![Intramedullaire Nails in Modern Orthopedics A Game-Changer in Fracture Fixation.]( "Intramedullary Nails in Modern Orthopedics A Game-Changer in Fracture Fixation？")
Daminɛ kuma
Jolilabanaw ladonni yiriwara kosɛbɛ sanw kɔnɔ, ni wuluwulu minnu bɛ ɲɛgɛnɛsira kɔnɔ (IM) jɔyɔrɔ ka bon bi karilenw jɔli la. Nin fɛn dontaw kɛra fura ɲuman ye kolo karilen janw sabatili la k’a sababu kɛ u tɛ don kosɛbɛ, u ka biyomekanikini nafa ka bon, ani u kɛnɛyali waati teliya.
Ikomi ɲɛtaa kɛra fɛn dontaw dilanni na, a kɛcogo la, ani a kɛcogo la, sisan, kolotuguda operelikɛlaw bɛ ni baarakɛminɛn ye min bɛ se ka da a kan walasa ka karilenw furakɛ ka ɲɛ. Nin barokun in bɛ IM nɛgɛw baaracogo lajɛ kosɛbɛ, u nafaw, u kɛcogo ɲɔgɔn fɛ, fɛn kura minnu kɛra kɔsa in na, ani mun na u bɛ ka diya Ɛsipaɲɔlikan fɔbagaw ka maraw la ani Azi saheli-kɔrɔn fɛ.
Kɔnɔbara kɔnɔ nɛgɛberew ye nɛgɛbere janw ye minnu barika ka bon, minnu bɛ don kolotugudaw la walasa ka dɛmɛ don ka karilenw labɛn ani ka u sabati. U dilannen don ni titaniyɔmu walima nɛgɛ ye min tɛ sɔgɔ, u sirilen don ni dakun fila bɛɛ la minnu bɛ u datugu, o bɛ lamaga-lamagaliw bali minnu man ɲi i n’a fɔ jiginni ni surunyali.
Intramedullary Nails suguyaw
IM wuluw cogoya ni u bonya tɛ kelen ye, u kelen-kelen bɛɛ dabɔra kolo kɛrɛnkɛrɛnnenw ni kari cogoyaw kama:
– A bɛ kɛ senkɔniw karilenw na minnu ka gɛlɛn, kɛrɛnkɛrɛnnenya la senkɔniw karilenw.
– A dabɔra walasa ka kɔkolo sɔgɔsɔgɔninjɛ ni kɔkolo kɛrɛfɛla karilenw sabati.
– A ka ɲi senkɔni gɛrɛgɛrɛ karilenw na, kɛrɛnkɛrɛnnenya la banabagatɔ kɔrɔbaw la minnu koloci bɛ u la.
– Sugandili kɛcogo kɔrɔlen don senkɔniw karilenw na.
– Taa-taama sugandili ye senkɔniw karilenw na, ka kɛnɛya waati dɔgɔya.
– A dabɔra senkɔni yɔrɔjan karilenw kama, ka a to a bɛ bɛn ɲɔgɔn ma ka ɲɛ.
– A bɛ da tugucogo caman di, ka sabatili wɛrɛ di kɔkolo karilen gɛlɛnw ma.
– A ka teli ka kɛ denmisɛnw ka karilenw na k’a sababu kɛ a jɔcogo ye min bɛ se ka wuli.
Mun na wuluwuluw bɛ ka kariw jɔcogo sɛmɛntiya
Kɛnɛya teliya ani ka taama joona
IM nɛgɛw nafa belebele dɔ ye u ka se ka girinya tacogo dɛmɛ joona. Sɛgɛsɛgɛliw y’a jira ko banabagatɔ minnu bɛ IM sɔgɔsɔgɔ kariw kama, olu bɛ se ka girinya yɔrɔ dɔ tali daminɛ dɔgɔkun 4-6 kɔnɔ, ni i ye o suma ni dɔgɔkun 8-12 ye minnu furakɛra ni laadala furakisɛw ye. O taama joona in bɛ kɛnɛya teliya ani ka farikolojidɛsɛ farati dɔgɔya.
