I-PFNAGRAMEDLlary Nail

Ividiyo ye-PFNAMMEDLary Nail Ividiyo

I-PFNAGRAMEDLay Nail PDF 

I-PFNA I-Intramellary Nail

Iimveliso	Umfanekiso	Iimodeli ezithile	Ukucaciswa	Iimveliso	Umfanekiso	Iimodeli ezithile	Ukucaciswa
I-PFNA (i-Gama) ye-Inramellary Nail		Rpfna09180	Ф9 × 180	I-PFNA (i-Gama) ye- Inramellary Nail		Rpfna11380r	Ф11 × 380 r
		Rpfna09200	Ф9 × 200			Rpfna11400r	Ф11 ф10 × 400 r
		Rpfna09220	Ф9 × 220			Rpfna11420r	Ф11 ф10 × 420 r
		Rpfna09240	Ф9 × 240			I-RPFNA11440R	Ф11 × 440 r
		Rpfna10180	Ф10 × 180			I-RPFNA11320l	Ф11 ф10 × 320 l
		Rpfna10200	Ф10 × 200			Rpfna11340l	Ф11 ф10 × 340 l
		Rpfna10220	Ф10 × 220			Rpfna11360l	Ф11 ф11 × 360 l
		Rpfna10240	Ф10 × 240			Rpfna11380l	Ф11 × 380 l
		Rpfna11180	Ф11 ф11 × 180			Rpfna11400l	Ф11 ф10 × 400 l
		Rpfna11200	Ф11 × 200			Rpfna11420l	Ф11 ф11 × 420 l
		Rpfna11220	Ф11 ф10 × 220			Rpfna11440l	Ф11 × 440 L
		I-RPFNA11240	Ф11 × 240	Ukutshatisa i-SRESS
		Rpfna12180	Ф12 × 180	I-Blad Screw		I-RSDPD10D470	Ф10.4 * 70
		Rpfna12200	Ф12 × 200			I-RSDPD10D475	Ф10.4 * 75
		Rpfna1220	Ф12 × 220			I-RSDPD10D480	Ф10.4 * 80
		Rpfna12240	Ф12 × 240			I-RSDPD10D485	Ф10.4 * 85
		Rpfna09320r	Ф9 × 320 r			I-RSDPD10D490	Ф10.4 * 90
		I-RPFNA09340r	Ф9 × 340 r			I-RSDPD10D495	Ф10.4 * 95
		Rpfna09360r	Ф9 × 360 r			I-RSDPD10D4100	Ф10.4 * 100
		Rpfna09380r	Ф9 × 380 r			I-RSDPD10D4105	Ф10.4 * 105
		Rpfna09400r	Ф9 × 400 r			I-RSDPD10D4110	Ф10.4 * 110
		Rpfna09420r	Ф9 × 420 r			I-RSDPD10D4115	Ф10.4 * 115
		Rpfna09440r	Ф9 × 440 r			I-RSDPD10D4120	Ф10.4 * 120
		Rpfna09320l	Ф9 × 320 l	4.7mm Ockick Screw		I-RSPNNDELD4726	Ф4.7 * 26
		Rpfna09340l	Ф9 × 340 l			I-RSPNNDELD4728	Ф4.7 * 28
		I-RPFNA09360l	Ф9 × 360 l			I-RSPNDAld4730	Ф4.7 * 30
		Rpfna09380l	Ф9 × 380 l			I-RSPNNDELD4732	Ф4.7 * 32
		Rpfna09400l	Ф9 × 400 l			I-RSPFNAld4734	Ф4.7 * 34
		Rpfna09420l	Ф9 × 420 l			I-RSPNNDALD4736	Ф4.7 * 36
		Rpfna09440l	Ф9 × 440 l			I-RSPNALDE4738	Ф4.7 * 38
		Rpfna10320r	Ф10 × 320 r			I-RSPNNDEL4740	Ф4.7 * 40
		I-RPFN10340R	Ф10 × 340 r			I-RSPNNDELD4742	Ф4.7 * 42
		Rpfna10360r	Ф10 × 360 r			I-RSPNALDEL4744	Ф4.7 * 44
		Rpfna10380r	Ф10 × 380 r			I-RSPNALDEL4746	Ф4.7 * 46
		Rpfna10400r	Ф10 × 400 r			I-RSPFNAld4748	Ф4.7 * 48
		Rpfna10420r	Ф10 × 420 r			I-RSPFNALD4750	Ф4.7 * 50
		I-RPFNA10440R	Ф10 × 440 r			I-RSPNFNALD4752	Ф4.7 * 52
		Rpfna10320l	Ф10 × 320 l			I-RSPNNDELD4754	Ф4.7 * 54
		Rpfna10340l	Ф10 × 340 l			I-RSPNNDELD4756	Ф4.7 * 56
		Rpfna10360l	Ф10 × 360 l			I-RSPNALDEL4758	Ф4.7 * 58
		Rpfna10380l	Ф10 × 380 l			I-RSPFNAld4760	Ф4.7 * 60
		Rpfna10400l	Ф10 × 400 l			I-RSPNDALD4764	Ф4.7 * 64
		Rpfna10420l	Ф10 × 420 l			I-RSPNNDELD4768	Ф4.7 * 68
		Rpfna10440l	Ф10 × 440 l			I-RSPNNDELD4772	Ф4.7 * 72
		Rpfna11320r	Ф11 ф10 × 320 r			I-RSPNNDELD4776	Ф4.7 * 76
		I-RPFN11340R	Ф11 ф10 × 340 r			I-RSPNDALD4780	Ф4.7 * 80
		Rpfna1130r	Ф11 ф11 × 360 r			I-RSPNNALD4784	Ф4.7 * 84

