . | 1 | |||
13 | N-02-13 . | Guide Rod . | 1 | |||
14 | N-02-14 . | Reamer 8mm . | 1 | |||
15 | N-02-15 . | Reamer 9mm . | 1 | |||
16 | N-02-16 . | Reamer 10mm . | 1 | |||
17 | N-02-17 . | Reamer 11mm . | 1 | |||
18 | N-02-18 . | Awl . | 1 | |||
19 | N-02-19 . | Hammer . | 1 | |||
20 | N-02-20 . | Wobue wrench . | 1 | |||
21 | N-02-21 . | Nail nkitahodi solid . | 1 | |||
22 | N-02-22 . | Nail nkitahodi a wɔde yɛ cannulated . | 1 | |||
23 | N-02-23 . | Bolt . | 1 | |||
24 | N-02-24 . | Bolt . | 1 | |||
25 | N-02-25 . | Mfiri a wɔde hu ade no nsa . | 1 | |||
26 | N-02-26 . | Drill nsateaa . | 1 | |||
27 | N-02-27 . | hex wrench . | 1 | |||
28 | N-02-28 . | hex wrench . | 1 | |||
29 | N-02-29 . | Drill nsateaa . | 1 | |||
30 | N-02-30 . | Drill nsateaa . | 1 | |||
31 | N-02-31 . | Beae a ɛwɔ . | 1 | |||
32 | N-02-32 . | Ɔkwankyerɛfo a ɛbɛn no . | 1 | |||
33 | N-02-33 . | Distal guiner . | 1 | |||
34 | N-02-34 . | Aluminium adaka . | 1 |
CNC a wodi kan yɛ ho adwuma . Wɔde kɔmputa so akontaabu mfiridwuma no di dwuma de yɛ nnompe ho nneɛma ho adwuma pɛpɛɛpɛ. Saa adeyɛ yi wɔ su a ɛne pɛpɛɛpɛyɛ a ɛkorɔn, adwumayɛ a ɛkɔ soro, ne nea wotumi san yɛ bio. Ebetumi ayɛ nnuruyɛ mu mfiri a wɔayɛ no sɛnea wɔpɛ a ɛne onipa nipadua no hyia ntɛmntɛm na ama ayarefo anya ayaresa ho nhyehyɛe a wɔayɛ ama wɔn ankasa. |
Product Polishing . Botae a ɛwɔ nnompe mu nneɛma a wɔde yɛ no fɛfɛɛfɛ ne sɛ ɛbɛma nkitahodi a ɛda nea wɔde hyɛ nipadua no mu ne nnipa ntini ntam no atu mpɔn, atew adwennwen so, na ama nea wɔde hyɛ nipadua no mu no agyina bere tenten. |
Nhwehwɛmu a ɛyɛ papa . Wɔayɛ mfiridwuma mu nneɛma ho sɔhwɛ a ɛfa nnompe ho nneɛma ho no sɛnea ɛbɛyɛ a ɛbɛyɛ sɛnea nnipa nnompe mu nhyɛso tebea te, hwɛ sɛnea nneɛma a wɔde hyɛ nipadua mu no tumi soa adesoa ne sɛnea ɛtra hɔ kyɛ wɔ onipa nipadua mu, na wɔahwɛ ahu sɛ ɛyɛ nea ahobammɔ ne ahotoso wom. |
Nneɛma a wɔde yɛ nneɛma . Wɔde nnompe mu nneɛma gu dan a aduru nnim mu de hwɛ hu sɛ wɔde aduru no ahyɛ baabi a ɛhɔ tew na aduru biara nni mu na ama mmoawa nketenkete atumi ayɛ adwuma na wɔahwɛ ahu sɛ oprehyɛn no mu yɛ den. |
Nnompe mu nneɛma a wɔkora so no hwehwɛ sɛ wɔhwɛ so yiye wɔ mu na wɔhwɛ so yiye na ama wɔatumi ahwehwɛ nneɛma no mu na wɔasiw bere a wɔde bɛkɔ no ano anaasɛ wɔde bɛkɔ ɔkwan a ɛnteɛ so. |
Wɔde nhwɛsoɔ dan no sie, kyerɛ na wɔhwɛ nnompe mu nneɛma ahodoɔ nhwɛsoɔ so ma nneɛma a wɔde yɛ mfiridwuma ho nimdeɛ sesa ne nteteeɛ. |
1. Bisa XC Medico Team ma Tibial Intramedullary Nail Instrument Set Product Catalog.
2. Paw wo anigye tibial intramedullary nail instrument set product.
3. Bisa nhwɛsode bi a wɔde bɛsɔ tibial intramedullary nail instrument set quality ahwɛ.
4.Yɛ order a XC Medico tibial intramedullary nail instrument set.
