Yala aw bɛ metakarpal karicogo dɔn wa?

Metacarpophalangeal fractures ye bolokɔniw tiɲɛni ye min ka teli ka kɛ, o bɛ kɛ bololabanabagatɔw bɛɛ la 1/4 ɲɔgɔn ye. K’a sababu kɛ bolo in jɔcogo nɔgɔlen ni a gɛlɛn ye ani a ka motɛri baara ɲuman, bolo karilenw ɲɛnabɔli nafa ka bon kosɛbɛ wa a ka gɛlɛn fɛɛrɛko siratigɛ la ka tɛmɛ tubulu janya tɔw furakɛli kan.

Ka a lajɛ ko kari sabatili bɛ kɛ a jɔyɔrɔ kura kɔfɛ, o de ye metakarɔpofalanji kari furakɛli ɲɛtaa kunba ye. Walasa ka bolo baara segin a cogo kɔrɔ la, a ka ca a la, a karicogo bɛ siri ka ɲɛ, wa waati tɛmɛnenw na, kɛnɛma jɔli ni plaster walima kɔnɔna fiɲɛ ye ni Kirschner Pins ye, o tun bɛ kɛ ka caya, nka a ka ca a la, o bɛ kɛ sababu ye ka fiɲɛ bila waati jan na walima ka a janya waati jan na, o min tɛ se ka kɛ sababu ye ka joli segin furakɛli kɔfɛ, wa a bɛ nɔba bila farikolo la, ka se ka jolilabanaw kunbɛn.

Bi furakɛli fɛɛrɛw bɛ ka caya ka taa a fɛ ka baara kɛ ni kɔnɔna jɔli barikama ye, i n’a fɔ micro plate screw fixation.

Furakɛli sariyakolow .

Boloci ni bolokɔni karilenw furakɛli sariyaw ye: farikolo-ɲɛnajɛ-yɔrɔ-ko-ɲɛnabɔli, yeelen ni jɔli jɔlen, lamaga-lamagali joona ani baarakɛ-minɛn. Bolo karili minnu bɛ kɛ bolokɔniw kɔnɔ ani minnu bɛ kɛ ka ɲɛgɛnɛ kɛ, olu ni bolokɔniw kɔnɔna kari tɔw ta ye kelen ye: joli-sira-funu-yɔrɔ-yɔrɔ-ko ni a baara daminɛni baara daminɛni. Bolo ka metakarpili ni falangɛ karili furakɛli ka kan ka cɛsiri walasa ka farikolo-ɲɛnajɛ-yɔrɔ-ko-yɔrɔ-ko-yɔrɔ-ko sɔrɔ k’a sɔrɔ a ma wuli, ka a lamini ni a kɔkanna-yɔrɔ-yɔrɔ-yɔrɔ-ko ye >10° ka taa bolokɔni kɔkanna fan fɛ. Ni metakarɔpi kari laban bɛ wuli walima ka wuli kɛrɛfɛ kɛrɛ fɛ, a bɛna bolokɔni kurulen ni a janya lamagacogo nɔgɔman Changer, o bɛ kɛ sababu ye a ka bolokɔni kɛrɛfɛla gɛrɛ walima ka bin ka bɔ bolokɔni baara waati la, o bɛ nɔ bila bolokɔni baara tiɲɛni na Hali ni ɲɛgɛnɛsira jiginni >10° fo ka se bolokɔni kɔkanna ma, o bɛna kolo ni senkɔniw ka ɲɔgɔn sɔrɔli nɔgɔlen tiɲɛ, ka dɔ fara senkɔniw ka se ka wuli ani ka u lamaga ka caya, ani ka joginda basigilen bila senkɔniw na, o bɛ kɛ sababu ye ka senkɔniw tiɲɛni farati bila mɔgɔ la. Farati min bɛ senkɔniw tiɲɛni na.

