Waba uzi gukosora kuvunika metacarpal?

Ivunika rya Metacarpophalangeal ni ivunika risanzwe mu ihahamuka ryamaboko, bingana na 1/4 cy’abarwayi bose bahahamutse. bitewe nuburyo bworoshye kandi bugoye bwikiganza nigikorwa cyacyo cyiza cya moteri, gucunga kuvunika intoki nibyingenzi cyane kandi bigoye mubuhanga kuruta kuvura izindi mvune ndende.

Kugenzura ihagarikwa ryimvune nyuma yo kwimurwa ni urufunguzo rwo gutsinda imiti ivura metacarpophalangeal. Kugirango ugarure imikorere yukuboko, kuvunika akenshi bisaba gukosorwa neza, kandi mubihe byashize, gukosora hanze hamwe na plaster cyangwa gukosora imbere hamwe na pin ya Kirschner byakoreshwaga cyane, ariko akenshi bitewe no gukosorwa nabi cyangwa igihe kirekire cyo gukosora, bikaba bidafasha cyane gukira kwimikorere ya metacarpophalangeal.

Uburyo bugezweho bwo kuvura bugenda bukoresha imbaraga zo gukosora imbere, nka micro plate plate fixation.

Amahame yo kuvura

Amahame yo kuvura kuvunika metacarpal na phalangeal yamaboko ni: guhinduranya anatomic, kumurika no gukosorwa gukomeye, kugenda hakiri kare no gukora imyitozo ikora. Amahame yo kuvura kuvunika kwimbere-arctular na periarticular yamaboko ni kimwe nayandi mavunja yimbere-arctular: kugarura anatomiya yubuso bwimikorere nibikorwa byambere bikora. Kuvura imvune za metacarpal na phalangeal zigomba guharanira kugera kuri anatomic repositioning nta kuzunguruka, kuruhande, cyangwa kwimura inguni> 10 ° kuruhande rwikiganza. Niba impera yavunitse ya metacarpal izengurutswe cyangwa yimuwe nyuma kuruhande, bizahindura inzira isanzwe yo guhindagurika no kwagura urutoki, bigatuma itera cyangwa igwa kuva murutoki rwegeranye mugihe cyo guhindagurika, bigira ingaruka kumikorere yibikorwa byurutoki; mugihe kwimura inguni> 10 ° kuri dorsum yimikindo bizasenya neza guhuza igufwa ryamagufwa nigitereko, byongere imbaraga zo kurwanya no kugendagenda kwimitsi ihindagurika no kwaguka, kandi bigatera ibikomere bidakira kumitsi, bitera ibyago byo guturika. ibyago byo guturika.

Ivunika rya metacarpal na phalangeal rirasa mubushobozi bwabo bwo kwihanganira ubumuga bwo guhinduranya, mugihe metacarpal yihanganira kugabanya kwimuka kwimuka no kwimuka kwa dorsal neza kuruta phalangeal. Carpometacarpal hamwe na metacarpophalangeal ingingo zirashobora kwishyura indishyi zinguni za metacarpal, kandi urutoki ruto rwa buri mwaka rwahujwe neza nuburinganire bwimiterere ya metacarpal kuruta urutoki rwo hagati. Kugabanya imbaraga zo gufata kubera kugabanuka kwimitsi y'intoki bigaragarira gusa mugihe metacarpal ihagaritse hejuru ya 30 ° kuruhande rwa dorsal.

Uburyo bwo kubaga

Uburyo bwo kubaga kuvunika metacarpal biroroshye kandi mubisanzwe bikoresha uburyo bwa dorsal, nkuko bigaragara ku gishushanyo cya 4-14. Metacarpal ya kabiri irashwanyaguritse mu buryo bwuzuye mugihe metacarpal ya gatanu yatunganijwe ulnarly, naho metacarpal ya gatatu n'iya kane ikunze guterwa hagati. Niba metacarpal ebyiri zegeranye zikorerwa icyarimwe, icyuma cya S giciriritse gikoreshwa mukuzirikana ibibanza byombi byo kubaga.

Guhitamo uburyo buhamye

Hariho ibikoresho byinshi byo gukosora imbere kumeneka ya metacarpophalangeal, nka pine ya Kirschner, imashini, amasahani hamwe namakadiri yo gukosora hanze, muribyo bikoreshwa na Kirschner na microplate. Kubuvunika bwa metacarpal, gukosora imbere hamwe na microplate bifite ibyiza bigaragara kuruta gukosorwa hamwe na pin ya Kirschner kandi birashobora guhitamo; kubijyanye no kuvunika kwa phalangeal, microplate irakunzwe muri rusange, ariko mugihe habaye ingorane zo gushyira imigozi mugice cya kure cya phalangeal yegeranye no kuvunika umutwe, gukosora imbere hamwe na pin ya Kirschner byambukiranya, bikaba bifasha cyane kugarura imikorere yintoki zanduye; kubuvuzi bwavunitse hagati ya phalangeal, pin ya Kirschner igomba guhitamo.

