I-Percutaneous K-wire fixation yenye yeendlela ezininzi ezisetyenziselwa ukugcina ukuncitshiswa kwe-distal radius fractures ekhethiweyo. Ekwabizwa ngokuba kunciphiso oluvaliweyo kunye ne-percutaneous pinning, ubuchule busebenzisa iingcingo zaseKirschner ukuzinzisa amaqhekeza okuqhekeka emva kokuba ulungelelwaniso lubuyiselwe.
Ayisosisombululo sendalo yonke kwisihlahla ngasinye esaphukileyo. Ipateni yokuqhekeka, ukuzinza kokunciphisa, ukubandakanyeka kwe-articular, umgangatho wamathambo, imeko ye-soft-tissue, izinto eziphambili zesigulane kunye neendlela ezikhoyo zokulungisa zonke zinefuthe ekukhetheni unyango. Esi sikhokelo sichaza imigaqo kunye nemida yokulungiswa kweradiyasi ye-K ngaphandle kokuthatha indawo yoqeqesho olusesikweni lotyando okanye isikhokelo sobuchule obuthile.
Izinto eziphambili zokuThatha
Ukulungiswa kwe-K-wire ngokuqhelekileyo kuqwalaselwa emva kokunciphisa ukuphuka xa ukuqiniswa okongeziweyo kuyadingeka kwaye iziqhekeza zingalawulwa ngeengcingo.
I-Radial styloid, i-dorsal, i-fragment-specific kunye ne-intrafocal configurations ichaza imigaqo eyahlukeneyo kunepateni enye yesinyanzelo.
Inombolo yocingo, i-diameter, i-trajectory kunye ne-immobilization iqhinga kwimeko- kunye nesixhobo-specific; akufanele bakhethwe kwinqaku lokuthengisa ngokubanzi.
Iinkxalabo ezinokwenzeka ziquka ilahleko yokunciphisa, usulelo lwe-pin-tract, ukufuduka kwecingo, ukucaphuka kwezicubu ezithambileyo, i-tendon okanye ukulimala kwemithambo-luvo kunye nokuqina kwesihlahla.
I-K-ingcingo, iipleyiti ze-volar kunye nokulungiswa kwangaphandle nganye ine-tradeoffs eyahlukileyo. Ubungqina bangoku abuxhasi indlela enye yokulungisa njengeyona nto iphakamileyo kuyo yonke i-articular fracture engazinzanga okanye epheleleyo.
Yintoni uLungiso lweK-Wire lweDistal Radius Fracture?
Ukwaphuka kweradiyasi ekude kwenzeka kufutshane nesiphelo sesihlahla seradiyasi. Xa i-fracture isuswa, oogqirha bavavanya ukuba ukulungelelaniswa okwamkelekileyo kunokubuyiselwa kwaye kugcinwe. Ukunciphisa okuvaliweyo kubhekisela ekubuyiseleni ukulungelelaniswa ngaphandle kokuvula indawo yokuphuka. I-Percutaneous pinning ke ibeka enye okanye iingcingo ezininzi ezigudileyo kwiindawo ezincinci zokungena kwesikhumba ukubamba amaqhekeza akhethiweyo ngelixa ukuphilisa kuqhubeka.
Igama lezonyango elikhethwayo lelokucutha okuvaliweyo kunye nokuqhoboshela ngokuqhobosha , hayi 'ukufakwa inaliti evaliweyo.' Ucingo lwaseKirschner sisixhobo sokulungisa kunenaliti. Inqaku ke ngoko kufuneka lisebenzise i-K-wire, ucingo, ukuphina kunye nesigama sokulungiswa rhoqo.
Njani i-K-ingcingo Gcina ukuNcitshiswa
Iingcingo zinokuwela i-fracture kwaye zithenge ukuthengwa kwinxalenye ezinzileyo ye-radius, okanye zinokuxhasa iinqununu zomntu ngamnye kwi-configuration ekhethiweyo kwipatheni yokuphuka. Ukuzinza komatshini kuxhomekeke ngaphezu kwenani leengcingo. Ukwahlukana, ukulawulwa kwamaqhekeza, ukuthengwa kwe-cortical, i-wire diameter, umgangatho wamathambo kunye nokunyanzeliswa okongeziweyo kunokuchaphazela ukwakhiwa.
