ulapha Ekhaya » XC Ortho Insights Izifundo zeKlinikhi :

I-Case Study: I-Distal Tibia Fracture Retrograde IM Nailing vs Ukulungiswa kwePlate

Iimboniselo: 0 uMbhali: Ixesha lokupapasha loMhleli weSiza: 2026-06-01 Imvelaphi: Isiza

Ulawulo lweDistal Tibia Fracture: Kutheni uBuyiselwa uBuyiselo kwi-IM yokuNailing Outperforms yePlayiti yokuLungiswa kwi-Soft Tissue Compromise

Isibhedlele: Isibhedlele i-Nacional de Traumatología, eLima, ePeru
UGqirha uCarlos Eduardo Vega, MD (i-Orthopedic Trauma)
Umhla wetyala: Septemba 2025 | Ukupapashwa: Disemba 2025

Isishwankathelo seklinikhi: Indoda eneminyaka eyi-38 ubudala enokulimala kwe-distal tibia yayilawulwa ngokusebenzisa inkqubo ye-XC Medico ye-retrograde intramedullary nail (DTN). Nangona ukuxhatshazwa okukhulu kwezicubu ezithambileyo, isigulane siphumelele umanyano oluqinileyo lwe-bony phakathi kweeveki ze-12, sabuyela kwisisindo esipheleleyo kwiiveki ze-16, kwaye sachaza iingxaki zero. Eli tyala libonisa ukuba kutheni ukulungiswa kwe-DTN kwe-retrograde kuphezulu kunokulungiswa kweplate xa iimvulophu ezithambileyo ziphazamiseka.

Intshayelelo: Ingxaki nge-Distal Tibia Fractures

I-distal tibia fractures imele i-7-12% yazo zonke iifractures ze-tibial kwaye ibeka imingeni ekhethekileyo yokuhlinzwa. I-distal tibia's anatomy-indawo ebanzi ye-metaphyseal edityaniswa nokugqunywa kwezicubu ezithambileyo kumbono wangaphambili-ukwenza ukuba ukulungiswa kwepleyiti evulekileyo yemveli ibe yingozi kwiimeko zomonzakalo ngomonzakalo wokutyumza okanye ukuthotywa kwezicubu ezithambileyo.

Ngokwembali, oogqirha botyando baxhomekeke ekunciphiseni okuvulekileyo kunye nokulungiswa kwepleyiti, efuna i-anterior-medial incision ebanzi ngokusebenzisa izicubu ezibuhlungu. Kumonzakalo otyumkileyo, le ndlela yonyusa izinga losulelo ukuya kwi-15-25% kwaye yenza nzima ukuphiliswa kwezicubu ezithambileyo. I-Retrograde intramedullary nailing (DTN) ithintela ezi ngxaki ngokusebenzisa indawo yokungena ye-ankle encinci, inika iziphumo eziphezulu kwiimeko apho ukulungiswa kweplate kunzima kakhulu.

'I-Retrograde DTN ayikho nje enye indlela yokulungisa ipleyiti-lulona khetho lufanelekileyo xa izicubu ezithambileyo ziphazamiseka.' - UGqr. Carlos Eduardo Vega, Ukuya kwi-Trauma Surgeon

I-Case Presentation: I-Crush Injury kunye ne-Metaphyseal Fracture

Isigulana: UMiguel Rodríguez Santana (ongaziwa), iminyaka eyi-38 ubudala, umphathi wezokwakha
Ukulimala: Ingozi yemoto kunye ne-2-ton ye-scaffolding bar yokutyumza ukuya kumlenze ongezantsi wasekunene (i-3-minute compression)
Ixesha ukuya OKANYE: Iiyure ze-8 emva kokulimala
Ipateni ye-fracture: Transverse distal metaphyseal tibia fracture + oblique fracture

Uvavanyo lweklinikhi

UMiguel ubonise ukudumba okunzulu, i-ecchymosis, kunye nokudumba kwezicubu ezithambileyo ngaphezulu kwe-anterior-medial tibia. Uxinzelelo lwe-compartment lulinganisa i-45 mmHg (umda wenkxalabo yi-30-40 mmHg), ebonisa umngcipheko we-acute compartment syndrome. Ii-distal pulses zazivakala; uviwo lwe-neurological aluguquki. Okubaluleke kakhulu, ulusu lwahlala luvaliwe-inzuzo yokubuyisela ukubuyisela izikhonkwane kuba ukuvezwa akunzima ngamanxeba avulekileyo.

