Irediyo yeRadius ye-Direas yenye yezona zixhaphakileyoiqhekezakwikhondo leklinikhi. Uninzi lwezinto ezisasazwayo, iziphumo ezilungileyo zonyango zinokufezekiswa ngeplate ye-palmar kunye ne-screw yangaphakathi. Ukongeza, kukho iintlobo ezahlukeneyo zerediyo zerediyo zerediyo ze-dires, ezinje nge-barton iqhekeza, die-punch iqhekeza,I-suugur's gwenxa, njl., ngasinye sifuna ukusondela unyango. Abaphengululi bamanye amazwe, kwizifundo zabo zesampuli esikhulu ye-diastal fidus, bachonge uhlobo oluthile apho isahlulo esidibeneyo siquka isiseko se-diredius physion, kwaye iziqwengana zethambo "), ekubhekiswa kuyo njenge" titraherahed "uhlobo" lwe-tetrahedron ".
Umxholo we "tetrahedron" yohlobo lwe-Diredal racture: Kolu hlobo lwe-radius procrure, i-phralid yenzeka ngaphakathi kwenxalenye yendawo edibeneyo, ebandakanya i-radyload kunye ne-radial stalid kunye ne-radial stalid kunye ne-radial stalids, kunye nolungelelwaniso lwe-radyloud. Umgca wokuqhekeka udlulela kwisiphelo serediyo.
Ukwahluka kolu qhekeko kubonakaliswa kwiimpawu ezahlukileyo zePalmar-Ulnar icala le-bone ye-radius. Kwelinye icala, i-fossa eyenziwa ngala mathambo asePalmar-Ulnar icala lethambo lisebenza njengenkxaso ngokwasemzimbeni nxamnye namathambo e-blopal. Ukuphulukana nenkxaso kolu lwakhiwo kuphumela ekufuduseleni i-bolar ye-bolar ye-wrist ye-wrist. Kwelinye icala, njengecandelo le-distal radialdar radicnar radicmar, ukubuyisela le thambo kwindawo yayo ye-anatomical yinto eyimfuneko yokufumana indawo yokungaziphathi kakuhle.
Lo mfanekiso ungezantsi ubonakalisa imeko 1: Ukucinga ukubonakaliswa kwendlela eqhelekileyo "ye-tetrahedron" yerediyo yerediyo.
Kwisifundo seminyaka emihlanu, iimeko ezisixhenxe zolu hlobo lokuqhekeka zachongwa. Ngokuphathelele kwimpawu zoqhaqho, kwiimeko ezintathu, kubandakanya nemeko 1 ngokomfanekiso ungaphezulu, apho babekho ukuqhekeka, unyango lolondolozo lwalutshiwo. Nangona kunjalo, ngexesha lokulandela-up, onke amatyala amathathu ahlangabezana nokuqhekeka okuqhelekileyo, okhokelela kutyando lwangaphakathi olulandelayo. Oku kucebisa kwinqanaba eliphezulu lokungazinzi kunye nomngcipheko obalulekileyo wokungafuneki kwi-quaring yolu hlobo, ugxininisa imboniselo eyomeleleyo yokungenelela.
Ngonyango, amatyala amabini Ekuqaleni afikeleleka kwimozulu yemveli yemveli eneFlexor Carpis (i-FCR) yeplate kunye ne-screw yangaphakathi yokulungisa. Kwelinye lala matyala, ukulungiswa akuphumelelanga, okukhokelela kwithambo lethambo. Emva koko, indlela yePalmar-Ulnar yayiqeshwe, kwaye ukulungiswa okuthile ngeplate yekholamu kwenziwa kuhlaziyo lwekholam. Emva kokwenzeka kokungaphumeleli, amatyala amahlanu alandelayo zonke iiplanti zePalmar-Ulnar kwaye zilungisiwe nge-2.0mm okanye i-2.4mm yeepleyiti.
Ityala 2: Sebenzisa i-Alar Exgangweyo nge-Blexor Carpira Ridaialis (FCR), ukulungiswa kweplate ye-palmar kwenziwa. Ngokuhlwaywa, ukwamkelwa ngaphandle kwe-Andrist Grantient yaqwalaselwa, kubonisa ukusilela kokulungiswa.
Kwityala lesi-2, ukusebenzisa indlela yePalmar-Ulnar kunye nokuhlaziya iplate yekholamu kubangele imeko eyanelisayo yokulungisa ngaphakathi.
Ukujonga iintsilelo zeepleyiti ezihamba-ntetho zeRadius racture ukulungisa le thambo elithile, kukho imiba emibini ephambili. Okokuqala, ukusetyenziswa kwendlela ye-volar kunye ne-chector carpiraisis (FCR) kunokukhokelela ekubonakalisweni okungaphelelanga. Okwesibini, ubukhulu obukhulu beeplate zokutshixwa kwe-palm, akunakubakho ngokuthe ngqo iziqwengana zethambo elincinci kwaye zinokuba zibazitshitshisela ngokufaka izithuba eziphakathi kwamaqhekeza phakathi kwezithuba eziphakathi kwamaqhekeza phakathi kwamaqhekeza phakathi kwezithuba eziphakathi kwamaqhekeza phakathi kwamaqhekeza phakathi kwezithuba phakathi kwezithuba.
Ke ngoko, abaphengululi bacebisa ukusetyenziswa kwe-2.0mmm okanye i-2.4mm yokutshixa kulungiso oluthile lwekholamu ephakathi. Ukongeza kwiplate exhasayo, ukusebenzisa izikrikhi ezimbini ukulungisa isiqwenga sethambo kunye nokungathathi cala ipleyiti ukukhusela isikrikhi sikwayeyona ndlela yendlela yangaphakathi.
Kule meko, emva kokulungisa isiqwenga sethambo kunye nezikrelem ezimbini, iplate yafakwa ukukhusela isikrelem.
Isishwankathelo, "i" tetrahedron "yohlobo lwerediyo distal discraure zibonisa ezi mpawu zilandelayo:
1. Izizwe eziphantsi ngomgangatho ophezulu wefilimu yokuqala yefilimu.
2. Umngcipheko omkhulu wokungazinzi, ngotyekelo lokufumana kwakhona ngexesha lonyango.
3. Isidubedube se-Palmar se-Palmar se-Diredius fius procuts sinamandla okulungisa esibuthathaka, kwaye kuyacetyiswa ukuba isebenzise i-2.0mm okanye i-2.4mm yokutshixa kulungiso oluthile.
Ngenxa yezi mpawu, ekuziqhelaniselwano zeklinikhi, kuyacetyiswa ukuba wenze i-CT Scans okanye iinguqulelo ze-timeegetic kwizigulana ezineempawu ezibalulekileyo ze-wirist kodwa imitha engalunganga ye-X-rays. Kolu hlobo lweukwaphuka, ungenelelo lokutya okokuqala ngeplate ethile yekholamu kuyacetyiswa ukuthintela iingxaki kamva.
Ixesha lokuposa: I-Oct-13 ukuya kwi-2023