Metakarpal ni falangeal fractures bɛ tali kɛ u ka se ka wuli-wuli-yɔrɔ-ko-dɛsɛ muɲu, ka sɔrɔ metacarpal bɛ muɲuli ni kɔ̀rɔbalen-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-yɔrɔ-la. Carpometacarpal ni metacarpophalangeal joints bɛ se ka metacarpal ka angulaire deformité musaka bɔ, ani bolokɔni fitini min bɛ kɛ ka ɲɛ, o bɛ se ka bɛn metacarpal ka angɛrɛ tiɲɛni ma ka tɛmɛ index seen bolokɔni kan. Grip fanga dɔgɔyali min bɛ sɔrɔ bolokɔfɛ farikolo surunyali fɛ, o bɛ ye dɔrɔn ni metacarpal bɛ kɛrɛ fɛ ka tɛmɛ 30° kan ka taa kɔkanna fan fɛ.

Opereli kɛcogo .

Opereli fɛɛrɛ min bɛ kɛ ka metakarpal kariw kɛ, o ka nɔgɔn kosɛbɛ, wa a ka ca a la, a bɛ baara kɛ ni kɔkanna fɛɛrɛ ye, i n’a fɔ a jiralen bɛ cogo min na ja 4-14 na. Metakarpal filanan bɛ tigɛ radiyali la ka sɔrɔ metakarɔti duurunan bɛ tigɛ ka ɲɛ, ani metakaripi sabanan ni naaninan ka teli ka tigɛ cɛmancɛ la. Ni metakarpal fila minnu bɛ kɛrɛfɛ, olu bɛ baara kɛ waati kelen na, tigɛcogo cɛmancɛ la, o bɛ kɛ ka opereli kɛyɔrɔ fila bɛɛ jateminɛ.

Fɛɛrɛ sugandilenw sugandili .

Kɔnɔna-fiɲɛ-minɛn caman bɛ yen metakarpofalanji kariw kama, i n’a fɔ Kirschner pinɛw, juruw, platiw ani kɛnɛma-filɛli-minɛnw, Kirschner pinɛw ni mikroplatiw de bɛ baara kɛ kosɛbɛ. Metakarpal kariw kama, kɔnɔna fixation ni microplate nafa ka bon ka tɛmɛ fixation kan ni Kirschner pins ye ani a bɛ se ka fisaya; Phalangeal fractures proximals (falangeal fractures proximiques) kama, a ka fisa microplate (mikɔrɔ-plate) ma, nka ni gɛlɛya bɛ yen ka juruw bila falangeal proximal (falangeal proximal) yɔrɔ yɔrɔjan na ani kunkolo karilenw na, kɔnɔna jɔli ni Kirschner pins crossés (kirschner crossed) ye, o de bɛ kɛ sababu ye ka bolokɔfɛfɛn dɔ sɔrɔ min bɛ a tigi bolo Walasa ka fasa cɛmancɛ kariw furakɛ, Kirschner pinɛw ka kan ka fisaya.

1、Kirschner ka furakisɛ: 

Kirschner ka pikirijikɛlan kɔnɔna na, a bɛ kɛ dɔgɔtɔrɔso la ka tɛmɛ san 70 kan, wa a kɛra kɔnɔna-fiɲɛ-minɛn ye min bɛ kɛ ka caya metakarpofalanji kariw kama, min baara ka nɔgɔn, sɔrɔko ani a kɛcogo, wa a ye kɔnɔna fiɲɛbɔ fɛɛrɛ kɔrɔlenba ye, i n’a fɔ a jiralen bɛ cogo min na ja 4-15 na. I n’a fɔ kɔnɔna fiɲɛ min bɛ kɛ ka caya bolo karilenw furakɛli la, a bɛ kɛ ka caya hali bi. 

Nafa minnu bɛ sɔrɔ kɔnɔna na ni Kirschner pinɛw ye:

1 A baara ka nɔgɔn ani a bɛ se ka wuli kosɛbɛ; 

2 farikolo yɔrɔ nugulamaw bɔli ka dɔgɔn, a tɛ nɔ bila joli bɔli la kari laban na, opereli joginni ka dɔgɔn, ani a ka ɲi ka kari kɛnɛya; 

3 Pinɛ filanan sɔrɔli nɔgɔya; 

1 A musaka ka dɔgɔn ani a bɛ kɛ ka caya, a bɛ kɛ bolo karilen fanba la (i n’a fɔ joli-sira-funu-kɔnɔ-fɛnw, kari minnu bɛ tigɛtigɛ ka ɲɛ ani ka faraw ka kari laban). 

