I-Tibia Intramedullary Nail

PFNA Intramedullary Nail Video

PFNA Intramedullary Nail PDF    

 

PFNA Intramedullary Nail Ukucaciswa

I-Prduct	Isithombe	I-REFTitanium Alloy	Ukucaciswa
I-Tibia Intramedullary Nailmatch 4.5mm isikulufu sokukhiya sinentambo egcwele		RJSD08240	Ф8x240
		RJSD08260	Ф8x260
		RJSD08280	Ф8x280
		RJSD08300	Ф8x300
		RJSD08320	Ф8x320
		RJSD08340	Ф8x340
		RJSD08360	Ф8x360
		RJSD08380	Ф8x380
		RJSD09240	Ф9x240
		RJSD09260	Ф9x260
		RJSD09280	Ф9x280
		RJSD09300	Ф9x300
		RJSD09320	Ф9x320
		RJSD09340	Ф9x340
		RJSD09360	Ф9x360
		RJSD09380	Ф9x380
		I-RJSD10240	Ф10x240
		I-RJSD10260	Ф10x260
		I-RJSD10280	Ф10x280
		I-RJSD10300	Ф10x300
		I-RJSD10320	Ф10x320
		I-RJSD10340	Ф10x340
		I-RJSD10360	Ф10x360
		I-RJSD10380	Ф10x380
		I-RJSD11240	Ф11x240
		I-RJSD11260	Ф11x260
		I-RJSD11280	Ф11x280
		RJSD11300	Ф11x300
		I-RJSD11320	Ф11x320
		I-RJSD11340	Ф11x340
		I-RJSD11360	Ф11x360
		I-RJSD11380	Ф11x380

PFNA Intramedullary Nail Incazelo

1. Izinketho ezintathu zokukhiya ezintsha, ezihlanganiswe nezikulufu zokuvala amathambo ezikhansela, zikhuphula ukuzinza kwesiqephu esiseduze sokuphuka kwesithathu okuseduze. 2. Izinketho ezimbili zokukhiya zesimanjemanje ze-mediolateral (ML) zinika amandla ukucindezelwa okuyinhloko noma ukuguqulwa kwamandla okulawulwa kwesibili.

1. Ukugoba kwe-anatomic ukuze kube lula ukufaka izinzipho. 2. Ingxubevange ye-Titanium TAN* yokuthuthukisa izakhiwo zemishini nokukhathala. 3. Izinzipho ezifakwe amathini (kusuka ku-8 mm kuya ku-10 mm) ukuze kusetshenziswe izindlela ezivuselelwe kabusha noma ezingakavuselelwa, ezivumela ukufakwa kwezinzipho phezu kwentambo yomhlahlandlela. 4. Izintambo zokuqondisa ezinamaphuzu ebhola zingase zikhishwe ngokuhlanganiswa kwesibambo sezipikili kanye nokushutheka (akudingeki ishubhu yokushintshanisa).

I-1.Inketho yokukhiya i-Distal oblique ukuvimbela ukulimala kwezicubu ezithambile futhi ukwandise ukuzinza kwe-distal fragment. 2. Izinketho zokukhiya i-ML ezimbili kanye ne-anteroposterior eyodwa (AP) zokuzinza kwe-distal.