Opereli min tɛ fɛn caman kɛ
A tɛ i n’a fɔ laadala fixation fɛɛrɛw i n’a fɔ platiw, minnu ka teli ka kɛ ni tigɛba ye ani ka farikolo yɔrɔ nɔgɔlenw tigɛcogo nafama kɛ, IM nɛgɛw bɛ se ka don tigɛ misɛnninw fɛ. O bɛ dɔ bɔ opereli joginda la, ka banakisɛw sɔrɔli farati dɔgɔya, ani ka kɛ sababu ye ka dɔgɔtɔrɔso la waati kunkurunnin kɔnɔ.
Stabilité Biomecanique Superieur (Sɛbɛnni Biomekaniki) min ka bon kosɛbɛ
Ikomi IM nɛgɛw bɛ bila kolo kɔnɔ, u bɛ bɛn farikolo ka girinya-taama-yɔrɔ dafalen ma, o bɛ kɛ sababu ye ka torsional ni axial sabatili barikama di. O dilancogo bɛ farikolo ka biyomekanikiniw ladege, o bɛ dɔ bɔ farikolo doncogo dɛsɛ faratiw la.
Gɛlɛyaw farati ka dɔgɔn
Ni aw ye a suma ni platiw ni kɛnɛma fiɲɛbɔlanw ye, IM nɛgɛw ka gɛlɛya hakɛ ka dɔgɔn. Ni aw bɛ baara kɛ ni juruw ye minnu bɛ ɲɔgɔn siri, o bɛ kolo surunyali ni u ma bɛn ɲɔgɔn ma, o bɛ dɔ bɔ ɲɔgɔndɛmɛbaliya walima ɲɔgɔndɛmɛbaliya la.
Intramedullary Nails kɛcogo jɔnjɔnw kolotugudaw furakɛli la
Senkɔni-yɔrɔ karilenw
Senkɔniw karilenw, kɛrɛnkɛrɛnnenya la diaphyse karilenw, olu furakɛ ka fisa ni IM nɛgɛw ye. Kɔlɔsiliw y’a jira ko senkɔniw karilen minnu furakɛra ni IM nɛgɛw ye, olu 95% bɛ kɛnɛya kalo wɔɔrɔ kɔnɔ ni opereli kɔfɛ ladonni ɲuman kɛra.
Tibial Shaft (Tibial Shaft karilenw).
Tibial karilenw ka teli ka kɛ ni fanga caman bɛ mɔgɔ minnu na, i n’a fɔ mobili kasaara ani farikoloɲɛnajɛ joginw. IM nailing bɛ sira di girinya ta joona, o min nafa ka bon kosɛbɛ gɛlɛyaw kunbɛnni na i n’a fɔ compartiment syndrome.
Humeral Fractures (Sɔgɔsɔgɔninjɛ karilenw).
IM wuluw bɛ baara kɛcogo ɲuman di ka tɛmɛ platiw kan minnu bɛ wuluwuluw karilenw na, kɛrɛnkɛrɛnnenya la banabagatɔ kɔrɔbaw minnu kolotugudaw bɛ u la.
Mɔgɔkɔrɔbaw ni koloci karilenw
Ni jamanaden kɔrɔbayara Mɛkisiki, Berezil, Ɛndonezi ani Filipine jamanaw na, senkɔniw karilenw bɛ ka caya ka taa a fɛ. PFNA wuluw bɛ se kɛrɛnkɛrɛnnenya la nin kari ninnu furakɛli la, u bɛ jiginni sabatili sabatili di banabagatɔw ma minnu kolo karilen don.
Kɔsa in na, fɛn kura minnu kɛra Intramedullary Nailing la
IM Nails minnu bɛ se ka tiɲɛ ni banakisɛfagalanw ye
Sɛgɛsɛgɛli kura kɛra sababu ye ka IM nɛgɛw dilan minnu bɛ se ka tiɲɛ ani banakisɛfagalanw bɛ minnu na, o bɛ dɛmɛ ka banakisɛw hakɛ dɔgɔya ani ka kolo kɛnɛyali teliya.
3D-Imprimés Custom IM Nails
Sisan, fɛn dilannikɛlaw bɛ ka baara kɛ ni 3D sɛbɛnni fɛɛrɛ ye walasa ka IM wuluw dilan minnu bɛ kɛ ka kɛɲɛ ni u yɛrɛ sago ye, o bɛ kɛ sababu ye ka banabagatɔ kelen-kelen bɛɛ farikololabɛncogo ɲuman sabati.
