Scaphoid ƒe Ʋuʋudedi
Scaphoid ƒe gbagbãe nye abɔta ƒe gbagbã si bɔ wu, eye wònye abɔta ƒe ƒu ƒe gbagbãwo katã ƒe 70% lɔƒo. Le eƒe ŋutilã ƒe nɔnɔme tɔxɛ si le asibidɛ ƒe ƒu ƒe ɖoɖoa me ta la, wotoa scaphoid ƒe gbagbã yeyewo ŋu zi geɖe le dɔdamɔnu ƒe dɔlélewo didi me. Gawu la, ʋuka tɔxɛ si scaphoid la nana dɔnɔwo te ŋu doa go kuxiwo abe nonunion, avascular necrosis (AVN), kple asibidɛ ƒe malikenyenye le ɣeyiɣi siwo va yi me. Le atikewɔnyawo me la, esesẽna be woada akɔta ƒe gbagbã eye zi geɖe la, egblẽa emetsonuwo abe asibidɛ ƒe vevesese atraɖii, ʋuʋu ƒe seɖoƒe, kple ƒunukpeƒetetedɔ le afɔku megbe ene ɖi.
Akpa Tɔxɛ si Scaphoid Wɔna le Ŋutilã me
Scaphoid nye ƒu diditɔ kekeake le proximal carpal row me, si ƒe nɔnɔme le abe tɔdziʋu sue ene (eyatae woyɔe be 'scaphoid'). Ekeke ɖe abɔta ƒe fli siwo te ɖe wo nɔewo ŋu kple esiwo le didiƒe dome, eye wòwɔa akpa vevi aɖe le fli eveawo ƒe liƒolili kple wo ƒoƒo ƒu ɖekae me. Asibidɛ ƒe ʋuʋu si sɔ, siwo dometɔ aɖewoe nye asibidɛ ƒe ʋuʋu, kekeɖenudɔwɔwɔ, eƒe ʋuʋu le ŋgɔgbe, kple ulnar ƒe teteɖeanyi, katã nɔ te ɖe scaphoid ƒe ʋuʋu ɖekae dzi. Ne wonya gbã ko la, asibidɛ bliboa ƒe biomechanics gblẽna.
Ʋukawo ƒe Dɔwɔnu Siwo Mebɔbɔna O
Scaphoid xɔa ʋu tso radial artery ƒe alɔwo me koŋ, eye wògena ɖe eme tso akɔta ƒe ʋuƒo kple didiƒe ʋĩ:
Ʋu ƒe sisi ƒe 70–80% lɔƒo toa distal tubercle me gena ɖe eme, eye wòsina yia megbe tsɔ naa nuɖuɖu proximal pole.
Alɔ ʋɛ aɖewo koe gena ɖe ati si te ɖe eŋu la me tẽ.
Nusiwo wòfia:
Zi alesi gbagbãƒea te ɖe ati si te ɖe eŋu ŋui la, zi nenemae ʋukawo ƒe dɔmawɔmawɔ nyuie ƒe afɔkua dzina ɖe edzii.
Ne ʋu ƒe sisi nu tso ko la, AVN kple nonunion te ŋu xɔa kakɛ si te ɖe eŋu la ŋutɔ.
Nuveviwɔame ƒe Mɔnu si Bɔ
Mɔnu si bɔ wu si dzi woato axɔ abi enye asi si wodo ɖa dzi dzedze (FOOSH) .Ne ame ɖekaɖekawo le gegem la, le dzɔdzɔme nu la, wokekea alɔnu ɖe enu eye wokekea asibidɛwo ɖe enu be woatsɔ asibidɛ axɔ nusi wògblẽ la. Nuveviwɔame ƒe mɔnu sia si wozãna enuenu la he atikewɔlawo kple numekukuwo ƒe susu vevie, eye wotsɔa kpukpui si nye FOOSH yɔnae le afisiafi.
Scaphoid Fracture ƒe Dzesidede Heheɖemegbe
Zi geɖe la, FOOSH ƒe abixɔxɔ gbɔe scaphoid ƒe gbagbã tsona. Le nɔnɔme siwo mesẽ o me la, dzesiawo ate ŋu anye asibidɛ ƒe vevesese vi aɖe ko, si ana dɔnɔwo naŋe aɖaba aƒu atikewɔƒe didi dzi. Ne woɖe X-ray (AP kple axadzikpɔkpɔ) gɔ̃ hã la, ɖewohĩ womakpɔ gbagbãƒewo enumake o. Dɔnɔwo ate ŋu atrɔ ava le ɣleti aɖewo megbe kple asibidɛ si le veve sem vivivi, eye le ɣeyiɣi ma me la, nɔnɔmetatawo ɖeɖe ɖea scaphoid ƒe gbagbã si nɔa anyi didi fiana—si hea dɔlélea didi ɖe megbe ŋutɔ eye atikewɔwɔ ƒe fesre nyuitɔ metoa wo ŋu.
