Ho robeha ha scaphoid
Ho robeha ha scaphoid ke ho robeha ha carpal ho atileng ka ho fetesisa, hoo e ka bang 70% ea ho robeha ha masapo a carpal. Ka lebaka la boemo ba eona bo ikhethang ba sebōpeho ka har'a tlhophiso ea masapo a carpal, fractures e ncha ea scaphoid e atisa ho hloloheloa tlhahlobo ea bongaka. Ho feta moo, phepelo e ikhethang ea methapo ea scaphoid e etsa hore bakuli ba be le mathata a kang nonunion, avascular necrosis (AVN), le ho se tsitse ha carpal ka mekhahlelo ea morao-rao. Ka tloaelo, ho robeha ha scaphoid ho thata ho phekola 'me hangata ho siea li-sequelae tse kang bohloko bo sa feleng ba letsoho, mefuta e mengata ea ho tsamaea le ramatiki ea morao-rao.
Karolo e Ikhethileng ea Anatomical ea Scaphoid
The scaphoid ke lesapo le lelelele ka ho fetisisa moleng oa carpal, le bōpehileng joaloka seketsoana (ka hona lebitso 'scaphoid'). E pharalla pakeng tsa mela e proximal le distal carpal, e bapala karolo ea bohlokoa ho tsitsisa le ho hokahanya mela ka bobeli. Ho sisinyeha ho tloaelehileng ha letsoho, ho kenyelletsa ho phunya, ho atolosa, ho kheloha ha mahlaseli, le ho kheloha ha ulnar, kaofela li itšetlehile ka motsamao o hokahaneng oa scaphoid. Hang ha e robehile, biomechanics ea lenonyeletso lohle la letsoho lea senyeha.
Phepelo ea Vascular e Senyehileng
The scaphoid e fumana phepelo ea mali haholo-holo ho tsoa makaleng a mothapo oa radial, a kenang ho tloha mokokotlong oa mokokotlo le pole ea distal:
Hoo e ka bang 70-80% ea phallo ea mali e kena ka distal tubercle, e phallang e khutlela morao ho fepa palo e haufi.
Ke makala a seng makae feela a kenang ka ho toba polekeng ea proximal.
Liphello:
Ha fracture e le haufi le palo e haufi, ho na le kotsi e kholo ea ho senyeha ha methapo ea mali.
Hang ha phallo ea mali e sitisoa, karolo ea proximal e tloaelehile haholo ho AVN le nonnunion.
Mokhoa o Tloaelehileng oa Kotsi
Mokhoa o tloaelehileng oa ho ntša kotsi ke ho oela holim'a letsoho le otlolohileng (FOOSH) . Mokhoa ona oa khafetsa oa likotsi o hohetse tlhokomelo e kholo ea bongaka le lipatlisiso, 'me o bitsoa haholo ka khutsufatso ea FOOSH.
Ho Liehile Ho Hlahlobisisa ha Scaphoid Fracture
Ho robeha ha scaphoid hangata ho bakoa ke likotsi tsa FOOSH. Maemong a bonolo, matšoao a ka lekanyetsoa feela ho bohloko bo fokolang ba letsoho, e leng se etsang hore bakuli ba hlokomolohe ho batla tlhokomelo ea meriana. Esita le ha X-rays (AP le maikutlo a lateral) a nkoa, fractures e ka 'na ea se ke ea bonahala hang-hang. Bakuli ba ka 'na ba khutla likhoeli hamorao ka bohloko bo tsoelang pele ba letsoho, ka nako eo litšoantšo li senola ho robeha ho sa foleng ha scaphoid-e leng ho liehang haholo ho hlahlojoa le ho lahleheloa ke fensetere e nepahetseng ea phekolo.
Litlhahiso tsa bohlokoa tsa tlhahlobo:
Litšoantšo tsa X-ray li lokela ho etsoa bakeng sa likotsi tsohle tsa letsoho, ho kenyelletsa le maikutlo a scaphoid ha ho belaelloa hore ho robehile.
Haeba X-ray e le mpe empa lipelaelo li ntse li le teng, ho lokela ho sebelisoa immobilization, e lateloe ke ho pheta litšoantšo ka mor'a libeke tse peli.
Ho se sebetse ho sa le pele ho ka sebetsa e le mokhoa oa ho hlahloba le oa phekolo.
Khetho ea Kalafo
Ho lokisa ka ntle
Maqeba a macha, a sa tsitsang a ka alafshoa ka ho se sebetse hantle. Leha ho le joalo, ho lokisa ho tlameha ho ba thata ho netefatsa pholiso. Lithako tse tloaelehileng tsa plaster kapa resin li ka 'na tsa hlōleha ho laola ho potoloha ha letsoho le forearm, ho fokotsa botsitso.
Plaster Cast Immobilization:
Motsoako oa spica oa letsoho le lelelele:
E bonts'itsoe bakeng sa ho robeha ha karolo ea boraro (kotsi e phahameng ka ho fetisisa ea AVN), mela ea ho robeha e otlolohileng / e oblique, le linyeoe tsa pele tsa tlhahlobo.
E etsa hore setsoe se se ke sa sisinyeha ho 90°, forearm, letsoho le monoana o motona.
E fana ka botsitso bo boholo ka ho felisa ho potoloha ha forearm.
spica cast ea letsoho le lekhutšoane:
E loketse bakeng sa fractures ea boraro ea distal, fractures ea tuberosity, le fractures e tsitsitseng ea bohareng ba letheka (morao-rao).
