Ukuqhekeka kwe-scaphoid
Ukuqhekeka kwe-scaphoid yeyona nto ixhaphakileyo ye-carpal fracture, ibalwa malunga ne-70% yazo zonke iifractures zamathambo e-carpal. Ngenxa yobume bayo obukhethekileyo be-anatomical ngaphakathi kwelungiselelo lethambo le-carpal, i-scaphoid fractures entsha ihlala iphoswa kukuxilongwa kweklinikhi. Ngaphezu koko, i-vascular supply ye-scaphoid ibeka phambili izigulane kwiingxaki ezifana ne-nonunion, i-avascular necrosis (AVN), kunye nokungazinzi kwe-carpal kwizigaba ezilandelayo. Ngokweklinikhi, i-scaphoid fractures inzima ukuyinyanga kwaye ihlala ishiya i-sequelae njengentlungu eqhubekayo yesandla, ukukhawulelwa kweendlela zokuhamba, kunye nesifo samathambo sasemva kwentlungu.
Indima ekhethekileyo ye-Anatomical ye-Scaphoid
I-scaphoid lelona thambo lide kumqolo we-carpal, elimile okwephenyane elincinane (kungoko igama elithi 'scaphoid'). Idibanisa phakathi kwemigca ye-carpal ehamba phambili kunye ne-distal, idlala indima ebalulekileyo ekuzinziseni nasekudibaniseni imiqolo yomibini. Ukunyakaza okuqhelekileyo kwesandla, kubandakanywa ukujikeleza, ukwandiswa, ukuphambuka kwe-radial, kunye nokuphambuka kwe-ulnar, konke kuxhomekeke kwintshukumo edibeneyo ye-scaphoid. Nje ukuba iqhekeziwe, i-biomechanics ye-wrist joint yonke iyaphazamiseka.
Ubonelelo lweMithambo ebuthathaka
I-scaphoid ifumana unikezelo lwegazi ikakhulu kumasebe omthambo wemitha yemitha, engena ukusuka kumqolo osezantsi kunye ne-distal pole:
Malunga ne-70–80% yokuqukuqela kwegazi ingena nge-distal tubercle, equkuqelayo ebuyela umva ukondla i-proximal pole.
Kuphela ngamasebe ambalwa angena ngokuthe ngqo kwi-proximal pole.
Iziphumo:
I-fracture isondele kwi-pole proximal, ingozi enkulu yokuphazamiseka kwe-vascular.
Emva kokuba ukuhamba kwegazi kuphazamisekile, i-proximal fragment ixhomekeke kakhulu kwi-AVN kunye ne-nonunion.
I-Common Injury Mechanism
Eyona ndlela ixhaphakileyo yokulimala kukuwela kwisandla esoluliweyo (FOOSH) .Xa besiwa, abantu ngabanye banweba ingalo ngokwethuku kwaye basasaze iminwe ukuze ifunxe impembelelo ngesundu. Le ndlela yokulimala rhoqo iye yatsala ingqalelo enkulu yeklinikhi kunye nophando, kwaye ibhekiswa ngokubanzi ngesifinyezo esithi FOOSH.
Ukulibaziseka kokuxilongwa kwe-Scaphoid Fracture
I-scaphoid fractures ihlala ibangelwa kukwenzakala kwe-FOOSH. Kwiimeko ezincinci, iimpawu zinokukhawulelwa kwiintlungu ezincinci zesandla, ezikhokelela izigulane ukuba zingakuhoyi ukufuna unyango. Nangona ii-X-rays (i-AP kunye neembono ezisecaleni) zithathwa, iifractures zisenokungabonakali ngokukhawuleza. Izigulane zingabuya emva kweenyanga kunye neentlungu zesandla eziqhubekayo, apho ukucinga kubonisa ukuphuka okungapheliyo kwe-scaphoid-ngokuphawulekayo ukulibazisa ukuxilongwa kunye nokulahlekelwa yifestile yonyango olufanelekileyo.
Iingcebiso eziphambili zoxilongo:
Imifanekiso ye-X-reyi kufuneka yenziwe kuwo onke amanxeba esihlahleni, kubandakanywa neembono ze-scaphoid xa kurhanelwa ukwaphuka.
Ukuba i-X-reyi ayinayo kodwa ukukrokra kusele, i-immobilization kufuneka isetyenziswe, kulandele ukuphinda umfanekiso emva kweeveki ezi-2.
Ukunyanzeliswa kwangoko kunokusebenza njengenyathelo lokuxilonga kunye nelonyango.
Iinketho zonyango
Ukulungiswa kwangaphandle
Ukwaphuka okutsha, okungekho ndawo kunokunyangwa ngokungakwazi ukuhamba. Nangona kunjalo, ukulungiswa kufuneka kube nzima ukuqinisekisa ukuphilisa. I-plaster standard okanye i-resin splints inokusilela ukulawula ukujikeleza kwesandla kunye ne-forearm, ukunciphisa ukuzinza.
I-Plaster Cast Immobilization:
Ubhontsi we-spica wengalo emide:
Ibonakaliswe kwi-proximal one-third fractures (ingozi ephezulu ye-AVN), imigca ye-vertical / oblique fracture, kunye namatyala okuxilongwa kokuqala.
Ingqiniba ayishukumi ku-90°, ingalo, isihlahla kunye nobhontsi.
Ukubonelela ngokuzinza okuphezulu ngokuphelisa ukujikeleza kwe-forearm.
Ubhontsi we-spica wengalo emfutshane:
Ifanelekile kwi-distal fractures yesithathu, i-tuberosity fractures, kunye ne-stable mid-waist fractures (inqanaba kamva).
