Dɔnɔdzikpɔƒe ƒe ŋgɔdonya · Hehenana ƒe mɔfiame yeye si wowɔ
Distal radius fracture nye gbagbã le radius ƒe asibidɛ ƒe nuwuwu gbɔ. Atikewɔwɔ ate ŋu atso aŋe alo aŋe si wotsɔna ƒoa lãe dzi va ɖo lãgbalẽgoe, gotagome ƒoƒo, alo agbalẽvi si wotsɔ blaa nu dzi. Ðoɖo si sɔ nɔ te ɖe ƒu ƒe gbagbã ƒe ɖoɖo kple eƒe liƒo, ƒunukpeƒewo ƒe gomekpɔkpɔ le eme, lãmeka falɛfalɛwo ƒe nɔnɔme, ƒu ƒe nyonyome, ƒexɔxɔ, dɔwɔwɔ ƒe hiahiãwo, kple alesi dɔnɔa lɔ̃na dzi.
Nukae Nye Distal Radius Fracture?
Distal radius ye nyea agbatsɔla vevitɔ le asibidɛa ƒe asibidɛ ƒe akpa dzi. Zi geɖe la, ƒunukpeƒe ƒe gbagbã dzɔna le sentimeta ʋɛ aɖewo me tso radiocarpal joint gbɔ eye ate ŋu anye extra-articular, akeke ɖe enu ayi ɖe ƒunukpeƒea, alo alɔ distal radioulnar joint ɖe eme. Ulnar styloid kple lãkusi siwo kpena ɖe eŋu hã ate ŋu axɔ abi.
Asi si wodo ɖa dzi dzedze nye mɔnu si bɔ. Ŋusẽ si mebɔ o ƒe gege bɔ ɖe ame tsitsi siwo ƒe ƒu ƒe ŋusẽ dzi ɖe kpɔtɔ gome, evɔ kamedefefe me abixɔxɔ, mɔdodo dzi ʋuwo ƒe zɔzɔ, kple anyidzedze tso kɔkɔƒe ate ŋu ana ŋusẽ geɖe nanɔ dɔnɔ siwo metsi o ŋu.
Nusita ŋutilã ƒe wɔwɔme le vevie
Distal radius ƒe akpa si keke eye wòdoa alɔ scaphoid kple lunate. Nusiwo te ɖe wo ŋu dometɔ aɖewoe nye titina lãmeka, flexor kple extensor tendons, radial artery, distal radioulnar joint, kple triangular fibrocartilage complex. Gbugbɔɖoɖo ɖe ɖoɖo si ŋu viɖe le ŋu esime wole xɔ siawo ta kpɔm nye atikewɔwɔ ƒe taɖodzinu vevi aɖe.
Dzesiwo Kple Dzesi Siwo Wòhiã Be Woawɔ Dzesidede Kpata
Dzesi siwo bɔ dometɔ aɖewoe nye asibidɛ ƒe vevesese enumake, eƒe vuvu, abi, eƒe vevesese, eƒe ʋuʋu dzi ɖeɖe kpɔtɔ, kple asiléle sesẽ. Gbagbã si woɖe ɖa ate ŋu ana wòazu nuwɔametɔ si woate ŋu akpɔ. Atikewɔla léa ŋku ɖe ŋutigbalẽ ƒe nɔnɔme, asibidɛ ƒe ʋu ƒe sisi, seselelãme, lãkusi ƒe dɔwɔwɔ, kple abi siwo do ƒome kplii hã ŋu.
Di atikewɔlawo ƒe kpekpeɖeŋu kpata ne abi si le ʋuʋu ɖi, ƒu si woate ŋu akpɔ to ŋutigbalẽ me, asi si le ɣie alo fafa, asibidɛ si le sesẽm ɖe edzi, asibidɛwo ƒe ʋuʋu ƒe ŋutete manɔamesi, vuvu si le dzidzim ɖe edzi kabakaba, alo vevesese sesẽ si dzi womate ŋu aɖu o. Nusiwo ŋu woke ɖo siawo ate ŋu afia be lãmekawo ƒe gbagbã le gaglãgbe, ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie, alo nyaƒoɖeamenu si me afɔku le le lãkusiawo me.
