I-Distal Radius Fractures: Ukuxilongwa, Ukuhlelwa Nokwelashwa

Uhlolojikelele lomtholampilo · Umhlahlandlela wokufundisa obuyekeziwe

I- distal radius fracture ikhefu eliseduze nesihlakala serediyasi. Ukwelashwa kungase kusuke ku-splint noma ukuphonswa kuye ku-percutaneous pin, ukulungiswa kwangaphandle, noma ukulungiswa kwepuleti. Uhlelo olufanele luncike ekuhlelweni kokuqhekeka nokuzinza, ukubandakanyeka okuhlangene, isimo sezicubu ezithambile, ikhwalithi yamathambo, ubudala, izidingo zokusebenza, kanye nezintandokazi zesiguli.

Ukuxilongwa Ukuhlolwa komtholampilo kanye nama-radiographs esihlakala asungula iphethini yokuphuka, ukufuduka, nokubandakanyeka ngokuhlanganyela.

Ukwelashwa Ukuphuka kwezinzile kungase kwelashwe ngaphandle kokuhlinzwa; ukuphuka okungazinzile noma okungahambi kahle kungase kudinge ukulungiswa.

Iminyaka Yomphumela iyodwa ayinqumi ukwelashwa. Isidingo esisebenzayo, ukuziphatha kokuphuka, kanye nokwenza izinqumo okwabelwana ngazo kubalulekile.

Kuyini Ukuphuka Kwe-Distal Radius?

Irediyasi ekude yenza indawo ethwala umthwalo eyinhloko ohlangothini lwesithupha lwesandla. Ukuphuka ngokuvamile kwenzeka phakathi kwamasentimitha ambalwa ejoyinti le-radiocarpal futhi kungase kube ngaphezu kwe-articular, kudlulele ejoyini, noma kuhilele ilunga le-radioulnar elikude. I-ulnar styloid kanye nemigqa esekelayo ingase ilimale.

Ukuwela esandleni eseluliwe kuyindlela evamile. Ukuwa kwamandla aphansi kuvamile kubantu abadala asebekhulile abanamandla amathambo ancishisiwe, kuyilapho ukulimala kwezemidlalo, izigameko zethrafikhi zomgwaqo, nokuwa kusuka ekuphakameni kungase kukhiqize amaphethini aphezulu wamandla ezigulini ezincane.

Ukubuka konke kokuphuka kwerediyasi ekude ebonisa isimo sengalo namaphethini okuphuka — Ukuphuka kweradiyasi ekude kuyahlukahluka ngokuya ngakhona, ukuqhubekela phambili, ukugudluka, kanye nokubandakanyeka kwelunga lesihlakala.

Kungani i-anatomy ibalulekile

I-distal radius ine-articular surface ebanzi futhi isekela i-scaphoid ne-lunate. Izakhiwo eziseduze zifaka i-median nerve, i-flexor ne-extensor tendons, i-radial artery, i-distal radioulnar joint, kanye ne-triangular fibrocartilage complex. Ukubuyisela ukuqondanisa okuwusizo kuyilapho uvikela lezi zakhiwo kuwumgomo oyinhloko wokwelashwa.

Izimpawu Nezimpawu Ezidinga Ukuhlolwa Ngokushesha

Izimpawu ezijwayelekile zihlanganisa ubuhlungu besandla esisheshayo, ukuvuvukala, imihuzuko, ukuzwela, ukunyakaza okuncishisiwe, nobunzima bokubamba. Ukuphuka okususiwe kungase kuveze ukukhubazeka okubonakalayo. Udokotela uphinde ahlole isimo sesikhumba, ukujikeleza kweminwe, ukuzwa, ukusebenza kwe-tendon, nokulimala okuhlobene.

Funa usizo oluphuthumayo lwezokwelapha ukuze uthole inxeba elivulekile, ithambo elibonakala esikhumbeni, isandla esiphaphathekile noma esibandayo, ukuba ndikindiki okuba kubi kakhulu, ukungakwazi ukuhambisa iminwe, ukuvuvukala okwanda ngokushesha, noma ubuhlungu obukhulu obungalawuleki. Lokhu okutholakele kungabonisa ukuphuka okuvulekile, ukuyekethisa kwe-neurovascular, noma ingcindezi eyingozi ngaphakathi kwezicubu.

