Ke pale nei i nā pilikia o ka haʻihaʻi ʻana o Scaphoid: Hoʻoponopono pololei a me ka nānā ʻana o nā mea kūʻai aku ʻo Herbert Screw Top 10 Global

Hana Anatomical Unique o ka Scaphoid

ʻO ka scaphoid ka iwi lōʻihi loa ma ka lālani carpal proximal, i hana ʻia e like me ka waʻa liʻiliʻi (no laila ka inoa ʻo 'scaphoid'). Aia ia ma waena o nā lālani carpal proximal a me distal, e pāʻani ana i kahi kuleana nui i ka hoʻopaʻa ʻana a me ka hoʻopili ʻana i nā lālani ʻelua. ʻO nā hana lima lima maʻamau, e like me ka flexion, extension, radial deviation, a me ulnar deviation, e pili ana i ka neʻe ʻana o ka scaphoid. Ke haʻihaʻi ʻia, hoʻopau ʻia ka biomechanics o ka hui lima lima.

Hoʻolako ʻana i nā ʻauʻau palupalu

Loaʻa i ka scaphoid ka hāʻawi koko mai nā lālā o ke aʻa radial, e komo ana mai ke kua o hope a me ka pou mamao:

• Ma kahi o 70-80% o ke kahe o ke koko e komo ana ma o ka tubercle distal, e kahe ana i hope no ka hānai ʻana i ka pou proximal.

• He mau lālā liʻiliʻi wale nō ke komo pololei i ka pou proximal.

• ʻOi aku ka pili o ka haʻihaʻi i ka pole proximal, ʻoi aku ka nui o ka pilikia o ka hoʻopau ʻana i ka ʻili.

• Ke hoʻopau ʻia ke kahe o ke koko, ʻoi aku ka maʻalahi o ka ʻāpana proximal i ka AVN a me ka nonunion.

Mechanism Injury Mechanism

 ʻO ka hana maʻamau o ka ʻeha ka hāʻule ʻana ma luna o ka lima kīkoʻo (FOOSH) . ʻO kēia ʻano hana hōʻeha maʻamau ua huki nui ʻia ka nānā ʻana i ka lāʻau lapaʻau a me ka noiʻi, a ua ʻōlelo nui ʻia e ka acronym FOOSH.

ʻO nā ʻōlelo aʻoaʻo diagnostic nui:

• Pono e hana ʻia ke kiʻi X-ray no nā ʻeha lima lima, me ka nānā ʻana i ka scaphoid ke manaʻo ʻia ka haʻi.

• Inā maikaʻi ʻole nā ​​kukui X akā mau ka kānalua, pono e hoʻopili ʻia ka immobilization, a laila e hoʻihoʻi hou i ke kiʻi ma hope o 2 pule.

• Hiki i ka immobilization mua ke hana ma ke ʻano he diagnostic a me ke ana therapeutic.

ʻO ka hoʻoheheʻe ʻia ʻana o ka hamo:

kiʻi spica manamana lima lōʻihi:

• Hōʻike ʻia no nā haʻihaʻi hoʻokahi hapakolu kokoke (kiʻekiʻe loa ka pilikia AVN), nā laina haʻi pololei/oblique, a me nā hihia maʻi mua.

• Hoʻokuʻu i ka kuʻekuʻe ma 90°, ka lima lima, ka lima lima, a me ka manamana lima.

• Hāʻawi i ka paʻa kiʻekiʻe loa ma ka hoʻopau ʻana i ka huli ʻana o ka forearm.  

kiʻi spica manamana lima pōkole:

• He kūpono no nā haʻihaʻi ʻekolu, nā haʻi tuberosity, a me nā haʻi i waena o ka pūhaka paʻa (ka pae hope).

• Hāʻawi i ka hōʻoluʻolu ʻoi aku ka liʻiliʻi.

ʻO ke poʻo hoʻoemi ʻole (Herbert Screw)

I kēia manawa ke kūlana gula no nā haʻihaʻi pūhaka scaphoid.