Inika intuthuzelo ngakumbi kodwa uzinzo oluncinci.
Ukulungiswa kwangaphakathi
Isikruru sokuNxinzelela esingenantloko (Herbert Screw)
Okwangoku umgangatho wegolide we-scaphoid waist fractures.
Herbert Cannulated Compression Screw
Bevelled Cannulated Herbert Screw
I-Kirschner Wire (K-wire) Ukulungiswa
Indlela yesiko kodwa eluncedo, ehlala idibanisa.
Iinzuzo : ukuguquguquka, okungabizi, ukuphazamiseka okuncinci kwe-vascularity.
Izinto ezingeloncedo : ukuzinza kancinci, kufuna ukulungiswa kwangaphandle, umngcipheko wosulelo, ukususwa okufunekayo emva kokuphiliswa.
Izibonakaliso : Ukwaphuka kwabantwana, ukulungiswa kwexeshana kwi-comminution, i-adjunct to screw fixation.
I-Cannulated Screw enomsonto omncinci
I-Cannulated Screw enomsonto omncinci
I-Scaphoid Nonunion
Ngenxa yokunikezelwa kwayo kwee-vascular, i-scaphoid waist kunye ne-proximal fractures ixhomekeke kwi-nonunion kunye ne-AVN.
Unyango : Ukuxutywa kwamathambo (okungeyona i-vascularized okanye i-vascularized) edibeneyo nokulungiswa kwangaphakathi (i-Herbert screw okanye i-K-wire). Ukubekwa kwegrafti ngokuchanekileyo kunye nokubuyiselwa kwe-articular surface egudileyo kubalulekile. Kwezinye iimeko, i-radial styloidectomy inokufuneka ukuba ukubonakala kwethambo kuphazamisa ngexesha lokuhamba kwesandla.
IGlobal Top 10 Herbert Screw Suppliers kunye neCZMEDITECH Overview yeMveliso
Ukunyangwa kwe-scaphoid fractures kubaluleke kakhulu-kungekhona nje ukubuyisela ukusebenza kwesandla kodwa nokugcina umgangatho wobomi bezigulane kunye nokukwazi ukusebenza. Ukukhetha isixhobo esifanelekileyo sokulungiswa kwangaphakathi ngundoqo ekuthinteleni iingxaki, ukufezekisa ukulungiswa okuchanekileyo, kunye nokukhuthaza ukubuyisela.
Phakathi kwezinto ezahlukeneyo zokufakelwa, i I-Herbert Screw ivelele ngenxa yoyilo olukhethekileyo kunye nokusebenza kweklinikhi eqinisekisiweyo, okwenza ibe sesona sixhobo sibalulekileyo kulawulo lwe-scaphoid fracture.
Top 10 Herbert Screw Suppliers kwihlabathi jikelele
| Isikhundla |
Inkampani Igama |
Ilogo |
| 1 |
DePuy Synthes |
![Herbert Cannulated Compression Screw]() |
| 2 |
Stryker |
![Herbert Cannulated Compression Screw]() |
| 3 |
Zimmer Biomet |
![Herbert Cannulated Compression Screw]() |
| 4 |
I-Arthrex |
![Herbert Cannulated Compression Screw]() |
| 5 |
USmith kunye noMtshana |
![Herbert Cannulated Compression Screw]() |
| 6 |
Wright Medical Group |
![Herbert Cannulated Compression Screw]() |
| 7 |
Acumed |
![Herbert Cannulated Compression Screw]() |
| 8 |
aap Implantate AG |
![Herbert Cannulated Compression Screw]() |
| 9 |
I-Orthofix |
![Herbert Cannulated Compression Screw]() |
| 10 |
CZMEDITECH |
![Herbert Cannulated Compression Screw]() |
CZMEDITECH Herbert Screw Products
Njengomvelisi ohamba phambili waseTshayina kunye nomthengisi we-orthopedic implants, i-CZMEDITECH inikeza iphothifoliyo ebanzi ye-Herbert Screws elungiselelwe ukuphuka kwe-scaphoid kunye nokunye ukulimala kwamathambo amancinci.
Ezona mpawu:
Uyilo loxinzelelo olungenantloko: luqinisekisa ukulungiswa okuzinzile ngelixa unciphisa ukucaphuka kwe-articular cartilage.
Ukuzinza okuphezulu kwe-biomechanical: ukunyanzeliswa okuthembekileyo kwe-interfragmentary kukhuthaza umanyano oluqinileyo.
Izinketho zezinto eziphathekayo: zifumaneka kwi-medical-grade stainless steel kunye ne-titanium alloy, kunye ne-biocompatibility egqwesileyo kunye nokuxhathisa ukubola.
Ukuhambelana okuncinci okungenelelayo: kufanelekile kuzo zombini iindlela zokujonga kunye nezivulelekileyo.
Iimpawu ezininzi: uluhlu olubanzi lweedamitha kunye nobude bokujongana neemfuno ezahlukeneyo zekliniki.
Izinto eziluncedo kwezonyango:
Iququzelela ukuphiliswa ngokukhawuleza kunye nokuthembekileyo kwe-scaphoid fracture, ngakumbi kumngcipheko ophezulu wesinqe kunye nokwaphuka kweepali.
Yenza ukuhlanganiswa kwesandla kwangoko, ukunciphisa ukuqina kunye nokuphucula ukubuyiswa kokusebenza.
Ukunciphisa kakhulu umngcipheko we-nonunion kunye ne-AVN xa kuthelekiswa neendlela zokulungisa zendabuko.
Iimveliso ze-CZMEDITECH
