Metacarpal fracture siam that dan tur i hria em?

Metacarpophalangeal fracture hi kut zungtang hmanga ruh tliak tlangpui a ni a, kut hmanga natna vei zawng zawng 1/4 vel a ni. Kut leh a fine motor function-a structure nalh leh complex tak avang hian kut ruh tliak enkawlna hi a pawimawh zawk a, technically complex tak a ni a, tubular fracture sei dang enkawlna aiin a pawimawh zawk bawk.

Repositioning hnua fracture stability enkawl hi metacarpophalangeal fracture treatment hlawhtlinna kawng pawimawh tak a ni. Kut hnathawh dan siamhat nan chuan a hliam hi fixation dik tak a ngai fo va, tun hma chuan plaster hmanga pawn lam fixation emaw, Kirschner pin hmanga internal fixation emaw hman a ni tlangpui a, mahse a tam zawkah chuan fixation dik lo emaw, fixation hun rei tak emaw a awm a, hei hi postoperative early joint rehabilitation-ah a ha lo va, metacarpophalangeal joint-a hnathawh henkhatah nghawng a nei tam zawk a, chu chu kut hnathawk thei tur a ni.

Tunlai enkawlna hmanrua hian internal fixation chak zawk a hmang nasa hle a, chu chu micro plate screw fixation ang chi hi a ni.

Enkawlna thu bulte .

Kut metacarpal leh phalangeal fracture enkawlna principle te chu: Anatomic repositioning, light leh firm fixation, early mobility leh functional exercise te an ni. Kut intra-articular leh periarticular fracture enkawlna principle chu intra-articular fracture dang: articular surface anatomy siamthat leh early functional activity te nen a inang a ni. Metacarpal leh phalangeal fractures kut zungtang hmanga enkawl chuan rotation, lateral angulation, emaw angular displacement >10° emaw tel lovin anatomic repositioning neih tumin a bei tur a ni. Metacarpal-a fracture tawp chu angle-a laterally-a rotate emaw, displace emaw a nih chuan, flexion-a normal trajectory chu a thlak danglam ang a, chu chuan flexion laiin a kianga kut zungtang aangin a nawr emaw, a tlak emaw a, chu chuan kut zungtang hnathawh dikna a nghawng ang Angular displacement >10° to the dorsum of the palm chuan ruh leh tendon-a smooth contact surface chu a tichhia ang a, flexion leh extension-a tendon resistance leh range of motion a tipung ang a, tendon-ah chronic injury a thlen ang a, tendon rupture hlauhawmna a thlen ang. Tendon rupture hlauhawmna.

Metacarpal leh phalangeal fracture te hi an rotational deformity tuar theihnaah an inang a, metacarpal erawh chuan phalangeal aiin shortening displacement leh dorsal angular displacement te an tuar tha zawk thung. Carpometacarpal leh metacarpophalangeal joint te hian metacarpal angular deformity chu a compensate thei a, annular little finger chu index middle finger aiin metacarpal angular deformity nen a inmil zawk bawk. Intrinsic hand muscle shortening avanga grip strength tlahniam chu metacarpal chu dorsal side-a 30° aia tam angled a nih chauhvin a lang.

Surgical hmanga hmalakna .

Metacarpal fractures te surgical approach hi a awlsam hle a, a tlangpuiin dorsal approach an hmang a, Figure 4-14 ah hian kan hmu a ni. Metacarpal pahnihna chu radial-a incised a nih laiin fifth metacarpal chu ulnarly-a incised a ni a, metacarpal pathumna leh palina chu medially-a incised a ni fo bawk. Metacarpal inhnaih tak pahnih chu a ruala hman a nih chuan, surgical site pahnih ngaihtuah nan median S-shaped incision hman a ni.

Fixed method thlan dan .

Metacarpophalangeal fractures te tan hian internal fixation material tam tak a awm a, chungte chu Kirschner pin, screw, plate leh external fixation frame te an ni a, chung zingah chuan Kirschner pin leh microplate te hi an hmang nasa ber a ni. Metacarpal fractures tan chuan microplate hmanga internal fixation hian Kirschner pin hmanga fixation aiin advantage a nei tih a chiang a, duh zawk a ni thei; Proximal phalangeal fractures tan chuan microplate hi a tlangpuiin duh zawk a ni a, mahse proximal phalangeal leh head fractures distal segment-a screw dah harsatna a awm chuan crossed Kirschner pins hmanga internal fixation a tha zawk a, hei hi a natna kut zungtang functional recovery atan a tha zawk a Middle phalangeal fractures enkawlna atan chuan Kirschner pins hi duh zawk tur a ni.

1、Kirschner-a needle: 

Kirschner’s needle internal fixation hi kum 70 chuang zet clinic-ah hman a ni tawh a, metacarpophalangeal fractures atana internal fixation material hman tam ber a ni a, hei hi hman a awlsam a, economical leh practical a ni a, classic internal fixation method a ni ber a, Figure 4-15-a kan hmuh ang hian a ni. Kut ruh tliak enkawlna atana internal fixation hman tlanglawn ber a nih angin, a la hmang nasa hle. 

