Ngaba uyazi ukuba ulungisa njani i-metacarpual typlity?

I-Metacactophalangeal Proctures i-ractures eqhelekileyo kwi-Trauma, i-accounting malunga ne-1/4 yazo zonke izigulana ezigudileyo zezandla. Ngenxa yobungakanani besandla kunye nobunzima bemoto kwaye ulawulo lwemoto entle, ukuphathwa kwesandla kubaluleke kakhulu kwaye kunzima kakhulu kunonyango lwezinto ezinde.

Ukuqinisekisa ukuzinza kwengquko emva kokuphinda kwenziwe i-Retusping sisitshixo sempumelelo ye-Metacarphalangeal fecture. Ukulungisa umsebenzi wesandla, ukwaphuka kudla ngokufuna ukulungiswa okufanelekileyo, kwaye kwixesha elidlulileyo, ukulungiswa kwangaphandle kunye nokulungiswa okungalunganga kwe-kirschner, kwaye kusetyenzwa kakhulu ekubuyiselweni kokuhlaziywa kwe-kimerchner, kuzisa ubunzima ekusebenzeni kwakhona isandla.

Iindlela zonyango zanamhlanje zinokusebenzisa ukulungiswa okuqinileyo, njengokulungiswa kweplate ye-microw.

Imigaqo yoNyango

Imigaqo-nkqubo yonyango lwe-mequacarpal kunye ne-phalangel ye-phalangel yesandla yile: i-anatomic reupsung, isibane kunye nokuhamba okuqinileyo, ukushukumiseka okuqatha kunye nokuzilolonga okokuqala kunye nokuzilolonga. Imithetho-siseko yonyango lwe-Intra-Articular kunye ne-Pearicular yesandla iyafana nezona zinto zixhaphakileyo ze-intra ezinobugcisa: Ukubuyiselwa kwe-anatomy yomgangatho wobugcisa kunye nomsebenzi wangoko. Unyango lwe-Metacacarpal kunye ne-phalangel gwenxa yesandla kufuneka kuzame ukufezekisa ukusasazwa kwe-anatomic ngaphandle kokujikeleza, i-Angtoral Angtory> 10 ° kwi-dorsal ye-PARS. Ukuba isiphelo sokuphela kwe-rackire se-metacarpal sijikelezwe okanye sikhutshiwe kamva kwi-engile, iya kutshintsha indlela eqhelekileyo yokutshintsha kunye nokuhamba komnwe, ebangela ukuba ityhutyha okanye iwile ukusuka kwi-clexion imisebenzi yomsebenzi; Ngelixa i-angular ye-Angular> I-10 ° kwi-dorsum ye-Palm iya kutshabalalisa umphezulu wethambo kunye no-tendon, ukwandisa ukulimala okungapheliyo kwi-tendon, i-tendon i-tendon upupere. Umngcipheko wokugcuma kweTendon.

I-metacarpal kunye ne-phalangeal quatures ziyafana nokukwazi kwabo ukunyamezelana nokungasebenzi, ngelixa i-metacarpal inyamezele ukufuduswa kwempahla kunye ne-angular ye-angular ibhetele kune-chalangel. I-carpometarpal kunye ne-metacarpophallangeal paunts inokuhlawula i-Angulacarpal, kwaye umnwe omncinci uhlengahlengiswe kwi-Angcular Priment ye-metacarpal ngaphezulu kwesalathiso somnwe ophakathi. Ukucuthwa kwe-Grip Gip ngenxa ye-Intrinsic Sundling Sporth Live ibonakale ibonakala kuphela xa i-metacarpul ichatshaze ngaphezulu kwe-30 ° kwicala le-dorsal.

Inkqubo yoNyango

Inkqubo yoNyango yeFilmecarpal Fractures ilula kwaye ngokubanzi isebenzisa indlela ye-dosal, njengoko kubonisiwe kumzobo 4-14. I-nquacarpal yesibini yenziwa ngobuhlupheki ngelixa i-metacarpal yenzwane yenziwe inyibiliki, kwaye i-metacarpals yesithathu neyesine kunye neyesine ihlala iqaqanjelwa. Ukuba iisentimitha ezikufuphi ezimbini zisebenza kwangaxeshanye, i-Imering ye-S-D-Deapen ye-SED isetyenziselwa ukuthathela ingqalelo zombini iindawo zotyando.

