Adzɔnuwo Ŋuti Numeɖeɖe
Nusiwo wotsɔ xea mɔ na ƒumeŋuɖui nye nu vevi aɖewo le ƒumeŋuɖui ƒe ememe nuléle ƒe ɖoɖowo me. Wowɔa xɔtunu si li ke to mɔ̃ si xea mɔ na gaviwo kple agbalẽviwo dome, si naa woate ŋu alé gbagbãƒewo sesĩe. Esɔ koŋ na ƒumeŋuɖui dɔnɔwo, ƒu ƒe gbagbã sesẽwo, kple amekoko ƒe nɔnɔme siwo hiã be woaɖe wo dzi akpɔtɔ pɛpɛpɛ.
Nusiwo kplɔ wo nɔewo ɖo sia dometɔ aɖewoe nye 3.5mm/4.5mm Eight-plates, Sliding Locking Plates, kple Hip Plates, siwo wowɔ na ɖeviwo ƒe ƒu ƒe tsitsi. Wonaa mɔfiame si li ke le epiphyseal kple fracture fixation, si naa ɖevi siwo xɔ ƒe vovovowo.
1.5S/2.0S/2.4S/2.7S ƒe hatsotsoawo dometɔ aɖewoe nye T-nɔnɔme, Y-nɔnɔme, L-nɔnɔme, Condylar, kple Gbugbɔgatu Kplu, siwo sɔ nyuie na ƒu suewo ƒe gbagbã le asiwo kple afɔwo me, si naa ʋuʋu pɛpɛpɛ kple nɔnɔme siwo mebɔ o.
Ha sia ƒe akpa aɖewoe nye clavicle, scapula, kple distal radius/ulnar plates siwo ƒe ŋutilã ƒe nɔnɔme le, si wɔnɛ be woate ŋu atsɔ dzogoe geɖe awɔ screw fixation hena ƒunukpeƒea ƒe liƒo nyuitɔ kekeake.
Wotrɔ asi le ɖoɖo sia ŋu na abɔ kple afɔ ƒe gbagbã sesẽwo, eye eƒe akpa aɖewoe nye proximal/distal tibial plates, femoral plates, kple calcaneal plates, si wɔnɛ be wokpɔa egbɔ be woléa afɔkpodzi sesĩe eye wowɔa ɖeka kple biomechanical.
Nusiwo kplɔ wo nɔewo ɖo sia ɖea akɔta ƒe agbalẽviwo, akɔta gbugbɔgatu ƒe agbalẽviwo, kple akɔta ƒe agbalẽvi siwo wotsɔ wɔa nuveviwɔame sesẽwo kple akɔta ƒe liƒolili.
Wotrɔ asi le ɖoɖo sia ŋu na afɔ kple afɔkpodzi ƒe gbagbã, eye metatarsal, astragalus, kple navicular plates le eme, si wɔnɛ be ŋutilã ƒe wɔwɔme sɔ na fusion kple fixation.
Wotrɔ asi le eŋu to amegbetɔ ƒe ŋutilã ƒe wɔwɔme ŋuti nyatakakadzraɖoƒe zazã me hena nɔnɔmetata si sɔ pɛpɛpɛ
Angulated screw tiatia hena liƒo si dzi ɖe edzi
Alesi wowɔe le mɔ si mebɔ o nu kple eƒe ŋutilã ƒe nɔnɔme ɖea dzikudodo ɖe lãmeka, lãkusi, kple ʋuka siwo ƒo xlãe ŋu dzi kpɔtɔna, si wɔnɛ be dɔwɔwɔ vɔ megbe kuxiwo dzi ɖena kpɔtɔna.
Agbɔsɔsɔme blibo tso ɖeviwo ƒe dɔwɔwɔ dzi va ɖo ame tsitsiwo ƒe dɔwɔwɔ dzi
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Adzɔnuwo ƒe Ðoɖowɔɖi
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Ne wole nu ƒom tso distal radius fractures dada ŋu la, tiatia ɖeka si ŋu 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 nusi 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 le distal dorsal radial delta locking plate ŋu, si me eƒe dzesiwo, amekokomɔnu, kple kuxi siwo ate ŋu ado tso eme hã le.
