I-Distal Dorsal Radial Delta Locking Plate: IsiKhokelo esiBanzi
Xa kufikwa ekunyangeni i-distal radius fractures, enye inketho abanokuqwalasela ngayo oogqirha botyando kukusetyenziswa kwepleyiti yokutshixa ye-distal dorsal radial delta. Olu hlobo lweplate luye lwafumana ukuthandwa kwiminyaka yamuva ngenxa yokukwazi ukubonelela ukulungiswa okuzinzile, ukuvumela ukuhlanganiswa kwangaphambili kunye nokubuyela ngokukhawuleza kwimisebenzi yemihla ngemihla. Kweli nqaku, siza kubonelela ngesikhokelo esibanzi kwipleyiti yokutshixa i-distal dorsal radial delta, kubandakanya izalathiso zayo, ubuchule botyando, kunye neengxaki ezinokubakho.
Intshayelelo
I-distal radius fractures yingozi eqhelekileyo, ngakumbi kubantu abadala. Ngelixa iifractures ezininzi zinokunyangwa ngokucokisekileyo ngokungahambi kakuhle, ezinye zinokufuna ungenelelo lotyando. Ukusetyenziswa kwepleyiti yokutshixa i-distal dorsal radial delta yenye indlela yotyando yolu lwando. Le pleyiti yenzelwe ukubonelela ukulungiswa okuzinzileyo ngelixa ivumela ukuhlanganiswa kwangaphambili kunye nokubuyela emsebenzini.
I-Anatomy ye-Distal Radius
Ngaphambi kokuba uxoxe ngokusetyenziswa kwepleyiti yokutshixa i-distal dorsal radial delta, kubalulekile ukuqonda i-anatomy yeradiyo ekude. I-distal radius yinxalenye yethambo lengalo elidibanisa nesihlahla. Isakhiwo esiyinkimbinkimbi esineendawo ezininzi ze-articular kunye nemigqa. Ukulimala kule ndawo kunokuhluka ngobunzima, ukusuka kwiqhekeza elincinci ukuya kwiqhekeza elipheleleyo.
Iimpawu zeDistal Dorsal Radial Delta Locking Plate
Ukusetyenziswa kwepleyiti yokutshixa i-distal dorsal radial delta inokuboniswa kwiintlobo ezithile ze-distal radius fractures. Oku kunokubandakanya:
Ukuqhekeka kwe-intra-articular
Ukuqhekeka okungapheliyo
Ukuqhekeka ngokufuduswa okubalulekileyo
Ukuqhekeka ngokulimala kwe-ligamentous engazinzanga
UCwangciso lwaphambi kokuSebenza
Ukucwangcisa kwangaphambili kubalulekile xa kuqwalaselwa ukusetyenziswa kwepleyiti yokutshixa i-distal dorsal radial delta. Oku kunokubandakanya ukufumana izifundo ezifanelekileyo zokucinga, ezifana ne-X-rays okanye i-CT scan, ukuvavanya ngokupheleleyo ukuphuka. Ukongezelela, ugqirha uya kufuna ukugqiba ubungakanani beplate efanelekileyo kunye nokumila, kunye nokubekwa ngokufanelekileyo kwezikrufu.
UbuCwangciso bokuSebenza
Indlela yotyando yokusebenzisa ipleyiti yokutshixa ye-distal dorsal radial delta ibandakanya la manyathelo alandelayo:
Ukusika kwenziwa kwiradiyasi ekude ukuvumela ukufikelela kwindawo yokwaphuka.
Ukuqhekeka kuncitshisiwe, okanye kuhlengahlengiswe, njengoko kuyimfuneko.
Ipleyiti ibekwe kwicala le-dorsal yeradius.
Izikrweqe zifakwe kwipleyiti nakwithambo ukuze likhuseleke endaweni yalo.
Ukuba kuyimfuneko, ukulungiswa okongeziweyo, njengeingcingo okanye izikhonkwane, kungasetyenziselwa ukuzinzisa ngakumbi ukuphuka.
