Izikhonkwane ze-intramelimerary kwii-orkhopenics zanamhlanje: Umdlalo otshintsha umdlalo kwi-Fraturety?

Intshayelelo

Inkathalo yamathambo i-Orthopediic ivele kakhulu kwiminyaka engapheliyo, kunye nezipikili ze-Intramedullary (im) idlala indima ebalulekileyo ekuqhekekeni kwale mihla. Ezi mpahla ziye zaba sisisombululo esithandwayo sokuzinzisa ithambo elide lokuqhekeka ngenxa yobuncinci, iipropathi ezinkulu zebhayoloji, kunye namaxesha okubuyisela ngokukhawuleza.

Ngeenkqubela phambili kuyilo olufakelweyo, izixhobo zokwakha, kunye neendlela zokwenza utyando, oogqirha bamathambo ngoku banesixhobo esinokuthenjwa sokunyanga ukwaphuka ngakumbi. Eli nqaku lihlolisisa indlela yomsebenzi we-Im, izibonelelo, izicelo eziqhelekileyo, izicelo eziqhelekileyo, kwaye kutheni zifumana ukuthandwa kwimimandla yokuthetha iSpanish kunye ne-mpuma ye-Asia.

Ukuqonda izikhonkwane ze-intramelimerary: Zintoni?

Izipikili ze-intramellary zide, ziqinile i-rods yentsimbi eqingqiweyo kwi-bone's cavity cavity yokuncedisa kunye nokuzinzisa iqhekeza. Yenziwe kwi-titanium okanye intsimbi engenasimo, ikhuselwe ngezikrelem ezitshixwayo kuzo zombini iziphelo, ukuthintela ukuntywila okungafunekiyo njengokujikeleza kunye nokunqunyulwa.

Iintlobo zezipikili ze-intramellary

Izipikili zeza ngeendlela ezahlukeneyo kunye nobukhulu, yenzelwe amathambo athile kunye neepateni zokuqhekeza:

I-Wok Remoral Remeramerlary Nation

-Isetyenziselwa ukuqhekeka kwengqondo ye-themoral, ngakumbi iqhekeza leziqwengana.

I-Himeramimeramer Nail

-Enzelwe ukuzinzisa i-humersus shaft kunye ne-proximal humerissus.

I-PFNA (i-proximal ye-femil antirotation)

-Ilungele ukwenza i-proximal fecture, ngakumbi kwizigulana ezikhulileyo ezine-osteoporosis.

I-Temoral Inramellary Nail

- Inketho esemgangathweni ye-diaphysese fecture.

I-Tibia intramedullary Nail

-Ukuhamba-hamba kwi-tibiali falls, ukunciphisa ixesha lokuphilisa.

Ibuyise umva

-Enzelwe ukuqhekeka kwengqondo ye-distal, ukuqinisekisa ulungelelwaniso olufanelekileyo.

I-Multi-Lock Humerissus Intramellary Nail

-Unikezela ngeendlela zokutshixa ezininzi, ukubonelela ngokuzinza ezongezelelweyo kwiifreyiti ezinzima zeflethi.

I-Titanium ye-elastic

- isetyenziswa ngokuqhelekileyo kwi-Pediatric Fractures ngenxa yesakhiwo sayo esiguqukayo.

Kutheni izikhonkwane ze-Intramelimerary ziguqula ulungiso lwe-phlity

Ukuvuselela ngokukhawuleza kunye nokuhamba kwangoko

Enye yezona zibonelelo zinkulu zezipikili ze-IM kukukwazi kwabo ukuxhasa ukuthwala ubunzima bomzimba kwangoko. Uphando lubonisa ukuba abaguli abaye bafaka i-qualing ye-quature ingaqala ukuthwala ubunzima kwiiveki ezi-4-6, xa kuthelekiswa neeveki ezingama-8 ukuya kwe-12 kwabo baphathwa ngeepleyiti zemveli. Oku kushukuma kwangoko kuyanda kuphilisa kwaye kunciphisa umngcipheko we-atrophy yemisipha.

Utyando oluncinci kakhulu

Ngokungafaniyo neendlela zokulungisa ngokwesiko ezinjengeepleyiti, ezihlala zifuna izithuba ezikhulu kunye nokuhlanjwa kwezicubu ezithambileyo, i-Im inokufakwa kwizithuba ezincinci. Oku kunciphisa ukungakhathali, ukuthoba umngcipheko wokosuleleka, kwaye kukhokelela kwizibhedlele ezimfutshane zesibhedlele.

Uzinzo oluPhakamileyo

Kuba izikhonkwane ze-IM zifakwe ngaphakathi kwethambo, ziyahambelana ne-Axis yendalo yendalo, ebonelela uzinzo olunamandla kunye nokuzinza okuqinileyo. Lo uyilo lulingisa i-bimom yomzimba yendalo, ukunciphisa umngcipheko oshiyekileyo.

Umngcipheko ongezantsi wezinto ezinzima

Xa kuthelekiswa neepleyiti kunye ne-cuntheepositors zangaphandle, i-Im zinemigangatho esezantsi yokufumana amanqaku. Ukusetyenziswa kwezikrelemnqa kuthintela ukunqunyulwa kwethambo kunye nokungasebenzi kakuhle, ukunciphisa amathuba okubalelwa okanye ukungasebenzi.

