Koj puas paub yuav kho tus metacarpal lov?

Metacarpophalangeal yog ib qho kev sib tsoo hauv tes hauv kev raug mob ntawm tes, suav nyiaj kwv yees li 1/4 ntawm txhua tus neeg mob sib tw tes. Vim yog cov qauv muag heev thiab cov qauv sib zog ntawm txhais tes thiab nws txoj haujlwm zoo lub cev muaj zog yog qhov tseem ceeb tshaj qhov kev kho mob ntawm lwm cov tubular ntev.

Ua kom muaj kev ruaj ntseg ntawm cov pob txha to tom qab rov ua dua yog tus yuam sij rau kev ua tiav ntawm Metacarpophalangeal kev kho mob. Txhawm rau kom rov qab ua haujlwm ntawm tes, qhov kev sim ua haujlwm feem ntau yuav tsum tau ua kom zoo dua qub, tab sis feem ntau yog siv rau kev ua haujlwm rov qab los ntawm MetacarpophalArity, thiab muaj qee qhov teeb meem rau kev ua haujlwm ntawm lub Tes tes.

Niaj hnub nimno kho txoj kev txhim kho nce ntxiv kev txhim kho sab hauv, xws li micro phaj ntsia hlau kho.

Kev kho cov ntsiab cai kev kho

Cov ntsiab cai ntawm kev kho rau metacarpal thiab phalangeal slactures thiab phalomic repositioning, lub teeb thiab ruaj khov thiab kev tawm dag zog. Cov hauv paus ntsiab lus ntawm kev kho rau kev ua haujlwm ntawm tes thiab kev sib cais ntawm cov tes ua ke: kev kho kom zoo ib yam li cov khoom ntiag tug ntawm cov articular thiab thaum ntxov ua haujlwm. Kev kho mob ntawm Metacarpal thiab Phalangeal pob txha ntawm tes yuav tsum siv zog ua kom tiav Anatomic repulationing tsis muaj kev sib hloov, lossis angular kev tsis sib xws ntawm lub xibtes. Yog hais tias lub pob txha me ntawm lub metacarpal yog tig los yog tsiv ntawm lub kaum, nws yuav hloov pauv cov ntiv tes uas nyob ib sab thaum lub ntsej muag zoo, cuam tshuam rau qhov tseeb ntawm cov ntiv tes muaj nuj nqi; Thaum lub sij hawm muaj kev kub ntxhov> 10 ° rau lub dorsum ntawm xibtes yuav rhuav tshem kev tawm tsam zoo thiab txuas ntxiv, thiab ua rau muaj kev pheej hmoo ntawm kev sib tawg. kev pheej hmoo ntawm cov leeg sib xyaw.

Lub Metacarpal thiab Phalangeal Cov pob txha tsis zoo ib yam nyob rau hauv lawv lub peev xwm tiv taus kev lom zem nplua yam thiab lub teeb meem angular tsiv zoo dua li phalangeal. Cov pob qij txha carpometacarpal thiab metacarpophalangeal tuaj yeem them rau cov ntiv tes ntawm lub metacarpal, thiab cov ntiv tes zoo yoog raws li lub Metacarpal ntawm tus ntiv tes nruab nrab. Txo kev tuav lub zog ntawm kev tuav tawm lub zog ntawm cov leeg nqaij ua kom luv luv yog tshwm sim thaum melacarpal yog kaum tau ntau dua 30 ° mus rau sab dorsal.

Kev phais mob

Qhov kev phais mob rau metacarpal tsis yooj yim thiab feem ntau siv ib txoj kev dorsal, raws li qhia hauv daim duab 4-14. Qhov thib ob mevacarpal yog incthent radially thaum lub thib tsib metacarpal yog Incised ulnarly, thiab thib peb thiab thib plaub metacarpals feem ntau incendial. Yog tias ob lub metacarpals nyob ib sab tau ua haujlwm nyob rau tib lub sijhawm, kev phais mob me me yog siv coj mus rau qhov chaw phais mob.

