Uzipho lwe-Tibial intramedullarykuyintoukufakelwa kwamathamboeklanyelwe ngqo ukuqinisa nokusekela ukwaphuka kwe-tibia (ithambo elikhulu emlenzeni ongezansi). Le ndlela yokuhlinzwa ithandwa ngoba ayihlaseli kakhulu, ikhuthaza ukuphulukiswa okuphumelelayo kokuphuka, futhi ivumela ukushukunyiswa kwesiguli kusenesikhathi.
IUzipho lwe-MASTIN lwangaphakathi kwe-medullaryyinduku ende, encane efakwa emseleni we-tibia. Umsele udlula phakathi kwe-tibia futhi unikeza indawo eqinile nezinzile ukuze uzipho lulungiswe. Ukuhlinzwa kuvame ukwenziwa ngokusikwa okuncane eduze kwedolo noma iqakala, bese uzipho lwangaphakathi lufakwa kulo. Uma sekukhonauzipho lwangaphakathi kwe-medullaryuma ifakiwe, kusetshenziswa izikulufo ekugcineni ngakunye ukuze ziboshwe ngokuqinile ethanjeni.
Iisethi yezinzipho zangaphakathi kwe-medullaryIqukethe izipikili ze-MASTIN tibial, isivalo sokugcina, i-DCD locking bolt, i-locking bolt njll.
Izinzuzo zeUzipho lwe-Tibial oluyingcweti
1. Iphrofayili engezansi ekugcineni okuseduze
2. Umgodi wokucindezela we-axial olawulwayo, Ibanga eliphezulu lokucindezela lingu-7mm
3. Umklamo we-anteflexion ongu-9º ukuze kube lula ukufaka izinzipho
Izinketho zokukhiya ezisebenziseka kalula:
Izinketho ezintathu ezintsha zokukhiya, ezihlanganiswe nezikulufo zokukhiya ithambo ezikhanseliwe, zandisa ukuzinza kwengxenye ye-proximal yokuqhekeka kwesithathu kwe-proximal.
Izinketho ezimbili zokukhiya eziphakathi nendawo ezisezingeni eliphezulu zivumela ukucindezelwa okuyinhloko noma ukuguquguquka okulawulwayo kwesibili.
Isivalo sokugcina sivimbela ukukhula kwezicubu futhi sisiza ekukhishweni kwezinzipho
Isivalo sokugcina esingu-0mm sihlala sithambile nesipikili esingu-5mm kanye nesivalo sokugcina esingu-10mm sandisa ukuphakama kwezipikili uma isipikili sifakwe ngaphezulu.
Kufakwe i-cannulated
I-recess ezikhiyayo ukuze kube lula ukuqoqa isivalo sokugcina futhi kube lula ukuyifaka
Izinketho zokukhiya ezikude ezithuthukisiwe:
Inketho yokukhiya eqondile ekude ukuvimbela ukulimala kwezicubu ezithambile nokwandisa ukuqina kwe-
ingxenye ekude
Izinketho ezimbili zokukhiya ze-ML kanye ne-AP eyodwa ukuze kuqiniswe ingxenye ekude
Izikulufo zokukhiya amathambo ezikhanseliwe:
Kuboniswe izinketho ezintathu zokukhiya eziseduze kwazo zonke ububanzi bezinzipho ze-tibial
Idizayini eyinhloko ephindwe kabili yokuthenga okulungiselelwe kahle emathanjeni akhanseliwe
I-Unicortical
Ubude: 40 mm–75 mm
Izikulufo zokukhiya ezijwayelekile:
Ingxenye enkulu yesiphambano yokuthuthukisa ukumelana kwemishini
Ubude bezinzipho ze-tibial obungu-Φ8.0 mm kanye no-Φ9.0 mm bungu-Φ4.0 mm: 28 mm–58 mm
Ubude bezinzipho ze-tibial ze-Φ10.0 mm: 28 mm–68 mm