Distal radius fractures nye abi si bɔ, vevietɔ le ame tsitsiwo gome. Togbɔ be woate ŋu ada abi geɖe ƒe gbagbãƒe le mɔ si me womeɖea asi le nu ŋu le o to mɔxexeɖedɔléle nu hã la, ɖewo ate ŋu abia be woawɔ dɔ na wo. Distal dorsal radial delta locking plate zazã nye amekoko ƒe mɔnu ɖeka na gbagbãƒe siawo. Wotrɔ asi le agbalẽvi sia ŋu be wòana wòali ke esime wòana woate ŋu aʋuʋui kaba eye wòatrɔ ayi dɔwɔwɔ me.
Hafi míaƒo nu tso distal dorsal radial delta locking plate zazã ŋu la, ele vevie be míase distal radius ƒe ŋutilã ƒe wɔwɔme gɔme. Distal radius nye abɔtaƒu ƒe akpa si do ƒome kple asibidɛ ƒe ƒunukpeƒe. Enye xɔtunu sesẽ aɖe si me ƒunukpeƒetetedɔ kple lãkusi geɖe le. Abi siwo woxɔna le teƒe sia ate ŋu ato vovo le woƒe sesẽme nu, tso gbagbãƒe sue aɖe dzi va ɖo gbagbã keŋkeŋ dzi.
Woate ŋu afia be woazã distal dorsal radial delta locking plate na distal radius fractures ƒomevi aɖewo. Esiawo ate ŋu anye:
Ƒunukpeƒetetedɔ ƒe gbagbã
Gbagbãƒe siwo gblẽa nu le ame ŋu
Gbagbãƒe siwo me ʋuʋu le vevie
Gbagbã siwo me lãkusi ƒe abi siwo meli ke o le
Ðoɖowɔwɔ do ŋgɔ na dɔwɔwɔ na ame le vevie ne wole distal dorsal radial delta locking plate zazã ŋu bum. Esia ate ŋu alɔ nɔnɔmetatawo ŋuti numekuku siwo sɔ, abe X-ray alo CT scan ene, xɔxɔ be woatsɔ ada aŋea kpɔ bliboe. Tsɔ kpe ɖe eŋu la, ahiã be amekolaa nanya agbalẽvi ƒe lolome kple nɔnɔme si sɔ, kpakple afisi woatsɔ gaviawo aɖo nyuie wu.
Zi geɖe la, amekokomɔnu si wozãna tsɔ zãa distal dorsal radial delta locking plate la lɔ afɔɖeɖe siwo gbɔna ɖe eme:
Woɖea nu le didiƒe ʋĩ ƒe didime dzi be woate ŋu age ɖe afisi wogbãe le.
Woɖea gbagbãƒea dzi kpɔtɔna, alo wogbugbɔae ɖona ɖe ɖoɖo nu ne ehiã.
Wotsɔa agbalẽvi la ɖoa akɔta ƒe akpa si le didime la dzi.
Wotsɔa gaviwo toa agbaa me hedea ƒua me be wòalé ɖe teƒea.
Ne ehiã la, woate ŋu azã nu bubuwo abe ka alo ka ene atsɔ alé gbagbãƒea ɖe te geɖe wu.
Le amekoko vɔ megbe la, ate ŋu ahiã be dɔnɔwo nagaʋuʋu ɣeyiɣi kpui aɖe hafi adze kamedede gɔme. Taɖodzinu si le atikewɔwɔ ŋue nye be wòana wòagate ŋu aʋuʋu eye ŋusẽ nanɔ eŋu esime wòle ƒu si le dɔ dam la ta kpɔm. Dɔnɔwo ate ŋu atrɔ ayi gbesiagbedɔwo wɔwɔ me le kwasiɖa ade megbe le amekokoa megbe, togbɔ be ɣeyiɣi si woatsɔ awɔ dɔa ate ŋu ato vovo le alesi wogbãe nu hã.
