Scaphoid Fracture a awm thei
Scaphoid fracture hi carpal fracture tam ber a ni a, carpal bone fracture zawng zawng zinga 70% vel a ni. Carpal bone arrangement chhunga a anatomical position danglam tak avang hian clinical diagnosis-ah hian scaphoid fracture thar hi hmuh tur a awm lo fo thin. Chubakah, scaphoid-a vascular supply danglam tak hian damlote chu a hnu lama nonunion, avascular necrosis (AVN), leh carpal instability ang chi complication-ah a hruai lut a ni. Clinically chuan scaphoid fractures hi enkawl harsa tak a ni a, sequelae a awm fo thin a, chu chu persistent wrist pain, restricted range of motion, leh post-traumatic arthritis te hi a ni.
Scaphoid-a Anatomical Role danglam tak
Scaphoid hi proximal carpal row-a ruh sei ber a ni a, lawng te tak te ang maia siam a ni (chuvangin 'scaphoid' tih hming a pu ta a ni). Proximal leh distal carpal row inkarah a inzar pharh a, row pahnih stabilize leh connect-na kawngah a thawhhlawk hle. Wrist motion pangngai, flexion, extension, radial deviation, leh ulnar deviation te pawh hi scaphoid coordinated movement-ah a innghat vek a ni. Vawikhat a fracture chuan wrist joint pumpui biomechanics a tibuai thin.
Fragile Vascular Supply a awm bawk
Scaphoid hian thisen supply chu radial artery branch atang hian a dawng ber a, dorsal ridge leh distal pole atanga lut a ni:
Thisen kal zawng zawng 70–80% vel chu distal tubercle kaltlangin a lut a, proximal pole chawm turin retrograde-in a luang lut a ni.
Branch tlemte chauh chu proximal pole-ah direct-in an lut a.
Implications:
Hliam tuar dan tlangpui
Hliam tuar tam ber chu kut phar chunga tlu (FOOSH) a ni .Tlu lai hian mimal tinte chuan instinctive takin kut an phar a, kut zungtang chu an phar chhuak a, chu chuan kutphah hmanga a tlakna chu a hip lut thin. Hetianga hliam tuar fo thin hian clinical leh research-ah ngaihven a hlawh hle a, acronym FOOSH tiin an sawi nasa hle.
Scaphoid Fracture hriatchhuah hun sawn hlat
Scaphoid fracture hi FOOSH hliam vang a ni fo thin. A nasat loh chuan a lan chhuah dan chu kut zungtang natna tlemte chauh a ni thei a, chu chuan damlote chu damdawi lam pan an ngaihthah phah thei a ni. X-ray (AP leh lateral views) lak pawhin fracture chu a lang nghal lo thei. Damlote chu thla tam tak hnuah kut zungtang natna zual zel nen an lo kir leh thei a, chutih lai chuan imaging-ah chuan chronic scaphoid fracture a awm tih a lang a—chu chuan diagnosis chu nasa takin a tikhawtlai a, treatment window tha ber pawh a hloh bawk.
Diagnostic chungchanga rawtna pawimawh tak tak:
Kut hliam zawng zawngah X-ray imaging tih vek tur a ni a, ruh tliak nia rinhlelh a nih chuan scaphoid view pawh a tel tur a ni.
X-ray negative mahse rinhlelhna a awm reng chuan immobilization hman tur a ni a, chu chu kar 2 hnuah repeat imaging neih leh tur a ni.
Immobilization hmasa hi diagnostic leh therapeutic measure atan pawh a tangkai thei.
Enkawlna kawng hrang hrang
Pawn lam atanga Fixation
Fracture thar, nodisplaced te chu immobilization hmangin enkawl theih a ni. Mahse, damna a awm theih nan fixation chu rigid a ngai a ni. Standard plaster emaw resin splints emaw hian wrist leh forearm rotation a control thei lo a, stability a ti tlem thei.
Plaster Cast hmanga tihkhawtlai theihna:
Kut sei tak nei thumb spica cast:
Proximal hmun thuma ṭhena hmun khata fracture (AVN risk sang ber), vertical/oblique fracture line, leh initial diagnosis case-te tan a ni.
Elbow chu 90° ah a immobilize a, forearm, wrist, leh thumb te chu a immobilize thin.
Forearm rotation tihbo hmangin maximum stability a pe.
Kut tawi tak nei thumb spica cast:
Distal third fracture, tuberosity fracture, leh stable mid-waist fracture (later stage) tan a tha.
Comfort tam zawk mahse stability tlem zawk a pe.
Internal Fixation tih a ni
Lu nei lo Compression Screw (Herbert Screw) hmanga siam a ni.
Tunah hian scaphoid waist fracture tan gold standard a ni.
