Cannulated compression screws tau dhau los ua ib qho ntawm cov khoom siv ntau yam thiab tseem ceeb tshaj plaws hauv kev phais orthopedic niaj hnub. Tsim los nrog cov kwj dej hauv nruab nrab uas tso cai rau kev nkag mus rau hauv cov lus qhia, cov ntsia hlau no ua kom qhov chaw tso ncaj, ruaj khov kho, thiab cov txheej txheem phais me me.
Lawv lub peev xwm los xa cov kev tswj xyuas thoob plaws cov kab tawg ua rau lawv zoo tagnrho rau kev tswj cov pob txha tawg hauv qhov chaw anatomically txwv los yog muag heev, tshwj xeeb tshaj yog lub duav, pob taws, thiab cov pob txha me ntawm tes thiab ko taw. Tsab ntawv xov xwm no tshuaj xyuas cov ntaub ntawv kho mob tseem ceeb ntawm cannulated compression screws thiab qhia txog yuav ua li cas lawv txhim kho cov txiaj ntsig ntawm kev phais thoob plaws cheeb tsam sib txawv.
Hip phais: ruaj khov kho rau Femoral Neck Fractures
Femoral caj dab pob txha - feem ntau ntawm cov neeg laus thiab cov neeg mob siab zog-yuav tsum tau txhim khu kev txhim kho sab hauv kom rov muaj zog thiab tiv thaiv cov teeb meem xws li nonunion lossis avascular necrosis.Cannulated compression screwsyog cov txheej txheem kev daws teeb meem vim lawv qhov siab precision thiab minimally invasive insertion txoj kev.
Clinical Piv txwv:
Ib tus neeg mob hnub nyoog 65 xyoo uas tsis muaj kev cuam tshuam femoral caj dab tawg tau raug kaw txo qis thiab kho sab hauv nrog peb qhov sib npaug cannulated compression screws. Coj los ntawm K-wires, cov ntsia hlau tau muab tso rau hauv ib qho kev teeb tsa daim duab peb sab kom ua kom muaj kev ruaj ntseg biomechanical. Postoperative X-rays pom tau zoo sib xws thiab khaws cia compression. Thaum 12 lub lis piam, tus neeg mob tau pom tias muaj peev xwm hnyav hnyav nrog cov khoom siv hluav taws xob.
Vim Li Cas Lawv Ua Haujlwm Zoo rau Hip Fractures:
Guidewire-assisted placement xyuas kom meej cov ntsia hlau trajectory.
Tswj compression txhim kho thawj stability thiab kho pob txha.
Qhov tsawg kawg nkaus invasive mus kom ze txo cov nqaij mos raug mob thiab ua kom rov zoo dua.
Ntau-ntsia hlau configurations nce rotational thiab axial stability.
Kev phais pob taws: Kho rau Malleolar thiab Talar Fractures
Lub pob qij txha sib koom ua ke lub cev lub cev thiab qhov hnyav-cov kabmob xav tau yuav tsum tau kho cov cog cog uas muaj zog compression thiab tswj kev sib raug zoo raws li kev ntxhov siab. Cannulated compression screws yog dav siv rau medial malleolus fractures, lateral malleolus avulsion fractures, thiab talar lub cev los yog caj dab raug mob.
Clinical Piv txwv:
Ib tus neeg ncaws pob muaj hnub nyoog 30 xyoo tau txhawb nqa lub pob txha pob txha hauv nruab nrab thaum muaj kev sib tw kis las. Cov kws phais tau txo cov pob txha tawg thiab tso ob feem ntawm cov xov hlau cannulated kom ua tiav qhov kev sib tsoo thoob plaws qhov chaw tawg. Txoj kev coj ua kom txo qis kev cuam tshuam ntawm cov nqaij mos-tshwj xeeb yog qhov tseem ceeb nyob ib puag ncig ntawm pob taws, qhov twg cov txheej txheem neurovascular yog tuab. Tus neeg mob rov qab mus rau kev cob qhia tsis pub dhau plaub lub hlis, kev txhawb nqa los ntawm kev kho kom ruaj khov thiab txhawb nqa thaum ntxov.
