Classic method leh technique hrang hrang, distal radius fractures atana closed needle insertion hman dan .

Distal radius fracture hi thlasik laiin vur tlak hnua a tlakbuak fo thin a ni a, closed reduction leh Kirschner wire fixation te hi enkawlna hman tlanglawn ber a ni.

He thuziak hian K-wiring principle leh technique hrang hrang, closed pinning hmanga surgical technique hman dan tur a kawk a ni.

Three-wire fixation technique hi classic three-wire fixation technique a ni a, a hman dan tur hi a lar hle.

Lister tubercle kaltlangin pakhat.

radial styloid process kaltlangin pakhat.

pakhat chu lunate fossa bone block kaltlangin a ni.

If: comminutes na tak tak fracture leh osteoporosis a awm chuan Kirschner wire dang pawh hman theih a ni.

1. Surgical dan .

Pakhatnaah chuan, fracture closed reduction an ti a, traction slow leh continuous hmangin an ti a, dorsal leh radial displacement chu palmar flexion leh ulnar deviation hmangin an siam tha a ni. Reduction hnuah kut chu rolled sheet-ah dah a ni a, palmar flexion leh ulnar deviation (Figure 2A, B) chu a awm reng a, percutaneous Kirschner wire pathum tal hmangin an dah a ni.

K-wire hmasa ber chu Lister’s Tubercle-ah dah a ni a, 45°-a angled a ni a, radius long axis-a proximal bone fragment palmar cortex a ni. Insertion point chu Lister’s Tubercle ulnar lam a nih chuan extensor pollicis tendon chu a hliam thei a ni.

K-wire pahnihna chu radial styloid process-ah 0.5 cm distal a ni a, K-wire chu radial axis-ah 60° angle-ah a awm a, ulnar cortex proximal chu fracture-ah a lut a ni.

K-wire pathumna chu lunate fossa bone fragment 0.5 cm distal to the wrist joint line, extensor compartment palina leh pangana inkar a awm a ni. K-wire chu radius palmar lam hawiin 45° angle-ah an dah a, a hnuaia Figure A leh B-a kan hmuh ang hian.

Classic percutaneous Kirschner wire fixation of distal radius fractures chu a hnuaia figure ae-ah hian tarlan a ni.

 

Percutaneous Kirschner wire fixation hnua finger movement chu a hnuaia Figures ad-ah hian tarlan a ni.

2. Surgery neih dan tur leh hmanraw hman dan tur .

1.K-wire chu contralateral cortex chhunga lut lovin medullary cavity chhungah a lut a nih chuan K-wire a luh chuan tilt tam lutuk vang a ni thei. Chutiang a nih chuan miten tilt tihtlem nan kut an phar thin. Mahse a nihna takah chuan a kalh zawng chu a dik a ni. K-wire chu angled leh ben a ni ang a, concave angin a ben ang a, chu chuan K-wire puncture a tichhia ang. Chu ai chuan K-wire contour angin chunglam hawiin zawi zawiin convex tur a ni a, a hnuaia figure-a kan hmuh ang hian.

K-wire pointed convexly upward-in, axial pressure awm lovin distal cortex-ah entry point siam a ni a, distal cortex chhungah a lut thei a ni. A nih loh leh insertion point chu thlak a, a bul atanga tan tur a ni (figures ae below).

2.Kapandji technique-ah chuan fracture site-ah hian k-wire pahnih atanga pathum dahin distal fracture fragments te chu a duh angin a awm thei a, chu chu a duh angin a awm thei a ni. Vawikhat tihtlem a nih chuan K-wires te chu proximal fragments ah an kalpui a (figures af below).

3.Kirschner wire entry leh exit point te chu fracture nen a inhnaih hle a nih chuan fixation failure a awm thei. Dorsal Kirschner wire pahnih te hian level khatah palmar cortex an paltlang tur a ni lo va, palmar exit point chu fracture site atanga 2 cm a hlaah a awm tur a ni. A hnuaia Figures AC hi en rawh.

