Ulapha: Ikhaya » Izindaba » Ukugwema izinkinga zokuphuka Ukuhlukumezeka kwe -Scaphoid Fracture: Ukulungiswa kokulungiswa kanye nokuhlaziywa kwabahlinzeki abaphezulu be-10 Global Herbert Screp

Ukugwema Izinkinga Zokuphazamiseka kwe-Scaphoid: Ukulungiswa kokunemba nokuhlaziywa kwabahlinzeki abaphezulu be-10 Global Herbert Screw

Ukubukwa: 0 Umbhali: Isikhathi Sokushicilela Sokushicilela: 2025-09-10 ORIGIG: Isizango

Ukwaphuka kwe-Scaphoid

Ukuqhekeka kwe-Scaphoid kuyinto evame kakhulu ye-carpal, accounting cishe ama-70% awo wonke amathambo e-carpal fractures. Ngenxa yesikhundla sayo esiyingqayizivele se-anatomical ngaphakathi kwelungiselelo lethambo le-carpal, ama-scaphoid aphuthelwa kaningi aphuthelwa ekuxilongeni emtholampilo. Ngaphezu kwalokho, ukulethwa kwemithambo okuhlukile kwe-scaphoid kubhebhethekisa iziguli ezinkingeni ezinjenge-nonnonion, i-avascular necrosis (avn), kanye nokungazinzi kwe-carpal ezigabeni zakamuva. Ngokwengqondo, ukuqhekeka kwe-Scaphoid kunzima ukwelapha futhi kuvame ukushiya uSequelae onjengobuhlungu bezihlakala eziphikelelayo, uhla oluvinjelwe ukunyakaza, kanye ne-post-traumatic arthritis.

Indima eyingqayizivele ye-anatomical ye-Scaphoid

I-Scaphoid ithambo elide kunazo zonke emugqeni we-carpal we-profidal, akhiwe njengesikebhe esincane (yingakho igama 'Scaphoid '). Iphahlazeka phakathi kwemigqa ye-carpal ye-proximal ne-distal, edlala indima ebalulekile ekuqiniseni nasekuxhumanise imigqa yomibili. Izindlela ezijwayelekile ze-Wrist, kufaka phakathi i-flexion, ukunwetshwa, ukuphambuka kwe-radial, nokuphambuka kwe-ulnar, konke kuncike ekuhambeni okuhlanganisiwe kwe-Scaphoid. Lapho nje kuphazamisekile, ama-biomechanics awo wonke amahlaya ahlangene ayaphazamiseka.

Ukuphakelwa kwemithambo okubuthakathaka

I-Scaphoid ithola ukunikezwa kwegazi ikakhulukazi kusuka kumagatsha e-radial artery, ukungena kusuka ku-dorsal ridge kanye ne-distal pole:

Cishe ama-70-80% okugeleza kwegazi angena nge-distal tubercle, ageleze ukubuyisa isigxoli seProximal.
Amagatsha ambalwa angena ngqo esigxotsheni seProximal.

imiphumela:

Ukusondela ukuqhekeka ku-proximal Pole, kukhulu kakhulu ukuphazamiseka kwe-vascular.
Lapho ukugeleza kwegazi kuphazanyiswa, isiqephu seProxilal sithambekele kakhulu ku-AVN nase-nonunion.

Indlela ejwayelekile yokulimala

Inqubo evame kakhulu yokulimala iwela isandla eseluliwe (Foosh) .Uma umuntu owela, abantu ngokwemvelo banwebisa ingalo futhi basakaze iminwe ukuba bamukele umthelela ngentende. Le ndlela yokulimala ejwayelekile idonsele ukunakwa kakhulu emtholampilo kanye nokucwaninga, futhi kubhekiswe kabanzi nge-aromny Foosh.

Isikulufa se-Herbert Canccured Comprection Screcre

Ukuthola Ukuxilongwa Kokuphazamiseka kwe-Scaphoid

Ama-Scaphoid Fractures avame ukuba umphumela wokulimala kwe-FOOSH. Ezimweni ezimbalwa, izimpawu zingakhawulelwa ebuhlungwini be-izingalo omncane, okuholele ezigulini zokunganaki ukufuna ukunakekelwa kwezokwelashwa. Noma ngabe ama-X-rays (ap kanye nokubukwa okulandelayo) kuthathwa, ukuqhekeka kungenzeka kungabonakali ngokushesha. Iziguli zingabuya ezinyangeni ezimbalwa ezinobuhlungu bezihlakala ezithuthukayo, lapho ukucabanga okucatshangwe kuveza ukuqhekeka kwe-scaphoid okungapheli - kubambezela kakhulu ukuxilongwa okutholakele futhi kulahlekelwe yiwindi lokwelashwa elifanele.

