Distal dorsal radial delta locking plate: mɔfiame blibo .
Ne míeƒo nu tso distal radius fractures dada ŋu la, tiatia ɖeka si amekolawo ate ŋu abu enye distal dorsal radial delta locking plate zazã. Plɛti sia ƒomevi va xɔ ŋkɔ le ƒe ʋɛ siwo va yi me le ŋutete si le esi be wòana nuwo nali ke si li ke ta, si wɔnɛ be woate ŋu aƒo wo nu ƒu kaba eye woatrɔ ayi gbesiagbedɔwo gbɔ kabakaba. Le nyati sia me la, míana mɔfiame blibo aɖe ku ɖe distal dorsal radial delta locking plate ŋu, si me eƒe dzesiwo, amekokomɔnu, kple kuxi siwo ate ŋu ado mo ɖa le.
Kpɔkplɔyiɖeme
Distal radius fractures nye abi si bɔ, vevietɔ le ame tsitsiwo gome. Togbɔ be woate ŋu awɔ dɔ na gbagbãƒe geɖe le mɔ si me womezãa nu le o nu kple mɔxexeɖedɔléle nu hã la, ɖewohĩ ahiã be woawɔ dɔ na wo dometɔ aɖewo. Distal dorsal radial delta locking plate zazã nye amekoko ƒe tiatia ɖeka na gbagbã siawo. Wotrɔ asi le agbalẽvi sia ŋu be wòana fixation si li ke esime wòɖe mɔ na ʋuʋu kaba eye wòatrɔ ayi dɔwɔwɔ me.
Anatomy of the distal radius .
Hafi míaƒo nu tso distal dorsal radial delta locking plate zazã ŋu la, ele vevie be woase distal radius ƒe ŋutilã ƒe wɔwɔme gɔme. Distal radius nye abɔtaƒu ƒe akpa si do ƒome kple asibidɛ ƒe ƒunukpeƒe. Enye xɔ si me nu vovovowo le si me ƒunukpeƒewo ƒe akpa vovovowo kple lãkusiwo le. Nuveviwɔame le teƒe sia ate ŋu ato vovo le eƒe sesẽme nu, tso gbagbãƒe sue aɖe dzi va ɖo eƒe gbagbã keŋkeŋ dzi.
Nusiwo woafia na distal dorsal radial delta locking plate .
Woate ŋu afia distal dorsal radial delta locking plate zazã na distal radius fracture ƒomevi aɖewo. Esiawo ate ŋu anye:
ƒunukpeƒewo ƒe akpa si le ƒunukpeƒewo .
gbagbã siwo wowɔ ɖekae .
Fractures kple ʋuʋu ɖedzesi .
Akpa siwo me mekɔ o siwo me lãkusiwo mele o .
Ðoɖowɔwɔ do ŋgɔ na dɔwɔwɔ na ame .
Ðoɖowɔwɔ do ŋgɔ na dɔwɔwɔ le vevie ne wole ŋugble dem le distal dorsal radial delta locking plate zazã ŋu. Esia ate ŋu anye nɔnɔmetatawo wɔwɔ ŋuti numekuku siwo sɔ, abe X-ray alo CT-dɔdamɔnu ene, be woatsɔ ada gbagbãƒea kpɔ bliboe. Tsɔ kpe ɖe eŋu la, ahiã be amekolaa nanya agbalẽvia ƒe lolome kple nɔnɔme si sɔ, kpakple alesi woatsɔ gaviwo ade eme nyuie wu.
Amekokomɔnu .
Zi geɖe la, amekokomɔnu si wozãna tsɔ zãa akɔta ƒe akpa si nye distal radial delta locking plate la lɔa afɔɖeɖe siwo gbɔna ɖe eme:
Woɖea lãɖeɖe ɖe didiƒe ƒe didime dzi be wòana woate ŋu age ɖe teƒe si wogbã la le.
Woɖea gbagbãƒea dzi kpɔtɔna, alo wogbugbɔa wo ɖona ɖe ɖoɖo nu, ne ehiã.
Woɖoa agbalẽa ɖe radius la ƒe megbekpa dzi.
Wotsɔa gaviwo toa agbaa me gena ɖe ƒu me be woatsɔ ablae ɖe teƒea.
Ne ehiã la, woate ŋu azã nu bubu siwo woatsɔ aɖo wo nɔewo ŋu, abe ka alo pin ene, atsɔ ana gbagbãƒea nali ke ɖe edzi.
beléle na ame le dɔwɔwɔ vɔ megbe .