E fana ka matšeliso a mangata empa botsitso bo fokolang.
Ho lokisa ka hare
Screw Compression Screw (Herbert Screw)
Hajoale maemo a khauta a ho robeha ha letheka la scaphoid.
Herbert Cannulated Compression Screw
Bevelled Cannulated Herbert Screw
Kirschner Wire (K-wire) Tokiso
Mokhoa oa setso empa o na le thuso, hangata e le tlatsetso.
Melemo : e feto-fetoha, e theko e tlaase, ho senyeha ho fokolang ha vascularity.
Mathata : e sa tsitsang, e hloka ho lokisoa ka ntle, kotsi ea tšoaetso, ho tlosoa ho hlokahalang kamora ho fola.
Lipontšo : ho robeha ha bana, ho lokisoa ha nakoana ho ntse ho tsoela pele, ho kopanya le ho lokisa screw.
Cannulated Screw e entsoe ka khoele e itseng
Cannulated Screw e entsoe ka khoele e itseng
Scaphoid Nonunion
Ka lebaka la phepelo ea eona e ikhethang ea methapo, letheka la scaphoid le ho robeha ha proximal ho na le monyetla oa ho ba nonunion le AVN.
Kalafo : Ho kenngoa ha masapo (e seng vascularized kapa vascularized) ho kopantsoe le ho lokisa ka hare (Herbert screw kapa K-wire). Ho beoa ka mokhoa o nepahetseng oa li-graft le ho khutlisetsa boreleli holim'a articular ho bohlokoa. Maemong a mang, radial styloidectomy e ka hlokoa haeba ho hlahella ha lesapo ho kenella nakong ea ho sisinyeha ha letsoho.
Global Top 10 Herbert Screw Suppliers le CZMEDITECH Kakaretso ea Sehlahisoa
Kalafo ea fractures ea scaphoid ke ea bohlokoa haholo-eseng feela bakeng sa ho tsosolosa letsoho la letsoho empa hape le ho boloka boleng ba bophelo ba bakuli le bokhoni ba ho sebetsa. Ho khetha sesebelisoa se nepahetseng sa ho lokisa ka hare ke senotlolo sa ho thibela mathata, ho finyella ho lokisoa hantle, le ho khothalletsa tsosoloso.
Har'a li-implants tse fapaneng, ho Herbert Screw e hlahella ka lebaka la moralo oa eona o ikhethang le ts'ebetso e netefalitsoeng ea bongaka, e e etsa e 'ngoe ea lisebelisoa tsa bohlokoa taolong ea fracture ea scaphoid.
Bafepedi ba 10 ba Phahameng ka ho Fetisisa ba Herbert Screw Lefatšeng ka Bophara
| Lebitso |
la Khamphani |
Letšoao la |
| 1 |
DePuy Synthes |
![Herbert Cannulated Compression Screw]() |
| 2 |
Stryker |
![Herbert Cannulated Compression Screw]() |
| 3 |
Zimmer Biomet |
![Herbert Cannulated Compression Screw]() |
| 4 |
Arthrex |
![Herbert Cannulated Compression Screw]() |
| 5 |
Smith & Mochana |
![Herbert Cannulated Compression Screw]() |
| 6 |
Sehlopha sa Bongaka sa Wright |
![Herbert Cannulated Compression Screw]() |
| 7 |
Acumed |
![Herbert Cannulated Compression Screw]() |
| 8 |
aap Implantate AG |
![Herbert Cannulated Compression Screw]() |
| 9 |
Orthofix |
![Herbert Cannulated Compression Screw]() |
| 10 |
CZMEDITECH |
![Herbert Cannulated Compression Screw]() |
CZMEDITECH Herbert Screw Products
E le moetsi ea ka sehloohong oa Sechaena le mofani oa lisebelisoa tsa masapo, CZMEDITECH e fana ka potefolio e feletseng ea Herbert Screw e etselitsoeng ho robeha ha scaphoid le likotsi tse ling tse nyenyane tsa masapo.
Likarolo tsa Bohlokoa:
Moqapi oa khatello ea hlooho e se nang hlooho: o netefatsa ho lokisoa ho tsitsitseng ha o ntse o fokotsa ho halefisoa ke articular cartilage.
Botsitso bo phahameng ba biomechanical: compression e ka tšeptjoang ea li-interfragmentary e khothalletsa bonngoe bo tiileng.
Likhetho tsa lisebelisoa: li fumaneha ka tšepe ea boleng ba bongaka le alloy ea titanium, e nang le biocompatibility e ntle haholo le ho hanyetsa kutu.
Tšebelisano e fokolang e fokolang: e loketse mekhoa ea percutaneous le e bulehileng.
Litlhaloso tse ngata: mefuta e mengata ea bophara le bolelele ho sebetsana le litlhoko tse fapaneng tsa kliniki.
Melemo ea Kliniki:
E thusa ho fola ka potlako le ka ts'epo ea ho robeha ha scaphoid, haholoholo ho kotsi e kholo ea letheka le ho robeha ha lipalo.
E thusa ho bokella letsoho kapele, ho fokotsa ho satalla le ho ntlafatsa ts'ebetso ea ho hlaphoheloa.
Haholo-holo e theola kotsi ea ho se kopane le AVN ha e bapisoa le mekhoa e tloaelehileng ea ho lokisa.
Lihlahisoa tsa CZMEDITECH
