Arthrodesis of Wrist Joint Locking plate : A Comprehensive Guide

Arthrodesis ya mgwirizano wa dzanja ndi njira yopangira opaleshoni yomwe cholinga chake ndi kusakaniza mafupa a dzanja limodzi, kuthetsa kusuntha kwa mgwirizano ndi kuchepetsa kupweteka. Wrist arthrodesis nthawi zambiri amachitidwa kwa odwala matenda a nyamakazi, ovulala kwambiri, kapena olephera kuchita maopaleshoni amanja. M'nkhaniyi, tikambirana za kugwiritsidwa ntchito kwa Locking plates mu wrist arthrodesis, ndondomeko yokha, njira yowonongeka, ndi zovuta zomwe zingakhalepo.

Kumvetsetsa Wrist Arthrodesis

Kodi Wrist Arthrodesis ndi chiyani?

Wrist arthrodesis ndi njira yopangira opaleshoni yomwe imaphatikizapo kuphatikiza mafupa a mgwirizano wa dzanja limodzi. Cholinga cha ndondomekoyi ndi kuthetsa kusuntha kwa mgwirizano ndi kuchepetsa ululu. Arthrodesis ikhoza kuchitidwa pamagulu aliwonse a dzanja, kuphatikizapo radiocarpal, intercarpal, ndi carpometacarpal joints.

Chifukwa chiyani Wrist Arthrodesis Imachitika?

Wrist arthrodesis nthawi zambiri amachitidwa kwa odwala matenda a nyamakazi, ovulala kwambiri, kapena olephera maopaleshoni amanja. Arthrodesis ikhozanso kulangizidwa kwa odwala omwe ali ndi matenda ena obadwa nawo, monga matenda a Madelung kapena matenda a Kienbock.

Kodi Ubwino wa Wrist Arthrodesis Ndi Chiyani?

Ubwino waukulu wa wrist arthrodesis ndikuchepetsa ululu. Mwa kuphatikiza mafupa pamodzi, mgwirizanowo umakhazikika ndipo ululu umachepa. Arthrodesis imathanso kukulitsa mphamvu yogwira komanso kugwira ntchito kwa dzanja nthawi zina.

Kodi Zowopsa za Wrist Arthrodesis ndi Chiyani?

Zowopsa zazikulu za wrist arthrodesis ndizosagwirizana (kumene mafupa amalephera kuphatikizira pamodzi), malunion (kumene mafupa amalumikizana mopanda malire), ndi matenda. Kuphatikiza apo, wrist arthrodesis imatha kuchepetsa kusuntha kwa dzanja ndikusokoneza ntchito yonse ya manja.

Kugwiritsa ntchito Locking plates mu Wrist Arthrodesis

Locking plates ndi chiyani?

Locking plates amagwiritsidwa ntchito Zoyikidwa m'mafupa kuti akhazikike mafupa panthawi ya machiritso othyoka kapena kuphatikiza pamodzi. Locking plates ali ndi zomangira zapadera zomwe zimawalola kuti azilumikizana ndi fupa m'njira yomwe mbale zachikhalidwe sizimatero.

Chifukwa chiyani Locking plates Amagwiritsidwa Ntchito mu Wrist Arthrodesis?

Locking plates amagwiritsidwa ntchito nthawi zambiri mu wrist arthrodesis chifukwa amapereka kukhazikika kwapamwamba poyerekeza ndi mbale zachikhalidwe. Izi ndizofunikira makamaka kwa odwala omwe ali ndi mafupa osauka, monga Locking plates amatha kukwaniritsa kukonzanso nthawizimene mbale zachikhalidwe sizingathe.

Kodi Locking plates Amagwiritsidwa Ntchito Motani mu Wrist Arthrodesis?

Panthawi ya opaleshoni ya wrist arthrodesis, mafupa a dzanja amakonzekera kusakanikirana. Mafupawo akalumikizidwa bwino, Locking plate imayikidwa pamwamba pa fupalo ndikumangika. Zomangira zomwe zimagwiritsidwa ntchito mu Locking plate zomangira zidapangidwa kuti zizilumikizana ndi fupa momwe zomangira zachikhalidwe sizingathe.

Kodi Ubwino Wogwiritsa Ntchito Locking plates mu Wrist Arthrodesis ndi Chiyani?

