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. Muchikamu chino, tichakurukura kushandiswa kwe Locking plates mu wrist arthrodesis, maitiro acho pachawo, maitiro ekugadzirisa, uye zvinogona kuitika.
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 kwe Locking plates muWrist Arthrodesis
Chii chinonzi Locking plates ?
Locking plates ari Ma-implant emabhonzo anoshandiswa kudzikamisa mapfupa panguva yekupora kwekutyoka kana kubatana kwemajoini. Locking plates vane dhizaini yakasarudzika inovatendera kuti vabatane nebhonzo nenzira isingaite mahwendefa echinyakare.
Sei Locking plates Inoshandiswa muWrist Arthrodesis?
Locking plates inowanzoshandiswa muwrist arthrodesis nokuti inopa kugadzikana kwepamusoro kana ichienzaniswa nemahwendefa echinyakare. Izvi zvinonyanya kukosha kune varwere vane hutano husina kunaka hwemapfupa, sezvo Locking plates inogona kubudirira kugadzirisa mumamiriro ezvinhu aya apo mahwendefa echinyakare haakwanisi.
Locking plates Inoshandiswa sei muWrist Arthrodesis?
Munguva yekuvhiyiwa kwewrist arthrodesis, mapfupa echiwoko anogadzirirwa fusion. Kana mapfupa achinge anyatsoenderana, Locking plate inoiswa pamusoro pebhonzo uye yakakwenenzverwa panzvimbo. Masiruuru anoshandiswa mu Locking plate fixation akagadzirwa kuti abatane nebhonzo nenzira isingagone kugarisa masiruuru.
Ndezvipi Zvakanakira Kushandisa Locking plates muWrist Arthrodesis?
Kushandiswa kwe Locking plates muwrist arthrodesis kune zvakawanda zvakanakira, kusanganisira kuwedzera kugadzikana, kuderedzwa kwengozi yekusunungura screw, uye kukwanisa kugadzirisa mumamiriro ehutano husina kunaka.
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 agadzirwa, iyo Locking plate inoiswa pamusoro pebhonzo uye yakakwenenzverwa panzvimbo. Masiruuru anoshandiswa mu Locking plate fixation akagadzirwa kuti abatane nebhonzo nenzira isingagone kugarisa masiruuru.
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 echiwoko pamwe chete, kuderedza marwadzo uye kugadzirisa wrist basa. Kushandiswa kwe Locking plates mu wrist arthrodesis kunopa kugadzikana kwepamusoro kana kuenzaniswa nemahwendefa echinyakare, zvichiita kuti ive sarudzo inofadza kune varwere vane hutano husina kunaka. Nekudaro, sekunge chero nzira yekuvhiya, kune njodzi dzinogona kuitika uye matambudziko anofanirwa kukurukurwa nachiremba wako.
