Jabka dhaqdhaqaaqa metarpal waa jabka caadiga ah ee dhaawacyada gacanta, oo lagu xisaabtamo qiyaastii 1/4 bukaannada dhaawacyada gacanta. Qaab dhismeedka jilicsan oo jilicsan ee gacanta iyo shaqada jilicsan ee dhaqdhaqaaqa, muhiimadda iyo fiirinta daaweynta jabka jabku aad uga adag tahay daaweynta jabka kale ee lafaha dheer. Hubinta xasilloonida jabka ka dib dhimista ayaa fure u ah daaweynta lagu guuleysto ee jajabka digniinta metagarpal. Si loo soo celiyo shaqada gacanta, jabka badanaa waxay u baahan tahay hagaajin ku habboon. Waqtiyadii la soo dhaafay, hagaajinta plaster-ka ama hagaajinta siligyada gudaha ee Kirskanner ayaa badanaa la istcimaalaa, laakiin inta badan ma aha wax lagu habeeyo tababarka dib-u-habeynka hore ee dib-u-dhigga ama waqti dheeri ah oo ku saabsan soo kabashada shaqada farta si ay u soo kabato baxnaaninta waxqabadka. Hababka daaweynta casriga ah ayaa si isa soo taraysa u isticmaalaya hagaajinta gudaha ee adag, sida hagaajinta saxarada saxanka ee micro-plate.
I.Waa maxay mabaadi'da daaweynta?
Mabaadi'da daaweynta ee loo yaqaan 'Metacarpal' iyo jabka 'phalajaal' iyo jahwareer muuqaal ah: dhimista jirka, iftiinka iftiinka iyo hagaajinta, howlaha hore iyo tababarka shaqada. Mabaadi'da daaweynta ee qaab-farshaxan-mihirraular iyo qaab-dhismeedka farshaxanka ee gacanta ayaa la mid ah kuwa jabka kale ee murugsan, kuwaas oo iyaguna ah inay soo celiyaan anatomy dusha sare iyo nashaadaadkii hore ee waxqabadka hore. Markaad daweyso jabka gacmaha iyo jabka muuqaalka, dadaalada waa in la sameeyaa si loo gaaro dhimista jirka, iyo wareejinta, murugada dambe ee> 10 ° dhinaca muuqaalka ah ee timirta ah ma dhici karto. Haddii dhamaadkii jajabay ee muuqaalka metacarpal ee phalarpalte-ka ayaa wareegeysa ama sifiican u barakacayaa gadaal, waxay u horseedi doontaa soo jiidashada dabagalka caadiga ah ee farta, taasoo saameyn ku yeelanaysa inay ku dhacdo dabacsanaanta inta lagu gudajiro dabacsanaanta. Iyo markii barakaca la kariyo ee dhinaca timirta ah ee tirndhadu ay tahay> 10 °, kor u kaca dusha sare ee u dhexeeya lafta iyo kala-duwanaanta dhaqdhaqaaqa dabacsan iyo kordhinta burburka 'Tendon Tendon' ayaa dhaca, oo ku saabsan halista cudurka 'Tenson'.
II.Qalab noocee ah ayaa loo xulan karaa jabka metacarpal?
Waxaa jira agabyo badan oo hagaajinta gudaha ee jabka jabka, sida fiilooyinka ee Kirska, boorarka, taarikada iyo xayawaanada dibedda, oo ka mid ah kuwa Kirskanner Gire iyo microplates-ka ugu badan ee loo isticmaalo. Jab jabka Metacaarpal, munaasabadda gudaha microplate waxay leedahay faa iidooyin muuqda oo ku saabsan hagaajinta silig ee Kirskaknerner Clire oo loo isticmaali karo marka hore; Jabanjarooyinka Phalanx ee Moumimal, microplates guud ahaan waa mid ka sarreeya, laakiin markay adag tahay in la dhigo boolal loogu talagalay qaabka feedhka phalanx ee loo yaqaan 'phalanx' iyo jajabka madaxa ee isku-darka, kaasoo si ku habboon u soo kabashada shaqada farta ay ku kacaan; Xirmooyinka Kirskachnernner waa in marka hore loo istcimaalo daaweynta jawiga phalanx ee dhexe.
