I-Distal Radius Fractures: Ukuxilongwa, uHlelo kunye noNyango

Isishwankathelo sonyango · Isikhokelo semfundo esihlaziyiweyo

Ukwaphuka kweradiyasi ekude likhefu elikufutshane nesiphelo sesihlahla seradiyasi. Unyango lunokuqala ukusuka kwi-splint okanye ukuphoswa kwi-percutaneous pins, ukulungiswa kwangaphandle, okanye ukulungiswa kwepleyiti. Isicwangciso esifanelekileyo sixhomekeke ekulungelelaniseni ukuphuka kunye nokuzinza, ukubandakanyeka ngokubambisana, imeko ye-soft-tissue, umgangatho wamathambo, ubudala, iimfuno zokusebenza, kunye nokukhethwa kwesigulane.

Ukuxilongwa Uvavanyo lweklinikhi kunye neeradiographs zesandla ziseka ipateni yokuphuka, ukufuduka, kunye nokubandakanyeka ngokubambisana.

Unyango Izaphulelo ezizinzileyo zinokunyangwa ngaphandle kotyando; iziqhekeza ezingazinzanga okanye ezingahambelani kakuhle zinokufuna ukulungiswa.

Isiphumo Ubudala bubodwa abunazigqibo ngonyango. Imfuno esebenzayo, indlela yokuziphatha yokwaphuka, kunye nokwenza izigqibo ekwabelwana ngazo kubalulekile.

Yintoni iDistal Radius Fracture?

Iradiyasi ekude yenza owona mthwalo uphambili kwicala lesandla sesihlahla. Ukwaphuka ngokuqhelekileyo kwenzeka ngaphakathi kweesentimitha ezimbalwa zejoyinti ye-radiocarpal kwaye inokuba yi-extra-articular, idlulele kwilungu, okanye ibandakanye i-distal radioulnar joint. I-ulnar styloid kunye neeligaments ezixhasayo zinokulimala.

Ukuwela kwisandla esoluliweyo yindlela eqhelekileyo. Ukuwa kwamandla angaphantsi kuqhelekileyo kubantu abadala abanamandla amathambo ancitshisiweyo, ngelixa ukulimala kwezemidlalo, iziganeko zendlela, kunye nokuwa ukusuka ekuphakameni kunokuvelisa iipateni eziphezulu zamandla kwizigulane ezincinci.

Isishwankathelo serediyasi yokwaphuka ebonisa ukwakheka kwesihlahla kunye neepateni zokwaphuka — Ukuqhekeka kweradiyasi ekude kuyahluka kwicala, ukuhamba, ukufuduka, kunye nokubandakanyeka kwelungu lesihlahla.

Kutheni i-anatomy ibalulekile

I-distal radius inomgangatho obanzi we-articular kwaye ixhasa i-scaphoid kunye nenyanga. Izakhiwo ezikufutshane ziquka i-nerve median, i-flexor kunye ne-extensor tendons, i-radial artery, i-distal radioulnar joint, kunye ne-triangular fibrocartilage complex. Ukubuyisela ulungelelwaniso oluluncedo ngelixa ukhusela ezi zakhiwo yinjongo ephambili yonyango.

Iimpawu kunye neempawu ezifuna uVavanyo oluKhawuleza

Iimpawu eziqhelekileyo ziquka intlungu engoko nangoko yesandla, ukudumba, ukugruzuka, ukuthamba, ukuncipha kwentshukumo, nobunzima bokubamba. Ukuqhekeka okususiweyo kunokuvelisa ukukhubazeka okubonakalayo. Ugqirha uphinde uhlolisise imeko yesikhumba, ukujikeleza kweminwe, ukuvakalelwa, umsebenzi we-tendon, kunye nokulimala okuhambelanayo.

Funa unyango olungxamisekileyo lwenxeba elivulekileyo, ithambo elibonakala esikhumbeni, isandla esiphaphathekileyo okanye esibandayo, ukunyanzeliswa kwentlungu, ukungakwazi ukuhambisa iminwe, ukuvuvukala ngokukhawuleza, okanye intlungu ebuhlungu engalawulwayo. Ezi ziphumo zingabonisa i-fracture evulekile, i-neurovascular compromise, okanye uxinzelelo oluyingozi ngaphakathi kwezicubu.

