万向非接触式桥接钛板系统.pptxVIP

Zimmer NCB Non-Contact Bridge 万向非接触式桥接钛板系统万向锁定 (Polyaxial Locking)临床的疑虑 —这种结构是否稳定？锁帽(Zimmer) VS.卡环 抗滑动试验4Nm或者6Nm扭力锁定0°垂直成角锁定15°上翘成角锁定抗滑动试验Numelock II 4 Nm0°上翘成角锁定Numelock II 6 Nm0°上翘成角锁定NCB 6Nm0°垂直成角锁定NCB 6Nm15°上翘成角锁定NCB 4Nm0°上翘成角锁定 NCB 超出卡环式多轴锁定系统50%稳定性抗疲劳试验：系统轴向负荷 200万次！NCB(Zimmer)围关节锁定钢板4.5mm (Zimmer)LCP 4.5mm NCB与捷迈围关节锁定系统相当 NCB高于LCP系统94%非接触桥接:保护骨膜血供(NCB, Non-Contact Bridge)非接触间隔块肱骨近端NCB胫骨近端NCB股骨远端NCB肱骨近端NCB规格分左右长度：孔数长度4孔80mm5孔93mm7孔117mm可选用实心螺钉或中空螺钉干部8°成角排列抗拔出肩袖缝合孔7孔小结节钛板：临床应用：肱骨2部分外科颈临床应用临床应用肱骨近端NCB提供MIPO技术肱骨近端NCB提供MIPO技术肱骨近端NCB提供MIPO技术股骨远端NCB万向锁定钛板规格分左右长度：孔数长度5孔167mm9孔246mm13孔324mm螺钉：万向螺钉：先加压后锁定NCB微创工具安装临床应用：股骨远端骨折临床应用：股骨远端骨折术后8周翻修髓内钉假体周围骨折 – 膝关节假体周围骨折 – 髋关节假体周围骨折 – 髋关节术后3个月胫骨近端外侧 NCB胫骨近端外侧 NCB5孔 132mm7孔 172mm9孔 212mm13孔 292mmNCB微创技术F. Biggi Tibial plateau fractures: Internal fixation with locing plates and the MIPO technique. Injury 41 (2010) 1178 - 1182方法：样本量：58例（A型：9例；B型：31例；C型：18例）治疗：胫骨近端NCB（微创操作MIS）随访时间：平均18个月评价标准：Rasmussen评分结果：优良率：94%平均ROM：0°~131°捷迈NCB万向非接触式锁定钛板系统解剖帖服万向锁钉MIPO技术Thank you for your attention!? 2013 Zimmer, Inc.DisclaimerThis documentation is intended exclusively for physicians and is not intended for laypersons. Information on the products and procedures contained in this document is of a general nature and does not represent and does not constitute medical advice or recommendations. Because this information does not purport to constitute any diagnostic or therapeutic statement with regard to any individual medical case, each patient must be examined and advised individually, and this document does not replace the need for such examination and/or advice in whole or in part.?Please refer to the package inserts for important product information, including, but not limited to, contraindications, warnings, precautions, and adverse effects.内部使用 严禁外传 后果自负Richard.Chen@ +86rauma ExtremitiesNCB-DF with malunionAlignment锁定孔填塞器将其置于未打螺钉的锁定孔中-有效减小应力集中-减少断板的发生率