Ukuxilongwa kanye Nokuhlola I-Radiographic

Kusetshenziselwa ama-radiographs ajwayelekile we-postteroanterior ne-lateral wrist ukuze kuhlonzwe ukuphuka nokuhlola ukugudluzwa. Ukubuka kwe-Oblique kungasiza ezimweni ezikhethiwe. I-Computed tomography inganikeza imininingwane eyengeziwe lapho ukuphuka kwe-intra-articular kuyinkimbinkimbi noma lapho ukuhlela okusebenzayo kudinga incazelo ecacile yezingcezu.

Izilinganiso ze-radiograph yesandla se-Posteroanterior endaweni eqhephukile yerediyasi — Ngokubuka kwe-PA, odokotela bahlola ukuphakama kwe-radial, ukuthambekela kwe-radial, ukuhluka kwe-ulnar, kanye nokuhlangana kwe-articular.

I-radiograph yesihlakala yangemuva ebonisa isilinganiso sokutsheka kwe-volar ne-dorsal — Ekubukeni kwe-lateral, ukutsheka kwe-volar noma i-dorsal kanye nokuqondanisa kwe-carpal kuyahlolwa.

Isici se-Radiographic	Esikuchazayo	Kungani kubalulekile
Ukuphakama kwe-radial	Ubude berediyasi ekude ngokuhlobene namaphoyinti ereferensi endaweni ehlangene.	Ukuncipha kobude kungashintsha ukudluliswa komthwalo kanye nokuhluka kwe-ulnar.
Ukuthambekela kwe-radial	Umthambeko wendawo ye-distal radial articular ekubukeni kwe-PA.	Ukuthambekela okwehlisiwe kungase kubonise ukugoqa noma ukugudluka kwezinhlangothi.
Ukutsheka kwe-Volar/dorsal	Ukuma kwe-sagittal kwendawo ye-articular ekubukeni kwe-lateral.	Ukutsheka kwe-dorsal ngokweqile noma i-volar kungase kuthinte imishini yesihlakala.
Isinyathelo se-Articular noma igebe	Ukulahleka kokuqondanisa okubushelelezi endaweni ehlangene.	Isiza ukuchaza izinjongo zokufuduka kwe-intra-articular kanye nokwelashwa.
Ukuhluka kwe-Ulnar	Ubude obuhlobene be-distal ulna kanye nerediyasi.	Ingashintsha lapho irediyasi iba mfishane futhi ibe nomthelela ekulayishweni kwe-ulnocarpal.

Indlela I-Distal Radius Fractures Ihlukaniswa Ngayo

Amagama achazayo afana no -Colles , Smith , kanye no-Barton fractures axhumana nesici samaphethini okususwa, kodwa awafaki konke ukulimala. Ukuhlola kwesimanje futhi kurekhoda ukuthi ukuphuka kuvuliwe noma kuvaliwe, i-extra-articular noma intra-articular, displaced noma nondisplaced, izinzile noma azinzile, futhi ilula noma yenziwe.

Fernandez ngezigaba ngomshini

Amaqembu esistimu ye-Fernandez aphuka ngokuya ngendlela yokulimala evelele. Kungasiza odokotela ukuthi bacabange ngesu elihlobene nokulimala kwezicubu ezithambile kanye nokulungisa, kodwa ukwelashwa akukhethiwe ekuhlukaniseni kuphela.

Fernandez thayipha I-distal radius egoba umfanekiso wokuphuka — **Thayipha I:** ukuphuka okugobayo, ngokuvamile ngokuhluleka kwe-metaphyseal cortical.

Umfanekiso we-Fernandez uhlobo II distal radius ukugunda ukuphuka — **Uhlobo II:** ukulimala kokugunda, okuhlanganisa ukuphuka kwerimu-dislocation.

Umfanekiso we-Fernandez wohlobo III we-distal wokuqhekeka kwerediyasi — **Uhlobo III:** ukulimala kokucindezelwa nge-articular impaction.

