Scaphoïde ka kari
Scaphoid fracture ye senkɔni karilen ye min ka teli ka kɛ, a bɛ kɛ 70% ɲɔgɔn ye senkɔni kolo karilen bɛɛ la. K’a sababu kɛ a farikolo yɔrɔ kɛrɛnkɛrɛnnen ye senkɔni kolo labɛncogo kɔnɔ, sɔgɔsɔgɔninjɛ kura karilenw bɛ to ka sɔrɔ kɛnɛyaso sɛgɛsɛgɛli la. Ka fara o kan, sɔgɔsɔgɔninjɛ ka joli siraw sɔrɔli danfaralen bɛ banabagatɔw bila gɛlɛyaw la i n’a fɔ jɛɲɔgɔnyabaliya, joli siraw sɔgɔsɔgɔninjɛ (AVN), ani bolokɔniw basigibaliya kɔfɛ. Dɔgɔtɔrɔso la, sɔgɔsɔgɔninjɛ karilenw furakɛli ka gɛlɛn, wa a ka ca a la, u bɛ kɔlɔlɔw to i n’a fɔ bolokɔnidimi basigilen, lamaga-lamagali dantigɛlen, ani jolidɛsɛ kɔfɛ.
Scaphoïde jɔyɔrɔ min ɲɔgɔn tɛ farikolo la
Scaphoid ye kolo janyalenba ye min bɛ carpal proximal row la, a cogoya bɛ i n’a fɔ kurun fitinin (o de y’a to a tɔgɔ dara ko 'scaphoid'). A bɛ Taa bolokɔnincininw ni yɔrɔjanw cɛ, a jɔyɔrɔ ka bon jirisun fila bɛɛ sabatili n’u sirili la. Bolo lamagacogo nɔgɔmanw, i n’a fɔ flexion, extension, deviation radiale, ani ulnar deviation, olu bɛɛ bɛ bɔ scaphoïde lamagacogo jɛlen na. Ni a karilen don, bolokɔni kolotuguda bɛɛ ka biyomekaniki bɛ tiɲɛ.
Farikolo joli-sira-funu (Fragile Vasculaire Supply).
Scaphoid bɛ joli sɔrɔ kɛrɛnkɛrɛnnenya la ka bɔ joli siraba bolow la, a bɛ don ka bɔ kɔfɛla la ani kɔkolo yɔrɔjan na:
Joli 70–80% ɲɔgɔn bɛ don tubabufura yɔrɔjan fɛ, ka woyo kɔfɛ walasa ka a kɛrɛfɛla balo.
Bolo damadɔ dɔrɔn de bɛ Dòn 'kɔnɔ k'a ɲɛsin 'kɔnɔna ma.
A nɔfɛkow:
Ni kari bɛ surunya a kɛrɛfɛla la, joli siraw tiɲɛni farati bɛ bonya.
Ni joli bɔli tigɛra, a kɛrɛfɛyɔrɔ bɛ AVN ni nonunion sɔrɔ kosɛbɛ.
Joginw kɛcogo min bɛ kɛ tuma caman na
Jogincogo min ka teli ka kɛ, o ye ka bin bolo kɔrɔtalen kan (FOOSH) .Ni mɔgɔ kelen-kelen bɛɛ bɛ bin, u bɛ u bolo kɔrɔta u yɛrɛ la ka u bolokɔniw sɛnsɛn walasa ka a gosili minɛ ni bolokɔnincinin ye. Nin jogincogo min bɛ kɛ tuma caman na, o ye kɛnɛyaso ni ɲininikɛlaw hakili sama kosɛbɛ, wa a bɛ fɔ a ma kosɛbɛ ni kumasen surun FOOSH ye.
Scaphoïde karilen sɛgɛsɛgɛli kɔfɛ
A ka ca a la, sɔgɔsɔgɔninjɛ karilenw bɛ sɔrɔ FOOSH joginw fɛ. Ni a man jugu, a taamasiɲɛw bɛ se ka dan bolokɔnidimi dɔɔni ma, o bɛ kɛ sababu ye ka banabagatɔw bila dɔgɔtɔrɔso ɲinini kɔ. Hali ni X-ray (AP ani lateral views) kɛra, a bɛ se ka kɛ ko kariw tɛ ye joona. Banabagatɔw bɛ se ka segin kalo caman kɔfɛ ni bolokɔnidimi ye min bɛ taa ɲɛ, o waati la, ja lajɛ bɛ a jira ko sɔgɔsɔgɔninjɛ karilen basigilen bɛ u la—o bɛ bana sɛgɛsɛgɛli bila kɔfɛ kosɛbɛ ani ka furakɛli kɛcogo ɲuman sɔrɔ.
