Metacarpal kari ye mun ye?

Daminɛ kuma

Metakarpal kari ye bolo joginni ye min ka teli ka kɛ bolokɔfɛ kolo janw na. Sɛgɛsɛgɛli ni furakɛli ɲuman nafa ka bon walasa ka gɛlɛya kuntaalajanw bali i n’a fɔ taamacogo dɔgɔyali walima dimi basigilen. Ni aw bɛ bolokɔnidimi sɔrɔ joginda kɔfɛ, a bɛ kɛ waati bɛnnen na, o nafa ka bon kosɛbɛ.

Biomecanique de fractures metacarpal .

Biomekanikini siratigɛ la, metakarpal kolow bɛ kɛ doni ye min bɛ kɛ ni aksidan ye, fanga kɔrɔtalenw, ani jiginni degunw don o don bolo baara waati. Ni kɛnɛma fanga tɛmɛna kolo dan na, kari bɛ kɛ.

Fɛn caman bɛ nɔ bila karicogo la:

• Fanga sira ni a bonya .

• Bolo jɔyɔrɔ impact la .

• Kolow density ani u si hakɛ .

• Farikolo samali ka bɔ bolo farikolo yɔrɔw la minnu bɛ u yɛrɛ kɔnɔ ani minnu bɛ bɔ kɛnɛma .

Misali la, metakarpi kɔ duurunan karilenw ka teli ka volar kùnkolo-yɔrɔ jira k’a sababu Kɛ interossei ni lumbrical muscles samali ye min ma Kɛ.

Fixation systems minnu bɛ tali kɛ o la: Metacarpal plate fixation systemes – CZMeditech .

Rotational deformity – a critical nka a ka ca a la a bɛ tunun ko .

A tɛ i n’a fɔ sɔgɔsɔgɔninjɛ, a bɛ se ka kɛ ko jiginni jiginni tɛ ye X-ray ja la. Dɔgɔtɔrɔso la, a bɛ dɔn ka ɲɛ ni bolokɔniw labɛncogo kɔlɔsili ye ni banabagatɔ ye bolokɔni kɛ.

Hali ni a jiginni degere damadɔw bɛ se ka kɛ sababu ye ka:

• bolokɔni da ɲɔgɔn kan .

• Grip ka baarakɛcogo ɲuman dɔgɔyali .

• Baarakɛbaliya kuntaalajan .

O de kama, jiginni tiɲɛni bɛ jate taamasiɲɛ barikama ye opereli latilenni na, hali ni a bɛ i n’a fɔ a karili bɛ bɔ a nɔ na kosɛbɛ.

Nin kɛnɛyaso nuancɛ in bɛ danfaraba don kolotugudaw jateminɛcogo dɔnbagaw ni ɲɔgɔn cɛ ka bɔ karicogo basigilen na.

Opereli kɛli taamasiɲɛw .

Hali ni metakarpal kari caman bɛ se ka furakɛ ka ɲɛ, opereli bɛ kɛ nin cogoyaw la:

• Angulation min tɛ sɔn ka kɛ ka tɛmɛ baarakɛcogo muɲuni kan .

• Yɛlɛma hakɛ o hakɛ bɛ se ka wuli .

• Metacarpal caman kari .

• Da wulilenw .

• Articulaire kɔnɔ .

• dɔgɔyali dagalen dɔgɔyali .

Opereli kuntilenna fɔlɔ ye farikolo-ɲɛnajɛ-cogo ye ni fixation sabatilen ye, o bɛ sira Di mobilizasiyɔn joona ma ka sɔrɔ ka gɛlɛyaw dɔgɔya.

Fixation techniques ani kɛnɛyaso jateminɛw .

plate ani vis fixation .

A bɛ sabatili gɛlɛn ni ɲɔgɔndan tigitigi di, kɛrɛnkɛrɛnnenya la nafa bɛ minnu na:

• kari minnu bɛ kɛ ka ɲɛ .

• Shaft fractures .

• Kari caman .

Nka, farilafɛnw bɛ kɛ ka ɲɛ ka ɲɛ walasa u kana kirin.

Kirschner Fil (K-Wire) Fixation .

Sugandili min bɛ kɛ ni fɛn fitinin ye, o bɛ kɛ ka caya:

• Neck fractures .

• Denmisɛnw ka banaw .

• Waati dɔɔnin sabatili .

Fixation intramedullaire .

Fɛɛrɛ min bɛ ka caya ka taa a fɛ, min bɛ sabatili balan ni farikolo yɔrɔ nɔgɔlenw tiɲɛni fitinin ye.