5.Yɛ xc Medico tibial intramedullary nail instrument set no tɔnfo.
1. Tibial intramedullary nail instrument set no bo a ɛyɛ papa.
2.100% Tibial intramedullary nail instrument a ɛyɛ papa sen biara.
3. Mmɔden a wɔbɔ sɛ wɔbɛhyehyɛ no yiye.
4. Boɔ a ɛgyina pintinn wɔ berɛ a wɔpene so no mu.
5. Tibial intramedullary nail instrument a ɛdɔɔso.
6. XC Medico tibial intramedullary nail instrument set no ho nhwehwɛmu a wɔyɛ no ntɛmntɛm na ɛnyɛ den.
7. Ahyɛnsode a wɔagye atom wɔ wiase nyinaa - XC Medico.
8. Bere a wɔde kɔ XC Medico aguadi kuw no mu ntɛmntɛm.
9. XC Medico kuw no ho sɔhwɛ foforo a ɛyɛ papa.
10. Di wo XC Medico nhyehyɛe no akyi fi mfiase kosi awiei.
Tibial intramedullary nail instrument set no yɛ oprehyɛn nnwinnade titiriw a wɔayɛ ama tibia no mu abubu, titiriw diaphyseal (shaft) abubu. Tibia, anaa shinbone, yɛ kɛse na ɛyɛ den sen nnompe abien a ɛwɔ nan ase no. Mmubui a ɛwɔ saa beae yi abu so, titiriw esiane ahoɔden kɛse a ɛyɛ hu, agumadi mu apirakuru, ne akwanhyia a ɛba wɔ akwan so nti.
Nnadewa a ɛwɔ intramedullary mu no yɛ abaa tenten a ɛyɛ tratraa, a wɔtaa de nneɛma a ɛne no hyia te sɛ titanium anaa dade a ɛnyɛ den na ɛyɛ, na ɛma ahoɔden ne ahoɔden a wɔde yɛ adwuma bom. Wɔayɛ nnadewa no sɛnea ɛbɛyɛ a ɛbɛfata tibia no medullary canal no mu na ɛwɔ ne tenten ne ne ntwemu ahorow a ɛsono sɛnea ɛbɛyɛ a ɔyarefo no nipadua mu ntini a ɛyɛ mmerɛw ne sɛnea ɛpaapae no.
Ade titiriw a ɛho hia wɔ tibial nnadewa no mu ne afiri a wɔde to mu. Nnadewa no ka ntokuru a wɔadi kan atwe a ɛma wotumi de nkɔnsɔnkɔnsɔn a wɔde to mu no gu n’afã abien no nyinaa (ɛbɛn ne akyirikyiri). Saa nkɔnsɔnkɔnsɔn yi hwɛ hu sɛ dompe asinasin no bɛkɔ so ayɛ den, asiw nkyinkyim ano, na ɛma nnadewa no yɛ adwuma sɛ ade a wɔde gyina dompe no ano a ɛyɛ pintinn.
Nea ɛka set no ho ne jigs anaa akwankyerɛ ahorow a wɔde wɔn ani si so, a ɛboa ma wɔde nkɔnsɔnkɔnsɔn a wɔde to mu no si hɔ pɛpɛɛpɛ fa ntokuru a wɔadi kan atutu wɔ nnadewa no mu no mu. Eyi hwɛ hu sɛ nkɔnsɔnkɔnsɔn no ne nnadewa no hyia yiye na ɛma ɛkyinkyini ne axial stability to fracture site.
Wɔtaa de reaming nhyehyɛe ka ho, na ɛma oduruyɛfo a ɔyɛ oprehyɛn no tumi siesie medullary canal no denam nnompe mu nneɛma a asɛe a wobeyi afi hɔ na ayɛ ɔkwan a ɛyɛ mmerɛw a wɔfa so de nnade hyɛ mu no so. Saa anammɔn yi ho hia wɔ misalignment a wosiw ano ne hwɛ a wɔhwɛ sɛ nnadewa no hyɛ dompe no mu yiye, na ɛtew asiane a ɛwɔ hɔ sɛ wɔde bɛhyɛ nipadua no mu anaasɛ ebetumi adi huammɔ no so.