• Kumu: Hoʻokomo ʻia ma ke koʻi scaphoid ma lalo o ke kaula alakaʻi, e hāʻawi ana i ka hoʻoemi interfragmentary.

• Pono:

• Hoʻopiʻi maikaʻi ma waena o ka laina fracture.

• ʻO ke kūpaʻa kiʻekiʻe, hiki ke hoʻoneʻe mua.

• Hiki ke hoʻohana ʻia me ka liʻiliʻi invasive, percutaneous.

• ʻO ka hoʻolālā haʻahaʻa haʻahaʻa, poʻo ʻole e hōʻemi i ka ʻeha cartilage.

• Nā hoʻokokoke:

• Percutaneous: no ka paʻa, nondisplaced fractures.

• Wehe: no nā haʻihaʻi i haʻalele ʻia, comminuted, a i ʻole nā ​​​​haʻihaʻi mau.

• Nā ʻano:

• ʻO nā wili hoʻoemi poʻo.

• ʻO nā wili hoʻoemi poʻo ʻole (makemake, kanu piha ʻia, emi ʻole ka ʻeha hui).

Uea Kirschner (K-wire) Hoʻopaʻa

He ala kuʻuna akā pono, hoʻohui pinepine.

• Pōmaikaʻi : maʻalahi, maʻalahi, hoʻopau liʻiliʻi i ka vascularity.

• Nā hemahema : ʻaʻole paʻa, koi i ka hoʻoponopono ʻana i waho, ka maʻi maʻi, ka wehe ʻana e pono ai ma hope o ka ho'ōla.

• Nā hōʻailona : nā haʻihaʻi pediatric, hoʻopaʻa manawa pōkole i ka hoʻohui ʻana, hoʻohui i ka hoʻopaʻa wili.

ʻO 10 Herbert Screw Suppliers ma ka honua holoʻokoʻa

inoa	inoa o ka hui	ka
1	ʻO DePuy Synthes
2	Stryker
3	Zimmer Biomet
4	ʻO Artrex
5	Smith & Kaikamahiue
6	ʻO Wright Hui Lapaʻau
7	Acumed
8	aap Implantate AG
9	ʻO Orthofix
10	CZMEDITECH

CZMEDITECH Herbert Screw Products

 Ma ke ʻano he alakaʻi alakaʻi Kina a me ka mea hoʻolako o nā implants orthopedic, hāʻawi ʻo CZMEDITECH i kahi kōpili piha o Herbert Screws i hoʻohālikelike ʻia no nā haʻihaʻi scaphoid a me nā ʻeha iwi liʻiliʻi.

Nā mea nui:

• Hoʻolālā hoʻoemi poʻo ʻole: e hōʻoia i ka hoʻopaʻa paʻa ʻana i ka wā e hōʻemi ana i ka ʻeha cartilage articular.

• ʻO ke kūpaʻa biomechanical kiʻekiʻe: hoʻoikaika ka hoʻopili interfragmentary hilinaʻi i ka hui paʻa.

• Nā koho waiwai: loaʻa i loko o ke kila kila kila a me ka titanium alloy, me ka biocompatibility maikaʻi loa a me ka pale ʻana i ka corrosion.

• Hoʻopili liʻiliʻi invasive: kūpono no nā hoʻokokoke percutaneous a me ka wehe.

• Nā kikoʻī he nui: ākea ākea o nā anawaena a me nā lōʻihi e hoʻoponopono i nā pono lapaʻau like ʻole.

Nā Pōmaikaʻi Lapaʻau:

• Hoʻomaʻamaʻa i ka ho'ōla wikiwiki a hilinaʻi hoʻi i ka haʻi ʻana o ka scaphoid, ʻoi aku ka nui o ka pūhaka kiʻekiʻe a me nā ʻoki pole kokoke.

• Hiki i ka hoʻoikaika ʻana o ka lima lima, e hōʻemi i ka ʻoʻoleʻa a me ka hoʻomaikaʻi ʻana i ka hana.

• Hoʻohaʻahaʻa nui i ka pilikia o ka nonunion a me AVN i hoʻohālikelike ʻia i nā ʻano hoʻoponopono kuʻuna.