I-Distal Dorsal Radial Delta Locking Plate: Umhlahlandlela Ophelele
Uma kuziwa ekwelapheni i-distal radius fractures, inketho eyodwa odokotela abahlinzayo abangayicabangela ukusetshenziswa kwepuleti lokukhiya i-distal dorsal radial delta. Lolu hlobo lwepuleti luye lwathola ukuthandwa eminyakeni yamuva ngenxa yekhono lalo lokunikeza ukulungiswa okuzinzile, okuvumela ukuhlanganisa kusenesikhathi kanye nokubuyela ngokushesha emisebenzini yansuku zonke. Kulesi sihloko, sizohlinzeka ngomhlahlandlela ophelele wepuleti lokukhiya i-distal dorsal radial delta, okuhlanganisa izinkomba zalo, indlela yokuhlinzwa, kanye nezinkinga ezingaba khona.
Isingeniso
I-Distal radius fractures ukulimala okuvamile, ikakhulukazi kubantu abadala. Nakuba ukuphuka okuningi kungelashwa ngendlela elondolozayo ngokungakwazi ukuhamba, okunye kungase kudinge ukungenelela kokuhlinzwa. Ukusetshenziswa kwepuleti lokukhiya i-distal dorsal radial delta kuyindlela eyodwa yokuhlinzwa yalokhu kuphuka. Le plate yakhelwe ukunikeza ukulungiswa okuzinzile kuyilapho ivumela ukuhlanganisa kusenesikhathi futhi ibuyele emsebenzini.
I-Anatomy ye-Distal Radius
Ngaphambi kokuxoxa ngokusetshenziswa kwepuleti lokukhiya i-distal dorsal radial delta, kubalulekile ukuqonda i-anatomy ye-distal radius. I-distal radius ingxenye yethambo lengalo exhumene nesihlakala. Kuyisakhiwo esiyinkimbinkimbi esinezindawo eziningi ze-articular kanye nemigqa. Ukulimala kule ndawo kungahluka ngobukhulu, kusukela ekuqhekekeni okuncane kuya ekuqhekekeni okuphelele.
Izinkomba ze-Distal Dorsal Radial Delta Locking Plate
Ukusetshenziswa kwepuleti lokukhiya i-distal dorsal radial delta kungase kukhonjiswe ezinhlotsheni ezithile zokuqhekeka kwe-distal radius. Lokhu kungase kuhlanganise:
Ukuphuka kwe-intra-articular
Ukuphuka okuphindaphindiwe
Ukuphuka ngokususwa okubalulekile
Ukuphuka ngokulimala kwe-ligamentous okungazinzile
Ukuhlela Kwangaphambi Kokuhlinzwa
Ukuhlela ngaphambi kokuhlinzwa kubalulekile uma ucabangela ukusetshenziswa kwepuleti lokukhiya i-distal dorsal radial delta. Lokhu kungase kuhlanganise ukuthola izifundo ezifanele zokuthwebula izithombe, njenge-X-ray noma i-CT scan, ukuze kuhlolwe ngokugcwele ukuphuka. Ukwengeza, udokotela ohlinzayo uzodinga ukunquma usayizi wepuleti elifanele kanye nokuma, kanye nokubekwa kahle kwezikulufu.
I-Surgery Technique
Indlela yokuhlinza yokusebenzisa ipuleti lokukhiya i-distal dorsal radial delta ngokuvamile ibandakanya lezi zinyathelo ezilandelayo:
Ukusika kwenziwa phezu kwerediyasi ekude ukuze kuvunyelwe ukufinyelela kusayithi lokuphuka.
I-fracture iyancishiswa, noma iqondiswe kabusha, njengoba kudingeka.
Ipuleti libekwe ohlangothini lwe-dorsal lwe-radius.
Izikulufu zifakwa ngepuleti nasethanjeni ukuze zilivikele endaweni.
Uma kunesidingo, ukulungiswa okwengeziwe, njengezintambo noma izikhonkwane, kungase kusetshenziselwe ukuqhubeka nokuzinzisa ukuphuka.
