Extenseur tendon karilen volar plate fixation kɔfɛ, o bɛ to gɛlɛyaba ye distal radius fractures dilancogo la. Tendon min ka teli ka bana sɔrɔ, o ye extensor pollicis longus (EPL) tendon ye, barisa a bɛ dan EPL groove kɔnɔ. EPL senkɔniw karilen hakɛ min fɔra volar plating kɔfɛ, o ye 0,29%–5,7% ye.
EPL senkɔniw karilen kɔfɛ farati bɛ bonya ni kɔkolo kuru bɔli ye, ni jogin bɛ sɔrɔ opereli siratigɛ la, ani kɔkolo sanfɛla tigɛlenw, kɛrɛnkɛrɛnnenya la Lister ka tubercle gun karilenw na. Screw bɔli jateminɛni ni radiyo fɛ yɔrɔjan karilenw na, o ka gɛlɛn ka da a kan yɔrɔjan karilenw jateminɛcogo gɛlɛn don ani a bɛ se ka kɛ ko kɔkolo karilenw bɛ se ka tigɛ. Kɔnɔbara basigilen yecogo kelenpe ye min bɛ se ka kɛ kɔfɛla ɲɛda la ɲɛnamaya kɔnɔ walasa ka jateminɛ dafalen sɔrɔ kurukuru kuncɛ ni kɔkolo cɛ janya kan.
Fɛɛrɛ minnu bɛ kɛ walasa ka sɔgɔsɔgɔninjɛ sɔgɔsɔgɔninjɛ bali, olu ye ka kɛ ni kuru kelenw ye ani ka kɔkolo yɔrɔ doncogo bali; nka, o fɛɛrɛw bɛ se ka dɔ bɔ kariw dilancogo masin sabatili la. O la, bicortical fixation (fixation bicorticale) ka kan ka kɛ tuma dɔw la. Walasa ka dɔ bɔ sɔgɔsɔgɔninjɛ joginni na, laɲini fɔlɔ minnu ye kariw jɔli ni u sabatili ye, olu man kan ka tiɲɛ.
Opereli fɛɛrɛ kuraw
An bɛ fɛɛrɛ kura dɔ ɲɛfɔ walasa ka EPL senkɔniw kari farati dɔgɔya volar plate fixation kɔfɛ distal radius fractures kan k’a sɔrɔ a ma kuru janya surunya walima ka kɔfɛ so sanfɛla yɔrɔw bɔ. Kuma surun na, o fɛɛrɛ in ye ka yɔrɔ sabanan da wuli kɔkolo tigɛyɔrɔ fitinin dɔ fɛ.
Ni kuru tun donna kɔkolo la ka bɔ kɛnɛma yɔrɔ sabanan na: an ye EPL sɔgɔsɔgɔninjɛ bɔ a ka jirisunba la ka yɔrɔ datugu ni ɲɛdawolo sirili ye ka EPL sɔgɔsɔgɔninjɛ to ɲɛda yɔrɔ dilanlen kan.
Ni kuru ma taa yɔrɔ sabanan na: an bɛ EPL senkɔni to yɔrɔ sabanan na. An ka fɛɛrɛ in taamasiɲɛ ye banabagatɔw ye minnu ka yɔrɔjan karilenw furakɛra ni volar locking plates ye, karilenw ni kɔkolo-parietal fragments walima screws minnu bɛ se ka don kɔkolo la walima ka EPL sendon tiɲɛ Lister’s tubercle lamini na. Banabagatɔ minnu ka yɔrɔjan karilen don ni kɔkolo yɔrɔ yɔrɔw karilen don, an bɛ dingɛw sɔgɔ walasa ka don kɔkolo yɔrɔ la ani ka juruw sugandi minnu janya bɛ se ka kɔkolo yɔrɔw labɛn minnu tɛ sabati.
Kow tila-tila
An bɛ ko dɔ kɛ ɲɔgɔn fɛ, min na EPL sɔgɔsɔgɔninjɛ bɔra yɔrɔ sabanan na ka da a kan kuru bɔli ye yɔrɔ sabanan na, plati fixation waati la, min bɛ kɛ ka kari distal radius comminuted ni dorsomedial fragments ye. An y’a jira ko EPL senkɔni tun ma tiɲɛ san 7 opereli kɔfɛ, hali ni kuru tun bɛ ye yɔrɔ sabanan na.