Sɛnea wɔayɛ tibial IM nnadewa no nyinaa ne ne nnwinnade a ɛne no hyia no gyina oprehyɛn kwan a ɛnyɛ den pii so. Eyi ma oprehyɛn no mu ntwitwiridii no kɛse so tew, ɛtew ntini a ɛyɛ mmerɛw a ɛsɛe ade no so, ɛtew asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no so, na ɛma bere a wɔde ma ho tɔ no ntɛmntɛm no so tew.
Adwinnade a wɔde ahyɛ mu no taa ka nnadewa a ɛsono ne tenten, ne tenten, ne ne ntwemu ho, na ɛma ɛyɛ nea ɛfata ma ɛne tibial fractures ahorow hyia, efi nea ɛnyɛ den so kosi nea ɛyɛ comminit so, na ɛhwɛ hu sɛ wɔde nnadewa a ɛfata di dwuma ma ɔyarefo biara ahiade pɔtee.
Mfaso titiriw biako a ɛwɔ tibial intramedullary nnadewa no so ne sɛ ɛma wotumi boaboa ɔyarefo no ano ntɛm. Esiane sɛ wɔde nnadewa no hyɛ medullary canal no mu nti, ɛma tibia no gyina mu denneennen, na ɛma ayarefo no tumi soa wɔn nan no mu duru wɔ oprehyɛn no akyi bere tiaa bi.
Intramedullary gyinabea a tibial nail no ma biomechanical ahoɔden a ɛkorɔn sɛ wɔde toto fixation ahorow afoforo te sɛ mprɛte ne abɔnten fixation mfiri ho. Ɛdenam tibia no mfinimfini abura no a wɔde di dwuma so no, nnadewa no kyɛ adesoa a ɛda dompe ne nea wɔde hyɛ mu no ntam no, na ɛtew adwennwen a ɛwɔ nea wɔde hyɛ nipadua no mu no so na ɛma asiane a ɛwɔ hɔ sɛ mfiri bedi huammɔ no so tew.
Adeyɛ no su a ɛnyɛ den pii no ma wonya bere a wɔde ho tɔ wɔn ntɛmntɛm na asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no so tew. Nneɛma nketenkete a wɔatwa a ɛho hia na wɔde ahyɛ nnadewa mu no ma ntini a ɛyɛ mmerɛw a ɛyɛ hu, mogya a ɛyera, ne oprehyɛn no nyinaa so tew.
Tibial intramedullary nail no yɛ nea wotumi de di dwuma kɛse na wobetumi de ayɛ tibial fractures ahorow pii, a nea ɛka ho ne transverse fractures a ɛnyɛ den, oblique fractures, spiral fractures, comminited fractures, ne fractures a ɛwɔ displacement kɛse.
Nnadewa no afiri a wɔde to mu no hwɛ hu sɛ mpaapaemu asinasin no bɛkɔ so ayɛ pɛ na ayɛ den wɔ ayaresa no nyinaa mu. Eyi ma asiane a ɛwɔ hɔ sɛ nsɛnnennen te sɛ nkabom (baabi a akisikuru no nsa ho yare) ne malunion (a ɛma akisikuru no sa wɔ gyinabea a ɛnteɛ) no so tew. Nnadewa no a wɔde kyekyɛ ade no nso ma abɔde mu nnompe sa denam micromovement a ɛma kwan ma ɛkɔ baabi a abubu no so, a wonim sɛ ɛkanyan nnompe a ɛsan yɛ foforo no.
Sɛ wɔde toto mprɛte a wɔde hyɛ mu a ɛde adwennwen kɛse ba nea wɔde hyɛ nipadua no mu no so a, tibial intramedullary nail no wɔ asiane a ɛwɔ hɔ sɛ wɔde bɛhyɛ mu no so tew. Wɔayɛ nnadewa no sɛnea ɛbɛyɛ a ebetumi agyina nipadua mu nhyɛso ahorow a wɔde si tibia no so bere a wɔreyɛ nneɛma a emu yɛ duru no ano, na ɛma ɛyɛ ano aduru a ɛtra hɔ kyɛ na wotumi de ho to so ma akisikuru a wɔde hyɛ mu.