Dɔlélewo Didi Kple Radiographic ƒe Dɔlélewo Ŋuti Numekuku
Wozãa asibidɛ ƒe fotoɖeɖe siwo wozãna ɖaa tsɔ dea dzesi afisi gbagbãƒea le eye wobua alesi wòʋunae ŋu. Nukpɔsusu siwo le tsia dzi ate ŋu akpe ɖe ame ŋu le nɔnɔme tiatia aɖewo me. Kɔmpiuta tomography ate ŋu ana nyatakaka geɖe wu ne ƒunukpeƒe ƒe gbagbã sesẽ alo ne ɖoɖowɔwɔ ɖe dɔwɔwɔ ŋu bia be woaɖe kakɛawo gɔme nyuie wu.
| Radiographic feature | Nusi wòɖɔ | Nusita wòle vevie |
|---|---|---|
| Radial ƒe kɔkɔme | Distal radius ƒe didime ne wotsɔe sɔ kple nufiame teƒe siwo le ƒunukpeƒea ƒe anyigba. | Kɔkɔme ƒe bu ate ŋu atrɔ agba ƒe kaka kple ulnar ƒe vovototo. |
| Radial inclination ƒe nɔnɔme | Distal radial articular surface ƒe dzidzeme le PA ƒe nukpɔkpɔ dzi. | Nusiwo dzi ɖe kpɔtɔ ate ŋu aɖe alesi wòmu alo eƒe ʋuʋu le axadzi afia. |
| Volar/dorsal ƒe ʋuʋu | Sagittal orientation of the articular surface le axadzikpɔkpɔ me. | Akɔta alo volar ƒe ʋuʋu fũ ate ŋu akpɔ ŋusẽ ɖe asibidɛ ƒe mɔ̃ɖaŋunuwo dzi. |
| Articular step-off alo dometsotso | Nusiwo le ƒunukpeƒea ƒe anyime si le gbadzaa ƒe bu. | Kpena ɖe ame ŋu wòɖea ʋukawo me ʋuʋu kple atikewɔwɔ ƒe taɖodzinuwo gɔme. |
| Ulnar ƒe vovototo | Ulna si le didiƒe kple eƒe didime si sɔ. | Ate ŋu atrɔ ne radius la le kpuie eye wòakpɔ ŋusẽ ɖe ulnocarpal loading dzi. |
Alesi Wodea Distal Radius Fractures ƒe hatsotsowo me
Nya siwo ɖɔa nu abe Colles , Smith , kple Barton ƒe gbagbã ene gblɔa ʋuʋu ƒe nɔnɔme siwo ɖe dzesi, gake womeléa abi ɖesiaɖe o. Egbegbe numekuku hã ŋlɔa nu nenye be ƒu gbagbãƒea le ʋuʋu alo wotu, le ƒunukpeƒea godo alo le ƒunukpeƒea me, si woɖe le teƒe bubu alo meʋu o, esi li ke alo meli ke o, eye wòle bɔbɔe alo esi wogbã.
Fernandez ƒe hatsotsowo me toto le mɔ̃ dzi
Fernandez ƒe ɖoɖoa ƒoa ƒu gbagbãwo ɖe hatsotsowo me le abixɔxɔ ƒe mɔnu vevitɔ nu. Ate ŋu akpe ɖe atikewɔlawo ŋu woabu abi si do ƒome kplii le lãmeka falɛfalɛwo ƒe abixɔxɔ kple woƒe léle ɖe te ƒe mɔnu ŋu, gake wometia atikewɔwɔ tso hatsotsowo ɖeɖeko me o.