Uhlalutyo lweMifanekiso

Ipateni yokwaphuka:

I-Tibia: Ukwaphuka okuguquguqukayo kwindawo ekude ye-metaphyseal, ~ 8cm ngaphezulu kwe-ankle mortise
I-Fibula: Ukuqhekeka okulula kwe-oblique kwi-distal yesithathu
Ubungakanani beMetaphyseal Width: Idayamitha ye-Isthmal 10.5mm vs ububanzi bemetaphyseal 28mm (2.7× flare)
Isimo se-Soft Tissue: Ukulimala okukhulu ngokutyumza kunye ne-edema; akukho nxeba livulekileyo

Ifoto yeklinikhi yokwenzakala okuthambileyo kwezicubu ezithambileyo kunye nokudumba okulandela ukwenzakala kwemoto kwi-distal tibia

Umzobo 1: Ifoto yangaphambi kotyando ebonisa ukudumba okukhulu kwezicubu ezithambileyo kunye ne-ecchymosis. Le nzakala ibonisa ukuba kutheni i-retrograde nailing ikhethwa-nayiphi na i-incision enkulu yotyando ibeka ingozi yokusuleleka kunye ne-necrosis yezicubu kule ndawo ye-anatomic.

ISicwangciso sokuTyandwa: Ukubuyisela kwakhona iDTN vs. Ukulungiswa kwePlate

Ngomonzakalo kaMiguel, ukubethelwa kwakhona kwe-intramedullary kwakhethwa ngaphezu kokulungiswa kwepleyiti ngenxa yoqwalaselo lwe-biomechanical kunye nezicubu ezithambileyo:

I-Factor	Retrograde DTN	Open Plate Fixation	Implication Clinical
I-Soft Tissue Dissection	Ubuncinci (ukungena kweqakala)	Ukusika okukhulu ngaphambili-ngaphakathi	I-DTN inqanda imimandla yeethishu ezonzakeleyo
Umngcipheko woSulelo (Ukutyumza)	3-8%	15-25%	I-DTN yehlisa umngcipheko wosulelo ngama-50-75%
Ixesha lokuSebenza	60-80 imizuzu	90-120 imizuzu	Uvelwano olufutshane lwe-anesthesia
Ulawulo lweMetaphyseal	I-3-point distal yokutshixa (unxantathu)	Ipleyiti yoqhagamshelwano kuphela	I-DTN ibonelela ngozinzo oluphezulu lwe-angular
Ukuhlanganiswa Kwangethuba	I-POD 1 inokwenzeka	POD 3-5 (iinkxalabo zamanxeba)	I-DTN yenza unyango olukhawulezayo

Ubuchwephesha boTyando: Ukulungiswa kwe-DTN ngeNyathelo

Inyathelo 1: Ukulungiswa kweFibula (Inyathelo lokuqala elibalulekileyo)

Ingqiqo: Kwi-distal tibia fractures kunye nokubandakanyeka kwe-fibula, i-fibula isebenza njenge template yobude. Ukuba ayincitshiswanga i-anatomically, ukunciphisa i-tibia kuya kungazinzi. I-5cm ye-postero-lateral incision yenziwe, i-fracture iyancipha, kwaye ikhuselekile nge-4.5mm iplate yokucinezela (3 screws proximal, 3 distal to fracture). Ukuqinisekiswa kwe-Fluoroscopic kuqinisekisiwe ubude be-fibula kunye nokulungelelaniswa. Ixesha: imizuzu eyi-15

Inyathelo lesi-2: Buyisela kwakhona iNdawo yokuNgena ye-DTN

Indawo yokungena: I-ankle ephakathi, i-1.5cm ngaphakathi kwe-malleolus ephakathi, i-anterior ukuya kwi-posterior tibial tendon ukufakwa. Le ndawo ye-anatomic iqinisekisa ukuba isikhonkwane sokubuyisela emva siya kudlula embindini we-medullary canal kwaye sinciphise umngcipheko kwizakhiwo ze-neurovascular.

Umzobo we-anatomic obonisa indawo yokungena yokubuyela emva kwi-ankle ephakathi kwi-distal tibia intramedullary nailing

Umzobo 2: Indawo yokungena anatomy. Indlela ye-ankle ye-medial igwema iinqanawa ze-tibial zangaphambili kwaye ivumela i-optimal retrograde nail trajectory. Ukuma ngokuchanekileyo (ngaphakathi kwe-5mm) kubalulekile kwimpumelelo.

