Ubuhanga bushya bwa plarlar plate ikosora imivuruke ya radiyo

Rupture yo kwagura amayeri nyuma yamasahani yisahani akomeje kuba ikibazo gikomeye mugusana ibicuruzwa bya radiyo bya kure. Tendon ikunze kwibasiwe ni ndende ya pollicis (EPL) Tendon, nkuko igarukira muri EPL Groove. Ibyatanzwe byatangajwe na Epl Tendon Rupture nyuma yo kwipimisha amajwi ni 0.29% -5.7%.

Ibyago byo gutinda Epl byiyongereye imbere ya dorrel screw screw screw, gukomeretsa biva mumiterere itaziguye, nibice byo kwigomeka, cyane cyane ku ruganda rw'abarundi. Isuzuma rya radiyo ya screw protrusity mubicuruzwa bya radiyo bya kure biragoye kubera geometrie igoye ya radiyo ya kure nubushobozi bwo kuvunika dorsal. Reba Torsal Tangress nuburyo bwonyine bushoboka kubona cortex ya dorsal kugirango ibone isuzuma ryibanze hagati yinyuma ya screw hamwe na cortex dorsal.

Tekinike yo kwirinda igikomere cyagutse harimo gukoresha imigozi ya monocortike no kwirinda ubuso bwa dorsal; Ariko, ubwo buhanga burashobora kugabanya umutekano wa mashini yo gusana. Kubwibyo, gukosora bicortique rimwe na rimwe birasabwa. Kugirango ugabanye ibyago byo gukomeretsa mandon yagura, intego zibanze zo kuvunika gukosorwa no gutuzwa ntizigomba guhungabana.

Tekinike nshya yo kubaga

Dusobanura tekiniki yo mu rwego rwo kugabanya ibyago byo gutanga amasoko epl teton yo gusohora amasahani yo gukosora imiyoboro ya radiyo ya kure tutagabanije uburebure bwa screw cyangwa gukuraho ibice byo hejuru. Muri make, tekinike ikubiyemo gufungura icyumba cya gatatu binyuze mubice bito.

Niba imirongo yari yinjiye muri dortal correx kandi isohoka mu gice cya gatatu: Twakuyeho epl Tendon kandi dufunze icyumba cyayo kandi dufunze icyumba cya Sutinaculum kuva muri retinaculum yasanwe.

Niba imirongo itaramuka mu gice cya gatatu: Dusiga Epen Tendon mu gice cya gatatu. Ikimenyetso kuri tekinike yacu ari mu barwayi bafite ibyapa bya kure bivurwa nisahani yihuta, kuvunika hamwe na dorso-parso-parso-parso. Mu barwayi bafite imivuruke ya Radiyo ya kure hamwe nibice bya dorsomedial, twinjira mu myanda yo kwinjira muri dortex tran cortex no guhitamo imigozi yuburebure buhagije kugirango dukemure ibice bidafite imbaraga.

Kugabana urubanza

Turasangira ikibazo epl teundon yakuwe mu gice cya gatatu kubera guhagarika screw mu gice cya gatatu mugihe cyo gukosora Rate Radius Kuvunika Radiyo ya Surdius hamwe nibice bya Dersomedial. Twemeje ko epl Tendon yamaze imyaka 7 isubika, nubwo umugozi wari uzwi mu gice cya gatatu.

Uru rubanza rwari umukobwa wimyaka 67 hamwe no gusuzuma intanga-artra-Articular Gucika Radiyo Kuvunika Radiyo Kuvunika (Ishusho 1a-e). Nta mateka yo kunywa itabi, diyabete cyangwa kunywa inzoga. Irashobora kugenda nta kugenda.

Igishushanyo 1. Tekereza Ibitekerezo byihutirwa byerekanaga kuvunika umurongo wa Victal ya Radiyo ya kure.

A na b: Imitsi ya X-Imirasire,

C na D: vigittal na axial vismografiya yarengerwaga amashusho ya tomography,

E: 3D yahuye na tomography ishusho. Dorsal mediate yo hagati yibice hamwe nibice bya dorsal aplics (inyenyeri yera) ziragaragara.

Tekinike yo kubaga

Twafataga iyi gahunda yo kuvunika hamwe nisahani yo gufunga. Intraperative, twacukuwe muri dortal correx kandi twahisemo imigozi birebire bihagije kugirango tubone cortex dorsal kuko igice cya dorsomedial nticyahungabana (Ishusho 2).