Alesi Wotiaa Atikewɔwɔe
Menye ɖeko taɖodzinuae nye be woana X-ray nadze abe ɖe wòle dzɔdzɔme nu ene o. Atikewɔwɔ dia asibidɛ si me dzidzeme le, si li ke, si wɔa dɔ esime wole afɔku siwo le atike si naa alɔ̃dɔdɔ, amekoko, ʋu ƒe ʋuʋu, sesẽ, kple edziɖeɖekpɔtɔ ƒe bu me la dam. Ele be nyametsotso si wowɔ ɖekae nabu:
- ƒu ƒe gbagbã ƒe ʋuʋu, eƒe gbagbã, ƒunukpeƒewo ƒe gomekpɔkpɔ le eme, kple eƒe liƒo le edziɖeɖe vɔ megbe;
- abi si le ʋuʋu ɖi, lãmekawo ƒe dzesiwo, ʋu ƒe sisi, kple lãmeka falɛfalɛwo ƒe nɔnɔme;
- dɔnɔ ƒe ƒexɔxɔ abe nusi woatsɔ aɖo eteƒe—menye nusi woatsɔ aɖo eteƒe o—na ŋutilã ƒe nɔnɔme kple dɔwɔwɔ ƒe didi ene;
- ƒu ƒe nyonyome, abi bubuwo, atikewɔwɔ ƒe nɔnɔmewo, dɔ si wowɔna, kple asi ƒe ŋusẽkpɔɖeamedzi;
- ŋutete be woade kplɔkplɔ ɖo eye woakpɔ gome le gbugbɔgaɖɔɖo me;
- dɔnɔa ƒe taɖodzinuwo kple mɔɖeɖe ɖe viɖe kple afɔku siwo le tiatia ɖesiaɖe me ŋu.
Mɔfiame ƒe nya siwo ƒo xlãe: AAOS/ASSH ƒe mɔfiame doa alɔ dɔwɔwɔ ƒe fixation le dɔnɔ geɖe siwo menye ame tsitsiwo o me ne, le edziɖeɖe vɔ megbe la, radial shortening wu 3 mm, dorsal tilt wu 10°, alo intra-articular displacement/step-off wu 2 mm. Le dɔnɔ tsitsiwo gome—si woɖena fiana zi geɖe le numekukuwo me ne woxɔ ƒe 65 alo esi wu nenema—la, zi geɖe la, amekoko menaa nusiwo dɔnɔwo gblɔ ɣeyiɣi didi ƒe emetsonuwo nyona ɖe edzi ne wotsɔe sɔ kple beléle si menye amekoko o. Dzidzenu siawo naa nyanya ame ɖekaɖekawo ƒe dɔdaƒe ƒe ʋɔnudɔdrɔ̃, gake womexɔ ɖe eteƒe o.
Atikewɔwɔ si Mewɔa Amekoko O
Woate ŋu atsɔ aŋetu alo aŋetu akpɔ gbagbãƒe si li ke si womeɖe le teƒe bubu o alo esi sɔ si dzi woda asi ɖo la gbɔ. Woate ŋu aɖe gbagbã si woɖe ɖa la dzi akpɔtɔ gbã, eye woatsɔe axe mɔ ɖe ʋuʋu nu. Wowɔa ɖoɖo ɖe dodokpɔ si woatsɔ akplɔe ɖo kple fotoɖeɖe le fotoɖeɖe ŋu le alesi ʋu gbagbã ƒe nuwɔna kple atikewɔla ƒe ʋɔnudɔdrɔ̃ nu elabena gbagbãƒe aɖewo ate ŋu abu ɖe woƒe ɖoɖo nu ne abi la dzi ɖe kpɔtɔ.
- Ametakpɔkpɔ le gɔmedzedzea me: aŋe si wotsɔ blaa nu naa mɔnukpɔkpɔ ame be wòavuvu kaba; woate ŋu aɖo aɖaŋu be woakɔe ɖe dzi kple asibidɛwo ƒe ʋuʋu.
- Ðeɖe akpɔtɔ ne ehiã: wozãa vevesesenutsitike alo atike si naa alɔ̃dɔdɔ si sɔ tsɔ gbugbɔa gbagbãƒea ɖoa teƒe bubu.
