Intramedullary nails in modern orthopedics: tulonkɛ fɛn caman tigɛli la kari fixation kɔnɔ.

Daminɛ kuma

Orthopedic trauma care jiginna kosɛbɛ sanw kɔnɔ, ni intramedullary (IM) wuluw jɔyɔrɔ ka bon kosɛbɛ bi kari fixation na. O fɛnw kɛra fura ɲuman ye walasa ka kolo karilen janw sabati ka da u ka doncogo dɔgɔyali kan, biomekanikini jogo ɲumanw, ani u kɛnɛyali waati teliya.

Ni ɲɛtaa kɛra fɛnw doncogo la, fɛnw na, ani opereli fɛɛrɛw la, sisan, baarakɛminɛn dɔ bɛ yen min bɛ se ka da u kan, o bɛ se ka kɛ ka kariw furakɛ ka ɲɛ. Nin barokun in bɛ a lajɛ kosɛbɛ im nails bɛ baara kɛ cogo min na, u ka nafaw, u ka baarakɛcogo jɛlenw, u ka ko kura kɛlenw kɔsa in na, ani mun na u bɛ ka caya Ɛsipaɲɔlikan fɔbagaw ka maraw kɔnɔ ani Azi Saheli-Kɔrɔn fɛ.

Faamuyali intramedullary nails: U ye mun ye?

Nɛgɛbere minnu bɛ sɔrɔ dɔgɔtɔrɔso kɔnɔ, olu ye nɛgɛbere janw ye minnu bɛ don kolo la, minnu bɛ don kolo kɔnɔ walasa ka dɛmɛ don ka kariw labɛn ani ka u sabati. U dilannen don ni titaniyɔmu walima nɛgɛ ye, u bɛ siri ni sirilanw ye u kun fila bɛɛ la, ka lamaga-lamagaliw bali minnu man ɲi i n’a fɔ jiginni ani surunyali.

Ɲɛgɛn suguya minnu bɛ sɔrɔ fɛnɲɛnamafagalanw kɔnɔ .

IM Nails bɛ sɔrɔ cogoya ni bonya wɛrɛw la, u kelen-kelen bɛɛ dabɔra kolo kɛrɛnkɛrɛnnenw ni karicogoyaw kama:

Femoral reconstruction intramedullary nail .

– A bɛ kɛ ka senkɔniw kari gɛlɛnw kɛ, kɛrɛnkɛrɛnnenya la subtrochanterie fractures.

Humeral intramedullary nail .

– A dabɔra ka Humerus shaft ni proximal humerus fractures sabati.

PFNA (Fémoral ongles antirotation) .

– A ka ɲi ka ɲɛsin senkɔniw karilenw ma, kɛrɛnkɛrɛnnenya la banabagatɔ kɔrɔbaw la minnu koloci bɛ u la.

Femoral intramedullary nail .

– Option standard ka ɲɛsin diaphyseal femur fractures ma.

Tibia intramedullary nail .

– taa-ka-segin sugandili tibial shaft fractures la, ka kɛnɛya waati dɔgɔya.

Kɔnɔbara basigilen intramedullaire .

– A dabɔra senkɔniw karili yɔrɔjanw kama, ka a sabati ka ɲɛ.

Humerus min bɛ kɛ ni fɛn caman ye, o bɛ kɛ ni nail ye .

– A bɛ da tugucogo caman di, ka sabatili wɛrɛ di humeral fractures gɛlɛnw ma.

Titanium Elastikiw (Ten) .

– A bɛ kɛ ka caya denmisɛnw ka kariw la k’a sababu kɛ a jɔcogo ye min bɛ se ka wuli.

Mun na intramedullary nails bɛ ka kari fixation caman sɛmɛntiya .

kɛnɛya teliya la ani mobili kɔnɔ joona .

IM Nails nafa belebele dɔ ye u ka se ka dɛmɛ don farikolo girinya la joona. Sɛgɛsɛgɛliw y’a jira ko banabagatɔ minnu bɛ im nailing kɛ kariw kama, olu bɛ se ka u farikolo yɔrɔ dɔw girinya daminɛ dɔgɔkun 4-6 kɔnɔ, ni i ye o suma ni dɔgɔkun 8-12 ye minnu furakɛra ni laadalata ye. O taamacogo fɔlɔ bɛ kɛnɛya teliya ani ka farikolo-ɲɛnajɛ-banaw dɔgɔya.

