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 i-17% yazo zonke iziphuka 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 ubungozi boshintsho 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 seduze naleyo ye-cortical bone (18 GPa) noma ifinyelele inani le-titanium alloy (110 GPa) ukushintsha ubude nesiqondiso se-carbon fiber.Ngakho-ke, izakhiwo zemishini ze-PEEK ziseduze nalezo zethambo.Namuhla, isilungisi sangaphandle esisuselwa ku-PEEK senziwe futhi sasetshenziswa emtholampilo.