U-Fernandez uhlobo lwe-IV distal radius avulsion fracture umfanekiso — **Uhlobo IV:** ukulimala kwe-avulsion okubandakanya okunamathiselwe kwi-ligament.

Umdwebo we-Fernandez wohlobo lwe-V ohlangene we-distal radius fracture — **Uhlobo V:** ukulimala okunamandla okuhlanganisiwe okunezindlela eziningi.

Indlela Ukwelashwa Kukhethwa Ngayo

Inhloso akukhona nje ukwenza i-X-ray ibukeke ijwayelekile. Ukwelashwa kufuna isihlakala esinethezekile, esizinzile, esisebenza kahle kuyilapho kulinganisa ubungozi bokubulala izinzwa, ukuhlinzwa, ukunganyakazi, ukuqina, nokulahlekelwa ukuncishiswa. Isinqumo esabiwe kufanele sicabangele:

ukususwa kwe-fracture, ukukhishwa, ukubandakanyeka ngokuhlanganyela, nokuzinza ngemva kokunciphisa;
ukulimala okuvulekile, izimpawu zemizwa, ukujikeleza, nesimo sezicubu ezithambile;
iminyaka yesiguli njengommeleli—hhayi esikhundleni—sesimo somzimba nesidingo sokusebenza;
ikhwalithi yamathambo, okunye ukulimala, izimo zezokwelapha, umsebenzi, nokubusa kwezandla;
ikhono lokuhambela ukulandelela nokubamba iqhaza ekuhlumelelweni;
imigomo yesiguli nokubekezelela izinzuzo nezingozi zokhetho ngalunye.

Umongo wesiqondiso: Isiqondiso se-AAOS/ASSH sisekela ukulungiswa kokusebenza ezigulini eziningi ezingezona izingane lapho, ngemva kokwehliswa, ukufinyezwa kwe-radial kudlula u-3 mm, ukutsheka komgogodla kudlula u-10°, noma ukugudluka/ukusuka kwe-intra-articular kudlula u-2 mm. Ezigulini ezisakhula—okuvame ukumelelwa ezifundweni ezineminyaka engu-65 noma ngaphezulu—ukuhlinzwa ngokuvamile akuthuthukisi imiphumela yesikhathi eside ebikwe isiguli uma kuqhathaniswa nokunakekelwa okungahlinzeki. Le mikhawulo yazisa, kodwa ayishintshi, ukwahlulela komtholampilo komuntu ngamunye.

Ukwelashwa Ngokungahlinzeki

Ukuphuka okuzinzile okungagudluki noma okuqondaniswe ngokwamukelekile kungase kuphathwe nge-splint noma ukhonkolo. Ukuphuka okususiwe kungase kuqale kuncishiswe, kulandelwe ukungakwazi ukuhamba. Ukuhlolwa kokulandelela kanye nama-radiographs ahlelwe ngokuya ngokuziphatha kokuphuka kanye nesinqumo sikadokotela ngoba ezinye iziphuka zingalahlekelwa ukuqondana njengoba ukuvuvukala kuncipha.

Isivikelo sokuqala: i-splint ivumela indawo yokuvuvukala ekuqaleni; ukuphakama nokunyakaza komunwe kungase kwelulekwe.
Ukunciphisa lapho kudingeka: ukuphuka kulungiswa kabusha kusetshenziswa i-analgesia efanele noma izinzwa.
Ukunganyakazi kanye nokubuyekezwa: ukulingana kwe-cast, ukujikeleza, ukuzwa, nokuqondanisa kuyabuyekezwa.
Ukuvuselela: ukunyakaza kwesandla nengalo kuyethulwa lapho ukuphulukiswa nokuzinza kuvumela.

Ukuvalwa okungahlinzeki kokuqhekeka kwerediyasi ekude — Ukunganyakazi kungase kufaneleke lapho ukuqondanisa kwamukeleka futhi ukuphuka kuhlala kuzinzile.

Kungacatshangelwa Nini Ukuhlinza?

