Izipikili ze-Intramentary ku-Orthopedics yanamuhla: Umguquki wegeyimu ekuhlelweni kwe-Fracture?

Ukuqalisa

Ukunakekelwa kwe-Orthopedic Trauma sekuvele kakhulu eminyakeni edlule, nge-intrametundary (IM) izipikili edlala indima ebalulekile ekuhlelweni kwamanje kwanamuhla. Lezi zimilo ziye zaba yisixazululo esithandwayo sokuqinisa amathambo amathambo ngenxa yokungabonakali kwawo okuncane, izakhiwo eziphakeme ze-biomechanical, nezikhathi zokutakula ngokushesha.

Ngentuthuko ekwakhiweni okukule, izinto zokwakha, kanye namasu okuhlinza, odokotela abahlinzayo be-orthopedic manje banethuluzi elithembekile lokwelapha ukuphulukisa ngempumelelo. Lo mbhalo ubheka eduze ukuthi izipikili zisebenza kanjani, izinzuzo zazo, izicelo ezijwayelekile, izinto ezintsha zakamuva, nokuthi kungani zithola ukuthandwa ezifundeni ezikhuluma iSpain naseNingizimu mpumalanga ye-Asia.

Ukuqonda izipikili ezihlangene: Yini?

Izipikili ze-intramentundary zinde, izinduku zensimbi eziqinile ezifakwe emgodini we-vone's medullary ukusiza ukuvumelanisa nokuqinisa ukuqina. Kwenziwe nge-titanium noma insimbi engenacala, zivikelekile ngezikulufo ezikhiyiwe emaphethelweni womabili, ukuvimbela ukunyakaza okungafuneki njengokujikeleza nokufinyeza.

Izinhlobo zezipikili ezihlekisayo

Izinzipho ze-IM ziza ngezimo namasayizi ahlukene, ngamunye aklanyelwe amathambo athile namaphethini we-fracture:

Ukwakhiwa kabusha kwabesifazane kabusha kwe-intrametundary nail

- Isetshenziselwa ukuqhekeka okuyinkimbinkimbi kwabesifazane, ikakhulukazi ama-subtrochantteric fractures.

Izipikili zomculo

- Yakhelwe ukuqinisa i-Humerus Shaft kanye ne-sumximal humerus fractures.

I-PFNA (Proximal Nail Antirotation)

- Ilungele ukuqhekeka kwe-femur ye-proximal, ikakhulukazi ezigulini ezikhulile ezine-osteoporosis.

Izipikili zama-femoralraltuvary

- Inketho evamile yokuqhekeka kwe-diaphyseal femur fractures.

I-Tibia intramendulrary nail

- The Go-to Choice for tibial shaft fractures, kunciphisa isikhathi sokuphulukisa.

Ibuyiselwe izipikili zomhlaseli

- Yakhelwe ukuqhekeka kwabesifazane okude, ukuqinisekisa ukuqondanisa okufanele.

Multi-Lock Humerus intramenduvary nail

- Inikeza okukhethwa kukho okuningi okukhiyiwe, ukuhlinzeka ngokuqina okwengeziwe kokuqhekeka okuyinkimbinkimbi.

Isipikili se-titanium Enastic nail (ishumi)

- Isetshenziswa kaningi kuma-Pediatric Fractures ngenxa yesakhiwo sayo esiguquguqukayo.

Kungani izipikili zomculo eziguquguqukayo ziguqula ukulungiswa kwe-fracture

Ukululama okusheshayo kanye nokuhamba kusenesikhathi

Enye yezinzuzo ezinkulu kakhulu ze-IM Nails amandla abo okusekela ukuthwala isisindo kusenesikhathi. Ucwaningo lukhombisa ukuthi iziguli ezilandelwa yi-Im zibe zikhonkotha zingaqala ukuthwala isisindo kungakapheli amasonto amane-6, kuqhathaniswa namasonto ayi-8 kuya kwayi-12 kulabo abaphathwa ngamapuleti endabuko. Lokhu kuhamba kwangaphambi kwesikhathi kusheshisa ukuphulukiswa futhi kunciphisa ingozi yokuqothuka kwemisipha.

Ukuhlinzwa okuncane okuhlaselayo

Ngokungafani nezindlela zokulungiswa kwendabuko ezinjengamapuleti, adinga ukufakwa okukhulu kanye nokuhlaziywa kwezicubu eziphakeme, izipikili ze-IM zingafakwa ngokufakwa okuncane. Lokhu kunciphisa usizi lokuhlinza, kwehlisa ingozi yokutheleleka, futhi kuholela ekuqhubekeni kwesibhedlela okufushane.

Ukuqina okuphezulu kwe-biomechanical

Ngoba izipikili ze-IM zibekwe ngaphakathi kwethambo, zivumelanisa ne-eksisi ethwala isisindo somzimba, ukuhlinzeka ngokuqina okuqinile nokuqina kwe-axial. Lo mklamo ulingisa i-biomechanics yemvelo yomzimba, enciphisa ubungozi bokuhluleka.

Ingozi ephansi yezinkinga

Uma kuqhathaniswa namapuleti kanye nama-Finators angaphandle, izipikili ze-IM zinamazinga aphansi okuhlukahluka. Ukusetshenziswa kwezikulufo ezihlanganayo kuvimbela ukuncishiswa kwamathambo nokushayeka kabi, kunciphisa amathuba ama-malonion noma angazi.

