Arthrodesis yeWrist Joint Locking Plate: A Comprehensive Guide

Arthrodesis of the wrist joint inzira yekuvhiya ine chinangwa chekubatanidza mapfupa echanza pamwe chete, kubvisa kufamba kwemajoini uye kuderedza marwadzo. Wrist arthrodesis inowanzoitwa kune varwere vane wrist arthritis yakaoma, kukuvara kunoshungurudza, kana kutadza kuvhiyiwa kwemaoko. Muchinyorwa chino, tichakurukura mashandisirwo ekuvhara mahwendefa muwrist arthrodesis, maitiro acho pachawo, maitiro ekudzoreredza, uye zvinogona kunetsa.

Kunzwisisa Wrist Arthrodesis

Chii chinonzi Wrist Arthrodesis?

Wrist arthrodesis inzira yekuvhiya inosanganisira kubatanidza mapfupa emubatanidzwa weruoko pamwechete. Chinangwa chemaitiro ndechekubvisa kufamba kwekubatana uye kuderedza marwadzo. Arthrodesis inogona kuitwa pane chero majoini emaoko, kusanganisira radiocarpal, intercarpal, uye carpometacarpal majoini.

Sei Wrist Arthrodesis Inoitwa?

Wrist arthrodesis inowanzoitwa muvarwere vane wrist arthritis yakaoma, kukuvara kunoshungurudza, kana kutadza kuvhiyiwa kwemaoko. Arthrodesis inogona zvakare kukurudzirwa kune varwere vane mamwe mamiriro ekuzvarwa, senge Madelung's deformity kana Kienbock's disease.

Ndeapi Mabhenefiti eWrist Arthrodesis?

Kubatsira kukuru kwewrist arthrodesis ndiko kuderedza marwadzo. Nokubatanidza mapfupa pamwe chete, chibatanidza chinosimbiswa uye kurwadziwa kunoderedzwa. Arthrodesis inogonawo kuvandudza simba rekubata uye wrist basa mune dzimwe nguva.

Ndedzipi Ngozi dzeWrist Arthrodesis?

Njodzi huru dzewrist arthrodesis dzisiri mubatanidzwa (apo mapfupa anotadza kusanganisa pamwe chete), malunion (apo mapfupa anobatana munzvimbo isina kukwana), uye hutachiona. Uye zvakare, wrist arthrodesis inogona kudzikamisa wrist yekufamba uye kukanganisa basa rose remaoko.

Kushandiswa kweKukiya Plate muWrist Arthrodesis

Chii chinonzi Locking Plates?

Kukiya mahwendefa maothopedic implants anoshandiswa kudzikamisa mapfupa panguva yekutyoka kwekuporeswa kana kubatana kwemajoini. Mahwendefa ekukiya ane dhizaini yakasarudzika inovatendera kuti vabatane nebhonzo nenzira isingaite mahwendefa echinyakare.

Sei Kukiya Plate Achishandiswa MuWrist Arthrodesis?

Mahwendefa ekukiya anowanzo shandiswa muwrist arthrodesis nekuti anopa kugadzikana kwepamusoro kana zvichienzaniswa nemahwendefa echinyakare. Izvi zvinonyanya kukosha kune varwere vane hutano husina kunaka hwemapfupa, sezvo mahwendefa ekuvhara anogona kubudirira kugadzirisa mumamiriro ezvinhu aya apo mahwendefa echinyakare asingakwanisi.

Kukiya Plate Anoshandiswa Sei MuWrist Arthrodesis?

Munguva yekuvhiyiwa kwewrist arthrodesis, mapfupa echiwoko anogadzirirwa fusion. Kana mapfupa acho achinge anyatsoenderana, ndiro yekukiya inoiswa pamusoro pebhonzo uye yakakwenenzverwa panzvimbo. Masiruuru anoshandiswa mukuvhara ndiro kugadzirisa akagadzirwa kuti abatane nebhonzo nenzira isingagone kuita zvechinyakare screws.

Ndezvipi Zvakanakira Kushandisa Kukiya Plates muWrist Arthrodesis?

Iko kushandiswa kwekuvhara mahwendefa muwrist arthrodesis kune zvakati wandei, zvinosanganisira kuwedzera kugadzikana, kuderedzwa kwengozi yekusunungura screw, uye kugona kuwana kugadzirisa mumamiriro ehurombo bhonzo.

