I-Arthrodesis ye-Wrist Joint Locking Plate: Isikhokelo esiBanzi

I-Arthrodesis ye-wrist joint yinkqubo yotyando ejolise ekudibaniseni amathambo esihlahla kunye, ukuphelisa ukunyakaza kwamalungu kunye nokunciphisa intlungu. I-Wrist arthrodesis isoloko isenziwa kwizigulane ezine-arthritis enzima yesandla, ukwenzakala okubuhlungu, okanye utyando lwesandla olungaphumeleliyo. Kweli nqaku, siza kuxubusha ukusetyenziswa kwamacwecwe okutshixa kwi-wrist arthrodesis, inkqubo ngokwayo, inkqubo yokubuyisela, kunye neengxaki ezinokubakho.

Ukuqonda iWrist Arthrodesis

Yintoni iWrist Arthrodesis?

I-Wrist arthrodesis yinkqubo yotyando ebandakanya ukudibanisa amathambo esihlava. Injongo yenkqubo kukuphelisa ukunyakaza okuhlangeneyo kunye nokunciphisa intlungu. I-Arthrodesis inokwenziwa nakweyiphi na imilenze yesandla, kubandakanywa i-radiocarpal, i-intercarpal, kunye ne-carpometacarpal joints.

Kutheni iWrist Arthrodesis Yenziwa?

I-Wrist arthrodesis ngokuqhelekileyo yenziwa kwizigulana ezine-arthritis enzima yesandla, ukwenzakala okubuhlungu, okanye utyando lwesandla olungaphumeleliyo. I-Arthrodesis inokucetyiswa kwizigulane ezineemeko ezithile zokuzalwa, ezifana nokukhubazeka kukaMadelung okanye isifo sikaKienbock.

Ziziphi iiNzuzo zeWrist Arthrodesis?

Inzuzo ephambili ye-arthrodesis yesandla kukunciphisa intlungu. Ngokudibanisa amathambo kunye, umdibaniso uzinzile kwaye intlungu iyancitshiswa. I-Arthrodesis inokuphucula amandla okubamba kunye nokusebenza kwesandla kwezinye iimeko.

Yintoni imingcipheko yeArthrodesis yeSihlalo?

Imingcipheko ephambili ye-arthrodesis ye-wrist ayikho i-union (apho amathambo ehluleka ukudibanisa kunye), i-malunion (apho amathambo adibanisa kwindawo engaphantsi), kunye nokusuleleka. Ukongeza, i-wrist arthrodesis inokunciphisa uluhlu lwesandla sokunyakaza kwaye ichaphazele umsebenzi wezandla jikelele.

Ukusetyenziswa kweePlayile zokutshixa kwi-Wrist Arthrodesis

Yintoni iipleyiti zokutshixa?

Iipleyiti zokutshixa ziyi-orthopedic implants ezisetyenziselwa ukuzinzisa amathambo ngexesha lokuphulukisa ukuphuka okanye ukudibanisa ngokubambisana. Iipleyiti zokutshixa zinoyilo olukhethekileyo lwe-screw oluvumela ukuba badibanise nethambo ngendlela amacwecwe emveli angenayo.

Kutheni iipleyiti zokutshixa zisetyenziswa kwiWrist Arthrodesis?

Iipleyiti zokutshixa zihlala zisetyenziswa kwi-wrist arthrodesis kuba zibonelela ngozinzo oluphezulu xa kuthelekiswa namacwecwe emveli. Oku kubaluleke kakhulu kwizigulane ezinomgangatho ophantsi wamathambo, njengoko iiplati zokuvala zingakwazi ukufezekisa ukulungiswa kwezi meko apho iiplati zendabuko zingenako.

Zisetyenziswa njani iipleyiti zokutshixa kwiWrist Arthrodesis?

Ngexesha lotyando lwe-arthrodesis yesandla, amathambo esihlahleni alungiselelwa ukudityaniswa. Nje ukuba amathambo alungelelaniswe kakuhle, ipleyiti yokutshixa ibekwe phezu kwethambo ize ikrwelwe endaweni yayo. Izikrufu ezisetyenziselwa ukuvala ipleyiti yokutshixa ziyilelwe ukuzibandakanya nethambo ngendlela izikrufu zemveli ezingenakho.

Zeziphi izinto eziluncedo zokusebenzisa iipleyiti zokutshixa kwiWrist Arthrodesis?

Ukusetyenziswa kweepleyiti zokutshixa kwi-wrist arthrodesis kuneenzuzo ezininzi, kubandakanywa ukuzinza okunyukayo, ukunciphisa umngcipheko wokukhulula i-screw, kunye nokukwazi ukufezekisa ukulungiswa kwiimeko zomgangatho ophantsi wamathambo.

