Incazelo Yomkhiqizo
I-Distal Radius Fracture Set ihlanganisa amapuleti okukhiya ahlukahlukene erediyasi ekude kanye ne-distal ulna. Ukuhlanganiswa okucophelelayo kusethi ehlangene enobubanzi obuyizikulufu obuvumelanayo kuvumela izinhlobonhlobo zamasu okuhlinza kanye nokuguquguquka okuphezulu kwe-intraoperative kuhlangene nokusebenziseka kalula. I-anodization yohlobo lwe-II inciphisa ubungozi bokushisela okubandayo nokunamathela kwezicubu.
Ukuphuka kwe-radius kanye ne-ulnar shaft, okubuye kwaziwe ngokuthi umuntu omdala kokubili ukuphuka kwengalo yengalo, kuwukuphuka okuvamile kwengalo ebangelwa ukuhlukumezeka okuqondile noma ukuhlukumezeka okungaqondile (ukuwa).
Ukuxilongwa kwenziwa ngokuhlolwa ngokomzimba kanye nama-radiographs acacile we-orthogonal.
Ukwelashwa ngokuvamile ukuncishiswa okuvulekile kokuhlinzwa kanye nokulungiswa kwangaphakathi ngokucindezelwa kwe-compression plating kokubili kokuphuka kwe-ulna ne-radius.

| Imikhiqizo | REF | Ukucaciswa | Ubukhulu | Ububanzi | Ubude |
I-Ulna & Radius Locking Plate (Sebenzisa i-3.5 Locking Screw/3.5 Cortical Screw) |
5100-0301 | 6 izimbobo | 3.2 | 11 | 92 |
| 5100-0302 | 7 izimbobo | 3.2 | 11 | 105 | |
| 5100-0303 | 8 izimbobo | 3.2 | 11 | 118 | |
| 5100-0304 | 9 izimbobo | 3.2 | 11 | 131 | |
| 5100-0305 | 10 izimbobo | 3.2 | 11 | 144 | |
| 5100-0306 | 12 izimbobo | 3.2 | 11 | 170 |
Isithombe Sangempela

Ibhulogi
Ukuphuka kungenye yezingozi ezivame kakhulu zamathambo. Zingabangela ubuhlungu obukhulu, ukungakhululeki, nokulahlekelwa ukuhamba, okwenza kube nzima ezigulini ukwenza imisebenzi yansuku zonke. Ngokwesiko, ukuphuka kwamathambo e-forearm, okungukuthi i-ulna ne-radius, kuye kwaphathwa ngokusetshenziswa kwe-cast noma i-splint. Kodwa-ke, lezi zindlela zivame ukuholela ezikhathini zokululama ezinde futhi zingase zinganikezi ukusekelwa okwanele kwethambo phakathi nenqubo yokuphulukisa.
Ipuleti lokukhiya i-ulna ne-radius iyisisetshenziswa esishintshashintshayo esakhelwe ukunikeza ukusekela okungcono nokuzinza kokuphuka kwengalo yengalo. Lesi sihloko sizoxoxa ngezinzuzo nezici zepuleti lokukhiya i-ulna ne-radius, kanye nokusetshenziswa kwalo ekwelapheni ukuphuka.
Ipuleti lokukhiya i-ulna ne-radius iyithuluzi elincane lensimbi elisetshenziselwa ukuzinzisa nokusekela ukuphuka kwe-ulna kanye namathambo e-radius engalweni. Ipuleti lifakwa ngokuhlinzwa ethanjeni futhi liqiniswe ngezikulufu, linikeza uhlaka oluzinzile ukuze ithambo liphole. Ngokungafani nezindlela zendabuko zokwelapha ukuphuka, ipuleti lokukhiya i-ulna ne-radius livumela ukuhlanganisa kusenesikhathi, izikhathi zokululama ngokushesha, kanye nemiphumela engcono kakhulu.
Ipuleti lokukhiya i-ulna ne-radius yakhelwe ukunikeza ukuzinza nokusekelwa kwethambo eliphukile. Ipuleti livikelwa ethanjeni kusetshenziswa izikulufu ezikhethekile ezikhiya endaweni, ezivimbela noma yikuphi ukunyakaza kwethambo. Ipuleti liphinde liguqulwe libe nesimo sethambo, liqinisekisa ukulingana okuphelele nokunciphisa ingozi yanoma yiziphi izinkinga.
Uma ipuleti selisendaweni, ithambo liqala ukuphulukisa nxazonke zalo, lenze isibopho esiqinile, esizinzile. Lokhu kuvumela ukuhlangana kusenesikhathi kanye nokuvuselelwa, okubalulekile ekubuyiseleni okuhle.
Kunezinzuzo eziningi zokusebenzisa ipuleti lokukhiya i-ulna neradius ekwelapheni ukuphuka kwengalo yengalo. Ezinye zalezi zinzuzo zihlanganisa:
Ipuleti lokukhiya i-ulna kanye ne-radius livumela ukuhlangana kusenesikhathi nokuvuselelwa, okubalulekile ekubuyiseleni okuhle. Iziguli zingaqala ukusebenzisa ingalo yazo ngokushesha kakhulu kunezindlela zendabuko zokwelapha ukuphuka, okungaholela ezikhathini zokululama ngokushesha kanye nemiphumela engcono kakhulu.