Izicelo ezisemqoka zezipikili ze-intramedullary kuma-orthopedics

I-Femord Shaft Fractures

Ama-flocral fractures, ikakhulukazi ama-diaphyseal fractures, aphathwe kahle nge-im niails. Ucwaningo lukhombisa ukuthi ama-95% ama-fractures wesifazane aphathwa nge-IM Nails aphulule kungakapheli izinyanga eziyisithupha lapho kulandelwa ukunakekelwa okufanele kwangemva kokusebenza.

Tibial shaft fractures

Ama-Tibial Fractures ajwayelekile emacaleni abuhlungu obukhulu obukhulu, njengezingozi zemoto kanye nokulimala kwezemidlalo. Ukukhala kwe-IM kuvumela ukuthwala isisindo kusenesikhathi, okubaluleke kakhulu ukuvimbela izinkinga njenge-cert syndrome.

Ama-Sumeliwal Fractures

I-IM Nails ihlinzeka ngemiphumela engcono yokusebenza kunamapuleti ku-STAH SHAFT FRACTURES, ikakhulukazi iziguli ezikhulile ezinamathambo e-osteoporotic.

Ama-gractures e-Geriatric ne-Osteoporotic

Nge-Agel Stations eMexico, eBrazil, e-Indonesia, kanye nePhilippines, ama-proximal femur fractures aya ngokuya njalo. Izipikili ze-PFNA zisebenza ngempumelelo ikakhulukazi ekwelapheni lezi zinhlaka, zinikeza ukuqina okuphezulu kokujikeleza kweziguli ezinamathambo antekenteke.

Izinto ezintsha zakamuva ekungeneni kwe-intramedullary

I-Biodegradable and Antibiotic-Cated Im Nails

Ucwaningo olusha luholele ekuthuthukisweni kwezipikili ze-biodergradable ne-antibiotic

Izipikili ze-3D eziphrintiwe ze-IM

Abakhiqizi manje basebenzisa ubuchwepheshe bokuphrinta abangama-3D ukukhiqiza izipikili ze-Im ezihlanganisiwe, ukuqinisekisa ukufana okungcono kwe-anatomical kwesiguli ngasinye.

Izindlela zokukhiya ezithuthukisiwe

Ukwethulwa kwezinhlelo zezinzwa eziningi ezikhiyiwe izipikili kuye kwathuthukisa ukuqina emacaleni ahlanzekile e-Fracture, ukuhlinzeka odokotela abahlinzayo ngezinketho eziningi zokwenza ngezifiso ukulungiswa.

Izitayela Zemakethe: KUNGANI UFUNA UKUQEDA EZIHLANGANISA IZIMPAHLA ESpain & Southeast Asia

Ukukhuphuka kwamacala obuhlungu

I-Latin America neSoutheast Asia inezinye zezinto eziphakeme kakhulu zezingozi zomgwaqo emhlabeni jikelele. Ngokusho kweWorld Health Organisation (WHO), ukushona kwabantu abangaphezu kwezigidi eziyi-1.35 kwenzeka minyaka yonke ngenxa yezingozi zomgwaqo, ukwenza ukwelashwa kwe-Fracture kube yinto ebaluleke kakhulu.

Ukunwebisa ingqalasizinda yezempilo

Amazwe anjengeMexico, Thailand, kanye ne-Indonesia atshala imali enkulu ekuthuthukisweni kwezempilo, okuholela ekwandiseni ukwamukelwa kwamathambo izimila ezinjengezipikili ze-IM ezinjengezipikili ze-IM.

Ukuthandwa okukhulayo kwe-titanium im nails

Izikhala ze-titanium zithola ukugcwala ngenxa yokuthambekela kwazo, imvelo engasindi, kanye nokuphikiswa kokugqwala. Izizwe ezinjengeColombia neVietnam ziguqukela ekuzuzeni izipikili ze-titanium im ezibhedlela ezihamba phambili.

Abasabalalisi bangasebenzisa kanjani imali emakethe yezipikili ezikhulayo

Izinselelo Ekusabalaliseni

Ukuvunyelwa okulawulwayo (isib. CofePris eMexico, eBpom e-Indonesia).

Ngenisa imisebenzi nokuphathwa kokuthengwa kwezidingo.

Amathuba abasabalalisi

Ukusebenzisana nezibhedlela zamathambo nezikhungo zokuhlukumezeka.

Ukunikeza izinhlelo zokuqeqeshwa udokotela ohlinzayo zobuchwepheshe obusha bokubekisa.

Ukuhlinzeka ngokufakwa okuqinisekisiwe kwe-FDA- kanye ne-CE ukufeza amazinga okuthengwa kwempahla esibhedlela.

Ukugcina

Izipikili ze-intramentundary ziguqule ukulungiswa kokuqhekeka ngokunikela ngokuhlaselela okuncane, ngokwezifiso eziqinile, kanye nezisombululo zakuqala zokuthwala isisindo. Njengoba ukufunwa kwabo kuqhubeka ukukhuphuka ezifundeni ezikhuluma iSpain naseSoutheast Asia, abasabalalisi kanye nabahlinzeki bezokunakekelwa kwempilo kumele bahlale benolwazi ngobuchwepheshe bamuva kanye nezitayela zemakethe.

Okokuhlinzwa, ukuqonda izindlela ezinhle kakhulu zokukhonkotha kwe-IM kuqinisekisa imiphumela yeziguli ezingcono. Kubasabalalisi, ukutshala imali ezimakethe zekhwalithi ephezulu kanye nezinhlelo zemfundo kungasiza ukunwebisa imakethe ukuba ifinyelele ekufinyeleleni nasekusunguleni ubudlelwano obuqinile embonini yama-orthopedic.