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Kupewa zovuta za scaphoid fractures: Kukhazikika koyenera ndi kusanthula kwa zinthu 10 zapadziko lonse

Maonedwe: 0 Wolemba: Mkonzi Wosindikiza Nthawi: 2025-09-10: Tsamba

Scaphoid fracture

Scaphoid fracture ndi chofala kwambiri cha carpal chofala, kumawerengera pafupifupi 70% ya mafupa onse a carpal. Chifukwa cha malo ake apadera a anatomical mkati mwa makonzedwe a Carpal, Fractures yatsopano ya scaphoid nthawi zambiri amasowa matendawa matenda. Kuphatikiza apo, kupweteka kwamitsempha yachilendo kwa scaphops protuspases odwala ku zovuta monga manyununus, avycular necrosis (avn), komanso kusakhazikika kwa mabatani. Zachipatala, zotchinga za scaphoid ndizovuta kuchitira ndipo nthawi zambiri zimasiya sequelae monga kupweteka kwamphamvu, koyenda kokhazikika koyenda, ndi zoopsa za post.

Udindo wapadera wa scaphoid

Scaphoid ndiye fupa lalitali kwambiri mu mzere wa proxal crorpal mzere, wowoneka ngati bwato laling'ono (chifukwa chake dzinalo 'scaphoid '). Imakhala pakati pa mizere yolowera ndi kuyika kwa carpal, ndikusewera mbali yofunika kwambiri polumikizira mizere yonseyo. Zokongoletsera zabwinobwino, kuphatikizapo kusinthanitsa, kupatuka, kupatuka kwakola, ndi kupatuka kwa ulnar, zonse zimadalira kusuntha kogwirizana kwa scaphoid. Kamodzi mwakhumudwitsidwa, biomenics ya kulumikizana konse kwa dzanja.

Kuperekera kwamphamvu

The scaphoid amalandila magazi makamaka kuchokera kunthambi zamiyendo yovunda, kulowa kuchokera ku dongo ndi polel pole:

Pafupifupi 70-80% ya kutuluka kwa magazi kumalowa kudzera pa kuwonda kwa tubercle, ndikuyendetsa ma rerograde kuti mudyetse mtengo.
Nthambi zochepa chabe zimayambitsa mtengo.

Malingaliro:

Kuyandikira kwambiri ndi ku polojekimal Pole, chiopsezo chachikulu cha kusokonekera kwa msana.
Kutuluka kwa magazi kamodzi kumasokonekera, chidutswa choyambirirachi chimakonda kwambiri avn komanso kusamvana.

Njira Zovulala

Njira yovulaza imagwera pa dzanja lamanja (fooshah) .Pen kugwa, anthu pawokha amakulitsa mkono ndikufalitsa zala kuti zithandizirena ndi kanjedza. Kanema wovulala kwambiriyu wasintha kwambiri thanzi komanso kafukufuku wofufuza, ndipo amatchulidwa ndi foosha.

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Kuchedwa Kuzindikira kwa Scaphoid Fracture

Makina a scaphoid nthawi zambiri amavulala ndi foosh. M'malo ofatsa, zizindikiro zimatha kukhala zopweteka pang'ono, zodzetsa odwala kuti munyalanyaze kufunafuna chithandizo chamankhwala. Ngakhale ma X-rays (a AP ndi ofananira) amatengedwa, zonunkhira sizingakhale zowoneka mwachangu. Odwala amatha kubweza miyezi yambiri yokhala ndi kupweteka kwamphamvu kwamphamvu, komwe kumayang'ana kumawulula matenda osachedwa, ndikusowa zenera labwino kwambiri.

Malingaliro Ofufuzira Ofunika:

Kuganiza kwa X-ray kuyenera kuchitidwa kwa ovulala onse, kuphatikizapo scaphoid malingaliro pomwe Fracraud imaganiziridwa.
Ngati ma X-rays ndi osalimbikitsa koma kukayikira kumakhalabe, kusawoneka bwino kuyenera kuyikidwa, kutsatiridwa ndi kubwereza maganizidwe pambuyo pa masabata awiri.
Kutulutsa koyambirira kumatha kukhala kovuta komanso kochiritsa.

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Njira zosankha

Kukhazikika Kwanja

Zatsopano, zonunkhira bwino zimatha kuthandizidwa. Komabe, kukonza kuyenera kukhala kokhazikika kuwonetsetsa kuti machiritsidwe. Pulogalamu yopanda pake kapena malo opumira amatha kulephera kuwongolera dzanja komanso kuzungulira kuzungulira, kuchepetsa bata.

Plaster Tey Ismobilization:

Zithunzi zazitali zazitali kwambiri:

Akuwonetsa kuti ndi gawo limodzi mwa magawo atatu a avn (ngozi zapamwamba kwambiri), zowongoka / zowoneka bwino
Ma sumbobizizes echi pomwe 90 °, mkono, dzanja, ndi chala.
Imapereka kukhazikika kwakukulu pochotsa kuzungulira kwamphamvu.