Kɔnɔnafiliw nafa: 

(1) Ni i ye a suma ni plati fixation ye, a sabatili man ɲi, wa a surunyali ni a jiginni jiginni tɛ se ka kunbɛn ni pinɛ kelen ye, a ka c’a la, pinɛ 2 ni kɔ de ka kan ka kɛ walasa ka ɲɔgɔn sɔrɔ 

(2) degun tɛ sɔrɔ kari laban na; 

(3) Joli yɔrɔ bɛ tiɲɛ ni ɲɔgɔndan sirili ye; 

(4) Joli jɔli ani senkɔni datuguli bɛ bolokɔni joli bali ka farikoloɲɛnajɛ daminɛ ani ka nɔ bila baarakɛcogo la.

Ni bi kɔnɔna fiɲɛw ni minɛnw yiriwara teliya la, kɔnɔna jɔli ni Kirschner pinɛw ye, o kɛra ka ɲɛ ka taa a fɛ, wa u fanba bɛ se ka labɛn k’a sɔrɔ u ma joli tigɛ, ni tiɲɛni caman tɛ farikolo yɔrɔ nugulenw ni senkɔniw lamini na, ani ka sɔrɔ ka nɔ bila kolotugudaw baara daminɛ na opereli kɔfɛ. Ni C-arm X-ray masin dɛmɛ ye, ko dɔw fana bɛ se ka jaabiw sɔrɔ minnu bɛ mɔgɔ wasa ni kɔnɔna fiɲɛw dɔgɔyali dabilalen ye ni clinique pins ye, ka dɔ bɔ ka taa a fɛ sigida farikolo yɔrɔ nɔgɔlenw tiɲɛni na ani ka nɔ min bila joli la fo ka se kari laban ma, o bɛ kɛ sababu ye ka kari kɛnɛya sabati. 

Fɛɛrɛ minnu bɛ kɛ ka kɔnɔnatumuw labɛn ni Kristen pinɛw ye: 

1 Aw bɛ kolo bloki belebelebaw labɛn ni kristen pinɛw ye minnu janya ye milimɛtɛrɛ 1,0~1,2 ye, ani ka don yɔrɔ ni doncogo dɔn ka kɛɲɛ ni kariyɔrɔ sira ye 

2 Ni laɲini ye ka fanga layini segin a cogo kɔrɔ la, joli-sira-funu-yɔrɔw kariliw ka kan ka sigi kokura farikolo la ani ka jɔ kosɛbɛ; 

3 Kolotugudaw bɛɛ man kan ka siri ni Kristen pinɛw ye, ani ka kɛɲɛ ni kari laban sabatili sɔrɔli ye, Kristen pinɛw ka kan ka baara kɛ ni u ye dɔɔnin dɔɔnin; 

1 Kristen pinɛw tɛ siri bolokɔni na ni senkɔni walima kɔkanna senkɔniw ye walasa ka farikoloɲɛnajɛ daminɛni daminɛ ni a bɛ se ka kɛ; 

1A ka kan ka kɛ ni fɛɛrɛ gɛlɛn ye ka kɔn opereli ɲɛ ani ka segin opereli kan opereli senfɛ, n’o tɛ, kariyɔrɔ bɛ se ka sɔgɔ ka tɛmɛ walima ka kɛ hali a tɛ se ka kɛ; 

1 A ka c’a la, Kirschner pin ka kan ka bila fari la walasa ka dɔ bɔ a banakisɛ sɔrɔli la wa a bɔli man gɛlɛn.

2、Micro plate metacarpal: 