Qhov zoo hauv cheeb tsam pob luj taws:
Zoo heev rau cov me me, oblique, los yog cov khoom tawg yooj yim.
Compression txhawb kev sib sau sai ntawm cov pob txha pob txha.
Txo qhov loj me me txo qhov kev pheej hmoo ntawm kev mob tom qab phais.
Tau tshaj lwm txoj kev fixation (xws li, phaj-ntsia hlau constructs) rau complex fractures.
Txhim kho pob txha me: Tes, dab teg, thiab ko taw pob txha
Cov pob txha me xav tau cov khoom siv me me uas muab kev ruaj ntseg yam tsis muaj ntau ntau. Cannulated compression screws-feem ntau muaj nyob rau hauv me me diameters-yog zoo tagnrho rau scaphoid fractures, metacarpal fractures, thiab proximal phalanx raug mob, nrog rau cov pob txha hauv ko taw, xws li cov navicular thiab tsib metatarsal.
Clinical Piv txwv:
Ib tus neeg mob hnub nyoog 22 xyoos nrog lub duav pob txha scaphoid tau raug kho percutaneous siv lub taub hau tsis muaj cannulated compression ntsia hlau. Cov ntsia hlau xa cov compression tas mus li thoob plaws qhov tawg, ua rau lub dab teg thaum ntxov. Thaum yim lub lis piam, CT scans paub tseeb tias cov pob txha pob txha, thiab tus neeg mob rov ua haujlwm li qub yam tsis muaj qhov tawv nqaij.
Vim li cas lawv ua tau zoo hauv cov pob txha me:
Headless ntsia hlau tsim tshem tawm cov khoom tseem ceeb thiab khaus khaus.
Precision qhov chaw tiv thaiv ib puag ncig cov leeg thiab sib koom ua ke.
Nruam compression txhim khu kev sib koom ua ke hauv cov pob txha nrog cov ntshav tsis zoo (piv txwv li, scaphoid).
Tsawg invasive mus kom ze txo qhov caws pliav thiab lub sijhawm rov qab los.
Technical Advantages Tsav Tsheb Zoo Tshaj Plaws Zoo
Thoob plaws hauv cheeb tsam sib txawv anatomical, cannulated compression screws qhia ntau yam zoo uas ua rau lawv nyiam los ntawm cov kws phais orthopedic:
High Placement Accuracy:
Guidewire-based insertion txo qhov kev pheej hmoo ntawm misalignment.
Consistent Compression:
Ib nrab threaded los yog headless designs xa cov tswj interfragmentary compression tseem ceeb rau kev kho kom ruaj khov.
Versatility nyob rau hauv txoj kev:
Haum rau ob qho tib si qhib thiab percutaneous minimally invasive phais.
Txo kev phais mob:
Cov incisions me me ua rau lub sijhawm ua haujlwm luv dua thiab rov kho dua sai dua.
Biomechanical zog:
Tsim los tiv thaiv kev sib hloov thiab axial loads, txawm tias nyob rau hauv qhov hnyav hnyav xws li lub duav thiab pob taws.
Xaus:
Cannulated compression screws ua lub luag haujlwm tseem ceeb hauv kev tswj cov pob txha orthopedic, muab qhov tseeb, kev ruaj ntseg, thiab kev cuam tshuam tsawg kawg nkaus thoob plaws ntau qhov xwm txheej kho mob. Txawm hais tias siv rau femoral caj dab pob txha, kev raug mob malleolar, los yog kho cov pob txha me me hauv tes thiab ko taw, cov ntsia hlau no ua rau cov neeg mob tau txais txiaj ntsig zoo thiab kho tus nqi. Lawv adaptability rau txawv anatomical xav tau thiab cov qauv tawg ua rau lawv ib tug indispensable tivthaiv ntawm niaj hnub orthopedic xyaum.
Post lub sij hawm: Nov-27-2025