Ukuxilongwa kunye noVavanyo lweRadiographic

I-radiographs esemgangathweni yangaphambili kunye ne-lateral wrist radiographs isetyenziselwa ukuchonga ukuphuka kunye nokuvavanya ukufuduka. Iimbono ze-Oblique zinokunceda kwiimeko ezikhethiweyo. I-computed tomography inokunika iinkcukacha ezithe kratya xa i-intra-articular fracture inzima okanye xa isicwangciso sokusebenza sifuna inkcazo ecacileyo yeeqhekeza.

Imilinganiselo yerediyo ye-Posteroanterior yewrist kwi-distal radius fracture — Kumbono we-PA, oogqirha bavavanya ukuphakama kwe-radial, ukuthambekela kwe-radial, ukwahluka kwe-ulnar, kunye ne-articular congruity.

Irediyografi yesihlahla esisecaleni ebonisa umlinganiselo wokuthambeka kwevolar kunye nomqolo — Kwimbono esecaleni, i-volar okanye i-dorsal tilt kunye nokulungelelaniswa kwe-carpal kuyavavanywa.

Uphawu lweRadiographic	Into eyichazayo	Kutheni ibalulekile
Ukuphakama kweRadial	Ubude beradiyasi ekude ngokubhekiselele kumanqaku okubhekisela kumphezulu odibeneyo.	Ukulahleka kobude kunokutshintsha ukuhanjiswa komthwalo kunye nokuhluka kwe-ulnar.
Utyekelo lweradial	Ithambeka le-distal radial articular surface kumbono we-PA.	Ukuthambekela okuncitshisiweyo kunokubonakalisa ukuwa okanye ukufuduka ngasecaleni.
Ukuthambeka kweVolar/dorsal	Ukuqhelaniswa kwe-sagittal ye-articular surface kwi-lateral view.	Ukutyekeka okugqithisileyo kwedorsal okanye i-volar kunokuchaphazela ubuchwephesha besihlahla.
Inyathelo le-Articular okanye i-gap	Ukulahleka kokulungelelaniswa okugudileyo kwindawo edibeneyo.	Inceda ukuchaza iinjongo ze-intra-articular displacement kunye nonyango.
Ukwahluka kwe-Ulnar	Ubude obunxulumeneyo be-ulna ekude kunye neradiyasi.	Inokutshintsha xa iradiyasi imfutshane kwaye ibe nefuthe ekulayisheni kwe-ulnocarpal.

Indlela iDistal Radius Fractures ezihlelwa ngayo

Amagama achazayo afana noColles , Smith , kunye noBarton fractures banxibelelanisa iimpawu zokufuduka, kodwa abafaki yonke ingozi. Uvavanyo lwanamhlanje luphinda lurekhode ukuba i-fracture ivuliwe okanye ivaliwe, i-extra-articular okanye i-intra-articular, i-displaced okanye i-nondisplaced, i-stable okanye ingazinzile, kwaye ilula okanye i-comminuted.

Ukuhlelwa kweFernandez ngendlela

Amaqela e-Fernandez inkqubo yophuka ngokwendlela eyonakalisayo yokulimala. Inokunceda oogqirha bacinge malunga nokulimala kwezicubu ezithambileyo kunye nesicwangciso sokulungiswa, kodwa unyango alukhethwanga kuhlelo lodwa.

Fernandez chwetheza I distal radius egoba umzobo wokwaphuka — **Uhlobo I:** ukugoba ukwaphuka, rhoqo ngokusilela kwe-metaphyseal cortical.

Fernandez uhlobo II distal radius ukucheba umzobo wokwaphuka — **Uhlobo lwe-II:** ukwenzakala kokucheba, kubandakanywa nokuqhekeka kwerim-dislocations.

Fernandez uhlobo lwe-III distal umzobo wokwaphuka kweradiyasi yoxinzelelo — **Uhlobo lwe-III:** ukulimala koxinzelelo kunye ne-articular impaction.