Izinzuzo zemikhiqizo ye-XC Medico

I-CNC Preliminary Processing Ubuchwepheshe bokulawula izinombolo zekhompyutha busetshenziselwa ukucubungula imikhiqizo yamathambo. Le nqubo inezici zokunemba okuphezulu, ukusebenza kahle okuphezulu, nokuphindaphinda. Ingakhiqiza ngokushesha imishini yezokwelapha eyenziwe ngokwezifiso evumelana nesakhiwo somuntu futhi inikeze iziguli izinhlelo zokwelashwa eziqondene nomuntu.	Ukupholisha umkhiqizo Inhloso yokupholishwa kwemikhiqizo yamathambo ukuthuthukisa ukuthintana phakathi kokufakelwa kanye nezicubu zomuntu, ukunciphisa ukugxila kwengcindezi, nokuthuthukisa ukuzinza kwesikhathi eside kokufakelwa.	Ukuhlolwa Kwekhwalithi Ukuhlolwa kwezakhiwo zemishini kwemikhiqizo yamathambo kuklanyelwe ukulingisa izimo zokucindezeleka kwamathambo abantu, ukuhlola umthamo wokuthwala umthwalo nokuqina kwezimila emzimbeni womuntu, nokuqinisekisa ukuphepha nokwethembeka kwazo.
Iphakheji Lomkhiqizo Imikhiqizo yamathambo ipakishwa ekamelweni elingenalutho ukuze kuqinisekiswe ukuthi umkhiqizo umbozwe endaweni ehlanzekile, eyinyumba ukuvimbela ukungcoliswa kwamagciwane kanye nokuqinisekisa ukuphepha kokuhlinzwa.	Inqolobane Yomkhiqizo Ukugcinwa kwemikhiqizo yamathambo kudinga ukuphathwa okuqinile nokuphumayo kanye nokulawulwa kwekhwalithi ukuze kuqinisekiswe ukulandeleka komkhiqizo nokuvimbela ukuphelelwa yisikhathi noma ukuthunyelwa okungalungile.	Igumbi Lesampula Igumbi lesampula lisetshenziselwa ukugcina, ukubonisa nokuphatha amasampula emikhiqizo ehlukahlukene yamathambo okushintshana nokuqeqeshwa kobuchwepheshe bomkhiqizo.

Inqubo Yokubambisana Ne-XC Medico

1. Buza ithimba le-XC Medico ngekhathalogi yomkhiqizo we-Tibia Intramedullary Nail.

2. Khetha umkhiqizo wakho onentshisekelo kuwo we-Tibia Intramedullary Nail.

3. Cela isampula ukuhlola izinga le-Tibia Intramedullary Nail.

4.Yenza i-oda le-XC Medico's Tibia Intramedullary Nail.

5.Iba umthengisi we-XC medico's Tibia Intramedullary Nail.

Izinzuzo Zokuba Umthengisi Noma Umthengisi we-XC Medico

1. Amanani Okuthenga Angcono Ka-Tibia Intramedullary Nail.

2.100% Ikhwalithi Ephakeme I-Tibia Intramedullary Nail.

3. Imizamo Encane Yoku-oda.

4. Ukuzinza Kwentengo Isikhathi Sesivumelwano.

5. I-Tibia eyanele ye-Intramedullary Nail Inventory

6. Ukuhlola Okusheshayo Nokulula Kwe-XC Medico's Tibia Intramedullary Nail.

7. Ibhrendi Eyaziwa Emhlabeni Wonke - XC medico.

8. Isikhathi Sokufinyelela Ngokushesha Ethimba Le-XC Medico Sales.

9. Ukuhlolwa Kwekhwalithi Okwengeziwe Kwethimba Le-XC Medico.

10. Landelela i-oda lakho le-XC Medico Kusukela Ekuqaleni Ukuze Uqede.

I-Tibia Intramedullary Nail Concept

I-Tibia intramedullary (IM) ukuhlinzwa kwezinzipho kuyindlela evamile esetshenziselwa ukwelapha ukuphuka kwe-tibia, ithambo elide emlenzeni ongezansi. Le nqubo ihilela ukufaka induku yensimbi (isipikili) emgodini womnkantsha we-tibia ukuze uzinze futhi uqondise ithambo njengoba liphulukisa. Ivame ukukhethwa ngenxa yokuphumelela kwayo ekwelapheni izinhlobo ezahlukene zokuphuka kwe-tibial, ikakhulukazi endaweni ye-shaft, futhi ingasetshenziswa ezimeni zokuphuka kokubili okuvaliwe nokuvulekile.

Izici ze-Tibia Intramedullary Nail

Ukukhiya Indlela

I-Static Locking: Izikulufu zifakwa kuzo zombili iziphetho eziseduze nezikude zezipho, zivimbela ukujikeleza nokunyakaza kwe-longitudinal. Lokhu kulungele ama-fractures angazinzile.

Ukukhiya Okunamandla

Ivumela ukunyakaza kwe-axial okulawulwayo, okungasiza ekwelapheni kwamathambo ngokuvumela ukucindezelwa okuncane endaweni yokuphuka. Isetshenziselwa ukuphuka okuzinzile lapho ukunyakaza okuthile kungakhuthaza ukuphulukiswa.