Nnadewa tenten ne ne ntwemu a ɛfata a wɔbɛpaw no ho hia kɛse na ama wɔatumi ayɛ nea eye sen biara na wɔatew asiane a ɛwɔ nsɛnnennen te sɛ nnadewa a wɔde tu kwan anaa nea ɛnyɛ papa mu no so. Ɛsɛ sɛ nnuruyɛfo a wɔyɛ oprehyɛn no hwɛ ɔyarefo no nipadua ne sɛnea ne mu paapae no yiye denam mfonini a wɔyɛ ansa na wɔayɛ oprehyɛn te sɛ x-ray anaa CT mfonini ahorow so de paw nea ɛfata a wɔde hyɛ nipadua no mu.
Sɛnea wɔde nkɔnsɔnkɔnsɔn a wɔde to mu no si hɔ no yɛ ade a ɛyɛ den wɔ mfiridwuma mu wɔ ɔkwan a wɔfa so yɛ no mu. Sɛ wɔde obi si hɔ a ɛmfata a, ebetumi de nsɛnnennen te sɛ malrotation, nea entumi nnyina, anaasɛ mpo ntini a ɛyɛ mmerɛw a atwa ho ahyia anaa ntini mu ntini a ɛyɛ adwuma no asɛe.
Ɛsɛ sɛ wɔhwɛ yiye na wɔakwati sɛ wɔbɛtrɛw nnadewa no mu ankɔ kotodwe anaa anan no mu, efisɛ eyi betumi ama nkwaa no ayɛ den anaasɛ asɛe ntini no ntini no. Wɔ mpaapaemu a ɛbɛn nkwaa no mu no, nnuruyɛfo a wɔyɛ oprehyɛn no betumi asusuw akwan foforo a wɔfa so de si hɔ anaa nnadewa a ɛyɛ tiaa a wɔde besiw iatrogenic opira ano mma nkwaa no.
Ɛwom sɛ ɔkwan a wɔfa so yɛ no a ɛnyɛ den pii no ma asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no so tew de, nanso aseptic kwan a ɛfata ne kuru akyi kuru a wɔhwɛ so no da so ara ho hia na amma obi atumi anya ɔyare no.
Wɔ ayarefo a wɔn nnompe mu yɛ den anaasɛ wɔn nnompe nyɛ papa mu no, ebia tibial intramedullary nail no behia mmoa foforo, te sɛ nnompe a wɔde bɛhyɛ mu anaasɛ semɛnte a wɔbɛma ayɛ kɛse, na ama wɔatumi ahyɛ mu yiye.
Tibial intramedullary nail instrument set gua no behu nkɔso kɛse wɔ mfe a ɛreba no mu esiane nkɔso a aba wɔ nnompe ho mfiridwuma mu, nnipa dodow a wɔrebɔ akwakoraa ne aberewa, wɔn mu apaapae a ɛkɔ soro, ne hia a ehia sɛ wɔyɛ nnompe mu oprehyɛn ano aduru a ɛnyɛ den pii nti. Saa nneɛma yi resan asiesie asase a ɛfa apirakuru ho hwɛ ne nnompe ho oprehyɛn ho, na ɛde tibial intramedullary nail instrument a wɔde asi hɔ no asi hɔ sɛ ade titiriw a ɛma wotumi di akisikuru ho dwuma wɔ mfe a ɛreba no mu.
Sɛ yɛde rewie a, tibial intramedullary nail instrument ahorow yɛ nnwinnade a ɛho hia ma nnompe ho oprehyɛn ho animdefo a wɔsa tibial fractures. Ɛdenam nnwinnade a ɛkorɔn a wɔpaw so no, nnuruyɛfo a wɔyɛ oprehyɛn no betumi ama wɔn akwan horow no ayɛ adwuma yiye, ayɛ no pɛpɛɛpɛ, na nea efi mu ba no atu mpɔn.