Kirschner pins hmanga internal fixation a thatna te:

1 hman awlsam leh hman awlsam tak; 

2 Soft tissue stripping tlem zawk, ruh tliak tawp lama thisen kal danah nghawng tlem zawk, surgical trauma tlem zawk, leh ruh tliak damna atana tha zawk 

3 Secondary pin awlsam taka lak chhuah; 

4 A man tlawm leh a hmanna zau tak, kut ruh tliak tam zawkah hman theih (intra-articular fracture, comminuted fracture na tak tak leh end phalangeal fracture te ang chi) te hi hman theih a ni. 

Internal fixation a that lohna: 

(1) Plate fixation nena khaikhin chuan stability a tha lo a, shortening leh rotational displacement chu pin pakhat hmanga control theih a ni lo va, a tlangpuiin cross fixation atan pin 2 aia tam a ngai a 

(2) fracture tawp lamah compression effect a awm lo; 

(3) joint surface chu cross-joint fixation hmangin a chhia a; 

(4) Joint fixation leh tendon blockage hian hand joint chu exercise hmasa berah a veng thei a, functional recovery a nghawng bawk.

Tunlai internal fixation technique leh hmanrua te a lo thang chak em em a, Kirschner pins hmanga internal fixation chu a thianghlim chho zel a, a tam zawk chu joint pelh lovin a awm thei a, joint vel a soft tissue leh tendons te chu a chhe tlem hle a, postoperative joint function training hmasa ber pawh a nghawng lo bawk. C-Arm X-ray machine hmangin, a then chuan clinique pin hmanga internal fixation closed reduction hmangin result lawmawm tak an hmu thei bawk a, chu chuan local soft tissue-a chhiatna leh thisen supply-a fracture tawp thlenga nghawng a neih chu a tihziaawm belh a, chu chuan fracture damna a tichak bawk. 

Kristen pin hmanga internal fixation neih theihna tura fimkhur tur: 

1 Kristen pin 1.0~1.2 mm diameter neiin ruh block lian zawk siam la, a luhna tur point leh a luh dan tur chu fracture line lam hawiin teh rawh 

2 Force line siamhat tumna nen chuan intra-articular fracture chu taksa peng hrang hranga dah leh nghet taka dah a ngai a; 

3 Bone block zawng zawng chu Kristen pin hmanga siam that a ngai lo va, fracture end stability neih theihna tur premise hnuaiah chuan Kristen pin te hi a tlem thei ang bera hman tur a ni 

4 Kristen pins te chu a theih ang anga kut zungtang tendon emaw dorsal tendon membrane emaw hmangin an tifai lo va 

⑤ Preoperative plan khauh tak a awm tur a ni a, operation chu intraoperative-a tih leh loh tur a ni, chuti lo chuan fracture block chu a chhe zawk emaw, a fix theih loh emaw pawh a ni thei 

6 A tlangpuiin Kirschner pin hi vunah dah tur a ni a, chu chuan natna kai theihna a tihziaawm a, lak chhuah a harsa lo.

2、Metacarpal micro plate: 

Strong internal fixation of hand fractures is the basis for early functional exercise and is necessary to restore good hand function.AO Internal fixation technique chuan fracture tawp chu anatomical repositioning dik tak a mamawh a, fracture end chu functional state-ah a stabilization a ngai a, chu chu fixation chak tak anga sawi a ni tlangpui a, chu chu active early active movement phalsak turin a ni.AO chuan thisen kal tamna tur a ngaihtuah a, chu chuan thisen kal tur venna a ngaihtuah a ni. AO hian thisen kal dan humhalh lam ngaihtuah a, minimally invasive surgical procedures a ngaih pawimawh bawk. Hand fracture chhunga microplate internal fixation hian chakna a pe a, a chakna a pe a, a tawp inkar a fracture tawp a nghet a, a tawp inkar ah pressure a pe bawk. Postoperative functional recovery, fracture healing time leh infection rate te khaikhin chuan micro titanium plate te hian kerf pin te aiin a thatzia a tha zawk hle niin an ngai a, a chhan chu micro titanium plate fixation hnua fracture dam hun chhung hi fixation modalities dang aiin a tawi zawk hle a, chu chuan damlo nun pangngaia a lo kir leh hmasakna chu a ti awlsam hle a ni.

Microplate chhunga fixation enkawlna thatna: 

(1) Kerf pin nena khaikhin chuan microplate screw hian histocompatibility leh tissue response a nei tha zawk a; 

(2) Plate nail fixation system-a stability leh fracture end-a pressure awm chuan fracture chu anatomical repositioning, fixation him zawk, fracture damna atana tha zawk a nih theih nan a hnaih zawk a 

(3) Microplate fixation hnuah chuan early functional exercise hi hman phal a ni tlangpui a, hei hi kut hnathawh thatna atan a tha hle. 

