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Kudzivisa Scaphoid Zvinotyisa Zvekushandisa: Kugadziriswa Kwemhando uye kuongororwa kweiyo yepamusoro 10 Global Herbert Screw

Views: 0 Munyori: Site Editor Shirish: 2025-09-10 Mavambo: Saiti

Scaphoid bracture

Scaphoid Fracture ndiyo yakajairika carpal cracraure, accounting yeanenge 70% yezvese carpal pfupa remafupa. Nekuda kwenzvimbo yakasarudzika yeatomical yemugove wemapundu emapfupa, mitsva yemapundu anowanzoitwa anowanzoitwa mukuongororwa kwekiriniki. Uyezve, iyo inosarudzika yekupa iyo scaphoid inofungidzira varwere vane matambudziko akadai sekusaona, avascular necrosis (AVN), uye Carkul kusagadzikana mumatanho gare gare. Clinically, scaphoid fractures yakaoma kurapa uye kazhinji inosiya sequelae yakadai sekurambidzwa kwekurwiswa kweruoko, kudzora huwandu hwekufamba, uye post-traumatic arthritis.

Yakasarudzika Anatomical Basa reScaphoid

Iyo scaphod ndiyo pfupa refu rakareba muProximal Carpal mutsara, rakaumbwa sechikepe chidiki (saka zita rekuti 'Scaphoid '). Iyo inopfavirira pakati peiyo proximal uye distal Carpal mitsara, kutamba yakakosha basa mukutsvedza uye kubatanidza mitsara miviri. Zvakajairika ngano, kusanganisira kushandurwa, kuwedzera, kutsauka, uye kutsauka kwehupfu, zvese zvinoenderana nekufamba kwakarongeka kwesapepa. Akambotumbuka, iyo biomechanics yechiuno chose chakakanganisika.

Stagile Vascular Supply

Iyo scaphoid inogamuchira kupa ropa zvakanyanya kubva pamapazi eiyo radial artery, achipinda kubva kuDorsal Ridge uye Disal Pole:

Vanenge 70-80% yeropa kuyerera vanopinda kuburikidza neiyo distal tubercle, kuyerera kunodzosera kudzokorora proximal danda.
Mapazi mashoma mashoma chete anopinda zvakananga proximal danda.

Zvakakwana:

Iko kuswededza kupunzika ndiko kune proximal danda, iyo yakakura njodzi yekusavimbika kwekuvhiringidza.
Kamwe kuyerera kweropa kukanganisika, iyo proximal chidimbu chakanyanya kujairika kuna AVN uye nonunion.

Kuwanda kwekukuvara kwemuchina

Iyo inonyanya kujairika yekukuvara ndeyekuwa pane ruoko rwakatambanudzwa (foosh ) Izvi zvinowanzo kukuvara kwemuchina wakakwenenzvera kiriniki zvakanyanya uye nekutsvagisa kutarisisa, uye kunonzi kwakazara neiyo acronymymymymym.

Herbert Cannulated compression screw

Kunonoka kuongororwa kwesiputa yemasapu

Scaphoid Fractures inowanzoitika kubva kuFoosh kukuvara. Muzviitiko zvinyoro, zviratidzo zvinogona kuve zvashoma pakurwadziwa zvishoma, varwere vanotungamira kuti vanyarare kurapwa. Kunyangwe kana X-Rays (AP uye inotevera maonero) inotorwa, fractures inogona kunge isingaonekwe nekukurumidza. Varwere vanogona kudzoka kwemwedzi gare gare nekufungidzira kwekurwadziwa kweruzivo, panguva iyo yekufungidzira inoratidzira kusarudzika scracuid kupwanya-kunonoka kuongororwa uye kushayikwa newindo rekurapa rekurapa.

Kiyi yeKalagnostic Kurudziro:

X-Ray fananidzo inofanira kuitwa kune ese akakuvara ruoko, kusanganisira scaphoid maonero kana ikaputswa inofungidzirwa.
Kana X-rays iri isina kunaka asi kufungidzira inosara, kusagadzikana kunofanirwa kuiswa, kuteverwa nekudzokorora kufungidzira mushure memavhiki maviri.
Kusviba kwekutanga kunogona kushanda seyese kuongororwa uye kuridza chiyero.

Herbert Cannulated compression screw

Sarudzo dzekurapa

Kugadziriswa kwekunze

Zvitsva, zvakarungunuka madhiri anogona kurapwa nekusagadzikana. Nekudaro, gadziriso inofanirwa kuve yakaomarara kuve nechokwadi chekurapa. Standard plaster kana resin splints inogona kutadza kudzora ruoko uye ruoko rwekutenderera, kuderedza kugadzikana.

Plaster cast imtiblization:

Long-Arm Thumb Spica Cast:

Inoratidzwa for proximal one-yechitatu fractures (yakakwirira AVN njodzi), Vertical / Oblique Fracture mitsara, uye yekutanga zviitiko zvekuongororwa.
Anomira elbow pa 90 °, forearm, wrist, uye chigunwe.
Inopa kugadzikana kwakakwana nekubvisa nguva yekugara.

Herbert Cannulated compression screw

Short-Arm Thumb Spica Cast:

Inokodzera zvidimbu zvezvitatu zvidimbu, tenturisity fractures, uye yakagadzikana pakati-chiuno fractures (gare gare nhanho).
Inopa zvakanyanya kunyaradza asi kushoma kugadzikana.