Izinketho zokukhiya izindawo eziningi

Ezinye izinzipho zinikeza izikhundla ezihlukahlukene zezimbobo zesikulufa, okuvumela ukuzinza kwe-angular nokuzivumelanisa kangcono namaphethini ahlukene okuphuka.

Ububanzi bezinzipho nokuhlukahluka kobude

Izinzipho ze-Tibia ziza ngobubanzi obuhlukahlukene nobude ukuze zilingane neziguli ezinobukhulu obuhlukene kanye nezindawo zokuphuka. Odokotela abahlinzayo bangakhetha usayizi ofanele ukuze baqinisekise ukuzinza nokufaneleka okuphelele.

Izinketho Eziguquguqukayo

Izipikili ezinezinketho zokulungiswa kwe-proximal kanye ne-distal zivumela ukuzivumelanisa kangcono ne-anatomy yesiguli, ngisho noma umsele we-tibial ungavamile.

I-Cannulated Design

Izinzipho eziningi ze-tibia IM zikheniwe (ezingenalutho) ukuze zivumele ukufakwa phezu kocingo oluqondisayo. Lesi sici sisiza ukubeka okulula nokunembe kakhudlwana, ikakhulukazi ezinqubweni ezihlasela kancane.

I-Proximal ne-Distal Bend

Ukugoba okuncane noma ijika kuvame ukuklanywa ku-nail ukuze kufane kangcono ne-anatomy yemvelo ye-tibia futhi kuthuthukise ukuqondanisa ngaphakathi kwe-bone canal.

Izikulufo Ezihlanganayo

Zenziwe nge-titanium noma insimbi engagqwali, izikulufu ezixhumene zisiza ukuvikela isipikili phakathi kwethambo. Banikeza ukuzinza okujikelezayo nokwe-angular, ukuvimbela ukunyakaza okungafuneki nokuqinisekisa ukuqondanisa okufanele ngesikhathi sokuphulukiswa.

I-Distal Notching Proximal noma Izimbobo

Lawa manotshi noma izimbobo zisiza ukubekwa kwesikulufu sokukhiya kuma-engeli ahlukene, angasiza ekusimamiseni ukuphuka okuhlangene (lokho okunezicucu zamathambo amaningi) noma ukuphuka eduze kwamalunga.

I-Surface Coatings kanye ne-Finishes

Ezinye izipikili zinezingubo ezikhethekile, njenge-hydroxyapatite, engakhuthaza ukukhula kwamathambo nokuhlanganiswa. Ezinye zingase zibe nendawo epholile noma eqinile ukuze kuncishiswe ukungqubuzana nokuvimbela ukucasuka kwezicubu.

Ama-Radiolucent Markers

Izinzipho ezithile zifakwe omaka bemisebe ukusiza udokotela ohlinzayo aqinisekise indawo yezipikili ngesikhathi sokuhlinzwa esebenzisa i-fluoroscopy noma i-X ray. Lezi zimaki zithuthukisa ukunemba futhi zisize ukuqapha ukuqondanisa.

Tibia Intramedullary Nail Izinzuzo

I-Invasive Kancane

Ukubethelwa kwe-IM ngokuvamile kudinga ukusika okuncane kuphela, okunciphisa ukuphazamiseka kwezicubu ezithambile futhi kunciphise izibazi. Le ndlela yokuhlasela kancane isiza ukugcina imisipha ezungezile kanye nokunikezwa kwegazi, ikhuthaze ukuphulukiswa okusheshayo nokunciphisa ubuhlungu bangemva kokuhlinzwa.

Early Isisindo-Ukuthwala

Uma kuqhathaniswa nezinye izindlela zokulungisa, izipikili ze-tibia IM zivumela ukuthwala isisindo sokuqala, ngokuvamile phakathi namasonto ambalwa okuhlinzwa. Lokhu kusiza iziguli ukuba ziphinde zikwazi ukuhamba ngokushesha futhi zinganciphisa ingozi yezinkinga ezihlobene nokungakwazi ukuhamba isikhathi eside, njengamahlule egazi noma i-muscle atrophy.