Fernandez uhlobo IV distal radius avulsion fracture umzobo — **Uhlobo lwe-IV:** ukulimala kwe-avulsion ebandakanya iziqhotyoshelo ze-ligament.

Fernandez uhlobo V oludityanisiweyo distal radius fracture umzobo — **Uhlobo lwe-V:** udibaniso oludibeneyo wokulimala kwamandla kunye neendlela ezininzi.

Lukhethwa Njani Unyango

Injongo asikokwenza nje ukuba iX-reyi ibonakale iqhelekile. Unyango lufuna i-wrist ekhululekile, ezinzileyo, esebenzayo ngelixa lilinganisa imingcipheko ye-anesthesia, utyando, immobilization, ukuqina, kunye nokulahlekelwa kokunciphisa. Isigqibo ekwabelwana ngaso kufuneka sithathelwe ingqalelo:

ukuchithwa kwe-fracture, i-comminution, ukubandakanyeka ngokubambisana, kunye nokuzinza emva kokunciphisa;
ukulimala okuvulekileyo, iimpawu ze-nerve, ukujikeleza, kunye nemeko ye-soft-tissue;
ubudala besigulane njengommeli-kungekhona indawo-yesimo se-physiologic kunye nemfuno yokusebenza;
umgangatho wamathambo, okunye ukwenzakala, iimeko zonyango, umsebenzi, kunye nolawulo lwezandla;
ukukwazi ukuya kulandelelo kunye nokuthatha inxaxheba kukubuyisela kwisimo sangaphambili;
iinjongo zesigulana kunye nokunyamezela iinzuzo kunye nobungozi bokhetho ngalunye.

Umxholo wesiKhokelo: Isikhokelo se-AAOS/ASSH sixhasa ukulungiswa kokusebenza kwizigulane ezininzi ezingezizo iintsholongwane xa, emva kokunciphisa, ukunciphisa i-radial kudlula i-3 mm, i-dorsal tilt idlula i-10 °, okanye i-intra-articular displacement / step-off idlula i-2 mm. Kwizigulane ze-geriatric-ngokuqhelekileyo zimelwe kwizifundo nge-65 yobudala okanye ngaphezulu-utyando ngokuqhelekileyo aluphuculi iziphumo zexesha elide ezixelwe ngesigulana xa kuthelekiswa nokhathalelo olungenalo utyando. Le mida yazisa, kodwa ayithathi ndawo, isigwebo sonyango lomntu ngamnye.

Unyango olungaqhawukiyo

Ukwaphuka okuzinzileyo okungabekwanga endaweni okanye okwamkelekileyo kunokulawulwa ngeqhina okanye isamente. Ukwaphuka okufuduswayo kunokuqale kuncitshiswe, kulandelwe kukungashukumi. Uvavanyo olulandelwayo kunye neeradiographs zicwangciswe ngokwendlela yokuziphatha yokuphuka kunye nesigwebo somgqirha ngenxa yokuba ezinye iifractures zinokulahlekelwa ukulungelelaniswa njengoko ukuvuvukala kuncipha.

Ukhuseleko lokuqala: i-splint ivumela indawo yokuvuvukala kwangaphambili; ukuphakamisa kunye nokunyuswa kweminwe kunokucetyiswa.
Ukunciphisa xa kufuneka: ukuphuka kulungelelaniswa kusetyenziswa i-analgesia efanelekileyo okanye i-anesthesia.
Ukungashukumi kunye nokuphonononga: ukulingana kwe-cast, ukujikeleza, ukuva, kunye nokulungelelaniswa kuyavavanywa kwakhona.
Ukubuyisela kwisimo sangaphambili: ukunyakaza kwesandla kunye ne-forearm kuyaziswa xa ukuphilisa kunye nokuzinza kuvumela.

Ukunyanzeliswa kokungahlinzeki kokwaphuka kweradiyasi ekude — I-immobilization inokufaneleka xa ukulungelelaniswa kwamkelekile kwaye i-fracture ihlala izinzile.

Lunokuqwalaselwa Nini Utyando?