1 inshinge ya Kirschner: 

Urushinge rwa Kirschner rwimbere rwakoreshejwe mumavuriro mumyaka irenga 70 kandi rwakoreshejwe cyane mugukosora imbere imbere kuvunika metacarpophalangeal, byoroshye gukora, mubukungu kandi bifatika, kandi nuburyo bukoreshwa muburyo bwo gukosora imbere, nkuko bigaragara mumashusho 4-15. nkibisanzwe bikoreshwa imbere mugukiza kuvunika intoki, biracyakoreshwa cyane. 

Ibyiza byo gukosora imbere hamwe na pin ya Kirschner:

① byoroshye gukora kandi byoroshye gukoreshwa; 

Kwiyambura imyenda yoroheje, kutagira ingaruka nke kumaraso kumeneka yamenetse, ihahamuka rito ryo kubaga, kandi bikaba byiza gukira kuvunika; 

③ byoroshye gusubirana pin; 

Cost igiciro gito kandi gikoreshwa cyane, gishobora gukoreshwa kuvunika intoki nyinshi (nk'imvune zo mu nda-arctular, kuvunika gukabije no kuvunika kwa phalangeal). 

Ibibi byo gukosora imbere: 

. 

(2) nta ngaruka zo kwikuramo kumpera yamenetse; 

(3) ubuso bwangiritse bwangijwe no guhuza ibice; 

(4) gukosora ingingo hamwe no guhagarika imitsi birinda ingingo yintoki gukora imyitozo hakiri kare kandi bigira ingaruka kumikorere.

Hamwe niterambere ryihuse ryubuhanga nibikoresho bigezweho byo gutunganya imbere, gutunganya imbere hamwe na pin ya Kirschner byarushijeho kunonosorwa, kandi ibyinshi birashobora gukosorwa bitarenze urugingo, hamwe no kwangirika gake kwinyama zoroheje hamwe nimitsi ikikije urugingo, kandi bitagize ingaruka kumahugurwa yo gutangira hakiri kare. Hifashishijwe imashini ya C-arm X-ray, imanza zimwe na zimwe zirashobora kugera ku bisubizo bishimishije mugabanya gufunga gukosora imbere imbere hamwe na pin ya Clinique, bikagabanya cyane kwangirika kwinyama zoroshye zaho ndetse ningaruka kumaraso yatanzwe kugeza kumeneka, bityo bigatera gukira kuvunika. 

Kwirinda gukosora imbere hamwe na Kristen pin: 

Gukosora amagufwa manini hamwe na Kristen pin ya 1.0 ~ 1,2 mm ya diametre, hanyuma umenye aho winjirira nicyerekezo cyo kwinjira ukurikije icyerekezo cyumurongo wacitse; 

② Hagamijwe kugarura umurongo wingufu, kuvunika imbere-articular bigomba guhindurwa muburyo budasanzwe kandi bigakosorwa cyane; 

③ Ntabwo amagufwa yose akeneye gukosorwa hamwe na pin ya Kristen, kandi hashingiwe ku kugera ku iherezo ry’imvune, pin ya Kristen igomba gukoreshwa bike bishoboka; 

Pin Amabati ya Kristen ntabwo akosorwa binyuze mumutwe cyangwa dorsal tendon membrane y'urutoki kugirango habeho imyitozo ikora hakiri kare bishoboka; 

Should hagomba kubaho gahunda ihamye yo gutangira kandi ntisubiremo ibikorwa bidakorewe, bitabaye ibyo guhagarika kuvunika bishobora guhonyorwa cyane cyangwa ntibishobora gukosorwa; 

⑥ muri rusange pin ya Kirschner igomba gushyirwa muruhu kugirango igabanye amahirwe yo kwandura kandi ntabwo bigoye kuyikuraho.

2 plate Isahani ya micacarpal: 

Gukomera gukomeye imbere kuvunika intoki nibyo shingiro ryimyitozo ngororamubiri hakiri kare kandi birakenewe kugirango ugarure imikorere myiza yintoki.AO tekinike yo gukosora imbere isaba guhinduranya neza anatomique yimpera yimvune no guhagarika impera yimiterere yimikorere, bikunze kwitwa gukosorwa gukomeye, kugirango yemere ibikorwa byogukora hakiri kare. AO ishimangira kandi uburyo bwo kubaga byibasiye byibanda ku kubungabunga amaraso. Microplate ikosora imbere yo kuvunika intoki itanga ibisubizo bishimishije mubijyanye nimbaraga, ituze ryimpera yamenetse nigitutu hagati yimpera. Kubijyanye no gukira nyuma yibikorwa, igihe cyo gukira kuvunika nigipimo cyanduye ugereranije, efficacy ya plaque ya titanium ifatwa nkibyiza cyane kuruta iy'ibiti bya kerf, kandi kubera ko igihe cyo gukira kuvunika nyuma ya plaque ya titanium ari gito cyane ugereranije nubundi buryo bwo gukosora, bityo bikoroha gusubira mubuzima busanzwe bwumurwayi.

