Scaphoid a Ɛpaapae
Scaphoid a ɛpaapae ne nsateaa a ɛpaapae sen biara, na ɛyɛ nsateaa nnompe a ɛpaapae nyinaa mu bɛyɛ 70%. Esiane sɛ ɛwɔ nipadua mu gyinabea soronko wɔ nsateaa nnompe nhyehyɛe no mu nti, wɔtaa hwere scaphoid a abubu foforo wɔ ayaresabea nhwehwɛmu mu. Afei nso, ntini soronko a scaphoid no de ma no ma ayarefo nya nsɛnnennen te sɛ nonunion, avascular necrosis (AVN), ne carpal instability wɔ akyiri yi. Wɔ ayaresabea no, ɛyɛ den sɛ wɔbɛsa scaphoid a ɛpaapae na ɛtaa gyaw nea efi mu ba te sɛ nsateaa mu yaw a ɛkɔ so, baabi a wontumi nkɔ baabiara, ne ntini mu yare a ɛba wɔ ahodwiriw akyi.
Dwuma Soro a Scaphoid Di wɔ Anatomical Mu
Scaphoid yɛ dompe a ɛware sen biara wɔ proximal carpal row no mu, ne nsɛso te sɛ hyɛmma ketewa (ɛno nti na wɔtoo din 'scaphoid'). Ɛtrɛw kɔ nsateaa a ɛbɛn ne akyirikyiri ntam, na edi dwuma titiriw wɔ nkyerɛwde abien no nyinaa a ɛma ɛyɛ den na ɛka bom no mu. Nsateaa a ɛkɔ so daa, a nea ɛka ho ne sɛ ɛbɔ, ɛtrɛw, ɛtwetwe kɔ akyirikyiri, ne ulnar deviation nyinaa gyina scaphoid no kankyee a ɛyɛ biako so. Sɛ ɛpaapae pɛ a, nsateaa nkwaa no nyinaa biomechanics no sɛe.
Ntini a Ɛyɛ Fɛ a Wɔde Ma
Scaphoid no nya mogya titiriw fi radial artery no nkorabata mu, na efi akyi ridge ne distal pole no mu hyɛn mu:
Mogya a ɛsen no bɛyɛ 70–80% fa distal tubercle no mu kɔ mu, na ɛsen kɔ akyi de ma proximal pole no aduan.
Nkorabata kakraa bi pɛ na ɛhyɛn proximal pole no mu tẽẽ.
Nea ɛkyerɛ:
Dodow a abubuw no bɛn proximal pole no, dodow no ara na asiane a ɛwɔ hɔ sɛ ntini no bɛsɛe no yɛ kɛse.
Sɛ wɔtwa mogya a ɛkɔ mu no mu pɛ a, asinasin a ɛbɛn no no taa yɛ AVN ne nonunion kɛse.
Ɔkwan a Wɔtaa Fa so Pira
Adeyɛ a ɛtaa fa so pira ne sɛ obi bɛhwe ase wɔ nsa a wɔateɛ so (FOOSH) .Sɛ wɔrehwe ase a, ankorankoro fi awosu mu trɛw wɔn nsa na wɔtrɛw wɔn nsateaa mu de twetwe nkɛntɛnso no denam wɔn nsateaa so. Saa kwan a wɔfa so pira mpɛn pii yi atwetwe ayaresabea ne nhwehwɛmufo adwene kɛse, na wɔde asɛmfua tiawa FOOSH frɛ no kɛse.
Scaphoid Fracture a Wɔde Hu a Wɔkyɛ
Scaphoid a ɛpaapae taa fi FOOSH apirakuru mu. Wɔ nsɛm a emu nyɛ den mu no, ebia nsateaa mu yaw kakra nkutoo na ɛbɛda adi, na ama ayarefo abu wɔn ani agu ayaresa a wɔbɛhwehwɛ so. Sɛ wɔyɛ X-ray (AP ne afã a wɔhwɛ) mpo a, ebia wɔrenhu sɛnea abubu no ntɛm ara. Ayarefo betumi asan aba asram bi akyi a wɔn nsateaa mu yɛ wɔn yaw nkakrankakra, na saa bere no na mfoninitwa da scaphoid a abubu a enni sabea adi—ɛma ɛkyɛ kɛse sɛ wobehu yare no na ɛyera ayaresa mfɛnsere a eye sen biara no.