Ladilikan jɔnjɔnw minnu bɛ se ka kɛ bana sɛgɛsɛgɛli la:
X-ray ja ka kan ka kɛ bolokɔni joginw bɛɛ la, hali sɔgɔsɔgɔninjɛ filɛli ni siga bɛ a la ko a karilen don.
Ni rezow ma ɲɛ nka siga bɛ to a la, a ka kan ka a lamaga, o kɔfɛ, aw bɛ segin ka ja lajɛ dɔgɔkun 2 kɔfɛ.
Ni aw bɛ a lamaga joona, o bɛ se ka kɛ bana sɛgɛsɛgɛli ni furakɛli fɛɛrɛ ye.
Furakɛli Sugandiliw
Kɛnɛma Fixation (Kɛnɛyako Fixation).
Kari kura minnu tɛ yɔrɔ wɛrɛ la, olu bɛ se ka furakɛ ni jɔli ye. Nka, a sirili ka kan ka gɛlɛya walasa ka kɛnɛya sabati. Plastɛri walima resin sɔgɔlanw bɛ se ka dɛsɛ ka bolokɔni ni bolokɔniw jiginni kɔlɔsi, o bɛ dɔ bɔ a sabatili la.
Plaster Cast Immobilisation: Bamako, Mali:
Bolo jan bolokɔnincinin spica cast:
A jiralen don kariw tila sabanan kɛrɛfɛ (AVN farati ka bon), kari siraw jɔlen/kɔrɔlen, ani bana sɛgɛsɛgɛli fɔlɔw.
A bɛ kɔkili lamaga ni 90° ye, bolokɔni, bolokɔni, ani bolokɔnincinin.
A bɛ sabatili caman di ni bolokɔniw jiginni ban ye.
Bolo surun bolokɔni spica cast:
A bɛnnen don kari sabanan yɔrɔjanw ma, tuberosity karilenw, ani cɛmancɛ cɛmancɛ karilenw sabatilenw (kɔfɛ).
A bɛ dususalo caman di nka a tɛ sabati kosɛbɛ.
Kɔnɔna Labɛnni
Vis de compression sans kungolo (Vis Herbert) .
Sisan sanu sariya ye sɔgɔsɔgɔninjɛ cɛmancɛ karilenw ye.
Herbert ka kanula ka fɛnɲɛnamafagalan
Vis Herbert kanulaté bislé
Kirschner Wire (K-filɛri) Fixation
Laadalata fɛɛrɛ min nafa ka bon, a ka c’a la, a bɛ kɛ farankan ye.
Nafa minnu bɛ a la : a bɛ se ka wuli, a sɔngɔ man gɛlɛn, a tɛ joli siraw tiɲɛ kosɛbɛ.
Nafa tɛ a la : a tɛ sabati kosɛbɛ, a bɛ kɛnɛma fiɲɛbɔ de wajibiya, banakisɛ sɔrɔli farati, a bɔli ka kan kɛnɛya kɔfɛ..
A taamasiɲɛw : denmisɛnw ka kari, a sirili waati dɔɔni kɔnɔ a sɔgɔli la, a faralen don a sirili kan ni juru ye.
Vis cannulée (min bɛ kɛ ni kanula ye) A bɛ kɛ ni jiribolo dɔ ye
Vis cannulée (Screw) min bɛ kɛ ni jiribolo dɔ ye
Scaphoid Nonunion ye
K’a sababu kɛ a joli siraw sɔrɔli ye min ɲɔgɔn tɛ, sɔgɔsɔgɔninjɛ ni cɛmancɛ karilenw ka teli ka kɛ ɲɔgɔndɛmɛbaliya ni AVN ye.
Furakɛli : Kolotuguda (min tɛ joli-sira-funu walima joli-sira-funu) faralen ɲɔgɔn kan ni kɔnɔna sirili ye (Herbert screw walima K-wire). Graft bilali tigitigi ani articular surface restauration smooth, o nafa ka bon kosɛbɛ. Tuma dɔw la, a bɛ se ka kɛ ko a ka kan ka kɛ ko styloidectomie radiale ni kolo bɔli ye a yɛrɛ minɛ bolokɔni lamaga waati.
