Distal Radius Fractures: Nhwehwɛmu, Nkyekyɛmu ne Ayaresa

Ayaresa mu nsɛm · Nhomasua akwankyerɛ a wɔayɛ no foforo

Distal radius fracture yɛ abubuw a ɛbɛn radius no nsateaa awiei. Ayaresa no betumi afi nhama a wɔde kyekyere anaa nea wɔde gu mu so akosi nhama a wɔde fa honam ani, akyi a wɔde hyɛ mu, anaasɛ mprɛte a wɔde hyɛ mu so. Nhyehyɛe a ɛfata no gyina sɛnea akisikuru no hyia na ɛyɛ den, nkwaa a ɛka ho, ntini a ɛyɛ mmerɛw tebea, nnompe no su, mfe a obi adi, dwumadi ahiade ahorow, ne nea ɔyarefo no pɛ so.

Nhwehwɛmu a wɔyɛ wɔ ayaresabea Ayaresa mu nhwehwɛmu ne nsateaa so mfonini ahorow kyerɛ sɛnea nkwaa no mu abubu, sɛnea ɛkɔ baabi foforo, ne sɛnea nkwaa no ka ho.

Ayaresa Wobetumi asa akisikuru a ɛyɛ den a wɔnyɛ oprehyɛn; ebia abubuw a entumi nnyina anaasɛ ɛnhyia yiye no behia sɛ wɔde si hɔ.

Nea efi mu ba Mfe a obi adi nkutoo na esi ayaresa ho gyinae. Dwumadi mu ahwehwɛde, mpaapaemu suban, ne gyinaesi a wɔbom si ho hia.

Dɛn Ne Distal Radius Fracture?

Distal radius no na ɛyɛ ade titiriw a ɛsoa adesoa wɔ nsateaa no nsateaa fã no. Mpɛn pii no, akisikuru ba wɔ sɛntimita kakraa bi mu wɔ radiocarpal nkwaa no ho na ebetumi ayɛ nea ɛboro ntini no akyi, atrɛw akɔ nkwaa no mu, anaasɛ ɛfa radioulnar nkwaa a ɛwɔ akyirikyiri no ho. Ulnar styloid ne ntini a ɛboa no nso betumi apira.

Nsa a wɔateɛ so a ɔhwe ase yɛ ade a wɔtaa yɛ. Ahoɔden a ɛba fam a wɔhwe ase yɛ nea ɛtaa ba wɔ mpanyimfo a wɔn mfe akɔ anim a wɔn nnompe mu ahoɔden so tew mu, bere a agumadi mu opira, akwan so kar akwanhyia, ne asehwe a efi sorosoro betumi ama ayarefo nkumaa anya ahoɔden a ɛkɔ soro.

Distal radius fracture overview a ɛkyerɛ nsateaa nipadua ne sɛnea abubu no — Distal radius fractures gu ahorow wɔ kwankyerɛ, comminution, displacement, ne sɛnea nsateaa nkwaa no ka ho.

Nea enti a nipadua mu nkwaadɔm ho hia

Distal radius no wɔ articular surface a ɛtrɛw na ɛboa scaphoid ne lunate. Nneɛma a ɛbɛn hɔ no bi ne ntini a ɛwɔ mfinimfini, flexor ne extensor tendons, radial artery, distal radioulnar joint, ne triangular fibrocartilage complex. Sɛ wɔsan de nneɛma a mfaso wɔ so a ɛne ne ho hyia bere a wɔbɔ saa adan yi ho ban no yɛ ayaresa botae titiriw.

Nsɛnkyerɛnne ne Nsɛnkyerɛnne a Ɛhia sɛ Wɔyɛ Nhwehwɛmu Ntɛmntɛm

Nsɛnkyerɛnne a ɛtaa ba ne nsateaa a ɛyɛ yaw ntɛm ara, ɛho ahonhon, ɛyɛ akisikuru, ɛyɛ mmerɛw, ne kankyee a ɛso tew, ne ɛyɛ den sɛ obekura mu. Ebia akisikuru a wɔatu afi baabi foforo no bɛma obi ayɛ dɛmdi a wotumi hu. Oduruyɛfo bi nso hwɛ honam ani tebea, nsateaa a ɛkɔ nipadua no mu, nkate, ntini no dwumadi, ne opira a ɛbata ho.