Ukunakekelwa Kwangemva Kokuhlinzwa
Ngemva kokuhlinzwa, iziguli zingase zidinge ukungasebenzi isikhathi esifushane ngaphambi kokuqala ukwelashwa ngokomzimba. Umgomo wokwelapha uwukubuyisela uhla lokunyakaza namandla ngenkathi uvikela ithambo eliphulukisayo. Iziguli zingakwazi ukubuyela emisebenzini yansuku zonke ekuqaleni kwamasonto ayisithupha ngemva kokuhlinzwa, nakuba umugqa wesikhathi ungase uhluke kuye ngobunzima bokuphuka.
Izinkinga Ezingenzeka
Njenganoma iyiphi inqubo yokuhlinzwa, kunezinkinga ezingaba khona ezihlobene nokusetshenziswa kwepuleti lokukhiya i-distal dorsal radial delta. Lokhu kungase kuhlanganise:
Ukutheleleka
Ukuhluleka kokufakelwa
Ukulimala kwemizwa noma imithambo yegazi
Ukuqina noma ukulahlekelwa ibanga lokunyakaza
Inyunyana ebambezelekile noma okungezona inyunyana yokuphuka
Izinketho Zokwelashwa Ezihlukile
Ngenkathi ipuleti lokukhiya i-distal dorsal radial delta lingase libe inketho yokwelapha ephumelelayo yezinhlobo ezithile zokuqhekeka kwe-distal radius, kunezinye izindlela zokwelapha ezingase zicatshangelwe futhi. Lokhu kungase kuhlanganise:
Ukuncishiswa okuvaliwe nokusakazwa: Ngokuphuka okuncane kakhulu, ukunganyakazi nge-cast kungase kwanele ukugqugquzela ukuphulukiswa.
Ukulungiswa kwangaphandle: Lokhu kuhilela ukusebenzisa izikhonkwane noma izintambo ezifakwa esikhumbeni nasethanjeni ukuze kuzinzise ukuphuka.
Ipuleti lokukhiya le-Volar: Leli elinye ipuleti elibekwe ohlangothini lwentende yerediyasi.
Ukukhethwa kokwelashwa kuzoncika ekuqhekekeni okuqondile kanye nezidingo zesiguli ngasinye kanye nezintandokazi.
Imfundo Yesiguli
Ezigulini ezicabangela ukusetshenziswa kwepuleti lokukhiya i-distal dorsal radial delta, kubalulekile ukuqonda ngokugcwele izinzuzo nezingozi zenqubo. Iziguli kufanele zaziswe ngomugqa wesikhathi olindelekile wokuthola kabusha, izinkinga ezingase zibe khona, nanoma yimiphi imikhawulo yomsebenzi engase idingeke phakathi nenqubo yokuphulukisa. Ukwengeza, iziguli kufanele zikhuthazwe ukuthi zibuze noma yimiphi imibuzo ezingaba nayo futhi zibambe iqhaza ngenkuthalo ekunakekeleni kwazo.
Izikhombisi-ndlela Nezinto Ezintsha Ezizayo
Njenganoma ibuphi ubuchwepheshe bezokwelapha, ukusetshenziswa kwamapuleti okukhiya i-distal dorsal radial delta kuhlala kuvela. Kunemizamo eqhubekayo yokuthuthukisa ukuklama nezinto ezisetshenziswa kulawa mapuleti, kanye nokuthuthukisa amasu amasha okuwabeka. Ukwengeza, abacwaningi bahlola ukusetshenziswa kobunye ubuchwepheshe, njengokuphrinta kwe-3D kanye ne-biologics, ukuze kuthuthukiswe ukwelashwa kokuphuka kwe-distal radius.
Isiphetho
Ukusetshenziswa kwepuleti lokukhiya i-distal dorsal radial delta kungaba inketho ephumelelayo yezinhlobo ezithile zokuqhekeka kwe-distal radius. Nokho, kubalulekile ukuhlola ngokucophelela izidingo zomuntu ngamunye zesiguli futhi ucabangele nezinye izindlela zokwelapha. Ngokuhlela okufanele ngaphambi kokuhlinzwa, indlela yokuhlinzwa, nokunakekelwa kwangemva kokuhlinzwa, iziguli zingalindela ukuthola imiphumela emihle futhi zibuyele emisebenzini yazo yansuku zonke.