Duniya bɛɛ ka Herbert Screw feerela ŋana 10 ani CZMEDITECH ka fɛn dilannenw lajɛlen
Scaphoïde karilenw furakɛli nafa ka bon kosɛbɛ—a tɛ kɛ dɔrɔn ka bolokɔni baara segin a ma, nka a bɛ banabagatɔw ka ɲɛnamaya kɛcogo ɲuman ni u ka baara seko fana sabati. Kɔnɔnafɛnw sirilan ɲuman sugandili ye gɛlɛyaw kunbɛnni kunba ye, ka fɛnɲɛnamafagalan tigitigi sɔrɔ, ani ka kɛnɛya sabatili sabati.
Implant suguya caman cɛma,... Herbert Screw bɛ bɔ kɛnɛ kan k’a sababu kɛ a dilanni ye min ɲɔgɔn tɛ ani a ka kɛnɛyako baarakɛcogo sɛgɛsɛgɛlen, o b’a to a ye minɛn nafama dɔ ye sɔgɔsɔgɔninjɛ karilenw furakɛli la.
Top 10 Herbert Screw Suppliers Diɲɛ kɔnɔ
| Rank |
Sosiyete tɔgɔ |
Logo |
| 1 |
DePuy Synthes ka baara |
![Herbert ka kanula ka sɔgɔsɔgɔninjɛ]() |
| 2 |
Stryker (Sɔrɔdasi) ye |
![Herbert ka kanula ka sɔgɔsɔgɔninjɛ]() |
| 3 |
Zimmer Biomet ye baara kɛ |
![Herbert ka kanula ka sɔgɔsɔgɔninjɛ]() |
| 4 |
Artɛrɛx (Arthrex) ye |
![Herbert ka kanula ka sɔgɔsɔgɔninjɛ]() |
| 5 |
Smith & Nephew (A balimakɛ denkɛ). |
![Herbert ka kanula ka sɔgɔsɔgɔninjɛ]() |
| 6 |
Wright ka dɔgɔtɔrɔso jɛkulu |
![Herbert ka kanula ka sɔgɔsɔgɔninjɛ]() |
| 7 |
Acumed (Acumed) ye |
![Herbert ka kanula ka sɔgɔsɔgɔninjɛ]() |
| 8 |
aap Aw bɛ AG don a kɔnɔ |
![Herbert ka kanula ka sɔgɔsɔgɔninjɛ]() |
| 9 |
Orthofix (Orthofix) ye |
![Herbert ka kanula ka fɛnɲɛnamafagalan]() |
| 10 |
CZMEDITECH ye baara kɛ |
![Herbert ka kanula ka sɔgɔsɔgɔninjɛ]() |
CZMEDITECH Herbert ka baarakɛminɛnw
I n’a fɔ Sinuwa jamana ka kolotugudaw dilannikɛla ŋana ani a feerela, CZMEDITECH bɛ Herbert Screws caman dilan minnu labɛnna sɔgɔsɔgɔninjɛ karilenw ni kolo jogin misɛnnin wɛrɛw kama.
Fɛn minnu ka kan ka kɛ:
Kungolo tɛ min na, o kɛcogo : a bɛ a to a ka sabati ka a sɔrɔ a bɛ joli-sira-funu-kɔnɔ-fɛnw ŋɛɲɛ dɔgɔya.
Biyomekaniki sabatili ka bon : compression interfragmentaire confiable bɛ union solide sabati.
Fɛn minnu bɛ se ka sugandi : a bɛ sɔrɔ furakɛli siratigɛ la nɛgɛ inox ni titaniyɔmu sɔgɔlen na, ni biyocompatibilité ɲuman ye ani ni a bɛ se ka sɔgɔsɔgɔ.
Bɛnkan min tɛ fɛn caman kɛ: a bɛnnen don farikolojidɛsɛ ni da wulicogo fila bɛɛ ma.
Fɛn caman ɲɛfɔcogo : u cɛmancɛ ni u janya ka ca walasa ka kɛnɛyaso mago suguya caman ɲɛnabɔ.
Nafa minnu bɛ sɔrɔ kɛnɛyaso la:
A bɛ sɔgɔsɔgɔninjɛ karilenw kɛnɛyali nɔgɔya teliya la ani ka da a kan, kɛrɛnkɛrɛnnenya la cɛmancɛ ni cɛmancɛ karilenw na minnu farati ka bon.
A bɛ kɛ sababu ye ka bolokɔniw lamaga joona, ka dɔ bɔ a gɛlɛyali la ani ka baarakɛcogo kɛnɛyali ɲɛ.
A bɛ dɔ bɔ kosɛbɛ nonunion ni AVN farati la ni i ye a suma ni laadala fixation fɛɛrɛw ye.
CZMEDITECH ka fɛn dilannenw