Aɖaŋuɖoɖo vevi siwo ku ɖe dɔlélewo didi ŋu:
Ele be woawɔ X-ray nɔnɔmetatawo na asibidɛ ƒe abi siwo katã woxɔ, si me scaphoid kpɔkpɔ ne wosusu be eƒe gbagbã hã le.
Ne X-raywo meɖe vi aɖeke o gake ɖikeke gakpɔtɔ li la, ele be woawɔ nusi axe mɔ ɖe ʋuʋu nu, eye woagaɖe nɔnɔmetatawo ake le kwasiɖa 2 megbe.
Ne womewɔa dɔ o kaba ate ŋu anye dɔlélewo didi kple atikewɔwɔ siaa.
Atikewɔwɔ ƒe Tiatiawɔblɔɖe
Gomegome Fixation
Woate ŋu atsɔ nusiwo meʋãna o ada gbagbãƒe yeye siwo womeɖe le teƒe bubu o. Gake ele be fixation nasẽ be woakpɔ egbɔ be woda gbe le eŋu. Plaster alo resin splints siwo wozãna ɖaa ate ŋu ado kpo asibidɛ kple abɔta ƒe tɔtrɔ dzi kpɔkpɔ, si ana woali ke.
Plaster Cast ƒe Ʋuʋudedi:
Abɔ didi ƒe asibidɛ spica cast:
Wofiae na gbagbãƒe ƒe akpa etɔ̃lia si te ɖe wo nɔewo ŋu (AVN ƒe afɔku gãtɔ kekeake), gbagbãƒe ƒe fli siwo le tsitrenu/siwo le tsia dzi, kple dɔléle si wokpɔ le gɔmedzedzea me.
Enaa abɔta meʋãna le 90°, abɔta, asibidɛ, kple asibidɛ o.
Enaa liƒo si sɔ gbɔ wu to abɔta ƒe tɔtrɔ ɖeɖeɖa me.
Abɔ kpui ƒe asibidɛ spica cast:
Esɔ na didiƒe etɔ̃lia ƒe gbagbã, tuberosity gbagbã, kple titina akɔta ƒe gbagbã si li ke (emegbee).
Enaa akɔfafa geɖe wu gake meli ke boo o.
Ememe Fixation
Tamanɔsitɔ ƒe Nutete ƒe Kplu (Herbert ƒe Kplu) .
Fifia sika ƒe dzidzenu na scaphoid akɔta ƒe gbagbã.
Herbert Cannulated Nutete ƒe Kplu
Herbert Screw si Wotsɔa Atike Siwo Wotsɔ Klɔe
Kirschner Ka (K-ka) ƒe Nuɖoɖo
Mɔnu si wozãna tsã gake wòɖea vi, si kpena ɖe eŋu zi geɖe.
Viɖewo : te ŋu trɔna bɔbɔe, mexɔ asi o, ʋukawo ƒe tɔtɔ sue aɖe ko.
Nusiwo gblẽ le eŋu : meli ke tututu o, ebia gotagome fixation, dɔlékui ƒe afɔku, eɖeɖe hiã le dɔyɔyɔ megbe..
Nusiwo woɖena fiana : ɖeviwo ƒe gbagbã, ɣeyiɣi kpui aɖe ƒe fixation le comminution, kpeɖeŋutɔ na screw fixation.
Cannulated Screw Wotsɔ ka ƒe akpa aɖe ƒoe
Cannulated Screw Wotsɔ ka ƒe akpa aɖe ƒoe
Scaphoid Ðekawɔwɔmanɔamesi
Le eƒe ʋukawo ƒe agbɔsɔsɔ tɔxɛ ta la, scaphoid akɔta kple proximal fractures te ŋu dona nonunion kple AVN bɔbɔe.
Atikewɔwɔ : Ƒu ƒe dodo (si me ʋukawo mele o alo esi me ʋukawo mele o) si wotsɔ ƒo ƒu kple ememe ƒoƒo (Herbert screw alo K-wire). Graft ɖoɖo pɛpɛpɛ kple articular surface gbugbɔgaɖoanyi si le gbadzaa le vevie ŋutɔ. Le go aɖewo me la, ate ŋu ahiã be woaɖe styloidectomy si woyɔna be radial styloidectomy ne ƒu ƒe dzedzeme dze le asibidɛ ƒe ʋuʋu me.
