Distal Dorsal Radial Delta Locking Plate: A Comprehensive Guide
Kana zvasvika pakurapa distal radius fractures, imwe sarudzo inogona kutariswa nevanovhiya ndeye kushandiswa kweiyo distal dorsal radial delta locking plate. Mhando iyi yeplate yakawana mukurumbira mumakore achangopfuura nekuda kwekukwanisa kwayo kupa kugadzirisa kwakagadzikana, kubvumira kukurumidza kuunganidza uye kukurumidza kudzokera kumabasa ezuva nezuva. Muchikamu chino, tichapa gwara rakazara kune distal dorsal radial delta yekuvhara ndiro, kusanganisira zviratidzo zvayo, maitiro ekuvhiya, uye zvinogona kunetsa.
Nhanganyaya
Distal radius fractures kukuvara kunowanzoitika, kunyanya muvakuru vakuru. Kunyange zvazvo kuputsika kwakawanda kunogona kurapwa nekuchengetedza nekusagadzikana, zvimwe zvingada kupindira kwekuvhiya. Kushandiswa kwedistal dorsal radial delta locking plate ndiyo imwe yekuvhiya sarudzo yezvimedu izvi. Iri ndiro rakagadzirwa kuti ripe yakagadzika kugadzirisa uku richibvumira kukurumidza kuunganidza uye kudzokera kubasa.
Anatomy yeDistal Radius
Usati wakurukura nezve kushandiswa kwedhiredhi dorsal radial delta locking plate, zvakakosha kuti unzwisise anatomy ye distal radius. Iyo distal radius chikamu chebhonzo repamberi rinobatana nechanza chakabatana. Icho chimiro chakaoma chine akawanda articular surfaces uye ligaments. Kukuvara kunzvimbo iyi kunogona kusiyana mukuoma, kubva padiki diki kusvika pakuputsika kwakakwana.
Zviratidzo zveDistal Dorsal Radial Delta Locking Plate
Kushandiswa kwedistal dorsal radial delta locking plate inogona kuratidzwa kune mamwe marudzi e distal radius fractures. Izvi zvinogona kusanganisira:
Intra-articular fractures
Mafractures akabatanidzwa
Kutsemuka nekutamisa kwakakosha
Kutyoka nekusagadzikana ligamentous kukuvara
Preoperative Planning
Kuronga kwepamberi kunokosha kana uchifunga nezve kushandiswa kwedistal dorsal radial delta locking plate. Izvi zvinogona kusanganisira kuwana zvidzidzo zvekufungidzira zvakakodzera, zvakadai seX-rays kana CT scan, kunyatsoongorora kuputsika. Pamusoro pezvo, chiremba anovhiya anozoda kuona saizi yakakodzera yeplate uye chimiro, pamwe nekuiswa kwakaringana kwemascrews.
Kuvhiya Technique
Maitiro ekuvhiya ekushandisa distal dorsal radial delta locking plate anowanzo sanganisira anotevera matanho:
Iyo incision inoitwa pamusoro peiyo distal radius kuti ibvumidze kupinda kunzvimbo yekutsemuka.
Kutyoka kwakaderedzwa, kana kudzokororwa, sezvinodiwa.
Iyo ndiro inomisikidzwa padivi reshure reradius.
Madhiri anopinzwa mundiro uye mubhonzo kuti achengetedze panzvimbo.
Kana zvichidikanwa, kugadzirisa kwakawedzera, senge waya kana mapini, kunogona kushandiswa kuwedzera kudzikamisa kuputsika.
Postoperative Care
Mushure mekuvhiyiwa, varwere vangada immobilization kwenguva pfupi vasati vatanga kurapwa kwemuviri. Chinangwa chekurapa ndechekudzoreredza huwandu hwekufamba uye simba uchichengetedza pfupa rekuporesa. Varwere vanogona kukwanisa kudzokera kumabasa ezuva nezuva semasvondo matanhatu mushure mekuvhiyiwa, kunyange zvazvo nguva yenguva inogona kusiyana zvichienderana nekuoma kwekuputsika.
Zvinogona Kunetsa
Sezvinoita chero nzira yekuvhiya, pane zvingangove zvinokonzeresa zvine chekuita nekushandiswa kweiyo distal dorsal radial delta locking plate. Izvi zvinogona kusanganisira:
Utachiona
Kudyara kukundikana
Kukuvara kwetsinga kana tsinga
Kuoma kana kurasikirwa kwehuwandu hwekufamba
Kunonoka kubatana kana kusabatanidzwa kwekutyoka
Alternative Treatment Options
Nepo distal dorsal radial delta locking plate inogona kunge iri nzira yekurapa inoshanda kune mamwe marudzi edistal radius fractures, kune mamwe marapirwo anogona kutariswa zvakare. Izvi zvinogona kusanganisira:
Yakavharwa kudzikisira uye kukanda: Kune kushoma kutsemuka kwakatyoka, kusamira nekaseti kunogona kukwana kukurudzira kupora.
Kugadziriswa kwekunze: Izvi zvinosanganisira kushandisa mapini kana waya dzinoiswa mukati meganda uye mubhonzo kudzikamisa kuputsika.
Volar Locking plate: Iyi ndiyo imwe plate inoiswa padivi remuchindwe weradius.
Sarudzo yekurapa ichaenderana nekutyoka chaiko uye zvinodiwa nemurwere wega wega uye zvaanoda.
Dzidzo Yevarwere
Kune varwere vanofunga nezvekushandiswa kwedistal dorsal radial delta locking plate, zvakakosha kuti unzwisise zvizere mabhenefiti uye njodzi dzekuita. Varwere vanofanirwa kuziviswa nezve inotarisirwa kupora nguva, matambudziko anogona kuitika, uye chero zvirambidzo pane izvo zvingave zvakakosha panguva yekupora. Uyezve, varwere vanofanira kukurudzirwa kubvunza chero mibvunzo yavangave nayo uye kuti vatore chikamu mukutarisira kwavo.
Nhungamiro Yenguva Yemberi uye Zvitsva
Sezvinoita chero tekinoroji yekurapa, kushandiswa kwedistal dorsal radial delta locking plates kunogara kuchibuda. Pane kuedza kunoenderera mberi kwekuvandudza magadzirirwo uye zvinhu zvinoshandiswa mumahwendefa aya, pamwe nekugadzira nzira itsva dzekuaisa. Pamusoro pezvo, vaongorori vari kuongorora kushandiswa kwehumwe matekinoroji, senge 3D kudhinda uye biologics, kuenderera mberi nekusimudzira kurapwa kwedistal radius fractures.
Mhedziso
Iko kushandiswa kwe distal dorsal radial delta locking plate inogona kuva sarudzo inoshanda kune mamwe marudzi e distal radius fractures. Zvakadaro, zvakakosha kunyatsoongorora zvinodiwa nemurwere wega wega uye kufunga mamwe marapiro zvakare. Nekuronga kwakafanira kwepamberi, nzira yekuvhiya, uye kutarisirwa kwepashure, varwere vanogona kutarisira kuwana mhedzisiro yakanaka uye kudzokera kumabasa avo ezuva nezuva.