Herbert Cannulated Compression Screw hmanga siam a ni
A rilru a buai em em a, a rilru a hah em em bawk a. Bevelled Cannulated Herbert Screw
Kirschner Wire (K-wire) hmanga siam that a ni
Traditional mahse tangkai tak, adjunctive fo thin.
A thatna : a flexible, a man tlawm, vascularity tihbuai tlem ber.
A that lohna : a stable lo zawk, pawn lam atanga fixation a ngai a, infection risk, removal post-healing a ngai..
Indications : naupang ruh tliak, comminution-a hun eng emaw chen fixation, screw fixation-a adjunct.
Cannulated Screw A then chu a thread a ni
Cannulated Screw A then chu a thread a ni
Scaphoid Nonunion tih a ni
Vascular supply danglam tak a neih avangin scaphoid waist leh proximal fracture te hi nonunion leh AVN a awm duh hle.
Enkawlna : Ruh grafting (non-vascularized emaw vascularized emaw) chu internal fixation (Herbert screw emaw K-wire emaw) nena inzawm a ni. Graft dah dik leh articular surface mumal taka siam that hi a pawimawh hle. Thil engemaw takah chuan kut zungtang inher laiin ruh langsar (bone prominence) a tlakbuak chuan radial styloidectomy a ngai thei bawk.
Khawvel pum huapa Herbert Screw Supplier tha ber ber 10 leh CZMEDITECH Product Overview
Scaphoid fracture enkawlna hi a pawimawh hle a—kut hnathawh that lehna atan chauh ni lovin, damlote nunphung leh hnathawh theihna vawng reng turin. Internal fixation device dik tak thlan hi harsatna awm lo tur venna atana pawimawh tak a ni a, fixation dik tak neih theihna tur leh rehabilitation tihhmasawn nan a pawimawh hle.
Implant hrang hrang zingah hian... Herbert Screw hi a design danglam bik leh a clinical performance finfiah vangin a langsar hle a, hei vang hian scaphoid fracture management atana hmanraw pawimawh ber pawl a ni.
Khawvel puma Herbert Screw Supplier zingah Top 10
| Rank |
Company Hming |
Logo |
| 1 |
DePuy Synthes hmanga siam a ni |
![Herbert Cannulated Compression Screw hmanga siam a ni]() |
| 2 |
Stryker a ni |
![Herbert Cannulated Compression Screw hmanga siam a ni]() |
| 3 |
Zimmer Biomet chuan a rawn ti a |
![Herbert Cannulated Compression Screw hmanga siam a ni]() |
| 4 |
Arthrex chuan a ti a |
![Herbert Cannulated Compression Screw hmanga siam a ni]() |
| 5 |
Smith leh a farnu te |
![Herbert Cannulated Compression Screw hmanga siam a ni]() |
| 6 |
Wright Medical Group chuan a rawn ti a |
![Herbert Cannulated Compression Screw hmanga siam a ni]() |
| 7 |
Acumed a ni |
![Herbert Cannulated Compression Screw hmanga siam a ni]() |
| 8 |
aap AG dah luh |
![Herbert Cannulated Compression Screw hmanga siam a ni]() |
| 9 |
Orthofix tih a ni |
![Herbert Cannulated Compression Screw hmanga siam a ni]() |
| 10 |
CZMEDITECH a ni |
![Herbert Cannulated Compression Screw hmanga siam a ni]() |
CZMEDITECH Herbert Screw hmanga thil siam chhuah te
Chinese rama orthopedic implants siamtu leh supplier lar tak a nih angin CZMEDITECH hian scaphoid fracture leh ruh hliam tenau dangte tana siam Herbert Screws portfolio kimchang tak a pe a ni.
Thil pawimawh tak tak:
Headless compression design: fixation nghet tak a siam a, articular cartilage irritation pawh a ti tlem bawk.
Biomechanical stability sang tak: interfragmentary compression rintlak tak chuan solid union a tichak.
Material options: medical-grade stainless steel leh titanium alloy hmanga siam a ni a, biocompatibility tha tak leh corrosion resistance tha tak a nei.
Minimally invasive compatibility: percutaneous leh open approach pahnih atan pawh a tha.
Multiple specifications: clinical mamawh hrang hrang ngaihtuah turin diameter leh length hrang hrang.
Clinical lama a thatna: 1.1.
Scaphoid fracture damna rang leh rintlak tak a siamsak a, a bik takin high-risk waist leh proximal pole fracture-ah te.
Wrist mobilization hmasa ber a siam a, stiffness a tihziaawm bakah functional recovery a ti tha bawk.
Traditional fixation method nena khaikhin chuan nonunion leh AVN risk a tihhniam nasa hle.
CZMEDITECH thil siam chhuah te
