Scaphoid Fraktrɔs we pɔsin kin gɛt
skafoyd frakshכn na di mכst kכmכn kapal frakshכn, we de mek lεk 70% pan כl di kapal bon frakshכn dεm. biכs fכ in yכnik anatomical posishכn insay di carpal bon arenjmεnt, fכs fכs fכs skafoyd fraktכs dεn kin mis insay klinik diagnosis. pan tap dat, di pekul vaskulכr saplai fכ di skafoyd de prεdispכz di sik pipul dεm fכ komplikashכn dεm lεk nכnunion, avaskulεr nεkrכsis (AVN), εn di kapal instεbiliti insay leta stej dεm. Klinik wan, skafoyd fraktrɔs nɔ kin izi fɔ trit ɛn bɔku tɛm i kin lɛf sɔm tin dɛn lɛk pen we de kɔntinyu fɔ de na yu an, we yu nɔ de muv we yu nɔ de muv, ɛn at at sik afta yu dɔn fil bad.
Yunik Anatomik Rol fɔ di Skafɔyd
di skafoyd na di bon we lכng pas ɔl na di proksimal kapal rכw, we shep lεk sכm bot (na dat mek dεn kכl am 'scaphoid'). i de span bitwin di proksimal εn distal kapal rכw dεm, we de ple wan kכl rol fכ stεbyul εn kכnekt di tu rכw dεm. di nכmal wrist muvmεnt dεm, inklud flekshכn, εkstenshכn, raydial dεvyayshכn, εn ulnar dεvyayshכn, כl dipכnt pan di kכdכnayt muvmεnt fכ di skafoyd. we dεn brok, di bayomεkanik fכ di כl wrist jכint de disrupt.
Fragile Vaskul Saplai
di skafoyd de gεt bכdi saplai mεntal wan frכm di branch dεm na di raydial atεri, we de kכmכt frכm di dכsal rij εn distal pol:
lεk 70–80% pan di bכdi fכ fכlכ de kכmכt tru di distal tכbכkul, we de fכlכ rεtrogrεd fכ nכur di proksimal pol.
כnli fכ branch dεm de go insay di proksimal pol dεm dεn wan.
implεkshכn dεm:
di klos we di frakshכn de nia di proksimal pol, di risk fכ di vaskulכr disrupshכn de bכku.
wans di bכdi fכ fכlכ dεn intarap, di proksimal fragmεnt de hεvi prona fכ AVN εn nכnunion.
Di Kɔmɔn Injuri Mɛkanism
di mכst kכmכn mεkanism fכ injuri na fכ fכl pan wan an we dεn strεch (FOOSH) .We dεn de fכl, wan wan pipul dεm instinkt fכ εksεnd di an εn spre di finga dεm fכ abzכp di impak wit di palm. Dis fכs injuri mεkanism dεn dכn pul bכku klinik εn risεch atenshכn, εn dεn de kכl am bכku bכku wan wit di akrכnim FOOSH.
Dilayed Diagnosis fɔ Scaphoid Fraktrɔs
Bɔku tɛm, di skafɔyd fraktrɔs kin kɔmɔt frɔm FOOSH injuri. If i nɔr kin izi, di sayn dɛm kin jɔs de pan smɔl pen na dɛn an, we kin mek di sik pipul dɛn nɔ kin tek tɛm fɔ go to dɔktɔ. Ivin we dεn tek εks-ray (AP εn lateral views), dεn nכ kin si di frakshכn dεm wantεm wantεm. Di sik pipul dɛn kin kam bak sɔm mɔnt afta dat wit pen we de go bifo pan dɛn an, na da tɛm de we dɛn tek di imej de sho se dɛn dɔn brok skafɔyd we nɔ de dɔn—we kin mek dɛn delay fɔ no di sik ɛn dɛn nɔ kin ebul fɔ gɛt di bɛst tritmɛnt winda.
Ki diagnostik rεkomεndεshכn dεm:
dεn fכ du εks-ray imej fכ כl di wrist injuri dεm, inklud fכ si skafoyd we dεn sכspεkt se i brok.
