Distal ulnar ƒe ʋuƒo si wotsɔ ƒoa nu .

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Distal ulnar locking plate: eƒe viɖewo, eƒe dzesiwo, kple amekokomɔnu gɔmesese .

Ne wò alo ame aɖe si nènya la xɔ abi le ulnar ƒe gbagbã si le didiƒe ta la, àte ŋu anya nya 'distal ulnar locking plate.' Mɔ̃ sia trɔ asi le alesi wowɔa nu ɖe ​​distal ulnar fractures ŋu, si naa viɖe gbogbo aɖewo wu dekɔnu atikewɔwɔwo. Le nyati sia me la, míaku nu me tsitotsito le distal ulnar ulnar locking plate la ŋu, anɔ eƒe viɖewo, dzesiwo, kple amekokomɔnuawo me dzrom.

1. Nukae nye distal ulnar locking plate?

A distal ulnar locking plate nye atikewɔnu tɔxɛ aɖe si wozãna le amekoko na ulnar ƒe akpa siwo le didiƒe ʋĩ ƒe dɔwɔwɔ me. Wotsɔ ga wɔe eye do geɖe le eŋu be woate ŋu atsɔe aɖo ƒu me. Wotsɔa agbaa dana ɖe ulna-ƒua dzi, si nye ƒu eve siwo le abɔta la dometɔ ɖeka, eye wotsɔa gaviwo blaa wo ɖe teƒea. Ne wonya ɖo teƒea ko la, agbaa naa ƒu nɔa te, si wɔnɛ be wòte ŋu daa dɔ nyuie.

2. Viɖe siwo le distal ulnar locking plate ŋu .

Viɖe geɖe le ulnar ulnar locking plate si le didiƒe zazã atsɔ ada distal ulnar fractures ŋu. Esiawo dometɔ aɖewoe nye:

• Lili si nyo ɖe edzi: Agbaa naa ƒu la nɔa te sesĩe eye wòli ke, si wɔnɛ be woate ŋu ada gbe le eŋu nyuie wu eye wòaɖe kuxiwo ƒe afɔkua dzi akpɔtɔ.

• Ɣeyiɣi kpui aɖe ƒe dɔyɔyɔ: Esi wònye be agbaa naa nu sesẽ alea ta la, ƒu la te ŋu daa gbe kabakaba wu eye wòwɔa dɔ nyuie, si wɔnɛ be ɣeyiɣi kpui aɖe koe wòhayana.

• Vevesese si dzi ɖe kpɔtɔ: Ne dɔnɔa ƒe liƒo nyo ɖe edzi eye ɣeyiɣi kpui aɖe va yi la, zi geɖe la, dɔnɔwo mesea veve boo o eye womesea veve le amekokoa megbe o.

• Kuxi siwo le kuxiwo me ƒe ɖiɖi: Wokpɔe be to distal ulnar locking plate zazã me atsɔ ada distal ulnar fractures ɖea kuxiwo abe malunion kple nounion ene ƒe afɔku dzi kpɔtɔna.

3. Nusiwo fiaa ulnar ƒe ʋuƒo si le didiƒe ƒe agbalẽvi .

Zi geɖe la, wozãa ulnar ƒe ʋuƒo si le didiƒe tsɔ daa ulnar ƒe gbagbã siwo le didiƒe siwo woɖe ɖa alo womeli ke o. Nuveviwɔame, abe anyidzedze ene, alo le wo zazã fũ ta, abe kamedefefewɔlawo ene, ate ŋu adzɔ le gbagbã siawo ta. Le goawo katã me la, wokafua distal ulnar locking plate na gbagbã siwo womate ŋu atsɔ dɔwɔwɔ siwo menye amekoko o, abe casting alo bracing ene awɔ atike na o.

4. Amekokomɔnu siwo wozãna na ulnar ƒe ʋuƒo si le didiƒe ʋĩ .

Ne ènye ame si di be yeaxɔ ulnar locking plate si le didiƒe la, wò amekola awɔ amekokomɔnu siwo gbɔna:

Ðoɖowɔwɔ do ŋgɔ na dɔwɔwɔ na ame .

Hafi woawɔ dɔ na wò la, wò amekola awɔ nɔnɔmetatawo dodokpɔwo, abe X-ray alo CT-dɔdamɔnu ene, atsɔ ada alesi gbegbe wò lãme gbã ahawɔ ɖoɖo ɖe amekokoa ŋu la akpɔ.

