K-Wire Fixation for Distal Radius Fractures: Sariyasenw, taamasiɲɛw ani faratiw

K-Wire Fixation ye mun ye ka ɲɛsin Distal Radius Fracture ma?

Distal radius fracture bɛ kɛ radius bolokɔni dakun kɛrɛfɛ. Ni kari dɔ bɔra a nɔ na, ​​dɔgɔtɔrɔw bɛ jateminɛ kɛ ni a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ. Dɔgɔyali dagalen bɛ tali kɛ ɲɔgɔndan seginni na k’a sɔrɔ i ma kariyɔrɔ da wuli. O kɔfɛ, farikolojidɛsɛ bɛ nɛgɛ nɔgɔlen kelen walima caman bila fari dondaw misɛnninw fɛ walasa ka yɔrɔ sugandilenw minɛ ka a sɔrɔ kɛnɛya bɛ taa ɲɛ.

Furakɛcogo min ka fisa, o ye dɔgɔyali dagalen ye ani pikirijikɛlan ye farikolo la , a tɛ 'pikirijikɛlan datugulen doncogo ye.' Kirschner ka nɛgɛ ye fɛn ye min bɛ a siri sanni ka kɛ pikirijikɛlan ye. O la, barokun ka kan ka baara kɛ ni K-wire, wire, pinning ani fixation daɲɛw ye tuma bɛɛ.

K-Wires bɛ Dɔgɔyali mara cogo min na

Filɛriw bɛ se ka kari dɔ tigɛ ka sanni sɔrɔ radiyali yɔrɔ sabatilen dɔ la, walima u bɛ se ka fɛn kelen-kelen bɛɛ dɛmɛ cogo la min sugandira kari cogoya kama. Masina sabatili bɛ bɔ fɛn caman na ka tɛmɛ nɛgɛ hakɛ kan. Divergence, fragment control, cortical sanni, wire diameter, kolo jogo ani supplémentaire immobilisation, o bɛɛ bɛ se ka nɔ bila construct la.

K-Wire Fixation Ye furakɛlicogo dɔ ye

Distal radius fractures dɔw bɛ se ka furakɛ ni opereli ma kɛ, ka sɔrɔ dɔw bɛ se ka furakɛ ni pinɛw ye minnu bɛ kɛ farikolo la, ni volar walima dorsal plate ye, ni externe fixateur ye walima ni fɛɛrɛ faralen ye ɲɔgɔn kan. Walasa ka kunnafoni caman sɔrɔ, aw ye XC Medico ka gafe lajɛ min ɲɛsinnen bɛ... yɔrɔjan karilenw sɛgɛsɛgɛli, u danfara ani u furakɛli.

Yɔrɔ min na farikolojidɛsɛ pinning bɛ bɛn furakɛli ma

AAOS/ASSH ka kɛnɛyaso baarakɛcogo ɲɛfɔli bɛ danfaraba si jira rezow la walima banabagatɔw ka jaabiw la fiɲɛbɔ fɛɛrɛw cɛ, minnu bɛ kɛ ni bolokɔniw karilenw dafalen ye walima minnu tɛ sabati, hali ni volar locked plates bɛ se ka baarakɛcogo kɛnɛya joona waati kunkurunnin kɔnɔ. O bɛ mɔgɔ kelen-kelen ka sugandili dɛmɛ sanni ka fɔ ko K-filɛriw walima platiw ka fisa tuma bɛɛ.

Tuma jumɛn na K-Wire fixation percutanée bɛ se ka jateminɛ?

Dɔgɔtɔrɔso ka latigɛ bɛ daminɛ ni sɛgɛsɛgɛli ni ja lajɛ ye. Nin ko ninnu bɛ se ka jateminɛ baarakɛlaw fɛ minnu bɛ se kosɛbɛ, nka u tɛ taamasiɲɛw sɛgɛsɛgɛli sɛbɛn ye min bɛ a yɛrɛ ma.

Fracture Pattern ani Dɔgɔyali sabatili

Nafa ka teli ka pini kɛ ni kilisi yɔrɔw bɛ se ka dɔgɔya ani ka u kɔlɔsi ni nɛgɛw ye minnu bilalen bɛ yɔrɔ bɛnnen na. Metaphyseal comminution taamasiɲɛ, articular fragments misɛnninw walima a teli ka bin, o bɛ se ka dɔ bɔ fili nɔgɔman dɔ ka dannaya la ani ka fɛɛrɛ wɛrɛ walima fɛɛrɛ wɛrɛ jateminɛ joona.

