Ọkpụkpụ Scaphoid
Ọkpụkpụ scaphoid bụ mgbawa carpal kachasị, na-aza ihe dịka 70% nke ọkpụkpụ ọkpụkpụ niile. N'ihi ọnọdụ anụ ahụ pụrụ iche dị n'ime nhazi ọkpụkpụ carpal, a na-atụkarị mgbaji scaphoid ọhụrụ na nyocha ụlọ ọgwụ. Ọzọkwa, ihe dị iche iche nke vaskụla vaskụla nke scaphoid na-ebute ndị ọrịa na nsogbu ndị dị ka nonunion, avascular necrosis (AVN), na carpal na-adịghị ala ala n'oge ọzọ. N'ụlọ ọgwụ, ọkpụkpụ scaphoid siri ike ịgwọ ma na-ahapụkarị sequelae dị ka mgbu nkwojiaka na-adịgide adịgide, njedebe nke mmegharị ahụ, na ọrịa ogbu na nkwonkwo post-traumatic.
Ọrụ Anatomical Pụrụ Iche nke Scaphoid
Scaphoid bụ ọkpụkpụ kachasị ogologo na ahịrị carpal dị nso, nke a na-eme ka obere ụgbọ mmiri (ya mere aha ya bụ 'scaphoid'). Ọ na-agafe n'etiti ahịrị carpal dị nso na nke dị anya, na-arụ ọrụ dị mkpa n'ịkwụsi ike na ijikọ ahịrị abụọ ahụ. Mgbanwe nkwojiaka nkịtị, gụnyere ntughari, ndọtị, radial deviation, na ulnar deviation, ha niile dabere na nchikota achikota nke scaphoid. Ozugbo agbajiri agbaji, a na-akụghasị biomechanics nke nkwonkwo nkwojiaka niile.
Nkwanye akwara na-emebi emebi
The scaphoid na-enweta ọbara n'ụzọ bụ isi site na alaka nke radial artery, na-esi na dorsal ridge na n'ebe dị anya na-abata:
Ihe dị ka 70-80% nke mgbaba ọbara na-esi na tubercle dị anya na-abanye, na-erugharị retrograde iji zụọ ogwe dị nso.
Naanị alaka ole na ole na-abanye ozugbo n'osisi dị nso.
Mmetụta:
Ka mgbaji ahụ dị nso na ogwe aka dị nso, ka ọ na-enwekwu ohere nke imebi vaskụla.
Ozugbo a kwụsịrị ịgbasa ọbara, iberibe ahụ dị nso na-adịkarị mfe maka AVN na enweghị njikọ.
Usoro mmerụ ahụ nkịtị
Usoro mmerụ ahụ na-emekarị bụ ịdaba na aka gbatịrị agbatị (FOOSH) .Mgbe ọ na-ada, ndị mmadụ n'otu n'otu na-agbatị mmuo aka ma gbasaa mkpịsị aka iji nweta mmetụta na nkwụ. Usoro mmerụ ahụ a na-enwekarị adọtala nnukwu ụlọ ọgwụ na nleba anya nyocha, nke acronym FOOSH na-akpọkwa ya nke ọma.
Nchọpụta egbu oge nke mgbaji Scaphoid
Ọkpụkpụ Scaphoid na-ebutekarị site na mmerụ ahụ FOOSH. N'ọnọdụ ndị dị nro, mgbaàmà nwere ike ịbụ nanị na ntakịrị mgbu nkwojiaka, na-eduga ndị ọrịa nleghara ịchọ nlekọta ahụike anya. Ọbụlagodi mgbe emere X-ray (AP na n'akụkụ ihu), mgbaji nwere ike ghara ịhụ ya ozugbo. Ndị ọrịa nwere ike ịlọghachi ọnwa ole na ole ka e mesịrị na mgbu nkwojiaka na-aga n'ihu, bụ ebe ihe osise na-egosi mgbaji scaphoid na-adịghị ala ala-na-egbu oge nyocha na-efunahụ windo ọgwụgwọ kachasị mma.
Isi ndụmọdụ nchọpụta nchọpụta:
Ekwesịrị ime onyonyo X-ray maka mmerụ ahụ n'aka niile, gụnyere echiche scaphoid mgbe a na-enyo mgbawa.
Ọ bụrụ na ray X-ray adịghị mma mana enyo ka dị, a ga-etinye n'ọrụ immobilization, na-esote onyonyo ugboro ugboro mgbe izu abụọ gachara.
Mbugharị n'oge mbụ nwere ike ịrụ ọrụ dịka nyocha nyocha yana ọgwụgwọ.
Nhọrọ ọgwụgwọ
Ndozi Mpụga
Enwere ike ịgwọ mgbaji dị ọhụrụ, nke na-enweghị ebe ọ bụla site na ịmegharị ya. Otú ọ dị, nhazi ga-esi ike iji hụ na ọgwụgwọ. Plasta ọkọlọtọ ma ọ bụ splints resin nwere ike ịghara ịchịkwa nkwojiaka na ntughari aka, na-ebelata nkwụsi ike.
Mgbochi nkedo plasta:
Ihe nkedo spica mkpịsị aka mkpịsị aka ogologo:
Egosiputara maka mgbaji dị nso otu ụzọ n'ụzọ atọ (ihe ize ndụ AVN kachasị elu), ahịrị mgbaji kwụ ọtọ/oblique, na ikpe nyocha mbụ.
Na-eme ka ikpere aka na 90°, aka, nkwojiaka, na isi mkpịsị aka.
Na-enye nkwụsi ike kachasị site na iwepụ ntụgharị aka aka.