- Immobilization kple ŋkuléle ɖe eŋu: wogbugbɔa cast fit, circulation, sensation, kple alignment kpɔna.
- Gbugbɔgaɖɔɖo: wotoa asibidɛ kple abɔta ƒe ʋuʋu vɛ ne dɔyɔyɔ kple liƒo ɖe mɔ.
Ɣekaɣie Woate Ŋu Abu Amekoko Ŋu?
Woate ŋu aƒo nu tso amekoko ŋu ne womate ŋu awɔ ɖeka alo alé eme ɖe asi o, ƒunukpeƒea ƒe anyime ʋuʋu ŋutɔ, ƒunukpeƒea ƒe gbagbã ʋu, ƒunukpeƒea meli ke o, alo anɔ eme be abi ƒe nɔnɔme manɔ anyi le ƒunukpeƒe si wotsɔ ƒo ƒui me o. Wotiaa dɔwɔwɔ na ame kple nusi woatsɔ ade lãme na ame ɖe kakɛa ƒe nɔnɔme tɔxɛ kple dɔnɔa ta—menye ɖe dzesi si wotsɔ dea dzesi dɔlélea ta ko o.
Amekoko ƒe Tiatiawɔblɔɖe na Distal Radius Fractures
| Mɔnu | Dɔ si | bɔ Seɖoƒe alo afɔku veviwo |
|---|---|---|
| K-ka si wotsɔna ƒoa ka na ame to ŋutigbalẽ me | Tiatia siwo dzi woate ŋu aɖe agbã gbagbã siwo woate ŋu atsɔ pins kple kpeɖeŋutɔ ƒe immobilization aɖo wo te. | Pin-tract dɔlékui, ka ƒe ʋuʋu, edzi ɖeɖe kpɔtɔ ƒe bu, kple pin-dzikpɔkpɔ ƒe hiahiã. |
| Gotagome fixation | Abi siwo wotia siwo meli ke o, siwo le ʋuʋu ɖi, siwo vuvu ŋutɔ, alo esiwo ƒe lãmeka falɛfalɛwo gblẽ; ate ŋu anye ɣeyiɣi kpui aɖe ƒe nya alo nusi ŋu kakaɖedzi le. | Pin-tract ƒe kuxiwo, eƒe sesẽ, lãmeka/lãkawo ƒe dzikudodo, kple alesi womegawɔa ɖeka o. |
| Volar ƒe ʋuƒo ƒe agbalẽ | Dɔwɔnu geɖe siwo meli ke o siwo le ƒunukpeƒewo kple esiwo le ƒunukpeƒewo me siwo hiã be woaɖe wo dzi akpɔtɔ tẽ eye woakpe ɖe wo ŋu le dzogoe si woɖo ɖi dzi. | Flexor tendon ƒe dzikudodo alo eƒe gbagbã, lãmekawo ƒe dzesiwo, screw ƒe gege ɖe lãme na ame, dɔlékuiwo xɔxɔ, kple hardware ƒe dzesiwo. |
| Akɔta ƒe agba | Akɔta ƒe rim alo megbe ƒe lãɖeɖe kakɛ tiatia siwo dzi womekpɔ ŋusẽ ɖo nyuie tso volar ƒe akpa dzi o. | Extensor tendon ƒe dzikudodo kple hardware ƒe dzedzeme. |
| Dorsal tɔdzisasrã ƒe agbalẽvi | Gbagbãƒe siwo wogbã ŋutɔ le afisi agbalẽa keke ɖe asibidɛ ŋu eye wòzãa ligamentotaxis. | Eɖoa seɖoƒe na asibidɛ ƒe ʋuʋu hena ɣeyiɣi aɖe eye zi geɖe la, ebiana be woaɖe agbalẽa ɖa emegbe. |
| Fragment-koŋ ƒe fixation | Kpɔɖeŋu sesẽ siwo me ƒunukpeƒe ƒe sɔti ɖekaɖekawo alo rim kakɛwo hiã be woakpe ɖe wo ŋu si woɖo taɖodzinu na. | Ame geɖe dede lãmekawo me kple mɔnu geɖe ate ŋu ana lãmeka falɛfalɛwo nasesẽ ɖe edzi. |
AAOS/ASSH kpeɖodziwo ɖee fia be vovototo gã aɖeke mele emetsonuwo me ɣeyiɣi didi aɖeke le fixation mɔnuwo dome na ƒunukpeƒetetedɔ si meli ke o alo bliboe o, togbɔ be volar locking plates ate ŋu ana dɔwɔwɔ ƒe hayahaya do ŋgɔ le ɣleti etɔ̃ gbãtɔwo me hã. Mɔnu mamlɛtɔ tiatia nɔ te ɖe aŋea ƒe gbagbã kple amekola ƒe nunya dzi.