Kugwiritsiridwa ntchito kwa Locking plates mu wrist arthrodesis kuli ndi ubwino wambiri, kuphatikizapo kukhazikika kowonjezereka, kuchepetsa chiopsezo cha kumasula wononga, komanso kukwanitsa kukonzanso pamene mafupa alibe bwino.

Njira ya Wrist Arthrodesis

Preoperative Planning

Musanayambe opaleshoni ya wrist arthrodesis, dokotala wanu adzakuyesani bwinobwino dzanja lanu ndi thanzi lanu lonse. Izi zingaphatikizepo X-rays, CT scans, kapena MRI scans kuti muwone kukula kwa nyamakazi yanu ya m'manja kapena zina.

Opaleshoni

Opaleshoni ya wrist arthrodesis nthawi zambiri imachitidwa pansi pa anesthesia wamba. Nthawi zina, anesthesia wamba wokhala ndi sedation angagwiritsidwe ntchito.

Kudulidwa ndi Kuwonekera

Dokotalayo adzacheka pamkono kuti mafupawo aonekere. Khungu ndi minyewa yofewa imadulidwa mosamala kuti ifike pachiwopsezo.

Kukonzekera Kwa Mafupa

Mafupa a pa mkono amakonzedwa kuti agwirizane pochotsa chichereŵechereŵe ndi kupanga mafupa kuti agwirizane bwino. Dokotala wa opaleshoni angagwiritse ntchito mafupa kuti athandize kuphatikizika.

Kuyika mbale ndi Kukonza

Mafupawo akakonzedwa, Locking plate imayikidwa pamwamba pa fupalo ndikulipiritsa. Zomangira zomwe zimagwiritsidwa ntchito mu Locking plate zomangira zidapangidwa kuti zizilumikizana ndi fupa momwe zomangira zachikhalidwe sizingathe.

Kutseka

Kamodzi mbale ndi zomangira zili m'malo, kudulako kumatsekedwa ndi sutures kapena staples. Choponyera kapena cholumikizira chingagwiritsidwe ntchito pamkono kuti chithandizire kuchira.

Njira Yobwezeretsa

Chithandizo cha Postoperative

Pambuyo pa opaleshoni ya wrist arthrodesis, mudzayang'aniridwa mosamala m'chipatala chifukwa cha zizindikiro zilizonse za zovuta. Mutha kupatsidwa mankhwala opweteka komanso maantibayotiki kuti mupewe matenda.

Kusasunthika

Dzanja lidzakhala losasunthika mu pulasitala kapena plint kwa milungu ingapo kuti muchiritse bwino. Thandizo lakuthupi lingalimbikitsidwe kuti lithandizire kuchira.

Bwererani ku Zochita Zachizolowezi

Odwala ambiri amatha kuyembekezera kubwerera kuzinthu zachizolowezi mkati mwa miyezi itatu kapena isanu ndi umodzi atachitidwa opaleshoni. Komabe, zingatenge chaka kuti fupa ligwirizane bwino komanso kuti dzanja likhale bwino.

Zovuta Zomwe Zingachitike

Osakhala Mgwirizano

Non-union ndi vuto lomwe lingakhalepo la wrist arthrodesis, pomwe mafupa amalephera kuphatikizana bwino. Izi zingafunike maopaleshoni ena kuti akonze.

Malunion

Malunion ndi vuto lomwe lingakhalepo pa mkono wa arthrodesis, pomwe mafupa amalumikizana mokhazikika. Izi zingayambitse kuchepa kwa ntchito ya dzanja kapena kupweteka.

Matenda

Infection ndi vuto lomwe lingakhalepo pa opaleshoni iliyonse. Zizindikiro za matenda ndi monga kufiira, kutupa, kutentha thupi, ndi kuwonjezeka kwa ululu.

Mapeto

Wrist arthrodesis ndi njira yopangira opaleshoni yomwe cholinga chake ndi kuphatikiza mafupa a dzanja limodzi, kuchepetsa ululu ndikuwongolera kugwira ntchito kwa dzanja. Kugwiritsiridwa ntchito kwa Locking plates mu wrist arthrodesis kumapereka kukhazikika kwapamwamba poyerekeza ndi mbale zachikhalidwe, zomwe zimapangitsa kukhala njira yabwino kwa odwala omwe alibe mafupa abwino. Komabe, monga momwe zilili ndi opaleshoni iliyonse, pali zoopsa ndi zovuta zomwe ziyenera kukambidwa ndi dokotala wanu wa opaleshoni.