Izicelo eziphambili ze-Inramellary izikhonkwane kwi-orthopedics

I-themoral shaft factures

I-themoral iqhekeza, ngakumbi ukwaphulwa kwedayiki, ziphathwa kakuhle kunye nezikhonkwane. Izifundo zibonisa ukuba i-95% ye-ficraral yamatyholo athathwe ngeenzipho ze-IM ziphiliswa kwisithuba seenyanga ezintandathu xa kuphinde kulandelwa ngokufanelekileyo.

I-tibialing shaft

I-tibial quatures iqhelekile kwiimeko ezinobungozi amandla, ezinje ngeengozi zemoto kunye nokulimala kwezemidlalo. I-IMIBONELELO ivumela ukuphathwa kobunzima bokuqala, ebalulekileyo ekuthinteleni iingxaki ezinje nge-conchrome.

I-Himeral Fratures

I-Im izikhonkwane zibonelela ngeziphumo ezisebenzayo ezingcono kuneplate kwifreyiti ye-humeral suft, ngakumbi abaguli abalupheleyo abanamathambo e-Osteopororotic.

I-Geriatric kunye ne-Osteoporotic

Ngamaxesha athile eMexico, eBrazil, i-Indonesia, nakwiiPhilippines, i-proximal fecture iqhelekile. Izipikili zePFna zisebenza ikakhulu ekuziphatheni ezi tyhuko, zibonelela ngozinzo olubalaseleyo lwezigulana ezinamathambo amancinci.

I-ANTIONS ENTONITIONS kwi-Intramellary

I-I-BIODGRAYICHIOCY NOKUGQIBELA

Uphando olutsha lukhokelele kuphuhliso lwezipikili ze-biodegraphiod kunye ne-antibiotic-eceba, ukunceda ukunciphisa amaqondo osulelo kwaye kukhuthaza ukuphiliswa kwethambo lethambo.

I-3D-iprinti i-Im yesiqhelo

Abavelisi ngoku basebenzisa itekhnoloji ye-3D yokushicilela ukuvelisa izikhonkwane ze-IM, kuqinisekisa umdlalo ongcono we-aatomical kwisigulana ngasinye.

Iindlela zokutshixa

Ukuqaliswa kwenkqubo yokutshixwa kweeleyile ezininzi kuqhuliwe kukuphuculwa kokuzinza kubunzima bamatyala, ukubonelela ngoogqirha ngokhetho oluthe kratya ukwenza ulungiso lwezifiso.

Iindlela zeMakethi: Kutheni le nto imfuno ikhula kwingingqi ezithetha iSpanish & i-mpuma Wesia

Ukonyuka kwamatyala okutshutshisa

I-Latin America nakwimpuma ye-Asiya inamanye amaxabiso aphezulu eengozi kwihlabathi jikelele. Ngokutsho kwe-World Health Organisation (i-WHO), ngaphezulu kwe-1.35 yezigidi ezenzeka rhoqo ngonyaka ngenxa yeengozi zendlela, zenza unyango olusebenzayo.

Ukwandisa iziseko zempilo

Amazwe anjengeMexico, i-Thailand, nakwiIndonesia ityalwa kakhulu kuphuculo lwezempilo, okhokela ukwanda kokwamkelwa kwemithombo yobumbango.

Ukukhula kokukhetha i-Titanium Im

Izipikili zeTitanium zifumana inkani ngenxa ye-biomatinigoni yazo, indalo elula, kunye nokunganyangeki. Izizwe ezinje ngeColombia naseVietnam ziguquka kwi-itanium ye-titanium im kwizibhedlele ezihamba kakubi.

Abasasazi bayakwazi ukwenza imali kwimakethi ye-Im ekhulayo

Imiceli mngeni ekusasazeni

Ukuvunywa komthetho (umzekelo, i-cofeppris eMexico, i-BPOM e-Indonesia).

Imisebenzi yokungenisa elizweni kunye nolawulo lokuthengwa kwempahla.

Amathuba abasasazi

Ukusebenzisana nezibhedlele zamathambo kunye namaziko amanyala.

Ukubonelela ngeenkqubo zoqeqesho lonyango lwetekhnoloji entsha yokufakwa.

Ukubonelela nge-DDA-kunye ne-CE-E-CE-Ce-ce-uffert ukuhlangabezana nemigangatho yokuthengwa kwempahla yesibhedlele.

Ukuqukumbela

Izipikili ze-intramellary zilungisiwe ukulungiswa okuqhelekileyo ngokuphatha kancinci, ezomeleleyo zebhayolothi, kunye nobunzima obutsha. Njengoko imfuno yabo iyaqhubeka inyuka kwingingqi ezithetha iSpanish kunye ne-mpuma ye-Asiya, abasasazi kunye nababoneleli bezempilo kufuneka bahlale benolwazi malunga neetekhnoloji zamva kunye neendlela zentengiso.

Ngoogqirha, ukuqonda ezona ndlela zilungileyo zokubambisa iqinisekisa iziphumo ezingcono zoguli. Abasasazi, ukutyala imali kwizikhonkwane ze-Im ekumgangatho ophezulu kunye neenkqubo zemfundo kunokunceda ukwanda kwentengiso kufikeleleko kunye nokumisela ubuhlakani obuqinileyo kwishishini lobugebenga.