Nneɛma a wɔyɛ . | Mfonini ahorow . | Nkyerɛmu | ||||
Tibial intramedullarynail adwinnade a wɔahyehyɛ(PN:RQPJ01) . | ![]() ![]() |
1 | N-02-1. | Tibial nnadewa tray . | 1 | |
2 | N-02-2. | amansan nyinaa nkwaa . | 1 | |||
3 | N-02-3 . | Drill nsateaa . | 1 | |||
4 | N-02-4. | Fixed connector . | 1 | |||
5 | N-02-5. | Ntɛm ara a wɔde ka bom T-handle . | 1 | |||
6 | N-02-6. | Beae a ɛwɔ no poma . | 1 | |||
7 | N-02-7. | Screwdriver . | 1 | |||
8 | N-02-8. | T-handle drill bit 5.2mm . | 1 | |||
9 | N-02-9. | Nneɛma a emu dɔ Gague 10-100mm . | 1 | |||
10 | N-02-10 . | Drill bit 5.2 * 300mm . | 1 | |||
11 | N-02-11 . | Drill bit 4.0 * 300mm . | 1 | |||
12 | N-02-12 . | Drill bit a ɛwɔ anohyeto 4.0 * 300mm . | 1 | |||
13 | N-02-13 . | Guide Rod . | 1 | |||
14 | N-02-14 . | Reamer 8mm . | 1 | |||
15 | N-02-15 . | Reamer 9mm . | 1 | |||
16 | N-02-16 . | Reamer 10mm . | 1 | |||
17 | N-02-17 . | Reamer 11mm . | 1 | |||
18 | N-02-18 . | Awl . | 1 | |||
19 | N-02-19 . | Hammer . | 1 | |||
20 | N-02-20 . | Wobue wrench . | 1 | |||
21 | N-02-21 . | Nail nkitahodi solid . | 1 | |||
22 | N-02-22 . | Nail nkitahodi a wɔde yɛ cannulated . | 1 | |||
23 | N-02-23 . | Bolt . | 1 | |||
24 | N-02-24 . | Bolt . | 1 | |||
25 | N-02-25 . | Mfiri a wɔde hu ade no nsa . | 1 | |||
26 | N-02-26 . | Drill nsateaa . | 1 | |||
27 | N-02-27 . | hex wrench . | 1 | |||
28 | N-02-28 . | hex wrench . | 1 | |||
29 | N-02-29 . | Drill nsateaa . | 1 | |||
30 | N-02-30 . | Drill nsateaa . | 1 | |||
31 | N-02-31 . | Beae a ɛwɔ . | 1 | |||
32 | N-02-32 . | Ɔkwankyerɛfo a ɛbɛn no . | 1 | |||
33 | N-02-33 . | Distal guiner . | 1 | |||
34 | N-02-34 . | Aluminium adaka . | 1 |
CNC a wodi kan yɛ ho adwuma . Wɔde kɔmputa so akontaabu mfiridwuma no di dwuma de yɛ nnompe ho nneɛma ho adwuma pɛpɛɛpɛ. Saa adeyɛ yi wɔ su a ɛne pɛpɛɛpɛyɛ a ɛkorɔn, adwumayɛ a ɛkɔ soro, ne nea wotumi san yɛ bio. Ebetumi ayɛ nnuruyɛ mu mfiri a wɔayɛ no sɛnea wɔpɛ a ɛne onipa nipadua no hyia ntɛmntɛm na ama ayarefo anya ayaresa ho nhyehyɛe a wɔayɛ ama wɔn ankasa. |
Product Polishing . Botae a ɛwɔ nnompe mu nneɛma a wɔde yɛ no fɛfɛɛfɛ ne sɛ ɛbɛma nkitahodi a ɛda nea wɔde hyɛ nipadua no mu ne nnipa ntini ntam no atu mpɔn, atew adwennwen so, na ama nea wɔde hyɛ nipadua no mu no agyina bere tenten. |
Nhwehwɛmu a ɛyɛ papa . Wɔayɛ mfiridwuma mu nneɛma ho sɔhwɛ a ɛfa nnompe ho nneɛma ho no sɛnea ɛbɛyɛ a ɛbɛyɛ sɛnea nnipa nnompe mu nhyɛso tebea te, hwɛ sɛnea nneɛma a wɔde hyɛ nipadua mu no tumi soa adesoa ne sɛnea ɛtra hɔ kyɛ wɔ onipa nipadua mu, na wɔahwɛ ahu sɛ ɛyɛ nea ahobammɔ ne ahotoso wom. |
Nneɛma a wɔde yɛ nneɛma . Wɔde nnompe mu nneɛma gu dan a aduru nnim mu de hwɛ hu sɛ wɔde aduru no ahyɛ baabi a ɛhɔ tew na aduru biara nni mu na ama mmoawa nketenkete atumi ayɛ adwuma na wɔahwɛ ahu sɛ oprehyɛn no mu yɛ den. |
Nnompe mu nneɛma a wɔkora so no hwehwɛ sɛ wɔhwɛ so yiye wɔ mu na wɔhwɛ so yiye na ama wɔatumi ahwehwɛ nneɛma no mu na wɔasiw bere a wɔde bɛkɔ no ano anaasɛ wɔde bɛkɔ ɔkwan a ɛnteɛ so. |
Wɔde nhwɛsoɔ dan no sie, kyerɛ na wɔhwɛ nnompe mu nneɛma ahodoɔ nhwɛsoɔ so ma nneɛma a wɔde yɛ mfiridwuma ho nimdeɛ sesa ne nteteeɛ. |
