InterTAN Intramedullary àlàfo

Apejuwe kukuru:

Awọn ẹya ara ẹrọ ọja:

5° valgus igun pese iwonba afomo ona si apex ti o tobi trochanter.
Abala trapezoidal isunmọ n mu iduroṣinṣin ti abo abo ti o sunmọ.
Apẹrẹ bifurcation irun alailẹgbẹ ni opin jijin lati dinku ifọkansi aapọn ati yago fun awọn fifọ ni ayika prosthesis jijin.
Yiyi tabi titiipa aimi le jẹ yan fun eekanna jijin.
Oto ni idapo funmorawon interlocking eekanna oniru pese ti o dara iduroṣinṣin ati egboogi-yiyi ipa, controllable laini titẹ ipa.


Alaye ọja

ọja Tags

Awọn itọkasi

1. Fẹlẹ ti ọrun ti femur
2. Fẹlẹ ti ipilẹ ọrun abo
3. Intertrochanteric egugun
4. Fẹlẹ ti ọpa abo

INTERTANIntramedullary àlàfo

Short apakan

alaye (1)

koodu ohun kan.

Iwọn (mm)

Gigun (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

Abala gigun (Osi)

alaye (6)

koodu ohun kan.

Iwọn (mm)

Gigun (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

Abala gigun (Ọtun)

alaye (9)

koodu ohun kan.

Iwọn (mm)

Gigun (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 dabaru

alaye (2)

koodu ohun kan.

Iwọn (mm)

Gigun (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

funmorawon dabaru

alaye (4)

koodu ohun kan.

Iwọn (mm)

Gigun (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

Fila

alaye (5)

koodu ohun kan.

Iwọn (mm)

Gigun (mm)

14.24.02.01012005

Φ12

5

14.24.02.01012010

10

14.24.02.01012015

15

Anti-yiyi dabaru

alaye (3)

koodu ohun kan.

Iwọn (mm)

Gigun (mm)

14.24.01.04008010

Φ8

10

Anti-yiyi dabaru

alaye (7)

koodu ohun kan.

Iwọn (mm)

Gigun (mm)

14.24.02.04008010

Φ8

10

Kotesi dabaru

alaye (8)

koodu ohun kan.

Iwọn (mm)

Gigun (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

Intertrochanteric hip fractures jẹ wọpọ ati awọn ipalara ti o buruju paapaa fun awọn agbalagba.Awọn fractures Trochanteric (TF) jẹ awọn fifọ keji ti o wọpọ julọ ti femur isunmọ lẹhin awọn fifọ ọrun abo ati pe o jẹ awọn orisun pataki ti ailera ati iku ni awọn eniyan ti ogbo ode oni.

Ni ọdun 2050, nọmba ọdọọdun ti awọn fifọ ibadi ni agbaye ni ifoju lati kọja 6.3 milionu nitori ẹda eniyan ti ogbo ni ọpọlọpọ awọn orilẹ-ede Oorun.Ni AMẸRIKA nikan, nọmba awọn fifọ ibadi ni ifoju lati pọ si lati nipa 320,000 fun ọdun kan si 580,000 nipasẹ 2040. Ibeere ti o pọ si n ṣẹda ẹdọfu nla fun iṣẹ ilera ni awọn ofin ti oṣiṣẹ ati awọn ohun elo ti o nilo lati ṣakoso awọn alaisan wọnyi.Ni AMẸRIKA, awọn idiyele ilera fun iṣakoso ti awọn fifọ ibadi ni ifoju lati kọja $10 bilionu fun ọdun kan, lakoko ti ipa lori iṣẹ ilera UK jẹ $ 2 bilionu fun ọdun kan.Awọn idiyele wọnyi jẹ idari kii ṣe nipasẹ awọn idiyele ti ilana iṣẹ abẹ nla ṣugbọn tun itọju lẹhin-nla, pẹlu isọdọtun.Lakoko ti iṣẹ abẹ ikọsẹ ibadi jẹ doko gidi, awọn alaisan le ni iriri aarun nla ni awọn ofin ti irora, aibalẹ ati iṣipopada lopin lakoko imularada wọn ati ni ọpọlọpọ awọn ọran ko ṣeeṣe lati ṣaṣeyọri awọn ipele iṣẹ-iṣaaju-isẹgun.Awọn ẹkọ-ẹkọ tun daba pe ajọṣepọ kan wa laarin fifọ ibadi ati awọn oṣuwọn ti o pọ si ti iku pẹlu 30% diẹ sii iku ti a ṣe akiyesi ju awọn eniyan ti o baamu ọjọ-ori pẹlu ati laisi fifọ ibadi.Sibẹsibẹ, diẹ ninu awọn iṣọra yẹ ki o gba ni itumọ iru data bẹẹ, bi awọn ẹni-kọọkan ti o ni iriri ikọlu ibadi le jẹ alailagbara diẹ sii ati ni ifaragba si ilera.

Ni kariaye, isẹlẹ ti awọn fifọ ti abo ti o sunmọ ti n pọ si nitori iyipada ti ara ẹni ti o mu ki ireti igbesi aye ti o ga julọ.

Itọju abẹ jẹ ilana ti o dara julọ fun iṣakoso awọn fractures intertrochanteric bi o ṣe ngbanilaaye isọdọtun tete ati imularada iṣẹ-ṣiṣe.

Lati dinku awọn ilolu ti aiṣedeede gigun, awọn iṣẹ iṣiṣẹ ti akoko ti n pese imuduro ohun ti fifọ ati koriya ni kutukutu ti awọn alaisan ti di ojutu ti o fẹ julọ fun itọju awọn fifọ wọnyi.Ni kete ti fọwọkan ibadi ibadi (DHS) imuduro inu jẹ ọkan ninu awọn aṣayan akọkọ julọ, ṣugbọn o ṣe diẹ sii daradara pẹlu isẹlẹ ti o ga julọ ti ikuna imuduro inu fun TF aiduro.Ni afikun, ilana iṣẹ abẹ yii le ja si ipadanu ẹjẹ nla, ibajẹ asọ rirọ, ati buru si awọn aarun alakan ti o wa tẹlẹ ninu awọn alaisan agbalagba.Nitorinaa, awọn ẹrọ imuduro intramedullary ti di olokiki diẹ sii nitori awọn anfani biomechanical ni itọju ti TF aiduroṣinṣin ni akawe pẹlu imuduro inu inu DHS.

Àlàfo Intertan ni lilo awọn skru cefalocervical 2 ni ẹrọ iṣọpọ, fihan iduroṣinṣin ti o pọ si ati atako si inu iṣan ati yiyi ori abo lẹhin iṣẹ-ṣiṣe ni akawe pẹlu eto eekanna intramedullary ibile.Iwadi biomechanical kan fihan pe Intertan Nail ni awọn anfani biomechanical diẹ sii fun imuduro inu ti awọn fifọ riru ni akawe pẹlu eto eekanna intramedullary ibile ti Intertan Nail.Diẹ ninu awọn ijinlẹ royin pe ilana iṣẹ abẹ ni abajade ile-iwosan ti o dara ati nọmba kekere ti awọn ilolu].Iwadi biomechanical ti Nüchtern et al.fihan pe Intertan Nail ṣe aṣeyọri iduroṣinṣin diẹ sii pẹlu aaye ti o ga julọ ti o ga julọ ati ki o koju awọn ẹru ti o ga julọ.


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