Distal Dorsal Radial Delta Locking plate : Chitsogozo Chokwanira
Pankhani ya kuchiza distal radius fractures, njira imodzi yomwe madokotala opaleshoni angaganizire ndi kugwiritsa ntchito distal dorsal radial delta Locking plate . Mtundu uwu wa mbale wapeza kutchuka m'zaka zaposachedwa chifukwa cha kuthekera kwake kupereka kukhazikika kokhazikika, kulola kulimbikitsana koyambirira komanso kubwereranso mwachangu kuntchito za tsiku ndi tsiku. M'nkhaniyi, tidzapereka chitsogozo chokwanira ku distal dorsal radial delta Locking plate , kuphatikizapo zizindikiro zake, njira yopangira opaleshoni, ndi zovuta zomwe zingakhalepo.
Mawu Oyamba
Distal radius fractures ndi chovulala chofala, makamaka kwa okalamba. Ngakhale kuti zosweka zambiri zimatha kuthandizidwa mosamala ndi kusasunthika, ena angafunikire kuchitidwa opaleshoni. Kugwiritsa ntchito distal dorsal radial delta Locking plate ndi njira imodzi yopangira maopaleshoni othyokawa. Mbaleyi idapangidwa kuti ipereke kukhazikika kokhazikika pomwe imalola kusonkhanitsa koyambirira ndikubwerera kuntchito.
Anatomy ya Distal Radius
Musanayambe kukambirana za kugwiritsidwa ntchito kwa distal dorsal radial delta Locking plate , m'pofunika kumvetsetsa momwe thupi limakhalira. Ma distal radius ndi gawo la fupa la mkono lomwe limalumikizana ndi dzanja. Ndilo dongosolo lovuta lomwe lili ndi malo angapo articular ndi ligaments. Kuvulala kuderali kumatha kusiyanasiyana mosiyanasiyana, kuyambira kung'ung'udza pang'ono mpaka kuphulika kwathunthu.
Zizindikiro za Distal Dorsal Radial Delta Locking plate
Kugwiritsiridwa ntchito kwa distal dorsal radial delta Locking plate kungasonyezedwe kwa mitundu ina ya distal radius fractures. Izi zingaphatikizepo:
Mitsempha ya intra-articular
Kuphwanyidwa kwapang'onopang'ono
Mafractures okhala ndi kusamuka kwakukulu
Fractures ndi kuvulala kosakhazikika kwa ligamentous
Preoperative Planning
Kukonzekera koyambirira ndikofunikira poganizira kugwiritsa ntchito distal dorsal radial delta Locking plate . Izi zingaphatikizepo kupeza maphunziro oyenerera ojambulira, monga ma X-ray kapena CT scan, kuti aunike bwinobwino kupasukako. Kuonjezera apo, dokotalayo adzafunika kudziwa kukula kwa mbale ndi mawonekedwe oyenera, komanso kuyika koyenera kwa zomangira.
Njira Yopangira Opaleshoni
Njira yopangira opaleshoni yogwiritsira ntchito distal dorsal radial delta Locking plate nthawi zambiri imakhala ndi izi:
Kudulidwa kumapangidwa pamtunda wakutali kuti athe kulowa pamalo ophwanyika.
Kuphulika kumachepetsedwa, kapena kusinthidwanso, ngati kuli kofunikira.
Mbaleyi imayikidwa pambali ya dorsal ya radius.
Zopangira zimayikidwa mu mbale ndikulowa mu fupa kuti zitetezeke.
Ngati ndi kotheka, zowonjezera zowonjezera, monga mawaya kapena zikhomo, zingagwiritsidwe ntchito kupititsa patsogolo kukhazikika kwa fracture.
Chithandizo cha Postoperative
Pambuyo pa opaleshoni, odwala angafunike immobilization kwa nthawi yochepa asanayambe chithandizo chamankhwala. Cholinga cha chithandizo ndikubwezeretsa kusuntha ndi mphamvu zambiri ndikuteteza fupa lamachiritso. Odwala amatha kubwerera ku zochitika za tsiku ndi tsiku mwamsanga masabata asanu ndi limodzi atatha opaleshoni, ngakhale kuti nthawiyi ingakhale yosiyana malinga ndi kuuma kwa fracture.
Zovuta Zomwe Zingachitike
Monga momwe zilili ndi opaleshoni iliyonse, pali zovuta zomwe zingagwirizane ndi kugwiritsa ntchito distal dorsal radial delta Locking plate . Izi zingaphatikizepo:
Matenda
Kulephera kwa implant
Kuvulala kwa mitsempha kapena mtsempha wamagazi
Kuuma kapena kutayika kosiyanasiyana koyenda
Kuchedwetsa mgwirizano kapena kusagwirizana kwa fracture
Njira Zina Zochiritsira
Ngakhale distal dorsal radial delta Locking plate ingakhale njira yabwino yothandizira mitundu ina ya distal radius fractures, pali njira zina zothandizira zomwe zingaganizidwenso. Izi zingaphatikizepo:
Kuchepetsa kotsekedwa ndi kuponyera: Kwa zosweka kwambiri, kusasunthika ndi chitsulo kungakhale kokwanira kulimbikitsa machiritso.
Kukonzekera kwakunja: Izi zimaphatikizapo kugwiritsa ntchito zikhomo kapena mawaya omwe amalowetsedwa pakhungu ndi fupa kuti akhazikitse chophukacho.
Volar Locking plate : Iyi ndi mbale ina yomwe imayikidwa kumbali ya palmar ya radius.
Kusankhidwa kwa chithandizo kudzadalira fracture yeniyeni ndi zosowa za wodwala payekha komanso zomwe amakonda.
Maphunziro Oleza Mtima
Kwa odwala omwe akuganizira kugwiritsa ntchito distal dorsal radial delta Locking plate , ndikofunika kumvetsetsa bwino ubwino ndi zoopsa za njirayi. Odwala ayenera kudziwitsidwa za nthawi yomwe akuyembekezeredwa kuchira, zovuta zomwe zingachitike, ndi zoletsa zilizonse zomwe zingafunike panthawi yakuchira. Kuonjezera apo, odwala ayenera kulimbikitsidwa kufunsa mafunso aliwonse omwe angakhale nawo komanso kutenga nawo mbali pa chisamaliro chawo.
Njira Zamtsogolo ndi Zatsopano
Monga momwe zilili ndi ukadaulo uliwonse wazachipatala, kugwiritsa ntchito distal dorsal radial delta Locking plates kukusintha mosalekeza. Pali kuyesetsa kosalekeza kukonza mapangidwe ndi zida zomwe zimagwiritsidwa ntchito m'mbalezi, komanso kupanga njira zatsopano zowayika. Kuphatikiza apo, ofufuza akuwunika kugwiritsa ntchito matekinoloje ena, monga kusindikiza kwa 3D ndi biologics, kuti apititse patsogolo chithandizo cha ma distal radius fractures.
Mapeto
Kugwiritsa ntchito distal dorsal radial delta Locking plate kungakhale njira yabwino kwa mitundu ina ya distal radius fractures. Komabe, m’pofunika kuunika mosamala zosowa za wodwala aliyense ndi kuganiziranso njira zina zochiritsira. Ndi kukonzekera koyenera, njira ya opaleshoni, ndi chisamaliro cha pambuyo pa opaleshoni, odwala angayembekezere kupeza zotsatira zabwino ndi kubwerera kuntchito zawo za tsiku ndi tsiku.