Iyo Wrist Arthrodesis Procedure

Preoperative Planning

Usati wavhiyiwa wrist arthrodesis, chiremba wako anovhiya achaita ongororo yakakwana yeruoko rwako uye hutano hwese. Izvi zvinogona kusanganisira X-rays, CT scans, kana MRI scans kuti iongorore kukura kwewrist arthritis yako kana mamwe mamiriro ezvinhu.

Anesthesia

Kuvhiyiwa kweWrist arthrodesis kunowanzoitwa pasi peanesthesia. Mune zvimwe zviitiko, anesthesia yemunharaunda ine sedation inogona kushandiswa.

Incision uye Exposure

Chiremba anovhiya achacheka pamusoro pechanza kuti mapfupa ave pachena. Ganda uye matishu akapfava anonyatso patsanurwa kuti asvike pakubatanidzwa kwewrist.

Bone Preparation

Mabhonzo emubatanidzwa wechanza anogadzirirwa kusanganiswa nekubvisa shwashwa uye kugadzira mapfupa kuti akwane pamwe chete zvakanaka. Chiremba anovhiya anogona kushandisa mapfupa ekubatanidza kubatsira mukuita fusion.

Plate Placement uye Fixation

Kana mapfupa acho agadzirwa, ndiro yekuvhara inoiswa pamusoro pebhonzo uye yakaputirwa panzvimbo. Masiruuru anoshandiswa mukuvhara ndiro kugadzirisa akagadzirwa kuti abatane nebhonzo nenzira isingagone kuita zvechinyakare screws.

Kuvhara

Kamwe ndiro uye screws zviri panzvimbo, incision inovharwa ne sutures kana staples. Chikanda kana kuti splint inogona kuiswa paruoko kuti ibatsire mukupora.

Recovery Process

Postoperative Care

Mushure mekuvhiyiwa kwewrist arthrodesis, iwe unozotariswa zvakanyanya muchipatara kune chero zviratidzo zvezvinetso. Unogona kupihwa mushonga wemarwadzo nemishonga inorwisa mabhakitiriya kudzivirira utachiona.

Immobilization

Iyo wrist ichave isingachinjiki mucast kana splint kwemavhiki akati wandei kuti ibvumire kuporeswa kwakakodzera. Physical therapy inogona kukurudzirwa kubatsira mukupora.

Dzokera kune Zvakajairika Mabasa

Varwere vazhinji vanogona kutarisira kudzokera kumabasa akajairwa mukati memwedzi mitatu kusvika mitanhatu mushure mekuvhiyiwa. Zvisinei, zvinogona kutora kusvika gore kuti bhonzo rinyatsobatana uye kuti chanza chinyatsopora.

Zvinogona Kunetsa

Vasiri Mubatanidzwa

Non-union inogona kukanganisa wrist arthrodesis, apo mapfupa anokundikana kubatana pamwechete zvakanaka. Izvi zvingada kumwe kuvhiyiwa kugadzirisa.

Malunion

Malunion inogona kunetsa yewrist arthrodesis, uko mapfupa anobatana munzvimbo isingagoneki. Izvi zvinogona kukonzera kuderera kwekushanda kwemaoko kana kurwadziwa.

Utachiona

Utachiona chinhu chinogona kukanganisa chero nzira yekuvhiya. Zviratidzo zvehutachiona zvinosanganisira kutsvuka, kuzvimba, fivha, uye kuwedzera kurwadziwa.

Mhedziso

Wrist arthrodesis inzira yekuvhiya ine chinangwa chekubatanidza mapfupa echanza pamwe chete, kuderedza marwadzo uye kugadzirisa wrist basa. Kushandiswa kwekuvhara mahwendefa muwrist arthrodesis kunopa kugadzikana kwepamusoro kana kuenzaniswa nemahwendefa echinyakare, zvichiita kuti ive sarudzo inokwezva kune varwere vane hurombo husina kunaka hwemapfupa. Nekudaro, sekunge chero nzira yekuvhiya, kune njodzi dzinogona kuitika uye matambudziko anofanirwa kukurukurwa nachiremba wako.