Incazelo Yomkhiqizo
I-distal ulna iyingxenye ebalulekile yejoyinti le-distal radioulnar, elisiza ukuhlinzeka ngokujikeleza kwengalo. I-distal ulnar surface nayo iyisiteji esibalulekile sokuzinza kwe-carpus nesandla. Ngakho-ke ukuphuka okungazinzile kwe-distal ulna kusongela kokubili ukunyakaza nokuzinza kwesihlakala. Usayizi nokuma kwe-distal ulna, kuhlanganiswe nezicubu ezithambile ezihambayo ezingaphezulu, kwenza ukusetshenziswa kwezimila ezijwayelekile kube nzima. I-Distal Ulna Plate engu-2.4 mm yakhelwe ngokukhethekile ukusetshenziswa ekwaphukeni kwe-distal ulna.
Ikhonjiswe ngokwe-anatomically ukuze ilingane ne-distal ulna
Ukwakheka kwephrofayili ephansi kusiza ukunciphisa ukucasuka kwezicubu ezithambile
Yamukela kokubili ukukhiya okungu-2.7 mm nezikulufu ze-cortex, ihlinzeka ngokulungiswa okuzinzile kwe-angular
Izingwegwe ezicijile zisiza ekwehliseni i-ulnar styloid
Izikulufu zokukhiya ezinama-engeli zivumela ukulungiswa okuphephile kwekhanda le-ulnar
Izinketho eziningi zezikulufu zivumela amaphethini amaningi okuphuka ukuthi aqiniswe ngokuvikelekile
Itholakala oyinyumba kuphela, ngensimbi engagqwali ne-titanium

| Imikhiqizo | REF | Ukucaciswa | Ubukhulu | Ububanzi | Ubude |
| I-Distal Volar Radial Locking Plate With Drill Guide (Sebenzisa i-2.7 Locking Screw/2.7 Cortical Screw) | 5100-1301 | 3 izimbobo L | 2.5 | 9 | 49 |
| 5100-1302 | 4 izimbobo L | 2.5 | 9 | 58 | |
| 5100-1303 | 5 izimbobo L | 2.5 | 9 | 66 | |
| 5100-1304 | 7 izimbobo L | 2.5 | 9 | 83 | |
| 5100-1305 | 9 izimbobo L | 2.5 | 9 | 99 | |
| 5100-1306 | 3 izimbobo R | 2.5 | 9 | 49 | |
| 5100-1307 | 4 izimbobo R | 2.5 | 9 | 58 | |
| 5100-1308 | 5 izimbobo R | 2.5 | 9 | 66 | |
| 5100-1309 | 7 izimbobo R | 2.5 | 9 | 83 | |
| 5100-1310 | 9 izimbobo R | 2.5 | 9 | 99 |
Isithombe Sangempela

Ibhulogi
I-Distal Volar Radial Locking Plate (i-DVR) isizukulwane esisha sokufakelwa kwe-orthopedic esihlinzeka ukulungiswa okuthuthukisiwe nokuzinza ekwelapheni ukuphuka kwe-distal radius. Ipuleti le-DVR, uma lisetshenziswa nomhlahlandlela wokubhoboza, linikeza ukubekwa okunembayo kwesikulufu, okuqinisekisa ukulungiswa okuhle nokunciphisa ubungozi bezinkinga. Lesi sihloko sihlose ukunikeza umhlahlandlela ophelele epuleti le-DVR ngomhlahlandlela wokubhoboza, okuhlanganisa izici zayo, izinzuzo, kanye nezinhlelo zokusebenza.
Ukuze uqonde izinkomba kanye nokusetshenziswa kwepuleti le-DVR, kubalulekile ukuba nokuqonda okuyisisekelo kwe-anatomy ye-distal radius. I-distal radius iyingxenye yethambo eliyi-radius elihlangana namathambo e-carpal futhi yakhe ilunga lesihlakala. Kuyisakhiwo esiyinkimbinkimbi esihlanganisa i-articular surface, i-metaphysis, ne-diaphysis.