Pin fixation to ŋutigbalẽ me
Ne woɖee dzi kpɔtɔ si wotu alo esi woʋu vie vɔ la, Kirschner ka siwo le gbadzaa ate ŋu alé kakɛ tiatia aɖewo ɖe te. Fluoroscopy ɖoa kpe edziɖeɖe kple ka ƒe nɔƒe dzi. Woate ŋu agblẽ gaviwo ɖe ŋutigbalẽa godo alo aɖi wo, le aɖaŋu si wozãna nu, eye zi geɖe la, wotsɔa ka alo nusi wotsɔ ƒoa asibidɛa kpɔa asibidɛa ta.
Gotagome fixation
External fixator zãa pin siwo woda ɖe afisi gbagbãƒea godo eye wotsɔ wo do ƒome kple gotagome xɔtunu aɖe. Nusi wotsɔ wɔa asibidɛ ate ŋu alé eƒe didime kple ɖekawɔwɔ me ɖe asi to ligamentotaxis dzi. Woate ŋu atsɔe akpe ɖe ka, agbalẽvi suewo, alo ƒu si wodo ɖe lãme na ame hã ŋu le abi sesẽwo me. Kpɔ kpɔɖeŋu aɖe si nye a asibidɛ gotagome fixator kple eƒe wɔwɔfia le ƒumeŋuɖui ƒe gotagome fixation systems.
Akɔta ƒe agbalẽvi ƒe fixation
Akɔta ƒe mɔnu naa mɔnukpɔkpɔ be woakpɔ akɔta ƒe ƒunukpeƒe kakɛ tiatia aɖewo kple lãɖeɖe ƒe nɔnɔmewo. Egbegbe nusiwo wotsɔ dea lãme na ame siwo ƒe ŋkɔ mede o dzi ɖea agbɔsɔsɔ dzi kpɔtɔna, gake ʋuka siwo kekena ɖe enu la gakpɔtɔ te ɖe xɔtunuawo ŋu eye ele be woakpɔ wo ta. Nɔnɔmetata siwo gbɔna ɖe akɔta ƒe nutete ƒe nukpɔsusuwo fia tsɔ wu be woaɖe amekoko ƒe ɖoɖo si wowɔna le xexeame katã.
Volar ʋuƒoƒo ƒe agbalẽvi ƒe fixation
Wozãa volar plating geɖe elabena ate ŋu alé subchondral ƒua ɖe te tso asibidɛ ƒe akpa dzi esime wòƒoa asa na eɖoɖo ɖe extensor tendons te tẽ. Flexor carpi radialis dometsotso nye mɔnu si bɔ. Plɛti ƒe nɔnɔme, ƒunukpeƒea ƒe gbugbɔgaɖoanyi, distal screw ƒe didime, kple flexor tendon ƒe ʋuʋu bia be woalé ŋku ɖe eŋu nyuie.
XC Medico ƒe kpɔɖeŋuwo dometɔ aɖewoe nye a 7-do didiƒe didime ƒe ʋuƒo , a 6-do distal radius ʋuƒo gbadzɛ , kple a DVR didiƒe didime ƒe ʋuƒo ƒe agbalẽvi . Adzɔnuwo ƒe kadodo siawo nye mɔ̃a ŋuti nyatakakawo ta; nusiwo woatsɔ ade ame me tiatia gakpɔtɔ nye atikewɔla siwo wona hehee ƒe agbanɔamedzi.
