I-Arthrodesis ye-Wrist Joint Locking Plate: Umhlahlandlela Ophelele

I-Arthrodesis yelunga lesihlakala iyindlela yokuhlinzwa ehlose ukuhlanganisa amathambo esihlakala, kuqedwe ukunyakaza kwamalunga nokunciphisa ubuhlungu. I-arthrodesis yesihlakala ivamise ukwenziwa ezigulini ezinesifo samathambo esihlakaleni esibi kakhulu, abalimele kanzima, noma ukuhlinzwa kwesandla okuhlulekile. Kulesi sihloko, sizoxoxa ngokusetshenziswa kwamapuleti okukhiya ku-arthrodesis esihlakaleni, inqubo ngokwayo, inqubo yokululama, kanye nezinkinga ezingaba khona.

Ukuqonda Wrist Arthrodesis

Iyini i-Wrist Arthrodesis?

I-arthrodesis yesihlakala iyinqubo yokuhlinzwa ehlanganisa ukuhlanganisa amathambo esihlakala. Inhloso yenqubo ukuqeda ukunyakaza okuhlangene nokunciphisa ubuhlungu. I-Arthrodesis ingenziwa kunoma yimaphi amalunga esihlakala, okuhlanganisa amalunga e-radiocarpal, intercarpal, kanye ne-carpometacarpal.

Kungani I-Wrist Arthrodesis Yenziwa?

I-arthrodesis yesandla ngokuvamile yenziwa ezigulini ezinesifo samathambo esibi kakhulu, abalimele ngokuhlukumezeka, noma ukuhlinzwa kwesandla okuhlulekile. I-Arthrodesis ingase futhi inconyelwe iziguli ezinezimo ezithile zokuzalwa, ezifana nokukhubazeka kuka-Madelung noma isifo sika-Kienbock.

Yiziphi Izinzuzo ze-Wrist Arthrodesis?

Inzuzo eyinhloko ye-arthrodesis yesihlakala ukunciphisa ubuhlungu. Ngokuhlanganisa amathambo ndawonye, ​​ilunga liyasimama futhi ubuhlungu buyancipha. I-Arthrodesis ingabuye ithuthukise amandla okubamba nokusebenza kwesihlakala kwezinye izimo.

Yiziphi Izingozi ze-Wrist Arthrodesis?

Izingozi eziyinhloko ze-arthrodesis yesihlakala akuzona inyunyana (lapho amathambo ehluleka khona ukuhlangana ndawonye), i-malunion (lapho amathambo ehlangana khona endaweni engaphansi), kanye nokutheleleka. Ukwengeza, i-arthrodesis yesandla ingase ikhawulele uhla lwezihlakala zokunyakaza futhi ithinte ukusebenza kwesandla kukonke.

Ukusetshenziswa Kwezinsimbi Zokukhiya ku-Wrist Arthrodesis

Ayini ama-Locking Plates?

Amapuleti okukhiya ama-orthopedic implants asetshenziselwa ukuzinzisa amathambo ngesikhathi sokuphulukiswa kokuphuka noma ukuhlangana kwamalunga. Amapuleti okukhiya anomklamo okhethekile wesikulufu esiwavumela ukuthi ahlanganyele nethambo ngendlela amapuleti endabuko angenayo.

Kungani Kusetshenziswa Amapuleti Okukhiya ku-Wrist Arthrodesis?

Amapuleti okukhiya avame ukusetshenziswa e-wrist arthrodesis ngoba anikeza ukuzinza okuphakeme uma kuqhathaniswa namapuleti endabuko. Lokhu kubaluleke kakhulu ezigulini ezinekhwalithi embi yamathambo, njengoba amapuleti okukhiya angakwazi ukufeza ukulungiswa kulezi zimo lapho amapuleti endabuko engakwazi khona.

Asetshenziswa Kanjani Amapuleti Okukhiya ku-Wrist Arthrodesis?

Ngesikhathi sokuhlinzwa kwe-arthrodesis esihlakaleni, amathambo esihlakala alungiselelwa ukuhlanganiswa. Uma amathambo eseqondaniswe kahle, ipuleti lokukhiya libekwa phezu kwethambo bese ligoqwa endaweni yalo. Izikulufu ezisetshenziswa ekulungiseni ipuleti lokukhiya zidizayinelwe ukusebenzelana nethambo ngendlela izikulufu zendabuko ezingakwazi ngayo.

Yiziphi Izinzuzo Zokusebenzisa Izingcwecwe Zokukhiya ku-Wrist Arthrodesis?