Ukuhlinzwa kungase kuxoxwe lapho ukulungiswa okwamukelekayo kungenakufinyelelwa noma ukugcinwa, indawo ehlangene isuswa kakhulu, i-fracture ivulekile, i-carpus ingazinzile, noma iphethini yokulimala ayinakwenzeka ukuthi ihlale izinzile ku-cast. Ukusebenza nokufakwayo kukhethelwa iphethini yesiqephu esithile nesiguli—hhayi nje elebula lokuxilonga.

Izinketho zokuhlinza zokuqhekeka kwe-Distal Radius

Indlela	Indima evamile	Imikhawulo ebalulekile noma izingozi
I-Percutaneous K-wire fixation	Ukuqhekeka okuncishisiwe okukhethiwe okungaqiniswa ngezikhonkwane kanye nokunganyakazi okwengeziwe.	Ukutheleleka nge-pin-tract, ukufuduka kwezintambo, ukulahlekelwa ukuncishiswa, nesidingo sokunakekelwa kwamaphini.
Ukulungiswa kwangaphandle	Kukhethwe ukulimala okungazinzile, okuvulekile, okuyekethisa kakhulu, noma okunezicubu ezithambile; kungaba eyesikhashana noma eqondile.	Izinkinga ze-pin-tract, ukuqina, ukucasuka kwemizwa/i-tendon, nokulahlekelwa ukuqondanisa.
Ipuleti lokukhiya le-Volar	Amaphethini amaningi e-extra-articular kanye ne-intra-articular angazinzile adinga ukuncishiswa okuqondile nokusekelwa kwe-engeli engaguquki.	Ukucasuka noma ukuphuka kwethenda ye-Flexor, izimpawu zemizwa, ukungena ngezikulufu, ukutheleleka, nezimpawu ze-hardware.
Ipuleti le-dorsal	Izingcezu ze-dorsal shear ezikhethiwe ezingalawulwa ngokwanele ukusuka ohlangothini lwe-volar.	Ukucasuka kwethenda ye-Extensor kanye nokugqama kwehadiwe.
Ipuleti lebhuloho le-Dorsal	Ukuphuka okwenzeka kakhulu lapho ipuleti lelula isandla futhi lisebenzisa i-ligamentotaxis.	Ikhawulela ukunyakaza kwesandla okwesikhashana futhi ngokuvamile idinga ukususwa kwepuleti kamuva.
Ukulungiswa okuqondene nesiqephu	Amaphethini ayinkimbinkimbi lapho amakholomu e-articular ngayinye noma izingcezu zamarimu zidinga ukwesekwa okuqondisiwe.	Ama-implants amaningi kanye nezindlela ezisetshenziswayo kungase kwandise ubunkimbinkimbi bezicubu ezithambile.

Ubufakazi be-AAOS/ASSH bubonisa ukuthi awukho umehluko omkhulu wemiphumela yesikhathi eside phakathi kwamasu okulungisa ama-articular fractures angazinzile noma aphelele, nakuba amapuleti okukhiya i-volar angase anikeze ukutakula kokusebenza kwangaphambilini ezinyangeni ezintathu zokuqala. Ukukhethwa kwesu lokugcina kuncike kulwazi lokuphuka kanye nodokotela ohlinzayo.

Ukulungiswa kwephinikhodi ye-Percutaneous

Ngemuva kokwehliswa okuvaliwe noma okuvulekile okulinganiselwe, izintambo ezibushelelezi ze-Kirschner zingabamba izingcezu ezikhethiwe. I-Fluoroscopy iqinisekisa ukuncishiswa nokuma kocingo. Izikhonkwane zingashiywa ngaphandle kwesikhumba noma zigqitshwe, kuye ngokuthi isetshenziswa kanjani, futhi isihlakala sivamise ukuvikelwa ngokuphonswa noma ukhonkolo.

Ukulungiswa kwentambo ye-Percutaneous Kirschner yokuphuka kwerediyasi ekude — Izintambo ze-Percutaneous zingase zingezelele ekunciphiseni okuzinzile kwamaphethini akhethiwe okuphuka.

