Intramedillary imisumari muri orthopedietics igezweho: Umukino-uhindura umukino wo gukosorwa?

Intangiriro

Ubuvuzi bwa orthopedique bwahindutse cyane mumyaka, hamwe na inttttttttttttttttttttttttttabomerlary (im) gukina imbaraga zikomeye mugukosora ikosorwa. Izi mpinduro zabaye igisubizo cyatoranijwe cyo guhagarika amagufwa maremare kubera inzara zabo ntoya, imitungo yo hejuru ya biomenical, nibihe byihuse byo gukira.

Hamwe niterambere mu gishushanyo mbonera, ibikoresho, nuburyo bwo kubaga, kubaga amagufwa ubu bafite igikoresho cyizewe cyo kuvura neza. Iyi ngingo irareba neza uko imibiri idakora, ibyiza, ikoreshwa rusange, udushya duherutse, n'impamvu zikunzwe mukarere kivuga icyesipanyoli no mu majyepfo yuburasirazuba.

Gusobanukirwa Inzara zinjira: Niki?

Imisumari ya Intramedillary ni ndende, icyuma cyicyuma cyinjijwe mu cyuho cyagutse bwo gufasha guhuza no guhagarika imivurungano. Byakozwe muri titanium cyangwa ibyuma bitagira ingano, bifite umutekano ufunze ku mpande zombi, kubuza ingendo zidashaka nko kuzunguruka no kugabanya.

Ubwoko bw'imisumari y'inyoni

Im imisumari ize muburyo butandukanye, buri kimwe cyagenewe amagufwa yihariye no kuvunika:

Kwiyubaka kw'intwaro Intemererlary Umusumari

- ikoreshwa mu kuvunika femoral igoye, cyane cyane kuvura superrochanterIc.

Interinyamubiri

- Yashizweho kugirango ihuze na Humerus Shaft hamwe no kuvunika humerus.

PFNA (Umusaruro wa femoral wa femoral Antirotation)

- Nibyiza kubiranganya femur fexime, cyane cyane mubarwayi bageze mu zabukuru bafite Osteoporose.

Intera ya femoramedlary Umusumari

- Amahitamo asanzwe yo kuvunika diaphyseal femur.

Tibia Intramedilllary Umusumari

- Kujya guhitamo kumiterere yigiti, kugabanya igihe cyo gukiza.

Yahinduye inkuta z'umunya femoral

- Yagenewe kuvunika femoral ya kure, iremeza neza.

Lock-Lock Humerus Intramedill Umusumari

- Tanga uburyo bwinshi bwo gufunga, gutanga umutekano winyongera kubijyanye nubusonga bugoye.

Titanium Elastigi Umusuko (icumi)

- Mubisanzwe bikoreshwa mububiko bwa pediatric bitewe nuburyo bworoshye.

Impamvu Imisumari Intramedilllary ihindura ibicuruzwa

Gukira vuba no kugenda

Imwe mu nyungu nini ya IM Imbaraga zabo nubushobozi bwabo bwo gushyigikira ibiro. Ubushakashatsi bwerekana ko abarwayi bahuye n'imisumari ku mikorere bishobora gutangira ibiro by'imirenge mu byumweru 4-6, ugereranije n'ibyumweru 8-12 kubavuwe nisahani gakondo. Iyi mikingu ikiri ntoya yihutisha gukira kandi igabanya ibyago byo gutega amacakubiri.

Kubaga bike

Bitandukanye nuburyo gakondo bukosorwa nka plate, akenshi bisaba ibirimo binini kandi bikaba byoroshye gutandukana kwangiza, im imisumari ishobora kwinjizwamo binyuze mubice bito. Ibi bigabanya ihungabana ryo kubaga, bagabanya ibyago byo kwandura, kandi biganisha ku bitaro bigufi.

Umutekano wo muri biomenical

Kubera ko im imisumari ishyirwa imbere mumagufwa, bahuriza hamwe na axis ifite uburemere bwumubiri, butanga umutekano wa torsional kandi wuzuye. Iki gishushanyo kigana ibinyabuzima karemano yumubiri, bigabanya ingaruka zidasanzwe.

Ingaruka ntoya y'ibibazo

Ugereranije ibyapa hamwe nibiporizo ​​byo hanze, im imisumari bifite ibiciro byoroheje. Gukoresha imiyoboro yo gukomeza kugabanya amagufwa no kudacogora, kugabanya amahirwe yo gukora masaminyako cyangwa kuba adanion.

