Chovala Chotsekera cha Volar

Kufotokozera Kwachidule:

——Oblique mutu mtundu

Ma implants owopsa a mbale yotsekera ya volar ndi njira yokwanira yopangira ma fractures osiyanasiyana.Ndi mbale zooneka ngati anatomiki zokhala ndi chithandizo chokhazikika ndi mabowo a combi, chithandizo cha dorsal ndi volar distal radius fractures chimatheka.


Tsatanetsatane wa Zamalonda

Zolemba Zamalonda

Mawonekedwe:

1. Opangidwa mu titaniyamu ndi patsogolo processing luso;

2. Mapangidwe otsika amathandizira kuchepetsa kukwiya kwa minofu yofewa;

3. Pamwamba anodized;

4. Maonekedwe a anatomical;

5. Combi-bowo akhoza kusankha zonse zokhoma wononga ndi kotekisi wononga;

Chizindikiro:

Kuyika kwa volar locking plate ndikoyenera kwa distal volar radius, kuvulala kulikonse komwe kumapangitsa kuti kukula kumalephereke.

Amagwiritsidwa ntchito ngati Φ3.0 screw locking screw, Φ3.0 orthopaedic cortex screw, yogwirizana ndi zida zopangira opaleshoni za 3.0.

Volar-Locking-Plate

Order kodi

Kufotokozera

10.14.20.03104000

Kumanzere 3 Mabowo

57 mm pa

10.14.20.03204000

Kumanja 3 Mabowo

57 mm pa

10.14.20.04104000

Kumanzere 4 Mabowo

69 mm pa

10.14.20.04204000

Kumanja 4 Mabowo

69 mm pa

* 10.14.20.05104000

Kumanzere 5 Mabowo

81 mm

10.14.20.05204000

Kumanja 5 Mabowo

81 mm

10.14.20.06104000

Kumanzere 6 Mabowo

93 mm pa

10.14.20.06204000

Kumanja 6 Mabowo

93 mm pa

Ma volar locking plates ochizira distal radius fractures ndi kapena opanda mafupa augmentation samakhudza zotsatira za radiographic.Pakuphwanyidwa kwapang'onopang'ono, kuwonjezera mafupa owonjezera sikofunikira ngati intraoperative anatomical kuchepetsa ndi kukonza kumachitika ngati n'kotheka.

Kugwiritsiridwa ntchito kwa mbale zotsekera za volar pokonza opaleshoni ya distal radius fractures kwatchuka.Komabe, zovuta zingapo zokhudzana ndi opaleshoni yamtunduwu zanenedwa, kuphatikizapo kupasuka kwa tendon.Kuphulika kwa flexor pollicis longus tendon ndi extensor pollicis longus tendon yogwirizana ndi kukonzanso kwa distal radius fractures ndi mbale yotereyi inanenedwa koyamba mu 19981 ndi 2000,2 motsatira.Zomwe zimanenedwa za flexor pollicis longus tendon rupture yokhudzana ndi kugwiritsa ntchito mbale yotsekera ya volar kwa distal radius fracture yachokera ku 0.3% mpaka 12%.3,4 Kuchepetsa kuchitika kwa flexor pollicis longus tendon kupasuka pambuyo pa volar plate fixation ya distal. ma radius fractures, olembawo adapereka chidwi pakuyika mbale.Mu mndandanda wa odwala omwe ali ndi distal radius fractures, olembawo adafufuza zochitika zapachaka pa chiwerengero cha zovuta zokhudzana ndi njira zothandizira.Kafukufuku wamakono adafufuza zochitika zazovuta pambuyo pa opaleshoni ya distal radial fractures ndi mbale yotseka volar.

Panali chiwopsezo cha 7% mu mndandanda wamakono wa odwala omwe ali ndi distal radius fractures omwe amathandizidwa ndi kukonza opaleshoni ndi mbale yotsekera volar.Zovuta zinaphatikizapo matenda a carpal tunnel, peripheral nerve palsy, trigger digit, ndi kuphulika kwa tendon.Mzere wa watershed ndi chizindikiro chothandiza pakuyika mbale yotsekera ya volar.Palibe milandu ya flexor pollicis longus tendon rupture yomwe inachitika pakati pa odwala 694 chifukwa chisamaliro chinaperekedwa ku ubale pakati pa implant ndi tendon.

Zotsatira zathu zimathandizira kuti ma volar fixed-angle locking plates ndi njira yabwino yothandizira ma fractures osakhazikika a distal radius fractures, zomwe zimalola kukonzanso koyambirira kwa opaleshoni kuti kuyambitsidwe bwino.


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