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SICA yochepa kwambiri,

Oyenera kusokoneza mabowo ang'onoang'ono, furceder fractures, ndi chiuno chokhazikika (pambuyo pake Gawo).
Amapereka chitonthozo kwambiri koma kukhazikika.

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Kusintha Kwamkati

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Chingwe Chotsekereza Mutu (Sharbert Screw)

Pakadali pano muyezo wagolide wa scaphoid m'chiuno.

Mfundo: Zoyikidwa m'mbuyo pa scaphoid axis pansi pa chiwongolero, kupereka chisapo kanthu.
Ubwino:

Kutanthauzira bwino pamzere wowononga.
Kukhazikika kwambiri, kumalola kusuntha koyambirira.
Ntchito yopanda pake, yoperekera.
Mbiri yotsika kwambiri, yopanda mutu imachepetsa cartilage mkwiyo.

Njira:

PECUCOINE: KWA STRT, zokhazikika.
Tsegulani: kwa othawa kwawo, oyikidwa, kapena onunkhira bwino.

Mitundu:

Mutu wokakamiza.
Zovuta zopanda mutu (zomwe mumakonda, zoyikidwa mokwanira, zopanda chisoni pang'ono).

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Onani Zambiri

Zovekedwa kuti zisautso za Herbert

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Onani Zambiri

Waya wa kirschner (waya)

Njira yachikhalidwe koma yothandiza, nthawi zambiri imakhala yokhazikika.

Kusokonezeka kwa zinthu mosasinthika, kotchipa, kotchipa kwa ubongo.
Zovuta : Zotseka zochepa, zimafuna kukhazikika kwakunja, chiwopsezo cha matenda, kuchotsedwa kofunikira positi ..
Makina a Pediatric, mawonekedwe osakhalitsa mu CLANNECE Chenjerani, adjunct ku mawonekedwe.

Zowongoleredwa pang'ono pang'ono

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Onani Zambiri

Zowongoleredwa pang'ono pang'ono

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Onani Zambiri

Scaphoid purunaion

Chifukwa cha kuperekera kwamitundu yake yapadera, chiuno cha scaphoid ndi chotupa cha proximal chimakonda kusamvana ndi avn.

Chithandizo : Kumalumikiza mafupa (osakhala opanda tanthauzo) kuphatikiza) kuphatikizana ndi mawonekedwe amkati (sybert screw kapena k-waya). Choyenerera chokhazikika komanso chokhazikika champhamvu cham'madzi ndichofunikira. Nthawi zina, radial styloidectomy zitha kufunidwa ngati mafupa olemetsa amatanthauza kuyenda.

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Zapadziko lonse zapadziko lonse lapansi za stbert screliers ndi czmentitech

Chithandizo cha matenda a scaphoid ndi chofunikira kwambiri - osati kokha ntchito ya dzanja komanso kukhalabe ndi moyo wa odwala komanso luso la ntchito. Kusankha chipangizo choyenera chokhazikika chamkati ndi chinsinsi chopewera zovuta, kukwaniritsa zolondola, ndikulimbikitsa kukonzanso.

Mwa mitundu yosiyanasiyana, Scree Strack imawoneka chifukwa cha kapangidwe kake ndi kutsimikiziridwa kuti ndi magwiridwe azachipatala, ndikupangitsa kukhala chimodzi mwa zida zofunika kwambiri mu scaphoid fractument yoyang'anira.

Opambana 10 Herbert Screpriers padziko

lapansi	a	lonse
1	Zoperewera
2	Storyker
3	Zimmer biomet
4	Arthrex
5	Smith & mwana wang'one
6	Gulu Lachipatala
7	Ogwilitsidwa
8	AAP inrikate AG
9	Orthofix
10	Czmeditech

Czmeditech Herbert Screen Zogulitsa

Monga wotsogolera waku China ndi Wopereka wa Arthopedic Zingwe, Czmedgech imapereka portfolio yokwanira ya stbert zolumikizidwa ndi zotupa zina zazing'ono.

Zofunikira:

Mapangidwe osokoneza mutu: amalimbikitsa malo okhazikika pomwe akuchepetsa Cartilage mkwiyo.
Kukhazikika kwa biomechaschanical: Tsitsi lodalirika limalimbikitsa mgwirizano wolimba.
Zosankha zakuthupi: zopezeka mu chitsulo chosapanga dzimbiri ndi titaniather cronoy, pokana kwambiri zinthu.
Kuphatikizika kwakukulu: koyenera kwa zonse ziwiri ndi njira zotseguka.
Maudindo angapo: magawo osiyanasiyana komanso kutalika koyankha zofunikira zosiyanasiyana.

Ubwino Wazachipatala:

Imathandizira kukoma mwachangu komanso kodalirika kwa scaphoid scaphy, makamaka m'chiuno chowopsa ndi zotupa za pompoximu.
Zimapangitsa kuti manja am'manja athetse, amachepetsa kuuma ndikuwongolera kuchira.
Chowopsa chachikulu cha kuchuluka kwa osagwirizana ndi avn poyerekeza ndi njira zachikhalidwe.