Ukulungiswa kwe-K-Wire luKhetho olunye loNyango
Ezinye iifractures ze-distal radius ziyakwazi ukulawulwa ngaphandle kokuhlinzwa, ngelixa ezinye zinokuthi ziphathwe ngezikhonkwane ze-percutaneous, i-volar okanye i-dorsal plate, i-fixator yangaphandle okanye isicwangciso esidibeneyo. Ukujonga ngokubanzi, bona isikhokelo se-XC Medico kwi ukuxilongwa, ukuhlelwa kunye nokunyangwa kwe-distal radius fractures .
Apho I-Percutaneous Pinning Ingena kuNyango
Ulawulo olungaSebenziyo
Ukutyunjwa okukhethiweyo okuzinzileyo okanye ukuphuka okuhlala kuhambelana ngokufanelekileyo emva kokunciphisa kunokulawulwa nge-cast okanye i-splint kunye ne-imaging yokulandelela. Ubudala besigulane bodwa abuchazi unyango.
Percutaneous K-Wire Ukulungiswa
I-Pinning inokubonelela ngolawulo olongezelelweyo lweqhekeza emva kokunciphisa iipateni ezikhethiweyo. Ngokuqhelekileyo kufuna ingqalelo kwiindawo ze-pin, immobilization kunye nokulawula ucingo kamva.
Ukulungiswa kwePlate
I-volar okanye i-dorsal plate inikezela ukulungiswa kwangaphakathi kwaye inokukhethwa kwiipateni ezifuna ukulawulwa ngokuthe ngqo kweqhekeza. I-XC Medico ibonelela ngeendlela ezininzi iinketho zepleyiti yokutshixa iradiyasi ekude .
Ukulungiswa kwangaphandle
Isakhelo esinqamlezayo okanye esinganyangekiyo sinokunceda ukugcina ubude kunye nokulungelelaniswa kwiindawo ezikhethiweyo ezingazinzanga, kubandakanywa iimeko apho iimeko zezicubu ezithambileyo zichaphazela isicwangciso sokulungiswa kwangaphakathi.
I-AAOS / ASSH isikhokelo sokusebenza kweklinikhi ibika ukuba akukho mmahluko omkhulu kwiziphumo ze-radiographic okanye isigulane-ezixelwe ngesigulane phakathi kweendlela zokulungisa i-articular okanye engazinzanga i-distal fractures ye-distal fractures, nangona iipleyiti ezitshixiweyo ze-volar zinokubonelela ngokubuyisela ukusebenza kwangaphambili kwixesha elifutshane. Oku kuxhasa ukhetho lomntu ngamnye kunokuba ibango lokuba i-K-ingcingo okanye iipleyiti zihlala zingcono.
Kunokuthi kuqwalaselwe nini uLungiso lwePercutaneous K-Wire?
Ukwenziwa kwezigqibo zeklinikhi kuqala ngoviwo kunye nemifanekiso. Ezi zinto zilandelayo zinokuqwalaselwa ngabasebenzi abaqeqeshiweyo, kodwa ayiloluhlu lokutshekisha oluzimeleyo.
Ipateni yokuqhekeka kunye nokuzinza kokunciphisa
I-Pinning inokuba luncedo ngakumbi xa iziqwenga eziphambili zinokuncitshiswa kwaye zilawulwe ngeengcingo ezibekwe ngokufanelekileyo. Ukuphawulwa kwe-metaphyseal comminution, iincinci ezincinci ze-articular okanye ukuthambekela kokuwa kunganciphisa ukuthembeka kwesakhiwo socingo olulula kunye nokuqwalaselwa ngokukhawuleza kwenye okanye indlela eyongezelelweyo.
Umgangatho Wethambo kunye nobungakanani beqhekeza
Ithambo le-Osteoporotic linokubonelela ngokuthengwa kwecingo okuthembekileyo. Ukongeza iingcingo akwanelanga ngokuzenzekelayo ukusombulula ukulungiswa okungalunganga, kwaye akukho mgaqo jikelele wokuba yonke i-osteoporotic fracture ifuna izikhonkwane ezine okanye ezintlanu. Ukukhethwa kolwakhiwo kufuneka kulandele ipateni yokwaphuka, umfanekiso, ubuchule obuvunyiweyo kunye nesigwebo sikagqirha.
Isigulane kunye ne-Soft-Tissue Factors
Imeko yesikhumba, ukuvuvukala, ukulimala okuvulekileyo, i-comorbidities yonyango, iimfuno zomsebenzi, ukukwazi ukulandela i-pin-site kunye nemiyalelo yokunyanzeliswa kunye nokubuyisela okulindelekileyo konke kufaka isandla ekukhetheni unyango.