Ukulungiswa kwangaphandle

Isilungisi sangaphandle sisebenzisa izikhonkwane ezibekwe ngaphandle kwendawo yokuphuka futhi zixhunywe kuhlaka lwangaphandle. Isakhiwo esilula isihlakala singagcina ubude nokuqondanisa nge-ligamentotaxis. Ingase futhi ihlanganiswe nezintambo, amapuleti amancane, noma ukuxhunyelelwa kwethambo ekulimaleni okuyinkimbinkimbi. Bheka isibonelo sika a isihlakala sangaphandle sesihlakala kanye nesifingqo se izinhlelo zokulungisa zangaphandle ze-orthopedic.

I-Radiograph yokulungiswa kwangaphandle kuzinzisa ukuphuka kwerediyasi ekude — Ukuqapha nge-Radiographic kuhlola ukuqondanisa ukuphuka kanye nokuma kwephini.

Ukulungiswa kwamapuleti e-dorsal

Indlela ye-dorsal inika ukufinyelela ezincekwini ezikhethiwe ze-dorsal articular kanye namaphethini okugunda. Izimila zesimanje ezinephrofayili ephansi zinciphisa inqwaba, kodwa i-extensor tendon ihlala iseduze ne-hardware futhi kufanele ivikelwe. Izithombe ezilandelayo zibonisa imiqondo yokulungiswa komgogodla esikhundleni sokulandelana kokuhlinzwa kwendawo yonke.

I-Dorsal approach anatomy ye-distal radius plate fixation — Ukuchayeka emgodleni kudinga ukuphathwa ngokucophelela kwezingxenye ezinwebekayo.

Ukubekwa kwepuleti le-Dorsal endaweni eqhekekileyo ye-distal — Ukwesekwa komgogodla okuqondisiwe kungase kulawule izingcezwana zamarimu omgogodla.

I-Radiograph ngemva kokulungiswa kwepuleti le-dorsal lokuphuka kwe-distal radius — Isithombe sokugcina sihlola ukuncishiswa, ukuma kwepuleti, nobude bezikulufu.

I-Volar locking plate fixation

I-Volar plating isetshenziswa kabanzi ngoba ingasekela ithambo le-subchondral ukusuka ohlangothini lwesundu ngenkathi igwema ukubekwa okuqondile ngaphansi kwe-tendon extensor. I-flexor carpi radialis interval iyindlela evamile. Ukuma kwepuleti, ukubuyiselwa kwendawo ehlanganyelwe, ubude besikulufu esikude, kanye nokucaciswa kwe-flexor tendon kudinga ukuqinisekiswa ngokucophelela.

Izibonelo ze-XC Medico zihlanganisa a Ipuleti lokukhiya irediyasi eyizimbobo ezingu-7 , a Ipuleti lokukhiya irediyasi eyizimbobo ezingu-6 , kanye a Ipuleti lokukhiya i-DVR distal radius . Lezi zixhumanisi zomkhiqizo ezemininingwane yedivayisi; ukukhetha kokufakelwa kuhlala kuwumthwalo wabahlengikazi abaqeqeshiwe.

Ikesi lokulungisa ipuleti le-Volar lokuphuka kwerediyasi ekude — Isibonelo sekesi: ipuleti le-volar fixation lokuphuka okungazinzile.

I-radiograph ye-Postoperative PA ye-volar distal radius plate fixation — I-PA imaging ihlola ukuqondanisa kwe-radial kanye nokusatshalaliswa kwesikulufu esikude.

I-postoperative lateral radiograph ye-volar distal radius plate fixation — I-Lateral imaging ihlola ukutsheka, ukunciphisa, nokufaka indawo.

Ukuphuka kweradiyasi eyinkimbinkimbi ngaphambi kokulungiswa kwepuleti le-volar — Ukuphuka kwe-articular okuyinkimbinkimbi ngaphambi kokulungiswa okuqondile.

Ukwakhiwa kwepuleti lokukhiya le-Volar lokuphuka kwerediyasi ye-intra-articular distal — Usekelo lwe-engeli engaguquki lungazinzisa izingcezu eziningi ze-distal.

