Distal Volar Radial Locking Plate (Yokhala Ndi Drill Guide): Chitsogozo Chokwanira
Mawu Oyamba
Distal Volar Radial Locking Plate (DVR) ndi m'badwo watsopano wa ma implants a mafupa omwe amapereka kukonza bwino komanso kukhazikika pochiza ma distal radius fractures. Mbale ya DVR, ikagwiritsidwa ntchito ndi chiwongolero chobowola, imapereka malo olondola, omwe amatsimikizira kukonza bwino ndikuchepetsa chiwopsezo cha zovuta. Nkhaniyi ikufuna kupereka chiwongolero chokwanira pa mbale ya DVR yokhala ndi kalozera wobowola, kuphatikiza mawonekedwe ake, maubwino, ndi magwiridwe antchito.
Anatomy ya Distal Radius
Kuti mumvetsetse zisonyezo ndi kugwiritsa ntchito kwa mbale ya DVR, ndikofunikira kuti mukhale ndi chidziwitso chofunikira cha mawonekedwe a distal radius. Utali wautali ndi gawo la fupa la radius lomwe limalumikizana ndi mafupa a carpal ndikupanga mgwirizano wa dzanja. Ndi dongosolo lovuta kwambiri lopangidwa ndi articular surface, metaphysis, ndi diaphysis.
Zizindikiro za DVR Plate yokhala ndi Drill Guide
Mbale ya DVR idapangidwa kuti izithandizira kusweka kwa distal radius komwe kumakhudza mbali ya dzanja la volar. Zizindikiro zogwiritsira ntchito mbale ya DVR ndi izi:
Kuphulika kwapang'onopang'ono kwa radius ya distal
Kuphulika kwa intra-articular kwa radius ya distal
Fractures ndi kuvulala kogwirizana ndi ligament
Fractures kwa odwala osteoporosis
Mawonekedwe a DVR Plate yokhala ndi Drill Guide
Mbale ya DVR yokhala ndi kalozera wobowola ili ndi zinthu zingapo zapadera zomwe zimapangitsa kuti ikhale yabwino kwambiri pochiza ma distal radius fractures. Izi zikuphatikizapo:
Mapangidwe apansi: Mbale ya DVR ili ndi mapangidwe otsika, omwe amachepetsa chiopsezo cha kupsa mtima kwa tendon ndikuwonjezera chitonthozo cha odwala.
Mawonekedwe a anatomically contoured: Mbale ya DVR imapangidwa mozungulira kuti ifanane ndi mawonekedwe a distal radius, yomwe imatsimikizira kukwanira bwino ndikuchepetsa chiopsezo cha kulephera kwa implant.
Ukadaulo wokhoma wononga: Mbale ya DVR imagwiritsa ntchito ukadaulo wokhoma wononga, womwe umapereka kukhazikika komanso kukhazikika.
Chiwongolero chobowola: mbale ya DVR imabwera ndi kalozera wobowola yemwe amatsimikizira kuyika bwino kwa screw ndikuchepetsa chiwopsezo cha zovuta.
Njira Yopangira Opaleshoni
Njira yopangira opaleshoni yogwiritsira ntchito mbale ya DVR yokhala ndi kalozera wobowola ili motere:
Wodwalayo amaikidwa pansi pa anesthesia wamba, ndipo tourniquet imayikidwa kumtunda kwa mkono.
Njira ya volar imapangidwira kumtunda wakutali, ndipo malo ophwanyika amawonekera.
DVR mbale ndi contoured kuti igwirizane ndi mawonekedwe a distal utali wozungulira, ndi kalozera kubowola kumangirizidwa mbale.
Kenako bowolo limagwiritsidwa ntchito kuboola zomangira zotsekera.
Kenako mbale ya DVR imayikidwa patali, ndipo zomangira zotsekera zimayikidwa m'mabowo obowoledwa kale.
Mbaleyo imafufuzidwa kuti ikhale yokhazikika komanso yokhazikika, ndipo chilonda chimatsekedwa.
Ubwino wa DVR Plate yokhala ndi Drill Guide
Ubwino wogwiritsa ntchito mbale ya DVR yokhala ndi chiwongolero chochizira matenda a distal radius fractures ndi awa:
Kukonzekera bwino ndi kukhazikika
Kuchepetsa chiopsezo cha zovuta
Kuyika koyenera koyenera
Kuchepetsa nthawi yogwira ntchito
Mapangidwe otsika owonjezera chitonthozo cha odwala
Chithandizo cha Postoperative
Pambuyo pa opaleshoni, wodwalayo amapatsidwa mankhwala opweteka komanso kulangizidwa za chisamaliro choyenera cha bala. Thandizo lolimbitsa thupi lingaperekedwenso kuthandiza wodwalayo kuti ayambenso kuyenda ndi mphamvu. Wodwalayo adzalangizidwa kuti apewe kunyamula katundu ndi ntchito zomwe zimaika maganizo pa dzanja kwa milungu ingapo pambuyo pa opaleshoni.
Zovuta
Mavuto okhudzana ndi kugwiritsa ntchito mbale ya DVR yokhala ndi chiwongolero chobowola amaphatikizapo matenda, kulephera kwa implant, ndi kuvulala kwa mitsempha kapena tendon. Komabe, mavutowa ndi osowa ndipo amatha kuchepetsedwa potsatira njira yoyenera ya opaleshoni ndi chisamaliro cha pambuyo pa opaleshoni.