Utyando lunokuxutyushwa xa ulungelelwaniso olwamkelekileyo alukwazi ukufezekiswa okanye lugcinwe, indawo edibeneyo ikhutshwe kakhulu, i-fracture ivulekile, i-carpus ayizinzile, okanye ipateni yokulimala ayinakwenzeka ukuba ihlale iqinile kwi-cast cast. Ukusebenza kunye nokufakelwa kukhethwe kwipateni ethile yeqhekeza kunye nesigulane-kungekhona nje kwileyibhile yokuxilonga.

Iinketho zoTyando kwiiNdawo zeDistal Radius

Indlela	Indima eqhelekileyo	Izithintelo ezibalulekileyo okanye imingcipheko
Percutaneous K-wire fixation	Iifractures ezikhethiweyo ezincitshisiweyo ezinokuzinziswa kunye nezikhonkwane kunye nokunyanzeliswa kwe-supplementary immobilization.	Usulelo lwe-pin-tract, ukufuduka kocingo, ilahleko yokuncitshiswa, kunye nesidingo sokhathalelo lwephini.
Ukulungiswa kwangaphandle	Ukukhethwa okungazinzanga, okuvulekileyo, ukunyanzeliswa okukhulu, okanye ukulimala kwezicubu ezithambileyo; inokuba yeyokwexeshana okanye eqinisekileyo.	Iingxaki ze-pin-tract, ukuqina, ukucaphuka kwe-nerve / tendon, kunye nokulahleka kokulungelelaniswa.
Isitya sokutshixa seVolar	Iipateni ezininzi ezingazinzanga ze-extra-articular kunye ne-intra-articular ezifuna ukunciphisa ngokuthe ngqo kunye nenkxaso ye-angle esisigxina.	I-Flexor tendon irritation okanye ukuphuka, iimpawu ze-nerve, ukungena kwe-screw, ukusuleleka, kunye neempawu ze-hardware.
Ipleyiti yomqolo	I-dorsal rim ekhethiweyo okanye amaqhekeza e-dorsal shear angalawulwa ngokwaneleyo ukusuka kwicala le-volar.	Ukucaphuka kwethenda ye-Extensor kunye nokubalasela kwehardware.
Ipleyiti yebhulorho yaseDorsal	Ukwaphuka okuphezulu apho ipleyiti ijikeleza isihlahla kwaye isebenzisa i-ligamentotaxis.	Ukunciphisa okwexeshana ukushukuma kwesihlahla kwaye ngokuqhelekileyo kufuna ukususwa kwepleyiti kamva.
Ukulungiswa okuthe ngqo kweqhekeza	Iipateni ezintsonkothileyo apho iikholamu ze-articular nganye okanye iziqwenga zeerim zifuna inkxaso ekujoliswe kuyo.	Ufakelo oluninzi kunye neendlela zokuqhuba zinokonyusa ukuntsokotha kwezicubu ezithambileyo.

Ubungqina be-AAOS / ASSH bubonisa ukuba akukho ntlukwano enkulu yesiphumo sexesha elide phakathi kweendlela zokulungiswa kwe-articular fractures engazinzanga okanye epheleleyo, nangona iipleyiti zokutshixa i-volar zinokubonelela ngokukhawuleza kokusebenza kwiinyanga ezintathu zokuqala. Ukukhethwa kobuchule bokugqibela buxhomekeke kubuchule bokwaphuka kunye nogqirha wotyando.

Ukulungiswa kwephini ngePercutaneous

Emva kokunciphisa okuvaliweyo okanye okulinganiselweyo, iingcingo zeKirschner ezigudileyo zinokubamba amaqhekeza akhethiweyo. I-Fluoroscopy iqinisekisa ukunciphisa kunye nendawo yocingo. Izikhonkwane zinokushiywa ngaphandle kwesikhumba okanye zingcwatywe, kuxhomekeke kubuchule, kwaye isihlahla siqhele ukukhuselwa kwi-splint okanye i-cast.

I-Percutaneous Kirschner wire fixation ye-distal radius fracture — Iingcingo zePercutaneous zinokuncedisa ukunciphisa okuzinzile kwiipateni ezikhethiweyo zokuphuka.