Umphumela we-radiographic ngemva kokulungiswa kwepuleti le-volar lokuphuka kwe-distal radius — Ukubuka kwangemva kokuhlinzwa kubhala ukuhlangana okuhlanganyelwe kanye nokuma kwehadiwe.

I-Dorsal bridge (ukuphazamiseka) ukucwenga

Ipuleti lebhuloho lisuka ku-radius liye ku-metacarpal futhi lisebenza njengesiphazamisi sangaphakathi. Kungase kube usizo ekulimaleni okukhethiwe okuncishisiwe okungenakusekelwa ngokuthembekile ipuleti le-distal elivamile. Ngenxa yokuthi inqamula isihlakala okwesikhashana, inqubo yesibili ehleliwe ngokuvamile iyadingeka ukuze kukhishwe ipuleti ngemva kokuphola.

Ipuleti lebhuloho le-Dorsal elihlanganisa ukuphuka kweradiyasi ehlangene — Ipuleti lebhuloho linwebeka ingalo ukuze kugcinwe ubude nokuqondanisa ngenkathi ukuphuka kuphola.

Ukulungiswa okuqondene nesiqephu

Ukuphuka kwe-articular okuyinkimbinkimbi kungase kuqukathe i-radial styloid, i-volar rim, i-dorsal rim, nezingcezu ezimaphakathi ezithintekile. Amasistimu aqondene neziqephu asebenzisa izifakelo ezincane ezibekwe ukuze ziqinise izingxenye ezidinga ukulawula okuqondile. Zingasetshenziswa zodwa noma ngenye indlela yokulungisa.

Isistimu yokulungisa i-fragment ethize yokuphuka kwerediyasi ekude — Izimila ezincane zingakhomba amakholomu e-articular ngayinye noma izingcezu zamarimu.

I-Radiograph yokulungiswa kokuphuka kweradiyasi ye-distal eqondene nesiqephu esithile — Amaphoyinti amaningi okulungisa angabhekana nephethini yesiqephu esiyinkimbinkimbi.

Ukubuyisela, Ukuvuselela, kanye Nezinkinga Ezingenzeka

Ukunyakaza kweminwe kuvame ukukhuthazwa kusenesikhathi uma ukulimala nokwelashwa kuvuma. Ukuzivocavoca kwesandla nengalo kuqala ngokuya ngokuzinza, isimo senxeba, nokuphola nge-radiographic. Amandla, ubuciko, nokukhuthazela kuyalulama kancane kunokunyakaza okuyisisekelo, futhi ukuvuvukala okuthile noma ukuqina kungase kuqhubeke izinyanga. Ukubuyisela esimweni esijwayelekile kungase kwenziwe ekhaya noma kugadwe kuye ngezidingo zesiguli kanye nokusebenza kwendawo.

Izinkinga ezingenzeka zihlanganisa ukulahlekelwa kokunciphisa, i-malunion, i-nonunion, ukuqina, i-arthritis yangemuva kwe-traumatic, izimpawu ze-nerve median, i-syndrome yobuhlungu besifunda eyinkimbinkimbi, ukucasuka kwe-tendon noma ukuphuka, ukutheleleka, izinkinga ze-pin-tract, ne-hardware ye-symptomatic. Ukuba ndikindiki okusha, ubuhlungu obandayo, imfiva, ukuphuma kwamanzi, noma ukulahlekelwa umunwe kudinga ukubuyekezwa komtholampilo.

Izindaba zempilo yamathambo: ukuphuka kwesihlakala esingenawo amandla amancane kumuntu omdala kungase kube uphawu oluyisixwayiso lwe-osteoporosis. Iziguli zingabuza umtholampilo wazo ukuthi ukuhlolwa kwengozi yokuphuka, ukuhlolwa kokuqina kwamathambo, ukuvimbela ukuwa, ukuhlolwa kwevithamini D, noma ezinye izinyathelo zempilo yamathambo zifanelekile.

imibuzo ejwayelekile ukubuzwa

Ingabe yonke i-distal radius fracture esusiwe idinga ukuhlinzwa?

