Uri hano: Urugo » Amakuru » Irinde Kuvunika Scaphoid Ihahamuka Comliketions : Gukosora neza no gusesengura 10 ba mbere kwisi yose

Kwirinda Kuvunika Scaphoid: Gukosora neza no gusesengura 10 ba mbere kwisi yose

Reba: 0 Umwanditsi: Muhinduzi Yurubuga Itanga Igihe: 2025-09-10 Inkomoko: Urubuga

Gukuramo Scaphoid

Kuvunika Scaphoid nicyo gihe cyo kuvunika karuta, kubara hafi 70% byimiterere ya kamere ya kamere. Bitewe numwanya wacyo udasanzwe anatomical muri gahunda yamagufwa ya karpal, kuvunika ibicanwa bishya bikunze kubura mugupima amavuriro. Byongeye kandi, imiyoboro idasanzwe yo gutanga scaphoid yateguye abarwayi kubibazo nkibintu bidahwitse, AvasCulas Necrosis (AVN), hamwe na kamere induru mubyiciro nyuma. Kuvuka, kuvunika scaphoid biragoye kubyifata no kuva mu gipolisi nko guhagarika umutima, bibujijwe kugenda, hamwe na nyuma ya rubagimpande.

Uruhare rwihariye rwa anatomique rwa scaphoid

Scaphoid ni igufwa rirerire kumurongo wa paralimal, umeze nkubwato buto (kubwibyo izina 'scaphoid '). Iyanga hagati ya karupa ya kamera ikomeye na kure, agira uruhare runini mu gutungura no guhuza imirongo yombi. Icyifuzo gisanzwe ku kuboko, harimo guhindagurika, kwagura, gutandukana kwa radio, na Ulnar gutandukana, byose biterwa no kugenda bihujwe na scaphoid. Iyo bimaze kuvunika, biomenics yo mu kuboko rwose harahungabanye.

Gutanga ibintu byoroshye

Scaphoid yakira amaraso ahanini mumashami yimiyoboro ya radiyo, yinjira mumusozi wa dorsal na inkingi ya kure:

Hafi ya 70-80% byamaraso yinjira hakoreshejwe igituba cya kure, retrograde itemba kugirango igaturire inkingi ya proxima.
Amashami make gusa yinjire mu buryo butaziguye inkingi ya proximal.

Ingaruka:

Kuvunika kwegera inkingi ya proxima, niko ibyago byo guhungabana kw'amabara.
Imito imaze guhagarikwa, igice cya Proximale gikunda cyane AVN na Nonunion.

Uburyo busanzwe bwo gukomeretsa

Uburyo busanzwe bwo gukomeretsa ni ukugwa ku kuboko kurambuye (Foosh) .Iyo kugwa, abantu baguye, abantu bashishikarizwa bakwirakwiza intoki kugirango bakureho ingaruka hamwe nimikindo. Iyi mvururu kenshi yashushanyije amavuriro nubushakashatsi bwerekanwe, kandi avugwa cyane afronym foosh.

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Gutinda kwisuzumisha kwa Scaphoid

Kuvunika Scaphoid akenshi bituruka ku bikomere byayo. Mu manza yoroheje, ibimenyetso birashobora kugarukira ububabare buke, abarwayi bayobora kwirengagiza gushaka ubuvuzi. Ndetse iyo x-imirasire (ap hamwe nintangiriro) yafashwe, kuvunika ntibishobora guhita bigaragara. Abarwayi barashobora gutangura amezi nyuma yububabare butera imbere, aho biyumvisha amakuru byerekana ko scaphoid idakira - gutinda kwisuzumisha no kubura idirishya ryubuvuzi bwiza.

Ibyifuzo Byingenzi Gusuzuma:

X-ray amashusho agomba gukorerwa ibikomere byose ku maboko, harimo na scaphoid yerekana iyo kuvunika bikekwa.
Niba x-ray ari mbi ariko gukeka biracyakurikizwa, hashobora gukurikizwa, gukurikizwa no gusubiramo amashusho nyuma yibyumweru 2.
Ubuvuzi bwambere bushobora kuba igipimo cyo gusuzuma no kuvura.

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Amahitamo yo kuvura

Gukosora hanze

Kuvunika gushya, bidafite ishingiro birashobora kuvurwa no kwikuramo. Ariko, gukosora bigomba gukomera kugirango hamenyekane. Plaster cyangwa resin ya resin irashobora kunanirwa kugenzura amaboko no kuzunguruka, kugabanya umutekano.

Plaster yapatse:

Igikumwe kirekire igikumwe cya spica cate:

Yerekanwe kubijyanye na hafi ya gatatu (ibyago byinshi bya AVN), imirongo ihagaritse / oblique yo kuvunika, hamwe nibitekerezo byambere.
Kudahagarika inkokora kuri 90 °, ukuboko, ukuboko, n'intoki.
Itanga umutekano ntarengwa ukuraho kuzunguruka.

