No ke aha he mea e pono ai ke ʻoki ʻana i ke kui Tibial?
ʻO ka Tibial IntramedullaryKuiʻo ia ka lāʻau lapaʻau makemake nui ʻia no nā haki tibial shaft paʻa ʻole a neʻe ʻia i nā pākeke. ʻO nā pahuhopu o ka mālama ʻoki kino ʻana e hoʻihoʻi i ka lōʻihi, ke kūlike, a me ka hoʻohuli ʻana o ka tibia a hoʻokō i ka ho'ōla ʻana o ka haki. ʻO nā pono oIka ʻōpū o lokoNmaʻie komo pū me ka ʻeha ʻoki liʻiliʻi a me ka mālama kūpono ʻana i ke koko o ka haki. Eia kekahi,Kui Tibial Akamaihāʻawi i ke kūpaʻa biomechanical kūpono a hana ma ke ʻano he mau mea kaʻana like ukana, e ʻae ana i ka hoʻoneʻe mua ʻana ma hope o ka hana. ʻO nā holomua i ka hoʻolālā kui intramedullary a me nā ʻenehana hōʻemi ua hoʻonui i nā hōʻailona no ka hoʻopaʻa ʻana i ke kui intramedullary, me nā haki tibial proximal a me nā haki o nā hapakolu waena a me distal o ka tibia.
He aha nā clainaanā noio ke kāpili kui Tibial?
Nā haki paʻa o ka 1/3 waena o ke tibia: nā haki transverse, nā haki oblique pōkole, pseudarthrosis.Nā haki paʻa ʻole i loko o 60% o ka lōʻihi waena o ka tibial: nā haki kokoke i ka metaphysis, nā haki spiral lōʻihi, nā haki segmental, nā haki i ʻoki ʻia, nā haki me nā kīnā iwi.
He aha nā ʻāpana nui o kahiʻōnaehana kui intramedullary tibial?
ʻO ka maʻamauKui TibialʻO ka ʻōnaehana he kui tibial, ka bolt laka a me ka pāpale hopena.
ʻO ka ʻōnaehana hoʻopaʻa iwi kuamoʻo kūloko he wili, he wili i hoʻonohonoho ʻia, he koʻokoʻo hoʻohui, a me ke crosslink.
He aha nā pono o kā mākou Interlocking Nail?
Nā kui Orthopedic
ʻO ke ʻano haʻahaʻa ma ka hopena proximal
Ka puka hoʻopaʻa axial hiki ke hoʻokele ʻia
ʻO ka mamao compression kiʻekiʻe loa he 7mm
Hoʻolālā anteflexion 9º no ka maʻalahi o ke kau ʻana i ke kui
Nā koho laka proximal like ʻole:
ʻEkolu mau koho laka hou, i hui pū ʻia me nā wili laka iwi cancellous, e hoʻonui i ke kūpaʻa o ka ʻāpana proximal no nā haki ʻekolu proximal.
ʻElua mau koho laka medio-lateral hou loa e hiki ai ke hoʻopili mua a i ʻole ka dynamization i kāohi ʻia ma ka lua.
Poʻi Hopena
Pale ka pāpale hope i ka ulu ʻana o nā ʻiʻo a hoʻomaʻamaʻa i ka wehe ʻana o ke kui
Hoʻopili ʻia ka pāpale hope 0mm me ke kui. Hoʻolōʻihi nā pāpale hope 5mm a me 10mm i ke kiʻekiʻe o ke kui inā pololei ke kui.ua hoʻokomo ʻia ma luna
Cannulated
ʻO kahi hoʻokomo laka ponoʻī no ka hāpai ʻana i ka pāpale hopena me ka maʻalahi o ka hoʻokomo ʻana
Pākuʻi laka
Nā wili laka iwi Cancellous:
Hōʻike ʻia no nā koho laka proximal ʻekolu o nā anawaena kui tibial āpau
Hoʻolālā kumu pālua no ke kūʻai ʻana i hoʻonui ʻia i ka iwi cancellous
ʻAʻohe kino
Nā lōʻihi: 40 mm–75 mm
Nā wili laka maʻamau:
ʻO ka ʻāpana kea nui aʻe no ka hoʻomaikaʻi ʻana i ke kūpaʻa mechanical
Φ4.0 mm no nā kui tibial Φ8.0 mm a me Φ9.0 mm, nā lōʻihi: 28 mm–58 mm
Φ5.0 mm no nā kui tibial Φ10.0 mm, nā lōʻihi: 28 mm–68 mm
Ka manawa hoʻouna: Dec-04-2025