Ukhathalelo lwasemva kotyando
Emva kotyando, izigulana zinokufuna immobilization ixesha elifutshane ngaphambi kokuba ziqale unyango lomzimba. Injongo yonyango kukubuyisela uluhlu lwentshukumo kunye namandla ngelixa ukhusela ithambo lokuphilisa. Izigulana ziyakwazi ukubuyela kwimisebenzi yemihla ngemihla kwangoko kwiiveki ezintandathu emva kokuhlinzwa, nangona ixesha lexesha lingahluka ngokuxhomekeka kubunzima bokuphuka.
Iingxaki ezinokuthi zibekho
Njengayo nayiphi na inkqubo yotyando, kukho iingxaki ezinokubakho ezinxulumene nokusetyenziswa kwepleyiti yokutshixa i-distal dorsal radial delta. Oku kunokubandakanya:
Usulelo
Ukusilela kofakelo
Imithambo-luvo okanye ukwenzakala kwemithambo yegazi
Ukuqina okanye ukulahleka koluhlu lwesindululo
Umanyano olulibazisekileyo okanye ukungabikho kokwaphuka
Iinketho zonyango olulolunye
Ngelixa ipleyiti yokutshixa i-distal dorsal radial delta inokuba lukhetho olusebenzayo lonyango kwiintlobo ezithile zokwaphuka kweradiyasi ekude, kukho iindlela zonyango ezinokuthi ziqwalaselwe ngokunjalo. Oku kunokubandakanya:
Ukucutha okuvaliweyo kunye nokuphosa: Kwizaphulelo ezingaphantsi kobunzima, ukunyanzeliswa kwesamente kunokwanela ukukhuthaza ukuphiliswa.
Ukulungiswa kwangaphandle: Oku kubandakanya ukusebenzisa izikhonkwane okanye iingcingo ezifakwe esikhumbeni nasethambo ukuze kuzinziswe ukuphuka.
Ipleyiti yokutshixa iVolar: Le yenye ipleyiti ebekwe kwicala lepalmar leradius.
Ukukhethwa kwonyango kuya kuxhomekeka kwiqhekeza elithile kunye neemfuno zesigulane kunye nezinto ezikhethwayo.
Imfundo yesigulane
Kwizigulane eziqwalasela ukusetyenziswa kwe-distal dorsal radial delta locking plate, kubalulekile ukuqonda ngokupheleleyo izibonelelo kunye nobungozi benkqubo. Izigulane kufuneka zixelelwe malunga nexesha elilindelekileyo lokubuyisela, iingxaki ezinokubakho, kunye naziphi na izithintelo kumsebenzi onokuthi uyimfuneko ngexesha lenkqubo yokuphulukisa. Ukongezelela, izigulane zifanele zikhuthazwe ukuba zibuze nayiphi na imibuzo ezinokuba nayo kwaye zithathe inxaxheba ngokukhutheleyo ekunyamekeleni kwazo.
Izalathiso zexesha elizayo kunye nezinto ezintsha
Njengayo nayiphi na itekhnoloji yezonyango, ukusetyenziswa kweepleyiti zokutshixa i-distal dorsal radial delta zihlala zivela. Kukho iinzame eziqhubekayo zokuphucula uyilo kunye nezinto ezisetyenziswa kula macwecwe, kunye nokuphuhlisa iindlela ezintsha zokubeka. Ukongeza, abaphandi baphonononga ukusetyenziswa kobunye ubuchwephesha, obufana noshicilelo lwe-3D kunye nebhayoloji, ukuqhubela phambili ukomeleza unyango lokuqhekeka kweradius distal.
Ukuqukumbela
Ukusetyenziswa kwepleyiti yokutshixa i-distal dorsal radial delta inokuba lukhetho olusebenzayo kwiindidi ezithile ze-distal radius fractures. Nangona kunjalo, kubalulekile ukuvavanya ngononophelo iimfuno zesigulana ngasinye kunye nokuqwalasela olunye unyango ngokunjalo. Ngokucwangciswa okufanelekileyo kwangaphambili, ubuchule botyando, kunye nokunyamekela emva kokuhlinzwa, izigulane zinokulindela ukufumana iziphumo ezilungileyo kwaye zibuyele kwimisebenzi yazo yemihla ngemihla.
