Kumeneka kwa Scaphoid
Ivunika rya Scaphoide niryo rikunze kuvunika karpal, bingana na 70% byavunitse amagufwa ya karpal. Bitewe numwanya wihariye udasanzwe muburyo bwa karpal igufa, kuvunika scaphoide gushya bikunze kubura mugupima kwa muganga. Byongeye kandi, imiyoboro idasanzwe y'amaraso ya scaphoide iteganya abarwayi kubibazo nka nonunion, necrosis avascular (AVN), hamwe no guhungabana kwa karpal mubyiciro byanyuma. Mubuvuzi, kuvunika scaphoide biragoye kuvura kandi akenshi bisiga urukurikirane nko kubabara kwamaboko adahoraho, kugabanuka kwimitsi, hamwe na artite nyuma yo guhahamuka.
Uruhare rwihariye rwa Anatomiki ya Scaphoide
Scaphoide ni igufa rirerire mumurongo wa karpal yegeranye, rimeze nkubwato buto (niyo mpamvu izina 'scaphoid '). Izenguruka hagati ya karpal yegeranye kandi ya kure, igira uruhare runini muguhuza no guhuza imirongo yombi. Ubusanzwe intoki zigenda, zirimo guhindagurika, kwaguka, gutandukana kwa radiyo, no gutandukana kwa ulnar, byose biterwa nigikorwa gihujwe na scaphoid. Iyo bimaze kuvunika, ibinyabuzima byo mu ntoki zose birahagarara.
Gutanga imitsi
Scaphoide yakira amaraso cyane cyane mumashami yimiyoboro yumutima, yinjira mumisozi ya dorsal na pole ya kure:
Hafi ya 70-80% yamaraso yinjira binyuze mu gituntu cya kure, itemba retrograde kugirango igaburire inkingi yegeranye.
Amashami make gusa yinjira muburyo butaziguye.
Ingero:
Iyo hafi kuvunika ni hafi ya pole yegeranye, niko ibyago byinshi byo guhungabana kw'imitsi.
Iyo amaraso amaze guhagarikwa, igice cyegeranye gikunda cyane AVN no kudahuza.
Uburyo bukomeretse
Uburyo bukunze gukomeretsa ni kugwa ku kiganza kirambuye (FOOSH) .Iyo kugwa, abantu bahita barambura ukuboko bagakwirakwiza intoki kugirango bakire ingaruka hamwe nintoki. Ubu buryo bwo gukomeretsa bwakunze gukurura amavuriro nubushakashatsi, kandi buvugwa cyane mu magambo ahinnye FOOSH.
Gusuzuma Gutinda Kumeneka Scaphoid
Ivunika rya Scaphoid akenshi rituruka ku gukomeretsa FOOSH. Mu bihe byoroheje, ibimenyetso bishobora kugarukira gusa kububabare bwamaboko, bigatuma abarwayi birengagiza gushaka ubuvuzi. Ndetse iyo X-imirasire (AP hamwe nu kureba kuruhande) ifashwe, kuvunika ntibishobora guhita bigaragara. Abarwayi barashobora kugaruka nyuma y'amezi bafite ububabare bw'intoki bugenda buhoro, icyo gihe amashusho agaragaza kuvunika karande scaphoide - gutinda cyane kwisuzumisha no kubura idirishya ryiza ryo kuvura.
Ibyifuzo byingenzi byo gusuzuma:
Kwerekana amashusho ya X-ray bigomba gukorwa kubikomere byose byamaboko, harimo na scaphoide mugihe hakekwa kuvunika.
Niba X-imirasire itari nziza ariko gukeka kugumaho, hagomba gukoreshwa immobilisation, hanyuma hagakurikiraho amashusho nyuma yibyumweru 2.
Kwimuka hakiri kare birashobora kuba nk'igipimo cyo gusuzuma no kuvura.
Amahitamo yo kuvura
Gukosora hanze
Ivunika rishya, ridasimbuwe rirashobora kuvurwa hamwe na immobilisation. Ariko, gukosora bigomba kuba bikomeye kugirango ukire. Amashanyarazi asanzwe cyangwa resin irashobora kunanirwa kugenzura ukuboko kwamaboko hamwe nintoki, kugabanya ituze.
Kwimura plasta:
Intoki ndende-spica cast:
Yerekanwe kuvunika hafi ya kimwe cya gatatu (ibyago byinshi bya AVN), imirongo ivunika ihagaritse / ihanamye, nibibazo byambere byo gusuzuma.
Ihagarika inkokora kuri 90 °, ukuboko, ukuboko, nintoki.
Itanga ituze ryinshi mukuraho kuzunguruka kwamaboko.
Intoki ngufi-igikumwe spica cast:
Bikwiranye no kuvunika kwa gatatu kure, kuvunika igituntu, no kuvunika hagati yo mu kibuno (nyuma yicyiciro).
