I-Direas Radeusius Fracture: Ingcaciso eneenkcukacha zeZakhono zangaphakathi zoNyango lweZakhono zeSith kunye nezicatshulwa!

1. Iphawu

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

1. Ukuphikisana

Abaguli abalupheleyo abangalungelanga utyando.

1. Ukulungiswa kwangaphakathi (indlela yesantsi)

Indlela yokulungiselela kwangaphambili. I-Anesthesia yenziwa kusetyenziswa i-raxial anesthesia okanye i-anesthesia jikelele

1). Isigulana sibekwe kwindawo yesiqhulo kunye nomlenze ochaphazelekayo ochaphazelekayo kwaye wabekwa kwisakhelo sotyando. I-8CM yenziwa phakathi kobugcisa be-radicial yomphambili kunye ne-checxor carpira radailis umsipha kwaye wandiswa kwi-cerist crease. Oku kungabonisa ngokupheleleyo ukwaphuka kunye nokuthintela isiphene. I-tuctuon ayifuni ukuya entendeni yesandla (umzobo 1-36a).

2). Ukungaphumeleli kwi-clexor Carpis verical sheatis (umfanekiso 1 Isisu semisipha sivezwe ngokupheleleyo kumsitho we-pronaratus quadratus (umzobo 1-36C)

3) .ndezela i-In "l" i-funsen "l" kwicala le-radial ye-radial ye-radial stalbuid, kwaye emva koko icime i-radius witler cinder (umzobo 1-36E)

I-4). Faka isitya okanye isitshixo esincinci esincinci kumgca wokuqhekeka kwithambo lasemva kwexesha ukuze unciphise isiqwengana sediliya, kwaye usebenzise iminwe yokuqhekeza ukuqhekeka kwe-dorsal.

Xa i-radyloid ye-radyloid iphazamisekile, kunzima ukunciphisa i-radyloid ye-radyloid ngenxa yokutsalwa kwe-brachioradis miscle yemisipha yeBrachioradis. Ukunciphisa amandla okutsala, i-brachioradiilis inokwenziwa okanye ichithwe kwi-distar radius. Ukuba kukho imfuneko, isiqwengana se-ERENS sinokuhlelwa okwethutyana kwisiqwengana se-proximal kunye neengcingo zeKirschner.

Ukuba inkqubo ye-ilnar steyloid iqhekezwe kwaye ishiywe, kwaye i-distal radialnar ingenanga, i-nimes enye okanye i-Ilnar ye-Ilnar inokusetyenzwa ngenkqubo ye-vorala. Amaqhekeza amancinci ahlala engafuni ukuba unyango. Nangona kunjalo, ukuba i-distal kaRacoulnar ayizinzanga emva kokulungiswa kweradiyo, i-styloid ye-stylong firchial firchial firching ye-Ulnar starloid ye-An-Anchlors okanye imisonto yesilika.

5). Emva kokuqhekeka kuncitshiswe ngempumelelo, chonga indawo yokubekwa kwentsimbi yentsimbi phantsi kwesikhokelo se-X-ray fluoroscopy kunye nesikrelemnqa esiya kumngxunya we-oval kwi-oval hole okanye i-1-36f). Sebenzisa umngxunya we-2.5mm wokugqobhoza i-Drill embindini womngxunya we-oval, kwaye ufake isikrelemnqa esi-3.5.

Umzobo 1-36 Isikhumba sesikhumba (a); I-Supiction ye-Slexor Carpis Fidailais Sheander (B); ukuthoba inxenye ye-Toxor Tendon ukubhenca umsipha we-pronaratus quadratus (c); ukwahlula umtshato we-pronaratus quadctus ukuveza iredius (d); ukuveza umgca wokuqhekeka (e); Beka iplate ye-burlar kunye ne-screw kwi-screw yokuqala (f)
I-6). I-C-ARM ARM FLOOROSCOP yokuqinisekisa ukufakwa kweplagi efanelekileyo. Ukuba kukho imfuneko, tyhala ipleyiti okanye ngokugqithileyo ukufumana indawo yokubekwa kwesikripthi.

I-7) .Use i-2.0mm yokugqobhoza i-Drill umngxunya wokugqibela kweplate yentsimbi, ulinganise ubunzulu kunye nesikrini kwisikrini esikutshitshisiweyo. Isikhonkwane kufuneka sibe yi-2mm emfutshane kunomgama olinganiselweyo ukuthintela isikhafu ukusuka kwi-Deversing kwaye iphuma kwi-dorverx cortex. Ngokubanzi, i-20-22mm screw yanele, kwaye enye ilungisiwe kwinkqubo ye-radyloid kufuneka ibe mfutshane. Emva kwesikhuselo kwisikali se-distal, isikhafu sifaka isikrelemnqa esigciniweyo.

Ngenxa yokuba i-angle yesikhafu yenzelwe, ukuba iplate ibekwe kufutshane kakhulu, i-screw iya kungena kwi-wrist edibeneyo. Thatha iziqwenga ze-tangeli ezinamandla zethambo le-archoorral subcholar ukusuka kwi-Coronal naseSagittal izithuba ezingenayo, kwaye emva koko ulandele imiyalelo lawula ipleyiti yentsimbi kunye / okanye isikrini

. B. Anterosterior kunye neFomu ye-X-ray ye-X-ray ye-Pobstoperative Practure, ebonisa ukuqhekezwa kokuncitshiswa okuhle kunye nokuhlelwa kwesandla esifanelekileyo
I-8) .Umntu umphathi we-pronarator quaddus ongenakufunyanwa. Qaphela ukuba umsipha awuyi kuyigubungela ngokupheleleyo iplate. Inxalenye ye-distal kufuneka igutyungelwe ukunciphisa unxibelelwano phakathi kwe-tendon kunye neplate. Oku kunokufezekiswa ngokutsala i-pronarator i-quadratus ukuya kumda we-brachioradiadis, ukuvala umaleko we-incokocy ngobuqili, kwaye uyilungisa ngodaka ukuba kukho imfuneko.