Tibia Intramedullary Nail System
End Cap
Proximal 5.0 Double Thread
Kukiya Nail System
Distal 4.5 shinda mbiri
kukiya mbambo system
Zviratidzo
Tibia Shaft Kutsemuka
Tibial metaphyseal fracture
Chikamu chetibial plateau intra-articular fracture
Uye intra-articular fractures ye distal tibia
Iyo yakawanda-planar threaded locking screw hole dhizaini padanho rekupedzisira rembambo huru, yakasanganiswa neyakakosha kudzima bhonzo screw, inoipa isingaenzaniswi "angular kugadzikana", inosangana nezvinodiwa zvekugadziriswa kweiyo proximal cancellous bone yetibia, uye kupa. yakasimba kubata simba.
Iyo distal threaded gomba dhizaini inodzivirira kukiya mbambo kubva pakubuda uye inosimudzira kuvimbika kwekugadzirisa.
Iyo ultra-distal yekuvhara gomba dhizaini inopa yakakura kugadzirisa renji.
Iyo yakanyanya kureba yekukiya mbambo inoiswa paakona kudzivirira kukuvadzwa kune akakosha matishu akapfava senge tendons uye kuvandudza kugadzikana kwekuputsika kugadzirisa.
Zviridzwa
Nyaya
Mazano Okurapa
Musiyano pakati pekuvhiya incisions
Parapatella nzira: Ita kuvhiyiwa incision pedyo nepakati patella, cheka bhendi rekutsigira patellar, uye pinda mumhango yejojo.Iyi nzira yekuvhiya inoda subluxation yepatella.
Iyo suprapatellar nzira: pindawo munzvimbo yakabatana yekushanda, iyo yekuvhiya incision iri pa patella pedyo ne patella, uye intramedullary mbambo inopinda pakati pe patella uye internodal groove.
Nzira yechitatu yekuvhiya, yakafanana neyokutanga, iyo incision inogona kunge iri mukati kana kunze kwepatella, mutsauko chete ndewekuti haupindi mugomba rekubatana.
Infrapatellar nzira
Yakatanga kurongedzerwa muGermany muna 1940 uye yakambove nzira yekuvhiya yetibial intramedullary zvipikiri zvetibial fractures.
Hunhu hwayo: kuderera zvishoma, nzira iri nyore, kukurumidza kutsemuka kuporeswa, hupamhi hwekupora, kurovedza muviri kwekutanga mushure mekuvhiyiwa.