Ukukhetha indlela emiselweyo

Zininzi izinto zokulungisa zangaphakathi ze-Metacacantpofeangeal Procutres, ezinjenge-Kirschner Pins, isikhafu, iipleyiti kunye neeplanga zangaphandle, phakathi kwezinto ze-kirschner kunye nee-mfutshane zisetyenziswa kakhulu. Kwiziqwenga ze-metacarpal, ukulungiswa kwangaphakathi kunye ne-muniplate kunezibonelelo ezibonakalayo kulungiso kunye nezikhonkwane zeKirschner kwaye zinokhethwa; Kwi-proximal proximal falanges, i-microplate ithathelwe ingqalelo ngokubanzi, kodwa xa kukho ubunzima ekubekweni kwesikhafu kwi-distangel ye-proximal fins ye-proximal ye-proximal ye-proximal ye-proximal ye-proximal ye-proximal kukhethwa ukuba iphinde ibuyiselwe umnwe ochaphazelekayo; Ukuphathwa kweengcaciso eziphakathi ze-chalangeal, izikhonkwane zeKirschner kufuneka zithandwa.

Inaliti ye-1, inaliti yeKirschner: 

I-Kirschner ye-Inale yangaphakathi ye-Kirschner isetyenziswe kwikliniki iminyaka engaphezu kwama-70 kwaye yeyona nto isetyenziswayo isetyenziswa kakhulu kwi-MetacacarpoangealOngeal Practions, enoqoqosho kwaye isebenza kwi-4-15. Njengoko eyona nto isetyenziswayo isetyenziswa kakhulu ekusombululeni ukwaphuka kwesandla, kusetyenziswa ngokubanzi. 

IINGXAKI ZOKULUNGISELELWA NGEXESHA LOKUXELWA NGE-KISCHERNER:

Kulula ukusebenza kwaye iguqulwe kakhulu ekusebenziseni; 

② I-TIDE ye-tity yezicubu ezithambileyo, ifuthe elincinci kwigazi ekuphumeni kwegazi kwisiphelo sokuqhekeka, kancinci utyando oluncinci, kwaye lithanda ukuphilisa ukuphiliswa; 

③ Ukubuyisa ngokulula kwePIN; 

④ Ixabiso eliphantsi kunye nesicelo esibanzi, lingenziwa kwi-qualupo lesandla (njengokuqhekeka kwe-intra 

Izinto ezingalunganga zolungiso lwangaphakathi: 

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(2) Akukho mpembelelo yokucinezelwa kokuphela kokuphela; 

(3) Indawo edibeneyo yonakele ukulungiswa okudibeneyo; 

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Ngophuhliso olukhawulezileyo lweendlela zendlela yangaphakathi yokulungisa yanamhlanje kunye nezixhobo, ukulungiswa kwangaphakathi kunye nezikhonkwane zeKirschner ziye zacokiswa, kwaye uninzi lwazo lunokulungiswa ngaphandle koqeqesho lokudibana nomsebenzi odibeneyo. Ngoncedo lomatshini we-C-Arm X-Ray, iimeko ezithile zinokufezekisa iziphumo ezanelisayo ngokuncitshiswa kwangaphakathi kunye nefuthe kwigazi, ngenxa yoko ukukhuthaza ukuphilisa ukwaphuka. 

Amanyathelo okhuseleko kulungiso lwangaphakathi kunye nezikhonkwane zeKristen: 

① Gcwalisa iibhloko ezinkulu zethambo kunye ne-Kristen Pins ye-1.0 ~ 1.2 mm ubukhulu, kwaye ubone inqaku lokungena kunye nolwalathiso lokungena ngokwendlela yomgca wokuqhekeka; 

② Ngenjongo yokubuyisela umgca wemigca, ukwaphuka kwe-intra-factures kufuneka kube kulungiswe ngokucacileyo kwaye kulungiswe ngamandla; 

Ayizizo zonke iibhloksi zethambo kufuneka zilungiswe ngezikhonkwane zeKristen, kwaye phantsi kwendawo yokufezekisa ukuphela kokuphela kokuphela, i-kristen isetyenziswe kancinci kangangoko kunokwenzeka; 

I-kristen i-kristen pins azilungisi kwi-tendon okanye i-dorsal thedon membrane yomnwe ukudala umthambo kwangoko kangangoko kunokwenzeka; 

⑤ kufanele ukuba kubekho isicwangciso esingqongqo esikhethekileyo kwaye singaphindi utyaniselayo ukusebenza, kungenjalo ibhloko yokuqhekeka isenokuba ityhelwe ngakumbi okanye ingafumaneki; 

Ngokubanzi iphini ye-kirchner kufuneka ibekwe kulusu ukunciphisa ithuba losulelo kwaye akukho nzima ukuyisusa.

