Astaamaha:
1. Habka quful hanuuninta dunta waxay ka hortagtaa dhacdada ka bixista biraha.
2. Naqshad hoose waxay caawisaa in la yareeyo cadhada jilicsan.
3. Saxanka qufulku waxa uu ka samaysan yahay Fasalka 3 titanium caafimaad.
4. Iskoolada isku midka ah waxay ka samaysan yihiin Titanium-caafimaadka Fasalka 5.
5. U ogolow MRI iyo CT scan.
6. Dusha oo la anodized.
7. Tilmaamo kala duwan ayaa la heli karaa.
Sqeexid:
Saxan qufulka suufka iyo dib u eegista
Shayga Lam. | Tilmaamaha (mm) | |
10.06.22.02003000 | 2 godad | 125mm |
10.06.22.11103000 | 11 Godad, Bidix | 270mm |
10.06.22.11203000 | 11 Godad, Midig | 270mm |
10.06.22.15103000 | 15 godad, Bidix | 338mm |
10.06.22.15203000 | 15 Godad, Midig | 338mm |
10.06.22.17103000 | 17 Godad, Bidix | 372mm |
10.06.22.17203000 | 17 Godad, Midig | 372mm |
Φ5.0mm fur quful(Torx drive)
Shayga Lam. | Tilmaamaha (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 furka kortex (Hexagon wadis)
Shayga Lam. | Tilmaamaha (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 |
Distal radius fractures (DRFs) waxay ku dhacaan gudaha 3 cm ee qaybta fog ee radius, kaas oo ah jabka ugu badan ee xubnaha sare ee haweenka waaweyn iyo ragga da'da yar.Daraasaduhu waxay sheegeen in DRFs ay yihiin 17% dhammaan jabka jaban iyo 75% jabka gacanta hore.
Natiijooyin lagu qanco laguma heli karo hoos u dhigista wax-qabadka iyo hagaajinta balastarrada.Jajabyadani waxay si fudud u bedeli karaan booska ka dib maaraynta muxaafidka, iyo dhibaatooyinka, sida lafaha dhaawaca ah iyo xasiloonida wadajirka ah ee curcurka, ayaa laga yaabaa inay dhacaan marxaladda dambe.Qalliinka waxaa loo sameeyaa si loo daweeyo jabka fog ee raadiyaha si ay bukaanadu u sameeyaan tiro ku filan oo ah jimicsi aan xanuun lahayn si loo soo celiyo dhaqdhaqaaqa caadiga ah iyada oo la yareynayo khatarta isbeddelka ama naafanimada .
Maareynta DRF-yada bukaanada da'doodu tahay 60 iyo wixii ka weyn waxaa lagu fuliyaa iyadoo la adeegsanayo shanta farsamo ee soo socota: nidaamka saxanka qufulka, hagaajinta dibadda, isku xirka dibadda, hagaajinta fiilada Kirschner, iyo hagaajinta balaastarka.
Bukaanka lagu sameeyo qalliinka DRF ee hoos u furan iyo hagaajinta gudaha ayaa leh halis sare oo ah caabuqa nabarrada iyo tendonitis.
Fixiyeyaasha dibadda waxay u qaybsan yihiin labada nooc ee soo socda: isku-tallaabta iyo isku-dhafka.Qalabka dibadda ee isku-tallaabta ah ayaa xaddidaya dhaqdhaqaaqa xorta ah ee curcurka sababtoo ah qaabeyntiisa.Fixiyeyaasha dibadda ee aan isku xirneyn ayaa si weyn loo isticmaalaa sababtoo ah waxay ogol yihiin dhaqdhaqaaqa wadajirka ah ee xaddidan.Qalabka noocan oo kale ah waxay fududeyn karaan dhimista jabka iyagoo si toos ah u hagaajinaya jajabyada jaban;waxay ogolaadaan maaraynta sahlan ee dhaawacyada unugyada jilicsan mana xaddidaan dhaqdhaqaaqa dabiiciga ah ee curcurka inta lagu jiro muddada daaweynta.Sidaa darteed, hagaajinta dibadda ee aan isku xirneyn ayaa si weyn loogu talinayaa daaweynta DRF.Dhawrkii sano ee la soo dhaafay, isticmaalka qalabyada dibadda ee dhaqameed (titanium alloys) ayaa helay caan, sababtoo ah biocompatibility aad u fiican, xoogga farsamada sare iyo iska caabinta daxalka.Si kastaba ha ahaatee, hagaajinta dhaqameed ee dibadda ee lagu sameeyay birta ama titanium waxay keeni kartaa waxyaabo aad u daran oo ku jira sawirada sawir-gacmeedka (CT), taas oo keentay in cilmi-baarayaashu ay raadiyaan qalab cusub oo loogu talagalay qalabka dibadda.
Qalabaynta gudaha ee ku salaysan polyethertherketone (PEEK) ayaa la daraaseeyay oo la codsaday in ka badan 10 sano.Qalabka PEEK wuxuu leeyahay faa'iidooyinka soo socda ee alaabta loo isticmaalo hagaajinta lafaha dhaqameed: ma laha xasaasiyad bir ah, shucaac shucaac ah, faragelin hoose oo ku saabsan sawirka magnetic resonance imaging (MRI), ka saarista maqaar-galaha si sahlan, ka fogaanshaha ifafaale "alxanka qabow", iyo sifooyin farsamo oo wanaagsan.Tusaale ahaan, waxa ay leedahay cudud fiican, xoog foorarsi, iyo xoog saamayn leh.
Daraasadaha qaar ayaa muujiyay in PEEK fixators ay ka xoog, adag yihiin, iyo qallafsanaan ka fiican yihiin qalabka birta lagu hagaajiyo, waxayna leeyihiin daal ka fiican13.Inkasta oo module-ka laastikada ee maaddada PEEK ay tahay 3.0-4.0 GPa, haddana waxa lagu xoojin karaa fiber-ka kaarboonka, oo unugyadeeda laastikada waxa ay u dhawaan kartaa tan lafaha kortikal (18 GPa) ama waxa ay gaadho qiimaha daawaynta titanium (110 GPa) beddelidda dhererka iyo jihada fiber-ka kaarboonka.Sidaa darteed, sifooyinka farsamada ee PEEK waxay ku dhow yihiin kuwa lafaha.Maalmahan, qalabka dibadda ee ku salaysan PEEK ayaa la nashqadeeyay oo lagu dabaqay rugta caafimaadka.