Xexeame Katã ƒe Top 10 Herbert Screw Dɔwɔƒewo kple CZMEDITECH Adzɔnuwo ƒe Kpɔɖeŋu
Scaphoid ƒe gbagbãdɔ dada le vevie ŋutɔ—menye be wòana asibidɛwo nagawɔ dɔ nyuie o, ke boŋ be wòana dɔnɔwo ƒe agbenɔnɔ ƒe nyonyome kple dɔwɔwɔ ƒe ŋutete hã nanɔ anyi. Mɔ̃ si sɔ si woatsɔ alé ememenuwoe tiatia nye nu vevi aɖe si ana woaxe mɔ ɖe kuxiwo nu, woate ŋu aɖɔe ɖo pɛpɛpɛ, eye woado nuwo ɖɔɖɔɖo ɖe ŋgɔ.
Le nu vovovo siwo wotsɔ dea lãme na ame dome la,... Herbert Screw ɖe dzesi le eƒe wɔwɔme tɔxɛ kple eƒe dɔdamɔnu si ŋu kpeɖodzi le ta, si wɔe be wònye mɔ̃ vevitɔwo dometɔ ɖeka le scaphoid ƒe gbagbã dzi kpɔkpɔ me.
Top 10 Herbert Screw Suppliers Xexeame Katã ƒe
| Ðoƒe |
Dɔwɔƒe ƒe Ŋkɔ |
Logo |
| 1 |
DePuy ƒe Nuwɔwɔwo |
![Herbert Cannulated Nutete ƒe Kplu]() |
| 2 |
Stryker ƒe amegã |
![Herbert Cannulated Nutete ƒe Kplu]() |
| 3 |
Zimmer ƒe Biomet |
![Herbert Cannulated Nutete ƒe Kplu]() |
| 4 |
Arthrex ƒe ŋkɔ |
![Herbert Cannulated Nutete ƒe Kplu]() |
| 5 |
Smith & Tɔgãyɔvi |
![Herbert Cannulated Nutete ƒe Kplu]() |
| 6 |
Wright Atikewɔlawo ƒe Ƒuƒoƒo |
![Herbert Cannulated Nutete ƒe Kplu]() |
| 7 |
Acumed ƒe dɔwɔwɔ |
![Herbert Cannulated Nutete ƒe Kplu]() |
| 8 |
aap De AG ƒe lãme |
![Herbert Cannulated Nutete ƒe Kplu]() |
| 9 |
Orthofix ƒe dɔwɔwɔ |
![Herbert Cannulated Nutete ƒe Kplu]() |
| 10 |
CZMEDITECH ƑE NUÐEÐEŊUTI |
![Herbert Cannulated Nutete ƒe Kplu]() |
CZMEDITECH Herbert ƒe Kplu ƒe Adzɔnuwo
Abe Chinatɔwo ƒe ƒumeŋuɖuiwɔƒe xɔŋkɔ aɖe si wɔa ƒumeŋuɖui kple edzrala ene la, CZMEDITECH naa Herbert Screws siwo wowɔ na ƒumeŋuɖui ƒe gbagbã kple ƒu sue bubuwo ƒe abixɔxɔ ƒe agbalẽ gbogbo aɖewo.
Nu Vevi Siwo Le Eme:
Tamanɔsitɔ ƒe nutete ƒe ɖoɖowɔwɔ: enaa wokpɔa egbɔ be woɖoe ɖe teƒe si li ke esime wòɖea ƒunukpeƒetetedɔ ƒe dzikudodo dzi kpɔtɔna.
Biomechanical stability kɔkɔ: interfragmentary compression si ŋu kakaɖedzi le doa solid union ɖe ŋgɔ.
Nusiwo wotsɔ wɔe ƒe tiatia: woate ŋu akpɔe le atikewɔwɔ-grade gakpo si mexɔ dzo o kple titanium-kpe me, kple biocompatibility nyuitɔ kekeake kple xɔxlɔ̃ tsitretsitsi.
Minimally invasive compatibility: esɔ na mɔnu siwo wozãna to ŋutigbalẽ me kple esiwo wozãna le gaglãgbe siaa.
Nusiwo wogblɔna le mɔ vovovowo nu: woƒe didime kple didime vovovowo be woakpɔ dɔdamɔnu ƒe nuhiahiã vovovowo gbɔ.
Viɖe Siwo Le Dɔdaƒe:
Enaa scaphoid ƒe gbagbã ƒe dɔyɔyɔ kabakaba si ŋu kakaɖedzi le nɔa bɔbɔe, vevietɔ le akɔta kple proximal pole gbagbã siwo me afɔku le ŋutɔ me.
Enaa asibidɛ ƒe ʋuʋu kaba, si ɖea eƒe sesẽ dzi kpɔtɔna eye wònaa dɔwɔwɔ ƒe hayahaya nyona ɖe edzi.
Eɖea afɔku si le nonunion kple AVN me dzi kpɔtɔna ŋutɔ ne wotsɔe sɔ kple fixation mɔnu xoxowo.
CZMEDITECH ƒe Adzɔnuwo
