Φ5.0 Uchungechunge lwe-Fixation Fixation yangaphandle - Uhlaka lwerediyasi ekude

Φ5.0 Uchungechunge I-Fixation Fixation yangaphandle - Uhlaka lwerediyasi ekude Isithombe Esifakiwe
  • Φ5.0 Uchungechunge lwe-Fixation Fixation yangaphandle - Uhlaka lwerediyasi ekude

Incazelo emfushane:

Φ5.0 Uchungechunge lwe-Fixation Fixation yangaphandle - Uhlaka lwerediyasi ekude

Uhlaka lwerediyasi ekude luyinhlanganisela eyodwa ye-Φ5.0 yemikhiqizo yokulungisa yangaphandle. Izindlela ezihlukahlukene zokuhlanganisa ziyatholakala ukuze zisetshenziswe ngokuhlukile.


Landa njenge-PDF

Imininingwane Yomkhiqizo

Omaka bomkhiqizo

Izici:

1. Indlela yokukhiya isiqondiso sochungechunge ivimbela ukwenzeka kokuhoxiswa kwesikulufu.
2. Ukwakhiwa kwephrofayili ephansi kusiza ukunciphisa ukucasuka kwezicubu ezithambile.
3. Ipuleti lokukhiya lenziwe nge-titanium yezokwelapha yeBanga lesi-3.
4. Izikulufu ezifanayo zenziwe nge-titanium yezokwelapha yeBanga lesi-5.
5. Ukukhokhela i-MRI ne-CT scan.
6. Ubuso bune-anodized.
7. Imininingwane ehlukahlukene iyatholakala.

Sincazelo:

I-Prosthesis nokubuyekezwa kwepuleti lokukhiya i-femur

Into No.

Ukucaciswa (mm)

10.06.22.02003000

2 Izimbobo

125 mm

10.06.22.11103000

11 Izimbobo, Kwesobunxele

270mm

10.06.22.11203000

11 Izimbobo, Kwesokudla

270mm

10.06.22.15103000

15 Izimbobo, Kwesobunxele

338 mm

10.06.22.15203000

15 Izimbobo, Kwesokudla

338 mm

10.06.22.17103000

17 Izimbobo, Kwesobunxele

372 mm

10.06.22.17203000

17 Izimbobo, kwesokudla

372 mm

Φ5.0mm isikulufu sokukhiya(Torx drive)

Into No.

Ukucaciswa (mm)

10.06.0350.010113

Φ5.0*10mm

10.06.0350.012113

Φ5.0*12mm

10.06.0350.014113

Φ5.0*14mm

10.06.0350.016113

Φ5.0*16mm

10.06.0350.018113

Φ5.0*18mm

10.06.0350.020113

Φ5.0*20mm

10.06.0350.022113

Φ5.0*22mm

10.06.0350.024113

Φ5.0*24mm

10.06.0350.026113

Φ5.0*26mm

10.06.0350.028113

Φ5.0*28mm

10.06.0350.030113

Φ5.0*30mm

10.06.0350.032113

Φ5.0*32mm

10.06.0350.034113

Φ5.0*34mm

10.06.0350.036113

Φ5.0*36mm

10.06.0350.038113

Φ5.0*38mm

10.06.0350.040113

Φ5.0*40mm

10.06.0350.042113

Φ5.0*42mm

10.06.0350.044113

Φ5.0*44mm

10.06.0350.046113

Φ5.0*46mm

10.06.0350.048113

Φ5.0*48mm

10.06.0350.050113

Φ5.0*50mm

10.06.0350.055113

Φ5.0*55mm

10.06.0350.060113

Φ5.0*60mm

10.06.0350.065113

Φ5.0*65mm

10.06.0350.070113

Φ5.0*70mm

10.06.0350.075113

Φ5.0*75mm

10.06.0350.080113

Φ5.0*80mm

10.06.0350.085113

Φ5.0*85mm

10.06.0350.090113

Φ5.0*90mm

10.06.0350.095113

Φ5.0*95mm

10.06.0350.100113

Φ5.0*100mm

Φ4.5 isikulufu se-cortex (I-Hexagon drive)

Into No.

Ukucaciswa (mm)

