Sabuwar dabaru don ingantaccen farantin molakin

Rucperture na Earnensor jijiyoyin farantin baya ya zama babbar matsala a cikin gyara na radius rauni. Wurin da aka fi shafa da aka fi shafa shine karfin pollisn pollisdi (EPL) jijiya (EPL), kamar yadda aka tsare a cikin tsagi na EPL. A halin da aka bayar da rahoton Epl jijiyoyin gwiwa bayan rigar Volar shine 0.29% -5.7%.

Hadarin ya jinkirta EPL Warin da aka kashe a gabashin dorsal dunƙule, da rauni a kan tsallakewa, da guntu rufin tururuwa na Tuber na Tuber. Daidaitawar radiograographic na dunƙulewar dunƙule a cikin radius karar jiki yana da wahala saboda hadaddun Lesometry na Radius na Distal da kuma yuwuwar kwastomomi na dorsal. Ra'ayin mahangar na dorsal shine kawai mai yiwuwa na ciki game da ɓataccen radial cortex don samun ingantaccen kimantawa na nesa tsakanin tip tip da dorsal cortex.

Dabaru don kauce wa mahara jijiya hade da amfani da sukurori da nisantar shigar azzakari cikin farji; Koyaya, waɗannan fasahohi na iya rage kwanciyar hankali na inji na tsayawa. Saboda haka, wani lokacin gyaran bala'i yana buƙatar. Don rage haɗarin rauni na Expensor, raunin karaya da kwanciyar hankali dole ne a lalata.

Sabon dabarun tiyata

Mun bayyana wata hanyar da za mu rage haɗarin EPL na EPL mai tsauri na tsinkayen radius rauni ko kuma rage girman rufin ko cire gutsuttsin rufin. A takaice, dabarar ta shafi bata ta uku ta hanyar karamin karkatar da dorsal.

Idan dunƙule ya shiga cikin dorsal cortext da kuma nisantar kararraki na uku: Mun cire jijiyoyin EPL daga cikin jijiyoyinta ta hanyar retinaculum ya bar jijiyoyinar EPL ta bar hayaniyar EPL.

Idan dunƙule ba ya fadada zuwa dakin uku: Mun bar jijiyar EPL a cikin daki na uku. Na'urarmu ta dabararmu tana cikin marasa lafiyar radius karuwa da faranti, karuwa tare da gutsuttsura da dorso-a kusa da lardin lister a kusa da karfin gwiwa. A cikin marasa lafiya tare da Distal Radius Chagus Chagus tare da tsautsayi don shiga cikin isasshen dorsal kuma zaɓi skrus na isasshen gyaran groromalial.

Shars

Mun raba yanayin da aka cire jijiyar EPL daga cikin daki na uku saboda bin dunkulallen dunƙule a cikin kayan masarufi mai narkewa tare da gutso na dorsomalial. Mun tabbatar da cewa jijiyoyin EPL na EPL ya kasance a cikin shekaru 7 bayan ba da labari, kodayake dunƙule ya shahara a cikin ɗakin na uku.

Karatun ya kasance mace mai shekaru 67 tare da ganewar asali mai dorewa mai dorewa mai dorewa tare da karaya ta dama (Hoto 1a-e). Babu tarihin shan taba, ciwon sukari ko amfani da barasa. Na iya tafiya ba tare da wani walker ba.

Hoto 1

A da B: M-haskoki X-haskoki,

C da d: sagittal da ra'ayoyin da aka haɗa da hotunan Tomogogra,

E: 3D commuted Hoton Tomography. Dorsal didial da dorsal facet gragments da guntun ɗorawa na dorsal (fararen fata) a bayyane.

Hanyar tiyata

Mun kula da wannan tsarin karaya tare da farantin makullin makullin. Ba za mu iya bushewa ta hanyar dorsal ba kuma za ka zaba wani dunƙulen dunƙule ya tabbatar da dorsal cortex saboda farfajiya ta 2).

• An yi aikin tiyata don buɗe ɗakin na uku bayan ficewa na dunƙule.

• Tunda dunƙule ya shiga cikin ɗakin na uku da kuma protruded (Hoto na 3B).