Ukulungiswa kwangaphandle

Isilungisi sangaphandle sisebenzisa izikhonkwane ezibekwe ngaphandle kwendawo yokuphuka kwaye zixhunywe kwisakhelo sangaphandle. Ulwakhiwo lwe-wrist-spanning lunokugcina ubude kunye nokulungelelaniswa nge-ligamentotaxis. Isenokudityaniswa neengcingo, iipleyiti ezincinci, okanye uxhulumaniso lwamathambo kumonzakalo onzima. Jonga umzekelo ka isilungisi sangaphandle esihlahleni kunye nesishwankathelo se iinkqubo zokulungiswa kwamathambo zangaphandle.

I-Radiograph yokulungiswa kwangaphandle ukuzinzisa i-distal radius fracture — Ukujongwa kweRadiographic kuhlola ulungelelwaniso lokuqhekeka kunye nendawo yephini.

Ukulungiswa kwepleyiti ye-dorsal

Indlela ye-dorsal inika ukufikelela kwiinqununu ezikhethiweyo ze-dorsal articular kunye neepateni zokucheba. Ukufakelwa kwanamhlanje okuphantsi kweprofayili kunciphisa ubuninzi, kodwa i-tendon extensor ihlala isondele kwi-hardware kwaye kufuneka ikhuselwe. Le mifanekiso ilandelayo ibonisa iikhonsepthi zokulungisa idorsal kunolandelelwano lotyando oluqhelekileyo.

I-Dorsal approach anatomy ye-distal radius plate fixation — Ukuba sesichengeni seDorsal kufuna ulawulo olunenyameko lwamacandelo e-extensor.

Ukubekwa kwepleyiti yeDorsal kwi-distal radius fracture — Inkxaso yomqolo ekujoliswe kuyo inokulawula amaqhekeza omqolo.

I-Radiograph emva kokulungiswa kwepleyiti ye-dorsal ye-distal radius fracture — Umfanekiso wokugqibela ujonga ukuncitshiswa, indawo yepleyiti, kunye nobude besijirufu.

Ukulungiswa kwepleyiti yokutshixa iVolar

I-Volar plating isetyenziswa ngokubanzi kuba inokuxhasa ithambo le-subchondral ukusuka kwicala lesundu ngelixa ugwema ukubekwa ngokuthe ngqo phantsi kwe-tendon extensor. I-flexor carpi radialis interval yindlela eqhelekileyo. Isikhundla seplate, ukubuyiselwa kwendawo edibeneyo, ubude be-screw distal, kunye ne-flexor tendon clearance kufuna ukuqinisekiswa ngokucophelela.

Imizekelo ye-XC Medico ibandakanya a Ipleyiti yokutshixa iradiyasi enemingxuma esi-7 , a Ipleyiti yokutshixa iradiyasi enemingxuma emi-6 , kunye a Ipleyiti yokutshixa i-DVR distal radius . Ezi linki zemveliso zezolwazi lwesixhobo; ukhetho lofakelo luhlala luxanduva lweekliniki eziqeqeshiweyo.

I-Volar plate fixation case ye-distal radius fracture — Umzekelo wemeko: i-volar plate fixation ye-fracture engazinzanga.

I-postoperative PA radiograph ye-volar distal radius plate fixation — I-PA imaging ihlola ukulungelelaniswa kwe-radial kunye nokusabalalisa isikrufu se-distal.

I-radiograph ye-postoperative lateral ye-volar distal radius plate fixation — Iimaging yasemva ivavanya ukuthambeka, ukucutha, kunye nendawo yokufakelwa.

I-distal radius fracture eyinkimbinkimbi ngaphambi kokulungiswa kwepleyiti ye-volar — Ukuqhekeka kwe-articular eyinkimbinkimbi ngaphambi kokulungiswa okuqinisekileyo.

Ukwakhiwa kwepleyiti yokutshixa yokwaphuka kweradiyasi ye-intra-articular distal — Inkxaso ye-angle esisigxina inokuzinzisa amaqhekeza amaninzi akude.

