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 mbale zokhoma mu wrist arthrodesis, ndondomeko yokha, njira yochira, 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 Mbale Wotsekera mu Wrist Arthrodesis

Kodi Locking Plates ndi chiyani?

Ma mbale okhoma ndi ma implants a mafupa omwe amagwiritsidwa ntchito kuti akhazikike mafupa panthawi ya machiritso a fracture kapena kuphatikizika kwa mafupa. Zotsekera mbale zimakhala ndi zomangira zapadera zomwe zimawalola kuti azilumikizana ndi fupa m'njira yomwe mbale zachikhalidwe sizimatero.

Chifukwa Chiyani Zokhoma Zimbale Zimagwiritsidwa Ntchito Mu Wrist Arthrodesis?

Ma mbale okhoma nthawi zambiri amagwiritsidwa ntchito mu wrist arthrodesis chifukwa amapereka bata lapamwamba poyerekeza ndi mbale zachikhalidwe. Izi ndizofunikira makamaka kwa odwala omwe ali ndi mafupa osauka, chifukwa mbale zotsekera zimatha kukwaniritsa kukhazikika pazochitika izi pomwe mbale zachikhalidwe sizingathe.

Kodi Mimba Yotsekera Imagwiritsidwa Ntchito Motani mu Wrist Arthrodesis?

Panthawi ya opaleshoni ya wrist arthrodesis, mafupa a dzanja amakonzekera kusakanikirana. Mafupawo akalumikizidwa bwino, mbale yotsekera imayikidwa pamwamba pa fupalo ndikumangirira. Zomangira zomwe zimagwiritsidwa ntchito pokhoma mbale zimapangidwira kuti zigwirizane ndi fupa m'njira zomwe zomangira zachikhalidwe sizingathe.

Kodi Ubwino Wogwiritsa Ntchito Zotsekera Mbale mu Wrist Arthrodesis Ndi Chiyani?

Kugwiritsa ntchito mbale zokhoma mu wrist arthrodesis kuli ndi zabwino zingapo, kuphatikiza kukhazikika, kuchepetsedwa kwa chiwopsezo cha kumasula wononga, komanso kuthekera kokwaniritsa kukhazikika pakagwa mafupa osalimba.

Njira ya Wrist Arthrodesis

Preoperative Planning

Musanayambe opaleshoni ya wrist arthrodesis, dokotala wanu wa opaleshoni adzayesa 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 mosamalitsa 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

Mafupa akakonzeka, mbale yotsekera imayikidwa pamwamba pa fupa ndikumangirira m'malo mwake. Zomangira zomwe zimagwiritsidwa ntchito pokhoma mbale zimapangidwira kuti zigwirizane ndi fupa m'njira zomwe 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 kupweteka komanso kukonza magwiridwe antchito a dzanja. Kugwiritsiridwa ntchito kwa mbale zokhoma mu wrist arthrodesis kumapereka kukhazikika kwapamwamba poyerekeza ndi mbale zachikhalidwe, zomwe zimapangitsa kukhala njira yabwino kwa odwala omwe ali ndi mafupa osauka. Komabe, monga momwe zilili ndi opaleshoni iliyonse, pali zoopsa ndi zovuta zomwe ziyenera kukambidwa ndi dokotala wanu.