Mafuta a meracarpal a melangeal ndi omwe amapezeka kwambiri pamanja, amawerengera pafupifupi 1/4 ya odwala odwala. Chifukwa cha mawonekedwe osakhwima komanso owoneka bwino a kuyenda, kufunikira komanso mwamwano kwa chithandizo chamanja ndi kovuta kwambiri kuposa kuchitira mafupa ena aatali. Kuonetsetsa kukhazikika kwa kuwonongeka pambuyo kuchepetsedwa ndi chinsinsi cha chithandizo chokwanira cha meracarpal fractures. Pofuna kubwezeretsa ntchito ya dzanja, zokongoletsera nthawi zambiri zimafuna kusinthasintha. M'mbuyomu, plaster yakunja kapena ma aya a waya Njira zamakono zochitira mankhwala zimagwiritsa ntchito kusintha kwamphamvu kwamphamvu, monga mawonekedwe a micro-plate.
I.Kodi mfundo zamankhwala ndi ziti?
Mfundo zachithandizo za metacarpal ndi malalanje ochepetsa: kuchepa kwa anatomical, mawonekedwe owoneka bwino, zochitika zoyambirira komanso maphunziro ogwira ntchito. Mfundo zamankhwala za intra-artilaula zam'madzi ndizofanana ndi zomwe zimapangitsa kuti pakhalenso kwa maluso ena a intra-a intra. Mukamachiritsa ma metacarpal ndi malalanje, kuyesetsa kuyenera kupangidwa kuti athe kuchepetsana, komanso kutembenuka, kusintha kwa zinthu 10 mpaka pachakudyacho sichingachitike. Ngati kuwonongeka kwa facturpal Phala mtacarpal kumazungulira kapena kusokera pambuyo pake, kumasintha chala cham'madzi cham'madzi, ndikupangitsa kuti isungunuke kapena kugwa ndi kulondola kwa kusintha kwa chala; Ndipo pamene akusamukira kumbali ya kanjedza yam'mimba ya kanjedza.
Ii.Ndi zinthu ziti zomwe zingasankhidwa chifukwa cha zotupa za metacarpal?
Pali zinthu zambiri zamkati zamafuta a metacarpal, monga mawaya a Kirschner, zomangira, ma mbale ochokera kunja, omwe ndi mai waya wa Kirschner ndi omwe amagwiritsidwa ntchito kawirikawiri. Kwa kufooka kwa metacarpal, mabotolo amkati apakati ali ndi zabwino zowonekera pa Killichner wiltation ndipo angagwiritsidwe ntchito poyamba; Kwa proximul Pharenal fraclations, miyambo yamagetsi nthawi zambiri imakhala yabwino kwambiri, koma ikakhala yovuta kuyika magawo a proxamul digaction ya Proxams, yomwe imakhala yothandizanso kugwirira ntchito kwa chala cham'khungu; Mawaya a Kirchner ayenera kugwiritsidwa ntchito poyambirira pochiza matenda a phaladzorx fractures.
- Kirschner waya:Makina a kallilchner wamkati agwiritsidwa ntchito pochita masewera olimbitsa thupi kwa zaka zoposa 70 ndipo nthawi zonse amakhalapo zokonda kwambiri za metacarpal ndi ma prokeral fractures. Ndiosavuta kugwira ntchito, zachuma komanso zothandiza, ndipo ndi njira yapamwamba kwambiri yokhazikika. Monga momwe amagwiritsira ntchito mkati mopitirira muyeso pochizira dzanja, zimagwiritsidwabe ntchito kwambiri. Ubwino wa ma valchner waya-mavita: ① zosavuta kugwira ntchito komanso kugwiritsa ntchito mosinthasintha; ② Zochepa zochepa zotsika, zimapangitsa kuchepa kwa magazi kumapeto, kuchepa kwa zopaleshoni, komanso kuchepetsa kuchiritsidwa kwamphamvu; - yosavuta kuchotsa singano kachiwiri; Mtengo wotsika mtengo komanso kuchuluka kwa ntchito, yoyenera ndi mapangidwe ambiri (monga maluso a intra-a intra-arminal, owongoletsedwa ndi ma florangel frangel frange).
2.metacarpophalaional Microplates: Kukhazikika Kwamphamvu Kwamphamvu kwa Manja ndi maziko a maphunziro oyambilira komanso njira yofunikira kubwezeretsa dzanja labwino. Tekinoloje yakati yamkati imafunikira kuti kuwonongeka kwamphamvu kukumbukiridwa ndendende molingana ndi mawonekedwe a anatomical ndikuti kuwonongeka kumakhazikika pansi pamachitidwe, omwe amadziwika kuti amayenda mokakamiza. AO zimatsimikiziranso maopaleshoni osokoneza bongo osokoneza bongo, ndipo cholinga chake ndi kuteteza magazi. Kusintha kwa Microplate Kuchizira kwa Fractures kumatha kukwaniritsa zotsatira zokhutiritsa malinga ndi mphamvu, kukhazikika kwa kuwonongeka kumatha, komanso kukakamizidwa pakati pa kuwonongeka kumatha. Pankhani ya postoperatick yogwira ntchito, nthawi yochiritsa yochiritsa, komanso kupezeka kwa kachilombo, kumakhulupirira kuti kuchuluka kwa ma mbale a microtitium ndikwabwino kuposa ma waya a karchchner. Kuphatikiza apo, popeza nthawi yochiritsa ikadzakhazikika ndi microtidaum kwambiri kuposa njira zina zosinthira, zimakhala bwino kwa odwala kuyambiranso nthawi yayitali.