3. Microscrews tih a ni.

Spiral emaw long oblique fracture fixation atana microscrews te hian steel plate ang bawkin stability an nei a, mahse soft tissue leh periosteal stripping area chu steel plate fixation aiin a te zawk a, hei hi thisen kal venna atan a tha a, minimally invasive operation concept nen a inmil bawk. Proximal joint fractures atan T- leh L-type splints awm mahse, postoperative return visit hi diaphyseal fractures aiin a chhe zawk a, microscrews hian intra- leh periarticular fracture fixation atan hian hlawkna engemaw zat a nei bawk. Bone cortex-a screwed screw-te chuan stress load nasa zawk an tuar thei a, chuvangin fixation chu a nghet a, fracture tawp inkarah pressure a siam thei a, chu chuan fracture surface-te chu a hnaih hle a, chu chuan damna hun a ti tawi a, fracture damna a ti awlsam a, Figure 4-18-ah hian a lang. Microscrews hi diaphysis oblique emaw spiral fracture emaw atan hman a ni ber a, ruh lian zawk atanga intra-articular avulsion fractures te pawh a awm bawk. Hriat tur pawimawh tak chu, fracture thread sei zawng hi microscrew chauh hmanga kut zungpui oblique emaw spiral fracture emaw fix-naah diaphysis diameter aiin a let hnih tal a ni tur a ni a, intra-articular avulsion fracture blocks fix-naah chuan thread diameter zau zawng aiin a let thum tal a ni tur a ni tih hriat a pawimawh.

4. Pawn lam fixation brace te tak te.

Comminuted metacarpophalangeal fractures te hi a chang chuan surgical incision hmang pawhin anatomically reset a harsa thin a, a nih loh leh bone scaffold a chhiat avangin internally na takin a fix thei lo. External fixation brace hian comminuted fracture chu traction effect hnuaia a sei zawng a recover leh a vawng reng thei a, role fixed deuh a play a, Figure 4-19-ah hian a lang. External fixation brace dah dan chu metacarpal hrang hrangah a danglam a: 1st leh 2nd metacarpal te chu dorsal radial lam ah dahin, 4th leh 5th metacarpal te chu dorsal ulnar lam ah dah a ni a, 3rd metacarpal te chu doral radial emaw dornar inhliam na tur a ni a, chu chu a awm dan tur a ni. tendon a ni. Closed fractures chu x-ray hnuaiah khar leh dah leh theih a ni a, repositioning-a repositioning-a pui turin incisions te te siam theih a ni bawk a, repositioning hi a tha ber lo a nih chuan.

External fixation brace a thatna te.

(1) hman a awlsam a, fracture end-a displacement hrang hrang a siamrem thei a;

(2) Metacarpal phalanges-a articular surface tichhe lovin intra-articular fractures te chu a reset leh fix thei a, articular surface chu joint capsule leh lateral collateral ligaments contracture awm loh nan a distract thei bawk 

(3) Anatomically reset theih loh comminuted comnuted fractures te tan internal fixation tlemte nen a inzawm thei a, external fixation brace chuan force line chu a then reset leh maintain thei bawk 

(4) Joint 1000 a awm loh nan unfixed joint-a kut zungtang natna vei chu a hmaa functional exercise neih theihna a siamsak a ni. 

(5) Kut hliam chu a natna vei hnua a hliam postoperative treatment-ah nghawng lovin a tifel thei a ni.

Orthopedic implants leh orthopedic instruments lei dan

Tan czmeditech , kan nei a, kan product line line kimchang tak, orthopedic surgery implant leh a inmil instruments te, products te pawh a tel a ni. Spine implant te pawh a awm ., Intramedullary nail te pawh a awm bawk., Trauma plate 1000 a ni., locking plate a ni., Cranial-maxillofacial 1000 a ni., Prosthesis 1000 a ni., Power hmanrua te ., Pawn lam fixator te ., arthroscopy 1000 a ni., veterinary care leh an supporting instrument sets te a ni.

Chu bakah, thil thar siam chhunzawm zel leh product line tihzauh zel kan tum tlat a, chutiang chuan doctor leh damlo tam zawkte surgical mamawh phuhrukna tur leh, chubakah kan company chu global orthopedic implants and instruments industry pumpuiah pawh inelna nei thei zawka siam kan tum a ni.

Khawvel pumah kan export a, chuvang chuan i . Email address song@orthopedic-china.com ah min rawn biak la, a thlawnin quote i hmu ang, a nih loh leh WhatsApp ah message thawn la, quick response +86- 18112515727 .

Hriat belh duh chuan thu belhchian dawl zawk,Click . CZMedItech ah hian a kimchang zawkin i hmu thei ang.