Hwehwɛ aduruyɛ mu ayaresa a egye ntɛmpɛ ma kuru a abue, dompe a wotumi hu fa honam ani, nsa a ɛyɛ fitaa anaasɛ ɛyɛ nwini, akisikuru a ɛreyɛ kɛse, nsateaa a entumi ntutu, ɔfe a ɛkɔ soro ntɛmntɛm, anaa ɛyaw a emu yɛ den a wontumi nni so. Saa nneɛma a wɔahu yi betumi akyerɛ sɛ ntini no mu abubu a ɛda adi pefee, ntini mu ntini no asɛe, anaasɛ nhyɛso a asiane wom wɔ ntini ahorow no mu.

Nhwehwɛmu ne Radiographic Nhwehwɛmu

Wɔde standard posteroanterior ne lateral wrist radiographs di dwuma de hu sɛnea abubu no na wɔhwɛ sɛnea atu akɔ baabi foforo. Oblique adwene betumi aboa wɔ nsɛm a wɔapaw mu. Kɔmputa so tomography betumi ama woanya nsɛm pii bere a ntini a abubu no yɛ den anaasɛ bere a oprehyɛn ho nhyehyɛe hwehwɛ sɛ wɔkyerɛkyerɛ asinasin no mu pefee no.

Posteroanterior wrist radiograph susuw wɔ distal radius a abubu mu — Wɔ PA adwene mu no, ayaresabea adwumayɛfo susuw radial tenten, radial inclination, ulnar variance, ne articular congruity ho.

Lateral wrist radiograph a ɛkyerɛ volar ne dorsal tilt susuw — Sɛ wohwɛ akyi a, wɔhwehwɛ volar anaa dorsal tilt ne carpal alignment mu.

Radiographic feature	Nea ɛkyerɛkyerɛ mu	Nea enti a ɛho hia
Radial sorokɔ	Distal radius no tenten sɛ wɔde toto reference points a ɛwɔ joint no ani ho.	Ɔsorokɔ a wɔhwere no betumi asakra adesoa a wɔde fa nipadua no mu ne ulnar variance.
Radial inclination a ɛkɔ soro	Distal radial articular surface no a ɛkɔ fam wɔ PA view no so.	Ebia sɛnea ɛkɔ fam a ɛso tew no bɛda ahwease anaasɛ akɔneaba adi.
Volar/akyi a ɛdannan	Sagittal orientation a ɛwɔ articular surface no so wɔ afã a wɔhwɛ no so.	Akyi anaa volar tilt dodo betumi aka nsateaa mfiridwuma.
Articular anammɔn-off anaasɛ gap	Nneɛma a ɛne ne ho hyia a ɛyɛ mmerɛw wɔ nkwaa no ani a ɛyera.	Ɛboa ma wɔkyerɛkyerɛ intra-articular displacement ne ayaresa botae ahorow mu.
Ulnar nsonsonoe	Distal ulna ne radius no tenten a ɛfa ho.	Ebia ɛbɛsakra bere a radius no yɛ tiaa na enya ulnocarpal loading so nkɛntɛnso no.

Sɛnea Wɔkyekyɛ Distal Radius Fractures mu

Nsɛmfua a ɛkyerɛkyerɛ mu te sɛ Colles , Smith , ne Barton akisikuru di su ahorow a ɛma wotumi tu fi baabi foforo ho asɛm, nanso ɛnkyere opira biara. Nnɛyi nhwehwɛmu nso kyerɛw sɛ ebia mpaapaemu no abue anaasɛ wɔato mu, ɛwɔ ntini no akyi anaasɛ ɛwɔ ntini no mu, atu anaasɛ entu, ɛyɛ nea egyina pintinn anaasɛ entumi nnyina, na ɛnyɛ den anaasɛ ɛyɛ mmerɛw.

