Waba uzi gukosora metacarpal kuvugurura?

Kuvunika kwa metacarpophilangeal ni kuvunika mu ntoki, kubara hafi 1/4 byabarwayi bose b'ihungabana. Kubera imiterere yoroheje kandi igoye yintoki n'imikorere myiza ya moteri, imicungire yo kuvunika intoki ni ingenzi cyane kandi tekiniki irenze kuvura izindi mvugo ndende.

Kwemeza umutekano wivururwa nyuma yo kwisubiraho nurufunguzo rwo gutsinda kwa metacarpohalangeal kuvura. Kugirango ugarure imikorere yukuboko, kuvunika akenshi bisaba gukosorwa neza, kandi mubihe byashize, bikosorwa byimbere kumikorere ya kirscrate cyangwa bikunze gukosorwa mu buzima busanzwe, kandi akenshi bikaba byiza gukosorwa mu buzima busanzwe, kandi akenshi bifatwa nk'ibiciro bidasubirwaho. gusana ukuboko.

Uburyo bwo kuvura bugezweho bugenda bukoresha gukosora imbere, nka josita ya slakwe ukosoza.

Amahame yo kuvura

Amahame yo kuvura Metacarpal na Falarereal yintoki ni: Gusubiramo Anatomic, byoroheje no gukosorwa gukomeye, kugendera kumutwe wambere. Amahame yo kwivuza kugirango avurure-articticular of the intoki ni kimwe nabandi kuvunika ibihangano: Gusana Anatomy yubuso bwuburinganire nibikorwa byibikorwa byambere. Kuvura Metacal na Falangeal by'ukuboko bigomba kwihatira kugera ku myigaragambyo ya anatomic idafite kuzunguruka, kurakara, cyangwa imyugariro yo kwimura> 10 ° ku kintu cya dorsal> Niba kuvunika impera ya metacaripal izunguruka cyangwa yimuwe kuruhande, izahindura inzira isanzwe yo guhindagurika no kugenda kwigarurira urutoki, bikaba bitera urutoki rwegeranye mugihe cyoroshye cyintoki; Mugihe kwimurwa kubuza> 10 ° kuri dorsum yimyumbati yoroshye yuburyo bwamagufwa na Tendon, yongera imyigaragambyo ya tendon no kwaguka, no gukomeretsa karande kuri Tendon, bitera ibyago byo gutobora. ibyago byo guturika.

Imiterere ya metacarpal na falangeal irasa mubushobozi bwabo bwo kwihanganira ubumuga bwo ku isigenwa, mugihe umubare wa metakalpal wihanganira kugabanuka no guturika kwimura no kwegera kuri Falantal. Ikirangantego cya Carpometacaringeal na Metacarpophilangeal irashobora kwishyura inguni ya metacarpal, kandi urutoki ruto rwa buri mwaka ruhurira neza uburyo bwo guhindura inguni kuruta urutoki rwo hagati. Kugabanuka gufata imbaraga kubera kugabanya imitsi yimbere biragaragara gusa iyo MetacalPal ingurijwe impande zirenga 30 ° kuruhande rwa dorsal.

Uburyo bwo kubaga

Uburyo bwo kubaga kuri Metacarpal Froctures buroroshye kandi muri rusange bukoresha inzira ya dorsal, nkuko bigaragara ku gishushanyo cya 4-14. Intangiriro ya kabiri iratangaye mugihe kirenga cya gatanu gitangwa ullnaclight, kandi metaripals ya gatatu na kane akenshi ishingira hagati. Niba metakal ebyiri zegeranye zikoreshwa icyarimwe, harategurwa imigati imeze neza kugirango bitagerwe ku mbuga zombi.

Uburyo buhamye bwo gutoranya

Hariho ibikoresho byinshi byo gukosora imbere kubijyanye na metacarpophilangeal, nka Kirchner pin, imigozi, amasahani hamwe na frames yo hanze, muri ibyo bicekiro bikunze gukoreshwa. Kuri metacarpal kuvunika, gukosora imbere na microplate bifite akamaro kagaragara hejuru yo gukosora hamwe na kirscner pin kandi birashobora kuguhitamo; Kubwububiko bwa proximal, muri rusange microplate irasa, ariko mugihe hari ingorane zo gushyira imigozi murwego rwa pelaringeal ya falantal ya proximaal ya falantaal ya peteroli yatoranijwe, ikaba ikemura imbere yintoki zibasiwe; Kugirango tuvunjire ibicuruzwa byo hagati, amabati ya Kirsclener agomba kuguhitamo.

1, Urushinge rwa Kirscner: 

Urushinge rwa Kirscner Customation rwimbere rwakoreshejwe mu ivuriro ryibikoresho byo gukosora byimbere kuri metacarpophilangele, biroroshye gukora, ubukungu kandi ni uburyo bwo gukosora imbere, nkuko bigaragara ku gishushanyo cya 4-15. Nkibintu bikunze gukoreshwa imbere kugirango ugaragaze kuvunika intoki, biracyakoreshwa cyane. 

Ibyiza byo gukosora imbere hamwe na kirsclener pin:

Byoroshye gukora no guhinduka cyane mugukoresha; 

② tissue nkeya yoroheje yica, ingaruka nkeya kumaraso kumurongo urangije, ihungabana rito ryo kubaga, kandi ryiza ryo gukiza; 

Kugarura PIN ya kabiri ya PIN yanyuze; 

④ Ibiciro byo hasi no gusaba kwagutse, bikoreshwa mukuvunika byinshi (nko kuvunika ibirungo, kuvunika gukabije no kurangiza farashile). 