11.12.0345.020113

Φ4.5*20mm

11.12.0345.022113

Φ4.5*22mm

11.12.0345.024113

Φ4.5*24mm

11.12.0345.026113

Φ4.5*26mm

11.12.0345.028113

Φ4.5*28mm

11.12.0345.030113

Φ4.5*30mm

11.12.0345.032113

Φ4.5*32mm

11.12.0345.034113

Φ4.5*34mm

11.12.0345.036113

Φ4.5*36mm

11.12.0345.038113

Φ4.5*38mm

11.12.0345.040113

Φ4.5*40mm

11.12.0345.042113

Φ4.5*42mm

11.12.0345.044113

Φ4.5*44mm

11.12.0345.046113

Φ4.5*46mm

11.12.0345.048113

Φ4.5*48mm

11.12.0345.050113

Φ4.5*50mm

11.12.0345.052113

Φ4.5*52mm

11.12.0345.054113

Φ4.5*54mm

11.12.0345.056113

Φ4.5*56mm

11.12.0345.058113

Φ4.5*58mm

11.12.0345.060113

Φ4.5*60mm

11.12.0345.065113

Φ4.5*65mm

11.12.0345.070113

Φ4.5*70mm

11.12.0345.075113

Φ4.5*75mm

11.12.0345.080113

Φ4.5*80mm

11.12.0345.085113

Φ4.5*85mm

11.12.0345.090113

Φ4.5*90mm

11.12.0345.095113

Φ4.5*95mm

11.12.0345.100113

Φ4.5*100mm

11.12.0345.105113

Φ4.5*105mm

11.12.0345.110113

Φ4.5*110mm

11.12.0345.115113

Φ4.5*115mm

11.12.0345.120113

Φ4.5*120mm

Ukuhlukana kwe-Distal radius fractures (DRFs) kwenzeka ngaphakathi kuka-3 cm wengxenye ekude yerediyasi, okuwukuphuka okuvame kakhulu ezithweni ezingaphezulu phakathi kwabesifazane abadala kanye nabesilisa abasebasha abadala. Ucwaningo lubike ukuthi ama-DRF enza amaphesenti angu-17 akho konke ukuphuka kanye nama-75% okuphuka kwengalo.

Imiphumela egculisayo ayikwazi ukutholwa ngokuncishiswa okukhohlisayo nokulungiswa kwe-plaster. Lokhu kuphuka kungashintsha kalula esikhundleni ngemva kokuphathwa ngendlela elondolozayo, futhi izinkinga, njengokungaqini kahle kwamathambo ahlangene nokungaqini kwesihlakala, kungase kwenzeke ngasekupheleni. Ukuhlinzwa kwenziwa ukuze kwelashwe ukuphuka kwe-distal radius ukuze iziguli zikwazi ukwenza inani elanele lokuzivocavoca okungenabuhlungu ukuze kubuyiselwe umsebenzi ojwayelekile kuyilapho kuncishiswa ingozi yoshintsho oluwohlokayo noma ukukhubazeka.

Ukuphathwa kwama-DRF ezigulini ezineminyaka engu-60 nangaphezulu kwenziwa kusetshenziswa izindlela ezinhlanu ezivamile ezilandelayo: isistimu yepuleti lokukhiya i-volar, ukulungiswa kwangaphandle okungewona amabhuloho, ukulungisa ibhuloho kwangaphandle, ukufaka izintambo ze-Kirschner nge-percutaneous, kanye nokufakwa kukakhonkolo.

Iziguli ezihlinzwa i-DRF ngokuncishiswa okuvulekile nokulungiswa kwangaphakathi zinengozi enkulu yokutheleleka kwenxeba kanye ne-tendonitis.

Izilungisi zangaphandle zihlukaniswe ngezinhlobo ezimbili ezilandelayo: ezihlanganayo nezingezona ibhuloho. I-cross-articular fixator yangaphandle ikhawulela ukunyakaza okukhululekile kwesihlakala ngenxa yokucushwa kwaso. Izilungisi zangaphandle ezingabhubhisi zisetshenziswa kakhulu ngoba zivumela umsebenzi ohlangene olinganiselwe. Amadivayisi anjalo angenza kube lula ukunciphisa ukuphuka ngokulungisa izingcezu zokuphuka ngokuqondile; zivumela ukuphathwa kalula kokulimala kwezicubu ezithambile futhi akuvimbeli ukunyakaza kwesandla kwemvelo phakathi nesikhathi sokwelashwa. Ngakho-ke, izilungisi zangaphandle ezingabhubhisi ziye zanconywa kabanzi ekwelashweni kwe-DRF. Emashumini ambalwa eminyaka adlule, ukusetshenziswa kwezilungisi zangaphandle zendabuko (i-titanium alloys) sekuthole ukuthandwa, ngenxa ye-biocompatibility yabo enhle kakhulu, amandla aphezulu emishini kanye nokumelana nokugqwala. Kodwa-ke, izilungisi zangaphandle zendabuko ezenziwe ngensimbi noma i-titanium zingase zibangele ama-artifact anzima kumaskeni we-computed tomography (CT), okuholele ekutheni abacwaningi bafune izinto ezintsha zokulungisa izinto zangaphandle.

Ukulungiswa kwangaphakathi okusekelwe ku-polyetheretherketone (PEEK) kuhlolisisiwe futhi kwasetshenziswa iminyaka engaphezu kwe-10. Idivayisi ye-PEEK inezinzuzo ezilandelayo kuzinto ezisetshenziselwa ukulungisa amathambo okuvamile: akukho ukungezwani komzimba nensimbi, i-radiopacity, ukuphazamiseka okuphansi kwe-imaging resonance magnetic (MRI), ukususwa kokufakwa kalula, ukugwema into "yokushisela okubandayo", kanye nezakhiwo ezingcono zokukhanda. Isibonelo, inamandla amahle okuqina, amandla okugoba, namandla okuthinta.

Ezinye izifundo zibonise ukuthi izilungisi ze-PEEK zinamandla angcono, ukuqina, nokuqina kunamadivayisi okulungisa insimbi, futhi banamandla angcono okukhathala13. Nakuba i-elastic modulus yezinto ze-PEEK ingu-3.0–4.0 GPa, ingaqiniswa i-carbon fiber, futhi i-elastic modulus yayo ingaba eduze naleyo ye-cortical bone (18 GPa) noma ifinyelele inani le-titanium alloy (110 GPa) ngokushintsha ubude nesiqondiso se-carbon fiber. Ngakho-ke, izakhiwo zemishini ze-PEEK ziseduze nalezo zethambo. Namuhla, isilungisi sangaphandle esisuselwa ku-PEEK senziwe futhi sasetshenziswa emtholampilo.

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