Fernandez nkyekyɛmu denam mfiri so

Fernandez nhyehyɛe no kyekyɛ akisikuru mu akuwakuw sɛnea ɔkwan titiriw a wɔfa so pira no te. Ebetumi aboa ayaresabea adwumayɛfo ma wɔasusuw ntini a ɛyɛ mmerɛw a ɛbata ho ne ɔkwan a wɔfa so de si hɔ ho, nanso wɔpaw ayaresa mfi nkyekyem nkutoo mu.

Fernandez type I distal radius bending a ɛpaapae ho mfonini — **Type I:** bending fracture, mpɛn pii no metaphyseal cortical huammɔdi.

Fernandez type II distal radius shearing akisikuru ho mfonini — **Type II:** shearing opira, a rim fracture-dislocations ka ho.

Fernandez type III distal radius nhyɛso a ɛpaapae ho mfonini — **Type III:** compression opira a ɛwɔ articular impaction.

Fernandez type IV distal radius avulsion a ɛpaapae ho mfonini — **Type IV:** avulsion opira a ɛfa ligament a ɛbata ho.

Fernandez type V a wɔaka abom distal radius abubu ho mfonini — **Type V:** opira a ahoɔden kɛse wom a wɔde akwan horow pii afrafra.

Sɛnea Wɔpaw Ayaresa

Ɛnyɛ botae no ne sɛ wɔbɛma X-ray ayɛ sɛ nea ɛfata kɛkɛ. Ayaresa hwehwɛ nsateaa a ɛyɛ fɛ, ɛyɛ den, na ɛyɛ adwuma bere a ɛkari pɛ wɔ asiane ahorow a ɛwɔ aduru a wɔde kum nipadua no mu, oprehyɛn, nea entumi nkɔ baabiara, nea ɛyɛ den, ne nea ɛyera a ɛbɛtew so no mu. Ɛsɛ sɛ gyinaesi a wɔbom si gyinae susuw:

abubuw a ɛtwetwe, nea ɛpaapae, nkwaa a ɛde ne ho hyɛ mu, ne nea egyina pintinn bere a wɔatew so akyi;
opira a ɛda adi pefee, ntini mu sɛnkyerɛnne, mogya a ɛkɔ nipadua no mu, ne ntini a ɛyɛ mmerɛw tebea;
ɔyarefo mfe a obi adi sɛ ade a ɔde si nipadua mu tebea ne dwumadi mu ahwehwɛde ananmu—ɛnyɛ nea wɔde besi ananmu;
nnompe pa, opira afoforo, ayaresa tebea horow, adwuma a wɔyɛ, ne nsa a wɔde di dwuma;
tumi a wɔde kɔ akyi a wodi na wɔde wɔn ho hyɛ ahosiesie mu;
ɔyarefo no botae ahorow ne abodwokyɛre a ɔwɔ ma mfaso ne asiane ahorow a ɛwɔ ɔkwan biara a ɔbɛfa so no so.

Akwankyerɛ a ɛfa ho: AAOS/ASSH akwankyerɛ boa oprehyɛn a wɔde si hɔ wɔ ayarefo pii a wɔnyɛ nkwakoraa ne mmerewa mu bere a, wɔatew so akyi no, radial shortening boro 3 mm, dorsal tilt boro 10°, anaasɛ intra-articular displacement/step-off boro 2 mm. Wɔ ayarefo a wɔn mfe akɔ anim—a wɔtaa gyina hɔ ma wɔ nhwehwɛmu ahorow mu bere a wɔadi mfe 65 anaa nea ɛboro saa— fam no, mpɛn pii no oprehyɛn mma nea efi mu ba a ayarefo bɔ ho amanneɛ bere tenten no ntu mpɔn bere a wɔde toto ɔhwɛ a ɛnyɛ oprehyɛn ho no. Saa ahwehwɛde ahorow yi bɔ ankorankoro ayaresabea atemmu a wɔde ma no ho amanneɛ, nanso ensi ananmu.

