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 inkar ah a inzar pharh a, row pahnih stabilize leh connecting-ah a pawimawh 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 a, chu chuan kutphah hmanga a tlakna chu a hip lut thin. Hetianga hliam tuar fo thinna hian clinical leh research lama 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 ni—kut hnathawh siam ṭhat lehna atan chauh ni lovin, damlote nunphung leh hnathawh theihna vawng reng tûrin a pawimawh hle bawk. 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