Kɔlɔsili fɛɛrɛ kɔrɔlenw
Nail systems multi-locking systems donna sen kan, o ye sabatili ɲɛ kari karilen gɛlɛnw na, o kɛra sababu ye ka sugandi caman di operelikɛlaw ma walasa ka fixation (fixation) kɛ ka kɛɲɛ ni u yɛrɛ sago ye.
Suguda taabolo: Mun na ɲinini bɛ ka bonya Ɛsipaɲɔlikan fɔbagaw ka maraw la & Azi saheli-kɔrɔn fɛ
Dɔ farala Trauma Cases kan
Ameriki Latin ani Azi Saheli-Kɔrɔn fɛ, sirako kasaara hakɛ ka ca diɲɛ kɔnɔ. Diɲɛ kɛnɛyatɔn (OMS) ka fɔ la, mɔgɔ miliyɔn 1,35 ni kɔ bɛ sa san o san siraba kasaara kosɔn, o b’a to kariw furakɛli ye u ɲɛnako fɔlɔ ye.
Kɛnɛyako siratigɛ la, ka bonya
Jamana minnu bɛ i n’a fɔ Mɛkisiki, Tayilandi ani Ɛndonezi, olu bɛ ka wari caman don kɛnɛyako ɲɛtaa la, o de kɛra sababu ye ka dɔ fara kolotugudaw tali kan i n’a fɔ IM nɛgɛw.
Titanium IM Nails (Titanium IM Nails) ka ɲɛɲini min bɛ ka bonya
Titaniyɔmu nɛgɛw bɛ ka girinya sɔrɔ k’a sababu kɛ u ka biyocompatibility ye, u ka nɔgɔn, ani u tɛ se ka sɔgɔsɔgɔ. Jamana minnu bɛ i n’a fɔ Kolonbi ani Vietnam, olu bɛ ka wuli ka taa titaniyɔmu IM nɛgɛw la, joginda dɔgɔtɔrɔso ɲɛmɔgɔw la.
Cogo min na jatebɔlaw bɛ se ka nafa sɔrɔ IM Nail sugu la min bɛ ka bonya
Gɛlɛya minnu bɛ sɔrɔ tilali la
Sariyasunw ka sɔnniw (misali la, COFEPRIS Mɛkisiki, BPOM Ɛndonezi jamana na).
Import duties ani supply cakɛda ɲɛnabɔli.
Cogoyaw bɛ sɔrɔ Jagokɛlaw fɛ
Jɛɲɔgɔnya kɛli ni kolotugudaw dɔgɔtɔrɔsow ni joginda furakɛli yɔrɔw ye.
Operelikɛlaw ka kalan bolodalenw dicogo ka ɲɛsin fɛnw doncogo fɛɛrɛ kuraw ma.
FDA ni CE ka sɛgɛsɛgɛli kɛlenw ka fɛnw di walasa ka dɔgɔtɔrɔso sanni sariyaw dafa.
Kuncɛli
Nɛgɛ minnu bɛ ɲɛgɛnɛsira kɔnɔ, olu ye kariw jɔcogo caman sɛmɛntiya, u kɛtɔ ka furaw di minnu tɛ fɛn caman kɛ, minnu barika ka bon biyomekaniki la, ani minnu bɛ girinya ta joona. Ikomi u ɲinini bɛ ka caya Ɛsipaɲɔlikan fɔbagaw ka maraw la ani Azi saheli-kɔrɔn fɛ, u ka kan ka to ka kunnafoni sɔrɔ fɛɛrɛ kuraw ni suguyaw kan.
Operelikɛlaw fɛ, ni u ye IM sɔgɔli kɛcogo ɲumanw faamuya, o bɛ banabagatɔ ka kɛnɛya sabati. Jagokɛlaw fɛ, ka wari bila IM nɛgɛw ni kalan bolodalenw na minnu ka ɲi kosɛbɛ, o bɛ se ka dɛmɛ don ka suguw sɔrɔli bonya ani ka jɛɲɔgɔnya barikamaw sigi senkan kolotugudaw baara la.