Izincomo Zokuxilonga Okusemqoka:

I-X-ray imaging kufanele yenziwe kubo bonke ukulimala kwe-Wrist, kufaka phakathi ukubukwa kweScaphoid lapho kusolwa ukuqhekeka.
Uma ama-x-ray alungile kepha izinsolo zihlala zikhona, ukungasebenzi kahle kufanele kusetshenziswe, kulandelwe ngokuphindaphindwa kwemicabango ngemuva kwamaviki ama-2.
Ukuvikelwa kokuqala kungasebenza njengokulinganisa kokuxilonga nokwelapha.

Isikulufa se-Herbert Canccured Comprection Screcre

Izinketho zokwelashwa

Ukulungiswa kwangaphandle

Ama-fractures amasha, ahlanganisiwe angalashwa ngokungenakusebenza. Kodwa-ke, ukulungiswa kumele kube luqinile ukuqinisekisa ukwelashwa. Upulani ojwayelekile noma ama-splin ama-resin angahluleka ukulawula i-Wrist kanye ne-Ferearm ukujikeleza, ukunciphisa ukuqina.

Upulasi we-Plaster cast ukungasebenzi:

I-Long-arm thumb spica cast:

Kuboniswe nge-proximal ingxenye eyodwa kwezintathu (ubungozi obuphakeme kakhulu be-AVN), imigqa ye-vertical / oblique fracture, kanye namacala okuxilongwa kokuqala.
QAPHELA I-ELBOW AT 90 °, Forearm, Isihlakala, Nesithupha.
Inikeza ukuqina okukhulu ngokuqeda ukujikeleza kwengalo.

Isikulufa se-Herbert Canccured Comprection Screcre

I-Short-AM THMP SPICA CAST:

Ilungele ukuqhekeka kwesithathu okude, ukuqhekeka kwe-turbosity, kanye nokuqhekeka okuphakathi nendawo okhalweni (esiteji esisemuva).
Inikeza induduzo ethe xaxa kepha ukuqina okungaphansi.

Isikulufa se-Herbert Canccured Comprection Screcre

Ukulungiswa kwangaphakathi

Isikulufa se-Herbert Canccured Comprection Screcre

Isikulufa sokucindezelwa esingenakhanda (i-herbert screw)

Njengamanje indinganiso yegolide ye-scaphoid Waist fractures.

Isimiso: Kufakwe eceleni kwe-axis ye-scaphoid ngaphansi komhlahlandlela, ukuhlinzeka ngokucindezelwa okungachazwanga.
Izinzuzo:

Ukucindezela okuhle kakhulu kulomugqa we-fracture.
Ukuqina okuphezulu, kuvumela ukuhlanganisa kusenesikhathi.
Ukuhlasela okuncane, uhlelo lokusebenza lwe-percutaneous kungenzeka.
Iphrofayili ephansi, umklamo ongenampilo unciphisa ukucasuka kwe-cartilage.

Isondela:

I-Percutaneoune: Ukuqhekeka okuzinzile, okungenhla.
Vula: Okwenzelwe abasusiwe, asusiwe, noma amabanga anakhona.

Izinhlobo:

Izikulufu zokucindezela ezikhanda.
Izikulufo ezingenamakhanda (ezithandwayo, zingcwatshwe ngokugcwele, ukucasulwa okuncane).

Isikulufa se-Herbert Canccured Comprection Screcre

Bheka okuningi

Isikulufa se-cankert cnuered herbert

Isikulufa se-Herbert Canccured Comprection Screcre

Bheka okuningi

Ukulungiswa kwe-Kirschner Wire (K-Wire)

Indlela yendabuko kodwa ewusizo, imvamisa i-akenctive.

Izinzuzo : Izimo eziguquguqukayo, ezingabizi, ukuphazamiseka okuncane kwe-vascularity.
Okubi : Kuzinzile okungaphansi, kudinga ukulungiswa kwangaphandle, ubungozi bokutheleleka, ukususwa okudingekayo phuli ngemuva ..
Izinkomba : Ukuqhekeka kwezingane, ukulungiswa kwesikhashana ekuphathweni, i-adjunct ukuze kulungiswe isikulufa.