Txoj Kev Xaiv

Muaj ntau cov ntaub ntawv txhim kho sab hauv rau metacarpophalangeal pob txha av, cov ntsia hlau, daim ntawv qhia txog Kirscher thiab microplates feem ntau siv. Rau metacarpal pob txha pob zeb, sab hauv nrog microplate muaj qhov zoo tshaj qhov kho tau nrog Kirschner pins thiab tuaj yeem nyiam; Rau cov phahaleal phalangeal, microplate feem ntau nyiam, tab sis thaum muaj kev nyuaj siab rau kev rov qab ua kom rov zoo rau cov ntiv tes sib luag; Rau kev kho ntawm nruab nrab Phalangeal pob txha lov, Kirschner pins yuav tsum tau nyiam.

1, Kirschner lub koob: 

Kirschner lub yees kho sab hauv tau siv rau hauv chaw kho mob rau ntau tshaj 70 xyoo thiab tau yooj yim rau kev txhim kho sab hauv txheej txheem, raws li qhia hauv daim duab 4-15. Raws li cov feem ntau siv sab hauv kev kho kom zoo rau kev kho cov pob txha txhais tes, nws tseem siv dav. 

Qhov zoo ntawm kev kho sab hauv nrog Kirschner Pins:

① Yooj yim ua lag luam thiab hloov tau yooj yim heev; 

② Tsawg dua cov nqaij mos hle, tsis tshua muaj kev cuam tshuam rau ntawm qhov kawg ntshav, thiab muaj txiaj ntsig rau kev kho kom zoo; 

③ Yooj Yim Plaub Tus PIN rov tuaj; 

Tus nqi qis thiab siv dav ntxiv, xws li cov pob txha lov feem ntau (xws li intra-articular pob txha lov, mob siab rau pob txha lov thiab kawg Phalangeal pob txha lov). 

Qhov tsis zoo ntawm kev kho sab hauv: 

(1) piv nrog cov phaj txhim kho, qhov ruaj khov yog cov neeg pluag, thiab kev hloov kho tsis zoo thiab ua tsis tau los ntawm ib tus lej PIN, feem ntau tshaj 2 pins xav tau rau kev txhim kho hla; 

(2) Tsis muaj cov nyhuv nras txog qhov kawg qhov kawg; 

(3) Kev sib koom ua ke yog puas tsuaj los ntawm kev txhim kho kev sib koom ua ke; 

(4) Kev txhim kho ntawm kev sib koom ua ke thiab cov leeg ntawm cov leeg ntshav tiv thaiv cov leeg ntawm kev tawm dag zog ntawm kev tawm dag zog thaum ntxov thiab cuam tshuam kev ua haujlwm zoo.

Nrog rau kev txhim kho sai ntawm kev txhim kho niaj hnub thiab cov khoom siv hluav taws xob nrog kev sib koom ua ke, thiab feem ntau ntawm cov leeg ua ke nrog kev sib koom ua ke, thiab feem ntau yuav ua rau muaj kev cuam tshuam rau kev sib koom ua ke thaum ntxov. Nrog kev pab ntawm C-Npab X-Ray Tshuab, qee kis tau tuaj yeem ua tiav cov txiaj ntsig cov ntshav hauv zos nrog qhov kev kho ntshav hauv cheeb tsam, yog li txhawb nqa txoj kev kho kom zoo. 