4. Dorsal cortex chu a comminute hle a nih chuan, distal bone fragment fracture site-a luh loh tum ang che, hei hian fixation failure a thlen thei a ni. Figures ae hnuaiah hian.

5. Osteoporosis na tak tan chuan fracture siam that nan Kirschner wire pali atanga panga hman a tha ber. A châng chuan, radius sei zawng vawng reng tûrin, distal radius bone block chu distal ulna-a siam ṭhat nân transverse Kirschner wire hman a ni.

6. Epiphyseal end-a long segment fracture-ah chuan fixation atan inclined Kirschner wire lian tak hman theih a ni. Mahse, Kirschner wire chu medullary cavity-ah a tlu lut thei a, siamthat a harsa hle (figures ad below).

7. Intra-articular bone fragment chu cartilage hnuaiah transverse kirschner wire hmangin hawn leh fix a ni a, chutah chuan percutaneous Kirschner wire pathum hmangin conventional way-in an fix leh a (figures ad below).

8. Shortening leh collapse nena inzawm distal radius-a comminuted fracture na tak chuan radius san zawng vawng reng turin ulna kal tlangin transverse Kirschner wire additional a mamawh a ni. Kirschner wire hi styloid process palm lam atanga ulna dorsal lam thlenga pointed tha ber a ni a, a hnuaia Figure A leh B-a kan hmuh ang hian.

9. Radial styloid fracture leh dorsal displacement te a awm. Reduction hnuah radial styloid pahnih kirschner wire hmangin fix la, pakhat chu dorsal lam a ni a, pakhat chu palmar lam ah styloid tip thlengin a awm bawk. (Figure A leh B chu a hnuaiah hian a awm)

10. Distal radius-a fracture ṭhen li nei, dorsal displacement leh lunate fossa chu palmar lam atanga inthenna a ni. Kirschner wire hi dorsal cortex atang hian proximal atanga distal metacarpal bone fragment thlengin oblique takin fix theih a ni. (Figure A leh B chu a hnuaiah a awm).

11. Dorsal leh Palmar Kirschner wire hmanga distal radius-a comminuted fractures enkawl nan, lunate fossa-a palmar fragment chu operation laiin a tlem lo a nih chuan, palmar approach hmang la, vascular clamp hmangin ruh chu then la, chutah chuan Palmar edge fragment atanga dortex dortex-ah dah theih a ni ang. (figures ah chuan a hnuaiah a awm)

12. Closed reduction hmanga tihtlem theih loh distal radius fractures obviously tan chuan 3 mm Kirschner wire hmangin distal fracture fracgment chu a hnungzang atanga lak chhuah theih a ni a, chu chuan reduction a thlen thei a ni (figures AH below).

13. Distal radius-a comminuted fracture enkawl nan pawn lam fixator hmang ang che. External fixators hi distal radius-a comminuted fracture na tak tak, swelling lian tak tak, open fractures, emaw local skin conditions, internal fixation phal lo (plate fixation ang chi) emaw nen a tha hle (Figures ad below).

3. Harsatna awm thei tur ven .

1.Unstable fixation awm loh nan a hnuaia operation te hi ngaihven rawh .

Bicortical fixation hi ngaihven rawh.

Distal needle exit point chu fracture bulah dah loh tur a ni.

Kirschner wire zawng zawng chu distal end-a converging zawng zawng chu pumpelh la, force chu concentrate rawh.

Kirschner wire ben laiin loose rotation awm lo turin fimkhur rawh.

Osteoporosis a nih chuan Kirschner wire fixation dang a ngai bawk.

2. Needle tract infection venna atana hmalakna .

A hmasa berin vun chu tan la, soft tissue chu ruhah chuan vascular clamp hmangin then la, chutah chuan Kirschner wire hmangin then rawh.

thermal necrosis awm loh nan zawi zawiin drill rawh.

Vawi tam tak hnathawh nawn fo loh tur.

Kirschner wire pressure chu vunah tihhniam rawh.