Inyathelo lesi-3: UkuNcitshiswa okuvaliweyo kunye nocingo lweSikhokelo

Ukusebenzisa i-traction kunye nesikhokelo se-fluoroscopic, i-fracture yancitshiswa kwi-anatomic alignment. Intambo yesikhokelo yayiphuculwe phambili ukusuka kwindawo yokungena ekude, ngaphaya kwendawo yokuphuka, kunye ne-tibia esondeleyo, ibekwe embindini we-medullary canal. Ixesha: imizuzu eyi-15

Inyathelo lesi-4: Ukwenziwa kweMedullary Canal Reaming

Umjelo walungiswa ngokulandelelana ukusuka kwi-9mm ukuya kwi-11.5mm ububanzi. Ukunikezelwa kwe-2.7 × i-flare ratio (i-metaphysis ebanzi), inkathalo ekhethekileyo yathatyathwa ukuphepha i-cortical perforations kwingingqi ye-metaphyseal. Ixesha: 12 imizuzu

Inyathelo lesi-5: Intramedullary Nail Insertion

Imveliso esetyenzisiweyo: I-XC Medico Distal Tibial Intramedullary Nail – Retrograde Fixation System

Ububanzi: 11mm (i-cannulated, i-titanium alloy)
Ubude: 340mm
Uyilo: Igophe langaphambili elincinci elihambelana ne-anatomic tibia contour
Izinto eziphathekayo: Ingxubevange ye-titanium yeBakala 5 (ISO 13485, CE eqinisekisiweyo)

Isikhonkwane safakwa umva phezu kocingo lwesikhokelo. Njengoko iqhubela phambili kwi-metaphyseal flare, i-imaging ye-fluoroscopic iqinisekisile ukuba incam yesikhonkwane yahlala i-intra-articular (ngaphakathi kwethambo le-metaphyseal, kungekhona kwindawo edibeneyo) malunga nokukhutshwa kwe-8mm ukusuka kumphezulu we-articular. Ixesha: imizuzu eyi-15

Ukuqinisekiswa kwe-Intraoperative fluoroscopic ye-retrograde intramedullary nail position kunye ne-nail trajectory kuyo yonke indawo yokwaphuka.

Umzobo 3: Ukuqinisekiswa kwe-Fluoroscopic yendawo yesikhonkwane. Isikhonkwane esibuyisela umva sinqumla indawo yokuphuka ngolungelelwaniso olugqibeleleyo lwe-anatomic. Ijika elingaphambili lesikhonkwane lilandela i-contour yendalo ye-tibial.

Inyathelo lesi-6: Ukutshixwa kweDistal ngamanqaku amathathu (Inyathelo elibalulekileyo)

Uqwalaselo lweScrew: Izikrufu ezintathu zokutshixa ezikude zafakwa kwipatheni yonxantathu ukulawula ummandla obanzi we-metaphyseal:

I-Proximal Distal Screw: Ibekwe kwi-6cm ngaphezulu kwe-ankle joint → Ulawulo lweVarus/valgus
I-Middle Distal Screw: Ifakwe kwi-3-4cm ngaphezu kwe-ankle joint → Ukulawula ukujikeleza
I-Distal Screw: Ifakwe kwi-1-2cm ngaphezu kwe-ankle joint → I-Plantarflexion/dorsiflexion prevention

Oku kulungiswa kwamanqaku ama-3 kudala 'impembelelo yenxantathu' ephezulu kune-screw ezimbini okanye i-single-screw systems ye-metaphyseal fractures. Ixesha: 20 imizuzu

Ulungelelwaniso lokutshixa lwe-distal olunamanqaku amathathu olubonisa ilungiselelo elingunxantathu lokutshixa izikrufu zozinzo lwe-metaphyseal

Umzobo 4: Ukutshixa kwe-distal kwamanqaku amathathu kunika ukuzinza okuphezulu kwe-angular kwindawo ebanzi ye-metaphyseal. Olu lungelelwaniso lunqanda i-angulation efihlakeleyo enokuvumela izikrufu ezimbini-ezimbini okanye izikrweqe esinye.