Tanga ihumure ryinshi ariko ridahungabana.
Gukosora Imbere
Umutwe wo kwikuramo umutwe (Herbert Screw)
Kugeza ubu igipimo cya zahabu cyo kuvunika ikibuno.
Herbert Cannulated Compression Screw
Beverled Cannulated Herbert Screw
Kirschner Wire (K-wire) Gukosora
Uburyo gakondo ariko bwingirakamaro, akenshi bufatanije.
Ibyiza : guhinduka, guhendutse, guhungabana gake kwimitsi.
Ibibi : bidahamye, bisaba gukosorwa hanze, ibyago byo kwandura, gukuraho bikenewe nyuma yo gukira ..
Ibyerekana : kuvunika kw'abana, gukosora by'agateganyo muri comminution, byerekeranye no gukosora screw.
Umuyoboro wa Cannulée Igice-cy-urudodo
Umuyoboro wa Cannulée Igice-cy-urudodo
Scaphoid Nonunion
Bitewe no gutanga imiyoboro idasanzwe y'amaraso, ikibuno cya scaphoide hamwe no kuvunika hafi bikunda guhura na AVN.
Umuti : Gufata amagufwa (non-vascularized or vascularized) hamwe no gukosora imbere (Herbert screw cyangwa K-wire). Gushyira neza neza hamwe no kugarura neza neza arctular ni ngombwa. Rimwe na rimwe, styloidectomy ya radial irashobora gukenerwa mugihe amagufwa agaragara mugihe cyo kugenda kwamaboko.
Isi Yambere 10 Yabatanga Herbert Screw hamwe na CZMEDITECH Incamake yibicuruzwa
Kuvura imvune za scaphoide ningirakamaro cyane - ntabwo ari ukugarura imikorere yintoki gusa ahubwo no kubungabunga ubuzima bwabarwayi nubushobozi bwakazi. Guhitamo igikoresho gikwiye cyo gukosora imbere ni urufunguzo rwo gukumira ingorane, kugera ku gukosora neza, no guteza imbere gusubiza mu buzima busanzwe.
Mu byatewe bitandukanye ,. Herbert Screw yihagararaho kubera igishushanyo cyayo kidasanzwe hamwe n’imikorere yubuvuzi yagaragaye, bituma iba kimwe mubikoresho byingenzi mugucunga imvune za scaphoide.
Abambere 10 ba Herbert Screw Abatanga Isi Yose
| Urutonde |
Izina rya |
logo |
| 1 |
DePuy |
![Herbert Cannulated Compression Screw]() |
| 2 |
Stryker |
![Herbert Cannulated Compression Screw]() |
| 3 |
Zimmer Biomet |
![Herbert Cannulated Compression Screw]() |
| 4 |
Arthrex |
![Herbert Cannulated Compression Screw]() |
| 5 |
Smith & Mwishywa |
![Herbert Cannulated Compression Screw]() |
| 6 |
Itsinda ry'ubuvuzi |
![Herbert Cannulated Compression Screw]() |
| 7 |
Yarakaye |
![Herbert Cannulated Compression Screw]() |
| 8 |
aap Implantate AG |
![Herbert Cannulated Compression Screw]() |
| 9 |
Orthofix |
![Herbert Cannulated Compression Screw]() |
| 10 |
CZMEDITECH |
![Herbert Cannulated Compression Screw]() |
CZMEDITECH Ibicuruzwa bya Herbert
Nka CZMEDITECH nkumushinga wambere wubushinwa nogutanga imiti yamagufwa, CZMEDITECH itanga portfolio yuzuye ya Herbert Screws yagenewe kuvunika scaphoide nibindi bikomere byamagufwa.
Ibintu by'ingenzi:
Igishushanyo cyo kutagira umutwe: gikora neza mugihe ugabanya ubukana bwa articular artilage.
Ihinduka ryibinyabuzima bihanitse: kwizerwa kwiziritse kwizana biteza imbere ubumwe bukomeye.
Amahitamo yibikoresho: aboneka mubyiciro byubuvuzi bidafite ibyuma na titanium, hamwe na biocompatibilité nziza kandi irwanya ruswa.
Guhuza byibuze guhuza: bikwiranye nuburyo butandukanye kandi bwuguruye.
Ibisobanuro byinshi: intera nini ya diametre n'uburebure kugirango bikemure ibikenewe bitandukanye mubuvuzi.
Ibyiza bya Clinical:
Yorohereza kuvunika scaphoide byihuse kandi byizewe, cyane cyane mukibuno gishobora guteza ibyago byinshi no kuvunika inkingi yegeranye.
Gushoboza gukangura intoki hakiri kare, kugabanya gukomera no kunoza imikorere.
Bigabanya cyane ibyago byo kudahuza hamwe na AVN ugereranije nuburyo gakondo bwo gukosora.
CZMEDITECH Ibicuruzwa
