Iko kurapwa kwakanyanya kune distal radius fractures ndiyo alolar Henry nzira nekushandiswa kwemahara ekuvhara uye zviyero zvekugadziriswa kwemukati. Munguva yemukati yekugadzirisa maitiro, hazviwanzo kuve madikanwa kuvhura radiocarpal Joint Capsule. Kugadziriswa kwekudzikiswa kunowanikwa kuburikidza neyekunze kwekunyengera nzira, uye intraoperative fluoroscopy inoshandiswa kuongorora kubatana kwepasi. Muzviitiko zveIntra-artarular kushungurudzika kwezvidimbu, zvakadai sekufa-punch kuderedzwa uye kuongororwa zvisina kufanira, kungave kuri madikanwa kushandisa nzira yekubatsira nekutarisa zvakananga uye kuderedzwa (sezvakaratidzwa mumufananidzo pazasi).
Iyo yekuwedzera ligaments uye intrinssic ligaments yeiyo radiocarpal Joint inoonekwa seyakakosha zvimiro zvekuchengetedza ruoko rwekuchengetera. Nekufambira mberi mukutsvaga kweAnatomical, yakawanikwa kuti, pasi pemamiriro ekuchengetedza kutendeka kweiyo pfupi redhiyo ligament, ichicheka iyo extrinsic lights haina hazvo inoguma nekusagadzikana kwekubatana.
Naizvozvo, mune mamwe mamiriro ezvinhu, kuti uwane maonero ari nani weiyo Joint pamusoro, zvingave zvakafanira kuti uzive zvidimbu zviyero zvechidimbu, uye izvi zvinozivikanwa seyevhoramu intrarticular nzira yewindows (maonero). Sezvinoratidzwa mumufananidzo pazasi:
Mufananidzo AB: Mukufamba kweiyo henry kusvika pakufumura iyo distal pfupa, kuitira kuti uwane kupatsanurana kweiyo distal radius uye scaphoid facet, iyo ruoko rwechiuno rukova runoshandiswa pakutanga. Retsoka anoshandiswa kuchengetedza pfupi pfupi redhiyo redhire ligament. Pashure pacho, iyo refu redhiyo redhiyo ligament yakaiswa kubva kune distal radius akananga kuUlnar Side of the scaphod. Panguva ino, kutaridzika kwakananga kweiyo yakabatana nzvimbo inogona kuwanikwa.
Mufananidzo CD: Mushure mekufumura iyo Joint pamusoro, kuderedzwa kweiyo Sagittal ndege yakaora kushungurudzika yakabatana inoitwa pasi pekuona zvakananga. Bone elevators anoshandiswa kunyengedza uye kuderedza zvidimbu zvepafupa, uye 09m kirsian waires inogona kushandiswa kwenguva pfupi kana yekupedzisira yekugadziriswa. Kamwe chete iyo yakabatana nzvimbo yakaderedzwa zvakakwana, nzira dzakajairika dzeplate uye screw kugadzirisa zvinoteverwa. Pakupedzisira, zvibodzwa zvakagadzirwa munguva refu radiunate ligament uye windoc coint capsule rakashongedzwa.
Iyo yeiyo fundo yeiyo maonero (Volar Intraarticular Window Window) nzira inonyepa mukunzwisisa iyo yekucheka imwe yeruoko inosimbisa ligaments haishande mukugadziriswa kwechiuno. Naizvozvo, zvinokurudzirwa kune zvimwe zvakaoma-tracular commined distal radius fantures uko kuderedzwa kweFluot Maitiro ekuona anokurudzirwa zvakanyanya kuzadzisa hukuru hwakananga hwekuona panguva yekudzikiswa mune zviitiko zvakadaro.
Kutumira Nguva: Sep-09-2023