Izikulufu zokukhiya ezisetshenziselwa ukuvikela ipuleti zinikeza ukuzinza okuphakeme nokusekela ithambo eliphukile. Lokhu kunciphisa ubungozi bezinkinga ezifana ne-malunion, okungeyona inyunyana, noma inyunyana ebambezelekile, engandisa inqubo yokutakula.
Ngenxa yokuthi ipuleti lifakwe ngaphakathi kwethambo, kunengozi encishisiwe yokutheleleka uma kuqhathaniswa nezindlela zokulungisa zangaphandle ezifana nokuphonsa noma ukuhlanganisa.
Ipuleti lokukhiya i-ulna ne-radius livumela ukubukeka kwemvelo okujabulisa kakhulu uma kuqhathaniswa nezindlela zendabuko zokwelapha ukuphuka.
Ipuleti lokukhiya i-ulna ne-radius lingasetshenziswa ukwelapha ukuhlukana kwengalo yengalo ehlukahlukene, okuhlanganisa ukuhlukana kwe-distal radius, ukuphuka kwe-ulna, kanye nokuphuka kwengalo yomibili yengalo. Iwusizo ikakhulukazi kuma-fractures ayinkimbinkimbi adinga ukuzinza nokusekelwa okuphezulu.
Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezithile kanye nezinkinga ezihlobene nokusetshenziswa kwepuleti lokukhiya i-ulna ne-radius. Lokhu kungafaka:
Ukutheleleka
Ukuhluleka kokufakelwa
Ukulimala kwezinzwa
Ukuphulukiswa okungekuhle
Ukuqina kwamalunga
Kodwa-ke, lezi zingozi azivamile, futhi iziguli eziningi zithola ukululama okushelelayo nokuphumelela.
Ipuleti lokukhiya i-ulna ne-radius iyithuluzi elisungulayo elinikeza ukuzinza okuphakeme nokusekelwa kokuphuka kwengalo yengalo. Ukusetshenziswa kwayo kuvumela ukuhlanganisa kusenesikhathi, izikhathi zokululama ngokushesha, kanye nemiphumela engcono kakhulu iyonke. Nakuba zikhona ezinye izingozi nezinkinga ezihlobene nokusetshenziswa kwayo Nokho, lezi zingozi azivamile, futhi iziguli eziningi zithola ukululama okushelelayo nempumelelo. Iziguli eziye zaphuka i-ulna kanye namathambo e-radius kufanele zicabangele ipuleti lokukhiya i-ulna ne-radius njengendlela yokwelapha. Izinzuzo zayo eziningi nokusebenza okuqinisekisiwe kwenza kube ukukhetha okudumile phakathi kodokotela abahlinzayo bamathambo.
Ingabe ipuleti lokukhiya i-ulna ne-radius lifanele zonke izinhlobo zokuphuka kwengalo yengalo?
Ipuleti lokukhiya i-ulna ne-radius lifaneleka kakhulu ukuphuka okuyinkimbinkimbi okudinga ukuzinza nokusekelwa okuphakeme. Udokotela wakho ohlinzayo wamathambo uzonquma ukuthi kuyindlela yokwelapha engcono kakhulu yokulimala kwakho okuqondile.
Ingabe ukuhlinzwa kokufaka i-ulna ne-radius locking plate kubuhlungu?
Ukuhlinzwa kokufaka ipuleti lokukhiya i-ulna kanye ne-radius ngokuvamile kwenziwa ngaphansi kwe-anesthesia evamile, ngakho-ke ngeke uzwe ubuhlungu ngesikhathi senqubo. Ngemva kokuhlinzwa, ungase uzwe ukungakhululeki, okungalawulwa ngemithi yobuhlungu.
Kuthatha isikhathi esingakanani ukululama ekwaphukeni kwengalo yengalo ephathwe ngepuleti lokukhiya le-ulna neradius?
Izikhathi zokululama zingahluka kuye ngobunzima bokulimala nezinye izici zomuntu ngamunye. Kodwa-ke, iziguli ezilashwa ngepuleti lokukhiya i-ulna ne-radius ngokuvamile zithola izikhathi zokululama ngokushesha uma kuqhathaniswa nezindlela zendabuko zokwelapha ukuphuka.
Ingabe ipuleti lokukhiya i-ulna ne-radius lishiywe endaweni isikhathi eside kangakanani?
Ipuleti lokukhiya i-ulna ne-radius ngokuvamile lishiywa lisendaweni unomphela ngaphandle uma kunezinkinga ezidinga ukususwa kwalo.
Ingabe ikhona imikhawulo ekusebenzeni komzimba ngemva kokwelashwa ngepuleti lokukhiya i-ulna neradius?
Udokotela wakho ohlinzayo wamathambo uzohlinzeka ngemihlahlandlela ethile yokusebenza komzimba ngemva kokwelashwa ngepuleti lokukhiya i-ulna ne-radius. Kodwa-ke, ngokuvamile, iziguli zingaphinde ziqale imisebenzi evamile uma ithambo selilulame ngokugcwele, okuvame ukuthatha cishe izinyanga ezingu-3-6.