- Kirskalner silig:Kirska Gread-ka Gudaha ee Kirskanner waxaa loo adeegsaday ku-meel-gaarnimada rugta caafimaad in ka badan 70 sano oo had iyo jeer uu ahaa sheyga hagaajinta gudaha ee ugu badan ee loo adeegsado metacarpal iyo jahwareer phalacalpal. Way fududahay in la shaqeeyo, dhaqaale ahaan iyo wax ku ool ah, waana habka ugu badan ee hagaajinta gudaha ee gudaha. Sida ugu badan ee loo adeegsado daaweynta gudaha ee daaweynta jabka gacanta, wali si ballaaran ayaa loo isticmaalaa. Faa'iidooyinka silig ee loo yaqaan 'Kirskachner Wire' ee Kirska ': ① Way fududahay in la shaqeeyo oo aad loo dabacsanaado isticmaalka; ② Caddo jilicsan oo jilicsan, saameyn yar oo ku saabsan bixinta dhiigga ee jabka, dhaawacyada yar ee qalliinka, iyo bogsashada jabka; ③ Way fududahay in lagaa saaro irbadda markii labaad; ④ Qiimaha jaban iyo noocyo ballaaran oo codsi ah, oo ku habboon jabka gacanta gacanta (sida jajabayaasha farshaxanka ee farshaxanka ah, jajabka daran iyo jajabayaasha masaafada fog).
2.Maatarpophalandeal qalabka microplates: Hagaajin adag oo gudaha ah ee jabka gacanta ayaa ah aasaaska tababarka shaqada hore iyo xaalad lagama maarmaanka u ah soo celinta shaqada gacanta wanaagsan. Tiknolojiyadda hagaajinta gudaha Ao waxay u baahan tahay in jabku uu u baahan yahay si sax ah loogu soo celiyo qaab dhismeedka jirka oo ah in jabku uu xasilloon yahay xaaladaha waxqabadka, kaas oo si caadi ah loogu yaqaanaa xaaladaha adag, si loo oggolaado dhaqdhaqaaqa firfircoon ee firfircoon. Ao waxay sidoo kale carrabka ku adkeeseen howlgalada qalliinka ee ugu yar, iyadoo diirada la saarayo ilaalinta dhiiga. Muhiimadda Microplate ee daaweynta gudaha ee jabka gacmaha gacmaha ayaa lagu gaari karaa natiijooyin lagu qanco marka loo eego xoogga, xasilloonida jabka ayaa dhamaanaya, iyo cadaadiska u dhexeeya jabka. Marka laga hadlayo soo kabashada shaqada ee loo yaqaan 'Hom', waqtiga bogsashada ee jaban, iyo heerka caabuqa, waxaa la rumeysan yahay in waxtarka taarikada taarikada microtitanium-ka ay aad uga fiican tahay taabashada fiilooyinka Kirskanium. Intaa waxaa dheer, maadaama waqtiga bogsashada ee jabtay ka dib markii loo gaabiyo taarikada microtitanium-ga microtitamium-ka si aad ah uga gaaban tiirarka hababka kale ee hagaajinta, waxay faa'iido u leedahay bukaanka inay dib u bilaabaan nolosha caadiga ah.
(1) Waa maxay faa iidooyinka microplate-ka gudaha microplate?
① Marka la barbar dhigo fiilooyinka Kirskachner, agabyada qiiqa microplate waxay leeyihiin is-waafajin unug oo ka wanaagsan iyo jawaabta unugyada ka fiican; ② Deganaanshaha nidaamka hagaajinta saxanka iyo cadaadiska ku saabsan jabka jabka ayaa jaban jajabka u dhow dhimista jirka, hagaajinta xasilloonida, iyo bogsashada jabka; Laylihii Hore ee Shaqada Hore ayaa guud ahaan loo oggol yahay ka dib markii lagu hagaajiyo microplate, kaasoo ku habboon soo kabashada shaqada gacanta.
(2) Waa maxay habka qalliinka ee microplates?
Qalliinka waxaa badanaa lagu sameeyaa hoos-u-dhigga naxaasta suuxdinta, iyo danta daaqadaha fekerka ah ayaa badanaa loo baahan yahay. Meesha la jeexjeexay ee loo yaqaan 'MESACAL' ee Phalanges-ka Metacarpal waa la qaadaa, Dhuurta faqiis ee nambarku waa la gooyaa ama muruqa isgoysyada iyo lafaha metagarpal, oo jabka waxaa lagu yareeyaa muuqaalka tooska ah ee muuqaalka. Taargooyinka toosan waxay ku habboon yihiin jabinta jajabinta ee qeybta dhexe iyo jabka gaagaaban ee gaagaaban, t-partes-ka galka ah waxay ku habboon yihiin hagaajinta saldhigga metacarpal iyo paartes-ka, iyo 150 ° L-Partes-ka ayaa ku habboon hagaajinta jabka dheer iyo jahwareerka. Saxanka guud ahaan waxaa lagu dhejiyaa dhinaca darida ee lafta si looga hortago in la xiro iyo muddada-dheer ee xirta, taas oo u habboon tababarka shaqada hore. Ugu yaraan laba boolal waa in loo istcimaalaa in la xaliyo labada dhagdood ee jabka, haddii kale deganaanshadu waa mid liidata, iyo xargaha Kirskachner ama boolal ka baxsan saxanka loo baahan yahay si loo gaaro ujeeddada hagaajinta xasilloonida.