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, kuxi siwo ate ŋu ado mo ɖa le distal dorsal radial delta locking plate zazã me. Esiawo ate ŋu anye:
Dɔdzedze
Nusiwo wotsɔ dea lãme na ame ƒe kpododonu
Lãmetsi alo ʋukawo ƒe abixɔxɔ
Sesẽ alo afisi wòate ŋu aʋuʋu le
Gbagbãƒea ƒe ƒoƒo ɖekae alo esi megawɔ ɖeka o si tsi megbe
Togbɔ be distal dorsal radial delta locking plate ate ŋu anye atikewɔwɔmɔnu nyui aɖe na distal radius fractures ƒomevi aɖewo hã la, atikewɔwɔ bubuwo li siwo ŋu woate ŋu abu hã. Esiawo ate ŋu anye:
Nusiwo dzi woɖena kpɔtɔna kple wo tsɔtsɔ ƒu gbe si wotu nu ɖo: Le gbagbãƒe siwo mesẽ boo o gome la, ne wotsɔ nusi wotsɔ ƒoa ƒui la maʋã o ate ŋu asu be wòado dɔyɔyɔ ɖe ŋgɔ.
Gotagome nuléle: Esia bia be woazã gavi alo ka siwo wotsɔ dea ŋutigbalẽa me kple ƒua me be wòana ƒua nali ke.
Volar locking plate: Esia nye plate bubu si woda ɖe asibidɛ ƒe akpa si le radius la dzi.
Atikewɔwɔ tiatia anɔ te ɖe aɖuɖɔtoea koŋ kple dɔnɔ ɖesiaɖe ƒe nuhiahiãwo kple nusiwo wòlɔ̃ dzi.
Le dɔnɔ siwo le distal dorsal radial delta locking plate zazã ŋu bum gome la, ele vevie be woase viɖe kple afɔku siwo le dɔa wɔwɔ me gɔme bliboe. Ele be woana dɔnɔwo nanya nu tso ɣeyiɣi si wokpɔ mɔ be woahaya, kuxi siwo ate ŋu ado mo ɖa, kple mɔxexe ɖe dɔwɔna ɖesiaɖe si ate ŋu ahiã le dɔyɔyɔa me ŋu. Tsɔ kpe ɖe eŋu la, ele be woade dzi ƒo na dɔnɔwo be woabia nya ɖesiaɖe si anɔ wo si eye woakpɔ gome le wo dzi kpɔkpɔ me vevie.
Abe alesi wòle le atikewɔwɔmɔnu ɖesiaɖe gome ene la, distal dorsal radial delta locking plates zazã le tɔtrɔm ɣesiaɣi. Wole agbagba dzem be woana aɖaŋu kple nusiwo wozãna le agbalẽvi siawo me nanyo ɖe edzi, eye woato aɖaŋu yeyewo vɛ atsɔ ade woe. Tsɔ kpe ɖe eŋu la, numekulawo le mɔ̃ɖaŋununya bubuwo abe 3D-tata kple nugbagbeŋutinunyalawo ene zazã me dzrom be woatsɔ ana atike si woatsɔ ada aŋenu siwo le didiƒe ʋĩi la nanyo ɖe edzi wu.
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 nuhiahiãwo kpɔ nyuie eye woabu atikewɔmɔnu bubuwo hã ŋu. Ne wowɔ ɖoɖo nyuie do ŋgɔ na dɔwɔwɔ nɛ, amekokomɔnu, kple beléle na dɔnɔwo le dɔwɔwɔ vɔ megbe la, woate ŋu akpɔ mɔ be yewoakpɔ nu nyuiwo eye yewoatrɔ ayi yewoƒe gbesiagbedɔwo gbɔ.
Nusiwo Wowɔ