Opereli min bɛ kɛ ni fɛn fitinin ye .

A tɛ i n’a fɔ laadalata fixation fɛɛrɛw i n’a fɔ platiw, minnu ka teli ka tigɛ ni tigɛba ye ani ka farikolo yɔrɔ nugulamaw tigɛtigɛ kosɛbɛ, IM wuluw bɛ se ka don tigɛli misɛnninw fɛ. O bɛ dɔ bɔ opereli joginda la, ka banakisɛw sɔrɔli farati dɔgɔya, wa o bɛ na ni dɔgɔtɔrɔso ladonni surunyali ye.

Biomechanical sabatili ka bon .

Ikomi IM nɛgɛw bɛ bila kolo kɔnɔ, u bɛ bɛn farikolo ka girinya-da-minɛ-yɔrɔ ma, o bɛ sabatili barikama di torsional ani axial ma. Nin dilan in bɛ farikolo ka biomekanikiw ladege, ka fɛnw doncogo dɛsɛ faratiw dɔgɔya.

Gɛlɛya minnu bɛ sɔrɔ olu la .

Ni an ye a suma ni platiw ni kɛnɛma fixateurs ye, IM nails ka gɛlɛya hakɛ ka dɔgɔn. Baara kɛli ni juruw ye minnu bɛ ɲɔgɔn minɛ, o bɛ kolo surunyali ni a kɛcogo jugu bali, o bɛ dɔ bɔ balodɛsɛ walima farikolojɔbaliya sɔrɔli la.

Kɔnɔnatumuw ka baarakɛcogo jɔnjɔnw kolotugudaw la .

Femoral shaft fractures .

Senkɔniw kari, kɛrɛnkɛrɛnnenya la diafise kari, olu bɛ furakɛ ka ɲɛ ni IM wuluw ye. Kɔlɔsiliw y’a jira ko senkɔniw kari 95% bɛ furakɛ ni IM wuluw ye kalo wɔɔrɔ kɔnɔ ni opereli kɔfɛ furakɛli ɲuman kɛra.

Tibial shaft fractures .

Tibial fractures ka teli ka kɛ ni fanga caman ye, i n’a fɔ mobili kasaara ani farikoloɲɛnajɛ joginw. IM nailing bɛ a to mɔgɔ ka girinya joona, o min nafa ka bon kosɛbɛ walasa ka gɛlɛyaw bali i n’a fɔ sigida la.

humeral fractures .

IM nails bɛ baarakɛcogo ɲuman di ka tɛmɛ plate kan humeral shaft fractures, kɛrɛnkɛrɛnnenya la banabagatɔ kɔrɔbaw fɛ minnu kolow kolow bɛ kolo.

Kɔrɔya ni kolotugudaw karilenw .

Ni mɔgɔw bɛ ka kɔrɔbaya Mɛkisiki, Berezili, Ɛndonezi ani Filipine jamana na, farikolo yɔrɔ dɔw karilenw bɛ ka caya ka taa a fɛ. PFNA wuluw bɛ se ka kɛ kɛrɛnkɛrɛnnenya la nin kariw furakɛli la, o bɛ jiginni sabatili ɲuman di banabagatɔw ma minnu kolow ka gɛlɛn.

Kokura minnu kɛra kɔsa in na intramedullary nailing kɔnɔ .

IM nails minnu bɛ se ka tiɲɛ ani minnu bɛ se ka banakisɛfagalanw di u ma .

Sɛgɛsɛgɛli kura kɛra sababu ye ka IM wuluw labɛn minnu bɛ se ka tiɲɛ ani minnu bɛ banakisɛfagalanw ta, olu bɛ dɛmɛ ka banakisɛw hakɛ dɔgɔya ani ka kolo kɛnɛyali teliya.

3D-printed custom im nails .