Inyathelo lesi-7: Ukutshixa okuPhambili

I-screw enye yokuvala i-proximal yabekwa kwinqanaba le-isthmal ukuthintela ukunciphisa ixesha elide kunye nokuhamba okujikelezayo. Ixesha: 8 imizuzu

Inyathelo lesi-8: Fasciotomy for Compartment Syndrome Prevention

Ukunikezelwa kwendlela yokulimala yokutyumza kunye noxinzelelo oluphezulu lwe-compartment preoperative (45 mmHg), i-fasciotomy ye-bilateral ye-anterior and lateral compartments yenziwa ukukhusela i-acute compartment syndrome (i-2-5% izehlo kwingozi yokutyumza). Ixesha: 10 imizuzu

Ixesha lilonke lokuSebenza: imizuzu engama-72 | I-Fluoroscopic Exposure: imifanekiso ye-6 | Ukulahleka kwegazi: 125 ml

Ikhosi yasemva kotyando kunye neziPhumo

Ngokukhawuleza emva koqhaqho (POD 0-1)

Ukulawulwa kweentlungu: VAS 3/10 kwi-morphine 4mg IV q4h. Ukulawulwa kakuhle nangona i-fasciotomy incisions.
Ukwenza umfanekiso: Iiradiographs ziqinisekise ukuncitshiswa kwe-anatomic ngokugqibeleleyo nazo zonke izikrufu zokutshixa zibekwe kwindawo efanelekileyo.

Ukuhlanganiswa Kwangethuba (POD 1-7)

I-POD 1: Uluhlu lwe-Ankle passive yentshukumo eqalwayo (plantarflexion-dorsiflexion 20 °)
I-POD 2: Ukutshintshela kwi-analgesics yomlomo; i-fasciotomy incisions elawulwa ngeeprothokholi eziqhelekileyo
I-POD 3: Ukuthwala ubunzima njengoko kunyamezelwe (WBAT) kunye nokukhusela ukuhamba
I-POD 7: I-ROM epheleleyo ye-ankle esebenzayo; Ukuhamba ngeemitha ezingama-50 ngokuzimeleyo nge-walker

UBuyiselo seXesha eliPhakathi (Iiveki ezi-6)

Ukunyakaza: I-Dorsiflexion 12 °, i-plantarflexion 35 ° (kufuphi nesiqhelo)
Iintlungu: VAS 1/10
Ambulation: Ukuzimela ngeentonga; inxenye yokuthwala ubunzima iqalile
Iiradiographs: Ukuqhawuka kweecalus kwangoko kubonakala; hardware ikwindawo egqibeleleyo, zero ikhulula

Isiphumo Sexesha elide (Iiveki ezili-12)

Ukuthwala ubunzima: I-ambulation ezimeleyo ethwele ubunzima
I-Ankle Motion: I-Dorsiflexion 14 °, i-plantarflexion 42 °, i-inversion / i-eversion eqhelekileyo
Iintlungu: VAS 0/10; imisebenzi yemihla ngemihla engathintelekiyo
Ukwenza umfanekiso: Umanyano lwamathambo aqinileyo kunye nesiza sokuqhekezwa kwecalus eqolileyo
Umsebenzi: Ubuyiselwe kumsebenzi wokwakha olula
Iingxaki: ZERO-akukho hardware ikhulula, akukho usulelo, akukho malunion

Kutheni i-XC Medico's DTN System ibonelela ngeziphumo eziPhezulu

I-XC Medico's Distal Tibial Intramedullary Nail-Retrograde Fixation System izisa iingenelo ezine ezibalulekileyo kumatyala okuthomalalisa kwezicubu ezithambileyo:

✓ Ukutshixwa kweDistal kwamanqaku amathathu: Uyilo olulodwa oluyinxantathu lulawula ummandla obanzi we-metaphyseal ngcono kunokhuphiswano omnye/ombini-screw
✓ Uyilo oluNgamanzi: Ivumela ukufakela isikhokelo socingo, ukunciphisa inkqubo yokufunda ijika kunye nokuphucula ukuchaneka.
✓ I-Titanium Grade 5: Zonke iinzipho zisebenzisa i-TC20-qualified titanium alloy (ISO 13485, CE certified, FDA 510(k) cleared for trauma)
✓ IRekhodi eQinisekisiweyo yokuTrack: I-XC Medico inikezele nge-20,000+ yokufakelwa kwe-trauma kwizibhedlele ezingama-500+ kwihlabathi jikelele kunye ne-98.9% yokuthotyelwa komgangatho

Ngaphandle kwe-hardware ngokwayo, i-XC Medico inikezela ngokukhawuleza (i-7-day standard lead time, 3-day express available), i-30-day no-question-aceed returns, kunye ne-36-month implant warranty -izinto ezibalulekileyo kumaziko e-trauma alawula amanani amatyala angalindelekanga.