Dorsal bridge (nuhena) ƒe nutsyɔnu
Tɔdzisasrã ƒe gbadzɛ aɖe tso eƒe didime dzi va ɖo abɔta eye wòwɔa dɔ abe nusi hea ame ƒe susu le ememe ene. Ate ŋu aɖe vi na abi tiatia siwo wogbã ŋutɔ siwo womate ŋu atsɔ distal plate si wozãna ɖaa akpe ɖe wo ŋu kakaɖedzitɔe o. Esi wònye be etsoa asibidɛa hena ɣeyiɣi aɖe ta la, zi geɖe la, ehiãna be woawɔ dɔ evelia si ŋu wowɔ ɖoɖo ɖo be woaɖe agbaa ɖa le eƒe dɔyɔyɔ vɔ megbe.
Fragment-koŋ ƒe fixation
Ƒunukpeƒe ƒe gbagbã sesẽwo ate ŋu anye radial styloid, volar rim, dorsal rim, kple titina kakɛ siwo ŋu ŋusẽ le. Nuɖoanyi siwo ku ɖe kakɛwo koŋ ŋu zãa nu suesuesue siwo wotsɔ dea ame me siwo woɖo be woatsɔ ado ŋusẽ akpa siwo hiã be woakpɔ wo dzi tẽ. Woate ŋu azã wo ɖeɖe alo kple mɔnu bubu si woatsɔ alé wo ɖe te.
Hayahaya, Gbugbɔgaɖɔɖo, Kple Kuxi Siwo Ate Ŋu Ado tso eme
Zi geɖe la, wodea asibidɛwo ƒe ʋuʋu ƒe dzi ƒo kaba ne abi si woxɔ kple atikewɔwɔ ɖe mɔ. Asibidɛ kple abɔta ƒe kamedede dzea egɔme le alesi wòli ke, abi ƒe nɔnɔme, kple fotoɖeɖe ƒe dɔyɔyɔ nu. Ŋusẽ, aɖaŋudzedze, kple dzidodo gahayana blewu wu ʋuʋu vevi, eye avuvu alo sesẽ aɖewo ate ŋu anɔ anyi ɣleti geɖe. Woate ŋu anye aƒeme gbugbɔgaɖɔɖodɔ alo woakpɔ edzi le dɔnɔwo ƒe nuhiahiãwo kple nutoa me ƒe dɔwɔwɔ nu.
Kuxi siwo ate ŋu ado tso eme dometɔ aɖewoe nye ƒunukpeƒetetedɔ si dzi ɖena kpɔtɔna, ƒunukpeƒetetedɔ mawɔmawɔ, ƒunukpeƒetetedɔ, ƒunukpeƒetetedɔ le afɔku megbe, lãmeka siwo le titina ƒe dzesiwo, nutome vevesese ƒe dɔléle sesẽ, lãkusi ƒe dzikudodo alo eƒe gbagbã, dɔlékuiwo xɔxɔ, pin-tract ƒe kuxiwo, kple dzesiwo ƒe xɔtunuwo. Asibidɛ ƒe ʋuʋu yeye, vevesese si le dzidzim ɖe edzi, dzoxɔxɔ, tsi si le dodom, alo asibidɛ ƒe ʋuʋu ɖedzesi aɖe bia be woagbugbɔ ŋku alé ɖe eŋu le atikewɔƒewo.
Ƒu ƒe lãmesẽ le vevie: asibidɛ si me ŋusẽ boo mele o ƒe gbagbã le ame tsitsi aɖe ŋu ate ŋu anye ƒumeŋuɖui ƒe nuxlɔ̃amedzesi. Dɔnɔwo ate ŋu abia woƒe atikewɔla nenye be ƒu ƒe gbagbã ƒe afɔku ƒe dodokpɔ, ƒu ƒe kpekpeme dodokpɔ, mɔxexe ɖe anyidzedze nu, vitamin D ƒe dodokpɔ, alo ƒu ƒe lãmesẽ ƒe afɔɖeɖe bubuwo sɔ.