Sisan, fɛn dilannikɛlaw bɛ ka baara kɛ ni 3D sɛbɛnni fɛɛrɛ ye walasa ka IM nails labɛn ka kɛɲɛ ni mɔgɔw sago ye, o bɛ kɛ sababu ye ka banabagatɔ kelen-kelen bɛɛ ka farikololabɔli kɛcogo ɲuman sɔrɔ.

Fɛɛrɛ minnu bɛ kɛ ka ɲɛsin fɛnw datugucogo ma .

Nail sitɛmu caman daminɛni ye sabatili ɲɛ ka bɔ kariko gɛlɛnw na, ka operelikɛlaw dɛmɛ ni fɛɛrɛ caman ye walasa ka fixation kɛ ka kɛɲɛ ni u yɛrɛ sago ye.

Suguda taabolo: Mun na ɲinini bɛ ka bonya Ɛsipaɲikan fɔbagaw & Azi Saheli-Kɔrɔn fɛ .

A bɛ ka caya ka taa a fɛ.

Ameriki Latin ani Azi Saheli-Kɔrɔn fɛ, sirako kasaara hakɛ caman bɛ yen diɲɛ kɔnɔ. Diɲɛ kɛnɛyatɔnba (OMS) ka fɔ la, mɔgɔ miliyɔn 1,35 ni kɔ bɛ sa san o san, sirako kasaara kosɔn, o bɛ kɛ sababu ye ka kari furakɛli kɛ ɲɛtaa kunba ye.

Kɛnɛyako yiriwali siratigɛ la .

Jamana minnu bɛ i n’a fɔ Mɛkisiki, Tayilandi ani Ɛndonezi, olu bɛ ka wari caman bila kɛnɛyako ɲɛnabɔli la, o bɛ na ni kolotugudaw tali ye ka caya i n’a fɔ IM Nails.

Titanium im nails ka ɲɛtaa bɛ ka bonya .

Titanium nails bɛ ka sama ka bɔ u ka biocompatibilité la, u ka nɔgɔya cogoya la, ani u ka corrosion resistance. Jamana minnu bɛ i n’a fɔ Kolonbi ani Vietnam, olu bɛ ka wuli ka taa Titanium im Nails fan fɛ joginda dɔgɔtɔrɔsow ɲɛmɔgɔw la.

Cogo min na feerekɛlaw bɛ se ka nafa sɔrɔ IM Nail sugu la min bɛ ka bonya .

Gɛlɛyaw bɛ sɔrɔ tilali la .

sariyasunba ka sɔnniw (misali la, Cofepris in Mexico, BPOM Ɛndonezi).

Import baara ani fɛnw dilancogo ɲɛnabɔli.

Jamanadenw ka sababuw .

jɛɲɔgɔnya kɛ ni kolotugudaw dɔgɔtɔrɔsow ni joginda yɔrɔw ye.

Opereli kalan bolodalenw dicogo la, minnu bɛ kɛ ka ɲɛsin fɛnw doncogo kura ma.

ka FDA- ni CE-seerew di walasa ka dɔgɔtɔrɔso sanni sariyaw dafa.

Kuncɛli

Kɔnɔbara kɔnɔ wuluw ye kari fixation caman sɛmɛntiya u kɛtɔ ka furajiw dilan minnu bɛ se ka kɛ fɛn fitininw ye, minnu bɛ se ka kɛ biomekaniki ye, ani minnu bɛ se ka girinya joona. U ka ɲininiw bɛ ka taa a fɛ ka wuli Ɛsipaɲɔlikan fɔbagaw ni Azi Saheli-Kɔrɔn fɛ, feerekɛlaw ni kɛnɛyabaarakɛlaw ka kan ka to kunnafoni na fɛɛrɛ kuraw ni suguya taabolo kan.

Operelikɛlaw fɛ, u faamuyali bɛ kɛ ka ɲɛ ka banaw kunbɛn. Jagokɛlaw fɛ, ka wari bila IM Nails ni kalan bolodalenw na minnu ka ɲi, o bɛ se ka dɛmɛ don ka suguya seko bonya ani ka jɛɲɔgɔnya barikamaw sigi sen kan kolotugudaw la.