indikasi
1. Patah gulu femur
2. Patah pangkal gulu femoral
3. Fraktur intertrochanteric
4. Fraktur batang femoral
InterTANKuku Intramedular
Sbagean hort
Kode barang. | Diameter (mm) | Dawane (mm) |
14.19.02.07090185 | Φ9 | 185 |
14.19.02.07090200 | 200 | |
14.19.02.07090215 | 215 | |
14.19.02.07100185 | Φ10 | 185 |
14.19.02.07100200 | 200 | |
14.19.02.07100215 | 215 | |
14.19.02.07110185 | Φ11 | 185 |
14.19.02.07110200 | 200 | |
14.19.02.07110215 | 215 | |
14.19.02.07120185 | Φ12 | 185 |
14.19.02.07120200 | 200 | |
14.19.02.07120215 | 215 |
Bagean dawa (Kiwa)
Kode barang. | Diameter (mm) | Dawane (mm) |
14.19.12.07090260 | Φ9 | 260 |
14.19.12.07090280 | 280 | |
14.19.12.07090300 | 300 | |
14.19.12.07090320 | 320 | |
14.19.12.07090340 | 340 | |
14.19.12.07090360 | 360 | |
14.19.12.07090380 | 380 | |
14.19.12.07090400 | 400 | |
14.19.12.07090420 | 420 | |
14.19.12.07100260 | Φ10 | 260 |
14.19.12.07100280 | 280 | |
14.19.12.07100300 | 300 | |
14.19.12.07100320 | 320 | |
14.19.12.07100340 | 340 | |
14.19.12.07100360 | 360 | |
14.19.12.07100380 | 380 | |
14.19.12.07100400 | 400 | |
14.19.12.07100420 | 420 | |
14.19.12.07110260 | Φ11 | 260 |
14.19.12.07110280 | 280 | |
14.19.12.07110300 | 300 | |
14.19.12.07110320 | 320 | |
14.19.12.07110340 | 340 | |
14.19.12.07110360 | 360 | |
14.19.12.07110380 | 380 | |
14.19.12.07110400 | 400 | |
14.19.12.07110420 | 420 | |
14.19.12.07120260 | Φ12 | 260 |
14.19.12.07120280 | 280 | |
14.19.12.07120300 | 300 | |
14.19.12.07120320 | 320 | |
14.19.12.07120340 | 340 | |
14.19.12.07120360 | 360 | |
14.19.12.07120380 | 380 | |
14.19.12.07120400 | 400 | |
14.19.12.07120420 | 420 |
Bagian dawa (Kanan)
Kode barang. | Diameter (mm) | Dawane (mm) |
14.19.22.07090260 | Φ9 | 260 |
14.19.22.07090280 | 280 | |
14.19.22.07090300 | 300 | |
14.19.22.07090320 | 320 | |
14.19.22.07090340 | 340 | |
14.19.22.07090360 | 360 | |
14.19.22.07090380 | 380 | |
14.19.22.07090400 | 400 | |
14.19.22.07090420 | 420 | |
14.19.22.07100260 | Φ10 | 260 |
14.19.22.07100280 | 280 | |
14.19.22.07100300 | 300 | |
14.19.22.07100320 | 320 | |
14.19.22.07100340 | 340 | |
14.19.22.07100360 | 360 | |
14.19.22.07100380 | 380 | |
14.19.22.07100400 | 400 | |
14.19.22.07100420 | 420 | |
14.19.22.07110260 | Φ11 | 260 |
14.19.22.07110280 | 280 | |
14.19.22.07110300 | 300 | |
14.19.22.07110320 | 320 | |
14.19.22.07110340 | 340 | |
14.19.22.07110360 | 360 | |
14.19.22.07110380 | 380 | |
14.19.22.07110400 | 400 | |
14.19.22.07110420 | 420 | |
14.19.22.07120260 | Φ12 | 260 |
14.19.22.07120280 | 280 | |
14.19.22.07120300 | 300 | |
14.19.22.07120320 | 320 | |
14.19.22.07120340 | 340 | |
14.19.22.07120360 | 360 | |
14.19.22.07120380 | 380 | |
14.19.22.07120400 | 400 | |
14.19.22.07120420 | 420 |
Sekrup lag
Kode barang. | Diameter (mm) | Dawane (mm) |
14.23.14.04100075 | Φ10 | 75 |
14.23.14.04100080 | 80 | |
14.23.14.04100085 | 85 | |
14.23.14.04100090 | 90 | |
14.23.14.04100095 | 95 | |
14.23.14.04100100 | 100 | |
14.23.14.04100105 | 105 | |
14.23.14.04100110 | 110 | |
14.23.14.04100115 | 115 | |
14.23.14.04100120 | 120 |
Sekrup kompresi
Kode barang. | Diameter (mm) | Dawane (mm) |
14.23.03.02064070 | Φ6.4 | 70 |
14.23.03.02064075 | 75 | |
14.23.03.02064080 | 80 | |
14.23.03.02064085 | 85 | |
14.23.03.02064090 | 90 | |
14.23.03.02064095 | 95 | |
14.23.03.02064100 | 100 | |
14.23.03.02064105 | 105 | |
14.23.03.02064110 | 110 | |
14.23.03.02064115 | 115 |
Cap
Kode barang. | Diameter (mm) | Dawane (mm) |
14.24.02.01012005 | Φ12 | 5 |
14.24.02.01012010 | 10 | |
14.24.02.01012015 | 15 |
Sekrup anti-rotasi
Kode barang. | Diameter (mm) | Dawane (mm) |
14.24.01.04008010 | Φ8 | 10 |
Sekrup anti-rotasi
Kode barang. | Diameter (mm) | Dawane (mm) |
14.24.02.04008010 | Φ8 | 10 |
Cortex meneng
Kode barang. | Diameter (mm) | Dawane (mm) |
14.22.01.02048030 | Φ4.8 | 30 |
14.22.01.02048032 | 32 | |
14.22.01.02048034 | 34 | |
14.22.01.02048036 | 36 | |
14.22.01.02048038 | 38 | |
14.22.01.02048040 | 40 | |
14.22.01.02048042 | 42 | |
14.22.01.02048044 | 44 | |
14.22.01.02048046 | 46 | |
14.22.01.02048048 | 48 | |
14.22.01.02048050 | 50 | |
14.22.01.02048052 | 52 | |
14.22.01.02048054 | 54 | |
14.22.01.02048056 | 56 | |
14.22.01.02048058 | 58 | |
14.22.01.02048060 | 60 |
Fraktur pinggul intertrochanteric minangka ciloko umum lan cilaka utamane kanggo wong tuwa.Fraktur trochanteric (TF) minangka fraktur paling umum nomer loro saka femur proksimal sawise fraktur gulu femoral lan minangka sumber utama morbiditas lan mortalitas ing populasi tuwa saiki.
