Distal radius fractures ndeimwe yeanonyanyaFracturesMuitiro wekiriniki. Kune ruzhinji rwe distal fractures, yakanaka yekurapa mhedzisiro inogona kuwanikwa kuburikidza nePalmar nzira plate uye screw yemukati yekugadziriswa kwemukati. Mukuwedzera, kune akasiyana siyana akakosha mhando dze distal radius makara, akadai seBparton Fraces, kufa-punch zvikanganiso,Chauffeur's Fractures, nezvimwe., mumwe nemumwe anokumbira kurapwa kwakananga kuswedera. Nyanzvi dzekunze, mukudzidza kwavo samples dzakakura dzevatambi veRadius Fracza, uye zvidimbu zvepafumi zvinoumba chidimbu cheChinorasi ne "Tetrahedron), inotaurwa nezve" Tetrahedron "Tetrahedron" Tetrahedron "Tetrahedron" Tete.
Pfungwa ye "Tetrahedron" Type Distal Radius Fracture, kupunzika kunoitika mukati mechibatanidzwa Iyo fracture mutsara inoenda kumucheto wakashata weradius.
Iko kusixs yekukanganisa uku kunoratidzwa mune zvakasarudzika zvikamu zveMuchindwe-Ulnar Side Falgment zvidimbu zveRadius. Pane rumwe ruoko, iyo Fosta Fosta yakaumbwa neaya maPalmar-Ulnar Side Falt Side Falgs Inoshanda seyuranga remuviri pamusoro pevhisi disclocation yemabhonzo eCarpal. Kurasikirwa kwekutsigirwa kubva kune ino chimiro chinoguma nekuvanzika kweVolar disclation yechiuno. Kune rimwe divi, sechinhu cheiyo discal radioLinen Joint's Radil's Radil Indiculence
Mufananidzo uri pazasi unoratidza nyaya 1: kufungidzira kuratidzwa kweiyo chaiyo "Tetrahedron" Type distal radius kupwanya.
Mune chidzidzo chinotanga makore mashanu, nyaya nomwe dzerudzi urwu rwekupwanya dzakaonekwa. Nezve zviratidzo zvekuvhiya, kwezviitiko zvitatu, zvinosanganisira kesi 1 mumufananidzo uri pamusoro apa, uko kwaive kwekutanga kusatorwa, kurapa kwekuchengetedza pakutanga kwakasarudzwa pakutanga. Nekudaro, panguva yekutevera, ese matatu emakesi akasangana neakakomberwa kudzikama, zvichitungamira kune inotevera yekugadziriswa kwemukati yekuvhiya. Izvi zvinoratidza kuti yakakwirira chikamu chekusagadzikana uye njodzi yakakosha yengozi muzvipundu mumhando iyi mhando, ichisimbisa chiratidzo chakasimba chekupindira kwekuvhiya.
Panyaya yekurapa, zviitiko zviviri pakutanga zvakambosvikirwa nemhando yemhando yekuteedzera neclexor carpi radialis (fcr) yemapani uye screw yemukati yekugadziriswa kwemukati. Mune imwe yezviitiko izvi, gadziriso yakundikana, zvichikonzera kudzikiswa kwemapfupa. Pashure pacho, nzira yeMalnar-ulnar-ulnar yakashandiswa, uye chaiyo yekugadziriswa nedombo redare rakaitwa nekuda kwekunyorwa kweCentral Centur. Mushure mekuitika kwekugadziriswa kwekutadza, iyo inotevera nyaya shanu kesi zvese zvataurwa neLumar-Ulnar nzira uye yakagadziriswa ne 2.0mm kana 2.4mm malates
Nyaya yechipiri: Inoshandisa iyo YEMAHARA YOKUDYA YOKUTI YAKAITWA NEMAHARA Carpi Radialis (fcr), gadziriso nekapani plan yakaitwa. Postoftiratively, Anterior dislocation yechiuno chakaonekwa, zvichiratidza kutadza kwekugadziriswa.
Zvemhosva yechipiri, ichishandisa iyo nzira yeMalnar-ulnar-ulnar uye kudzokorora nedumbu rakakonzerwa nenzvimbo inogutsa yekugadziriswa kwemukati.
Kufunga nezvekukanganisa kwezvinhu zvakasikwa distal Chekutanga, kushandiswa kweiyo vhasi yekuenda neyechilexor carpi radialis (fcr) inogona kukonzera kuratidzwa kwakakwana. Kechipiri, kukura kwakakura kwemapuranji-ekuvhara plate kunogona kunge kusanyatsochengetera zvidimbu zvidiki zvepfupa uye zvinogona kuvadzingirira nekuisa zviyero zviri pakati pezvimedu.
Naizvozvo, nyanzvi dzinopa kushandisa 2.0mm kana 2.4mh locking mahwendefa ekugadziriswa kwakananga kweCentral Centur Bone Fragment. Pamusoro pekutsigira ndiro, uchishandisa zviyero zviviri kugadzirisa iyo pfupa
Mune ino kesi, mushure mekugadzirisa chidimbu chepfupa nemakona maviri, ndiro yakaiswa kuchengetedza zviyero.
Mukupfupikisa, iyo "Tetrahedron" Type distal radius kupwanya inoratidzira hunhu hunotevera:
1. Yakaderera zviitiko zvine huwandu hwakanyanya hwekutanga kufambisa firimu misdiagnosis.
2. Yakanyanya njodzi yekusagadzikana, ine tsika yekutsvagisa panguva yekuchengetedza kurapwa.
3
Kupiwa maitiro aya, mune clinical tsika, inopa zano rekuita ct scans kana nguva yekudzokorora kwemarwere ane zviratidzo zvakakosha asi zvisina kunaka X-ray. Yerudzi urwu rwekupwanyika, kupindira kwekutanga kwekuvhiya kwedanho-yakatarwa
Kutumira Nguva: Oct-13-2023