Nyansahyɛ atitiriw a wɔde hwehwɛ yare mu:
Ɛsɛ sɛ wɔyɛ X-ray mfonini wɔ nsateaa a wɔapirapira nyinaa ho, a scaphoid a wɔhwɛ bere a wosusuw sɛ abubu no ka ho.
Sɛ X-rays nyɛ papa nanso adwenem naayɛ da so ara wɔ hɔ a, ɛsɛ sɛ wɔde immobilization di dwuma, na wɔsan yɛ mfonini wɔ adapɛn 2 akyi.
Sɛ obi ntumi nkɔ baabiara ntɛm a, ebetumi ayɛ ade a wɔde hu yare ne ayaresa nyinaa.
Ayaresa a Wobetumi Apaw
Abɔnten so Nneɛma a Wɔde Siesie
Wobetumi de akisikuru a ɛyɛ foforo a entumi nkɔ baabi foforo no yare denam nea wontumi nkɔ baabiara so. Nanso, ɛsɛ sɛ fixation yɛ katee na ama wɔatumi asa. Ebia plaster anaa resin a wɔde kyekyere nsateaa a wɔtaa de di dwuma no rentumi nni nsateaa ne nsateaa a ɛkyinkyini no so, na ɛbɛma atumi agyina pintinn.
Plaster Cast a Wɔde Yɛ Nneɛma a Ɛntumi Nkɔ Mu:
Nsa tenten nsateaa spica cast:
Wɔakyerɛ sɛ proximal nkyem abiɛsa mu biako abubu (AVN asiane a ɛkorɔn sen biara), vertical/oblique fracture lines, ne nsɛm a edi kan a wohu.
Ɛma nsateaa ntumi nkɔ baabiara wɔ 90°, anim nsa, nsateaa, ne nsateaa kɛse.
Ɛma ahoɔden a ɛsen biara denam anim abasa a ɛkyinkyini a woyi fi hɔ no so.
Nsa tiaa nsateaa spica cast:
Ɛfata ma distal third fractures, tuberosity fractures, ne mfinimfini asen a ɛyɛ den (akyiri yi fã).
Ɛma ahotɔ pii nanso entumi nnyina pintinn pii.
Nneɛma a Wɔde Siesie Nneɛma a Ɛwɔ Mu
Nkurɔfo a Wɔde Nhyɛ Atiri a Enni Ti (Herbert Nkrantɛ) .
Mprempren sika kɔkɔɔ gyinapɛn a wɔde yɛ scaphoid asen a ɛpaapae.
Herbert Cannulated Nhyɛso Nkɛntɛnso
Herbert Screw a Wɔde Nnua a Wɔayɛ no Bevelled
Kirschner Wire (K-wire) Nneɛma a Wɔde Siesie
Ɔkwan a wɔfa so yɛ atetesɛm nanso mfaso wɔ so, a mpɛn pii no ɛyɛ nea ɛka ho.
Mfaso : ɛyɛ mmerɛw, ne bo nyɛ den, ɛmma ntini ahorow no nsɛe kɛse.
Mfomso : ɛnyɛ den koraa, ɛhwehwɛ sɛ wɔde abɔnten so fixation, ɔyare mmoawa ho asiane, yi a ɛho hia sɛ woyi fi hɔ wɔ ayaresa akyi..
Nsɛnkyerɛnne : mmofra akisikuru, bere tiaa mu fixation wɔ comminution, adjunct to screw fixation.
Cannulated Screw Wɔde nhama a ɛyɛ fã bi ayɛ
Cannulated Screw Wɔde nhama a ɛyɛ fã bi ayɛ
Scaphoid Nkabom a Ɛnyɛ Nkabom
Esiane sɛ ntini soronko a ɛde ma nti, scaphoid asen ne proximal fractures taa yɛ nonunion ne AVN.
Ayaresa : Nnompe a wɔde hyɛ mu (a ɛnyɛ ntini anaasɛ ntini mu) a wɔde ka ho ne emu fixation (Herbert screw anaa K-wire). Graft a wɔde besisi hɔ pɛpɛɛpɛ ne articular surface a wɔbɛsan de asi hɔ tẽẽ no ho hia yiye. Wɔ tebea horow bi mu no, ebia ɛho behia sɛ wotwa radial styloidectomy sɛ nnompe a ɛda adi kɛse bere a nsateaa no retu a.