Iziphumo zeRadiographic emva kokulungiswa kwepleyiti ye-volar ye-distal radius fracture — Iimbono zasemva kotyando luxwebhu oludityanisiweyo lwe-congruity kunye nendawo yehardware.

Ibhulorho yeDorsal (ukuphazamiseka) iplating

Iplate yebhulorho isuka kwiradius ukuya kwimetacarpal kwaye isebenza njengesiphazamisi sangaphakathi. Kungaba luncedo kukulimala okukhethiweyo okukhethiweyo okungenakukwazi ukuxhaswa ngokuthembekileyo yi-distal plate eqhelekileyo. Ngenxa yokuba iwela okwexeshana esihlahleni, inkqubo yesibini ecwangcisiweyo iyafuneka ngokubanzi ukususa ipleyiti emva kokuphiliswa.

Ipleyiti yebhulorho yeDorsal enwenwela kuqhekeko lweradiyasi edibeneyo — Ipleyiti yebhulorho yolula isihlahla ukugcina ubude kunye nolungelelwaniso ngelixa ukwaphuka kuphilisa.

Ukulungiswa okuthe ngqo kweqhekeza

Iifracture ezintsonkothileyo zearticular zinokuqulatha iradial styloid, volar rim, dorsal rim, kunye namaqhekeza asembindini anempembelelo. Iinkqubo ezithe ngqo kwiqhekeza zisebenzisa izifakelo ezincinci ezibekwe ukuqinisa amacandelo afuna ulawulo oluthe ngqo. Zisenokusetyenziswa zodwa okanye ngenye indlela yokulungisa.

Inkqubo yokulungiswa kweqhekeza-specific for distal radius fractures — Ukufakelwa kwezinto ezincinci kunokujolisa kwiikholamu ze-articular nganye okanye iziqhekeza zerim.

I-Radiograph yeqhekeza-specific distal fracture fixation — Amanqaku amaninzi okulungiswa anokujongana nepateni enzima yeqhekeza.

UkuBuyisa, ukuBuyiselwa kwisimo sangaphambili, kunye neeNgxaki ezinokwenzeka

Ukunyakaza kweminwe kudla ngokukhuthazwa kwangoko ukuba ukwenzakala kunye nonyango luyakuvumela. Ukuzivocavoca kwesandla kunye neengalo kuqala ngokozinzo, imeko yenxeba, kunye nokuphiliswa kwe-radiographic. Amandla, ubuchwephesha, kunye nonyamezelo lubuyela kancinane ngakumbi kunentshukumo esisiseko, kwaye ukudumba okanye ukuqina okuthile kunokuqhubeka iinyanga. Ukubuyisela kwimeko yesiqhelo kunokwenziwa ekhaya okanye kujongwe ngokuxhomekeke kwiimfuno zesigulana kunye nenkqubo yendawo.

Iingxaki ezinokwenzeka ziquka ukulahlekelwa kokunciphisa, i-malunion, i-nonunion, ukuqina, i-arthritis emva kokuphazamiseka, iimpawu ze-nerve median, i-syndrome ye-complex yengingqi, i-tendon irritation okanye ukuphuka, ukusuleleka, iingxaki ze-pin-tract, kunye ne-hardware ye-symptomatic. Ubundindisholo obutsha, iintlungu ezikhulayo, umkhuhlane, amanzi, okanye ukulahleka okuphawulweyo kokushukuma komnwe kufuna ukuphononongwa kweklinikhi.

Imiba yempilo yethambo: ukuphuka kwesandla esine-low-energy kumntu omdala kunokuba sisilumkiso se-osteoporosis. Izigulane zinokubuza ugqirha wazo ukuba ngaba uvavanyo lwengozi yokuphuka, ukuvavanywa kwamathambo, ukuthintela ukuwa, ukuhlolwa kwe-vitamin D, okanye ezinye iindlela zempilo yethambo zifanelekile.

Imibuzo ebuzwa qho

Ngaba yonke i-distal radius fracture ifuna utyando?

