Nails ea intrastery ke lipekere tsa sejoale-joale: Ho kena papaling ho lokisa?

Kenyelletso

Tlhokomelo ea li-orthopentic trauma e bile teng ha lilemo li ntse li feta, ka li-intrasedullary (IM) nala li bapala karolo ea bohlokoa ea ho boloka thepa ea sejoale-joale. Litšusumetso tsena li fetohile tharollo e ratoang tsa ho tsitsisa masala a matala ka lebaka la ho ts'oaroa hanyane ka lebaka la ho phomola ha tsona, tse phahameng ka ho fetisisa tsa ho hlaphoheloa.

Ha e tsoela pele ho hlophisoa bocha, lisebelisoa le mekhoa ea ho buoa, lingaka tsa maqheku joale li na le sesebelisoa se tšepahalang ho sebetsana le maqhubu haholoanyane. Sengoliloeng sena se shebisisa hore na Nail na Nails o sebetsa joang ho sebetsa libakeng tsa morao-rao le Asia Boroa-bochabela.

Lits'oants'o tsa Intrampellery: Ke eng?

Lijana tsa ho itšilafatsa li kenngoa ka tšepe ea tšepe e telele ho thusa ho hokahanya lesapo ho thusa ho hokahanya le ho tsitsisa le ho tsitsisa le ho hlasimolla limela. E entsoe ka titanium kapa tšepe e se nang mabele, e sirelelitsoe ka screw e tlohang liphethong tse peli, e thibela metsamao e sa batleheng joalo ka ho potoloha le ho khutsufatsa.

Mefuta ea Lianyeoa tsa Intendullary

Nails Ke tla ka libopeho tse fapaneng le boholo, e 'ngoe e etselitsoeng masapo a itseng le lipaterone tse robehileng:

Promoplullar Atrandellary nail

- E sebelisoa bakeng sa likhechana tse rarahaneng tsa kamehla, haholo-holo likhechana tsa li-subtroctation.

Humeral Intrampellery Nail

- E etselitsoe ho tsitsisa shaftus shaft le shamas ea proximal.

PFNA (Proximal femoro ea kokoana-hloko ea Nail

- E loketseng hantle bakeng sa likhechana tsa proximal, haholo-holo ho bakuli ba tsofetseng ba nang le lefu la lefu la lefu la lefu la masfapi.

Feandendullarley nail

- khetho e tloaelehileng bakeng sa likhechana tsa diaphysesal.

Tibia intrathellary nail

- Ho ea ho ea khethang ho li-fractures tsa meherong, ho fokotsa nako ea pholiso.

E nchafatsa FealDullary nail

- E entsoe ka bokhabane bo se nang bophelona, ​​ho netefatsa hore o tla hokahana ka nepo.

Multull-Lock Humeus Istraseletry Nail

- e fana ka likhetho tse eketsehileng tse u hlollang, ho fana ka botsitso bo eketsehileng bakeng sa bokhabane bo rarahaneng.

Titanium elastic nail (leshome)

- e sebelisoa hangata ho li-peditritric manyane ka lebaka la sebopeho sa eona se feto-fetohang.

Hobaneng ha lipekere tsa ho li sebelisa li fetoha lisebelisoa tse robehileng

Ho hlaphoheloa ha nako le ho tsamaea kapele

E 'ngoe ea melemo e kholo ea na ke mabaka a tsona a ho tšehetsa boima ba pele ho boima ba pele. Patlisiso e bonts'a hore bakuli ba nang le lefu la ho kula ba khona ho hlaha ka har'a libeke tse 7-6 bakeng sa ba tšoaroang ka li-plates tsa moetlo. Meqolo ena ea pele e potlakisa ho folisa le ho fokotsa menyetla ea ho ba mosifi oa mesifa.

Ho buoa ka mokhoa o hlakileng

Ho fapana le mekhoa ea setso ea ho lokisa e kang lipolanete, e hlokang tšenyo e kholo le e bonolo ea lisele tse bonolo tsa tilika Sena se fokotsa ho putlama ho sithabela ha kotsi, ho theola mokhoa oa tšoaetso, 'me ho lebisa ho mafumahali a sepetlele sepetlele.

Setsi se phahameng sa biomechanical

Hobane linate tsa im li behiloe ka har'a lesapo, li hokahana le axis ea tlhaho ea 'mele ea metsi, ho fana ka botsitso bo matla le bofokoli ba botona le botšehali. Moralo ona o etsisa biomechanics ea tlhaho, ho fokotsa likotsi tse sa keneleng.

Kotsi e tlase ea mathata

Bapisoa le lipolanete le li-countater tsa kantle, na lipekere li na le litefiso tsa mathata a lichelete. Tšebeliso ea masapo a totellang a thibela ho khutsufatsa le ho senya tšebeliso e mpe, fokotsa menyetla ea Malunion kapa khokahano.