Ukuzinza Okuthuthukisiwe Nokuqondanisa

Izinzipho ze-IM zinikeza ukusekela okuqinile kwangaphakathi ngokuhlanganisa ukuphuka eduze kwe-eksisi emaphakathi yethambo. Izikulufu zokukhiya emikhawulweni yomibili yezipikili zivikela izingcezu zamathambo futhi zivimbele ukujikeleza noma ukunyakaza, okuqinisekisa ukuqondana okufanele ngesikhathi sokuphulukiswa futhi kunciphisa ubungozi be-malunion.

Isikhathi Esincishisiwe Sokuphulukisa

Ngokuhlinzeka ngokulungiswa okuzinzile nokuvumela ukunyakaza okuncane okulawulwayo endaweni yokuphuka (ikakhulukazi ngokukhiya okuguquguqukayo), izipikili ze-IM zingashukumisa ukuphulukiswa kwamathambo. Lokhu kungaholela ezikhathini zokululama ngokushesha uma kuqhathaniswa nezinye izindlela zokulungisa ezifana nokulungiswa kwangaphandle noma ukucwenga.

Ukulondolozwa Kwebhayoloji Yamathambo

I-IM nailing igcina igazi lethambo le-periosteal njengoba lingabandakanyi ukuhlukaniswa okubanzi kwendawo engaphandle yethambo. Lokhu kukhuthaza impilo engcono yamathambo futhi kusize ukuphulukiswa kwemvelo, okubaluleke kakhulu ekwaphukeni okunokuphazamiseka kokugeleza kwegazi.

Ivumelana Nezinhlobo Ezihlukahlukene Zokuphuka

Izipikili ze-IM zingasetshenziselwa ukuhlukana okubanzi kwe-tibial, okuhlanganisa okuphambene, okugobile, okuhlanganisiwe (okunezicucu eziningi), kanye nokuhlukana kwezigaba. Zifanele futhi kokubili okuvaliwe nokuqhekeka okuthile okuvulekile, kuye ngobunzima bokulimala nendawo.

Ingozi Encishisiwe Yokutheleleka

Njengoba isipikili se-IM singaphakathi, asithambekele kakhulu ekuthelelekeni kunemishini yokulungisa yangaphandle, enezikhonkwane noma izintambo eziphumela ngaphandle kwesikhumba. Ukwengeza, ukusika okuncane okudingekayo ekubetheleni kwe-IM kwehlisa ingozi yokutheleleka.

Induduzo Yesiguli Ethuthukisiwe

Izinzipho ze-IM zitholakala ngaphakathi kwethambo futhi azibangeli ukucasuka kwangaphandle. Iziguli zivame ukuzwa ukungakhululeki okuncane uma kuqhathaniswa namadivayisi okulungisa angaphandle noma ukusakaza okukhulu, okungakhawulela ukunyakaza futhi kube nomthelela emisebenzini yansuku zonke.

Amathuba Okuhlala Esibhedlela Okufushane

Ukuzinza okuhlinzekwa yizinzipho ze-IM kuvumela ukuhlanganisa ngokushesha, okungase kuholele esidingweni esincishisiwe sokuhlala isikhathi eside esibhedlela noma ukuhlunyeleliswa okubanzi. Lokhu kungaba yinzuzo kukho kokubili ukululama kwesiguli kanye nezindleko zokunakekelwa kwezempilo.

Ukuqina Kwesikhathi Eside

Izinzipho ze-IM zenzelwe ukuhlinzeka ngokusekela okuqinile kuyo yonke inqubo yokuphulukisa futhi mancane amathuba okuba zehluleke ngaphansi kwemithwalo evamile yokucindezeleka. Ngokuvamile zingahlala zikhona unomphela ngaphandle uma kuvela izinkinga noma ukususwa kuyadingeka.

I-Tibia Intramedullary Nail Surgery

I-Tibia intramedullary nail surgery iyinkambiso evamile esetshenziselwa ukwelapha ukuphuka kwe-tibia, ithambo elide emlenzeni ophansi. Le nqubo ihilela ukufaka induku yensimbi (isipikili) emgodini womnkantsha we-tibia ukuze uzinze futhi uqondise ithambo njengoba liphulukisa. Ivame ukukhethwa ngenxa yokuphumelela kwayo ekwelapheni izinhlobo ezahlukene zokuphuka kwe-tibial, ikakhulukazi endaweni ye-shaft, futhi ingasetshenziswa ezimeni zokuphuka kokubili okuvaliwe nokuvulekile.

