Distal volar radial locking plate(kple drill guide): Mɔfiame blibo .
Kpɔkplɔyiɖeme
Distal volar radial locking plate (DVR) nye ƒumeŋuɖui ƒe dzidzime yeye aɖe si naa fixation kple liƒo si nyo wu le distal radius fractures dada me. DVR-gbadzɛa, ne wozãe kple mɔfianu si wotsɔna kua nu la, naa ʋuƒo si sɔ pɛpɛpɛ, si naa wokpɔa egbɔ be woɖoa wo ɖe teƒe nyuitɔ eye wòɖea afɔku si le kuxiwo me dzi kpɔtɔna. Nyati sia ƒe taɖodzinue nye be yeana mɔfiame blibo aɖe le DVR plate la ŋu kple drill guide, si me eƒe nɔnɔmewo, viɖewo, kple eŋudɔwɔwɔwo le.
Anatomy of distal radius .
Be woase DVR-gbadzɛa ƒe dzesiwo kple wo zazã gɔme la, ele vevie be gɔmesese vevi aɖe nanɔ ame si le didiƒe ƒe didime ƒe wɔwɔme ŋu. Distal radius nye ƒu si ƒe ƒuwo le abe ƒu ene ƒe akpa si ƒoa ƒu kple abɔtaƒuwo eye wòwɔa asibidɛ ƒe ƒunukpeƒe. Enye wɔwɔme sesẽ aɖe si me articular surface, metaphysis, kple diaphysis le.
Dzesi siwo fia DVR gbadzɛ kple drill guide .
Wotrɔ asi le DVR gbadzɛa ŋu hena distal radius ƒe gbagbã siwo lɔ asibidɛ ƒe volar ƒe akpa ɖe eme la dada. Nusiwo woatsɔ awɔ DVR-gbadzɛa zazãe nye:
Nusiwo wotsɔ ƒo ƒu ɖe didiƒe ƒe didime si wowɔ ɖekae .
Afɔkpodzi ƒe gbagbã le didiƒe ƒe didime .
gbagbã siwo me abi siwo do ƒome kple lãkusiwo le .
Dɔnɔ siwo ŋu ƒunukpeƒetetedɔ le ƒe gbagbã .
DVR plate ƒe nɔnɔmewo kple drill guide .
DVR gbadzɛ si me drill guide le la ƒe nɔnɔme tɔxɛ geɖe le esi si wɔe be wònye nu nyui aɖe si woatsɔ ade nu me na distal radius fractures dada. Nu siawo dometɔ aɖewoe nye:
low profile design: DVR plate la ƒe nɔnɔme le bɔbɔe, si ɖea afɔku si le lãkusi ƒe dzikudodo me dzi kpɔtɔna eye wòdzia dɔnɔwo ƒe akɔfafa ɖe edzi.
Anatomically contoured shape: DVR plate la ƒe ŋutilã ƒe wɔwɔme sɔ kple eƒe nɔnɔme si le didiƒe ƒe didime, si kpɔa egbɔ be esɔ nyuie wu eye wòɖea afɔku si le nusi wotsɔ dea lãme na ame ƒe kpododonu me dzi kpɔtɔna.
Mɔ̃ɖaŋununya si wotsɔna ƒoa gavie: DVR plate la zãa locking screw technology, si naa fixation kple stability si nyo wu.
Drill Guide: DVR plate la va kple drill guide si kpɔa egbɔ be woɖoa gavi ɖe ɖoɖo nu pɛpɛpɛ eye wòɖea kuxiwo ƒe afɔkua dzi kpɔtɔna.
Amekokomɔnu .
Amekokomɔnu si wozãna tsɔ zãa DVR-gbadzɛa kple mɔfianu si wotsɔna kua mɔ̃ae nye esi:
Wotsɔa dɔnɔa dea atike si naa alɔ̃dɔdɔ ame me, eye wotsɔa tourniquet dea abɔta ƒe akpa si le etame la me.
Wowɔa volar approach na distal radius, eye woɖea afisi wogbãe le la ɖe go.
Wotrɔa asi le DVR-gbadzɛa ŋu wòsɔna kple didime si le didiƒe ƒe nɔnɔme, eye wotsɔa mɔfianu si wotsɔna kua nu la dea agbaa me.
Emegbe wozãa drill guide la tsɔ kua dowo na ʋuƒo siwo wotsɔ xea mɔ̃a ƒe ʋuƒoawo.
Emegbe wotsɔa DVR-gbadzɛa dana ɖe didiƒe si le didiƒe la dzi, eye wotsɔa gavi siwo wotsɔna xea mɔe la dea do siwo me woku do ŋgɔ la me.
Woléa ŋku ɖe agbalẽvia ŋu be eli ke eye wòléa nu ɖe te hã, eye wotua abi la.
Viɖe siwo le DVR gbadzɛ si me drill guide le ŋu .
Viɖe siwo le DVR gbadzɛa zazã me kple mɔfianu si woatsɔ awɔ drill na distal radius fractures dadae nye:
Fixation kple liƒo si nyo ɖe edzi .
Afɔku si le kuxiwo me dzi ɖeɖe kpɔtɔ .
Screw Placement si sɔ pɛpɛpɛ .
Dɔwɔwɔ ƒe ɣeyiɣi si dzi woɖe kpɔtɔ .
Low profile design na dɔnɔwo ƒe akɔfafa si dzi ɖe edzi .
beléle na ame le dɔwɔwɔ vɔ megbe .
Le amekokoa megbe la, woana vevesesenutsitike dɔnɔa eye woafiae be woalé be na abi la nyuie. Woate ŋu akafu ŋutilãmedɔdada hã be wòakpe ɖe dɔnɔa ŋu wòagaxɔ asibidɛwo ƒe ʋuʋu kple ŋusẽ. Woaɖo aɖaŋu na dɔnɔa be wòaƒo asa na kɔklɔ sesẽ kple dɔwɔna siwo hea nuteɖeamedzi vɛ na asibidɛa kwasiɖa geɖe le amekokoa megbe.
Kuxiwo .
Kuxi siwo do ƒome kple DVR-gbadzɛa zazã kple mɔfianu si wotsɔna kua mɔ̃e dometɔ aɖewoe nye dɔlékuiwo xɔxɔ, nusiwo wodo ɖe lãme na ame ƒe dɔmawɔmawɔ nyuie, kple abixɔxɔ le lãmeka alo lãkusi me. Gake kuxi siawo mebɔ o eye woate ŋu aɖe wo dzi akpɔtɔ ne wowɔ amekokomɔnu nyui kple beléle na ame le amekokoa megbe dzi.
