Olona nyango luqhelekileyo lwe-Diredius Fractures yindlela ye-burnar henry ngokusetyenziswa kweepleyiti zokutshixa kunye nezikrelemnqa ukulungisa ngaphakathi. Ngexesha lenkqubo yokulungisa yangaphakathi, ayimfuneko ukuba ivule i-radional papsuarge papsule. Ukuncitshiswa ngokudibeneyo kufezekiswa ngokwendlela yokukhonkotha kwangaphandle, kunye ne-intraopeative fluoroscopy isetyenziselwa ukuvavanya ulungelelwaniso lomhlaba oludibeneyo. Kwiimeko ze-Intra-Artional Asctures, ezinjengee-pin-punch iqhekeza, apho ukuncitshiswa okungachazwanga khona, kunokuba yimfuneko yokusebenzisa indlela yokubona kunye nokuncitshiswa (njengoko kubonisiwe kumzobo ongezantsi).
I-ligaments ye-exrinsing kunye ne-Inrinsic Syrinsings ye-radiocarpal joent ithathelwa ingqalelo izakhiwo ezibalulekileyo zokugcina uzinzo ngokudibeneyo. Ngenkqubela phambili kuPhando lwe-anatomical, ifunyaniswe ukuba, phantsi kwemeko yokugcina ingqibelelo ye-Ligafounate ye-radiaunate i-ligament ye-radionaundate, ukusika i-ligaments ye-Ettrinsic ayifanelekanga ukungazinzi.
Ke ngoko, kwiimeko ezithile, ukufezekisa umbono ongcono womphezulu odibeneyo, kunokuba yimfuneko ukuba ikwazi ukuqhubela phambili i-ligaments ye-Extrinsic, kwaye oku kwaziwa ngokuba yi-Arlar Adraurral Symar (Jonga). Njengoko kubonisiwe kumzobo ongezantsi:
Umzobo AB: Kwindlela eqhelekileyo yeHenry yokubhengeza i-Distrius sub, ukuze ufikelele kwi-split quirus yerediyo ye-distal radius, i-scaphoid ye-Scaphoid, i-scapkhodi ye-Scapkhodi ikhutshiwe. I-redractor isetyenziselwa ukukhusela i-ligament ye-radionate emfutshane. Emva koko, i-ligament ye-radimeunate i-radimer ikhutshiwe kwi-distal radius ukuya kwinqanaba le-ilnar yelicocisi. Okwangoku, ukuboniswa ngqo komgangatho odibeneyo kunokufezekiswa.
Umzobo CD: Emva kokubhengeza umphezulu odibeneyo, ukuncitshiswa kwe-sagittal defa yenqwelomoya edibeneyo yenziwa phantsi kokuboniswa ngokuthe ngqo. I-ithambo isetyenziselwa ukuxhaphaza kwaye inciphise iziqwenga zethambo, kunye ne-0.9mm Kirschner i-wiili zinokusetyenziselwa ukulungiswa okwethutyana okanye kokugqibela. Nje ukuba indawo edibeneyo incitshisiwe ngokufanelekileyo, iindlela ezisemgangathweni zeplate kunye nokulungiswa kwe-screw ziyalandelwa. Okokugqibela, isithuba esabekwe kwi-ligament ye-LIGAGUTE YEMFUNDO NE-CAPUE YAMABALI YENKONZO YOKUGQIBELA.
Isiseko se-theoretical somboniso (i-alar yandise) indlela yefestile ye-Inratic) ilele ekuqondeni ukuba ukusika i-Wrist edibeneyo ye-gerinsic ligations ayinyanzelekanga ukuba ikwazi ukungazinzi. Ke ngoko, kuyacetyiswa ukuba i-radius yerediyo ye-Intra ye-Intra ye-Intra ye-Intraius ye-Directure ikhutshiwe apho ukuncitshiswa komgangatho we-fluoroscopic kungumngeni okanye xa inyathelo lezinyuko likhona. Indlela yokujonga iyacetyiswa ngamandla ukufezekisa ububonelo olungqalileyo ngexesha lokuncitshiswa kwemeko enjalo.
IXESHA LOKUQALA: UPE-09-202333
