Daawaynta ugu badan ee jabka radius fog waa habka Henry volar iyadoo la isticmaalayo taarikada qufulka iyo boolal hagaajinta gudaha.Inta lagu jiro nidaamka hagaajinta gudaha, caadi ahaan lagama maarmaan ma aha in la furo kaabsulka wadajirka ah ee radiocarpal.Yaraynta wadajirka ah waxaa lagu gaaraa habka wax-ka-beddelka dibadda, iyo fluoroscopy intraoperative ayaa loo isticmaalaa si loo qiimeeyo isku-dheelitirka dusha wadajirka ah.Xaaladaha jabka niyad jabka ah ee gudaha articular, sida jabka Die-punch, halkaasoo hoos u dhigista aan tooska ahayn iyo qiimeyntu ay caqabad ku tahay, waxaa laga yaabaa inay lagama maarmaan noqoto in la isticmaalo habka dhabarka si loo caawiyo muuqaal toos ah iyo dhimis (sida ku cad shaxanka hoose).
Seediyaha dibadda iyo seedaha gudaha ee wadajirka radiocarpal ayaa loo tixgeliyaa qaabab muhiim ah oo lagu ilaalinayo xasilloonida wadajirka curcurka.Horumarka cilmi-baarista anatomical, waxaa la ogaaday, iyadoo la eegayo xaaladda ilaalinta daacadnimada seedaha radiolunate ee gaaban, jarista seedaha dibadda ma aha inay keento xasillooni darro wadajir ah.
Sidaa darteed, xaaladaha qaarkood, si loo gaaro aragti wanaagsan oo ku saabsan dusha wadajirka ah, waxaa laga yaabaa inay lagama maarmaan noqoto in qayb ahaan la gooyo seedaha dibadda, tanina waxaa loo yaqaannaa habka daaqada dheer ee gudaha gudaha (VIEW).Sida ka muuqata sawirka hoose:
Jaantuska AB: Habka caadiga ah ee Henry ee soo bandhigida radius dusha lafta fog, si loo helo jabka dillaaca ee radius fog iyo wejiga scaphoid, kaabsulka wadajirka ah ee curcurka ayaa marka hore la jarjaray.Dib-u-dejiye ayaa loo isticmaalaa si loo ilaaliyo seedaha radiolunate ee gaaban.Ka dib, seedaha dheer ee shucaaca radiolunate ayaa laga gooyay raadiyaha fog ee dhinaca ulnar ee scaphoid.Halkaa marka ay marayso, muuqaalka tooska ah ee dusha wadajirka ah ayaa la gaari karaa.
Jaantuska CD: Ka dib marka la soo bandhigo dusha wadajirka ah, dhimista diyaaradda sagittal ee dusha wadajirka ah ee niyad jabsan ayaa lagu sameeyaa muuqaal toos ah.Wiishashka lafaha waxaa loo isticmaalaa in lagu maamulo oo lagu dhimo jajabyada lafaha, iyo 0.9mm fiilooyinka Kirschner waxaa loo isticmaali karaa hagaajin ku meel gaar ah ama kama dambays ah.Marka dusha wadajirka ah si ku filan loo yareeyo, hababka caadiga ah ee saxanka iyo hagaajinta furka ayaa la raacayaa.Ugu dambeyntii, jeexjeexyada lagu sameeyay ligamentiga dheer ee radiolunate iyo kaabsulka wadajirka ah ee curcurka waa la tolay.
Saldhigga aragtiyeed ee aragtida (VIEW) habka daaqada dheer ee xididka intraarticular) waxay ku jirtaa fahamka in goynta qaar ka mid ah seedaha kala-goysyada wadajirka ah ee curcurka ah aysan qasab ahayn inay keento xasillooni darro wadajir ah.Sidaa darteed, waxaa lagula talinayaa qaar ka mid ah jabka laf-dhabarka fog ee laf-dhabarka gudaha- articular ah halkaas oo dhimista dusha wadajirka ee fluoroscopic ay tahay mid adag ama marka tallaabo-ka-baxyo ay jiraan.Habka VIEW ayaa si adag loogu talinayaa si loo gaaro muuqaal toos ah oo wanaagsan inta lagu jiro hoos u dhaca xaaladahan oo kale.
Waqtiga boostada: Sebtembar-09-2023