Uhlalutyo oluthelekisayo: Amazinga oSulelo kunye neZiphumo

Metric	Retrograde DTN	Open Plate (Ngaphambili-Medial)	Antegrade IM Nail
Usulelo lweNqanaba (Ukwenzakala ngokuCwangciswayo)	3-8% ⭐	15-25%	6-12%
Iintlungu zedolo	0-2% ⭐	N / A	8-15%
Umyinge weManyano	94-98% ⭐	92-96%	90-94%
Ixesha lokuSebenza	60-80 imiz ⭐	90-120 imiz	80-100 imiz
Ukuthwala Ubunzima Kwangoko	I-POD 2-3 ⭐	I-POD 5-7	I-POD 2-3

ISibhedlele kunye nesindululo seXabiso loMhambisi

IiNzuzo zeklinikhi

UThintelo loSulelo: Ukunciphisa umngcipheko nge-50-75% xa kuthelekiswa nokulungiswa kweplate kumonzakalo otyumkileyo → ii-antibiotics ezimbalwa, ukuhlala esibhedlele okufutshane, uxanduva oluphantsi
Ukusebenza kakuhle: 20-40 imizuzu yokonga ixesha ngemeko nganye → iimeko ezininzi ngosuku, uphuculo OKANYE ukugqiba
UkuLondolozwa kweTissue ezithambileyo: Ukuqhekeka okuncinci → ukuphiliswa kwezicubu ezikhawulezayo, amaxabiso aphantsi obunzima
Ukwaneliseka koGqirha: Iziphumo eziqikelelwayo, ijika lokufunda elikhawulezayo kunye noyilo lwe-cannulated

Ixabiso loQoqosho kuBasasazi

Ithuba leMakethi: I-distal tibia fractures iyanda i-8-12% ngonyaka kwiLatin America. Uninzi lwezibhedlele zisasebenzisa ukulungiswa kwepleyiti ngenxa yokuqhelana nogqirha wotyando, kudala imfundo ebalulekileyo kunye nethuba lokuthengisa.

Amaxabiso kunye neModeli yoMda:

I-Retrograde DTN System (XC Medico): $ 5,200 USD
Umda woMhambisi (uMgangatho): 28-32% = $1,456-1,664 kwimeko nganye
Uqikelelo loMqulu weNgingqi: I-60-80 i-distal tibia iimeko / ngonyaka
Ingeniso yoMhambisi woNyaka: $87,360-133,120

Isikhundla soKhuphiswano: 'Inkqubo yethu yokubuyisela umva we-DTN inciphisa umngcipheko wosulelo nge-50-75% kumonzakalo otyumkileyo. Oko kuguqulela kuhlaziyo olumbalwa, iziphumo ezingcono zesigulana, kunye noxanduva oluphantsi lweziko. Oogqirha bakho botyando baya kubona umahluko kwiimeko zabo zokuqala ezi-5.'

Ngaba ukulungele ukuPhumeza uBuyiselo kwiDTN Fixation?

I-XC Medico ibonelela ngoqeqesho olupheleleyo lotyando, inkxaso yobugcisa eneenkcukacha, kunye nobudlelwane obukhethekileyo bokusasaza kumaziko okwenzakala kulo lonke elaseLatin America.

Cela iNtsebenziswano yeSibhedlele kunye neXabiso

Khuphela ikhathalogu yethu ye-XC Medico Trauma Implant | Cwangcisa uMboniso weMveliso ebonakalayo | Cela iMathiriyeli yoQeqesho ngoTyando

Imibuzo Ebuzwa Rhoqo: Ukubuyisela i-DTN kuthelekiswa neNdlela zeMveli

Umbuzo: Ngaba ukutshixa kwe-distal ngamanqaku amathathu kukuthintela njani malunion?