Bolo karilenw kɔnɔna na, o ye baara daminɛni daminɛ ye ani a ka kan ka bolo baara ɲuman segin.AO kɔnɔna fiɲɛbɔli fɛɛrɛ bɛ kari laban yɔrɔ sigicogo kura tigitigi ani kari laban sabati baarakɛcogo la baarakɛcogo la, min bɛ fɔ a ma kosɛbɛ ko fixation barikama, walasa ka se ka baara kɛ joona.AO fana bɛ sinsin opereli kɛcogo kan min tɛ se ka kɛ, o min bɛ joli bɔli sinsin. AO fana bɛ sinsin opereli kɛcogo fitininw kan minnu bɛ kɛ ka joli bɔli lakana. Microplate kɔnɔna jɔli bolokɔni karilen na, o bɛ jaabiw di minnu bɛ mɔgɔ wasa fanga, kari laban sabatili ani degunw ni ɲɔgɔn cɛ. Opereli kɔfɛ baarakɛcogo kɛnɛyali siratigɛ la, kari kɛnɛya waati ni banakisɛ sɔrɔli hakɛ bɛ tali kɛ ɲɔgɔn na, micro titanium plates nafa bɛ jate ka ɲɛ kosɛbɛ ka tɛmɛ Kerf pinw ta kan, wa bawo kari kɛnɛya waati mikoro titanium plate fixation kɔfɛ, o ka surun kosɛbɛ ka tɛmɛ fixation modalities tɔw kan, o la, a bɛ segin joona ka segin a cogo kɔrɔ la ka se banabagatɔ ka ɲɛnamaya ma.

Nafa minnu bɛ sɔrɔ microplate kɔnɔna furakɛli la: 

(1) ni i ye a suma ni KERF pinɛw ye, mikroplate sɛrɛw bɛ se ka histocompatibilité ani tissu response sɔrɔ ka ɲɛ; 

(2) Plate nail fixation system ani degun min bɛ kari laban na, o bɛ kɛ sababu ye ka kari ka surunya farikolo yɔrɔw la minnu bɛ se ka kɛ farikolo la, ka u siri cogo la min bɛ lakana kosɛbɛ, o min bɛ kɛ sababu ye ka kari kɛnɛya; 

(3) A ka c’a la, farikoloɲɛnajɛ daminɛ na, a bɛ sɔn ka kɛ mikroplate fixation kɔfɛ, o min bɛ bɛn bolo baarakɛcogo seginni ma. 

3. Microscrews.

Microscrew for spiral or long oblique fracture fixation bɛ sabati ni nɛgɛdaga ye, nka farikolo yɔrɔ nugulamaw ni periosteal stripping yɔrɔ ka dɔgɔn ka tɛmɛ nɛgɛdaga jɔli kan, o min bɛ joli bɔli lakana ani ka bɛn ni hakilina ye min bɛ baara kɛ ni fɛn fitinin ye. Hali ni T- ni L suguya sɔgɔli bɛ kɛ kolotugudaw karilenw na, opereli kɔfɛ segin-ka-bɔ-yɔrɔ ka dɔgɔ ni diafiseli karili ye, wa mikrosɛrɛw nafa dɔw bɛ sɔrɔ kari-kɔnɔ-filɛli la. Kuru minnu bɛ siri kolo la, olu bɛ se ka degun doni caman muɲu, o la, fiɲɛ bɛ jɔ ani u bɛ se ka degun bila kari dakunw ni ɲɔgɔn cɛ walasa ka kariyɔrɔw lajɛ ɲɔgɔn fɛ, o bɛ kɛnɛya waati surunya ani ka kari kɛnɛya nɔgɔya, i n’a fɔ a jiralen bɛ cogo min na ja 4-18 na. Microscrew bɛ kɛ ka caya ka ɲɛsin diaphyse ka oblique walima spiral fractures ani intra-articular avulsion fractures ma minnu ka bon kolosinsinnanw na. A nafa ka bon k’a dɔn ko karilan janya ka kan ka kɛ diafizi cɛmancɛ hakɛ fila ye ni a bɛ bolokɔni jiribolo walima jiribolo karilenw siri ni mikrosɛrɛw dɔrɔn ye, ani a dɔgɔyalenba la, jiri cɛmancɛ bonya ni avulsion blocks (avulsion intra-articulaire fracture blocks) bɛ se ka bonya siɲɛ saba.

