Distal volar radial locking plate(na xiletelo xa drill) .

I yini VA distal medial radius locking plate, .

Ulna ya le kule i xiphemu xa nkoka xa nhlangano wa distal radioulnar, lowu pfunetaka ku nyika ku rhendzeleka eka voko ra le mahlweni. Vuandlalo bya ulnar bya le kule na byona i pulatifomo ya nkoka ya ku tiya ka ti carpus na voko. Ku tshoveka loku nga tshamisekangiki ka ulna ya le kule hikwalaho ku xungeta ku famba-famba ni ku tshamiseka ka voko. Vukulu na xivumbeko xa ulna ya le kule, leswi hlanganisiweke na tinyama to olova leti fambafambaka leti nga ehenhla, swi endla leswaku ku tirhisiwa ka switirhisiwa swa ntolovelo swi tika. 2.4 mm distal ulna plate yi endleriwe hiku kongoma kutirhisiwa eka ku tshoveka ka ulna yale kule.

Swihlawulekisi & Mimbuyelo .

• Anatomically contoured ku ringanela Ulna ya le kule .

• Dizayini ya xivumbeko xa le hansi yi pfuneta ku hunguta ku hlundzuka ka tinyama to olova .

• Yi amukela swikwirikiri swo pfala swa 2.7 mm na swa cortex, leswi nyikaka angular stable fixation .

• Ti hook leti nga na tinhla ti pfuneta eku hunguteni ka ulnar styloid .

• Swikwirikiri swo pfala leswi nga ni angle swi pfumelela ku khomiwa loku sirhelelekeke ka nhloko ya ulnar .

• Swihlawulekisi swo tala swa swikwirikiri swi pfumelela swivumbeko swo hambana-hambana swa ku tshoveka leswaku swi tiyisisiwa kahle .

• Available sterile ntsena, hi nsimbi leyi nga riki na swilo swo bola na titanium .

Swihlawulekisi .

Swihumelerisiwa .	Ref .	Nhlamuselo .	Ku tiya .	Anama	Vulehi
Distal volar radial locking plate na drill guide (tirhisa 2.7 xikurufu xo pfala/2.7 cortical screw)	5100-1301 .	3 Tikhomba L .	2.5	9	49
	5100-1302 .	4 Tikhomba L .	2.5	9	58
	5100-1303 .	5 Tikhomba L .	2.5	9	66
	5100-1304 .	7 Tikhomba L .	2.5	9	83
	5100-1305 .	9 Tikhomba L .	2.5	9	99
	5100-1306 .	3 Tikhomba R .	2.5	9	49
	5100-1307 .	4 wa makhumbi R .	2.5	9	58
	5100-1308 .	5 wa makhumbi r .	2.5	9	66
	5100-1309 .	7 Tikhomba R .	2.5	9	83
	5100-1310 .	9 Tikhomba R .	2.5	9	99

distal volar radial locking plate(na drill guide): Nkongomiso lowu heleleke .

Manghenelo

Distal volar radial locking plate (DVR) i xitukulwana lexintshwa xa swirho swa marhambu leswi nyikaka ku antswisiwa ka ku khomiwa na ku tiya eka vutshunguri bya ku tshoveka ka distal radius. Plate ya DVR, loko yitirhisiwa na drill guide, yinyika ku vekiwa ka screw loku kongomeke, leswi tiyisisaka ku lulamisiwa lokunene xikan’we naku hunguta khombo ra swiphiqo. Xihloko lexi xi kongomisa ku nyika nkongomiso lowu heleleke eka pulati ya DVR hi nkongomiso wa ku bora, ku katsa na swihlawulekisi swa yona, mimpfuno, na switirhisiwa.

Anatomy ya radius ya le kule .

Ku twisisa swikombiso na matirhiselo ya DVR plate, i swa nkoka kuva na ku twisisa ka xisekelo ka anatomy ya distal radius. Radius ya le kule i xiphemu xa marhambu ya radius leyi hlanganisaka na marhambu ya carpal naswona yi vumba nhlangano wa voko. I xivumbeko xo rharhangana lexi vumbiwaka hi articular surface, metaphysis, na diaphysis.

Swikombiso swa DVR plate na drill guide .

DVR plate yi endleriwe ku tshungula ti distal radius fractures leti katsaka volar aspect ya wrist. Swikombiso swa ku tirhisiwa ka plate ya DVR swi katsa:

• Ti comminuted fractures ta distal radius .