Le amekokoa megbe la, dɔnɔwo ate ŋu abia be woawɔ dɔ na yewo hena ɣeyiɣi kpui aɖe hafi woadze ŋutilãmedɔdada gɔme. Taɖodzinu si le atikewɔwɔ ŋue nye be woagbugbɔ awɔ dɔ vovovowo kple ŋusẽ si le wo ŋu esime wole ƒu si daa gbe le ame ŋu la ta kpɔm. Dɔnɔwo ate ŋu atrɔ ayi gbesiagbedɔwo me le kwasiɖa ade megbe le amekokoa megbe, togbɔ be ɣeyiɣi si woɖo ɖi la ate ŋu ato vovo le alesi wòsẽe nu hã.
Kuxi siwo ate ŋu ado tso eme .
Abe alesi wòle le amekoko ƒe mɔnu ɖesiaɖe gome ene la, kuxi siwo ate ŋu ado tso eme siwo do ƒome kple distal dorsal radial delta locking plate zazã. Esiawo ate ŋu anye:
Dɔdzedze
Ame ƒe lãmetutudɔ ƒe kpododonu .
Lãmetsiŋusẽ alo ʋukawo ƒe abixɔxɔ .
Sesẽ alo ʋuʋu ƒe didime ƒe bu .
Union si wohe ɖe megbe alo esi mewɔ ɖeka kple ƒu ƒe gbagbã o .
Atikewɔmɔnu bubuwo .
Togbɔ be distal dorsal radial delta locking plate ate ŋu anye atikewɔwɔ ƒe mɔnu nyui aɖe na distal radius fracture ƒomevi aɖewo hã la, atikewɔwɔ bubuwo li siwo ŋu woate ŋu abu hã. Esiawo ate ŋu anye:
Nuwo dzi ɖeɖe kpɔtɔ kple wo tsɔtsɔ ƒu gbe si wotu: Be woagbãe wòasẽ vie la, woate ŋu atsɔ aŋe awɔ wo meʋuʋu o ate ŋu asu be woado gbedada ɖe ŋgɔ.
External fixation: Esia bia be woazã pin alo ka siwo wotsɔ de ŋutigbalẽa me eye woatsɔ wo ade ƒu me be woali ke ɖe wo nɔewo ŋu.
Volar Locking Plate: Esia nye agbalẽ bubu si wotsɔ da ɖe radius la ƒe asike ƒe akpa dzi.
Atikewɔwɔ si woatia anɔ te ɖe eƒe gbagbã kple dɔnɔ ɖesiaɖe ƒe nuhiahiãwo kple nusiwo wòlɔ̃ dzi.
Dɔnɔwo ƒe Hehenasuku .
Le dɔnɔ siwo ŋu wole ŋugble dem le le distal dorsal radial delta locking plate zazã ŋu la, ele vevie be woase viɖe kple afɔku siwo le dɔdamɔnua me gɔme bliboe. Ele be woana dɔnɔwo nanya ɣeyiɣi si wokpɔ mɔ be woahaya, kuxi siwo ate ŋu ado mo ɖa, kple mɔxexe ɖe dɔwɔna ɖesiaɖe si ate ŋu ahiã le dɔyɔyɔ ƒe ɖoɖoa me nu. Tsɔ kpe ɖe eŋu la, ele be woade dzi ƒo na dɔnɔwo be woabia nya ɖesiaɖe si ate ŋu anɔ wo si eye woakpɔ gome le woƒe dzikpɔkpɔ te vevie.
mɔfiame siwo ava va le etsɔme kple nu yeyewo wɔwɔ .
Abe alesi wòle le atikewɔwɔ ƒe mɔ̃ɖaŋununya ɖesiaɖe gome ene la, distal dorsal radial delta locking plates zazã le tɔtrɔm ɣesiaɣi. Agbagbadzedzewo le edzi yim be woana aɖaŋu kple nusiwo wozãna le agba siawo me nanyo ɖe edzi, eye woato mɔnu yeye siwo woazã atsɔ ade wo me la vɛ. Tsɔ kpe ɖe eŋu la, numekulawo le mɔ̃ɖaŋununya bubuwo zazã, abe 3D tata kple nugbagbewo ƒe dɔwɔwɔ ene, me dzrom be woagadzi ɖe edzi le didiƒe ʋĩ ƒe ʋuʋudediwo dada me.
Nyanuwuwuw
Distal dorsal radial delta locking plate zazã ate ŋu anye tiatia nyui aɖe na distal radius fractures ƒomevi aɖewo. Gake ele vevie be woada dɔnɔ ɖesiaɖe ƒe nuhiahiã ɖekaɖekawo kpɔ nyuie eye woabu atikewɔmɔnu bubuwo hã ŋu. Le ɖoɖowɔwɔ nyuie do ŋgɔ na dɔwɔwɔ nɛ, amekokomɔnu, kple beléle na ame le dɔwɔwɔ vɔ megbe me la, dɔnɔwo ate ŋu akpɔ mɔ be yewoakpɔ nu nyuiwo eye yewoatrɔ ayi yewoƒe gbesiagbedɔwo me.