Ibyiza bya microplate yo kuvura imbere: 

. 

. 

(3) imyitozo ikora hakiri kare iremewe muri rusange nyuma yo gukosora microplate, ifasha kugarura imikorere yintoki. 

3. Microscrews.

Microscrews yo kuvunika izengurutswe cyangwa ndende ndende ifite ituze risa nkibisahani byibyuma, ariko agace koroheje hamwe nu gice cyo kwambura periosteal ni gito ugereranije nicyuma cyerekana ibyuma, bifasha mukurinda umuvuduko wamaraso kandi bijyanye nigitekerezo cyo gukora byibasiye. Nubwo hariho ibice bya T- na L byo kuvunika byegeranye, gusura nyuma yo gutangira gukorerwa birakennye kuruta kuvunika diaphyseal, kandi microscrews ifite ibyiza bimwe byo gukomeretsa imbere no hagati. Imiyoboro yinjiye mumagufa yamagufa irashobora kwihanganira umutwaro uremereye, bityo gukosorwa birakomeye kandi birashobora gushira igitutu hagati yimpera zavunitse kugirango uzane ibice byavunitse mubusabane bwa hafi, bigabanya igihe cyo gukira kandi byorohereza gukira kuvunika nkuko bigaragara mumashusho 4-18. microscrews ikoreshwa cyane cyane kumeneka ya oblique cyangwa spiral ya diaphysis hamwe nuduce twa avulion avulion yimbere yimitsi minini. Ni ngombwa kumenya ko uburebure bwurudodo rwacitse bugomba kuba byibuze inshuro ebyiri zumurambararo wa diaphysis mugihe ukosora ibice byavunitse cyangwa bizunguruka byikiganza cyamaboko ukoresheje microscrew yonyine, kandi byibuze inshuro eshatu ubugari bwumurambararo wa diametre mugihe ukosora ibice byavunitse byimbere.

4. Miniature yo hanze ikosora.

Kuvunika metacarpophalangeal kuvunika rimwe na rimwe biragoye gusubiramo muburyo budasanzwe ndetse no kubagwa kubagwa cyangwa ntibishobora gukosorwa imbere imbere kuko igufwa ryamagufa ryangiritse. Ikirangantego cyo gukosora cyemerera kuvunika kugabanutse gukira no kugumana uburebure bwacyo bitewe no gukwega, bigira uruhare runini, nkuko bigaragara ku gishushanyo cya 4-19. Ishyirwa ryimyanya yo hanze itandukanye kuri metacarpal zitandukanye: metacarpals ya 1 na 2 zishyirwa kuruhande rwa radiyo ya dorsal, metacarpal ya 4 na 5 zishyirwa kuruhande rwa dorsal ulnar, naho metacarpal ya 3 igashyirwa kumurongo wa dorsal cyangwa kuruhande rwa ulnar ukurikije uko ibintu byifashe, kugirango hitabweho gukomeretsa aho byinjira kugirango wirinde gukomeretsa. Ivunika rifunze rirashobora gufungwa no gusubizwa munsi ya X-ray, kandi uduce duto dushobora gukorwa kugirango dufashe kwimuka niba kwimurwa atari byiza.

Ibyiza byo gutondekanya hanze.

(1) biroroshye gukora kandi irashobora guhindura ibintu bitandukanye byimpera zimena;

. 

. 

: 

.

Nigute wagura imitekerereze ya orthopedie nibikoresho bya orthopedic？

Kuri CZMEDITECH , dufite umurongo wuzuye wibicuruzwa byatewe no kubaga amagufwa hamwe nibikoresho bijyanye, ibicuruzwa birimo umugongo, imisumari, icyapa cy'ihungabana, Icyuma gifunga, cranial-maxillofacial, prothèse, ibikoresho by'ingufu, External Fixators, arthroscopy, ubuvuzi bwamatungo nibikoresho byabo bifasha.

Twongeyeho, twiyemeje gukomeza guteza imbere ibicuruzwa bishya no kwagura imirongo y’ibicuruzwa, kugira ngo duhuze ibyifuzo by’abaganga n’abarwayi benshi, kandi tunatuma sosiyete yacu irushanwa mu isi yose Ibikoresho byatewe mu magufa n’ibikoresho by’ibikoresho.

Kohereza ibicuruzwa ku isi yose, urashobora twandikire kuri imeri aderesi yindirimbo@orthopedic-china.com kugirango utange ibisobanuro kubuntu, cyangwa wohereze ubutumwa kuri WhatsApp kugirango ubone igisubizo cyihuse + 86- 18112515727 .

Niba ushaka kumenya amakuru menshi ， kanda CZMEDITECH kugirango ubone ibisobanuro birambuye.