Tibia Intramedullary Nail System
End Cap
Proximal 5.0 Double Thread
Locking Nail System
Distal 4.5 ulusi wapawiri
kutseka dongosolo la misomali
Zizindikiro
Tibia Shaft Fracture
Tibial metaphyseal fracture
Gawo la tibial Plateau intra-articular fracture
Ndipo fractures ya intra-articular ya distal tibia
Mapangidwe amtundu wa multiplanar locking screw hole kumapeto kwa msomali waukulu, kuphatikiza ndi zomangira zapadera za fupa, zimapatsa "kukhazikika kwapang'onopang'ono", kukwaniritsa zofunikira pakukhazikika kwa fupa la proximal cancellous la tibia, ndikupereka. mphamvu yogwira mwamphamvu.
Mapangidwe a dzenje la distal amalepheretsa msomali wa loko kuti usatuluke ndikuwonjezera kudalirika kwa kukonza.
Mapangidwe a ultra-distal locking hole amapereka njira yowonjezera yowonjezera.
Msomali wotsekera wakutali kwambiri umayikidwa pamakona kuti zisawonongeke zofewa zofunika kwambiri monga ma tendon ndikuwongolera kukhazikika kwa fracture fixation.
Zida
Mlandu
Malangizo Achipatala
Kusiyana kwa opaleshoni yocheka
Njira ya Parapatella: Pangani opaleshoni pafupi ndi patella yapakati, dulani gulu lothandizira patellar, ndikulowa m'mphepete mwa mgwirizano.Njira ya opaleshoniyi imafuna kugwedeza kwa patella.
Njira ya suprapatellar: lowetsaninso malo ogwirira ntchito, opaleshoni ya opaleshoni imakhala pa patella pafupi ndi patella, ndipo msomali wa intramedullary umalowa pakati pa patella ndi internodal groove.
Njira yachitatu ya opaleshoni, yofanana ndi yoyamba, kudulidwa kungakhale mkati kapena kunja kwa patella, kusiyana kokha ndiko kuti sikulowa m'mphepete mwa mgwirizano.
Njira ya infrapatellar
Idakonzedwa koyamba ku Germany mu 1940 ndipo kamodzi idakhala njira yopangira opaleshoni ya tibial intramedullary misomali ya tibial fractures.
Makhalidwe ake: osasokoneza pang'ono, njira yosavuta, machiritso osweka mwachangu, machiritso apamwamba, kuchita masewera olimbitsa thupi koyambirira pambuyo pa opaleshoni.