Kolow cogoya ani a yɔrɔw bonya

Koloci kolo bɛ se ka kɛ sababu ye ka nɛgɛ sanni kɛ min tɛ se ka da a kan kosɛbɛ. Filɛriw farali tɛ se ka kɛ a yɛrɛma walasa ka sirili jugu ɲɛnabɔ, wa sariya si tɛ diɲɛ bɛɛ kɔnɔ min b’a fɔ ko kolotuguda karilen bɛɛ ka kan ka kɛ ni pini naani walima duuru ye. Construct sugandili ka kan ka tugu kari cogoya la, ja lajɛ, fɛɛrɛ min dabɔra ani operelikɛla ka kiritigɛ.

Banabagatɔ ni farikolo yɔrɔ nɔgɔlenw ka fɛnw

Fari cogoya, funu, joginni da wulilen, furakɛli bana wɛrɛw, baara ɲininiw, se ka tugu pinɛ-yɔrɔ ni lamaga-lamagali cikanw kɔ ani kɛnɛya sabatili makɔnɔnen, o bɛɛ bɛ kɛ sababu ye ka furakɛli sugandi.

San hakɛ ni baarakɛcogo ɲinini

Dalilu ka kan ka kɔrɔfɔ ka fara banabagatɔ hakɛ kan. AAOS/ASSH ka laadilikan b’a jira ko opereli furakɛli mɔgɔkɔrɔbaw la, a ka ca a la, o tɛ banabagatɔw ka jateminɛ kuntaalajanw ɲɛnabɔ ni a ni furakɛli tɛ opereli tɛ, hali ni rezow labɛncogo tɛ kelen ye. Desizɔnw tacogo jɛlen nafa ka bon hali bi.

K-Wire Fixation sariyakolo minnu bɛ sɔrɔ tuma caman na

Pinɛ hakilina caman ɲɛfɔlen don kolotugudaw furakɛli la. Tɔgɔ minnu bɛ duguma, olu bɛ fɛɛrɛbaw jira; u man kan ka kɔrɔfɔ iko dondaw jɔlenw, kɛrɛw walima nɛgɛ jate wajibiyalenw.

Pinning Styloïde Radial ye

Sitiloyidi nɛgɛ radiyali bɛ se ka ɲɛsin karilen ma walasa ka sanni sɔrɔ a kɛrɛfɛla la. Nɛrɛmuguma, sɔgɔsɔgɔninjɛ, kolotugudaw sanfɛla ani nɛgɛ jɔyɔrɔ ka kan ka jateminɛ kɛ. Taamaʃyɛn tigitigi bɛ Bɔ farikolo-ɲɛnajɛ, kari cogoya ani fɛɛrɛ sugandilen na.

Pinning (Pinning) min bɛ kɛ kɔkolo ni yɔrɔ kɛrɛnkɛrɛnnenw na

Kɔnɔnatumuw walima nɛgɛ minnu ɲɛsinnen bɛ lunate facet fragment ma, olu bɛ se ka kɛ ni o yɔrɔw mago bɛ a kunbɛnni na. Kɔnɔbara farikololabɔli bɛ kɛ ni fɛnɲɛnamafagalanw ni senkɔniw ye minnu bɛ se ka dimi walima ka jogin ni dondaw ma bɛn, ni nɛgɛ ye min bɛ ye walima ni u bɛ taa yɔrɔ wɛrɛ.

Kapandji Pinning Intrafocal ye

Kapandji fɛɛrɛ la, nɛgɛw bɛ don kariyɔrɔ la, ka baara kɛ ni u ye walasa ka dɛmɛ don ka dɔ bɔ yɔrɔjan yɔrɔ la ani ka a dɛmɛ ka sɔrɔ ka taa ɲɛ walasa ka jɔli sabati. Fɛɛrɛ in tɛ kelen ye ni kari tigɛcogo dɔrɔn ye ka bɔ dondaw yɔrɔ jan na. A bɛnnen don, o bɛ bɔ kolo karicogo ni kolo cogoya la.

Pinning supplémentaire ani fixation combinée

Kari gɛlɛnw bɛ se ka kɛ sababu ye ka fɛn wɛrɛw kɔlɔsi minnu bɛ kɛ yɔrɔ kɛrɛnkɛrɛnnenw na walima ka fɛn dɔ fara ɲɔgɔn kan. Nka, nɛgɛ caman tɛ sabatili ɲuman di u yɛrɛma. Filɛriw ka ɲɔgɔn sɔrɔli, a jɛnsɛnni ka ɲɛ, kɔri sanni jugu walima sebaliya ka fɛn koloma dɔ kɔlɔsi, o bɛ se ka kɛ sababu ye hali bi ka dɔgɔya dɔgɔya.