Ibisabwa byingenzi byimisumari muri orthopedics

Shaft Fractrale

Kuvunika femoral, cyane cyane kuvura diaphyseal diaphyseal, nibyiza kuvurwa hamwe na IM. Ubushakashatsi bwerekana ko 95% byo kuvunika femoral bivurwa nimiryango iha gukira mugihe cyamezi atandatu mugihe hakurikijwe ubwitonzi bukwiye nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitabwaho nyuma yo kwitaba nyuma.

Tibial Shaft

Kuvunika Tibial birasanzwe mu manza zingufu nyinshi, nk'impanuka zimodoka hamwe n'ibikomere bya siporo. Im imisumari ndayiviramo ibirori byambere, bikaba ari ngombwa kugirango birinde ingorane nka syndrome.

Imibare

Im Imisumari itanga umusaruro mwiza kuruta amasahani mu mvugo humeral, cyane cyane abarwayi bageze mu zabukuru bafite amagufwa ya osteoporotic.

Geriatic na OsteoPotic kuvunika

Hamwe n'abaturage bageze mu zabukuru muri Mexico, muri Burezili, Indoneziya, na Filipine, Femur, Femur Fructures igenda ikunze kurushaho. Imisumari ya PFN irakora cyane cyane kuvura ibi kuvunika, itanga ituze rirenze ku barwayi bafite amagufwa yoroshye.

Udushya duherutse muri Intramedillary Umusumari

Biodegrafiya na Antibiotic-Antibiotic-Nyirinze

Ubushakashatsi bushya bwatumye habaho iterambere rya Biodegradable na antibiotic-antibiyotike im imisumari, bafasha kugabanya ibiciro no guteza imbere amagufwa yihuse.

3d-yacapwe imigenzo im imisumari

Abakora ubu barimo gukoresha tekinoroji ya 3D kugirango bakore imisumari ya Im imisumari im imisumari

Uburyo bwo gufunga

Intangiriro yo gufunga imisumari myinshi yazamuye ituze mu mahitamo atoroshye, atanga ubumuga bufite amahitamo menshi yo guhitamo gukosorwa.

Isoko ryerekeye isoko: Kuki ibyifuzo bikura mu turere tuvuga icyesipanyoli & Aziya yepfo yepfo

Kongera Ihungabana

Amerika y'Epfo no mu majyepfo y'uburasirazuba bwa Aziya bafite umubare munini w'impanuka zo mu muhanda kugendera ku isi. Umuryango w'ubuzima ku isi (ninde), abantu barenga miliyoni 1.35 bibaye buri mwaka kubera impanuka zo mu muhanda, gukora imiti ikoreshwa.

Kwagura Ibikorwa Remezo

Ibihugu nka Mexico, Tayilande, na Indoneziya bishora mu buryo bukabije mu iterambere ry'ubuzima, biganisha ku rwego rwo kwiyongera kwa orthopedique nka im imisumari.

Guhinga ibyifuzo bya Titanium im imisumari

Imisumari ya titanium irimo gukurura kubera biocompaTutions, kamere yoroheje, hamwe no kurwanya ruswa. Amahanga nka Kolombiya na Vietnam barimo gutwika Titanium im imisumari mu kuyobora ibitaro by'ihungabana.

Uburyo Abatanga Bashobora kumenyekanisha isoko ryiyongera

INGORANE MU RUGURA

Icyemezo cyo kugenzura (urugero, Cofepris muri Mexico, BPOM muri Indoneziya).

INSHINGANO ZIKOMEJYE N'UBUYOBOZI BUKORESHEJWE.

Amahirwe yo kugabura

Gufatanya n'ibitaro by'amagufwa no mu bigo by'ihungabana.

Gutanga gahunda yo guhugura abaganga kubikorwa bishya byikoranabuhanga.

Gutanga FDA- na CE-byemejwe bitera guhuza ibipimo ngenderwaho y'ibitaro.

Umwanzuro

Imisumari ya Intramedillary yahinduye gukosorwa no gutanga igiteranyo giteye ubwoba, biomecanical ikomeye, kandi hakiri kare. Mugihe icyifuzo cyabo gikomeje kuzamuka mu turere tuvuga icyesipanyoli no mu majyepfo y'uburasirazuba bwa Aziya, abatanga ubutegetsi n'abashinzwe ubuzima bagomba gukomeza kumenyeshwa ibyerekeye ikoranabuhanga rigezweho n'ikirangantego.

Kuganga ubaga, gusobanukirwa ibikorwa byiza kuri im urugo rutuma umusaruro mwiza wihangana. Ku rubavu, gushora imari muburyo bwo hejuru im imisumari kandi gahunda zuburezi zirashobora kugufasha kwagura isoko no gushyiraho ubufatanye bukomeye munganda z'amagufwa.