Kungani ukuhlinzwa kwezinzipho ze-Tibial kuyadingeka?
I-Tibial IntramedullaryIzipikiliKuseyindlela yokwelapha ekhethwayo yokuphuka komgodi we-tibial ongazinzile futhi ogudlukile kubantu abadala. Imigomo yokwelashwa ngokuhlinzwa ukubuyisela ubude, ukuhambisana, kanye nokujikeleza kwe-tibia kanye nokufeza ukuphulukiswa kokuphuka. Izinzuzo zokwelashwaIi-ntramedullaryNukugulakufaka phakathi ukulimala okuncane kokuhlinzwa kanye nokulondolozwa okufanele kwegazi lokuphuka. Ngaphezu kwalokho,Uzipho lwe-Tibial oluyingcwetiihlinzeka ngokuqina okwanele kokuphuka kwe-biomechanical futhi isebenze njengamadivayisi okwabelana ngomthwalo, okuvumela ukunyakaza kwangaphambi kokuhlinzwa. Intuthuko ekuklanyweni kwezipikili zangaphakathi kwe-medullary kanye namasu okunciphisa iye yandisa izinkomba zokuqina kwezipikili zangaphakathi kwe-medullary, okuhlanganisa ukuphuka kwe-proximal tibial kanye nokuphuka kwengxenye yesithathu ephakathi neyakude ye-tibia.
Ziyini i-ci-linicalaiziceloUkufakelwa Kwezinzipho Ze-Tibial?
Ukuqhekeka okuzinzile kwengxenye ephakathi kwe-1/3 ye-tibia: ukuqhekeka okuphambeneyo, ukuqhekeka okufushane kwe-oblique, i-pseudarthrosis.Ukuqhekeka okungazinzile ngaphakathi kwama-60% ubude obuphakathi kwe-tibial: ukuqhekeka eduze kwe-metaphysis, ukuqhekeka okujikelezayo okude, ukuqhekeka kwe-segmental, ukuqhekeka okuhlanganisiwe, ukuqhekeka okunezinkinga zamathambo.
Yiziphi izingxenye eziyinhloko ze-uhlelo lwezipikili lwe-intramedullary ye-tibial?
NgokuvamileUzipho lwe-Tibialuhlelo luqukethe izipikili ze-tibial, i-lock bolt kanye nesivalo sokugcina.
Uhlelo lokuqinisa umgogodla lwangaphakathi luqukethe isikulufu, isikulufu esibekiwe, induku yokuxhuma, kanye ne-crosslink.
Yiziphi izinzuzo ze-Interlocking Nail yethu?
Izinzipho Zamathambo
Iphrofayili engezansi ekugcineni okuseduze
Umgodi wokucindezela we-axial olawulekayo
Ibanga eliphezulu lokucindezela lingu-7mm
Idizayini ye-anteflexion engu-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.
Isiphetho Sokuphela
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 siqinile.kufakwe ngaphezulu
Kufakwe i-cannulated
I-recess ezikhiyayo ukuze kube lula ukuqoqa isivalo sokugcina futhi kube lula ukuyifaka
I-Locking Bolt
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
Isikhathi sokuthunyelwe: Disemba-04-2025