Go robega ga Scaphoid
Go robega ga scaphoid ke go robega ga carpal mo go tlwaelegilego kudu, go tšea karolo mo e ka bago 70% ya go robega ka moka ga marapo a carpal. Ka lebaka la maemo a yona a moswananoši a anatomical ka gare ga peakanyo ya marapo a carpal, go robega ga scaphoid mo go foreše gantši go fošwa tlhahlobong ya kliniki. Go feta moo, kabo e kgethegilego ya methapo ya scaphoid e dira gore balwetši ba be le mathata a bjalo ka go se kopane, avascular necrosis (AVN) le go se tsepame ga carpal megatong ya ka morago. Ka tša kalafo, go robega ga scaphoid go thata go go alafa gomme gantši go tlogela ditlamorago tše bjalo ka bohloko bjo bo phegelelago bja letsogo, tekanyo e thibetšwego ya go šikinyega le ramatiki ya ka morago ga masetla-pelo.
Karolo e Ikhethang ya Anatomical ya Scaphoid
Scaphoid ke lerapo le letelele kudu mo moleng wa proximal carpal, le bopegile bjalo ka seketswana se sennyane (ka fao leina 'scaphoid'). E akaretša magareng ga methaladi ya carpal ya proximal le distal, e kgatha tema ye bohlokwa go tsepamišeng le go kgokaganya mela ka bobedi. Ditšhišinyego tše di tlwaelegilego tša letsogo, go akaretša le go koba, go katološa, go fapoga ga radial le go fapoga ga ulnar, ka moka di ithekgile ka motšhene o rulagantšwego wa scaphoid. Ge e šetše e robegile, biomechanics ya lelokololo ka moka la letsogo e a šitišwa.
Phepelo ya Methapo ye e Fokolago
Scaphoid e amogela kabo ya madi kudu go tšwa makaleng a mothapo wa radial, e tsena go tšwa go molala wa mokokotlo le pole ya kgole:
Mo e ka bago 70-80% ya phallo ya madi e tsena ka tubercle ya kgole, e elela ka morago go fepa pole ya proximal.
Ke makala a sego kae feela a tsenago ka go lebanya ka gare ga kota ya proximal.
Dikamorago:
Ge go robega go le kgaufsi le kota ya kgaufsi, ke moo kotsi e kgolo ya tšhitišo ya methapo e lego gona.
Gatee-tee ge go elela ga madi go šitišitšwe, karolwana ya kgaufsi e sekametše kudu go AVN le go se kopane.
Mokgwa o Tlwaelegilego wa Kgobalo
Mokgwa wo o tlwaelegilego kudu wa go gobala ke go wela godimo ga seatla se se otlolotšwego (FOOSH) .Ge ba wa, batho ka tlhago ba otlolla letsogo gomme ba phatlalatša menwana go monya khuetšo ka seatla. Mokgwa wo wa go gobala kgafetšakgafetša o gogile šedi ye kgolo ya kliniki le ya nyakišišo, gomme o bolelwa kudu ka khutsofatšo ya FOOSH.
Go Diega ga Tlhahlobo ya Scaphoid Fracture
Go robega ga scaphoid gantši go bakwa ke dikgobalo tša FOOSH. Maemong a bonolo, dika di ka lekanyeletšwa go bohloko bjo bonyenyane bja letsogo, e lego seo se dirago gore balwetši ba hlokomologe go nyaka tlhokomelo ya tša kalafo. Gaešita le ge go tšewa di-X-ray (AP le dipono tša ka mahlakoreng), go robega go ka no se bonagale gatee-tee. Balwetši ba ka boa dikgwedi ka morago ba e-na le bohloko bjo bo tšwelago pele bja letsogo, moo go tšea diswantšho go utollago go robega mo go sa felego ga scaphoid—go diegiša kudu go hlahloba bolwetši le go foša lefasetere le le swanetšego la kalafo.
Ditšhišinyo tše bohlokwa tša go hlahloba bolwetši:
Go tšea diswantšho ka X-ray go swanetše go dirwa bakeng sa dikgobalo ka moka tša letsogo, go akaretša le dipono tša scaphoid ge go belaelwa gore go robegile.
Ge e ba di-X-ray di le mpe eupša pelaelo e sa dutše e le gona, go swanetše go dirišwa go se šikinyege, gomme gwa latelwa ke go tšea diswantšho gape ka morago ga dibeke tše 2.
Go se šikinyege ka pela go ka šoma e le tekanyo ya go hlahloba le ya kalafo.
Dikgetho tša Kalafo
Fixation ya ka Ntle
Fresh, nodisplaced fractures ka alafša ka immobilization. Le ge go le bjalo, go tiiša go swanetše go ba go thata go netefatša phodišo. Di- splint tša polasetara tše di tlwaelegilego goba tša resin di ka palelwa ke go laola go dikološa ga letsogo le letsogo la pele, tša fokotša go tsepama.
Polasetara Cast Immobilization: .
Long-letsoho monwana o moholo spica lahlela:
E bontšhitšwe bakeng sa go robega ga tee-tharong ya kgauswi (kotsi ya godimo ya AVN), mela ya go robega ya go ema/sekame, le ditiragalo tša mathomo tša tlhahlobo.
Immobilizes elbow ka 90 °, forearm, letsoho, le monwana o moholo.
E fana ka palo e kahodimodimo botsitso ka ho felisa forearm potoloha.
Short-letsoho monwana monwana o moholo spica lahlela:
E loketše go robega ga boraro ga kgole, go robega ga tuberosity, le go robega ga bogareng bja letheka bjo bo tsepamego (mogato wa ka morago).
E fana ka boiketlo bjo bo oketšegilego eupša e le go tsepama mo gonyenyane.