Ubudala kunye neMfuno yokuSebenza
Ubungqina kufuneka butolikwe kunye nemiba yenqanaba lesigulana. Isikhokelo se-AAOS / ASSH sibika ukuba unyango olusebenzayo kwi-geriatric populations aluphuculi ngokubanzi iziphumo ezixelwe ngesigulane ixesha elide xa kuthelekiswa nokhathalelo olungasebenziyo, nangona ukulungelelaniswa kwe-radiographic kwahluka. Ukwenziwa kwezigqibo ekwabelwana ngako kuhlala kubalulekile.
Umda weklinikhi: inqaku lemfundo jikelele alikwazi ukumisela ukuba i-fracture ethile ifuna i-K-ingcingo, ipleyiti, ukulungiswa kwangaphandle okanye unyango olungasebenziyo. Eso sigqibo sifuna uvavanyo lwesigulane, umfanekiso kunye nesigwebo sezonyango esifanelekileyo.
IMigaqo yoLungiso lweK-Wire eqhelekileyo
Iikhonsepthi ezininzi ze-pinning zichazwe kwi-orthopedic practice. Amagama angezantsi achonga amaqhinga abanzi; akufunekanga zitolikwe njengeendawo zokungena ezisisigxina, iiengile okanye ukubala kocingo okunyanzelekileyo.
I-Radial Styloid Pinning
Ucingo lweradial styloid lusenokujoliswa ngapha kokwaphuka ukuze kuthengwe kwiradiyasi ekufutshane. Isebe le-sensory ye-nerve ye-radial, i-tendon, indawo edibeneyo kunye nendawo yocingo ifuna ukuqwalaselwa. Umzila ochanekileyo uxhomekeke kwi-anatomy, i-morphology yokwaphuka kunye nobuchule obukhethiweyo.
Umzobo wobumbeko lweradiyasi yedistal. Ukufakwa kocingo lokugqibela kufuneka kusekelwe kwi-fracture anatomy, uvavanyo lwe-fluoroscopic kunye nobuchule botyando obuvunyiweyo.
I-Dorsal kunye ne-Fragment-Specific Pinning
Iingcingo ezingemva okanye iingcingo ezijoliswe kwinxalenye yenyanga zingasetyenziswa xa ezo ngceba zifuna ulawulo. I-Dorsal anatomy ibandakanya ii-extensor compartments kunye ne-tendon ezinokucatshukiswa okanye zonzakaliswe ngendawo yokungena engafanelekanga, ucingo olubalaseleyo okanye ukufuduka.
Umzekelo wokulungiswa kweengcingo ezisekelwe kwiqhekeza. Lo mzekeliso uchaza umgaqo, kungekhona itemplate ye-universal wire template.
Kapandji Intrafocal Pinning
Kwindlela yeKapandji, iingcingo zingeniswa kwindawo yokuphuka kwaye zisetyenziselwa ukuncedisa ukunciphisa kunye nokuxhasa i-distal fragment ngaphambi kokuqhubela phambili ukugcina ukwakhiwa. Indlela yahlukile ukusuka nje ukuwela i-fracture ukusuka kwindawo yokungena ekude. Ukufaneleka kuxhomekeke kubume beqhekeza kunye nomgangatho wamathambo.
Kapandji intrafocal pinning concept. Ubungakanani bocingo oluthile, inombolo kunye nolwalathiso kufuneka luvele kubuchule obuqinisekisiweyo kunye nocwangciso olukhethekileyo.
I-Pinning eyongezelelweyo kunye noLungiso oluDityanisiweyo
Ukuqhekeka okuyinkimbinkimbi kunokufuna ulawulo olongezelelweyo lweqhekeza okanye ulwakhiwo oludibeneyo. Nangona kunjalo, iingcingo ezininzi azivelisi ngokuzenzekelayo uzinzo olungcono. Ukuhlanganiswa kweengcingo, ukusasazeka okungonelanga, ukuthengwa kakubi kwe-cortical okanye ukungakwazi ukulawula iqhekeza eliphambili kusenokubangela ilahleko yokunciphisa.
Ukudibanisa kunokwenza i-pinning elula ingathembeki kangako. Ulungiso olongezelelweyo okanye olulolunye lunokuvavanywa ngokwemifanekiso kunye nemiba yesigulana.