(1) Ndi maubwino ati omwe ali ndi mabotolo amkati apakati?
Lembani ma waya a Killinener, malo osokoneza bongo okhala ndi minofu yabwinoko komanso mayankho abwino; ② Kukhazikika kwa dongosolo la plate-screction places ndipo kupsinjika kwa kutha kwa kuwonongeka kumapangitsa kuti khungu lichepetse kuchepetsedwa kwa anatomical, kukonza kwambiri, komanso kuyatsidwa kwa machiritso ochiritsa; Kuchita masewera olimbitsa thupi koyambirira kumaloledwa pambuyo posintha mikolofoni, komwe kumapangitsa kuti ntchito igwire ntchito.
(2) Kodi zolakwa za ma Microphetes ndi ziti?
Opaleshoniyo nthawi zambiri amachitidwa pansi pa brachial clexus block anesthesia, ndipo chibayo chopondera nthawi zambiri chimafunikira. Kukhazikika kwa mabamu a metacarpal kumatengedwa, oyambitsa matenda a manambala amadula kapena mafupa a metacarpal ndi mafupa a Meracarpals, ndipo kusokonekera kumachepetsedwa pansi pa masomphenya mwachindunji. Mapulogalamu owongoka ndi oyenera kufalikira kwa gawo lapakati lapakati komanso lalifupi ndi oyenera kukhazikika kwa pansi pa metacarpal ndi ma premites kapena 150 ° ndi 150 ° Mbale nthawi zambiri imayikidwa pambali pa fupa kuti ilepheretse kuvala kwa tendon ndikuvala kwa nthawi yayitali, komwe kumapangitsa kuti maphunziro azikalasi. Zomangira ziwiri zikayenera kugwiritsidwa ntchito kukonza malekezero awiriwa,
Masiketi a 3.mini: Zolemba zazing'ono zili ndi zofananira zofananira kuzimiririka pakukhazikika kwa stal kapena kutalika kwa minofu ndi yaying'ono. Ngakhale pali mitengo ya T-lembani ya T-L-L-L-L-articular fracular, kubwezeretsanso ntchito pambuyo poti pambuyo post postrolative kumathandizanso kuposa kusokonekera kwamiyala. Zolemba zazing'ono zilinso ndi zabwino zina pakukhazikika kwa intra-arti-arni mphamvu. Zomangira zolumikizidwa mu fupa lapamwamba limatha kupirira katundu wamkulu, motero kusinthaku ndi kokhazikika, ndipo kuthamangitsidwa kwamphamvu kumatha kupangidwira kuwonongeka ndikuwongolera nthawi yochiritsayo, monga tikuwonetsera pa Chithunzi 4-18. Mini screaction Kukhazikika kwamtundu wamanja kumagwiritsidwa ntchito makamaka ngati obzala ndi ma spracle a diaphyseal ndi intra-arsicular orlsal fracle midadada yayikulu. Tiyenera kudziwa kuti mukamagwiritsa ntchito ma scrips okhaokha kuti akonzekere fupa la diafirsel, ndipo poyang'ana mpweya wa mafupa ayenera kukhala osachepera katatu ka ulusi wa ulusi.
4.Michero wakunja:Kuyamwa Metacarpal fracrations nthawi zina kumakhala kovuta kuchepetsa kapena kukhazikika mkati mwadzidzidzi ngakhale atawonongeka chifukwa chakuwonongedwa kwa fupa. Woyambitsa wakunja amatha kubwezeretsa ndikusunga kutalika kwa kuwonongeka kwa kuwonongeka koyambitsidwayo pansi, kusewera gawo lazofanana. Ma proteangel Phalangel wakunja amayikidwa m'magawo osiyanasiyana: Ma prokonges 1 ndi 2 ndi 2 ndi 5 ndi 5 ndi 5 ndi 5 ndi 5 ndi gawo la Menacarplange kumbali yopanda masitepe malinga ndi momwe zinthu ziliri malingana ndi vuto. Samalani ndi singano ya singano kuti mupewe kuwonongeka kwa tenton. Zotsekedwa zotsekedwa zimatha kuchepetsedwa pansi pa ma X-ray. Mukachepetsa sizabwino, mawonekedwe ochepa amatha kuchitidwa kuti athandizire kuchepetsedwa.
Kodi maubwino ako akunja ndi otani?
① Ntchito yosavuta, imatha kusintha zovuta zingapo za kuwonongeka; ② imatha kuchepetsa ndi kukonza ma a intra-articular fraculation mafupa osavomerezeka osawononga malo olumikizirana, ndipo imatha kusokoneza cholumikizira kuti musankhe mgwirizano wogwirizana ndi kuphatikizika kwa chiwembu; ③ Ngati ma fratives ophatikizidwa sangakhale ochepetsedwa, amatha kuphatikizidwa ndi mawonekedwe ocheperako amkati, ndipo mawonekedwe akunja amatha kuchepetsa pang'ono ndikusunga chingwe champhamvu; Lolani masewera olimbitsa thupi a chala chakhudzidwa mu cholumikizira chosakhazikika kuti mupewe kuwuma ndi mafupa; ⑤ imatha kukonza bwino kufooka kwa dzanja popanda kukhudza chithandizo cha postoperative athandizira chilondacho m'manja.
Post Nthawi: Dis-21-2024