A: Iinkqubo zemveli enye okanye ezimbini-zikrufu zixhomekeke kuqhagamshelwano lweplate-bone ukunqanda ukungcungcutheka. Kwimimandla ebanzi ye-metaphyseal, i-varus / i-valgus efihlakeleyo okanye i-plantarflexion / i-dorsiflexion i-angulation isenokuthi yenzeke phakathi kwamanqaku okufakwa kwe-screw. I-XC Medico's ezintathu-point distal locking (i-proximal, i-middle, i-screws e-distal) yenza 'i-triangulation cage' ekhusela ukuhamba kuzo zonke iindiza ezintathu-i-varus / i-valgus, i-plantarflexion / i-dorsiflexion, kunye nokujikeleza. Oku kubaluleke kakhulu kwi-metaphyseal fractures apho ububanzi bethambo bunokugqithisa i-25mm.

Umbuzo: Yintoni ijika lokufunda lokubethelela umva?

A: Oogqirha abanamava ngokulungiswa kweplate okanye i-antegrade nailing, i-curve yokufunda ifutshane ngokumangalisayo (iimeko ezi-5-10). Indlela yokubuyisela i-ankle ye-medial iqondile, kwaye i-XC Medico yoyilo lwe-nail e-cannulated ivumela isikhokelo sokubeka ucingo ngaphambi kokuzibophezela kwisikhonkwane. Sinikezela ngeevidiyo zotyando ezineenkcukacha, amaxwebhu e-IFU ngamanyathelo, kunye nenkxaso yoqeqesho kwisiza.

Umbuzo: Ngaba kukho naziphi na izinto ezichaseneyo malunga nokubuyisela i-DTN?

A: Izichaso ezihambelanayo zinqabile. Ukuchasana ngokupheleleyo kubandakanya i-metaphyseal fractures enzima kakhulu kunye ne-<2cm distal fragment (enqabileyo kule nqanaba) okanye i-ankle arthropathy esele ikhona. Kwiipateni ezilula zokuphuka, ukulungiswa kwepleyiti kusenokwamkeleka ukuba izicubu ezithambileyo zicocekile, kodwa ukubuyisela i-DTN akuze ibe ngaphantsi-inika nje izibonelelo ezongezelelweyo (ingozi ephantsi yosulelo, ukuhlanganiswa kwangaphambili) ngaphandle kweendleko ezongezelelweyo.

Ukuqukumbela: Ukubuyisela iDTN kuMgangatho wokuKhathalela

Ityala likaMiguel libonisa ukuba kutheni ukubuyisela i-intramedullary nailing ibe ngumgangatho wokunyamekela i-distal tibia fractures, ngakumbi xa kukho ukuxhatshazwa kwezicubu ezithambileyo. Indlela yokulimala etyumkileyo, eya kufuna ngokuqhelekileyo ukuhluthwa kwezicubu ezithambileyo zokulungiswa kweplate, yalawulwa ngeendlela ezintandathu ezincinci ezipheleleyo <10cm ye-dissection-ukunciphisa okumangalisayo kwi-trauma yokusebenza.

Iziphumo zithetha ngokwazo: umanyano oluqinileyo lwethambo phakathi kweeveki ze-12, iingxaki zero, ukubuyisela ngokupheleleyo ukusebenza, kunye nokubuyela ngokukhawuleza emsebenzini. Ekulungiseni ipleyiti, esi sigulana siya kujongana ne-15-25% yomngcipheko wosulelo, uthintelo olukhulu, kunye neentsuku ezi-3-5 zokulaliswa esibhedlele ixesha elide.

Kubasabalalisi abakhonza amaziko e-trauma aseMzantsi Melika: I-Retrograde DTN imele i-high-margin, umgca wemveliso wempembelelo ephezulu ophucula iziphumo zesigulane ngelixa unciphisa iindleko zesibhedlele. Izibhedlele ezisebenzisa amandla okubuyisela umva zifumana ithuba lokukhuphisana kwimarike yomothuko yengingqi. Oogqirha botyando bafumana amagophe okufunda ngokukhawuleza kunye neziphumo ezinokuqikelelwa ngakumbi. Izigulana zichacha ngokukhawuleza kunye neengxaki ezimbalwa.

Ulwazi lweMveliso kunye neZibonelelo

I-XC Medico Distal Tibial Intramedullary Nail – Retrograde Fixation System (Iphepha leMveliso elineNgcaciso)
XC Medico Tibia Intramedullary Nail (Standard Antegrade System)
Gqibezela umgca weMveliso ye-Intramedullary Nail (Zonke izifakelo ze-Trauma)

Qhagamshelana ne-XC Medico

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KuBasasazi: Xoxa ngezivumelwano zomhlaba, amaxabiso omthamo, amathuba emarike awodwa, ubume bomda

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