3.Mhini boorar: Mini screws have similar stability to steel plates in the fixation of spiral or long oblique fractures, but the range of soft tissue and periosteum stripping is smaller than that of steel plate fixation, which is conducive to protecting blood supply and in line with the concept of minimally invasive operation. In kasta oo ay jiraan t-nooc ah taarikada luqadda ee mashquulka ah, dib u soo kabashada shaqada wadajirka ka dib markii lasocod-ka-dabagalka ka dib uu ka xun yahay kan jabka dil. Boolal yar yar ayaa sidoo kale leh faa iidooyin gaar ah oo ku saabsan hagaajinta jahwareerka gudaha-farshaxanka iyo jahwareerka. Boogaha ayaa lagu duubay lafta cortical lafta kacsan waxay u adkeysan kartaa culeys weyn oo walwalsan, sidaa darteed hagaajinta ayaa la iskugu kicin karaa, ka soo gaabi waqtiga bogsashada jabka oo u fududeeya bogsashada jabka, sida muuqata ee Jaantuska 4-18. Xarigga yar ee lagu hagaajiyo ee jabka gudaha ee jabka gacanta ayaa inta badan loo isticmaalaa jajabka caloosha ama jajabka dimbi ee diaphealshoal iyo shoral-ka-shopulles-ka ee khalkhal geliya. Waa in la ogaadaa in marka la isticmaalayo xoqida mini si loo hagaajiyo jajabka cawska ee laf-dhabarta lafta dildilaaca, iyo goorta ay hagaajinayso burburka jabka, ballaca ka-hortagga laf-dhabarta waa inuu ahaadaa ugu yaraan 3 jeer dhexroorka dunta.
4.micro Diyaarad dibedda ah:Jabka loo yaqaan 'Metacaarpal' MECHARPAL MARKA MARKA MARKA MARKA MARKA WAA IN AAD UGU SAMEEYAAN AMAANKA LACAG LA'AANTA AMA LAGU SAMEEYO INTIO gudaha gudaha xitaa ka dib qaddarka qalliinka ka dib oo ay u dhintaan burburka lafaha. Gaarsadayaasha dibedda ayaa soo celin kara oo joogteyn kara dhererka jabka jabka ee ku jira jawiga jajabay ee hoos timaada, ciyaarista doorka hagaajinta qaraabada. Xannaanooyinka dibedda ee metagarpal ee kala duwan ayaa la dhigayaa jagooyin kala duwan: Muuqaalka 1aad iyo 2aad iyo 2aad iyo MECHARPAS-ka 4-aad iyo 5-aad Metacarpal waxaa lagu meeleeyaa dhinaca xiiqda ee xiisaha leh ama Dorsecal ulsar dhinaca si waafaqsan xaaladda. U fiirso meesha talaalka ah si looga hortago waxyeelada cudurka. Jabka xidhan waa la yareyn karaa raajada. Marka dhimista aysan ku fiicnayn, jeexitaan yar ayaa la sameyn karaa si looga caawiyo dhimista.
Waa maxay faa'iidooyinka xasaadooyinka dibedda?
Firfircoonaanta fudud, waxay hagaajin kartaa barakacyo kala duwan oo jabka; ② Si wax ku ool ah ayaa loo yarayn karaa oo hagaajin karaa jajabka farshaxanka ee farshaxanka ah ee lafaha metacarpophaeal iyada oo aan waxyeello u galin dusha sare, oo ay ku mashquuliyaan dusha sare ee isku dhafka ah si looga hortago in lagu horjoogsado dhagaxa kaabsarka wadajirka ah iyo xargaha wadajirka ah; ③ Marka jabka lasoqado ma noqon karo mid loo yarayn karo, waxaa lagu dari karaa xadidan xadidan gudaha gudaha, iyo fuliyaha dibedda ayaa qeyb ahaan yareyn kara oo ilaalin kara khadka xoogga; ④ U oggolow layliyada waxqabadka hore ee farta ay saameeyeen farta aan la soo koobi karin si looga fogaado adkaanta wadajirka ah iyo osteoporosis; ⑤ Si wax ku ool ah ayaa si wax ku ool ah u hagaajin kara jabka gacanta iyadoo aan saameyn ku lahayn daaweynta postiopopopitent ee boogta gacanta ku dhacday gacanta.
Waqtiga Post: Dec - 21-2024