I-2, i-Metacactal Micro: 

Ukulungiswa kwangaphakathi kwesandla sisiseko sokuzivocavoca kwangoko kwaye kuyimfuneko ukubuyisela umsebenzi wokuphela kwesandla kunye nokuzinzisa ukuphela kokuphela kwe-phramical, ekwakugxininiswa kokuhamba ngokuqatha. I-AO ikwagxininisa iinkqubo ezihlaselayo ezincinci ezijolise ekugcineni ukuhamba kwegazi. Ukulungiswa kwe-Microplate Ukulungiswa ngaphakathi kwengqokelela yesandla ibonelela ngeziphumo ezanelisayo ngokwamandla, uzinzo lokuphela kokuphela kunye noxinzelelo phakathi kweziphelo. Ngokwendawo yokubuyisela kwimeko yesiqhelo, ukwahlula ixesha lokuphilisa ixesha kunye nexabiso losulelo xa kuthelekiswa, ukusebenza kweepleyiti ze-titanium ze-titanium kuqhutywa kakhulu kunoko bekubuyela kwangoko kubomi obuqhelekileyo bobomi obuqhelekileyo besigulana esiqhelekileyo.

Izibonelelo zonyango lwe-pucings 

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I-3. I-microssssts.

Ukulungiswa kwe-microsSsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSTREWS OKANYE IXESHA LOKUGQIBELA LESIQINISEKISO SOKUGQIBELA NJENGOKO SESIQINISEKISO SE-STEEL, kodwa indawo ethambileyo ye-perting kunye nokukhuselwa kwe-pielisteul incinci kuneso sithuba sokuhamba kancinci. Nangona kukho i-T-kunye ne-splices ye-T Izikrelemnqa zikrokrela i-bone cortex iyakwazi ukumelana noxinzelelo olukhulu ngakumbi, ke ukulungiswa kuqinile kwaye kunokubeka uxinzelelo phakathi kwefrackere kuphelisa impilo, njengoko kubonisiwe kumzobo 4-18. microscrews are mainly used for oblique or spiral fractures of the diaphysis and intra-articular avulsion fractures of larger bone masses. Kubalulekile ukuba uqaphele ukuba ubude bentambo yokuqhekeka kufuneka bube kabini kubini ububanzi be-diaphysis xa kulungiswa i-biquique okanye ububanzi besithuba se-thracialion xa ulungisa iibhlukhwe ze-Intra.

I-4. I-Munication ye-Minication ye-Medication ye-race.

I-Medicarpophallangealpophalangeal fictures ngamanye amaxesha kunzima ukuseta kwakhona i-anatomically nokuba i-chiecical kunye ne-subgecion okanye ayinakulungiswa ngaphakathi kuba ithambo litshatyalalisiwe kuba ithambo litshatyalalisiwe kuba ithambo litshabalalisiwe. I-brace yokulungisa yangaphandle ivumela ukuqhekeka okhethiweyo ukuba iphinde ibuyele kwaye igcine ubude bayo phantsi kwesiphumo sengqungquthela, idlala indima eqingqiweyo, njengoko kubonisiwe kumzobo 4-19. Ukubekwa kwe-race yokulungisa ngaphandle kwahluka kwii-metacarpals ezahlukeneyo: I-1st kunye ne-2nd ye-2nd ifakwe kwicala le-Dorsal Rader, kwaye i-DASRAN CARD ngokwemeko yokuthintela ukwenzakala kwi-tendon. I-qualups ezivaliweyo zinokuvalwa kwaye ziphinde zenziwe phantsi kwe-X-ray, kwaye izithuba ezincinci zinokwenziwa ukuba zincedise ekubuyiseleni kwakhona ukuba indawo yokuhlala ayilunganga.

Izibonelelo zokubheja kwangaphandle.

(1) Kulula ukusebenza kwaye unokuhlengahlengisa izisu ezininzi zokuphela kokuphela;

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Ungayithenga njani i-orphopents kunye nezixhobo ze-orthopedic?

Kuba I-CZMEDICH , sinomgca opheleleyo wemveliso ye-Orthoric utyanSpents kunye nezixhobo ezihambelana nayo, iimveliso kubandakanya i-spine ifakinti, izipikili ze-intramellary, Iplate ye-Mouma, Ukutshixa iplate, I-cranial-maxillofacial, I-Prosthesis, Izixhobo zamandla, Abalungisi bangaphandle, I-Arthroscopy, Inkathalo yonyango lwezilwanyana kunye neeseti zesixhobo zazo.

Ukongeza, sizimisele ukuqhubeka nokuphuhlisa iimveliso ezintsha kunye nokwandisa imigca yemveliso, ukuze kuhlangatyezwane neemfuno zonyango noogqirha kunye nezigulana, kwaye zenze ukuba inkampani yethu ikhuphisane kwishishini le-Orthopenic yeHlabathi yeHlabathi.

Sithumela ilizwe liphela, ukuze unako Nxibelelana nathi kwi-imeyile ye-imeyile Ingoma Ingoma Ingoma ye-imeyile I-Ngcebiso yasimahla, okanye uthumele umyalezo kwi-whatsapp yokuphendula ngokukhawuleza + 86- 18112515727 .

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