Ukufanekisa kunye noVavanyo lokuLungisa
Ukunciphisa kunye nokulungelelaniswa kweArticular
Iimaging isetyenziselwa ukuvavanya ukuphakama kweradial, ukuthambekela, ukuthambeka, i-articular congruity kunye nobudlelwane bedistal radioulnar. Injongo eyamkelekileyo ixhomekeke kwisigulane kunye nokuphuka. Ucingo olubekwe ngobuchwephesha alubuyiseli ukucuthwa okungamkelekanga.
Indawo yocingo kunye nokuthengwa kweCortical
Iimbono ze-Fluoroscopic zinceda ukuvavanya ukuba iingcingo zilawula iziqwenga ezicetywayo, ziphephe i-radiocarpal kunye ne-distal radioulnar izithuba ezidibeneyo apho zifunekayo, kwaye zifumane ukuthenga okufanelekileyo ngaphandle kokubonakala kwengxaki. Iimbono ezininzi zinokufuneka ngenxa yokuba ucingo olubonakala lwamkelekile kwintelekelelo ethile lusenokungamkeleki kwenye.
Yakha uzinzo
Uvavanyo lozinzo luqwalasela ukwaphuka, ukucwangciswa kocingo kunye nokunyanzeliswa okucwangcisiweyo kunye. Iingcingo ezidityaniswe kwingingqi enye zinokubonelela ngolawulo oluncinci olujikelezayo kunolwakhiwo olusasazwe kakuhle, kodwa umgaqo wezithuba oqhelekileyo awufanele uthathe indawo yesigwebo se-biomechanical kunye nekliniki.
I-wire trajectory kunye nokulawula ukuphuka kufuneka kuhlolwe kwiimbono ezifanelekileyo zemifanekiso ngaphambi kokuba ulwakhiwo lwamkelwe.
Iingxaki ezinokwenzeka kunye nokuqwalaselwa koMngcipheko
Iingxaki azinakuthintelwa ngokupheleleyo ngoluhlu lokukhangela. Injongo kukubona imingcipheko echaphazelekayo kwaye ulandele imiyalelo ethile yokufakelwa, iprotocol eyinyumba kunye nesicwangciso sasemva kokuhlinzwa.
Iinkxalabo ezinokuthi zibandakanye:
Ilahleko yokunciphisa okanye ukusilela ukulungisa
Usulelo lwe-pin-tract okanye usulelo olunzulu
Ukukhulula ucingo, ukufuduka, ukuphuka okanye ukucaphuka kwesikhumba
Ukulimala okanye ukucaphuka okubandakanya i-tendon extensor, i-sensory nerves okanye ezinye izicubu ezithambileyo
Ukungena ngokudibeneyo okanye ukugqwesa kwecortical engafanelekanga
Isandla kunye nokuqina kweminwe
I-Malunion, i-post-traumatic arthritis okanye i-syndrome yentlungu yengingqi enzima
Ilahleko yokuNcitshiswa
Ukunyuswa, umgangatho ophantsi wamathambo, ukulawulwa kweqhekeza okwaneleyo, ukucwangciswa kocingo okungafanelekanga okanye ukunyanzeliswa kokungabikho ngokwaneleyo kunokufaka isandla ekufudukeni kwesibini. Imifanekiso elandelelweyo ingasetyenziswa ngokweprotocol yeqela elinyangayo kunye nokuzinza kokwaphuka.
Usulelo lwe-Pin-Tract
Imeko ye-pin-site kufuneka ibekwe esweni ngokwemiyalelo yeziko kunye nogqirha wotyando. Ukwandisa ububomvu, ukukhutshwa kwamanzi, ukudumba, intlungu, umkhuhlane okanye ezinye iimpawu ezibhekiselele kufuna uvavanyo lweklinikhi. Eli nqaku alichazi irejimeni yokhathalelo lwepini jikelele.
I-Tendon, iNerve kunye neSoft-Tissue Injury
Indawo yokungena, i-wire trajectory, ukuvelela kunye nokufuduka kunokubeka izakhiwo ezikufutshane emngciphekweni. I-Lister's tubercle kunye ne-dorsal extensor compartments ziimpawu zomhlaba ezifanelekileyo kwikliniki, ngelixa i-nerve ye-radial sensory ifuna ukuqwalaselwa kufutshane neendawo zokungena ezisecaleni.