If di εks-ray nεgεtiv bכt di sכspεshכn stil de, dεn fכ aplay immobilizεshכn, dεn fכ ripit imej afta 2 wik.
di εli imכbilizεshכn kin bi כl tu di diagnostik εn di tεrapi mεzhɔ.
Di we dɛn we yu kin pik fɔ trit yu
Fikseshɔn we de na do
Fresh, nondidisplaced fractures kin trit wit immobilization. Bɔt di fikseshɔn fɔ strɔng fɔ mek shɔ se i wɛl. Standart plasta ɔ rɛsin splint kin nɔ ebul fɔ kɔntrol di wrist ɛn fɔram rɔtin, we kin mek di an nɔ tinap tranga wan.
Plasta Kast Immobilizashɔn:
Long-an thumb spica kast:
indikεt fכ proksimal wan-tכd frakshכn (highest AVN risk), vεtikal/oblique frakshכn layn dεm, εn initial diagnosis kes dεm.
i de immobiliz di εlbo na 90°, fכram, di an, εn di tכmb.
I de gi maksimal stebiliti bay we i de pul di fɔram rɔtin.
Shot-an thumb spica kas:
i fayn fכ distal tכd frakshכn, tuberosity frakshכn, εn stebul mid-wεst frakshכn (leta stej).
I de gi mɔ kɔmfɔt bɔt i nɔ de stebul.
Intanɛt Fikseshɔn
Skru Kɔmpreshɔn Skru we Nɔ Gɛt Ɛd (Hɛbɛt Skru) .
Naw di gold standad fɔ skafɔyd wɛst fraktrɔs.
Prinsipul: Dɛn put am along di skafɔyd aks ɔnda gaydway, we de gi intafragmɛnt kɔmpreshɔn.
Di bɛnifit dɛn we yu kin gɛt:
Eksɛlɛnt kɔmpreshɔn akɔs fraktrɔs layn.
hεy stεbiliti, alaw fכ mobilizεshכn εli.
Minimally invasive, percutaneous aplikeshɔn pɔsibul.
Dizayn we nɔ gɛt ed ɛn we nɔ gɛt ed de ridyus di iritashɔn na di katilej.
Di we aw dɛn kin du am:
Pɛrkyutan: fɔ stebul, nɔ displaced fraktrɔs.
Opin: fɔ displaced, comminuted, ɔ kronik fraktrɔs.
Di kayn dɛn we dɛn kin yuz:
Skru dɛn we gɛt kɔmpreshɔn we gɛt ed.
skru dεm we nכ gεt kכmpreshכn we nכ gεt ed (dεn kin fכs, we dεn bכri fulכp, we nכ de iritashכn na di jכint).
Herbert Kanul Kɔmpreshɔn Skru
Bevelled Kanulat Hɛbɛt Skru
Kirschner Waya (K-wayr) Fikseshɔn
Wan tradishɔnal we bɔt we yusful, bɔku tɛm na adjɔnt.
di advantej dεm : fכ fleksibul, i nכ dia, sכm sכm disrupshכn fכ di vaskulεriti.
Disadvantej : less stebul, i nid fכ fiks am na do, infεkshכn risk, rεmov nid post-hεlin..
indikεshכn dεm : pikin dεm fraktכs, tεmporari fiksεshכn in kכmminushכn, adjunkt to skru fiksεshכn.
Skru we gɛt kanul we gɛt pat pan di trɛd
Skru we gɛt kanul we gɛt pat pan di trɛd
Skafoyd Nɔnunion
biכs fכ in yכnik vaskulכr saplai, skafoyd wεst εn proksimal frakshכn dεm kin prona fכ nכnunion εn AVN.
Tritmεnt : Bon graftin (nכn-vaskulεrayz כ vaskulεrayz) we dεn kכmbayn wit intanεt fikseshכn (Herbert skru כ K-way). prεsis graft plesmεnt εn smol artikul sεf rεstכreshכn na implεnt. insay sכm kes dεm, dεn kin nid fכ du raydial staylכydεktomi if di bon prominεns imping di tεm we di an de muv.