Inkqubo yeArthrodesis yeSihlalo

UCwangciso lwaphambi kokuSebenza

Ngaphambi kotyando lwe-arthrodesis yesandla, ugqirha wakho uya kwenza uvavanyo olucokisekileyo lwesandla sakho kunye nempilo yonke. Oku kunokubandakanya i-X-rays, i-CT scans, okanye i-MRI scans ukuvavanya ubungakanani be-arthritis yesandla sakho okanye ezinye iimeko.

I-anesthesia

Utyando lwe-arthrodesis yesandla ngokuqhelekileyo lwenziwa phantsi kwe-anesthesia jikelele. Kwezinye iimeko, i-anesthesia yendawo kunye ne-sedation ingasetyenziswa.

Ukusika kunye nokuVeliswa

Ugqirha wotyando uya kwenza umzobo phezu kwesihlahla ukuze aveze amathambo. Ulusu kunye nezicubu ezithambileyo zihlulwe ngononophelo ukufikelela kwi-wrist joint.

Ukulungiswa Kwethambo

Amathambo okudibanisa isihlahla alungiselelwe ukudibanisa ngokususa i-cartilage kunye nokubumba amathambo ukuze ahlangane ngokufanelekileyo. Ugqirha wotyando unokusebenzisa uxhulumaniso lwamathambo ukunceda kwinkqubo yokudibanisa.

Ukubekwa kwePleti kunye nokulungiswa

Xa amathambo elungisiwe, ipleyiti yokutshixa ibekwe phezu kwethambo kwaye ikrwelwe endaweni. Izikrufu ezisetyenziselwa ukuvala ipleyiti yokutshixa ziyilelwe ukuzibandakanya nethambo ngendlela izikrufu zemveli ezingenakho.

Ukuvala

Emva kokuba ipleyiti kunye nezikrufu zisendaweni, i-incision ivalwe nge-sutures okanye i-staples. I-cast okanye i-splint inokuthi ifakwe esihlahleni ukunceda kwinkqubo yokuphilisa.

Inkqubo yoBuyiselo

Ukhathalelo lwasemva kotyando

Emva kotyando lwe-wrist arthrodesis, uya kujongwa ngokusondeleyo esibhedlele ngazo naziphi na iimpawu zeengxaki. Unganikwa amayeza eentlungu kunye namayeza okubulala iintsholongwane ukuthintela usulelo.

Ukungashukumi

Isandla siya kufakwa kwisamente okanye intsimbi kangangeeveki ezininzi ukuvumela ukuphiliswa ngokufanelekileyo. Unyango lomzimba lunokucetyiswa ukuba luncede ekubuyiseleni.

Buyela kwiMisebenzi yesiqhelo

Uninzi lwezigulana zinokulindela ukubuyela kwimisebenzi yesiqhelo phakathi kweenyanga ezintathu ukuya kwezintandathu emva kotyando. Nangona kunjalo, kungathatha ukuya kuthi ga kunyaka ukuba ithambo lidibane ngokupheleleyo kunye nokuba isihlahla siphole ngokupheleleyo.

Iingxaki ezinokuthi zibekho

AbangengoManyano

I-non-union yingxaki enokwenzeka ye-wrist arthrodesis, apho amathambo asilela ukudibanisa ngokufanelekileyo. Oku kunokufuna utyando olongezelelweyo ukulungisa.

Malunion

I-Malunion yingxaki enokwenzeka ye-wrist arthrodesis, apho amathambo adibanisa kwindawo engaphantsi. Oku kunokubangela ukuncipha kokusebenza kwesihlahla okanye iintlungu.

Usulelo

Usulelo luyingxaki enokubakho kuyo nayiphi na inkqubo yotyando. Iimpawu zosulelo ziquka ubomvu, ukudumba, umkhuhlane, kunye neentlungu ezikhulayo.

Ukuqukumbela

I-Wrist arthrodesis yinkqubo yotyando ejolise ekudibaniseni amathambo esihlahla kunye, ukunciphisa intlungu kunye nokuphucula ukusebenza kwesihlahla. Ukusetyenziswa kwamacwecwe okutshixa kwi-wrist arthrodesis kunika ukuzinza okuphezulu xa kuthelekiswa namacwecwe endabuko, okwenza kube yinto ekhangayo kwizigulane ezinomgangatho ophantsi wamathambo. Nangona kunjalo, njengayo nayiphi na inkqubo yotyando, kukho imingcipheko enokubakho kunye neengxaki ekufuneka kuxoxwe ngazo nogqirha wakho wotyando.