Inkcazo ye-pfna ichazayo

Ukuphela kwentloko. Ukuzinza okujikelezayo. Ukukhetha i-Static okanye i-Dynamic Exring (i-windows: 5mm). Ukufakwa kwenqanaba lokuphatha. Ukuphefumla kwe-distal ze-diverication kunciphisa uxinzelelo loxinzelelo.

Iindlela ezininzi zokutshixa iinketho ze-distal okanye zokutshixa eziguqukayo zinokwenziwa ngengalo ejolise kwi-PFNA, amancinci kunye ne-xs. I-PFNA ixesha elide ivumela ukongeza ukungqinwa kwenqanaba lesibini. Ukuzinza okukhulu okubangelwa kukudibana kwethambo phakathi kweBlade ye-PFNADE ye-biomechablical kungqinwe ekujikelezisweni nasekupheleni. Ukuba i-PFNAD Blade yayinenkcaso ephakanyisiweyo kakhulu xa kuthelekiswa neenkqubo eziqhelekileyo ezisetyenzisiweyo.

I-PFNA ine-angile yeMedial ye-6 ° le ivumela ukufakelwa kwincam yetrothester enkulu. Uzinzo olujikelezayo kunye ne-anglar luyifundiswa ngethambo elinye lokufaka ithambo elithintela i-PFNA Blade Compacts i-130 ° ithambo elibonelela nge-adhoring eyongezelelweyo, ebaluleke ngakumbi kwithambo le-osteoporothorotic.

IINGOZI ZOKUGQIBELA ZE-XC ZE

Ukulungiswa kwangaphambili kwe-CNC Itekhnoloji yolawulo yamanani ekhompyuter isetyenziselwa ukuqhubela phambili kweemveliso ze-Orthoric. Le nkqubo ineempawu zokuchaneka okuphezulu, ukusebenza kakuhle, kunye nokuphindaphinda. Inokuvelisa ngokukhawuleza izixhobo zezonyango ezihambelana nesakhiwo somntu kwaye sinike izigulana ezinezicwangciso zonyango.	Imveliso ye-Pollise Injongo yeemveliso zamathambo ipolishe zokuphucula i-Poliling kukuphucula unxibelelwano phakathi kwendawo yokufakelwa kunye nezicubu zabantu, ukunciphisa uxinzelelo loxinzelelo, kunye nokuphucula uzinzo lwexesha elide lokufakwa.	Uvavanyo olusemgangathweni Uvavanyo lweepropathi zoomatshini lwemveliso yobuchwephesha yenzelwe ukulinganisa iimeko zoxinzelelo lwamathambo abantu, vavanya umthwalo wokutsalwa komthwalo kunye nokuqina kokufakwa emzimbeni womntu, kwaye ukuthembeka kwabo kukuthembeka nokunyaniseka.
Iphakheji yemveliso Iimveliso ze-Orthopedic zipakishwe kwigumbi eliyinolwazi lokuqinisekisa ukuba imveliso ingenelelwe kwindawo ecocekileyo, ecocekileyo ukuthintela ungcoliseko lwentsholongwane kwaye uqinisekise ukhuseleko lonyango.	Imveliso yemveliso Ukugcinwa kweemveliso zamathambo kufuna ulawulo olungqongqo kunye nolawulo olusemgangathweni ukuqinisekisa ukulandelela kwemveliso kunye nokuthintela ukupheliswa okanye ukuthunyelwa okungalunganga.	Igumbi lesampulu Igumbi lesampulu lisetyenziselwa ukugcina, ukubonisa kwaye kulawulwe iisampulu zeemveliso ze-Orthopec zeMveliso yeTekhnoloji noQeqesho.

Inkqubo yokusebenzisana ne-XC ye-XC 

I-1. Buza i-XC IQela le-PFNA kwi-PFNAGRAMEMlad ye-Natie ye-Nationalogue.