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Igikumwe gito-igikumwe cya spica cate:

Birakwiriye kuvunika gatatu, kuvunika amarumbu, hamwe no gukandaga hagati yo hagati (intambwe nyuma).
Itanga ihumure ryinshi ariko ntiruhuka.

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Gukosora imbere

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Imitekerereze idafite umutwe (Herbert Screw)

Kugeza ubu amahame ya zahabu yo kuvunika ibitero.

Ihame: byinjijwe kumurongo wa Scaphoid munsi ya StanWwire, atanga compression yifata.
Ibyiza:

Kwikuramo neza kumurongo uvunika.
Guhagarara cyane, bituma ubukangurambaga hakiri kare.
Ibishoboka byose, gusaba percaneous birashoboka.
Umwirondoro muto, igishushanyo kidafite umutwe kigabanya uburakari bwa Cartilage.

Icyerekezo:

Defraneous: kubicuruzwa bihamye, bidasubirwaho.
Fungura: kubice byimuwe, byemejwe, cyangwa ibidakira.

Ubwoko:

Imigozi ya compresco.
Imiyoboro ya comprescoss idafite umutwe (yakunzwe, yashyinguwe byuzuye, irabagirana).

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Gutanga Umuyoboro wa Herbert

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Kirscner Wire (K-Wire) Gukosora

Uburyo gakondo nyabwo nyamara, akenshi bihinduka.

Ibyiza : byoroshye, bihendutse, guhungabana gake.
Ibibi : Bidahagaze neza, bisaba gukosorwa hanze, ibyago byo kwandura, gukuraho bikenewe nyuma yo gukira ..
Ibimenyetso : Kuvunika kwa pediatric, gukosora by'agateganyo mu bwishingizi, basabwa gukosorwa.

Gutinya umurongo igice-icyapa

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Gutinya umurongo igice-icyapa

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Scaphoid Nonion

Bitewe na Vascular idasanzwe, ibirego bya Scaphoid hamwe no Kugabanuka kwa Nonnion na AVN.

Kuvura : Gutegura amagufwa (bitarenze cyangwa bikaze) bihujwe no gukosora imbere (Herbert Screw cyangwa K-Wire). Gushyira Graft Gushyira hamwe no gusana ubuso bwo hejuru ni ngombwa. Mubihe bimwe, styloidectomy irashobora gusabwa mugihe amagufwa akomeye mugihe cyimodoka.

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Isi Yose 10 Herbert Yatsinze Abatanga ibicuruzwa na Czmeditech Incamake

Kuvura ibipimo bya scaphoid bifite akamaro kanini - ntabwo ari imikorere yiki gitabo gusa ahubwo no kubungabunga ubuzima bwabarwayi nubushobozi bwakazi. Guhitamo igikoresho cyo gukosora imbere ni urufunguzo rwo gukumira ingorane, kugera ku gukosora neza, no guteza imbere gusubiza mu buzima busanzwe.

Mu gushira mu buryo butandukanye, The Herbert Screw ihagaze kubera igishushanyo cyayo kidasanzwe kandi kikaba cyaragaragaye, bituma kimwe mubikoresho byingenzi mubikorwa byo kuvunika scaphoid.

Abaguzi 10 ba

Sturt	ba	Hejuru
1	Synthes
2	Stryker
3	Zimmer Biomet
4	ArtRex
5	Smith & mwishywa
6	Itsinda ry'ubuvuzi bwa Wright
7	Bashishikajwe
8	AAP INGARUKA AG
9	Orthofix
10	Czmeditech

Czmeditech Herbert Yakoze ibicuruzwa

Nkumuganda uyobora igishinwa nuwabitanze amagufwa, Czmeditech atanga icyerekezo cyuzuye cya screws ya Herbert gisukuye kubivunika bya Scaphoid hamwe nibindi bikomere byamagufwa mato.

Ibyingenzi:

Igishushanyo mbonera kitagira ingano: cyemeza ko gihamye mugihe kigabanya uburakari bwa karitsiye.
Ihungabana ryibinyabuzima ryiburenga: Gukuramo byizewe biteza imbere ubumwe bukomeye.
Amahitamo yibintu: Biboneka mubuvuzi bwintangiriro yubuvuzi na titanium alloy, hamwe na bioquatisobanuro nyaburanga no kurwanya ruswa.
Guhuza ibintu bidatera imbere: bikwiranye na pendere nziza kandi ifunguye.
Ibisobanuro byinshi: Umubare munini wa diameter nuburebure kugirango ukemure ibibazo bitandukanye.

Inyungu za Clinical:

Korohereza gukiza byihuse kandi byizewe gukira, cyane cyane mubibazo byo hejuru hamwe no kuvunika indwara za pireximire.
Ituma ubukangurambaga bwa mbere, kugabanya gukomera no kuzamura imikorere yimikorere.
Kugabanya cyane ibyago byo kutagira nonnion ugereranije nuburyo buke bwo gukosora.