Ukulungiselela nokusikwa

Isiguli ngokuvamile singaphansi kwe-anesthesia evamile noma yesifunda. I-incision encane yenziwa phezulu kwe-tibia, eduze kwedolo, ukuze ufinyelele ithambo.

Ukubuyisela kabusha kanye Nokufaka

I-guidewire ifakwa emseleni womnkantsha, bese kusetshenziswa i-remer ukuze kwandiswe umsele. Uzipho lwe-intramedullary, ngokuvamile olwenziwe nge-titanium noma insimbi engagqwali, bese lufakwa phezu kwe-guidewire futhi lubekwe ngaphakathi komsele.

Izikulufo zokukhiya

Ukuze uvikele isipikili, izikulufo zokukhiya zibekwe kuzo zombili iziphetho ze-tibia, ngokuvamile ziqondiswa yi-X-ray imaging ukuze kuqinisekiswe ukubekwa okunembile. Lezi zikulufu zivimbela ukujikeleza futhi zinikeza ukuzinza okwengeziwe ethanjeni.

Ukuvala

I-incision ivalwa nge-sutures, futhi isiguli singase sifakwe i-brace noma i-cast kuye ngokuthi ukuqina kokuphuka kanye nokuthandwa ngudokotela ohlinzayo.

Izinkinga Nezinyathelo Zokuqapha Ze-Tibia Intramedullary Nail

Ukutheleleka

Nakuba ubungozi buphansi uma kuqhathaniswa nokulungiswa kwangaphandle, ukutheleleka kusengenzeka, ikakhulukazi ekusikeni noma eduze kwe-hardware. Ukutheleleka okujulile kungase kudinge ukuhlinzwa okwengeziwe ukuze kukhishwe noma kushintshwe ihadiwe.

Inyunyana Engeyona Inyunyana noma Ebambezelekile

Kwezinye izimo, ithambo lingase lingaphuluki kahle (okungeyona inyunyana) noma ukuphulukiswa kungase kubambezeleke. Lokhu kungase kube umphumela wokungatholakali kahle kwegazi, ukutheleleka, noma ukungaqinisi ngokwanele kokuphuka.

I-Malunion

I-Malunion yenzeka lapho ithambo lilulama ngendlela engalungile. Lokhu kungase kubangele ukukhubazeka, ubuhlungu, nokukhubazeka kokusebenza. Kungaba umphumela wokubekwa kahle kwezinzipho noma ukungazinzisi okwanele.

Ukuhluleka kwe-Hardware

Izipikili ze-IM noma izikulufu zokukhiya kwesinye isikhathi zingaphuka noma zixege, ikakhulukazi uma ukuphuka kungapholi njengoba kulindelekile. Lokhu kungase kudinge ukuhlinzwa okwengeziwe ukuze kushintshwe noma kulungiswe ihadiwe.

Ubuhlungu Bangaphambili Edolo

Ezinye iziguli zithola ubuhlungu obungapheli phambi kwedolo, ikakhulukazi uma isipikili sifakwe eduze kwamadolo. Lokhu kungaba ngenxa yokucasuka okuvela ku-hardware noma ukubekwa kwezipikili.

I-Compartment Syndrome

Le nkinga engavamile kodwa engathi sína ihilela ukwanda kokucindezela ngaphakathi kwezingxenye zemisipha yomlenze, okungaholela ekulimaleni kwezicubu uma kungelashwa. Ngokuvamile kuvela njengobuhlungu obukhulu, ukuvuvukala, nokuba ndikindiki.

Ukulimala Kwezinzwa noma Igazi

Phakathi nokuhlinzwa, kunengozi yokulimaza imizwa eseduze noma imithambo yegazi. Lokhu kungaholela ekubeni ndikindiki kwesikhashana noma unomphela, ubuthakathaka, noma izinkinga zokujikeleza kwegazi.

I-Fat Embolism Syndrome

Inkinga engavamile, lokhu kungenzeka lapho izinhlayiya zamafutha zingena egazini phakathi nenqubo yokuvuselela kabusha. Kungaholela ekucindezelekeni kokuphefumula, ukudideka, nezinye izimpawu zesistimu.

