Tilmaamaha
1. Jajab qoorta femur
2. Jajabka salka qoorta femoral
3. Jabka intertrochanteric
4. Jajabka usheeda dhexe
IntertanCiddida dhexda dhexe
Sqaybta hort
Koodhka sheyga | Dhexroorka (mm) | Dhererka (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 |
Qaybta dheer (bidix)
Koodhka sheyga | Dhexroorka (mm) | Dhererka (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 |
Qaybta dheer (midig)
Koodhka sheyga | Dhexroorka (mm) | Dhererka (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 |
Lag screw
Koodhka sheyga | Dhexroorka (mm) | Dhererka (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 |
Isku-buufinta
Koodhka sheyga | Dhexroorka (mm) | Dhererka (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 |
Kab
Koodhka sheyga | Dhexroorka (mm) | Dhererka (mm) |
14.24.02.01012005 | Φ12 | 5 |
14.24.02.01012010 | 10 | |
14.24.02.01012015 | 15 |
Qalab-wareejin
Koodhka sheyga | Dhexroorka (mm) | Dhererka (mm) |
14.24.01.04008010 | Φ8 | 10 |
Qalab-wareejin
Koodhka sheyga | Dhexroorka (mm) | Dhererka (mm) |
14.24.02.04008010 | Φ8 | 10 |
Qalab kortex
Koodhka sheyga | Dhexroorka (mm) | Dhererka (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 |
Jabka miskaha intertrochanteric waa dhaawacyo caadi ah oo waxyeello leh gaar ahaan waayeelka.Jajabka Trochanteric (TF) waa jabka labaad ee ugu badan ee femur u dhow ka dib jabka qoorta femoral waana ilaha ugu weyn ee jirrooyinka iyo dhimashada dadka da'da ah ee maanta.
Marka la gaaro 2050, tirada sanadlaha ah ee jabka sinta ee adduunka oo dhan waxaa lagu qiyaasaa in ay kor u dhaafeyso 6.3 milyan sababtoo ah tirakoobka gabowga ee wadamo badan oo reer galbeedka ah.Dalka Maraykanka oo keliya, tirada jabka sinta ayaa lagu qiyaasay inay ka korodho qiyaastii 320,000 sannadkii ilaa 580,000 marka la gaaro 2040. Baahida sii kordheysa ayaa xiisad weyn u abuureysa adeegga caafimaadka marka loo eego shaqaalaha iyo agabka loo baahan yahay si loo maareeyo bukaannadaas.Gudaha Maraykanka, kharashka daryeelka caafimaadka ee maaraynta jabka sinta waxaa lagu qiyaasaa inuu ka badan yahay $10 bilyan sannadkii, halka saamaynta adeegga caafimaadka UK lagu qiyaasay inay tahay $2 bilyan sannadkii.Kharashyadan laguma wado kaliya kharashyada habka qalliinka degdega ah laakiin sidoo kale daryeelka degdega ah ka dib, oo ay ku jiraan baxnaanin.Inkasta oo qaliinka jabka sinta uu yahay mid aad waxtar u leh, bukaanku waxay u badan tahay inay dareemaan xanuuno badan marka loo eego xanuunka, raaxo la'aanta iyo dhaqdhaqaaqa xaddidan inta lagu jiro soo kabashada iyo xaalado badan oo aan u badnayn inay gaaraan heerarka shaqada ka hor jabka.Daraasaduhu waxay sidoo kale soo jeedinayaan in uu jiro xiriir ka dhexeeya jabka sinta iyo korodhka heerka dhimashada iyada oo 30% dhimasho badan la arkay marka loo eego dadyowga da'da ah ee leh iyo kuwa aan lahayn jabka sinta.Si kastaba ha ahaatee, taxaddar qaar ka mid ah waa in la qaataa tarjumaadda xogtan oo kale, maadaama shakhsiyaadka la kulma jabka sinta laga yaabo inay si dabiici ah u jilicsan yihiin oo u nugul yihiin caafimaad darro.
Adduunka oo dhan, dhacdooyinka jabka ee femur u dhow ayaa sii kordhaya sababtoo ah kala-guurka dadweynaha ee keenaya rajada nolosha sare.
Daaweynta qalliinka waa istaraatiijiyadda ugu wanaagsan ee lagu maareynayo jabka intertrochanteric sababtoo ah waxay u oggolaaneysaa baxnaanin hore iyo soo kabashada shaqeynta.
Si loo yareeyo dhibaatooyinka dhaqdhaqaaq-la'aanta muddada dheer, waxqabadyada qalliinka ee wakhtiga ku habboon ee bixiya xasilinta jaban ee jabka iyo abaabulka hore ee bukaannada ayaa noqday xalka la doorbido ee daaweynta jaban.Mar haddii dynamic sinta screw (DHS) hagaajinta gudaha waa mid ka mid ah fursadaha aasaasiga ah, laakiin waxa ay si ka yar si fiican u qabato dhacdo xad sare ah ee hagaajinta gudaha ee TF aan degganayn.Intaa waxaa dheer, nidaamkan qalliinka ah wuxuu keeni karaa dhiig-bax la taaban karo, dhaawac jilicsan, iyo ka sii darida cudurrada jira ee bukaanka waayeelka ah.Sidaa darteed, aaladaha hagaajinta intramedullary waxay noqdeen kuwo caan ah sababtoo ah faa'iidooyinka biomechanical ee daaweynta TF aan xasilloonayn marka la barbar dhigo hagaajinta gudaha ee DHS.
Ciddida Intertanka oo adeegsanaysa 2 boolal ee cefalocervical ee hab isku dhafan, waxay muujinaysaa xasilloonida sii kordheysa iyo iska caabbinta madax-wareejinta qalliinka iyo qalliinka ka dib marka la barbar dhigo nidaamka ciddida dhaqameed ee intramedullary.Daraasad biomechanical ah ayaa muujisay in ciddida Intertan ay leedahay faa'iidooyin badan oo biomechanical ah oo loogu talagalay hagaajinta gudaha ee jabka aan xasilloonayn marka la barbar dhigo nidaamka cidiyaha dhexda ee caadiga ah ee Intertan Nail.Daraasadaha qaarkood ayaa sheegay in habka qalliinka uu lahaa natiijo caafimaad oo wanaagsan iyo tiro yar oo dhibaatooyin ah.Daraasada biomechanical ee Nüchtern et al.waxay muujisay in cidiyaha Intertan ay ku guulaysato xasillooni dheeraad ah oo leh masaafada caarada sare oo ay u adkaysato culeysyada sare.