1. Bisa XC Medico Team ma Tibial Intramedullary Nail Instrument Set Product Catalog.
2. Paw wo anigye tibial intramedullary nail instrument set product.
3. Bisa nhwɛsode bi a wɔde bɛsɔ tibial intramedullary nail instrument set quality ahwɛ.
4.Yɛ order a XC Medico tibial intramedullary nail instrument set.
5.Yɛ xc Medico tibial intramedullary nail instrument set no tɔnfo.
1. Tibial intramedullary nail instrument set no bo a ɛyɛ papa.
2.100% Tibial intramedullary nail instrument a ɛyɛ papa sen biara.
3. Mmɔden a wɔbɔ sɛ wɔbɛhyehyɛ no yiye.
4. Boɔ a ɛgyina pintinn wɔ berɛ a wɔpene so no mu.
5. Tibial intramedullary nail instrument a ɛdɔɔso.
6. XC Medico tibial intramedullary nail instrument set no ho nhwehwɛmu a wɔyɛ no ntɛmntɛm na ɛnyɛ den.
7. Ahyɛnsode a wɔagye atom wɔ wiase nyinaa - XC Medico.
8. Bere a wɔde kɔ XC Medico aguadi kuw no mu ntɛmntɛm.
9. XC Medico kuw no ho sɔhwɛ foforo a ɛyɛ papa.
10. Di wo XC Medico nhyehyɛe no akyi fi mfiase kosi awiei.
Tibial intramedullary nail instrument set no yɛ oprehyɛn nnwinnade titiriw a wɔayɛ ama tibia no mu abubu, titiriw diaphyseal (shaft) abubu. Tibia, anaa shinbone, yɛ kɛse na ɛyɛ den sen nnompe abien a ɛwɔ nan ase no. Mmubui a ɛwɔ saa beae yi abu so, titiriw esiane ahoɔden kɛse a ɛyɛ hu, agumadi mu apirakuru, ne akwanhyia a ɛba wɔ akwan so nti.
Nnadewa a ɛwɔ intramedullary mu no yɛ abaa tenten a ɛyɛ tratraa, a wɔtaa de nneɛma a ɛne no hyia te sɛ titanium anaa dade a ɛnyɛ den na ɛyɛ, na ɛma ahoɔden ne ahoɔden a wɔde yɛ adwuma bom. Wɔayɛ nnadewa no sɛnea ɛbɛyɛ a ɛbɛfata tibia no medullary canal no mu na ɛwɔ ne tenten ne ne ntwemu ahorow a ɛsono sɛnea ɛbɛyɛ a ɔyarefo no nipadua mu ntini a ɛyɛ mmerɛw ne sɛnea ɛpaapae no.
Ade titiriw a ɛho hia wɔ tibial nnadewa no mu ne afiri a wɔde to mu. Nnadewa no ka ntokuru a wɔadi kan atwe a ɛma wotumi de nkɔnsɔnkɔnsɔn a wɔde to mu no gu n’afã abien no nyinaa (ɛbɛn ne akyirikyiri). Saa nkɔnsɔnkɔnsɔn yi hwɛ hu sɛ dompe asinasin no bɛkɔ so ayɛ den, asiw nkyinkyim ano, na ɛma nnadewa no yɛ adwuma sɛ ade a wɔde gyina dompe no ano a ɛyɛ pintinn.
Nea ɛka set no ho ne jigs anaa akwankyerɛ ahorow a wɔde wɔn ani si so, a ɛboa ma wɔde nkɔnsɔnkɔnsɔn a wɔde to mu no si hɔ pɛpɛɛpɛ fa ntokuru a wɔadi kan atutu wɔ nnadewa no mu no mu. Eyi hwɛ hu sɛ nkɔnsɔnkɔnsɔn no ne nnadewa no hyia yiye na ɛma ɛkyinkyini ne axial stability to fracture site.
