I-1.iindotions
1). I-quastrations eqinisekisiweyo ineendawo ezibonakalayo ezicacileyo, kwaye umphandle wamagcisa omda we-distal utshatyalalisiwe.
2) .Ukunyuswa kwencwadi akuphumelelanga okanye ukulungiswa kwangaphandle akuphumelelanga ukugcina ukuncitshiswa.
I-3). Anyango.
I-4). Ukuqhekeka ngaphandle okanye ukungasebenzi. Ithambo elikhoyo ekhaya kunye nelinye ilizwe
2.Contraindiction
Abaguli abalupheleyo abangalungelanga utyando.
I-3. Ukulungiswa kwangaphandle
I-1. I-factoricula ye-articula yangaphandle ukuze ilungiswe i-diadius radius
Isikhundla kunye nokulungiselela okuthe qeshwa:
I-Plexual Plexual Anesthesia
Indawo yokuthintela ilungu elichaphazelekayo kwi-amb echaphazelekayo kwi-bracket ecaleni kwebhedi
· PFETOS INDLELA YOKUZIPHATHA NGE-1/3 yengalo ephezulu
Ukuhlolwa kwenkathalo
Ubuchule boNyango
Ukufakwa kwesikrweqe se-Mecicarpan:
Isikhafu sokuqala sikwisiseko sethambo lesibini le-metacarpal. I-Indetsion yolusu yenziwa phakathi kwe-thedon yomnwe womnwe wesalathiso kunye ne-dorselsselcesseus yethambo lokuqala. Izicubu ezithambileyo zahlulahlulwe ngobunono ngamafutha anqabileyo. Ingubo ikhusela izicubu ezithambileyo, kunye ne-3mmz scyz screw ifakiwe. Izikrelemnqa
Ulwalathiso lwesikrikhi ngama-45 ° kwindiza yesandla, okanye inokufana kwindiza yesandla.
Sebenzisa isikhokelo ukukhetha isikhundla sesikhuseli sesibini. I-3mm yesibini ye-3mm yaqhutywa kwi-astacarpan yesibini.
Ububanzi be-pin ye-metacarpal akufuneki budlule kwi-3mm. I-PIN yokulungisa ibekwe kwi-proximal 1/3. Kwizigulana ezine-osteoporosis, eyona i-screximal screw inokungena kwiingcambu ze-cortex (ithambo lesibini le-metacarpan kunye nesiqingatha se-cortex yethambo lesithathu). Ngale ndlela, isikhafu ingalo ende yokulungisa ilanga kunye ne-torque enkulu yokwandisa uzinzo kwiPIN yokulungisa.
Ukubekwa kwezikrweqe ze-radial:
Yenza isikhumba esikhumbeni kumda werediyo, phakathi kwe-brachioradis yemisipha kunye ne-CARPIN RIMCLER MAGNER, kwaye usebenzise i-proximal ye-proximal, kwaye usebenzise i-hermoting the stoed thesches. Inkathalo ithathiwe ukukhusela amasebe aphezulu ye-nerve ye-radial eqinile kule ndawo.
Kwindiza enye njenge-metacarpal screws, ii-3mm ezimbini ze-3mms zabekwa phantsi kwesikhokelo soKhuselo lwe-Trieve
Ukuncitshiswa kunye nokulungiswa:
Ukuncitshiswa kwendlela yokutshutshiswa kwe-C-Fluoroscopcopy ukukhangela ukuncitshiswa kokuqhekeka.
Ukulungiswa kwe-· · --xastetion ngawo yonke i-jant genent kwenza ukuba kube nzima ukubuyisela ngokupheleleyo i-Angle yoTitshala, ukuze idityaniswe ne-Kapandji Pins ukuncedisa ekucutheni kunye nokulungiswa.
Izigulana ezine-radial styloid, i-radial ye-radloid kirschner ciotion yentambo inokusetyenziswa.
Ukugcina ukuncitshiswa, qhagamshela i-facotor yangaphandle kwaye ubeke iZiko lokujikeleza kwe-Axis yangaphandle kwi-Axis enye njengeziko lokujikeleza kwe-wrist.
I-Fluoroscopy ye-Fluoroscopy, jonga ukuba i-bide ye-angle ye-radius, i-Palmar Angle kunye ne-Ulnar Angle ibuyiselwe, kwaye ihlengahlengise i-chalimed i-rackere deble iphulukene nayo.
· ·: Nikela ingqalelo kwiNtetho kaZwelonke ye-teator yangaphandle, ebangela i-itatrogenic quatures kwi-metacarpal screws.
