I-Volar Locking Plate

Incazelo emfushane:

——Uhlobo lwekhanda elitshekile

Ukufakwa kwe-trauma yepuleti lokukhiya i-volar kuwuhlelo olubanzi lokuhlanganisa ukubhekana namaphethini ahlukene okuphuka. Ngamapuleti anomumo we-anatomically abonisa ukwesekwa kwe-engeli engaguquki kanye nezimbobo ze-combi, ukwelashwa kwe-dorsal kanye ne-volar distal radius fracture kuyafinyelelwa.

Thumela i-imeyili kithi Landa njenge-PDF

Imininingwane Yomkhiqizo

Omaka bomkhiqizo

Izici:

1. Yenziwe nge-titanium kanye nobuchwepheshe obuphambili bokucubungula;

2. Ukwakhiwa kwephrofayili ephansi kusiza ukunciphisa ukucasuka kwezicubu ezithambile;

3. I-anodized ebusweni;

4. Ukwakheka komumo we-anatomical;

5. I-Combi-hole ingaba ukukhetha kokubili isikulufa sokukhiya kanye nesikulufu sika-cortex;

Inkomba:

Ukufakelwa kwepuleti lokukhiya i-volar kulungele i-distal volar radius, noma yikuphi ukulimala okubangela ukuboshwa kokukhula ku-distal radius.

Isetshenziselwa Φ3.0 isikulufu sokukhiya i-orthopedic, Φ3.0 isikulufu se-orthopedic cortex, esimataniswa nochungechunge lwesethi yethuluzi lokuhlinza elingu-3.0.

Ikhodi ye-oda	Ukucaciswa
10.14.20.03104000	Kwesobunxele 3 Izimbobo	57 mm
10.14.20.03204000	Right 3 Izimbobo	57 mm
10.14.20.04104000	Kwesobunxele 4 Izimbobo	69 mm
10.14.20.04204000	Right 4 Izimbobo	69 mm
*10.14.20.05104000	Kwesobunxele 5 Izimbobo	81 mm
10.14.20.05204000	Right 5 Izimbobo	81 mm
10.14.20.06104000	Kwesobunxele 6 Izimbobo	93 mm
10.14.20.06204000	Right 6 Izimbobo	93 mm

Amapuleti okukhiya i-Volar okwelapha ukuphuka kweradius distal noma ngaphandle kokwengezwa kwamathambo ayithinti imiphumela ye-radiographic. Ezingxenyeni eziphukile, ukukhushulwa kwethambo okungeziwe akudingekile uma ukuncishiswa kwe-anatomical ye-intraoperative kanye nokulungiswa kwenziwa uma kungenzeka.

Ukusetshenziswa kwamapuleti okukhiya i-volar okulungiswa kokuhlinzwa kwe-distal radius fractures sekudumile. Kodwa-ke, kuye kwabikwa izinkinga eziningana ezihlobene nalolu hlobo lokuhlinzwa, kuhlanganise nokuphuka kwe-tendon. Ukuqhekeka kwe-flexor pollicis longus tendon kanye ne-extensor pollicis longus tendon ehlotshaniswa nokulungiswa kwe-distal radius fractures ngepuleti enjalo kwabikwa okokuqala ku-19981 kanye ne-2000,2 ngokulandelanayo. Isigameko esibikiwe se-flexor pollicis longus tendon rupture ehlotshaniswa nokusetshenziswa kwepuleti yokukhiya i-volar ye-distal radius fracture isukela ku-0.3% kuya ku-12%. Ochungechungeni lweziguli ezine-distal radius fractures, ababhali baphenye izitayela zonyaka ngenani lezinkinga maqondana nezinyathelo zokwelashwa. Ucwaningo lwamanje luphenye izehlakalo zezinkinga ngemuva kokuhlinzwa kokuphuka kwe-distal radial ngepuleti lokukhiya i-volar.

Kube nenani lezinkinga lika-7% ochungechungeni lwamanje lweziguli ezine-distal radius fractures eziphathwe ngokulungiswa kokuhlinzwa ngepuleti lokukhiya i-volar. Izinkinga zazihlanganisa i-carpal tunnel syndrome, i-peripheral nerve palsy, idijithi yokuqalisa, nokugqabuka kwe-tendon. I-watershed line iyindawo ewusizo yokuhlinza yokubeka ipuleti lokukhiya le-volar. Azikho izimo ze-flexor pollicis longus tendon rupture ezenzeka phakathi kweziguli ze-694 ngoba ukunakekelwa ngokucophelela kukhokhwa ebuhlotsheni phakathi kokufakelwa kanye ne-tendon.

Imiphumela yethu isekela ukuthi amapuleti okukhiya ama-engeli angaguquki e-volar awukwelashwa okusebenzayo kokungazinzi kokuqhekeka kwe-extra-articular distal radius, okuvumela ukuvuselelwa kwangaphambi kwesikhathi kwangemva kokuhlinzwa ukuthi kuqaliswe ngokuphephile.

Okwedlule: I-Volar Dorsal Locking Plate

Olandelayo: I-Distal Volar Locking Plate