• Ku tshoveka ka le ndzeni ka khwiri ka radius ya le kule .

• Ku tshoveka loku nga ni ku vaviseka ka ligament loku fambisanaka na kona .

• Ku tshoveka eka vavabyi lava nga ni vuvabyi bya marhambu .

Swihlawulekisi swa DVR plate na drill guide .

DVR plate leyingana drill guide yina swihlawulekisi swo hlaya swo hlawuleka leswi endlaka leswaku yiva implant leyinene eka vutshunguri bya distal radius fractures. Swihlawulekisi leswi swi katsa:

• Dizayini ya xivumbeko xa le hansi: Plate ya DVR yina dizayini ya low profile, leswi hungutaka khombo ra ku pfimba ka tendon naswona yi engetela nchavelelo wa muvabyi.

• Xivumbeko xa anatomically contoured: DVR plate yi contoured hi tlhelo ra anatomically ku fambisana na xivumbeko xa distal radius, leswi tiyisisaka ku ringanela ko antswa naswona swi hunguta khombo ra ku tsandzeka ka implant.

• Thekinoloji ya swikwirikiri swo pfala: Plate ya DVR yi tirhisa thekinoloji ya swikwirikiri swo pfala, leyi nyikaka ku lulamisiwa loku antswisiweke ni ku tiya.

• Drill Guide: DVR plate yifika na drill guide leyi tiyisisaka ku vekiwa ka screw hindlela ya kahle naswona yi hunguta khombo ra swiphiqo.

thekiniki ya vuhandzuri .

Thekiniki ya vuhandzuri yo tirhisa pulati ya DVR hi xiletelo xa drill hi leyi landzelaka:

• Muvabyi u vekiwa ehansi ka murhi wo dlaya ku pfimba hi ku angarhela, naswona ku tirhisiwa tourniquet eka voko ra le henhla.

• Endlelo ra volar ri endliwa eka distal radius, naswona ndzhawu ya fracture yi paluxiwile.

• Plate ya DVR yi contoured ku fambisana na xivumbeko xa distal radius, naswona drill guide yi khomanisiwile na plate.

• Kutani ku tirhisiwa xiletelo xa drill ku bora timbobo ta swikwirikiri swo pfala.

• Kutani pulati ya DVR yi vekiwa eka radius ya le kule, naswona swikwirikiri swo pfala swi nghenisiwa eka makhumbi lama boriweke ka ha ri emahlweni.

• Puleti yi kamberiwa leswaku yi ta tiya ni ku khomiwa, naswona xilondza xi pfariwile.

Swipfuno swa DVR plate na drill guide .

Swipfuno swa ku tirhisa plate ya DVR na drill guide ya vutshunguri bya distal radius fractures swi katsa:

• Ku antswisiwa ka ku lulamisiwa na ku tshamiseka .

• Ku hunguteka ka khombo ra swiphiqo .

• Ku vekiwa ka xikurufu hi ku kongoma .

• Nkarhi wo tirha lowu hungutiweke .

• Dizayini ya xivumbeko xa le hansi ya nchavelelo wa muvabyi lowu engetelekeke .

Nkhathalelo wa le ndzhaku ka vuhandzuri .

Endzhaku ka vuhandzuri, muvabyi u ta nyikiwa mirhi yo tshungula switlhavi naswona u ta lerisiwe eka nkhathalelo lowu faneleke wa xilondza. Vutshunguri bya miri byi nga ha tlhela byi bumabumeriwa ku pfuna muvabyi ku tlhela a kuma ku famba-famba ka voko ni matimba. Muvabyi u ta tsundzuxiwa ku papalata ku tlakusa swilo swo tala ni mintirho leyi vekaka ntshikilelo evokweni ku ringana mavhiki yo hlayanyana endzhaku ka vuhandzuri.

Swiphiqo .

Swiphiqo leswi fambisanaka ni ku tirhisiwa ka pulati ya DVR leyi nga ni xiletelo xa ku bora swi katsa ku tluleriwa, ku tsandzeka ka ku vekiwa ka xirho, ni ku vaviseka ka misiha kumbe ka misiha. Hambiswiritano, swiphiqo leswi a swi talanga naswona swi nga hungutiwa hi ku landzela endlelo leri faneleke ra vuhandzuri ni vutshunguri bya le ndzhaku ka vuhandzuri.