I-Direas radius procrure idityaniswe ne-diadar radialnar joent (DRRUJ) ukwahlulwa:
I-drujs inokuthi incitshiswe ngokuzenzekelayo emva kokuncitshiswa kwerediyo ye-distal.
I-DREJ ye-DRRUJ isahlulwe emva kokuncitshiswa kweRadius incitshisiwe, sebenzisa ukuncitshiswa kwencwadi yencwadana yemibhalo kwaye usebenzise i-rod yentonga engasemva.
Sebenzisa i-k-i-k-i-k-i-k-i-k-i-kruj ukuze ingene kwi-DRRUJ okanye indawo enesithintelo esincinci.
Ukuqhekeka kwerediyo ye-distal kudityaniswe ne-Ulnar starloid ye-Ulnar styloid: Jonga uzinzo lwe-DRRUP, ukungathathi hlangothi kunye nokuvunywa komphambili wengxowa-mali. Ukuba ukungazinzi kukho, ukulungiswa kwenkqubo ye-kirschner, ukulungiswa kwe-TFCC Ligament Ligament, okanye umgaqo-nkqubo we-teredy unokusetyenziselwa inkqubo yokulungiswa kwe-Ulnar steppy stempeid.
Kulumkele ukutsala ngokugqithisileyo:
Iminwe iyonga ukuba iminwe yesigulana inokwenza i-flexion epheleleyo kunye nokuhamba kwandisiwe ngaphandle kwembambano; Thelekisa indawo ye-radioluunate kunye nendawo edibeneyo ye-gesirpal.
· Ukukhangela ukuba ulusu kwindawo ye-Nail iqinile kakhulu. Ukuba iqinile, yenza imeko efanelekileyo ukuphepha usulelo.
Ukukhuthaza abaguli ukuba basuse iminwe kwangoko, ngakumbi i-flexion kunye nolwandiso lwe-metacarpofelanelpolongeal
2. Ukulungiswa kwe-diredius radius witnetor nge-facotor yangaphandle engaweli i-quent:
Isikhundla kunye nokulungiselela okuthengisiweyo: ngokufanayo na ngaphambili.
Iindlela zoqhawulo:
Iindawo ezikhuselekileyo zokufakwa kwe-K-Wire kwi-Dorsal icala le-Darsic Rices, kumacala omabini e-tubersis, kunye nomabini amacala omkhosi we-thessor thessis, kwaye phakathi kwe-ferithior ye-tensor thessic kunye ne-teminan teminan.
Ngendlela efanayo, izikrweqe ezimbini ze-Scamz zabekwa kwi-rabff ye-radial kwaye iqhagamshelwe ngentonga yokudibanisa.
Ngokwindawo yokhuseleko, izikrikhi ezimbini ze-Scamz zafakwa kwi-diagesius ye-diadius piction, enye evela kwicala le-radial kunye nelinye evela kwicala le-DASSE, kunye ne-Angle ye-60 ° ukuya kwi-90 ° omnye komnye. Isikere kufuneka sibambe i-cortex ye-cortex, kwaye kufuneka iqatshelwe ukuba incam yesikhali ifakwe kwindawo ye-radial ayinakudlula i-SIGMOID NORK kwaye ingene kwi-digial radial rading.
Qhoboshela i-Schanz Screw kwi-distal radius ngekhonkco elijikiweyo.
Sebenzisa i-rod yokudibanisa i-rod ukudibanisa iindawo ezimbini ezaphukileyo, kwaye ulumkele ukuba ungakufumanisi i-chick okwethutyana. Ngoncedo lwekhonkco eliPhakathi, isiqwengana se-distal sincitshisiwe.
Emva kokuseta kwakhona, kutshixa i-ceck kwi-rod yokudibanisa ukugqiba ukuphelaukulungiswa.
Umahluko phakathi kwe-non-gene-gener yangaphandle kunye ne-cross-quint ceator yangaphandle:
Kuba isikrweqe ezininzi se-Scanz sinokubekwa ukugqibezela ukuncitshiswa kunye nokulungiswa kwamaqhekeza amathambo, izityholo zoqhaqho zabalungisi abangazidibeneyo zibanzi kunezo zabahlanganyeleyo. Ukongeza kwi-quariko yobuqhetseba, banokusetyenziswa okwesibini ukuya kwezithathu. Ukwaphuka kwe-intratial yethutyana.
Umnqamlezo odibeneyo odibeneyo ulungisa i-Wrist Joint kwaye akavumeli ukuzivocavoca kwangoko, ngelixa i-UN-quator yangaphandle ivumela umthambo wokuqala wokuzilolonga.
IXESHA LOKUQALA: USep-12 ukuya ku-52333333