Go Tiišwa ga ka Gare
Sekurufu sa Kgateletšo se se se nago Hlogo (Sekurufu sa Herbert) .
Ga bjale ke tekanyetšo ya gauta ya go robega ga letheka la scaphoid.
Herbert Cannulated Kgatelelo Sekurufu
Bevelled Cannulated Herbert Sekurufu
Kirschner Terata (K-terata) Go lokiša
Mokgwa wa setšo eupša o na le mohola, gantši e le wa tlaleletšo.
Melemo : tenyetsehang, theko e tlaase, tšitiso bonyane ya vascularity.
Go tlhoka mesola : ka tlaase ho moo tsitsitseng, hloka fixation ka ntle, tshwaetso kotsi, ho tloswa hlokahala ka mor'a pholiso..
Ditšhupetšo : go robega ga bana, go tsepama ga nakwana ka comminution, adjunct go fixation ya sekurufu.
Cannulated Screw Karolo-threaded
Cannulated Screw Karolo-threaded
Scaphoid Go se kopanye
Ka lebaka la kabo ya yona ya moswananoši ya methapo, letheka la scaphoid le go robega ga proximal di sekametše go nonunion le AVN.
Kalafo : Go hlomesetšwa ga marapo (go se be le methapo goba mo go nago le methapo) go kopantšwe le go tiiša ka gare (sekurufu sa Herbert goba terata ya K). Go bewa ga graft ka nepo le tsošološo ya bokagodimo bja articular ka boreledi di bohlokwa kudu. Maemong a itšego, go ka nyakega radial styloidectomy ge e ba go tšwelela ga marapo go kgoma nakong ya tšhišinyego ya letsogo.
Global Top 10 Herbert Screw Bafepedi le CZMEDITECH Kakaretšo ya Setšweletšwa
Kalafo ya go robega ga scaphoid e bohlokwa kudu—e sego feela bakeng sa go tsošološa go šoma ga letsogo eupša gape le bakeng sa go boloka boleng bja bophelo bja balwetši le bokgoni bja bona bja go šoma. Go kgetha sedirišwa se se swanetšego sa go tiiša ka gare ke senotlelo sa go thibela mathata, go fihlelela go tiiša ka mo go nepagetšego le go kgothaletša tsošološo.
Gare ga dilo tše di fapa-fapanego tšeo di tsenywago mmeleng, go Herbert Screw e eme ka ntle ka lebaka la tlhamo ya yona ya moswananoši le tshepedišo ya kliniki ye e hlatsetšwego, e dira gore e be ye nngwe ya didirišwa tša bohlokwa kudu ka taolo ya go robega ga scaphoid.
Top 10 Herbert Screw Suppliers Lefatše ka bophara
| Rank |
Lebitso la Khamphani |
Logo |
| 1 |
Di-Synthes tša DePuy |
![Herbert Cannulated Kgatelelo Sekurufu]() |
| 2 |
Mohlabani wa Stryker |
![Herbert Cannulated Kgatelelo Sekurufu]() |
| 3 |
Zimmer Biomet |
![Herbert Cannulated Kgatelelo Sekurufu]() |
| 4 |
Arthrex ya go swana le yona |
![Herbert Cannulated Kgatelelo Sekurufu]() |
| 5 |
Smith & Motlogolo wa ngwanabo |
![Herbert Cannulated Kgatelelo Sekurufu]() |
| 6 |
Sehlopha sa Bongaka sa Wright |
![Herbert Cannulated Kgatelelo Sekurufu]() |
| 7 |
Acumed |
![Herbert Cannulated Kgatelelo Sekurufu]() |
| 8 |
aap Go tsenya AG |
![Herbert Cannulated Kgatelelo Sekurufu]() |
| 9 |
Orthofix ya go lokiša |
![Herbert Cannulated Kgatelelo Sekurufu]() |
| 10 |
CZMEDITECH ya go swana le yona |
![Herbert Cannulated Kgatelelo Sekurufu]() |
CZMEDITECH Ditšweletšwa tša Sekurufu sa Herbert
Bjalo ka motšweletši yo a etilego pele wa China le moabi wa dilo tše di tsenywago marapo, CZMEDITECH e fana ka potefolio ye e feletšego ya Dikurufu tša Herbert tšeo di rulagantšwego bakeng sa go robega ga scaphoid le dikgobalo tše dingwe tše nnyane tša marapo.
Dikarolo tše Bohlokwa:
Moralo wa kgatelelo ya go hloka hlogo: o netefatša go tsepama ga go tsepama mola o fokotša go hlohlona ga lefufuru la articular.
Botsitso bjo bo phagamego bja biomechanical: kgatelelo ya interfragmentary ye e ka botwago e kgothaletša kopano ye e tiilego.
Dikgetho tša dilo tše di bonagalago: e hwetšagala ka tšhipi ye e sa tswakwego ya maemo a bongaka le motswako wa thaethaniamo, ka biocompatibility ye botse kudu le go ganetša tšhilafalo.
Go sepelelana mo go hlaselago kudu: go loketše bobedi mekgwa ya go diriša percutaneous le ye e bulegilego.
Ditlhaloso tše ntši: mehutahuta ya bophara le botelele go rarolla dinyakwa tša kliniki tše di fapanego.
Mehola ya Tlhokomelo:
E nolofatša phodišo ya ka pela le ye e ka botwago ya go robega ga scaphoid, kudukudu ka go robega ga letheka le proximal pole yeo e nago le kotsi ye kgolo.
E kgontšha go kgoboketša letsogo ka pela, go fokotša go tia le go kaonafatša go fola ga mošomo.
E fokotša kudu kotsi ya nonunion le AVN ge e bapetšwa le mekgwa ya setšo ya go tiiša.
Ditšweletšwa tša CZMEDITECH
