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粗隆間骨折髓內(nèi)釘內(nèi)固定術(shù)(Gamma3)-髓內(nèi)釘裝配(Assembly of targeting d...

 西安國康馬YH 2019-08-16

Targeting sleeve and knob assembly 定位套筒和旋鈕組件

First assemble the knob to the targeting sleeve (Fig. 39a) and adjust the point on the knob to be in line with the arrow on the target sleeve. Push the knob hard against the sleeve. The knob moves approximately 5mm to the sleeve and has to be turned clock -wise by approximately 30 degrees. Now release the knob and it will slip back the same distance. Now the knob is assembled to the targeting sleeve and has to be connected to the target arm (Fig. 39c).

首先將旋鈕組裝到定位套筒上(圖39a),調(diào)整旋鈕上的點(diǎn),使其與定位套筒上的箭頭對齊,插入5毫米,順時(shí)針旋轉(zhuǎn)大約30度,將旋鈕擰緊。松開旋鈕,它就會回到原來的位置。將旋鈕裝到定位套筒上,連接到定位臂(圖39c)。

As an alternative, the speedlock sleeve is newly available and allows for assembly of the sleeve directly to the targeting arm without going through above mentioned step. The speedlock sleeve has the same functions as the assembled targeting sleeve and knob.  (Fig. 39d) 
作為替代方案,快速鎖定套筒是將套筒直接組裝到定位臂而不經(jīng)過上述步驟。 快速鎖定套筒具有與組合的定位套筒和旋鈕相同的功能(圖39d)。
Assembly of the targeting device and the Gamma3  nail 180 組裝定位裝置和180Gamma3釘
The selected Gamma3 nail is now assembled to the carbon fiber target device as shown in Fig. 40. The nail connecting part of the targeting device is designed with an easy assembly fun ction for fast and secure nail fix   ation.
將選定的Gamma3髓內(nèi)釘組裝到碳纖維的定位裝置上,如圖40所示。定位裝置與髓內(nèi)釘?shù)倪B接部分裝配簡單,可快速安全地固定髓內(nèi)釘。
Ensure that the locating pegs fit into the corresponding notches of the proximal part of the nail.
確保定位栓與髓內(nèi)釘近端凹槽相配合。
Fully tighten the nail holding screw with the ball tip screwdriver, so that it does not loosen during nail insertion.
用球形螺絲刀擰緊髓內(nèi)釘固定螺絲,使其在插入時(shí)不會松動。
Before starting surgery the following functions of the targeting device have to be checked:
術(shù)前必須檢查定位裝置的以下功能:
 1、Secure fixation between nail and target device.
 2、Lag screw guide sleeve matches the selected nail angle.
3、Distal locking position of the tissue protection sleeve, for required “static” or “dynamic” locking.
1、髓內(nèi)釘和定位裝置之間的牢固程度。
2、拉力螺釘導(dǎo)筒與選定的釘角(頸干角)是否相匹配。
3、遠(yuǎn)端鎖定釘?shù)谋Wo(hù)套筒位置,是“靜態(tài)”還是“動態(tài)”。
Before checking the function of the lag screw guide sleeve or tissue protection sleeve for the distal locking, the speedlock sleeve knob must be positioned in the counter clockwise position. Pass the lag screw guide sleeve gently through the hole of the speedlock sleeve and tighten it gently in its final position by turning the knob clockwise. Check correct nail angle using the K-wire, 4.2mm drill or lag screw step drill (Fig. 41).
在檢查拉力螺釘導(dǎo)向套管或組織保護(hù)套管的遠(yuǎn)端鎖定功能之前,必須將快速鎖定套筒旋鈕定位在逆時(shí)針位置。將方頭螺釘套管輕輕穿過快速鎖定套筒的孔,順時(shí)針旋轉(zhuǎn)旋鈕,將其擰緊到最終位置。使用克氏針,4.2mm鉆頭或拉力螺釘桿檢查釘角(圖41)。
Remove the lag screw guide sleeve in the opposite order; turn the speedlock sleeve knob counter-clockwise and remove the lag screw guide sleeve by pulling it back.
按相反順序拆卸拉力螺釘套筒:逆時(shí)針旋轉(zhuǎn)快速鎖定套筒旋鈕,將拉力螺釘導(dǎo)向套筒拆卸。
Before the distal locking function can be checked, the speedlock sleeve has to be positioned in either the “static” or “dynamic” mode. 
在檢查遠(yuǎn)端鎖定功能之前,必須將快速鎖定套筒定位在“靜態(tài)”或“動態(tài)”模式。
Pull the speedlock sleeve back and turn the sleeve until the required distal locking position is reached. Now push the sleeve against the target arm until a “snap in” is felt.
向后拉快速鎖定套筒并轉(zhuǎn)動套筒,直至遠(yuǎn)端鎖定位置合適,然后將套筒推向定位臂,直到感覺到“啪”的聲響。
The distal tissue protection sleeve is passed through the speedlock sleeve until its final position is achieved. Lock the distal tissue protection sleeve by gently turning the speedlock sleeve knob clockwise. Check position with the drill sleeve and 4.2mm drill (Fig. 41a).
遠(yuǎn)端組織保護(hù)套管穿過快速鎖定套筒到達(dá)到合適位置。順時(shí)針輕輕轉(zhuǎn)動快速鎖釘套筒旋鈕,鎖定遠(yuǎn)端組織保護(hù)套。用鉆套和4.2mm鉆頭檢查位置(圖41a)。
Note: 注意
Before starting surgery,  the implant and instrument  assembly must be checked. Ensure that the sleeve angle matches the corresponding nail angle chosen, e. g. a 125° position in speedlock sleeve for a 125°  nail, and the distal sleeve matches either for “dynamic” or “static” locking as required (Fig. 41 and 41a).
在開始手術(shù)前,必須檢查植入體和器械的裝配。確保套筒角與所選擇的釘角相匹配,例如,125°釘在快速鎖定套筒中的125°位置,遠(yuǎn)端套筒根據(jù)需要匹配“動態(tài)”或“靜態(tài)”的鎖定(圖41和41a)。

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