4. Miniature external fixation brace.

Metacarpophalangeal fractures communtenés (Metacarpophalangeal fractures) bɛ gɛlɛya tuma dɔw la ka segin farikolo la hali ni opereli tigɛra walima ni u tɛ se ka siri kosɛbɛ kɔnɔna na barisa koloci bɛ tiɲɛ. Kɛnɛma-filɛli-minɛn bɛ a to a ka kari min bɛ kɛ ka a janya, o ka se ka a janya sɔrɔ ani ka a janya mara, ka a jɔyɔrɔ jɔlen ta, i n’a fɔ a jiralen bɛ cogo min na ja 4-19 na. Kɛnɛma fiɲɛ bilali bɛ danfara don metakarpala suguya wɛrɛw la: 1nan ni 2nan bɛ bila kɔfɛla la, 4nan ni 5nan metakaripaliw bɛ bila kɔkolo fan fɛ, ani 3nan metakarɔpili bɛ bila kɔfɛla walima kɔkilida la ka kɛɲɛ ni a kɔnɔna ye, ka kɛɲɛ ni a kɔnɔna ye, ka kɛɲɛ ni a kɔnɔna ye, ka kɛɲɛ ni a kɔnɔna ye. tendon. Kari dagalenw bɛ se ka datugu ani ka u bila yɔrɔ wɛrɛ la X-ray jukɔrɔ, ani tigɛ misɛnninw bɛ se ka kɛ walasa ka dɛmɛ don ka u bila yɔrɔ wɛrɛw la ni u bilali yɔrɔ kura ma kɛ koɲuman ye.

Nafa minnu bɛ sɔrɔ kɛnɛma fixation brace la.

(1) a baara ka nɔgɔn wa a bɛ se ka kari laban ka jiginni suguya caman ladilan;

(2) a bɛ se ka metakaripali falanw ka kariw segin u cogo la ka ɲɛ ani ka u labɛn ka sɔrɔ u ma joli sira tiɲɛ, ani ka joli sira bɔ walasa ka joli-sira-funu ni a kɔkanna-labɛn-yɔrɔw bali 

(3) a bɛ se ka fara ɲɔgɔn kan ni kɔnɔna-filɛli danma ye kari minnu bɛ kɛ ɲɔgɔn na, minnu tɛ se ka segin farikolo la, ani kɛnɛma fiɲɛbɔlan bɛ se ka fanga sira segin a cogo kɔrɔ la ani k’a mara 

(4) A bɛ a to bolokɔni min bananen don, o ka baarakɛ-degeliw daminɛni joli la min ma labɛn walasa ka a tanga joli ma . 

(5) A bɛ se ka bolo karilenw labɛn ka ɲɛ ka sɔrɔ a ma nɔ bila bolokɔni joginlen furakɛli la opereli kɔfɛ.

Orthopedic Implants ani Orthopedic Instruments (Fɛn minnu bɛ se ka kɛ ka ɲɛgɛnɛ kɛ) san cogo min na, o ye .

Kosɔn CzMedItech , an bɛ ni kolotuguda opereli fɛnw ye minnu dafalen don kosɛbɛ ani minɛnw minnu bɛ bɛn o ma, o ye fɛn ye . Spine Implants ., Nails intramedullaires ., Plate de traume ., locking plate ., kunkolo-maxillo-facial ., Prothèse ., Seko ni dɔnko baarakɛminɛnw ., kɛnɛma fixateurs ., Arthroscopie ., Baganw ladonni n’u dɛmɛnanw.

Ka fara o kan, an b’an jija ka fɛn kuraw dilan tuma bɛɛ ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndan ye diɲɛ kɔnɔ kolotugudaw ni minɛnw dilanni bɛɛ la.

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