Ukusetshenziswa kwamapuleti okukhiya ku-arthrodesis esihlakaleni kunezinzuzo ezimbalwa, okuhlanganisa ukuzinza okwengeziwe, ingcuphe encishisiwe yokuxegiswa kwezikulufu, kanye nekhono lokufinyelela ukulungiswa ezimeni zekhwalithi ephansi yamathambo.

I-Wrist Arthrodesis Procedure

Ukuhlela Kwangaphambi Kokuhlinzwa

Ngaphambi kokuhlinzwa kwe-arthrodesis esihlakaleni, udokotela wakho ohlinzayo uzokwenza ukuhlola okuphelele kwesihlakala sakho kanye nempilo yonke. Lokhu kungase kuhlanganise ama-X-ray, ama-CT scan, noma izikena ze-MRI ukuze kuhlolwe izinga lesifo samathambo esihlakala sakho noma ezinye izimo.

Izinzwa

Ukuhlinzwa kwe-arthrodesis esihlakaleni ngokuvamile kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Kwezinye izimo, i-anesthesia yendawo ene-sedation ingasetshenziswa.

Ukusika nokuvezwa

Udokotela ohlinzayo uzosika isihlakala ukuze aveze amathambo. Isikhumba nezicubu ezithambile zihlakazwa ngokucophelela ukuze kufinyelele esihlakaleni.

Ukulungiswa Kwethambo

Amathambo esihlakala alungiselelwa ukuhlanganiswa ngokukhipha uqwanga futhi alolonge amathambo ukuze ahlangane kahle. Udokotela ohlinzayo angase asebenzise ama-graft amathambo ukuze asize enqubweni yokuhlanganisa.

Ukubekwa Kwepuleti Nokulungiswa

Uma amathambo eselungisiwe, ipuleti lokukhiya libekwa phezu kwethambo bese ligoqwa endaweni. Izikulufu ezisetshenziswa ekulungiseni ipuleti lokukhiya zidizayinelwe ukusebenzelana nethambo ngendlela izikulufu zendabuko ezingakwazi ngayo.

Ukuvala

Uma ipuleti nezikulufu sezisendaweni, i-incision ivalwa nge-sutures noma ama-staples. I-cast noma i-splint ingase ifakwe esihlakaleni ukusiza enqubweni yokuphulukisa.

Inqubo Yokubuyisela

Ukunakekelwa Kwangemva Kokuhlinzwa

Ngemuva kokuhlinzwa kwe-arthrodesis esihlakaleni, uzoqashwa ngeso elibukhali esibhedlela ukuze uthole noma yiziphi izimpawu zezinkinga. Ungase unikezwe imithi yezinhlungu kanye nama-antibiotic ukuze uvimbele ukutheleleka.

Ukunganyakazi

Isihlakala ngeke sinyakaze sibe ukhonkolo noma i-splint amasonto ambalwa ukuze sivumele ukuphulukiswa okufanele. Ukwelashwa ngokomzimba kungase kunconywe ukusiza ekululameni.

Buyela Emisebenzini Evamile

Iziguli eziningi zingalindela ukubuyela emisebenzini evamile phakathi nezinyanga ezintathu kuya kweziyisithupha ngemva kokuhlinzwa. Nokho, kungase kuthathe isikhathi esingangonyaka ukuthi ithambo lihlangane ngokugcwele nokuthi isihlakala saphola ngokugcwele.

Izinkinga Ezingenzeka

Okungeyona Inyunyana

I-Non-union iyinkinga engaba khona ye-arthrodesis yesandla, lapho amathambo ehluleka khona ukuhlangana kahle. Lokhu kungase kudinge ukuhlinzwa okwengeziwe ukuze kulungiswe.

I-Malunion

I-Malunion iyinkinga engaba khona ye-arthrodesis yesandla, lapho amathambo ehlangana khona endaweni ephansi. Lokhu kungase kubangele ukwehla kokusebenza kwezihlakala noma ubuhlungu.

Ukutheleleka

Ukutheleleka kuyinkinga engaba khona yanoma iyiphi inqubo yokuhlinzwa. Izimpawu zokutheleleka zihlanganisa ububomvu, ukuvuvukala, imfiva, nokwanda kobuhlungu.

Isiphetho

I-Wrist arthrodesis iyinqubo yokuhlinzwa ehlose ukuhlanganisa amathambo esihlakala, ukunciphisa ubuhlungu nokuthuthukisa ukusebenza kwezihlakala. Ukusetshenziswa kwamapuleti okukhiya e-wrist arthrodesis kunikeza ukuzinza okuphakeme uma kuqhathaniswa namapuleti endabuko, okwenza kube inketho ekhangayo ezigulini ezinekhwalithi ephansi yamathambo. Nokho, njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezingase zibe khona kanye nezinkinga okufanele kuxoxwe ngazo nodokotela wakho ohlinzayo.