Ayaresa a Ɛnyɛ Oprehyɛn

Wobetumi de ahama anaa aduru a wɔde kyekyere abubuw a ɛyɛ den a entumi nkɔ baabi foforo anaasɛ ɛne ne ho hyia wɔ ɔkwan a wogye tom so no ho dwuma. Ebia abubuw a wɔatu afi baabi foforo no adi kan ayɛ nea wɔatoto mu a wɔatew so, na ɛno akyi no, wɔama no antumi ankɔ baabiara. Wɔyɛ nhwehwɛmu a wɔde di akyi ne radiographs ho nhyehyɛe sɛnea akisikuru no nneyɛe ne oduruyɛfo no atemmu te efisɛ akisikuru binom betumi ahwere sɛnea ɛne ne ho hyia bere a ɔfe no so tew no.

Ahobammɔ a edi kan: aduru a wɔde kyekyere nipadua no ma kwan ma ɛho ahonhon ntɛm; wobetumi atu fo sɛ wɔmfa nsateaa nkɔ soro na wɔmfa nsateaa nkɔ baabiara.
Wɔtew so bere a ɛho hia: wɔde aduru a ɛfata a wɔde kum ɛyaw anaa aduru a wɔde kum nipadua no san siesie abubuw no.
Immobilization ne nhwehwɛmu: wɔsan susuw cast fit, circulation, sensation, ne alignment ho.
Nsiesiei: wɔde nsateaa ne nsateaa a wɔde kankyee ba bere a ayaresa ne ahoɔden a ɛgyina pintinn ma kwan no.

Nonsurgical immobilization ma distal radius a ɛpaapae — Immobilization betumi afata bere a alignment yɛ nea wogye tom na abubuw no kɔ so yɛ nea ɛyɛ den no.

Bere Bɛn na Wobetumi Asusuw Oprehyɛn Ho?

Wobetumi aka oprehyɛn ho asɛm bere a wontumi nnya anaasɛ wontumi nkura mu a ɛne ne ho hyia a wogye tom, nkwaa no ani atu kɛse, abubuw no abue, carpus no ntumi nnyina, anaasɛ ɛnyɛ nea ɛda adi sɛ opira no kwan no bɛkɔ so agyina pintinn wɔ cast mu no. Wɔpaw oprehyɛn ne nea wɔde bɛhyɛ nipadua no mu no ma asinasin no su pɔtee ne ɔyarefo no—ɛnyɛ nea wɔde kyerɛw krataa a ɛkyerɛ sɛ wɔahu yare no ara kwa.

Oprehyɛn a Wɔpaw ma Distal Radius Fractures

Ɔkwan	Dwuma a wɔtaa di	Anohyeto anaa asiane ahorow a ɛho hia
K-wire a wɔde hyɛ nipadua no mu wɔ honam ani	Wɔapaw reducible fractures a wobetumi de pin ne supplementary immobilization ayɛ no den.	Pin-tract infection, waya a ɛkɔ baabi foforo, nea ɛyera a wɔtew so, ne hia a ehia sɛ wɔhwɛ pin so.
Abɔnten so fixation	Apirakuru a wɔapaw a entumi nnyina, ɛbue, ɛyɛ mmerɛw kɛse, anaasɛ ntini a ɛyɛ mmerɛw a ɛyɛ mmerɛw; betumi ayɛ bere tiaa mu de anaasɛ nea ɛyɛ pintinn.	Pin-tract haw, stiffness, ntini/tendon a ɛyɛ yaw, ne alignment a ɛyera.
Volar a wɔde to mu mprɛte	Nsusuwii pii a entumi nnyina wɔ akyi ne ntini mu a ɛhwehwɛ sɛ wɔtew so tẽẽ na wɔboa no wɔ afã a ɛyɛ pintinn.	Flexor tendon a ɛyɛ yaw anaasɛ ɛpaapae, ntini mu sɛnkyerɛnne, screw a ɛkɔ mu, ɔyare mmoawa, ne hardware ho sɛnkyerɛnne.
Dorsal mprɛte	Dorsal rim anaa dorsal shear fragments a wɔapaw a wɔanhyɛ so yiye mfi volar fã no.	Extensor tendon a ɛyɛ hyew ne hardware a ɛda nsow.
Dorsal bridge mprɛte a ɛwɔ akyi	Abubuw a abubu kɛse wɔ baabi a mprɛte no trɛw nsateaa no so na ɛde ligamentotaxis di dwuma.	Ɛto nsateaa no kankyee ano hye bere tiaa bi na mpɛn pii no ɛhwehwɛ sɛ woyi mprɛte no fi hɔ akyiri yi.
Fragment-specific fixation a wɔde si hɔ	Nsusuwii a ɛyɛ den a articular columns ankorankoro anaa rim asinasin hia mmoa a wɔde wɔn ani asi so.	Ebia ntini a wɔde hyɛ nipadua mu pii ne akwan horow a wɔfa so yɛ no bɛma ntini a ɛyɛ mmerɛw no ayɛ den.