2. Khetha i-PFNAME DIODMENDER YEMODE YENKUNDLA.

3. Cela isampulu yokuvavanya umgangatho we-pfna music.

4.Yile i-odolo ye-XC ye-XC ye-PFNAMEDIORY

5.Benza umthengisi we-XC ye-XC ye-PFNAMEDUMDLARY

Izibonelelo  zokuba ngumthengisi okanye umthengisi we-XC ye-XC

I-1. Ixabiso elingcono lokuthenga le-PFNAGRAMLAME.

I-2.100% eyona nqanaba liphezulu pfna intramelimellary.

3. Iinzame zoku-odola.

4. Uzinzo lwamaxabiso kwithuba lesivumelwano.

I-5. I-PFNAGRAME ye-Intramer

I-6. Uvavanyo olukhawulezileyo nolulula lwe-XC ye-XC

I-7. Uhlobo oluvunyiweyo kwihlabathi liphela - i-XC ye-XC.

8. Ixesha lokufikelela ngokukhawuleza kwiQela le-XC DECROSTO.

I-9. Uvavanyo olusemgangathweni owongeziweyo ngeQela le-XC.

I-10. Landela i-XC yakho ye-XC ye-timetis ukusuka ekuqaleni ukuya ekugqibeleni.

Ingqondo ye-PFNAMMEllary

I-PFNA (i-proximal ye-festilemal Ilungele iintlobo ngeentlobo zexinzelelo zentengo yentengo; ubuxoki base-subtrichateric; I-themoral yentamo yesiseko; I-femolral yentsebenzo edityanisiweyo kunye ne-femoral faft; kunye ne-perackancric fictures edityaniswe ne-themoral faft.

I-PFNA I-Intramellary Nail

Isikhonkwane esiphambili esihamba ngenqanawa.

Isikhonkwane esikhulu sine-6

Isikhonkwane esiphambili sinencam kunye noyilo lwe-Groove olixesha elide.

Inye kuphela isikhonkwane esitshixwayo kufuneka sibekwe kwisiphelo se-distal.

Uyilo lweBladel Blade lune-Anti-Raxing kunye nokungavumi nokusikwa nokuzinza kunye nokuzinza okuphezulu.

I-PFNA I-Intramelimellary Nasiphia

Incinci kakhulu

Utyando lunemondezelo encinci, ukopha okungaphezulu, kunye nokululama ngokukhawuleza.

Uzinzo oluhle

Ukutshixa izikrelem kunye nezixhobo zokujikeleza kwezixhobo zibonelela ngokulungiswa ngokuqinileyo kunye nokukhuthaza ukuphilisa ukuqhekeka.

Ukudibana kobunzima bokuqala

Izigulana zinokuthwala ubunzima kwangoko emva kotyando, elungele ukubuyela kwakhona.

Zimbalwa iingxaki

I-PFNA ineqondo eliphantsi lokuqhutywa kovavanyo.

Ilungele abantu abadala

Ilungele abaguli abalupheleyo abane-osteoporosis.

Utyando lwePFNA

Utyando lwe-PFNA luhlobo olutsha lwendlela yokuqhutywa kwe-proximal, ngakumbi ilungele ukwaphuka kwamanye amazwe kubantu abadala. Ngaphambi kotyando, i-anesthesia kufuneka yenziwe, idla ngokudityaniswa kwe-spinal-epinal-Eneral Anesthesia okanye i-Anesthesia Jikelele. Thatha icala elisempilweni elisempilweni, bulala iintsholongwane emlenzeni ochaphazelekayo, kwaye ubeke itawuli engacocekanga.

Thatha i-interchesial anesthesia.

Thatha indawo esempilweni elungileyo (icala elichaphazelekayo liphezulu); Intsholongwane intsholongwane indawo yotyando enamachaphaza e-iodine kunye notywala, kwaye ibeka iphepha elingenanto.

Yenza ukuncitshiswa kobubi kunye nokulondolozwa kokuncitshiswa kwe-Fluoroscopy.

Yenza i-thetion ye-trochanater enkulu ye-femur njengeziko, malunga ne-8 cm ubude, faka i-farcia enkulu ye-femul ye-troun, inxibe i-fascia enkulu ye-rotex yokwandisa i-opex ye-open, faka inaliti ende, kwaye Ngena i-cavity ye-femoral.

Sebenzisa i-Fluoroscopypcopy yokuqinisekisa ukuba inaliti yesikhokelo ingena kwi-distal ye-distallary.

Emva kokuba isikhundla sesikhokelo senaliti kunye nokuncitshiswa kweflict kuyanelisa, khetha i-PFNA Nail enobude obunezanelisayo (ngokubanzi i-20-20-24 cm) kunye nobunzulu be-Inneramenti, kwaye ubunzulu bofakelo lwenaliti bunenzekile phantsi kweFluoroscopy.