Fixation sugandili bɛ bɔ kari cogoya la, opereli kɛcogo ɲuman na, ani banabagatɔ ka baara hakɛ la.

Opereli kɔfɛ furakɛli ni bolola furakɛli .

Opereli kɔlɔlɔ minnu bɛ ɲɛ sɔrɔ, olu bɛ tali kɛ kosɛbɛ opereli kɔfɛ kɛnɛya sabatili la. Lamaga-lamagali min bɛ kɛ joona, o bɛ dɛmɛ ka sɛgɛn ni senkɔniw sirili bali.

A ka c’a la, a bɛ kɛ cogo min na, o ye ko:

• Edema kunbɛnni .

• Degeliw minnu bɛ kɛ dɔɔnin dɔɔnin dɔɔnin .

• barika bonya .

• Baarakɛcogo kura .

Operelikɛla ni bololabaarakɛla cɛ jɛɲɔgɔnya gɛlɛn nafa ka bon walasa ka kɛnɛya ɲuman sɔrɔ.

Jateminɛ kɛrɛnkɛrɛnnenw bɛ kɛ banabagatɔw ka kuluw kɔnɔ minnu tɛ kelen ye .

Fɛnɲɛnɛmakɛlaw .

A ka ca a la, farikoloɲɛnajɛla minnu bɛ farikoloɲɛnajɛ kɛ, olu de bɛ a ɲini:

• Segin ka teliya ka tulon kɛ .

• Fixation sabatilen bɛ a to lamaga joona .

• A bɛ se ka a yɛrɛ tanga kɛnɛya waati ma .

 Bololabaarakɛlaw .

Baarakɛlaw minnu bɛ u jigi da minɛ fanga kan, furakɛli bɛ fɔlɔ:

• Mekaniki sabatili .

• A bɛ mɛn sen na .

• Dimi basigilen kunbɛnni .

Banabagatɔ kɔrɔbaw .

Kolow cogoya ni u wɛrɛw bɛ nɔ bila furakɛli sugandili ni kɛnɛya waati fila bɛɛ la.

Kunnafoni kuntaalajanw ni a ɲɛfɔcogo .

ni ɲɛnabɔli bɛnnen ye:

• Banabagatɔ fanba bɛ bolo baarakɛcogo sɔrɔ kokura min bɛ a kɛrɛfɛ .

• Grip fanga bɛ sɔrɔ cogoya la ka se >90% ma a basigilen na .

• Banakɔtaa kuntaalajan ye fɛn ye min tɛ sɔrɔ .

A ka c’a la, kɔlɔlɔ minnu tɛ sɔrɔ, olu bɛ tali kɛ bana sɛgɛsɛgɛli latɛmɛni na, jiginni min tɛ furakɛ, walima ni a tɛ se ka kɛnɛya.

Mun na metacarpal fracture management bɛ dɔnniya kɛrɛnkɛrɛnnenw de wajibiya .

Hali ni metakarpal kariw ka ca, u ɲɛnabɔli bɛ faamuyali tigitigi de wajibiya farikolo-ɲɛnajɛ-faamuyali ni baarakɛcogo kan. Misali misɛnniw bɛ se ka kɛ sababu ye ka nɔ caman bila bolo baarakɛcogo la.

O de y’a to bi joginda ladonni bɛ sinsin:

• Sɛgɛsɛgɛli tigitigi .

• Daliluw-sɔrɔ-sira-ko .

• Mobilizasiyɔn daminɛ .

FAQ Section .

Karicogo jumɛnw bɛ opereli fixation jira kosɛbɛ?

Opereli fixation bɛ jira fɔlɔ ni jiginni tiɲɛni ye, angulation sabatibali, metacarpal caman sendonni, da wulilen kari, articulaire intra-articulaire extension, walima a ma se ka dɔgɔya da dagalen na. Olu la, ɲɔgɔndanbaliya bɛ jate ko a nafa ka bon kosɛbɛ.

Angulation hakɛ jumɛn bɛ sɔn baarakɛcogo la metacarpal fractures kɔnɔ?

Angulation acceptable bɛ danfara ka kɛɲɛ ni jateden ye. A ka ca a la, sɔgɔsɔgɔninjɛ ka bon u bɛ muɲu ulnar metacarpals la ka tɛmɛ metacarpal radiale kan. Nka, jiginni hakɛ o hakɛ bɛ se ka kɛ, o tɛ sɔn ka kɛ, a bɛ kɛ cogo o cogo, a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ.

Mun na a bɛ jate ko jiginni tiɲɛni bɛ jate ko gɛlɛn ye ka tɛmɛ angulation kan?