Ing taun 2050, jumlah taunan fraktur pinggul ing saindenging jagad dikira ngluwihi 6,3 yuta amarga demografi sing tuwa ing pirang-pirang negara Kulon.Ing AS piyambak, jumlah fraktur pinggul kira-kira mundhak saka kira-kira 320.000 saben taun dadi 580.000 dening 2040. Panjaluk sing saya tambah iki nggawe ketegangan sing signifikan kanggo layanan kesehatan babagan staf lan sumber daya sing dibutuhake kanggo ngatur pasien kasebut.Ing AS, biaya kesehatan kanggo manajemen fraktur pinggul kira-kira ngluwihi $ 10 milyar saben taun, dene impact ing layanan kesehatan Inggris kira-kira $ 2 milyar saben taun.Biaya kasebut didorong ora mung dening biaya prosedur bedah akut nanging uga perawatan pasca-akut, kalebu rehabilitasi.Nalika operasi patah tulang pinggul efektif banget, pasien cenderung ngalami morbiditas sing signifikan babagan rasa nyeri, rasa ora nyaman lan mobilitas winates sajrone pemulihan lan ing pirang-pirang kasus ora bisa nggayuh tingkat fungsi pra-fraktur.Panaliten uga nuduhake manawa ana hubungan antarane fraktur pinggul lan tingkat kematian sing luwih dhuwur kanthi kematian 30% luwih akeh tinimbang populasi sing cocog karo umur kanthi lan tanpa fraktur pinggul.Nanging, sawetara ati-ati kudu ditindakake nalika napsirake data kasebut, amarga wong sing ngalami fraktur pinggul bisa uga luwih rapuh lan rentan kanggo lara.
Ing saindenging jagad, kedadeyan fraktur femur proksimal mundhak amarga transisi demografi sing nyebabake pangarep-arep urip sing luwih dhuwur.
Perawatan bedah minangka strategi optimal kanggo ngatur fraktur intertrochanteric amarga ngidini rehabilitasi awal lan pemulihan fungsional.
Kanggo nyuda komplikasi imobilisasi sing berpanjangan, intervensi operatif sing pas wektune nyedhiyakake stabilisasi swara saka fraktur lan mobilisasi awal pasien wis dadi solusi sing disenengi kanggo perawatan fraktur kasebut.Sawise fiksasi internal hip meneng dinamis (DHS) iku salah siji saka pilihan paling utami, nanging performs kurang uga karo kedadean relatif luwih saka Gagal fiksasi internal kanggo TF ora stabil.Kajaba iku, prosedur bedhah iki bisa nyebabake mundhut getih sing akeh, karusakan jaringan alus, lan komplikasi komorbiditas sing ana ing pasien tuwa.Mulane, piranti fiksasi intramedullary dadi luwih populer amarga kaluwihan biomekanik ing perawatan TF sing ora stabil dibandhingake karo fiksasi internal DHS.
Nail Intertan nggunakake 2 sekrup cephalocervical ing mekanisme terpadu, nuduhake stabilitas lan resistance kanggo rotasi sirah femoral intraoperatif lan postoperatif dibandhingake karo sistem nailing intramedullary tradisional.Panaliten biomekanik nuduhake yen Kuku Intertan duweni keuntungan biomekanik luwih akeh kanggo fiksasi internal fraktur sing ora stabil dibandhingake karo sistem nailing intramedullary tradisional Intertan Nail.Sawetara panaliten nglaporake manawa prosedur bedhah duwe asil klinis sing apik lan komplikasi sing sithik].Sinau biomekanik saka Nüchtern et al.nuduhake yen Intertan Nail entuk stabilitas luwih kanthi jarak pucuk tip sing luwih dhuwur lan tahan beban sing luwih dhuwur.