Ceev faj rau sab hauv kho nrog Kristen Pins: 

① Txhim kho cov pob txha loj dua nrog Kristen Pins ntawm 1.0 ~ 1.2 mm hauv lub cheeb, thiab txiav txim siab qhov taw tes ntawm kev taw qhia raws li kev taw qhia ntawm kab pob txha lov; 

Nrog rau lub hom phiaj ntawm rov qab txoj kab kev quab yuam lub zog, kev sib cais-articular yuav tsum yog anatomically repositioned thiab ruaj khov; 

Tsis muaj tag nrho cov pob txha uas yuav tsum tau tas mus li nrog kristen pins, thiab nyob rau hauv lub pob txha uas muaj kev ruaj ntseg ntawm lub pob txha to, Kristen Pins yuav tsum tau siv me me li sai tau; 

④ Kristen Pins Tsis tas tsau rau cov leeg los yog dorsal tendon ntawm tus ntiv tes los tsim kev tawm dag zog thaum ntxov ua tau; 

Yuav tsum muaj cov phiaj xwm preoperately nruj thiab tsis txhob rov ua haujlwm hauv kev ua haujlwm, txwv tsis pub cov pob txha nqaj pob txha tuaj kuj yuav muaj kev sib cav sib ceg; 

Feem ntau ntawm Kirschner PIN yuav tsum muab tso rau hauv daim tawv nqaij kom txo tau txoj hauv kev kis tus kab mob thiab nws tsis yog qhov nyuaj kom tshem nws.

2, Metacarpal micro phaj: 

Kev kho kom zoo sab hauv ntawm tes sib tsoo yog qhov ua kom muaj kev sib zog ua kom tiav, txhawm rau kom muaj kev sib zog ua kom tiav, uas yog qhov ua kom pom tseeb qhov kev phais mob tsis zoo, uas tsom rau kev tiv thaiv ntshav. AO tseem hais txog qhov kev phais mob tsis meej pem uas ua kom pom tseeb txog kev txuag ntshav. Microplate sab hauv kev txhim kho ntawm txhais tes ua kom zoo txaus siab ua rau cov ntsiab lus ntawm lub zog, ruaj khov ntawm lub pob txha to me thiab siab nruab nrab. Hais txog kev ncua kev ua haujlwm rov qab, cov pob txha ua kom zoo dua li ntawm cov khoom siv kho kom zoo dua qub

Qhov zoo ntawm micraphplate sab hauv kev kho kom haum: 

(1) piv nrog kerf pins, microplate screws muaj cov lus qhia kev ua tswv av zoo dua thiab cov nqaij mos; 

(2) Qhov xwm txheej ruaj ntseg ntawm cov ntsia thawv ntsia hlau rov qab thiab lub siab ntawm kev hloov pauv ntawm qhov kev ua kom ze, txhim kho kom zoo dua rau kev kho kom zoo; 

(3) Kev tawm dag zog thaum ntxov ua haujlwm feem ntau yog tso cai tom qab kho microplate, uas yog qhov zoo rau kev rov qab los ntawm tes ua haujlwm. 

3. Pom zoo.

Juttonctrics rau Spiral lossis ntev oblique pob txig xws li cov ntaub so ntswg me me, tab sis nyob rau hauv kev tiv thaiv cov ntshav ntws thiab hauv kab nrog lub tswv yim ntawm kev ua haujlwm tsawg tsawg. Txawm hais tias muaj t- thiab l-hom splints rau kev sib koom ua ke sib koom ua ke, thiab pom kev yooj yim dua li qhov zoo tshaj li qhov zoo rau kev txhim kho thiab ib feem Screws screwed rau hauv lub pob txha scored rau hauv lub cortex tuaj yeem tiv thaiv kom ruaj khov rau hauv qhov chaw zoo thiab ua kom muaj kev kho kom zoo, raws li qhia hauv daim duab 4-18. Jeenumile nplaum yog siv rau oblique lossis kauv pob txha los yog muab kauv rau cov diaphysis thiab intraFa-articular avulsion pob txhas ntawm cov pob txha loj dua. Nws yog ib qho tseem ceeb kom nco ntsoov tias qhov ntev ntawm cov xov tawg yuav tsum muaj tsawg dua ob zaug ntawm cov xov uas siv hluav taws xob los yog muab cov lus sib piv ntawm cov khoom sib txuas.

