Ipuleti Lokukhiya IVolar

Incazelo emfushane:

—— Uhlobo lwekhanda lwe-oblique

Izimila zokuhlukumezeka kwepuleti lokukhiya i-volar uhlelo olubanzi lokubhaka ukubhekana nezindlela ezahlukahlukene zokuphuka. Ngamacwecwe abunjwe ngokwenyama aqukethe ukusekelwa kwe-angle engaguquki nezimbobo ze-combi, ukwelashwa kwe-dorsal ne-volar distal radius fractures kuyatholakala.


Imininingwane yomkhiqizo

Amathegi womkhiqizo

Izici:  

1. Kwenziwe nge-titanium nobuchwepheshe bokucubungula obuphambili;

2. Umklamo wephrofayili ophansi usiza ukunciphisa ukucasuka kwezicubu ezithambile;

3.I-surface anodized;

4. Idizayini yokwakheka komzimba;

5. I-Combi-hole ingakhetha kokubili isikulufa sokukhiya ne-cortex screw; 

Inkomba:

Ukufakwa kwepuleti lokukhiya i-volar kulungele i-distal volar radius, noma yikuphi ukulimala okubangela ukukhula kokuboshwa ku-distal radius.  

Isetshenziselwa isikulufa sokukhiya samathambo se-.03.0, isikulufu se-.03.0 samathambo, esifana ne-3.0 chungechunge lwensimbi yokuhlinza.

Volar-Locking-Plate

Ikhodi ye-oda

Ukucaciswa

10.14.20.03104000

Izimbobo ezi-3 Kwesobunxele

57mm

10.14.20.03204000

Izimbobo ezi-3 ezifanele

57mm

10.14.20.04104000

Izimbobo ezi-4 Kwesobunxele

69mm

10.14.20.04204000

Izimbobo ezi-4 ezifanele

69mm

* 10.14.20.05104000

Kwesobunxele imigodi emi-5

81mm

10.14.20.05204000

Izimbobo ezi-5 ezifanele

81mm

10.14.20.06104000

Kwesobunxele Izimbobo ezi-6

93mm

10.14.20.06204000

Izimbobo ezi-6 ezifanele

93mm

Amapuleti okhiya i-volar ekwelapheni ama-distal radius fractures anethambo noma ngaphandle kwethambo ayithinti imiphumela ye-radiographic. Ekuqhekekeni okuguqukayo, ukwengezwa kwamathambo okwengeziwe akudingekile uma kwenziwa ukunciphisa kwe-intraoperative anatomical lapho kungenzeka.

Ukusetshenziswa kwamapuleti okhiya i-volar wokulungiswa kokuhlinzwa kokuqhekeka kwe-distal radius fractures sekuthandekile. Kodwa-ke, kubikwe izinkinga eziningi ezihambisana nalolu hlobo lokuhlinzwa, kufaka phakathi ukuphuka kwethenda. Ukuqhekeka kwe-flexor pollicis longus tendon kanye ne-extensor pollicis longus tendon ehlotshaniswa nokulungiswa kwe-distal radius fractures ngepuleti elinjalo kwabikwa okokuqala ku-19981 naku-2000,2 ngokulandelana. Isigameko esibikiwe sokuqhuma kwe-flexor pollicis longus tendon esihlobene nokusetshenziswa kwepuleti yokukhiya i-volar ye-distal radius fracture isuke kusuka ku-0.3% kuya ku-12% .3,4 Ukunciphisa ukwenzeka kokuqhekeka kwe-flexor pollicis longus tendon ngemuva kokulungiswa kwepuleti le-volal ama-radius fractures, ababhali banake ukubekwa kwepuleti. Ochungechungeni lweziguli ezinama-distal radius fractures, ababhali baphenye izitayela zonyaka ngenani lezinkinga maqondana nezinyathelo zokwelashwa. Ucwaningo lwamanje luphenye izehlakalo zezinkinga ngemuva kokuhlinzwa kokuqhekeka kwe-distal radial ngepuleti lokukhiya le-volar.

Kube nesilinganiso sokuxakaniseka se-7% ochungechungeni lwamanje lweziguli ezinamaphepha engqamuzana e-distal aphathwa ngokulungiswa kokuhlinzwa ngepuleti lokukhiya i-volar. Izinkinga zazihlanganisa i-carpal tunnel syndrome, i-peripheral nerve palsy, i-trigger digit, kanye ne-tendon rupture. Umugqa wamanzi uwuphawu oluwusizo lokuhlinzwa lokubeka ipuleti lokukhiya i-volar. Awekho amacala wokuqhuma kwe-flexor pollicis longus tendon okwenzeka phakathi kweziguli ze-694 ngoba ukunakekelwa ngokucophelela kwanikezwa ebudlelwaneni obuphakathi kokufakwa kanye nethenda.

Imiphumela yethu isekela ukuthi amapuleti okukhiya ama-volar fixed-angle ayindlela yokwelapha ephumelelayo yokuqhekeka okungafani okungazinzile kwe-distal radius fractures, okuvumela ukuvuselelwa kwangaphambi kokuhlinzwa ukuthi kuqaliswe ngokuphepha.


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