AAOS/ASSH adanse kyerɛ sɛ nsonsonoe kɛse biara nni nea efi mu ba bere tenten mu wɔ akwan a wɔfa so de fixation ma articular fractures a entumi nnyina anaasɛ edi mũ mu, ɛwom sɛ volar locking plates betumi ama dwumadi mu ahoɔden a edi kan wɔ asram abiɛsa a edi kan no mu de. Ɔkwan a etwa to a wɔbɛpaw no gyina akisikuru ne oprehyɛn ho ɔbenfo no nimdeɛ so.

Pin fixation a wɔde fa honam ani

Bere a wɔatoto mu anaasɛ wɔabue ano kakraa bi akyi no, Kirschner nhama a ɛyɛ torotoro betumi akura asinasin a wɔapaw. Fluoroscopy si so dua sɛ wɔatew so na waya no si hɔ. Wobetumi agyaw pin wɔ honam ani anaasɛ wɔasie, a egyina ɔkwan a wɔfa so yɛ no so, na wɔtaa de ahama anaa cast bɔ nsateaa no ho ban.

Kirschner waya a wɔde fa honam ani a wɔde siw distal radius a abubu — Nhama a wɔde fa honam ani betumi de atew a ɛyɛ pintinn wɔ mpaapaemu nhyehyɛe ahorow a wɔapaw mu no ho.

Abɔnten so fixation

Abɔnten so fixator de pin a wɔde asisi baabi a abubu no akyi na wɔde abɔ abɔnten frame bi ho na edi dwuma. Construct a ɛtrɛw ne nsateaa mu betumi akura ne tenten ne nea ɛne ne ho hyia denam ligamentotaxis so. Wobetumi de nhama, mprɛte nketewa, anaa nnompe a wɔde ahyɛ mu nso aka ho wɔ apirakuru a emu yɛ den mu. Hwɛ nhwɛsoɔ bi a ɛfa a wrist external fixator ne nsɛm a wɔaka abom a ɛfa nnompe akyi fixation nhyehyɛe ahorow.

Wrist-spanning abɔnten fixation ma distal radius a ɛpaapae — Spanning frame betumi asan de ne tenten ne mmoa a ɛne ne ho hyia no aba.

Radiograph a ɛkyerɛ abɔnten so fixation a ɛma distal radius fracture gyina pintinn — Radiographic monitoring hwɛ sɛnea abubuw no hyia ne pin gyinabea.

Dorsal mprɛte a wɔde si hɔ

Akyi kwan ma wotumi nya akyi ntini asinasin a wɔapaw ne shear patterns. Nnɛyi nneɛma a wɔde hyɛ nipadua mu a ɛnyɛ den sɛ ɛbɛtew nneɛma pii so, nanso extensor ntini no da so ara bɛn hardware no na ɛsɛ sɛ wɔbɔ ho ban. Mfonini ahorow a edidi so yi kyerɛkyerɛ akyi fixation adwene ahorow mmom sen amansan nyinaa oprehyɛn nnidiso nnidiso.

Dorsal kwan anatomy ma distal radius mprɛte fixation — Dorsal exposure hwehwɛ sɛ wɔhwɛ extensor compartments no yiye.