4. Tej zaum me me txhim kho cam.

Tawg Metacarpophalangeal Mem yog qee zaum nyuaj los pib dua qhov kev phais mob lossis tsis tuaj yeem ruaj khov rau sab hauv vim tias pob txha scaffold raug rhuav tshem. Qhov kev txhim kho sab nraud ua rau kom rov qab ua kom rov zoo thiab tswj nws qhov ntev hauv qab cov traction, raws li qhia hauv daim duab 4-19. Qhov kev tso kawm ntawm kev txhim kho sab nraud sab nraud rau cov metacarpals sib txawv, thiab thib 3 thiab 5 Metacarpal tau muab tso rau ntawm lub dorsal radial lossis tus metcarval tau muab tso rau ntawm lub dorsal radial lossis tus metcarval tau muab tso rau ntawm lub dorsal radial lossis tus metcarval tau muab tso rau ntawm qhov xwm txheej ntawm Dorsal, thiab 5 thiab 5 Metacarpal tau muab tso rau ntawm qhov chaw nkag mus los tiv thaiv kev raug mob rau cov leeg. Kaw cov pob txha mos tuaj yeem kaw thiab rov ua haujlwm hauv qab xoo hluav taws xob, thiab kev phais me me tuaj yeem ua los pab rau hauv kev daws teeb meem yog tias qhov tsis zoo.

Qhov zoo ntawm sab nraud txhim kho brace.

(1) Nws yooj yim rau kev khiav lag luam thiab tuaj yeem hloov kho cov kev tsis sib haum xeeb ntawm cov pob txha lov;

(2) Nws tuaj yeem hloov kho kom zoo thiab kho cov pob txha hauv kev ua kom tsis txhob muaj qhov sib luag, thiab tuaj yeem cuam tshuam cov nplaim hluavtaws, thiab tuaj yeem cuam tshuam txog qhov chaw sib koom ua ke los tiv thaiv kev cog lus ntawm cov tshuaj tiv thaiv kab mob thiab tom qab sab laug; 

(3) Nws tuaj yeem ua ke nrog kev txhim kho sab hauv kom haum rau kev ua kom rov qab ua ke uas tsis tuaj yeem pom dua tshiab, thiab kev txhim kho sab nraud ntxiv thiab tswj hwm txoj kab sib txawv; 

(4) Nws tso cai rau kev tawm dag zog thaum ntxov ntawm cov ntiv tes cuam tshuam rau kev sib koom ua tsis tiav kom tsis txhob sib koom ua ke 

(5) Nws tuaj yeem hloov kho tes ua kom zoo dua yam tsis muaj kev cuam tshuam rau kev kho mob postoperative ntawm lub qhov txhab ntawm cov tes cuam tshuam.

Yuav ua li cas yuav orthopedic kev cog lus thiab orthopedic seev?

Rau Czmeditech , peb muaj cov khoom lag luam tawm ntawm kev phais mob orthopedic kev cog lus thiab cov twj paj nruag sib txuas, cov khoom suav nrog Spine immants, intramed ntsis ntsia hlau, Kev Nyab Xeeb Phaj, Xauv phaj, Cranial-maxillofacial, yug, Cov Cuab Yeej Hluav Taws Xob, Sab nraud Txhim Kho, arthroscopy, Kev saib tsiaj kho tsiaj thiab lawv cov twj paj nruag txhawb nqa.

Ib qho ntxiv, peb tau cog lus tsis tu ncua tsim cov khoom lag luam tshiab thiab nthuav tawm cov khoom lag luam thiab cov neeg sib tw, thiab tseem muaj kev sib tw ntau dua nyob rau hauv tag nrho cov kev sib tw lossis cov khoom siv cov khoom siv.

Peb export thoob ntiaj teb, yog li koj tuaj yeem Tiv tauj peb ntawm email chaw nyob@orthopedic-china.com rau cov lus pub dawb, lossis xa cov lus ntawm WhatsApp rau cov lus teb ceev + 86- 18112515727 .

Yog xav paub cov ntaub ntawv ntxiv, nyem Czmedatech kom pom cov ntsiab lus ntxiv.