Incision kple exposure .

Le amekokoa me la, wò amekola aɖe awɔ ŋutigbalẽa ƒe akpa sue aɖe le ulna ƒu la dzi eye wòaɖe ƒu si gbã la ɖe go.

Plate Placement kple Fixation .

Emegbe wotsɔa distal ulnar locking plate la dana ɖe ulna ƒu dzi eye wotsɔa gaviwo blaa wo ɖe teƒea.

Nuwuwu .

Mlɔeba la, wotua lãkusia hedoa awu, eye woate ŋu atsɔ aŋe alo aŋenu aɖe aƒoe.

5. Gbɔdzɔgbɔdzɔ kple gbugbɔgaɖɔɖo le amekoko megbe .

Gbugbɔhaya kple egbugbɔgaɖɔɖo le amekokoa megbe anɔ te ɖe alesi gbegbe wò lãme gbã kple amekokomɔnu si nàzã dzi. Le goawo katã me la, àte ŋu akpɔ mɔ be yeado aŋe alo atsɔe aƒu gbe kwasiɖa geɖe le amekokoa megbe. Woate ŋu akafu kamedede hã be wòakpe ɖe ŋuwò nàgakpɔ ŋusẽ kple ʋuʋu le wò alɔnu.

6. Kuxi siwo ate ŋu ado mo ɖa .

Abe alesi wòle le amekoko ƒe mɔnu ɖesiaɖe gome ene la, kuxi siwo ate ŋu ado mo ɖa le ulnar ulnar locking plate si le didiƒe zazã atsɔ ada ulnar ƒe gbagbã si le didiƒe ŋu. Esiawo ate ŋu anye dɔlékuiwo xɔxɔ, lãmekawo ƒe gbegblẽ, kple nusiwo wodo ɖe lãme na ame ƒe dɔmawɔmawɔ nyuie. Wò amekola aƒo nu tso afɔku kple viɖe siwo le dɔdamɔnua ŋu me tsitotsito hafi woawɔ dɔ nɛ.

7. Nyataƒoƒo .

A distal ulnar locking plate nye amekoko ƒe atikewɔwɔ si wɔa dɔ ŋutɔ na ulnar ƒe gbagbã le didiƒe si naa viɖe geɖe wu atikewɔwɔ deŋgɔwo. Ne wò alo ame aɖe si nènya be ulnar ƒe gbagbã le didiƒe le fu ɖem na wò la, ke ƒo nu kple wò ɖɔkta tso nenye be ulnar ulnar locking plate ate ŋu anye atikewɔmɔnu si ate ŋu awɔ dɔ nyuie ŋu.

8. Nyabiasewo .

1. Ɣeyiɣi didi kae wòxɔna hafi woate ŋu ahaya tso amekoko me kple distal ulnar locking plate?

• Ɣeyiɣi si nàhaya anɔ te ɖe alesi gbegbe wò gbagbãƒe kple amekokomɔnu si wozã dzi. Le goawo katã me la, àte ŋu akpɔ mɔ be yeado aŋe alo woatsɔe aƒu gbe kwasiɖa geɖe le amekokoa megbe eye woawɔ ŋutilãmedɔ nɛ be wòakpe ɖe ŋuwò nàhaya.

2. Ðe afɔku aɖewo li siwo do ƒome kple distal ulnar locking plate zazãa?

• Abe alesi wòle le amekoko ƒe mɔnu ɖesiaɖe gome ene la, afɔku kple kuxi siwo ate ŋu ado tso eme siwo do ƒome kple ulnar ƒe ʋuƒo si le didiƒe zazã. Wò amekola adzro nusiawo me tsitotsito hafi woawɔ dɔ na wò.

3. Ðe woate ŋu ada ulnar ƒe gbagbã le didiƒe amekoko manɔmeea?

• Le go aɖewo me la, woate ŋu ada ulnar ƒe gbagbã le didiƒe amekoko manɔmee to mɔnu siwo menye amekoko o abe casting alo bracing ene zazã me. Gake ate ŋu ahiã be woawɔ dɔ na ame le ƒu gbagbã siwo woɖe ɖa alo womeli ke o ta.