O ko in kɛra muso dɔ ye min si bɛ san 67 la, a ka bana dɔ sɔrɔla ko a karilen don farikolo yɔrɔjan na min tɛ sabati, ni a kɔkolo kininbolo cɛmancɛ karilen don (Jaa 1A-E). Sigarɛtimin, sukarodunbana walima dɔlɔmin taamasiɲɛ si tɛ yen. A bɛ se ka taama ni taamakɛla si tɛ a la.
![distal radius karilen]()
ja 1. Ja minnu kɛra sani opereli ka kɛ, olu y’a jira ko farikolo yɔrɔjan karilen dɔ tigɛlen don.
A ni B: Rayow minnu bɛ kɛ ka kɔn opereli ɲɛ, .
C ni D: tomografi ja minnu bɛ sɔrɔ ɔridinatɛri fɛ, olu filɛli sagittal ni axial, .
E: 3D ɔridinatɛri tomografi ja. Kɔnɔbara cɛmancɛ lunate facet fragments ani dorsal apical fragments (dolow finmanw) bɛ ye.
Opereli kɛcogo
An ye o karicogo in furakɛ ni volar locking plate ye. Opereli senfɛ, an ye sɔgɔsɔgɔninjɛ kɛ kɔkolo la ani ka kuru dɔ sugandi min janya ka jan walasa ka kɔkolo siri barisa kɔkolo yɔrɔ yɔrɔ tun tɛ sabati (Jaa 2).
Opereli kɛra walasa ka yɔrɔ sabanan da wuli ni juru sirilen ye.
Ikomi kuru donna yɔrɔ sabanan na ka bɔ kɛnɛma (Jaa 3A), aw bɛ yɔrɔ sabanan da pewu ka EPL senkɔni bɔ a kɔnɔ (Jaa 3B).
O kɔfɛ, yɔrɔ sabanan datugulen don ni ɲɛdawolo sirili ye (Ja 3C,D), ka EPL sɔgɔsɔgɔninjɛ bila ɲɛda ɲɛkisɛ dilanlen kan (Ja 3 E).
Opereli kɔfɛ, banabagatɔ taara an ka dɔgɔtɔrɔso kɛnɛyaso la fo ka se kolo kɛnɛyali ma. Banabagatɔ t’a fɛ ka fɛnɲɛnamafagalanw bɔ.
Opereli kɔfɛ kɛnɛyali
San wolonwula opereli kɔfɛ, banabagatɔ seginna dɔgɔtɔrɔso la walasa ka segin ka a sɛgɛsɛgɛ koloci kosɔn. A kininbolo tɛ fiyentɔ ye. X-ray ja min bɛ kari kɛnɛyalen jira ni distal locking screw kɔkanna bɔli ye. Banabagatɔ bolokɔnincinin tun janyalen don pewu, wa EPL senkɔni tun tɛ ni bolokɔni jɛlen ye.
An ka laadilikan fɛ, banabagatɔ sɔnna ka fɛnɲɛnamafagalanw bɔ ani ka extenseur tendons sɛgɛsɛgɛ. Opereli senfɛ, an ye EPL sɔgɔsɔgɔninjɛ sɛgɛsɛgɛ kɔfɛla tigɛcogo fɛ ani ka yɔrɔ sabanan ni naaninan yɔrɔ dɔ da.
EPL sɔgɔsɔgɔninjɛ tun bɛ yɔrɔ sabanan kɔfɛ, a jɔyɔrɔ kelen na ni opereli tɛmɛnen ta ye, wa sɔgɔsɔgɔninjɛ tun tɛ dimi.
An y’a Jira ko kuru donna yɔrɔ sabanan na ni bolokɔnincininw ka fɛnɲɛnamafagalanw kɔsegin.
A laban na, an ye dɛmɛnanw labɛn ani ka fɛnɲɛnamafagalanw bɔ. Jateminɛ laban na kalo 2 fɛnɲɛnamafagalan bɔlen kɔfɛ, dimi tɛ banabagatɔ la, wa a bolokɔnincinin dafalen tun bɛ a la.