Dorsal mprɛte a wɔde si hɔ wɔ distal radius fracture so — Ebia akyi mmoa a wɔde wɔn ani asi so no adi akyi rim asinasin so.

Radiograph akyi dorsal plate fixation a ɛwɔ akyirikyiri radius abubu — Mfoninitwa a etwa to hwɛ sɛnea ɛtew so, mprɛte no gyinabea, ne skru tenten.

Volar locking mprɛte a wɔde si hɔ

Wɔde volar plating di dwuma kɛse efisɛ ebetumi aboa subchondral dompe no afi nsateaa fã bere a wɔkwati sɛ wɔde bɛto extensor ntini no ase tẽẽ no. Flexor carpi radialis ntamgyinafo no yɛ ɔkwan a wɔtaa fa so. Mprɛte no gyinabea, nkwaa no ani a wɔbɛsan de asi hɔ, distal screw tenten, ne flexor tendon clearance hwehwɛ sɛ wɔde ahwɛyiye di ho adanse.

XC Medico nhwɛso ahorow no bi ne a 7-tokuru distal radius locking mprɛte , a 6-tokuru distal radius locking mprɛte , ne a DVR distal radius a wɔde tow mprɛte so . Saa nneɛma ho nkitahodi ahorow yi yɛ mfiri ho nsɛm; implant a wɔpaw no da so ara yɛ ayaresabea adwumayɛfo a wɔatete wɔn no asɛyɛde.

Volar plate fixation asɛm a ɛfa distal radius a ɛpaapae ho — Asɛm no nhwɛso: volar plate fixation a ɛyɛ abubuw a entumi nnyina.

Oprehyɛn akyi PA radiograph a ɛkyerɛ volar distal radius plate fixation — PA mfoniniyɛ hwɛ radial alignment ne distal screw kyekyɛ.

Oprehyɛn akyi akyi radiograph a ɛkyerɛ volar distal radius plate fixation — Mfonini a wɔde hwɛ afã horow no hwehwɛ sɛnea ɛdannan, ɛtew so, ne gyinabea a wɔde hyɛ nipadua no mu no mu.

Distal radius a ɛyɛ den a ɛpaapae ansa na wɔde volar mprɛte asi hɔ — Articular fracture a ɛyɛ den ansa na wɔde asi hɔ pintinn.

Volar locking plate construct ma intra-articular akyirikyiri radius a ɛpaapae — Fixed-angle support betumi ama asinasin pii a ɛwɔ akyirikyiri no agyina.

Radiographic aba akyi volar mprɛte fixation a distal radius abubu — Oprehyɛn akyi nsusuwii kyerɛw nkwaa a ɛne ne ho hyia ne hardware gyinabea.

Dorsal bridge (adwene a ɛtwetwe adwene) plating

Bridge plate trɛw fi radius no so kosi metacarpal so na ɛyɛ adwuma sɛ ade a ɛtwetwe adwene wɔ nipadua no mu. Ebia ɛbɛyɛ nea mfaso wɔ so ama apirakuru a wɔapaw a wɔabubu kɛse a wontumi mfa mprɛte a ɛwɔ akyirikyiri a wɔtaa de di dwuma ntumi nnyina ano. Esiane sɛ ɛtwam nsateaa no bere tiaa bi nti, mpɛn pii no, ɛho hia sɛ wɔyɛ nhyehyɛe a ɛto so abien a wɔde yi prɛte no bere a wɔasa awie no.

Dorsal bridge plate a ɛtrɛw kɔ distal radius a wɔabubu no mu — Bridge plate bi trɛw nsateaa no so na ama ne tenten ne nea ɛne ne ho hyia bere a abubu no sa yare no.

Fragment-specific fixation a wɔde si hɔ

Ebia ntini a abubu a ɛyɛ den no wɔ radial styloid, volar rim, dorsal rim, ne mfinimfini asinasin a ɛkaa. Nhyehyɛe ahorow a ɛfa asinasin pɔtee bi ho de nneɛma nketenkete a wɔde hyɛ nipadua mu a wɔde asi hɔ de ahyɛ nneɛma a ɛhwehwɛ sɛ wodi so tẽẽ no mu den di dwuma. Wobetumi de wɔn nkutoo adi dwuma anaasɛ wɔde ɔkwan foforo a wɔfa so de si hɔ.