Ipuleti le-DVR lenzelwe ukwelapha ukuphuka kwe-distal radius okubandakanya isici se-volar yengalo. Izinkomba zokusetshenziswa kwepuleti le-DVR zifaka:
Ukuphuka okuncishisiwe kwerediyasi ekude
Ukuphuka kwe-intra-articular ye-distal radius
Ama-fractures ahambisana nokulimala kwe-ligament
Ukuphuka kweziguli ezine-osteoporosis
Ipuleti le-DVR elinomhlahlandlela wokubhoboza linezici ezimbalwa ezihlukile ezilenza libe indawo ekahle yokwelapha ukuphuka kwe-distal radius. Lezi zici zifaka:
Idizayini yephrofayili ephansi: Ipuleti le-DVR linomklamo wephrofayili ophansi, onciphisa ubungozi bokucasuka kwethenda futhi andise ukunethezeka kwesiguli.
Umumo okhonjiswe nge-anatomically: Ipuleti le-DVR likhonjiswe ngokuzenzakalelayo ukuze lifane nesimo se-distal radius, okuqinisekisa ukulingana okungcono futhi kunciphise ubungozi bokwehluleka kokufakelwa.
Ubuchwepheshe besikulufu sokukhiya: Ipuleti le-DVR lisebenzisa ubuchwepheshe bezikulufu zokukhiya, obuhlinzeka ngokulungiswa okuthuthukisiwe nokuzinza.
Umhlahlandlela wokubhoboza: Ipuleti le-DVR liza nomhlahlandlela wokubhoboza oqinisekisa ukubekwa okunembayo kwesikulufu futhi wehlise ubungozi bezinkinga.
Isu lokuhlinza lokusebenzisa ipuleti le-DVR elinomhlahlandlela wokubhoboza imi kanje:
Isiguli sifakwa ngaphansi kwe-anesthesia ejwayelekile, futhi i-tourniquet isetshenziswa engalweni engenhla.
Indlela ye-volar yenziwa ku-distal radius, futhi indawo yokuphuka iyavezwa.
Ipuleti le-DVR lijikijelwe ukuze lifane nokuma kwe-distal radius, futhi umhlahlandlela wokubhoboza unamathiselwe epuletini.
Umhlahlandlela wokubhoboza ube ususetshenziselwa ukubhoboza izikulufu zokukhiya.
Ipuleti le-DVR libe selibekwa ku-distal radius, bese izikulufu zokukhiya zishuthekwa emigodini ebhojwe ngaphambilini.
Ipuleti ihlolwe ukuzinza nokulungiswa, futhi isilonda sivaliwe.
Izinzuzo zokusebenzisa ipuleti le-DVR elinomhlahlandlela wokubhoboza ukwelashwa kokuphuka kwe-distal radius zifaka:
Ukulungiswa okuthuthukisiwe nokuzinza
Ingozi encishisiwe yezinkinga
Ukubekwa kwesikulufu okunembile
Isikhathi sokusebenza esincishisiwe
Idizayini yephrofayili ephansi yokunethezeka kwesiguli okwandisiwe
Ngemva kokuhlinzwa, isiguli sizonikezwa imishanguzo yezinhlungu futhi siyalwe nokunakekelwa okufanele kwesilonda. Ukwelapha ngokomzimba kungase futhi kunconywe ukuze kusize isiguli siphinde sisebenze isihlakala namandla. Isiguli sizokwelulekwa ukuthi sigweme ukuphakamisa okunzima kanye nemisebenzi ebeka ukucindezeleka esihlakaleni amasonto ambalwa ngemva kokuhlinzwa.
Izinkinga ezihlobene nokusetshenziswa kwepuleti le-DVR elinegayidi yokubhoboza zihlanganisa ukutheleleka, ukwehluleka kokufakelwa, nokulimala kwenzwa noma ithoni. Nokho, lezi zinkinga azivamile futhi zingancishiswa ngokulandela indlela efanele yokuhlinzwa nokunakekelwa kwangemva kokuhlinzwa.