I-Tibia Intramedullary Nail Postoperative Care

Ukuphathwa Kwezinhlungu

Imithi, Ukuphakama kanye Neqhwa

Ukunakekela Amanxeba

Ukushintsha Ukugqoka, Gwema Ukucwiliswa

Ukuthwala isisindo kanye nokuhamba

Ukuthwala Isisindo Kancane, Izinsiza zokuhamba

Ukwelapha Ngomzimba

Ibanga Lokuzivocavoca Okunyakazayo, Ukuqinisa Ukuvivinya umzimba, Ukuthuthuka Kancane Kancane

Imikhawulo yomsebenzi

Gwema Imisebenzi Enomthelela Omkhulu

Ukuqapha Izinkinga

Izimpawu Zokutheleleka, Izimpawu Zegazi Etc

Ngokushesha Ngemva Kokuhlinzwa Kwe-Tibia Intramedullary Nail Ngingakwazi Ukusebenza?

Isikhathi esithathayo ukubuyela emsebenzini ngemuva kokuhlinzwa kwe-tibia intramedullary nail siyahluka kakhulu kuye ngezici ngazinye kanye ne-severit.

Isikhathi Esisheshayo Ngemva Kokuhlinzwa (0-2 Amaviki)

Ukuphumula kanye Nokuphakama,Ukuthwala Okungasindisi Noma Ukuthwala Isisindo Esiyingxenye,Ukuhamba Okuyisisekelo

Ukululama Kwangaphambi kwesikhathi (Amaviki angu-2-6)

Ukuthwala Isisindo Esithile, Ukwelapha Ngomzimba, Imisebenzi Yansuku zonke

Ukubuyisela Okumaphakathi (Amaviki angu-6-12)

Isisindo Esigcwele, Umsebenzi Okhulisiwe, Buyela Emsebenzini

Ukubuyisela Okuthuthukile (Izinyanga Ezi-3-6)

Imisebenzi Enomthelela Ophakeme, Amandla kanye Nesimo

Ukuthola Okugcwele (Izinyanga Ezingu-6+)

Buyela Kwezemidlalo kanye Nemisebenzi Enomthelela Omkhulu, Ukuqapha kanye Nokubuyisela Kokugcina

Imakethe Yekusasa Ye-Tibia Intramedullary Nail

Ngokocwaningo luka-Apol, ukuthengiswa kwemakethe yezinzipho zomhlaba wonke ngo-2023 kuzoba cishe izigidi ezingama-US $470, futhi kulindeleke ukuthi kukhule ku-CAGR (izinga lokukhula elihlangene lonyaka) elingaphezu kuka-3.82% ngesikhathi sokubikezela sika-2024-2030. Lokhu kukhombisa ukuthi imakethe yezinzipho ze-intramedullary, okuhlanganisa nezinzipho ze-Tibia intramedullary, izoqhubeka nokukhula emhlabeni wonke, inikeze indawo yemakethe ebanzi yabakhiqizi nabahlinzeki.

Isifinyezo

I-Tibia intramedullary (IM) nail iyinduku yensimbi efakwe phakathi nendawo ye-tibia ukuze kumiswe ukuphuka. Le nqubo yokuhlasela kancane inikeza ukwesekwa okuqinile kwangaphakathi, okwenza kube lula ukuthwala isisindo kanye nokululama ngokushesha. Ngesikhathi sokuhlinzwa, i-nail ifakwa ngaphakathi kwe-bone canal futhi ivikelwe ngezikulufo zokukhiya ukuvimbela ukunyakaza.Nokho, ukuphumelela kokusebenza kuhlobene eduze namakhono kadokotela, ukuhlukana komuntu ngamunye kwesiguli kanye nokunakekelwa kwangemva kokuhlinzwa. Iziguli kufanele zikhethe isibhedlela esivamile, zihlinzwe udokotela ongumakad’ ebona, futhi zilandele ngokuqinile iziyalezo zikadokotela zokubuyisela esimweni esivamile ngemva kokuhlinzwa.

Isikhumbuzi esifudumele: Le ndatshana ingeyereferensi kuphela futhi ayikwazi ukumiselela iseluleko sikadokotela. Uma unemibuzo, sicela uthintane nodokotela wakho oya khona.