• An rufe dakin na uku ta hanyar kunurawa da sakanasting (Fig. 3c, d), an sanya jijiyoyin EPL a kan Retinaculum mai gyara (Fig. 3 E).

• Bayan tiyata, mara lafiya ya tafi asibitin da ke faruwa a asibitinmu har kashi na warkar. Mai haƙuri baya son cire kayan aikin.

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Murmurewa mai amfani

Shekaru bakwai bayan aikin, mai haƙuri ya dawo asibiti don sake jarrabawa saboda osteoporosis. Ba a kashe hannun dama ba. X-ray hoto nuna wani warkewa tare da lalata dorsal na dunƙulen kulle ƙulli. Babban yatsan mai haƙuri ya ninka cikakke, kuma agogon EPL ba shi da wata bayyana a bayyane.

A shawarwarinmu, mai haƙuri ya yarda ya cire kayan aikin kuma bincika dannarorin mahaɗin. Ba za mu iya bincika haɗarin EPL ta hanyar lalacewa ta hanyar dorsal ba kuma a buɗe takaddun na uku da na huɗu.

EPL Warin yana a wajen daki na uku a cikin wannan matsayi kamar yadda a cikin aikin da ya gabata, kuma jijiya ba ta haushi.

Mun tabbatar da cewa dunƙule ya shigar da hanyar ta uku lokacin da masu haɓakawa suka janye.

A ƙarshe, mun gyara madaurin tallafi kuma mun cire kayan aikin. A kimanin ƙarshe watanni 2 bayan cire kayan aikin, mara lafiya ya kasance mai zafi kyauta kuma yana da cikakken taƙaitaccen yatsa.

Yi shawara

A cikin tsarinmu, bayan da muke farantin mantuwa na dattijai na distal rauni, mun kuma bude agaji na uku ta hanyar fannoni kusan 2 cm tsawon ulnar zuwa tarin ƙwayar lister. Mun gano agogon EPL da kuma bene na naúrar mixar ta uku ta hanyar dawo da jijiyar EPL jijiyoyin.

Idan dunƙule ya shiga cikin dorsal cortext zuwa na uku ko kuma yana da tarkace ta uku ko kuma ya cire jijiyoyin EPL daga cikin jijiyoyin sa. Sannan mun rufe dakin ta hanyar kunurawar sakanastaci yayin sake sake kunna jijiyar EPL a kan na uku.

Idan dunƙule bai mika zuwa daki na uku ba, mun bar jijiyar EPL a wani bangare ya buɗe daki na uku.

Halinmu na tiyata yana ba da sauƙi dubawa na raunin EPL tare da kallon kai tsaye a cikin kaɗan a matsayin ƙarin minti 10. Idan jijiyoyin EPL na EPL ya ji rauni, ana iya gyara shi kai tsaye. Wannan hanyar tana taimakawa wajen hana sakandare EPL EPL Rupture bayan tsayayyen tsinkaye na mantuwa. EPL Tendon Bowts na iya faruwa, amma bai faru a lamarinmu ba.

A ƙarshe

Mun dandana shari'o'in da a ciki wanda jijiyoyin EPL ya kasance a cikin shekaru 7 bayan shekaru, kodayake an yi amfani da dunƙulen don gyara farantin mara amfani da aka shahara a cikin daki na uku. Tashin mu na tiyata ya rage hadarin Epl jita-jita a kan mantar da kayan ado don tsayayyen farantin radius karar.

Yadda za a sayi vorthopedic da kayan aikin orthopedic?

Don domin Czmedgech , muna da cikakkiyar layin kayan aikin Orthopeic da abubuwan da suka dace da kayan aiki mai dacewa, abubuwan da suka hada da kashin baya implants, Anna Nails, farantin rauni, farantin kulle, cranial-maxililofacial, prosthesis, kayan aikin wutar lantarki, masu gyara na waje, arthroscycy, veretary kula da tallafawa kayan aikinsu.

Bugu da kari, mun kuduri mu ci gaba da bunkasa sabbin kayayyaki da fadada layin samfuri, don haduwa da mukamanmu da marasa lafiya da marasa lafiya da kuma masana'antar kayan masana'antu.

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