Fragment-specific fixation nhyehyɛe ma distal radius abubu — Nneɛma nketenkete a wɔde hyɛ nipadua mu no betumi de wɔn ani asi ntini no adum anaa rim asinasin ankorankoro so.

Radiograph a ɛkyerɛ asinasin pɔtee bi distal radius fracture fixation — Nneɛma pii a wɔde si hɔ betumi adi asinasin nhyehyɛe a ɛyɛ den ho dwuma.

Ahosan, Ahosiesie, ne Nsɛnnennen a Ebetumi Aba

Wɔtaa hyɛ nsateaa a wɔde bɛkankan ho nkuran ntɛm sɛ opira no ne ayaresa no ma kwan a. Wofi ase yɛ nsateaa ne nsateaa apɔw-mu-teɛteɛ sɛnea kuru no gyina pintinn, sɛnea kuru no te, ne sɛnea radiographic sa no te. Ahoɔden, ahokokwaw, ne boasetɔ san ba nkakrankakra sen kankyee titiriw, na ebia ɔfe anaasɛ ɛyɛ den bi bɛkɔ so asram pii. Ebia wɔbɛsan asiesie wɔn ho wɔ fie anaasɛ wɔbɛhwɛ so a egyina ayarefo ahiade ne mpɔtam hɔ nneyɛe so.

Nsɛnnennen a ebetumi aba ne sɛ wɔbɛhwere, ntini a ɛnyɛ adwuma yiye, ɛnyɛ biako, ɛyɛ den, ntini mu yare a ɛba wɔ ahodwiriw akyi, ntini a ɛwɔ mfinimfini no ho sɛnkyerɛnne, ɔmantam mu ɛyaw a ɛyɛ den, ntini a ɛyɛ yaw anaasɛ ɛpaapae, ɔyare mmoawa, pin-tract haw ahorow, ne hardware a ɛkyerɛ sɛnkyerɛnne ahorow. Nneɛma foforo a ɛyɛ mmerɛw, ɛyaw a ɛkɔ soro, atiridiinini, nsu a ɛtwetwe, anaa nsateaa a ɛyera kɛse no ma ɛfata sɛ wɔsan hwɛ mu wɔ ayaresabea.

Nnompe akwahosan ho hia: ɔpanyin a ne mfe akɔ anim nsateaa a ahoɔden kakraa bi na ɛpaapae no betumi ayɛ nnompe mu yare ho kɔkɔbɔ sɛnkyerɛnne. Ayarefo betumi abisa wɔn oduruyɛfo sɛ ebia asiane a ɛwɔ hɔ sɛ nnompe mu abubu, nnompe a ɛyɛ den ho nhwehwɛmu, asehwe ano a wosiw, vitamin D nhwehwɛmu, anaa nnompe akwahosan ho nhyehyɛe afoforo fata anaa.

Nsɛm a Wɔtaa Bisa

So distal radius fracture biara a wɔatu afi baabi foforo no hia oprehyɛn?

Dabi, wobetumi atew abubuw bi so na akɔ so ayɛ pɛpɛɛpɛ wɔ ɔkwan a wogye tom so wɔ cast mu. Gyinabea, nkwaa a ɛkɔ baabi foforo, mfe a obi adi, dwumadi a wɔhwehwɛ, akwahosan, ne nea ɔyarefo no pɛ nyinaa nya gyinaesi no so nkɛntɛnso.

Bere tenten ahe na distal radius fracture gye ansa na ayɛ yiye?

Nnompe a ɛsa ntɛm taa ba bɛyɛ adapɛn asia mu, nanso bere nhyehyɛe no gu ahorow. Kankyee, ahoɔden, ɔfe, ne ahotoso betumi akɔ so atu mpɔn asram pii anaa nea ɛboro saa.