Herbert Cannulated compression screw

Kugadziriswa kwemukati

Herbert Cannulated compression screw

Slessess comples clrew (Herbert screw)

Parizvino chiyero chegoridhe chekupedza chiuno zviuno.

Nheyo: yakaiswa padhuze ne scaphoid axis pasi pegwenzi, kupa nharo yekumanikidza.
Zvakanakira:

Yakanakisa kumanikidza mutsetse wekupwanya.
Yakakura kugadzikana, inobvumira kufambisa kwekutanga.
Zvishoma zvinosangana, kunyorera kwekunyora zvinogoneka.
Low-profiles, dhizaini yemusoro inoderedza cartilage kutsamwa.

Inosvikira:

Percutaneous: Kune akagadzikana, akadzika matare.
Vhura: Nekutakurwa, kufambidzana, kana kusingaperi kupwanya.

Mhando:

Musoro wakamanikidzwa.
Kusava nemusoro compress screws (inosarudza, yakavigwa zvizere, isingasviki yekushatirwa).

Herbert Cannulated compression screw

Wona zvimwe

Zvinosemeswa Cannulated Herbert Screw

Herbert Cannulated compression screw

Wona zvimwe

Kirschner Wire (K-WIRE) Fixation

Nzira yechinyakare asi inobatsira, kazhinji inodudzira.

Zvakanakira : zvinoshanduka, zvisingadhuri, kukanganisa kushoma kwevascularity.
Zvinokuvadza : Asina kugadzikana, zvinoda zvekunze gadziriso, hutachiona hwehutachiona, kubviswa kunoda post-kurapa ..
Zviratidzo : Pediatric Fractures, gadziriso yenguva pfupi yekufambisa, adjunct yekugadzirisa kugadzirisa.

Cannulated screw chikamu-chakarukwa

Herbert Cannulated compression screw

Wona zvimwe

Cannulated screw chikamu-chakarukwa

Herbert Cannulated compression screw

Wona zvimwe

Scunhoid nonunion

Nekuda kwekupa kwayo kwakasiyana kusarudzika, scaphoid chiuno uye proximal fractures zvinowanzoitika kusaziva uye avn.

Kurapa : Bone Grofting (Isiri-Vascelarized kana Vascalarized) Yakasanganiswa neyenzvimbo yekugadzirisa (Herbert Screw kana K-WIRE). Precise graft kuiswa uye yakatsetseka yekugadzirisa pamusoro pekudzoreredzwa kwakakosha. Mune zvimwe zviitiko, radial styloidectomy inogona kunge ichidikanwa kana pfupa rakazvikurudzira panguva yekufamba-famba.

Herbert Cannulated compression screw

Global Pamusoro 10 Herbert Screw Supreers uye Czmeditech Chigadzirwa Overview

Iko kurapwa kwezvibodzwa zvezvikanganiso zvinokosha - kwete kungodzoreredza ruoko rwechiuno asiwo nekuchengetedza mhando yehupenyu hwevarwere uye kugona kwebasa. Kusarudza iyo yakakodzera yemukati yekugadzirisa mudziyo kiyi yekudzivirira matambudziko, kuwana chaiyo yekugadziriswa, uye kusimudzira kugadzirwazve.

Pakati pezvisikwa zvakasiyana-siyana, Herbert screw yakamira kunze kwekuti yayo yakasarudzika dhizaini uye yakaratidza kiriniki kuita, ichiita imwe yemidziyo inonyanya kukosha mune scaphoid bracture manejimendi.

Pamusoro gumi Herbert Screw Vatongi Venyika Yese

Rank	Kambani Zita	Logo
1	Kutendeuka
2	Stryker
3	Zimmer biomet
4	Artherx
5	Smith & Nepew
6	Wright Medical Boka
7	Acumed
8	AAP Mplanteate AG
9	Orthofifix
10	Czivemech

Czmeditech Herbert Screw Zvigadzirwa

Semunhu anotungamira echiChinese mugadziri uye mutengesi weOrthopec Ellants, CZMEMEDECH inopa iyo yakazara portfolio yeHerbert Screws yakagadzirirwa mapepa emasapu uye kumwe kukuvara kwepfupa.

Key maficha:

Kusveta kusavimbika kugadzirwa: Kunoita kuti isimbe gadziriso paunenge uchidzikisa hunyanzvi cartilage kutsamwiswa.
Yakakwira Biomechancal Kugadzikana: Kuvimbika Interfragmentary Compression inosimudzira kusimba mubatanidzwa.
Sarudzo dzekushandisa: Inowanikwa muGiredhi-giredhi simbi isina simbi uye titanium alloy, ine yakanaka bighompat uye kupesana kupokana.
Zvishoma zvinosangana zvinoenderana: Zvakakodzera kune ese maviri ezvese uye akavhurika nzira.
Yakawanda yakatarwa: yakakura mhando yedhimoni uye urefu kugadzirisa zvinhu zvakasiyana-siyana zvekiriniki zvinodiwa.

Zviratidzo zvechiriniki:

Kufambisa nekukurumidza uye yakavimbika scaphoid inopora kupora, kunyanya mune yakakwirira-njodzi chiuno uye proximal pole fractures.
Inogonesa yekutanga worist moblilization, kuderedza kuomarara uye kugadzirisa basa rekugadzirisa.
Zvakanyanya kudzikisira njodzi yekusaona uye avn zvichienzaniswa nenzira dzechinyakare dzekugadzirisa nzira.