Ka jɛkafɔ kɛ
An ka taamacogo la, volar plate fixation of distal radius fractures kɔfɛ, an ye yɔrɔ sabanan da wuli yɔrɔ dɔ la tigɛda dɔ fɛ min janya bɛ se santimɛtɛrɛ 2 ma ulnar la ka se Lister tubercle ma. An ye EPL sɔgɔsɔgɔninjɛ ni sɔgɔsɔgɔninjɛ yɔrɔ sabanan duguma dɔn k’a ɲɛsin EPL sɔgɔsɔgɔninjɛ kɔsegin nɔgɔya la.
Ni kuru donna kɔkolo la ka don yɔrɔ sabanan na walima ni kɔkolo-yɔrɔ nɔgɔw bɛ a la, an ma kuru cili kɛ opereli kɔnɔ walima ka kuru tigɛtigɛ, nka an ye yɔrɔ sabanan da pewu ka EPL sɔgɔsɔgɔninjɛ bɔ a ka jirisunba la. O kɔfɛ, an ye yɔrɔ datugu ni ɲɛda ɲɛkisɛ sirili ye ka EPL senkɔni bila yɔrɔ sabanan kan kokura.
Ni kuru ma janya ka don yɔrɔ sabanan na, an tun bɛ EPL senkɔni to yɔrɔ sabanan dabɔlen yɔrɔ dɔ la.
An ka opereli fɛɛrɛ bɛ kɛ sababu ye ka EPL sɔgɔsɔgɔninjɛ joginw sɛgɛsɛgɛ nɔgɔya la ni yecogo tilennen ye miniti 10 wɛrɛ kɔnɔ. Ni EPL sɔgɔsɔgɔninjɛ joginna, a bɛ se ka dilan k’a ɲɛsin a yɛrɛ ma. Nin wale in bɛ dɛmɛ ka EPL senkɔniw kari filanan bali, distal radial plate fixation kɔfɛ. EPL senkɔniw bɛ se ka kɛ, nka a ma kɛ an ta la.
Kuncɛli la
An ye ko dɔ sɔrɔ min na EPL sɔgɔsɔgɔninjɛ tun ma tiɲɛ san 7 opereli kɔfɛ, hali ni juru minnu bɛ kɛ ka volar plate labɛn, olu tun bɛ ye yɔrɔ sabanan na. An ka opereli fɛɛrɛ bɛ EPL senkɔniw kari farati dɔgɔya volar plate fixation kɔfɛ distal radius fractures kama.
Cogo min na i bɛ se ka kolotugudaw ni kolotugudaw sancogo?
Kosɔn CZMEDITECH , an bɛ ni fɛn dilannenw ye minnu dafalen don kosɛbɛ kolotugudaw opereli fɛnw na ani minɛn minnu bɛ bɛn o ma, furaw sen bɛ o la kɔkolo doncogo, wulu minnu bɛ kɛ ɲɛgɛnɛsira kɔnɔ, trauma plate, da tuguli plati, kunkolo-kɔnɔ-kɔnɔ-kɔnɔ, prothèse (banakisɛfagalan) min bɛ kɛ, kuran baarakɛminɛnw, kɛnɛma fiɲɛbɔlanw, joli-sira-funu (arthroscopie)., baganmara ladonni n’u dɛmɛnanw sigicogo.
Ka fara o kan, an cɛsirilen don ka to ka fura kuraw labɛn ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndanba ye diɲɛ kolotugudaw ni minɛnw baara bɛɛ la.
An bɛ fɛnw bila diɲɛ fan bɛɛ, walasa aw ka se aw bɛ se ka kuma an fɛ imɛri la song@orthopedic-china.com walasa ka kunnafoni sɔrɔ fu, walima ka ci bila WhatsApp kan walasa ka jaabi teliya sɔrɔ +86- 18112515727 .
Ni aw b’a fɛ ka kunnafoni wɛrɛw sɔrɔ,aw bɛ digi CZMEDITECH ka kunnafoni wɛrɛw sɔrɔ.