Global Top 10 Herbert Skru Splayers ɛn CZMEDITECH Prodakt Ɔvaviu
Di tritmɛnt fɔ skafɔyd fraktrɔs rili impɔtant—nɔto jɔs fɔ mek dɛn an wok bak bɔt fɔ mek di sikman dɛn gɛt kwaliti layf ɛn fɔ mek dɛn ebul fɔ wok. Fɔ pik di rayt intanɛnt fiks divays na di men tin fɔ mek yu nɔ gɛt prɔblɛm, fɔ mek yu ebul fɔ fiks am di rayt we, ɛn fɔ mek yu gɛt rihabiliteshɔn.
Pan difrɛn implant dɛn, di... Herbert Screw stand out bikɔs ɔf in yunik dizayn ɛn pruf klinik pefɔmɛns, we mek am wan pan di impɔtant divays dɛn fɔ scaphoid fracture management.
Top 10 Herbert Screw Suppliers Wolwide
| Rank |
Kɔmni Nem |
Logo |
| 1 |
DePuy Synthes we de na di wɔl |
![Herbert Kanul Kɔmpreshɔn Skru]() |
| 2 |
Stryker we de mek pɔsin |
![Herbert Kanul Kɔmpreshɔn Skru]() |
| 3 |
Zimmer Biomet, we de wok fɔ di kɔmni |
![Herbert Kanul Kɔmpreshɔn Skru]() |
| 4 |
Atrɛks we dɛn kɔl Arthrex |
![Herbert Kanul Kɔmpreshɔn Skru]() |
| 5 |
Smith & Neba in pikin |
![Herbert Kanul Kɔmpreshɔn Skru]() |
| 6 |
Rayt Mɛdikal Grup |
![Herbert Kanul Kɔmpreshɔn Skru]() |
| 7 |
Acumed we dɛn kɔl |
![Herbert Kanul Kɔmpreshɔn Skru]() |
| 8 |
aap Implant di AG |
![Herbert Kanul Kɔmpreshɔn Skru]() |
| 9 |
Ɔtofiks we dɛn kɔl |
![Herbert Kanul Kɔmpreshɔn Skru]() |
| 10 |
CZMEDITECH we de wok fɔ di kɔmni |
![Herbert Kanul Kɔmpreshɔn Skru]() |
CZMEDITECH Herbert skru prodakt dɛn
As wan big Chaynish manifakta ɛn saplay fɔ ɔtpidik implant, CZMEDITECH de gi wan kɔmprɛhɛnsif pɔtfɔlio fɔ Hɛbat Skru we dɛn tayla fɔ skafɔyd fraktrɔs ɛn ɔda smɔl bon injuri dɛn.
Di men tin dɛn we yu fɔ du:
di kכmpreshכn disayn we nכ gεt hεd: i de mek sכh se stebul fiksεshכn we i de minimiz di artikulכr kכtilaj iritashכn.
hכy bayomεkanikal stεbiliti: rili intafragmεnt kכmpreshכn de protεkt sכlid union.
Matirial opshɔn dɛn: de insay mɛdikal-grɛd stenlɛs stiɛl ɛn taytaniɔm alɔy, wit fayn fayn bayɔkɔmpatibiliti ɛn kɔrɛshɔn rɛsistɛns.
Minimally invasive compatibility: i fayn fɔ ɔl tu di perkyuta ɛn opin aprɔch.
Bɔku spɛsifikɛshɔn dɛn: bɔku bɔku dayamita ɛn lɔng fɔ adrɛs difrɛn klinik nid dɛn.
Di Klinik Advantej dɛn:
i de mek i izi fכ hεl di skafoyd frakshכn kwik εn rili, spεshal wan we di wεst εn proksimal pol frakshכn dεm we de hεy risk.
i de mek di wrist mobilizεshכn kwik, i de ridyus di stiffness εn impruv fכnshכnal rεkכvεshכn.
signifyantli lכs risk fכ nonunion εn AVN kכmpεr to tradishכnal fikseshכn mεtכd dεm.
CZMEDITECH Prodakt dɛn we dɛn mek