Wɔtaa de reaming nhyehyɛe ka ho, na ɛma oduruyɛfo a ɔyɛ oprehyɛn no tumi siesie medullary canal no denam nnompe mu nneɛma a asɛe a wobeyi afi hɔ na ayɛ ɔkwan a ɛyɛ mmerɛw a wɔfa so de nnade hyɛ mu no so. Saa anammɔn yi ho hia wɔ misalignment a wosiw ano ne hwɛ a wɔhwɛ sɛ nnadewa no hyɛ dompe no mu yiye, na ɛtew asiane a ɛwɔ hɔ sɛ wɔde bɛhyɛ nipadua no mu anaasɛ ebetumi adi huammɔ no so.
Sɛnea wɔayɛ tibial IM nnadewa no nyinaa ne ne nnwinnade a ɛne no hyia no gyina oprehyɛn kwan a ɛnyɛ den pii so. Eyi ma oprehyɛn no mu ntwitwiridii no kɛse so tew, ɛtew ntini a ɛyɛ mmerɛw a ɛsɛe ade no so, ɛtew asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no so, na ɛma bere a wɔde ma ho tɔ no ntɛmntɛm no so tew.
Adwinnade a wɔde ahyɛ mu no taa ka nnadewa a ɛsono ne tenten, ne tenten, ne ne ntwemu ho, na ɛma ɛyɛ nea ɛfata ma ɛne tibial fractures ahorow hyia, efi nea ɛnyɛ den so kosi nea ɛyɛ comminit so, na ɛhwɛ hu sɛ wɔde nnadewa a ɛfata di dwuma ma ɔyarefo biara ahiade pɔtee.
Mfaso titiriw biako a ɛwɔ tibial intramedullary nnadewa no so ne sɛ ɛma wotumi boaboa ɔyarefo no ano ntɛm. Esiane sɛ wɔde nnadewa no hyɛ medullary canal no mu nti, ɛma tibia no gyina mu denneennen, na ɛma ayarefo no tumi soa wɔn nan no mu duru wɔ oprehyɛn no akyi bere tiaa bi.
Intramedullary gyinabea a tibial nail no ma biomechanical ahoɔden a ɛkorɔn sɛ wɔde toto fixation ahorow afoforo te sɛ mprɛte ne abɔnten fixation mfiri ho. Ɛdenam tibia no mfinimfini abura no a wɔde di dwuma so no, nnadewa no kyɛ adesoa a ɛda dompe ne nea wɔde hyɛ mu no ntam no, na ɛtew adwennwen a ɛwɔ nea wɔde hyɛ nipadua no mu no so na ɛma asiane a ɛwɔ hɔ sɛ mfiri bedi huammɔ no so tew.
Adeyɛ no su a ɛnyɛ den pii no ma wonya bere a wɔde ho tɔ wɔn ntɛmntɛm na asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no so tew. Nneɛma nketenkete a wɔatwa a ɛho hia na wɔde ahyɛ nnadewa mu no ma ntini a ɛyɛ mmerɛw a ɛyɛ hu, mogya a ɛyera, ne oprehyɛn no nyinaa so tew.
Tibial intramedullary nail no yɛ nea wotumi de di dwuma kɛse na wobetumi de ayɛ tibial fractures ahorow pii, a nea ɛka ho ne transverse fractures a ɛnyɛ den, oblique fractures, spiral fractures, comminited fractures, ne fractures a ɛwɔ displacement kɛse.
Nnadewa no afiri a wɔde to mu no hwɛ hu sɛ mpaapaemu asinasin no bɛkɔ so ayɛ pɛ na ayɛ den wɔ ayaresa no nyinaa mu. Eyi ma asiane a ɛwɔ hɔ sɛ nsɛnnennen te sɛ nkabom (baabi a akisikuru no nsa ho yare) ne malunion (a ɛma akisikuru no sa wɔ gyinabea a ɛnteɛ) no so tew. Nnadewa no a wɔde kyekyɛ ade no nso ma abɔde mu nnompe sa denam micromovement a ɛma kwan ma ɛkɔ baabi a abubu no so, a wonim sɛ ɛkanyan nnompe a ɛsan yɛ foforo no.
