Letlapa la Locking la Distal Volar Radial (Le Tataiso ea ho Drill)

VA Distal Medial Locking Plate ke eng?

The distal ulna ke karolo ea bohlokoa ea motsoako oa distal radioulnar, o thusang ho fana ka ho potoloha ho forearm. Sebaka sa distal ulnar se boetse ke sethala sa bohlokoa bakeng sa botsitso ba carpus le letsoho. Ho robeha ho sa tsitsang ha ulna ea distal ka hona ho sokela ho sisinyeha le botsitso ba letsoho. Boholo le sebōpeho sa distal ulna, li kopantsoe le lisele tse bonolo tse tsamaeang ka holimo, li etsa hore ho be thata ho sebelisa li-implants tse tloaelehileng. Plate ea Distal Ulna ea 2.4 mm e etselitsoe ho sebelisoa ha ho robeha ha distal ulna.

Likarolo le Melemo

• Anatomically contoured ho lekana distal ulna

• Moralo oa boemo bo tlase o thusa ho fokotsa ho teneha ha lisele tse bonolo

• E amohela ho notlela ka limilimithara tse 2.7 le li-screw tsa cortex, e fana ka tokiso e tsitsitseng ea angular

• Li-hook tse nchocho li thusa ho fokotsa styloid ea ulnar

• Li-screws tsa ho notlela tse nang le li-angled li lumella ho lokisoa ho sireletsehileng ha hlooho ea ulnar

• Likhetho tse ngata tsa screw li lumella mefuta e mengata e fapaneng ea fracture hore e tsitse ka mokhoa o sireletsehileng

• E fumaneha feela ka tšepe e sa hloekang le titanium

litlhaloso

Lihlahisoa	REF	Tlhaloso	Botenya	Bophara	Bolelele
Distal Volar Radial Locking Plate With Drill Guide (Sebelisa 2.7 Locking Screw/2.7 Cortical Screw)	5100-1301	3 masoba L	2.5	9	49
	5100-1302	4 masoba L	2.5	9	58
	5100-1303	5 masoba L	2.5	9	66
	5100-1304	7 masoba L	2.5	9	83
	5100-1305	9 masoba L	2.5	9	99
	5100-1306	3 masoba R	2.5	9	49
	5100-1307	4 masoba R	2.5	9	58
	5100-1308	5 masoba R	2.5	9	66
	5100-1309	7 masoba R	2.5	9	83
	5100-1310	9 masoba R	2.5	9	99

Distal Volar Radial Locking Plate(Ka Tataiso ea ho Drill): Tataiso e Felletseng

Selelekela

Distal Volar Radial Locking Plate (DVR) ke moloko o mocha oa li-implants tsa masapo tse fanang ka ntlafatso e ntlafetseng le botsitso kalafo ea fractures ea distal radius. Letlapa la DVR, ha le sebelisoa le tataiso ea ho phunya, le fana ka sebaka se nepahetseng sa screw, se netefatsang ho lokisoa hantle le ho fokotsa kotsi ea mathata. Sengoliloeng sena se ikemiselitse ho fana ka tataiso e felletseng holim'a poleiti ea DVR e nang le tataiso ea boro, ho kenyeletsoa likarolo tsa eona, melemo le lits'ebetso.

Anatomy ea Distal Radius

Ho utloisisa matšoao le ts'ebeliso ea poleiti ea DVR, ho bohlokoa ho ba le kutloisiso ea mantlha ea sebopeho sa radius ea distal. Sebaka sa distal ke karolo ea lesapo la radius le kopanang le masapo a carpal le ho etsa lenonyeletso la letsoho. Ke mohaho o rarahaneng o nang le bokaholimo ba articular, metaphysis, le diaphysis.