Cha. Okunye ukuphuka kungancishiswa futhi kuhlale kuhambisana nokhonkolo. Ukuzinza, ukufuduka ngokuhlanganyela, ubudala, isidingo sokusebenza, impilo, kanye nezintandokazi zesiguli konke kunomthelela esinqumweni.

Kuthatha isikhathi esingakanani ukuphuka kweradiyasi ekude ukuze kuphole?

Ukuphulukiswa kwamathambo kwasekuqaleni kuvame ukuvela cishe amasonto ayisithupha, kodwa umugqa wesikhathi uyahlukahluka. Ukunyakaza, amandla, ukuvuvukala, kanye nokuzethemba kungase kuqhubeke kuthuthuka izinyanga ezimbalwa noma ngaphezulu.

Ingabe ipuleti le-volar lihlala liyindlela engcono kakhulu yokuhlinzwa?

Akukho ukufakelwa okukodwa okungcono kukho konke ukuphuka. Amapuleti okukhiya avamile avamile futhi angase asekele umsebenzi wangaphambilini wesikhathi esifushane, kodwa izikhonkwane, ukulungiswa kwangaphandle, ukuqina komhlane, ukufakwa kwebhuloho, noma okufakelwayo okuqondene nesiqephu kungase kufane kangcono namaphethini athile.

Ingabe i-distal radius plate kufanele ikhishwe kamuva?

Ukususwa okujwayelekile akudingekile ngaso sonke isikhathi. Ukususwa kungase kucatshangelwe ukucasuka kwe-tendon, i-hardware evelele noma enezimpawu, ukutheleleka, noma ezinye izizathu zomtholampilo. Ipuleti lebhuloho ngokuvamile lidinga ukususwa okuhleliwe ngoba linwebeka ingalo.

Isandla singasetshenziswa nini ngokujwayelekile futhi?

Ukusetshenziswa okuphephile kuncike ekuzinzeni kokuphuka, ukwelashwa, ukuphulukiswa kwe-radiographic, ubuhlungu, kanye nomsebenzi ohilelekile. Imisebenzi elula yansuku zonke ivamise ukubuya ngaphambi kokubamba ngamandla, ukuphakamisa, ukuthintana nemidlalo, noma umsebenzi onzima. Landela imikhawulo yokwelapha.

Izinsiza Ezihlobene ze-XC Medico

Lezi zinsiza ezilandelayo zangaphakathi zihlinzeka ngemininingwane yezimila, amathuluzi, kanye nezinhlelo zokuhlukumezeka ezihlobene okukhulunywe ngazo kulo mhlahlandlela.

I-Distal Radius Instrument Set Amathuluzi nokucushwa kwethreyi kumasistimu wepuleti le-distal radius. I-7-Hole Distal Locking Plate Ubukhulu bomkhiqizo, ukuhambisana nezikulufu, nokucushwa. I-6-Hole Distal Locking Plate I-Distal Locking Plate Okunye ukucushwa kwekhanda elikude le-volar radius. I-DVR Distal Radius Locking Plate Distal izicaciso zepuleti le-volar volar kanye nemininingwane yesistimu. I-Wrist External Fixator Izingxenye zozimele zangaphandle ezihloselwe izinhlelo zokusebenza zengalo. I-Small Fragment Instrument Setha Amathuluzi okulungiswa okukhethiwe kokulimala kweziqephu ezincane. I-Trauma System Phequlula amapuleti, izikulufu, amathuluzi, nemikhiqizo yangaphandle yokulungisa. Ukulawulwa Kwekhwalithi Ulwazi mayelana nokuhlolwa kokukhiqiza kanye nezinqubo zekhwalithi.

Izinkomba kanye Nesisekelo Sokuhlela

Umshwana wokuzikhipha emthwalweni wezokwelapha: Le ndatshana ingeyemfundo evamile kanye nezinjongo zereferensi yomkhiqizo wochwepheshe. Ayihlinzeki ngokuxilongwa, incoma ukufakelwa okuthile, noma imiselele ukuhlolwa nokwelashwa uchwepheshe wokunakekelwa kwezempilo oqeqeshiwe. Ukutholakala kwedivayisi, izinkomba, nesimo sokulawula singahluka ngezwe.