So volar plate ne oprehyɛn a eye sen biara bere nyinaa?

Nhyɛso biako biara nni hɔ a eye ma akisikuru biara. Volar locking plates abu so na ebetumi aboa bere tiaa mu dwumadi a edi kan, nanso pin, abɔnten so fixation, dorsal fixation, bridge plating, anaa fragment-specific implants betumi ahyia yiye.

So ɛsɛ sɛ woyi distal radius plate bi akyiri yi?

Ɛnyɛ bere nyinaa na ɛho hia sɛ woyi fi hɔ daa. Wobetumi asusuw ho sɛ wobeyi afi hɔ esiane ntini a ɛyɛ yaw, nneɛma a ɛda nsow anaasɛ ɛwɔ sɛnkyerɛnne ahorow, ɔyare mmoawa, anaa ayaresabea ntease afoforo nti. Mpɛn pii no, ɛhwehwɛ sɛ wɔyɛ nhyehyɛe yi bridge plate efisɛ ɛtrɛw kɔ nsateaa no so.

Bere bɛn na wobetumi de nsa no adi dwuma sɛnea ɛsɛ bio?

Dwoodwoo a wɔde bedi dwuma no gyina sɛnea abubu no gyina pintinn, ayaresa, radiographic ayaresa, ɛyaw, ne dwumadi a ɛka ho so. Mpɛn pii no, da biara da nnwuma a emu nyɛ duru san ba ansa na wɔde ahoɔden akura mu, ama so, agumadi a wɔde di nkitaho, anaa adwuma a emu yɛ duru. Di oduruyɛfo a ɔresa yare no anohyeto ahorow akyi.

XC Medico Nneɛma a ɛfa ho

Nneɛma a edidi so yi a ɛwɔ mu no de nneɛma a wɔde hyɛ nipadua mu, nnwinnade, ne adwenemhaw nhyehyɛe ahorow a ɛfa ho a wɔaka ho asɛm wɔ akwankyerɛ yi mu no ho nsɛm pɔtee ma.

Distal Radius Instrument Set Nnwinnade ne tray nhyehyɛe ma distal radius mprɛte nhyehyɛe. 7-Hole Distal Radius Locking Plate Aguade no nsusuwii, skru a ɛne ne ho hyia, ne nhyehyɛe. 6-Hole Distal Radius Locking Plate Akyirikyiri ti nhyehyɛe foforo ma volar radius. DVR Distal Radius Locking Plate Distal volar radius mprɛte ho nsɛm ne nhyehyɛe no ho nsɛm. Wrist External Fixator Abɔnten frame afã horow a wɔayɛ ama nsateaa dwumadie. Small Fragment Instrument Set Nnwinnade a wɔde yɛ nneɛma nketenkete a wɔapaw a wɔde siw ahodwiriw ano. Trauma System Hwehwɛ mprɛte, nkɔnsɔnkɔnsɔn, nnwinnade, ne nneɛma a wɔde siw abɔnten so. Quality Control Nsɛm a ɛfa nneɛma a wɔyɛ mu nhwehwɛmu ne akwan a wɔfa so yɛ nneɛma pa ho.

Nsɛm a Wɔde Kyerɛw Nsɛm ne Nsɛmma Nhoma no Gyinabea

Aduruyɛ ho asɛm a wɔka: Saa asɛm yi yɛ nea wɔde kyerɛkyerɛ nnipa nyinaa ne adwumayɛfo nneɛma a wɔde gyina hɔ ma. Ɛmma wontumi nhu yare no, ɛnkamfo nkyerɛ sɛ wɔmfa nipadua no mu pɔtee bi nsi nipadua mu, anaasɛ ɛmma akwahosan ho ɔbenfo a ɔfata nhwehwɛmu ne ayaresa nsi ananmu. Ebia ɛsono sɛnea mfiri no wɔ, nea ɛkyerɛ, ne sɛnea mmara te wɔ ɔman biara mu.

Distal Radius Fractures: Nhwehwɛmu, Nkyekyɛmu Ne Ayaresa