Wiase nyinaa Top 10 Herbert Screw Suppliers ne CZMEDITECH Aguade Ho Nsɛm
Scaphoid a ɛpaapae a wɔsa no ho hia kɛse—ɛnyɛ sɛ ɛbɛma nsateaa asan ayɛ adwuma nko na mmom ɛbɛma ayarefo asetra ne wɔn adwumayɛ tumi akɔ so atra hɔ nso. Afiri a ɛfata a wɔde besi nipadua no mu a wɔbɛpaw no yɛ ade titiriw a ɛbɛma wɔasiw nsɛnnennen ano, anya nea wɔde besi hɔ pɛpɛɛpɛ, na wɔama wɔasan asiesie wɔn ho.
Wɔ nneɛma ahorow a wɔde hyɛ nipadua mu mu no,... Herbert Screw da nsow esiane sɛnea wɔayɛ no soronko ne sɛnea wɔada no adi sɛ ɛyɛ adwuma wɔ ayaresabea nti, na ɛma ɛyɛ mfiri a ɛho hia sen biara wɔ scaphoid akisikuru ho dwumadie mu no mu baako.
Top 10 Herbert Screw Suppliers Wiase Nyinaa
| Rank |
Company Din |
Logo |
| 1 |
DePuy Nneɛma a Wɔde Yɛ Nneɛma |
![Herbert Cannulated Nhyɛso Nkɛntɛnso]() |
| 2 |
Stryker a ɔyɛ ɔkyerɛwfo |
![Herbert Cannulated Nhyɛso Nkɛntɛnso]() |
| 3 |
Zimmer Biomet na ɔkyerɛwee |
![Herbert Cannulated Nhyɛso Nkɛntɛnso]() |
| 4 |
Arthrex na ɔkyerɛwee |
![Herbert Cannulated Nhyɛso Nkɛntɛnso]() |
| 5 |
Smith & Nephew ne ne nua barima |
![Herbert Cannulated Nhyɛso Nkɛntɛnso]() |
| 6 |
Wright Aduruyɛ Kuw |
![Herbert Cannulated Nhyɛso Nkɛntɛnso]() |
| 7 |
Acumed na ɔyɛ |
![Herbert Cannulated Nhyɛso Nkɛntɛnso]() |
| 8 |
aap Fa AG hyɛ nipadua mu |
![Herbert Cannulated Nhyɛso Nkɛntɛnso]() |
| 9 |
Orthofix a wɔde yɛ nneɛma |
![Herbert Cannulated Nhyɛso Nkɛntɛnso]() |
| 10 |
CZMEDITECH NKYEKYƐMU |
![Herbert Cannulated Nhyɛso Nkɛntɛnso]() |
CZMEDITECH Herbert Nneɛma a Wɔde Yɛ Nneɛma
Sɛ́ Chinafo a wɔyɛ nnompe mu nneɛma a wɔde hyɛ nipadua mu na wɔde ma no, CZMEDITECH de Herbert Screws a wɔayɛ ama scaphoid a ɛpaapae ne nnompe nketenkete afoforo a wɔapirapira no ho nhyehyɛe a edi mũ ma.
Nneɛma Titiriw a Ɛwɔ Hɔ:
Headless compression design: hwɛ hu sɛ fixation a ɛyɛ pintinn bere a ɛtew articular cartilage irritation so.
Biomechanical stability a ɛkorɔn: interfragmentary compression a wotumi de ho to so no hyɛ nkabom a ɛyɛ den ho nkuran.
Nneɛma a wobetumi apaw: ɛwɔ aduruyɛ-grade dade a ɛnyɛ den ne titanium afrafra, a biocompatibility a ɛkyɛn so ne corrosion resistance.
Minimally invasive compatibility: ɛfata ma percutaneous ne open akwan nyinaa.
Nneɛma pii a wɔakyerɛkyerɛ mu: ne kɛse ne ne tenten ahorow pii a wɔde bedi ayaresabea ahiade ahorow ho dwuma.
Mfaso a Ɛwɔ Ayaresa Mu:
Ɛma ɛyɛ mmerɛw sɛ scaphoid a ɛpaapae no sa ntɛmntɛm na wotumi de ho to so, titiriw wɔ asen ne proximal pole a ɛpaapae a asiane kɛse wom mu.
Ɛma nsateaa tumi kanyan ntɛm, ɛtew nea ɛyɛ den so na ɛma dwumadi mu ahoɔden tu mpɔn.
Ɛbrɛ asiane a ɛwɔ nonunion ne AVN mu ase kɛse sɛ wɔde toto atetesɛm akwan a wɔfa so de fixation ho a.
CZMEDITECH Nneɛma a Wɔde Yɛ Adwuma