I-Thermal kunye ne-Mechanical Tissue Injury
Ukombiwa okuphindaphindiweyo, ubushushu obugqithisileyo, izixhobo ezingafanelekanga okanye ubuchule obungafanelekanga bunokonakalisa amathambo okanye izihlunu ezithambileyo. Abasebenzisi abafanelekileyo kufuneka balandele ubuchule obuvunyiweyo, imiyalelo yesixhobo kunye nemigaqo yomthetho yeziko kunamanyathelo okusebenza ngokubanzi kwi-intanethi.
Iingqwalasela zokulandelisa emva kokuLungisa
Ukulandelwa kuyahluka ngokuzinza kwe-fracture, indlela yokulungisa kunye nezigulane. Iindawo eziqhelekileyo ezivavanyiweyo ziquka imeko yenxeba okanye i-pin-site, isimo se-neurovascular, ukunyakaza komnwe, ukuvuvukala, intlungu, ukulungelelaniswa kwe-radiographic kunye neempawu zokukhulula ucingo okanye ukufuduka.
Ubude bexesha lokunyanzeliswa, ukuvuselelwa, ukususwa kweengcingo kunye nokubuyela kumsebenzi ngamnye. Izigulane akufanele zitshintshe i-splint, zenze umthambo okanye zilawule ucingo oluveziweyo olusekelwe kuphela kwingcaciso ye-intanethi.
Ukunyakaza kweminwe kunye nemeko ye-soft-tissue inokuhlaziywa ngexesha lokulandelwa, ngelixa ukuvuselelwa kwesandla kuxhomekeke ekuzinzeni kokwakha kunye nesicwangciso sonyango lonyango.
I-K-Wires vs IiPlati zeVolar vs Ukulungiswa
Indlela
IiMpawu Jikelele
Iingqwalasela ezibalulekileyo
Percutaneous K-wire fixation
Isebenzisa izifakelo ezincinci zepercutaneous ukugcina amaqhekeza ancitshisiweyo akhethiweyo.
Ulawulo lwamaqhekeza, iindawo zokukhonkxa, ukufuduka, ukungashukumi kunye nolawulo lweengcingo kamva.
I-Volar okanye i-dorsal plate fixation
Ibonelela ngokulungiswa kwangaphakathi kwaye inokuvumela ulawulo oluthe ngqo lwamaqhekeza akhethiweyo.
Ukuvezwa kotyando, indawo ye-screw, ukucaphuka kwe-tendon, iprofayili yokufakelwa kunye nokuqwalaselwa kokususa.
Ukulungiswa kwangaphandle
Isebenzisa isakhelo sangaphandle ukugcina ubude kunye nokulungelelaniswa; inokuba iyanwenwa okanye ingabikho.
Iindawo zePin, ulawulo lwesakhelo, izicubu ezithambileyo, ukuqina kwamalungu kunye nokunyamezela isigulane.
Ukulungiswa okudibeneyo
Usebenzisa iindlela ezingaphezu kwesinye xa ulwakhiwo olunye lungalungiseleli ngokwanelisayo ukwaphuka.
Ukuntsonkotha okongeziweyo kunye nemingcipheko yendlela ethile; kufuneka kucwangciswe ngokwaphuka komntu ngamnye.
kwaNgaphandle Ukulungiswa kwangaphandle yenye enye indlela okanye isicwangciso esongezelelweyo sezahlulo ezikhethiweyo ezingazinzanga zedistal radius. Ayinakutshintshelwa kwi-percutaneous pinning kuyo yonke imeko.
Iimveliso zeDistal Radius Fixation kunye nezixhobo
Kubasasazi kunye namaqela e-orthopedic avavanya i-portfolio ye-distal radius, iimveliso ezifunekayo zinokuhluka ngobuchule bonyango. XC Medico inikeza distal radius isixhobo iiseti , iinketho ipleyiti lokutshixa kunye ebanzi izisombululo zokufakela umonzakalo we-orthopedic .
Kwiimfuno zokulungiswa kwangaphandle, i isilungisi sangaphandle sesandla seradiyasi ekude kunye nokwaphuka kwe-ulna kubandakanya ulungelelwaniso lwesakhelo ezininzi. Ubukho bemveliso, imilinganiselo, usetyenziso olucetyiweyo, ubume obunyumba kunye nokucocwa kolawulo kufuneka kuqinisekiswe kwimarike yendawo ekuyiwa kuyo phambi kokuodola.