Hayi. Ezinye iifractures zinokuncitshiswa kwaye zihlale zilungelelaniswe ngokufanelekileyo kwisamente. Ukuzinza, ukufuduswa ngokudibeneyo, ubudala, imfuno yokusebenza, impilo, kunye nokukhethwa kwesigulane zonke zinefuthe kwisigqibo.

Kuthatha ixesha elingakanani ukophuka kweradiyasi ekude ukuphola?

Ukuphiliswa kwamathambo kwangoko kukhula malunga neeveki ezintandathu, kodwa ixesha liyahluka. Ukunyakaza, amandla, ukudumba, kunye nokuzithemba kunokuqhubeka nokuphucula iinyanga ezininzi okanye ngaphezulu.

Ngaba ipleyiti ye-volar isoloko iyeyona ndlela ilungileyo yotyando?

Akukho kufakelwa okukodwa kulungileyo kuyo yonke ifracture. Iipleyiti zokutshixa zeVolar ziqhelekile kwaye zinokuxhasa umsebenzi wexesha elifutshane ngaphambili, kodwa izikhonkwane, ukulungiswa kwangaphandle, ukulungiswa komqolo, ukufakwa kwebhulorho, okanye ukufakelwa kweqhekeza elithile kunokuhambelana ngcono neepateni ezithile.

Ngaba kufuneka ipleyiti yeradiyasi ekude isuswe kamva?

Ukususwa kwesiqhelo akusoloko kuyimfuneko. Ukususwa kunokuqwalaselwa ngenxa yokucaphukisa i-tendon, i-hardware evelele okanye ye-symptomatic, usulelo, okanye ezinye izizathu zeklinikhi. Ipleyiti yebhulorho ngokubanzi ifuna ukususwa okucwangcisiweyo kuba yolula esihlahleni.

Isandla sinokuphinda sisetyenziswe ngokuqhelekileyo kwakhona?

Ukusetyenziswa okukhuselekileyo kuxhomekeke ekuzinzeni kwe-fracture, unyango, ukuphiliswa kwe-radiographic, intlungu, kunye nomsebenzi ochaphazelekayo. Imisebenzi elula yemihla ngemihla ihlala ibuya ngaphambi kokubamba ngamandla, ukuphakamisa, ukunxibelelana nemidlalo, okanye umsebenzi onzima. Landela izithintelo zonyango.

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Ezi zibonelelo zangaphakathi zilandelayo zibonelela ngeenkcukacha zokufakelwa, izixhobo, kunye neenkqubo ezihambelana nokwenzakala ezikhankanywe kwesi sikhokelo.

I-Distal Radius Instrument Seti Isixhobo kunye noqwalaselo lwetreyi kwiinkqubo zeplate yeradiyasi ekude. I-7-Hole ye-Distal ye-Distal ye-Distal yokutshixa i-Plate yemilinganiselo yeMveliso, ukuhambelana nesikrufu, kunye noqwalaselo. I-6-Hole ye-Distal ye-Distal yokutshixa i-Plate Enye indlela yokumisela intloko ye-distal kwi-radius ye-volar. I-DVR ye-Distal Radius Locking Plate ye -Distal volar plate yerediyasi iinkcukacha kunye neenkcukacha zenkqubo. I-Wrist External Fixator Amacandelo esakhelo sangaphandle esilungiselelwe usetyenziso lwesandla. IsiXhobo esiNcinci seSixhobo seSixhobo seSixhobo esikhethiweyo sokulungiswa kokwenzakala kweqhekeza elincinci. Trauma System Bhrawuza iipleyiti, izikrufu, izixhobo, kunye neemveliso fixation lwangaphandle. Ulawulo lomgangatho Ulwazi malunga nokuhlolwa kwemveliso kunye neenkqubo zomgangatho.

IiReferensi kunye neSiseko soHlelo

Medical disclaimer: Eli nqaku lelemfundo jikelele kunye neenjongo zobungcali kwimveliso-yereferensi. Ayiboneleli ngoxilongo, icebisa ukufakelwa okuthile, okanye indawo yovavanyo kunye nonyango ngumsebenzi oqeqeshiweyo wezempilo. Ubukho besixhobo, imiqondiso, kunye nobume bolawulo bunokwahluka ngokwelizwe.