Lipontšo tsa Plate ea DVR e nang le Tataiso ea ho Drill

Letlapa la DVR le etselitsoe ho alafa makhopho a distal radius a kenyelletsang karolo ea letsoho la letsoho. Lipontšo tsa tšebeliso ea poleiti ea DVR li kenyelletsa:

• Ho robeha ho sa khaotseng ha radius ea distal

• Ho robeha ha intra-articular ea radius ea distal

• Ho robeha ho nang le likotsi tse amanang le ligament

• Ho robeha ho bakuli ba nang le lefu la ho fokola ha masapo

Likarolo tsa DVR Plate e nang le Tataiso ea ho Drill

Letlapa la DVR le nang le tataiso ea ho phunya le na le likarolo tse 'maloa tse ikhethang tse e etsang hore e be sesebelisoa se loketseng bakeng sa kalafo ea fractures ea distal radius. Likarolo tsena li kenyelletsa:

• Moqapi oa boemo bo tlaase: Letlapa la DVR le na le moralo o tlaase, o fokotsang kotsi ea ho halefa ha tendon le ho eketsa matšeliso a mokuli.

• Sebopeho sa anatomically contoured: Letlapa la DVR le fetotsoe ka mokhoa oa anatomically ho ts'oana le sebopeho sa radius ea distal, e netefatsang ho lekana hantle le ho fokotsa kotsi ea ho hlōleha ho kenngoa.

• Theknoloji ea 'screw' ea ho notlela: Letlapa la DVR le sebelisa theknoloji ea 'screw' ea ho notlela, e fanang ka tokiso e ntlafalitsoeng le botsitso.

• Tataiso ea ho phunya: Letlapa la DVR le tla le tataiso ea ho phunya e netefatsang ho beoa ka nepo le ho fokotsa kotsi ea mathata.

Mokhoa oa ho Buoa

Mokhoa oa ho buoa bakeng sa tšebeliso ea poleiti ea DVR e nang le tataiso ea ho cheka ke e latelang:

• Mokuli o behoa tlas'a anesthesia e tloaelehileng, 'me ho sebelisoa tourniquet karolong e ka holimo ea letsoho.

• Tsela ea volar e etsoa ho radius ea distal, 'me sebaka sa ho robeha se pepesitsoe.

• Letlapa la DVR le entsoe contour ho lumellana le sebopeho sa radius ea distal, 'me tataiso ea ho phunya e khomaretsoe poleiti.

• Joale tataiso ea ho phunya e sebelisoa ho phunya masoba bakeng sa likurufu tsa ho notlela.

• Joale poleiti ea DVR e behoa sebakeng sa distal radius, 'me lithupa tsa ho notlela li kenngoa ka har'a masoba a phuntsoeng pele.

• Letlapa le hlahlojoa bakeng sa botsitso le ho lokisoa, 'me leqeba le koetsoe.

Melemo ea DVR Plate e nang le Tataiso ea ho Drill

Melemo ea ho sebelisa poleiti ea DVR e nang le tataiso ea ho phunya bakeng sa phekolo ea fractures ea distal radius e kenyelletsa:

• Ntlafatso e ntlafalitsoeng le botsitso

• Kotsi e fokotsehileng ea mathata

• Ho beha sekoti hantle

• Nako e fokotsehileng ea ts'ebetso

• Moralo oa boemo bo tlase bakeng sa boiketlo bo eketsehileng ba mokuli

Tlhokomelo ea Kamor'a Opereishene

Ka mor'a ho buuoa, mokuli o tla fuoa meriana ea bohloko le ho laeloa ka tlhokomelo e nepahetseng ea leqeba. Kalafo ea ’mele e ka ’na ea boela ea buelloa ho thusa mokuli hore a boele a tsamaee le ho ba matla. Mokuli o tla eletsoa hore a qobe ho phahamisa boima le mesebetsi e behang khatello ea letsoho letsoho ka libeke tse 'maloa ka mor'a ho buuoa.

Mathata

Mathata a amanang le tšebeliso ea poleiti ea DVR e nang le tataiso ea ho phunya e kenyelletsa tšoaetso, ho hlōleha ho kenya letsoho, le kotsi ea methapo kapa tendon. Leha ho le joalo, mathata ana ha a tloaelehe 'me a ka fokotsoa ka ho latela mokhoa o nepahetseng oa ho buuoa le tlhokomelo ea ka mor'a ho buuoa.