Sɛ wɔde toto mprɛte a wɔde hyɛ mu a ɛde adwennwen kɛse ba nea wɔde hyɛ nipadua no mu no so a, tibial intramedullary nail no wɔ asiane a ɛwɔ hɔ sɛ wɔde bɛhyɛ mu no so tew. Wɔayɛ nnadewa no sɛnea ɛbɛyɛ a ebetumi agyina nipadua mu nhyɛso ahorow a wɔde si tibia no so bere a wɔreyɛ nneɛma a emu yɛ duru no ano, na ɛma ɛyɛ ano aduru a ɛtra hɔ kyɛ na wotumi de ho to so ma akisikuru a wɔde hyɛ mu.
Nnadewa tenten ne ne ntwemu a ɛfata a wɔbɛpaw no ho hia kɛse na ama wɔatumi ayɛ nea eye sen biara na wɔatew asiane a ɛwɔ nsɛnnennen te sɛ nnadewa a wɔde tu kwan anaa nea ɛnyɛ papa mu no so. Ɛsɛ sɛ nnuruyɛfo a wɔyɛ oprehyɛn no hwɛ ɔyarefo no nipadua ne sɛnea ne mu paapae no yiye denam mfonini a wɔyɛ ansa na wɔayɛ oprehyɛn te sɛ x-ray anaa CT mfonini ahorow so de paw nea ɛfata a wɔde hyɛ nipadua no mu.
Sɛnea wɔde nkɔnsɔnkɔnsɔn a wɔde to mu no si hɔ no yɛ ade a ɛyɛ den wɔ mfiridwuma mu wɔ ɔkwan a wɔfa so yɛ no mu. Sɛ wɔde obi si hɔ a ɛmfata a, ebetumi de nsɛnnennen te sɛ malrotation, nea entumi nnyina, anaasɛ mpo ntini a ɛyɛ mmerɛw a atwa ho ahyia anaa ntini mu ntini a ɛyɛ adwuma no asɛe.
Ɛsɛ sɛ wɔhwɛ yiye na wɔakwati sɛ wɔbɛtrɛw nnadewa no mu ankɔ kotodwe anaa anan no mu, efisɛ eyi betumi ama nkwaa no ayɛ den anaasɛ asɛe ntini no ntini no. Wɔ mpaapaemu a ɛbɛn nkwaa no mu no, nnuruyɛfo a wɔyɛ oprehyɛn no betumi asusuw akwan foforo a wɔfa so de si hɔ anaa nnadewa a ɛyɛ tiaa a wɔde besiw iatrogenic opira ano mma nkwaa no.
Ɛwom sɛ ɔkwan a wɔfa so yɛ no a ɛnyɛ den pii no ma asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no so tew de, nanso aseptic kwan a ɛfata ne kuru akyi kuru a wɔhwɛ so no da so ara ho hia na amma obi atumi anya ɔyare no.
Wɔ ayarefo a wɔn nnompe mu yɛ den anaasɛ wɔn nnompe nyɛ papa mu no, ebia tibial intramedullary nail no behia mmoa foforo, te sɛ nnompe a wɔde bɛhyɛ mu anaasɛ semɛnte a wɔbɛma ayɛ kɛse, na ama wɔatumi ahyɛ mu yiye.
Tibial intramedullary nail instrument set gua no behu nkɔso kɛse wɔ mfe a ɛreba no mu esiane nkɔso a aba wɔ nnompe ho mfiridwuma mu, nnipa dodow a wɔrebɔ akwakoraa ne aberewa, wɔn mu apaapae a ɛkɔ soro, ne hia a ehia sɛ wɔyɛ nnompe mu oprehyɛn ano aduru a ɛnyɛ den pii nti. Saa nneɛma yi resan asiesie asase a ɛfa apirakuru ho hwɛ ne nnompe ho oprehyɛn ho, na ɛde tibial intramedullary nail instrument a wɔde asi hɔ no asi hɔ sɛ ade titiriw a ɛma wotumi di akisikuru ho dwuma wɔ mfe a ɛreba no mu.
Sɛ yɛde rewie a, tibial intramedullary nail instrument ahorow yɛ nnwinnade a ɛho hia ma nnompe ho oprehyɛn ho animdefo a wɔsa tibial fractures. Ɛdenam nnwinnade a ɛkorɔn a wɔpaw so no, nnuruyɛfo a wɔyɛ oprehyɛn no betumi ama wɔn akwan horow no ayɛ adwuma yiye, ayɛ no pɛpɛɛpɛ, na nea efi mu ba no atu mpɔn.
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