Papa Laka Volar

ʻO ka wehewehe pōkole:

——Ke ano poo oblique

ʻO nā implants trauma no ka volar locking plate he ʻōnaehana plating piha e hoʻoponopono i nā ʻano like ʻole.Me nā papa ʻano anatomical e hōʻike ana i ke kākoʻo ʻokoʻa paʻa a me nā lua combi, ua hoʻokō ʻia ka mālama ʻana i nā haʻihaʻi dorsal a me volar distal radius.


Huahana Huahana

Huahana Huahana

Nā hiʻohiʻona:

1. Hana ʻia i ka titanium a me ka ʻenehana hana kiʻekiʻe;

2. ʻO ka hoʻolālā haʻahaʻa haʻahaʻa e kōkua i ka hoʻohaʻahaʻa ʻana i ka ʻili palupalu;

3. Ili anodized;

4. Hoʻolālā kinona kino;

5. Hiki ke koho ʻia nā puka komo ʻelua a me ka wili cortex;

Hōʻike:

ʻO kahi implant o ka volar locking plate i kūpono no ka distal volar radius, nā ʻeha e hoʻopiʻi i ka ulu ʻana i ka radius distal.

Hoʻohana ʻia no ka Φ3.0 orthopedic locking screw, Φ3.0 orthopedic cortex screw, i hoʻohālikelike ʻia me 3.0 series surgical instrument set.

Volar-Locking-Plate

Kāhea helu

Hōʻike

10.14.20.03104000

Haalele 3 Puka

57mm

10.14.20.03204000

ʻĀkau 3 Puka

57mm

10.14.20.04104000

Haalele 4 Puka

69mm

10.14.20.04204000

Akau 4 Puka

69mm

*10.14.20.05104000

Haalele 5 Puka

81mm

10.14.20.05204000

Akau 5 Puka

81mm

10.14.20.06104000

Haalele 6 Puka

93mm

10.14.20.06204000

Akau 6 Puka

93mm

ʻAʻole pili i nā hopena radiographic nā papa laka paʻa no ka mālama ʻana i nā haʻihaʻi radius mamao me ka hoʻonui iwi ʻole.I nā haʻihaʻi comminuted, ʻaʻole pono ka hoʻonui ʻana i ka iwi inā hana ʻia ka hoʻohaʻahaʻa anatomical intraoperative a me ka hoʻoponopono inā hiki.

Ua kaulana ka hoʻohana ʻana i nā pā paʻa volar no ka hoʻoponopono ʻana i nā haʻihaʻi radius distal.Eia nō naʻe, ua hōʻike ʻia kekahi mau pilikia e pili ana i kēia ʻano o ka ʻoki ʻana, e like me ka haki ʻana o ka tendon.ʻO ka haki ʻana o ka flexor pollicis longus tendon a me ka extensor pollicis longus tendon e pili ana i ka hoʻoponopono ʻana i nā haʻihaʻi radius distal me ia pā i hōʻike mua ʻia ma 19981 a me 2000,2.ʻO ka hōʻike i hōʻike ʻia o ka flexor pollicis longus tendon rupture e pili ana me ka hoʻohana ʻana i kahi pā paʻa volar no ka haʻihaʻi radius distal mai 0.3% a 12%.3,4 No ka hōʻemi ʻana i ka hiki ʻana o ka flexor pollicis longus tendon rupture ma hope o ka hoʻopaʻa ʻana o ka volar plate o ka distal. nā radius fractures, ua nānā nā mea kākau i ke kau ʻana o ka pā.I loko o kahi pūʻulu o nā maʻi me nā haʻihaʻi radius distal, ua noiʻi nā mea kākau i nā ʻano makahiki i ka helu o nā pilikia e pili ana i nā hana lapaʻau.Ua noiʻi ka haʻawina o kēia manawa i ka ulu ʻana o nā pilikia ma hope o ke kaʻina no nā ʻoki radial distal me kahi pā paʻa volar.

Aia ka nui o ka hoʻopiʻi ʻana o 7% i kēia manawa o nā maʻi me nā haʻihaʻi radius distal i mālama ʻia me ka hoʻoponopono ʻokiʻoki me kahi pā paʻa volar.ʻO nā pilikia e pili ana i ka carpal tunnel syndrome, peripheral nerve palsy, trigger digit, a me ka haki ʻana o ka tendon.ʻO ka laina hoʻoheheʻe wai he wahi hōʻailona kūpono no ka hoʻonohonoho ʻana i kahi pā paʻa volar.ʻAʻohe hihia o ka flexor pollicis longus tendon rupture i loaʻa ma waena o nā maʻi 694 no ka mea ua mālama pono ʻia ka pilina ma waena o ka implant a me ka tendon.

Kākoʻo kā mākou mau hualoaʻa i ka hoʻoponopono maikaʻi ʻana o nā papa laka paʻa ʻana o ka volar no ka unstable extra-articular distal radius fractures, e ʻae ana i ka hoʻomaka ʻana o ka hoʻoponopono hou ʻana ma hope o ka hana.


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