Yɛlɛma-yɛlɛma bɛ Nà ni bolokɔniw ɲɔgɔndan ye flexion (flɛsi) waati la, o min bɛ grip mechanics (minɛ-minɛnw) ni bolo-baaraw Dɔgɔya kosɛbɛ. Hali ni jiginni fitinin bɛ se ka kɛ sababu ye ka baarakɛcogo jugu kɛ min tɛ bɛn, wa a tɛ sara ka ɲɛ joli kɛrɛfɛtaw fɛ.

Nafa jɔnjɔn jumɛnw bɛ plate fixation na metacarpal fractures kɔnɔ?

Plate fixation offers:

• sabatili gɛlɛn .

• Anatomique alignment tigitigi .

• Mobilizasiyɔn daminɛ .

• Farati min bɛ sɔrɔ yɔrɔ filanan na, o farati bɛ dɔgɔya .

A nafa ka bon kɛrɛnkɛrɛnnenya la jiribolo karilenw na, a kɛcogo tigɛlenw na, ani a jogincogo caman na, hali ni a ka kan ka kɛ ni farikolo yɔrɔ nɔgɔlenw ye walasa ka senkɔniw dimi.

Kirschner ka filiw de ka fisa ni ko jumɛnw ye?

K-wire fixation bɛ kɛ ka caya:

• Metacarpal kɔ karilenw .

• ka fara karicogo gɛlɛnw kan .

• Waati dɔɔnin sabatili .

• Denmisɛnw ka bana walima u ka banaw ka ca .

Hali ni a bɛ don fɛn caman na, K-wirew bɛ caman de wajibiya u ka lamaga waati jan kɔnɔ ni u bɛ tali kɛ plate fixation na.

Intramedullary fixation jɔyɔrɔ ye mun ye bi metacarpal fracture furakɛli la?

Intramedullary fixation bɛ balansi di sabatili ni soft-tissue tiɲɛni fitinin cɛ. A bɛ a to lamaga fɔlɔ ka tɛmɛ percutané pinning kan ka a sɔrɔ a bɛ gɛlɛya dɔw sɔrɔ minnu bɛ sɔrɔ plate fɛ, o b’a to a bɛnnen don shaft ni neck fractures sugandilenw ma.

Mobilizasiyɔn joona bɛ nɔ bila waati jan sɔrɔli la cogo di?

Mobilizasiyɔn min bɛ kɔrɔsi joona, o bɛ dɔ bɔ:

• Jogindaw ka gɛlɛya .

• tendon adhésions .

• Muscle Atrophie .

Fixation sabatilen min bɛ se ka lamaga joona, o ye baarakɛcogo kɛnɛyali dantigɛlan jɔnjɔn ye, kɛrɛnkɛrɛnnenya la banabagatɔw la minnu ka ɲinini ka bon.

Opereli kɔfɛ gɛlɛya jumɛnw ka kan ka kɔlɔsi kosɛbɛ?

Gɛlɛya minnu bɛ sɔrɔ tuma caman na, olu ye:

• balodɛsɛ walima tɔni tɛ .

• Irritation matériel .

• tendon adhesion .

• Grip fanga dɔgɔyali .

• Banakisɛ minnu bɛ sɔrɔ kari dafalenw na .

Baarakɛbaliya kuntaalajan fanba bɛ tali kɛ ɲɔgɔndɛmɛbaliya la walima u labɛnni kɔtigɛbaliya la.

Furakɛli fɛɛrɛw bɛ danfara cogo di farikoloɲɛnajɛla ni bololabaarakɛlaw cɛ?

Fɛnɲɛnɛmakɛlaw ni bololabaarakɛlaw la, fɔlɔ bɛ di:

• Fixation sabatilen .

• Segin ka na baara la joona .

• A bɛ mɛn sen na .

Opereli dakunw bɛ se ka dɔgɔya o jamanadenw na k’a sababu kɛ baarakɛcogo ɲininiw ka ca.

Fɛn jumɛnw de bɛ nɔ bila baarakɛcogo kuntaalajan na?

Fɛn minnu bɛ ɲɛfɔli kɛ kosɛbɛ, olu ye:

• Kari dɔgɔyali tiɲɛni .

• Stabilité de fixation .

• A daminɛ na, a bɛ se ka kɛ .

• Yɛlɛma min bɛ kɛ jiginni na .

Ni o ko ninnu kɛra ka ɲɛ, banabagatɔ fanba bɛ bolola baara sɔrɔ min bɛ kɛ ka surunya.