Jaw ni u jɔli jateminɛ

Dɔgɔyali ni Articular Alignment (Jɛkuluw ka ɲɔgɔndɛmɛ).

Jala bɛ kɛ ka radiyali janya, a jiginni, a kɔrɔtacogo, a articular congruity ani distal radioulnar joint relationships jateminɛ. Laɲini min bɛ sɔn ka kɛ, o bɛ bɔ banabagatɔ ni a karilen na. Filɛri min bilalen bɛ fɛɛrɛko siratigɛ la, o tɛ dɔ bɔ dɔgɔyali la min tɛ sɔn.

Wire Position ani Cortical Sanni

Fluoroscopie filɛli bɛ dɛmɛ ka jateminɛ kɛ ni nɛgɛw bɛ yɔrɔ laɲininenw kɔlɔsi, ka u yɛrɛ tanga radiocarpal ni distal radioulnar joint spaces ma yɔrɔ minnu na a mago bɛ u la, ani ka sanni bɛnnen sɔrɔ k’a sɔrɔ gɛlɛya ma bɔ u la. A bɛ se ka kɛ ko a ka kan ka filɛli caman kɛ bawo nɛgɛ min bɛ i n’a fɔ a bɛ sɔn ka kɛ projesiyɔn dɔ la, o bɛ se ka kɛ ko a tɛ sɔn ka kɛ projesiyɔn wɛrɛ la.

Stability (Sɔrɔli sabatili) jɔ

sabatili jateminɛ bɛ kari, nɛgɛw labɛncogo ani jɔli bolodalenw jateminɛ ɲɔgɔn fɛ. Filɛri minnu bɛ kulu kelen kɔnɔ, olu bɛ se ka jiginni kunbɛncogo dɔgɔya ka tɛmɛ fɛn dilannen kan min tilalen don koɲuman, nka yɔrɔjan sariya caman man kan ka bila biyomekaniki ni kɛnɛyaso kiritigɛ nɔ na.

Gɛlɛya minnu bɛ se ka sɔrɔ ani farati minnu bɛ se ka jateminɛ

Gɛlɛyaw tɛ se ka bali pewu ni sɛgɛsɛgɛli sɛbɛn ye. Laɲini ye ka farati minnu bɛ tali kɛ u la, olu dɔn ani ka tugu fɛnw doncogo kɛrɛnkɛrɛnnenw kɔ, furakɛlicogo sterili ani opereli kɔfɛ bolodacogo.

Tɔnɔ min bɛ Dɔgɔya

Kolow tiɲɛni, kolo jogo jugu, fɛn tigɛlenw kunbɛncogo ɲuman, nɛgɛw labɛncogo bɛnbali walima a lamagacogo ɲuman bɛ se ka kɛ sababu ye ka fɛnw bila yɔrɔ filanan na. Ja minnu bɛ tugu ɲɔgɔn kɔ, olu bɛ se ka kɛ ka kɛɲɛ ni furakɛli jɛkulu ka sariya ye ani ka kɛɲɛ ni kari sabatili ye.

Pin-Tract banakisɛ (Pinɛ-Tract) banakisɛ

Pin-yɔrɔ cogoya ka kan ka kɔlɔsi ka kɛɲɛ ni sigida ni operelikɛlaw ka laadilikanw ye. Ni dɔ farala a bilenni kan, ji bɔli, funu, dimi, sumaya walima taamasiɲɛ wɛrɛw minnu bɛ mɔgɔ haminanko ye, o bɛ kɛnɛyaso ka jateminɛ de wajibiya. Nin barokun tɛ pinɛ-ladonni fɛɛrɛ dɔ fɔ diɲɛ bɛɛ kɔnɔ.

Tendon, Nerve ani Soft-Tissue Jogin

Donda yɔrɔ, nɛgɛsira taamacogo, a bɔli ani a jiginni bɛ se ka kɛ sababu ye ka sigida kɛrɛfɛlaw bila farati la. Lister ka tubercle ni dorsal extensor compartments ye taamasiɲɛw ye minnu bɛ tali kɛ kɛnɛyaso la, ka sɔrɔ radial sensory nerve bɛ jateminɛ kɛ radial-sided dondaw kɛrɛfɛ.