Ihe nkedo mkpịsị aka mkpịsị aka dị mkpụmkpụ:
Kwesịrị ekwesị maka mgbaji mgbaji nke atọ, mgbaji tuberosity, na mgbaji n'etiti úkwù kwụsiri ike (ogbo nke ọzọ).
Na-enye nkasi obi karịa mana nkwụsi ike dị ntakịrị.
Ndozi nke ime
Mkpọsa mkpakọ na-enweghị isi (Herbert Screw)
Ugbu a ọkọlọtọ ọla edo maka mgbaji n'úkwù scaphoid.
Herbert Cannulated Compression Screw
Bevelled Cannulated Herbert Screw
Kirschner Waya (K-waya) ndozi
Usoro ọdịnala ma bara uru, na-ejikọkarị ya.
Uru : mgbanwe, ọnụ ala, ntakiri mmebi nke vascularity.
Ọdịmma : obere kwụsiri ike, chọrọ ndozi mpụga, ihe egwu ibute ọrịa, iwepụ mkpa ọgwụgwọ mgbe ọgwụgwọ gasịrị.
Ngosipụta : mgbaji ụmụaka, ndozi nwa oge na comminution, mgbakwunye na nkedo screw.
Mkpọsa akụkụ akụkụ-threaded
Mkpọsa akụkụ akụkụ-threaded
Scaphoid Nonunion
N'ihi ihe na-enye ya pụrụ iche nke akwara vaskụla, úkwù scaphoid na mgbaji dị nso na-adịkarị mfe enweghị njikọ na AVN.
Ọgwụgwọ : Ọkpụkpụ ọkpụkpụ (na-abụghị vaskụla ma ọ bụ vaskụla) jikọtara ya na ntinye nke ime (Herbert screw or K-wire). Ntinye aka nke ọma na mweghachi elu articular dị larịị dị oke mkpa. N'ọnọdụ ụfọdụ, enwere ike ịchọrọ radial styloidectomy ma ọ bụrụ na ọkpụkpụ a ma ama na-abanye n'oge mmegharị aka.
Global Top 10 Herbert Screw Suppliers na CZMEDITECH Product Overview
Ọgwụgwọ nke mgbaji ọkpụkpụ scaphoid dị oke mkpa-ọ bụghị naanị maka iweghachi ọrụ nkwojiaka kamakwa maka idowe ụdị ndụ ndị ọrịa na ikike ọrụ. Ịhọrọ ngwaọrụ ndozi nke ọma nke dị n'ime bụ isi ihe iji gbochie nsogbu, nweta nhazi nke ọma, na ịkwalite nhazigharị.
N'ime ụdị implants dị iche iche, ndị Herbert Screw pụtara ìhè n'ihi nhazi ya pụrụ iche na arụmọrụ ụlọ ọgwụ gosipụtara, na-eme ka ọ bụrụ otu n'ime ngwaọrụ kachasị mkpa na njikwa mgbawa scaphoid.
Top 10 Herbert Screw Suppliers zuru ụwa
| ọnụ |
ụlọ ọrụ aha |
Logo |
| 1 |
Ụlọ ọrụ DePuy Synthes |
![Herbert Cannulated Compression Screw]() |
| 2 |
Styker |
![Herbert Cannulated Compression Screw]() |
| 3 |
Zimmer Biomet |
![Herbert Cannulated Compression Screw]() |
| 4 |
Ọrịa ogbu na nkwonkwo |
![Herbert Cannulated Compression Screw]() |
| 5 |
Smith & Nwa nwanne |
![Herbert Cannulated Compression Screw]() |
| 6 |
Ndị otu Wright Medical Group |
![Herbert Cannulated Compression Screw]() |
| 7 |
Amalitere |
![Herbert Cannulated Compression Screw]() |
| 8 |
Ụgwọ nke ụlọ ọrụ aap Implantate AG |
![Herbert Cannulated Compression Screw]() |
| 9 |
Orthofix |
![Herbert Cannulated Compression Screw]() |
| 10 |
Ụlọ ọrụ CZMEDITECH |
![Herbert Cannulated Compression Screw]() |
CZMEDITECH Herbert Screw Ngwaahịa
Dị ka onye na-emepụta China na-emepụta ihe na onye na-ebubata ọkpụkpụ orthopedic, CZMEDITECH na-enye mkpokọta Herbert Screws nke ahaziri maka mgbaji scaphoid na obere mmerụ ọkpụkpụ ndị ọzọ.
Akụkụ ndị bụ isi:
Nhazi mkpakọ na-enweghị isi: na-eme ka ọ kwụsie ike ma na-ebelata mgbakasị cartilage articular.
Nkwụsi ike biomechanical dị elu: mkpakọ interfragmentary a pụrụ ịdabere na ya na-akwalite njikọ siri ike.
Nhọrọ ihe onwunwe: dị na igwe anaghị agba nchara ahụike yana alloy titanium, nwere ezigbo biocompatibility na nguzogide corrosion.
Ndakọrịta nke pere mpe: adabara ma ụzọ percutaneous na nke mepere emepe.
Nkọwapụta ọtụtụ: ụdị dịgasị iche iche nke dayameta na ogologo iji gboo mkpa ụlọ ọgwụ dị iche iche.
Uru ụlọ ọgwụ:
Na-eme ka ọgwụgwọ mgbaji scaphoid dị ngwa na nke a pụrụ ịdabere na ya, karịsịa n'úkwù nwere ihe egwu dị elu na mgbaji ọkpụkpụ dị nso.
Na-enyere aka ịchịkọta nkwojiaka n'oge, na-ebelata isi ike na melite mgbake ọrụ.
Na-ebelata ihe ize ndụ nke enweghị njikọ na AVN ma e jiri ya tụnyere usoro nhazi ọdịnala.
Ngwaahịa CZMEDITECH