Qhagamshelana ne-XC Medico malunga neenkcukacha zemveliso, ulungelelwaniso lwesixhobo, ulwazi lwekhathalogu kunye namaxwebhu angqalileyo emarike kwiimveliso zokulungiswa kweradiyasi ekude.
Qhagamshelana ne-XC Medico
Imibuzo ebuzwa qho
Yintoni ukulungiswa kwe-K-wire ye-percutaneous?
Yindlela yokuzinzisa iziqhekeza ezikhethiweyo ezikhethiweyo kunye neengcingo zaseKirschner ezifakwe kwiindawo ezincinci zokungena kwesikhumba, ngokuqhelekileyo emva kokuba ukuphuka kuncitshiswe.
Ngaba i-K-wire fixation ifanelekile kuyo yonke i-distal radius fracture?
Hayi. Ukufaneleka kuxhomekeke kwi-morphology ye-fracture, ukuzinza kokunciphisa, ubukhulu beqhekeza, umgangatho wamathambo, izicubu ezithambileyo, izigulane kunye nokukwazi ukwakha ucingo ukugcina ulungelelwaniso.
Zingaphi iingcingo ze-K ezisetyenziselwa ukwaphuka kweradiyasi ekude?
Akukho nombolo jikelele. Ubalo lwecingo kunye noqwalaselo lukhethiwe kwipateni yokuphuka kunye nobuchule obuqinisekisiweyo. Ubungqina abukuxhasi unikezelo olunyanzelekileyo lwentambo ezintathu kwimiba nganye.
Bubuphi ubuchule bukaKapandji?
I-Kapandji pinning yindlela ye-intrafocal apho iingcingo zingeniswa kwindawo yokuphuka ukuncedisa ukunciphisa kunye nokuxhasa i-distal fragment. Lukhetho olunye lobuchule, hayi umgangatho wehlabathi.
Yeyiphi imingcipheko eqhelekileyo yokulungiswa kocingo lwe-K?
Imingcipheko enokubakho ibandakanya ukulahleka kokunciphisa, ukusuleleka kwi-pin-tract, ukukhulula ucingo okanye ukufuduka, ukucaphuka kwe-soft-tissue, i-tendon okanye ukulimala kwe-nerve, ukungena ngokubambisana kunye nokuqina.
Ngaba i-K-ingcingo zingcono kunepleyiti yokutshixa yevolar?
Akukho nanye indlela engcono jikelele. Izikhokelo zangoku zixhasa ukukhetha ukulungiswa ngokuhambelana nokuphuka kunye nesigulane. Iipleyiti zeVolar zinokubonelela kwangaphambili kwexesha elifutshane lokubuyiswa kokusebenza kwezinye iifractures ezingazinzanga okanye ze-articular, ngelixa iziphumo zexesha elide zinokufana kwiindlela zokulungisa.
Iimbekiselo
I-American Academy ye-Orthopedic Surgeons kunye ne-American Society for Surgery of the Hand. Ulawulo lwe-Distal Radius Fractures yeSikhokelo sokuSebenza kwezonyango. Jonga isikhokelo .
Kamal RN, Shapiro LM. I-AAOS / i-ASSH yeSikhokelo sokuSebenza soNyango isiShwankathelo: Ulawulo lwe-Distal Radius Fractures. Jonga isishwankathelo esipheleleyo .
Shapiro LM, Kamal RN, et al. I-Distal Radius Fracture Izikhokelo zokuSebenza kweKlinikhi-Uhlaziyo kunye neempembelelo zeklinikhi. Jonga irekhodi yePubMed .
I-American Academy ye-Orthopedic Surgeons. Iikhrayitheriya zokusetyenziswa ngokufanelekileyo: Unyango lwe-Distal Radius Fractures. Jonga inqaku lokubhaliweyo okupheleleyo .
Isaziso sokusetyenziswa kobuchwephesha: Eli nqaku libonelela ngemfundo jikelele kubasebenzi bezempilo, izibhedlele kunye nabasasazi bezixhobo zonyango. Ayiyongcebiso yezonyango, iprothokholi yotyando okanye indawo yoqeqesho olusesikweni, uvavanyo olungqamene nesigulane, amaxwebhu avunyiweyo obuchule botyando okanye imiyalelo yesixhobo esinokusetyenziswa. Iimpawu zemveliso kunye nesimo solawulo siyahluka ngokwemarike.