Joginni min bɛ sɔrɔ farikolo yɔrɔw la funteni ni masinw fɛ

Ni aw bɛ segin-ka-bɔ, ni funteni caya kojugu, ni minɛnw man ɲi walima ni aw ye fɛɛrɛ juguw tigɛ, o bɛ se ka kolo walima farikolo yɔrɔ nɔgɔlenw tiɲɛ. Baarakɛlaw minnu bɛ se kosɛbɛ, olu ka kan ka tugu fɛɛrɛ dabɔlenw kɔ, minɛnw cikanw ani sigida sariyaw la sanni ka tugu ɛntɛrinɛti baarakɛcogo bɛɛ lajɛlen na.

Fixation kɔfɛ tuguni jateminɛw

Kuntilenni bɛ danfara ka kɛɲɛ ni kari sabatili ye, a siricogo ani banabagatɔ ka ko kɛlenw. Yɔrɔ minnu ka teli ka jateminɛ, olu ye joginda walima pinɛ yɔrɔ cogoya ye, farikolojidɛsɛ cogoya, bolokɔni lamagacogo, funu, dimi, rezow lajɛcogo ani nɛgɛw lajɔli walima u jiginni taamasiɲɛw.

Lamaga-lamagali kuntaala, labɛnni, nɛgɛ bɔli ani segin baara la, olu bɛ kɛ mɔgɔ kelen-kelen bɛɛ ye. Banabagatɔw man kan ka sɔgɔsɔgɔninjɛ Changer, ka farikoloɲɛnajɛ kɛ walima ka nɛgɛ min bɛ kɛnɛ kan, o ɲɛnabɔ ka da ɛntɛrinɛti kunnafoniw dɔrɔn kan.

K-Wires vs Volar Plates vs External Fixation

Distal Radius Fixation Fɛnw ni minɛnw

Ni fɛnw tilatilali ni kolotugudaw ka jɛkuluw bɛ distal radius portfolio jateminɛ, fura minnu ka kan ka kɛ, olu bɛ se ka ɲɔgɔn ta furakɛli fɛɛrɛ fɛ. XC Medico bɛ baara kɛ distal radius instrument sets , locking plate suganditaw ani ka bonya kolotugudaw ka joginda doncogo furaw.

Ka ɲɛsin kɛnɛma fixation wajibiyalenw ma, o bolokɔni kɛnɛma fixator ka ɲɛsin distal radius ni ulna fractures ma, o bɛ frame configurations caman sɔrɔ. Fɛn dilannenw sɔrɔli, u bonya, u baaracogo laɲininen, u sterili cogoya ani sariyaw ka kan ka dafa ka ɲɛsin u taayɔrɔ suguya ma sani u ka komandi kɛ.

Ɲininkali minnu bɛ kɛ tuma caman na

Sɛbɛn minnu bɛ tali kɛ o la

1. Ameriki ka koloci opereli jɛkulu ani Ameriki bolo opereli jɛkulu. Distal Radius Fractures furakɛli kɛnɛyaso baarakɛcogo ɲɛfɔli. Aw ye laadilikan lajɛ.
2. Kamal RN, Shapiro L. M., ani mɔgɔw ye baara kɛ ni u ye. AAOS/ASSH ka kɛnɛyaso baarakɛcogo ɲɛfɔli kuncɛlen: Distal Radius Fractures furakɛli. Sɛbɛnni kuuru bɛɛ lajɛlen lajɛ.
3. Shapiro L. M., Kamal R. N., ani mɔgɔ wɛrɛw. Distal Radius Fracture Clinical Practice Guidelines—Kunnafoni kura ani kɛnɛyaso nɔfɛkow. Aw ye PubMed ka sɛbɛn lajɛ.
4. Ameriki ka koloci furakɛli kalanso. Baarakɛcogo bɛnnenw: Distal Radius Fractures furakɛli. Barokun dafalen lajɛ.

Baarakɛlaw ka baarakɛcogo kunnafoni: Nin barokun bɛ kalan caman di kɛnɛyabaarakɛlaw, dɔgɔtɔrɔsow ani furakɛli-minɛnw tilabaga ma. O tɛ dɔgɔtɔrɔso laadilikanw ye, opereli kɛcogo dɔ ye walima min bɛ kɛ ka ɲɛsin degeliw ma minnu bɛ kɛ cogo la, banabagatɔ kɛrɛnkɛrɛnnenw ka jateminɛ, opereli fɛɛrɛ sɛbɛnw minnu dabɔra walima minɛnw kɛcogo ɲɛfɔli. Fɛn dilannenw jiracogo ni sariyaw cogoya bɛ danfara ka kɛɲɛ ni sugu ye.