Isikulufu se-canccured ngokwengxenye

Isikulufa se-Herbert Canccured Comprection Screcre

Bheka okuningi

Isikulufu se-canccured ngokwengxenye

Isikulufa se-Herbert Canccured Comprection Screcre

Bheka okuningi

I-Scaphoid Nonunion

Ngenxa yokuhlinzekwa kwayo okuyingqayizivele kwemithambo, okhalweni lwe-scaphoid kanye nokuqhekeka kwe-proximal kuthambekele ekungangeni nase-AVN.

Ukwelashwa : Ukuxhunyelelwa kwamathambo (okungewona ama-vasculalized noma ama-vasculalized) kuhlangene nokulungiswa kwangaphakathi (isikulufa seHerbert noma i-K-Wire). Ukubekwa okunembile okuhlanganisiwe nokubuyiselwa komhlaba okubushelelezi kubalulekile. Kwezinye izimo, kungadingeka i-styloidectomy ye-radial styloidectomy uma ukuvezwa kwamathambo kuvimbela ngesikhathi sokunyakaza kwe-Wrist.

Isikulufa se-Herbert Canccured Comprection Screcre

I-Global Top 10 Herbert Screw Adferiers kanye Sibutsetelo Czmeditech Product Overview

Ukwelashwa kwe-Scaphoid Fractures kubaluleke kakhulu - hhayi kuphela ukuthola umsebenzi wokubuyisela emuva kuphela kepha futhi nokugcina ikhwalithi yempilo yeziguli kanye nekhono lomsebenzi. Ukukhetha idivaysi efanelekile yokulungiswa kwangaphakathi kuyisihluthulelo sokuvimbela izinkinga, uzuze ukulungiswa okuqondile, futhi kuthuthukiswe ukuvuselelwa kabusha.

Phakathi kwezimila ezahlukahlukene, I-Herbert Screw imele ngenxa yomklamo wayo oyingqayizivele kanye nokusebenza kwemitholampilo okufakazelwe, okwenza kube ngenye yamadivayisi abaluleke kakhulu ekuphathweni kwe-Scaphoid Fracture.

I-TOP 10 Herbert Screw Alerfer Worldwide

Igama	Lenkampani Yegama	Lenkampani
1	Izinkundla Zokuvumelanisa
2	Isitashi
3	Zimmer biomet
4	Ukuphathwa kwayo
5	USmith nomshana
6	Iqembu lezokwelapha
7	-Yimisa
8	I-AAP Implantate AG
9	Orthofix
10	Czmeditech

Imikhiqizo yeCzmeditech Herbert Screw

Njengomenzi waseChropedic ohamba phambili, i-CzMeditech ihlinzeka ngephothifoliyo ebanzi yezikulufo ze-Herbert ezenziwe nge-Scaphoid Cractures kanye nokunye ukulimala kwamathambo amancane.

Izici ezibalulekile:

Idizayini yokucindezela ongenakhanda: iqinisekisa ukulungiswa okuzinzile ngenkathi inciphisa ukucasuka kwe-articular carticular.
Ukuqina okuphezulu kwe-biomechanical: Ukucindezelwa okuthembekile okungekho emthethweni kuthuthukisa inyunyana eqinile.
Izinketho ezibonakalayo: zitholakala ngensimbi engenacala yezokwelapha kanye ne-titanium alloy, ngokuqina okuhle nokuphikiswa ukugqwala.
Ukuhambisana okuncane okuhlaselayo: Ilungele zombili izindlela ezihlanzekile nezivulekile.
Ukucaciswa okuningi: Ububanzi obubanzi bezinhlamvu nobude ukubhekana nezidingo ezahlukahlukene zomtholampilo.

Izinzuzo Zomtholampilo:

Kusiza ukuphulukiswa okusheshayo nokuthembekile kwe-Scaphoid Fracture, ikakhulukazi okhalweni olusengozini enkulu kanye neProximal Pole Fractures.
Inika amandla ukuhlanganisa isihlakala sokuqala, ukunciphisa ukuqina kanye nokwenza ngcono ukululama okusebenzayo.
Yehlisa kakhulu ingozi ye-nonunion ne-AVN ngokuqhathaniswa nezindlela zokulungiswa kwendabuko.