Nya Siwo Wobia Enuenu
Ðe hiã be woawɔ dɔ na distal radius fracture ɖesiaɖe si woɖe ɖaa?
Ao, woate ŋu aɖe gbagbãƒe aɖewo dzi akpɔtɔ eye woanɔ ɖekawɔwɔ me le mɔ si dzi woda asi ɖo nu le nusi wotsɔ ƒoe me. Liƒo, ƒunukpeƒewo ƒe ʋuʋu, ƒexɔxɔ, dɔwɔwɔ ƒe didi, lãmesẽ, kple dɔnɔwo ƒe didiwo katã kpɔa ŋusẽ ɖe nyametsotsoa dzi.
Ɣeyiɣi didi kae wòxɔna hafi distal radius fracture hayana?
Zi geɖe la, ƒuwo ƒe dɔyɔyɔ kaba dzɔna le abe kwasiɖa ade ene me, gake ɣeyiɣi si woatsɔ awɔ dɔe la toa vovo. Ʋuʋu, ŋusẽ, vuvu, kple kakaɖedzi ate ŋu ayi edzi anɔ nyonyom ɖe edzi ɣleti geɖe alo esi wu nenema.
Ðe volar plate nye amekoko nyuitɔ kekeake ɣesiaɣia?
Nu ɖeka aɖeke meli si wotsɔ dea lãme na ame ƒe gbagbãƒe ɖesiaɖe o. Volar locking plates bɔ eye ate ŋu ado alɔ ɣeyiɣi kpui aɖe ƒe dɔwɔwɔ do ŋgɔ, gake pins, gotagome fixation, dorsal fixation, bridge plating, alo fragment-specific implants ate ŋu asɔ kple nɔnɔme aɖewo nyuie wu.
Ðe wòle be woaɖe distal radius plate aɖe ɖa emegbea?
Menye ɣesiaɣie wòhiãna be woaɖe ame ɖa edziedzi o. Woate ŋu abu eŋu be woaɖee ɖa le lãkusi ƒe dzikudodo, xɔtunu siwo ɖe dzesi alo dzesiwo, dɔlékuiwo, alo dɔdamɔnu bubuwo ta. Zi geɖe la, ehiã be woaɖe tɔdzisasrã ƒe agbalẽvi ɖa le ɖoɖo nu elabena ekeke ɖe asibidɛa ŋu.
Ɣekaɣie woate ŋu azã asi le mɔ si sɔ nu ake?
Zazã dedie nɔ te ɖe alesi ƒu gbagbãa li ke, atikewɔwɔ, radiographic dɔyɔyɔ, vevesese, kple dɔwɔna si le eme dzi. Zi geɖe la, gbesiagbedɔ siwo mesẽ o trɔna yia ŋgɔ hafi léa nu sesẽ, kɔa nu, kadodo ƒe kamedefefewo, alo dɔ sesẽwo wɔwɔ. Wɔ ɖe atikewɔla si le atike wɔm na wò ƒe mɔxeɖenuwo dzi.
XC Medico Dɔwɔnu siwo do ƒome kplii
Ememenu siwo gbɔna la na nyatakaka siwo ku ɖe nusiwo wotsɔ dea ame me, dɔwɔnuwo, kple nuveviwɔame ƒe ɖoɖo siwo do ƒome kplii siwo ŋu woƒo nu tsoe le mɔfiame sia me ŋu.
Nyatakakawo Kple Nyadzɔdzɔŋlɔlawo ƒe Gɔmeɖoanyi
- Amerikatɔwo ƒe Ƒumeŋutinunyalawo ƒe Suku. Distal Radius Fractures Dzikpɔkpɔ Dɔnɔdzikpɔƒe ƒe Dɔwɔwɔ Ŋuti Mɔfiame.
- AAOS OrthoNyatakakawo. Distal Radius Fractures (Asibidɛ si Gbagbã).