Faka isakhelo sesikhokelo se-PFNA, qhuba i-Spiral Kyokhongelwa kwi-Nail kwiNtloko yeThemo kunye neNtloko yeNqakuna, kwaye utshixe ezinye izikhonkwane.

Iingxaki zePFNA kunye nezilumkiso

Usulelo

I-Possosure yosulelo, usulelo olunzulu, njl.

Ukulibaziseka kweManyano okanye ngaphandle kwe-nonion

kancinci okanye ukungahambelani kokuphilisa.

I-Napile Tracture Rught

I-Intramelimerary Nail okanye i-Lokhila ye-screw screw.

I-neurovascular

Intramopeative okanye i-Poptovascular ye-neurovascular.

I-vein venis quin

I-Pobstoperative ye-vein vem thrombosis yamalungu asezantsi.

I-heterotopic ye-ossication

I-Pobsperapetive Callices yezicubu ezithambileyo ezijikeleze i-hip edibeneyo.

I-PFNA Posttopeative

Ukhathalelo lwenxeba

Gcina inxeba elicocekileyo kwaye lome, kwaye utshintshe i-inder rhoqo.

Ukusebenza

Yenza imithambo esebenzayo njengoko ichaziwe ngugqirha ukukhuthaza ukubuyiselwa kokuhamba okudibeneyo.

Ukuthwala Ubunzima

Ngokuthe ngcembe wandisa ubunzima obuqu ngokobunzima ngokwengcebiso kagqirha.

Uphononongo oluqhelekileyo

Hlaziya rhoqo i-X-ray ukugcina ukuphiliswa kokuphiliswa kwamaqhekeza.

Kungekudala emva kotyando lwePFNA ndingasebenzi?

I-Intergencrachanric Fractures iqhekeza eliqhelekileyo kwi-ortopedic. Zibonakala ikakhulu kubantu abadala. Ngenxa ye-osteoporousis, i-pergernAchateric quaritys ihlala yenzeka emva kokuwa ngengozi kubantu abadala. Ixesha lokuhamba emva kotyando lixhomekeke kwinqanaba le-osteopororosis kunye nendlela yotyando. Ukuba utyando isebenzisa i-PFNA yangaphakathi yokulungiswa, isigulana sinokusihlutha ubunzima ngamaqhekeza emva kweveki. Ungahamba emhlabeni ungabeki kangangeenyanga ezimbini. Ukuba kukho i-osteoporosis enkulu, ixesha elihambelanayo kufuneka lindiswe ngokufanelekileyo.

Ukuba indlela ye-sugefic iluncedo lwezipikili zangaphakathi, ixesha lokuphuma ebhedini kufuneka lungezeleleke. Ezinye izipikili ezingenasiphelo azizinza njenge-PFNA. Ihlala icetyiswa ukuba izigulana zihlala ebhedini kangangenyanga, emva koko zisebenzise ii-cruches zemisebenzi echaphazela ubunzima. Ngokwesiqhelo, ungancama ukuhamba emva kweenyanga ezi-2 ukuya kwezi-3. Ukuba i-Dynamic isetyenzisiwe, unokuphuma ebhedini kwaye unesisindo ngemithwalo ye-cruches kangangenyanga, kwaye unganikezela ngeenyanga ezi-2 ukuya kwezi-3.

Imakethi yexesha elizayo ye-PFNADMEDLay

Ngokutsho kophando luka-Apol, intengiso yentengiso ye-Interramellary ye-Interrameldary ye-2023 iya kuba malunga nezigidi ezingama-470 zeedola, kwaye kulindeleke ukuba ikhule kwi-chagr (i-quaund yokukhula) engaphezulu kwe-3.82% ngexesha lexesha lemozulu engama-2024-2030. Oku kubonisa ukuba imakethi ye-intramellary ye-intramellary, kubandakanya nezikhonkwane ze-PFNAMEMlary, ziya kuqhubeka nokwandisa kwihlabathi liphela, zibonelela ngendawo ebanzi yentengiso yabavelisi kunye nabathengisi.

Isishwankathelo

I-PFAN yindlela ekhuselekileyo, esebenzayo kwaye iyindawo encinci yokunyanga i-proximal fectures. Nangona kunjalo, impumelelo yomsebenzi inxulumene ngokusondeleyo nezakhono zikagqirha, ukungafani kwesigulana kunye nokhathalelo lweposi. Izigulana kufuneka zikhethe isibhedlele rhoqo, zisebenzise umsebenzi onamava, kwaye zilandele imiyalelo kagqirha ngokokuhlaziywa kwendawo.

Isikhumbuzo esishushu: Eli nqaku lilungiselelwe kuphela kwaye alinakutshintsha kuphela ingcebiso yengcali kagqirha. Ukuba unayo nayiphi na imibuzo, nceda uqhagamshelane nogqirha.