• Kubaga byarakozwe kugirango ufungure igice cya gatatu nyuma ya screw fixation.

• Kubera ko imitekerereze yinjiye mu cyumba cya gatatu kandi isohoka (Ishusho 3a), fungura byuzuye icyumba cya gatatu no kwimura epl tendon muri groove (Ishusho ya 3b).

• Igice cya gatatu cyarafunzwe no guhemukira retinaculum (Ishusho ya 3c, d), kandi epl Tendon yashyizwe hejuru ya retinaculum (Ishusho 3 e).

• Nyuma yo kubagwa, umurwayi yagiye mu ivuriro ry'ibitaro byacu kugeza igihe igufwa ryakira. Umurwayi ntabwo yifuza gukuraho ibyuma.

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Gusubira inyuma

Imyaka irindwi nyuma yo kubagwa, umurwayi yasubiye mu bitaro kugira ngo asuzume kubera Osteoporose. Ukuboko kw'iburyo ntiruhagarikwa. X-Ray ishusho yerekana kuvunika hamwe na dorsal protrusion ya screw lovel ifunze. Igikumwe cyumurwayi cyaraguwe byuzuye, kandi epl Tendon ntiyari afite umuheto ugaragara.

Kubwifuzo byacu, umurwayi yemeye gukuraho ibyuma no gusuzuma imitsi ya kure. Kubabara, twasuzumye epl tendon binyuze mu gusenyuka no gufungura igice cya gatatu n'icya kane.

EDL Tendon yari iherereye hanze yicyumba cya gatatu mumwanya umwe nko mubikorwa byabanjirije, kandi Tendon ntiyarakaye.

Twese twashimangiye ko Umukoresha yinjiye mu cyumba cya gatatu igihe yagura amaheto y'intoki yakuweho.

Hanyuma, twashizeho imishumi ifasha kandi dukuramo ibyuma. Ku isuzuma rya nyuma amezi 2 nyuma yo gukuraho ibyuma, umurwayi yari umubabaro kandi afite kwagura igikumwe byuzuye.

Muganire

Muburyo bwacu, nyuma yamasahani yifotoza bikosorwa na radiyo ya kure, twafunguye igice Igice cya gatatu kigizwe na cm ndende ya cm ndende ya cm kumutwe wirinzi. Twabonye itaziguye epl tendon na etage yo kwaguka kwa gatatu no gukuramo buhoro buhoro epl tendon.

Niba imirongo yinjiye muri dorts ya dortal mu gice cya gatatu cyangwa yari ifite imyanda ya dorso-parso-pabel, ntabwo yasinze imirasire ya Screres Twahise dufunga icyumba dusunika retinaculum mugihe usubiramo epl tendon ku gice cya gatatu.

Niba imirongo itaguye mu gice cya gatatu, twavuye muri epl tendon mu gice cya cyafunguwe igice.

Ubuhanga bwacu bwo kubaga bwemerera kugenzura byoroshye epl tendon ibikomere hamwe nibitekerezo bitaziguye mugihe gito nkinyongera yinyongera. Niba epl Tendon yakomeretse, irashobora gusanwa muburyo butaziguye. Ubu buryo bufasha gukumira edl tendon yo guswera nyuma yamasahani ya kure. Epel Umuheto urashobora kubaho, ariko ntibyabaye kuri twe.

Mu gusoza

Twabonye urubanza aho epl Tendon itangiye imyaka 7 isubika, nubwo imiyoboro yakoreshwaga kugirango ikosore isahani yijwi yari icyamamare mu gice cya gatatu. Ubuhanga bwacu bwo kubaga bugabanya ibyago byo kwerekana Epl Tendon Rupture nyuma yamasahani yifotoza gukosorwa kumasahani ya madal.

Nigute wagura amagufwa hamwe nibikoresho bya orthopedic?

Kuri Czmeditech , dufite umurongo wuzuye wibicuruzwa byubasaguro orthopperic bitera kandi nibikoresho bihuye, ibicuruzwa birimo Umugongo, Intramedillary Imisumari, Isahani, gufunga isahani, cranial-maxillofacial, prostas, ibikoresho by'ingufu, ibicuruzwa byo hanze, arthroscopy, Kwitaho ku matungo n'ibikoresho byabo byo gushyigikira.

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