Ibibi byo gukosora imbere: 

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(2) Nta ngaruka zo guturika ku iherezo; 

(3) ubuso buhuriweho bwangijwe no gukosora hamwe; 

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Hamwe niterambere ryihuse ryubuhanga bwo gukosora ibikoresho byimbere byimbere, ikosorwa imbere hamwe na kirscner pin yarushijeho gutunganijwe, kandi benshi muribo barashobora gukosorwa, kandi ibintu byinshi bishobora kurengana Hifashishijwe imashini ya C-RYRY X-RAY, imanza zimwe na zimwe zishobora kugera ku bisubizo bishimishije kugabanuka kw'imikino yoroshye hamwe no gutanga amaraso yoroshye kandi ingaruka ku maraso yo kuvunika. 

Ingamba zo gukosora imbere na kristen: 

Gukosora amagufwa manini hamwe na kristen mm ya 1.0 ~ 1.2 mm ya diameter, hanyuma umenye ingingo yinjira nubuyobozi bwo kwinjira hakurikijwe icyerekezo cyumurongo uvuza; 

② hagamijwe kugarura umurongo w'imbaraga, kuvunika umuhanzi bigomba kuba anatungi kandi bikosowe cyane; 

③ Ntabwo amagufwa yose akeneye gukosorwa hamwe na kristen yose, kandi munsi yikibazo cyo kugera kumutekano urangiye, Kristen agomba gukoreshwa bike bishoboka; 

Amapine ya Kristen ntabwo akosowe muri Tendon cyangwa dorsal Tendon yigitoki kugirango akore imyitozo ya mbere ishoboka; 

⑤ Hagomba kubaho gahunda ikomeye yigihe kandi ntabwo yongera gusubiramo ibikorwa inzitizi, bitabaye ibyo kuvunika gukururwa cyangwa kutamenyekana; 

Muri rusange kon ya Kirschner Pin igomba gushyirwa mu ruhu kugirango igabanye amahirwe yo kwandura kandi ntabwo bigoye kubikuraho.

2, micro metacalpal micro: 

Gukosora imbere hakomeye kwinjiza intoki ni ishingiro ryimyitozo yimyitozo yo hambere kandi irakenewe kugirango ugarure ibikorwa byiza .ao ikunze kuvugwa neza ibikorwa bya Anatonike Ao ashimangira kandi uburyo budasanzwe bwo kubaga gutera imbere kubungabunga amaraso. Microplate ikosora imbere ivunika ryintoki zitanga ibisubizo bishimishije mubijyanye n'imbaraga, umutekano wo kuvunika iherezo nigitutu kiri hagati yimpera. Kubijyanye no gusubiza nyuma yo gukira, kuvunika gukira nigihe cyo kwandura

Ibyiza bya microplate kuvura imbere: 

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3. Microssssssssssss.

Microssssssssssssssss kugirango ikosore cyangwa ndende ya oblique ikosorwa ifite imitako isa nkisahani yicyuma, ariko ahantu hato hamwe nigice cya peteroli ni gito yo kurinda amaraso asohokana, bihuye nigitekerezo cyo gukora neza. Nubwo hari T--Ubwoko bwa Splint kubice byimibare ya Proximale, birakennye byo gutabaza birenze ibyo kubiranga diapyseal, na microsssssssssss ifite ibyiza byo kuvunika- kandi periartcular fractation. Imiyoboro yashizwemo amagufwa cortex irashobora kwihanganira imitwaro miremire, bityo ikosora irashikamye kandi irashobora gushyira igitutu hagati yo gucana hejuru, bigabanya igihe gikiza kandi cyorohereza ku gishushanyo cya 4-18. Microsssssssssssssssssssss ikoreshwa cyane cyane kubiranga cyangwa kuzunguruka bya diaphysis hamwe na Intra-Intra-Arcticular kuvunika imbaga nini yamagufwa. Ni ngombwa kumenya ko uburebure bwingingo ivunika igomba kuba byibuze kabiri diafysi iyo ikosorwa nintoki zikoreshwa wenyine mugihe cyo gutunganya intoki zonyine mugihe cyo gutunganya inzitizi ya articular.

4. Miniature yo hanze yo hanze.

Ibicuruzwa byashyizweho na metacarpohalingeal rimwe na rimwe biragoye gusubiramo anadona nubwo no kubaga cyangwa ntibishobora gukosorwa byimazeyo kuko amagufwa arasenyutse. Igice cyo gukosora hanze cyemerera kuvunika kugarura no gukomeza uburebure bukomeye mu ngaruka zo gukurukirwa, nkuko bigaragara ku gishushanyo cya 4-19. Umwanya wo gukosora imyanda itandukanye kuri metarpals zitandukanye: Metacarils ya 2 na 2 ishyirwa kuruhande rwa Dorsal, kandi ishyirwa kuruhande rwa Dorsal. Gufunga gufunga birashobora gufungwa no gusubirwamo munsi ya x-ray, na konti ntoya ishobora gutangwa kugirango ifashe mugusubiramo niba gusubiramo atari byiza.

Ibyiza byo gukosora hanze.

(1) Biroroshye gukora kandi birashobora guhindura imyanzuro itandukanye yo kuvunika iherezo;

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Nigute wagura amagufwa hamwe nibikoresho bya orthopedic?

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