Likopo tsa senotlolo tsa lipekere tsa ho intradellary maemong a lapeng

Felimal Shaft flacture

Fiamol makhahlelo, haholo-holo maqeba a lefu la tsoekere, a phekoloe hantle ka lipekere tsa im. Boithuto bo bontša hore 95% ea limela tse sa jeleng li alaroa ka likhoeli tse tšeletseng ha tlhokomelo e nepahetseng ea ts'ebetso ea kamorao e tšehelitsoe.

Tibial Shaft flactures

Metsoako ea metsu e tloaelehile linyeoeng tsa tiuma-matla joalo ka likotsi tsa makoloi le likotsi tsa lipapali. Ke na le boima ba 'mele e lumellang boima ba pele, e leng litaba tsa ho thibela mathata a joaloka condrome ea Company.

Makhalo a Makheme

Im nals e fana ka sephetho se sebetsang hantle ho feta lipolanete tse tsoang malinyane a pherekano, haholo-holo bakeng sa bakuli ba tsofetseng ba nang le masapo a osteoporotic.

Geriaric le likhechana tsa osteoporotic

Ka lintoa tsa botsofali Mexico, Brazil, Indonesia le Philippines, maqeba a proximal a ntse a ea khafetsa. Lihlahisoa tsa PFNNA li sebetsa haholo ho phekola malinyane ana, ho fana ka botsitso bo phahameng ba ho potoloha bakeng sa bakuli ba nang le masapo a fokolang.

Lits'ebetso tsa morao-rao tse fumanehang ho ansedlandllary nailing

Liaparo tsa biodegradadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadad

Patlisiso e ncha e lebisitse kholisong ea li-bidegradadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadadad

3D-e hatisitsoeng ke lipekere tsa im

Baetsi ba se ba sebelisa theknoloji ea 3D ea 3D ho hlahisa lipekere tsa im, e netefatsa papali e ntle ea mokuli e mong le e mong.

Mekhoa e tsoetseng pele e nyarosang

Kenyelletso ea litsamaiso tse fapaneng tsa nail li ntlafalitse linyeoe tse rarahaneng, li fana ka lingaka tse nang le likhetho tse ngata ho etsa kopo ea ho lokisa.

Mekhoa ea 'maraka: Hobaneng ha tlhoka e ntse e eketseha libakeng tse buang Sepanish & Asia Boroa-bochabela

Linyeoe tse ntseng li eketseha

Latin America le Asia Boroa-bochabela li na le litheko tse phahameng ka ho fetisisa tsa likotsi tsa 'mila lefatšeng ka bophara. Ho latela Mokhatlo oa Lefatše oa Bophelo (WHO), o fetang limilione tse 1,35 o etsahala selemo le selemo ka lebaka la likotsi tsa sephethe-phethe.

Ho holisa lits'ebeletso tsa bophelo bo botle

Linaha tse kang Mexico, Thailand le Indonesia li ntse li ntlafatsoa haholo li ntlafatsa ntlafatso ea bophelo bo botle, e lebisang ho amohela ho eketseha ha ho amohela bana ka kelello.

Ho Hloa'ng ka Tatanium im Nails

Ma-Titanium nails e ntse e ts'oana ka lebaka la biocometication ea eona, tlhaho e bobebe le khatello ea li-corosion. Lichaba tse kang Colombia le Vietnam li feto-fetoha le Titanium im nails lin linaka tse etellang pele lipelong tsa sebali.

Kamoo Barekisi ba ka Capitlers Market Market ea Nail

Liphephetso

ANSOLLSILLS ANSOULL (mohlala, Cofepsis Mexico, Bpom Indonesia).

Tsamaisa mesebetsi le tsamaiso ea lichankane.

Menyetla ea barekisi

Ho sebelisana le lipetlele tsa orthopesic le litsi tsa mathata.

Ho fana ka mananeo a koetliso ea bukoloho bakeng sa mahlale a macha a Inclant.

Ho fana ka li-indants tse netefalitsoeng tsa FDA.

Sephetho

Lihlahisoa tsa intrampeller li na le ts'ebetso e pharalletseng ka ho fana ka likhakanyo tse thibelang, biometane le tharollo ea ho beleha. Ha kopo ea bona e ntse e tsoela pele ho hlaha libakeng tsa Sepanish le Asia Boroa-bochabela, ba fanang ka liphallelo ba tlameha ho ba le tsebo mabapi le Mahlale le Marakhoe a morao-rao.

Bakeng sa lingaka tse buoang, ho utloisisa mekhoa e metle bakeng sa nafo ho ea nafo ke eba ho netefatsa sephetho se betere. Bakeng sa ba tsamaisang, ba tsetela ho lipekere tsa boleng bo holimo le mananeo a thuto a ka thusa ho holisa 'maraka oa ho holisa' marakeng.