Kuvunika Radius Kuvunika: Ibisobanuro birambuye byerekana ubuhanga bwo kubaga imbere stith amashusho ninyandiko!

1. Ibimenyetso

1). Tanga umusaruro wabimuwe ufite kwimurwa kugaragara, hamwe nubuso bwa vidiyo bwa kure bwangiritse.

2) .Ibigabanya imipaka byananiranye cyangwa ikosora hanze yananiwe kugumana igabanuka.

3) .Korekana.

4) .Ibibazo cyangwa ubusa. Amagufwa ahari murugo no mumahanga

1. Kumenyekanisha

Abarwayi bageze mu zabukuru badakwiriye kubaga.

1. Gukosora imbere (Uburyo bwijwi)

Gutegura mbere yo gutegura. Anesthesia ikorwa hakoreshejwe anesthesia plexus cyangwa anesthesia rusange

1) .Umurwayi ashyirwa mumurongo ukwirakwiza hamwe nigice cyibasiwe cyashimuswe kandi gishyirwa kumurongo wo kubaga. Gutema 8CM bikozwe hagati yububiko bwa radiyo bwumunwa na flexor carpi imitsi ikanzu hanyuma ikagera no kumeneka kuntoki. Ibi birashobora kwerekana rwose kuvunika no gukumira amasezerano yitwa. Gutema ntibikeneye kujya mu kiganza (Ishusho 1-36a).

2). Inda yimitsi ihuye numubiri wa quadrator ya quadrator (Ishusho 1-36C)

3).

4) .kuvuga umurongo cyangwa icyuma gito cyamagufwa kuva kumurongo, hanyuma uyikoreshe nkinyongera kugirango ugabanye kuvunika. Shyiramo disiki cyangwa icyuma gito cyibisimba hejuru yumurongo wamagufwa ya cortex kugirango ugabanye corts kandi ugabanye igice cyo gucika intege no kugabanya urutoki kugirango ugabanye igice cyo kuvunika dorsal.

Iyo kuvunika styloid yavunitse, biragoye kugabanya kuvunika kwa radiyo kubera gukurura imitsi ya brachioradialis. Kugabanya imbaraga zo gukurura, Brachioradialis irashobora gukoreshwa cyangwa gutandukanijwe na radiyo ya kure. Nibiba ngombwa, igice cya kure kirashobora gukosorwa byigihe gito kubice bya paragnel bifite insinga za kirsclener.

Niba inzira ya Ulnar Styloid yavunitse kandi yimuwe, kandi insinga za radiyo idahungabana, imwe cyangwa ebyiri cyangwa ebyiri zirashobora gukoreshwa muburyo bwa burundu, kandi inzira ya Ulnar Syyloid irashobora gusubirwamo nimikorere yimyuga. Gucibwa bito mubisanzwe ntibisaba kuvurwa. Ariko, niba radiyo ya maltal idahungabana nyuma yo gukosora radiyo, igice cya styloid kirashobora gucibwa kandi impande za fibrocartilage yo muri mpandeshatu zishumirwa hamwe na Ulnar sthine cyangwa umugozi.

5) .nifashishijwe gukurungura, capsule hamwe na ligamen hamwe birashobora gukoreshwa mugusohora intercalation no kugabanya kuvunika. Nyuma yo kuvunika byagabanutse neza, menya imyanya yo gushyira ipaki ya Volar iyobowe na X-ray flueroscople kandi ikuramo inkweto mu mwobo wa oval cyangwa umwobo wo korohereza ibyapa (Ishusho 1-36F). Koresha umwobo wa 2.5mm wo gukinisha ikigo cya oval, hanyuma ushiremo 3.5mm wikanda.

Igishushanyo 1-36 Gutemamo uruhu (a); gutemagurira flexor carpi radialis tendon. B); gukuramo igice cya Flexor Tendon Kugaragaza imitsi ya Quadrator (C); gucamo imitsi ya quadrator kugirango yerekane radiyo (d); kwerekana umurongo uvuza (e); shyira isahani yijwi kandi ushishoze muri screw yambere (f)
6) .use c-amaboko fluoscopy kugirango yemeze umwanya ukwiye. Nibiba ngombwa, gusunika isahani kure cyangwa byihuse kubona ahantu heza ho gushishira.

7) .Gond ya 2.0mm yo gucukura umwobo ku mpera ya slate y'icyuma, bapima ubujyakuzimu kandi bakubise imigozi. Umusumari agomba kuba 2mm inshuro 2 kurenza intera yapimwe kugirango yirinde gucekwa no gusohoka muri Cortex dorsal. Mubisanzwe, imitekerereze 20-22mm irahagije, kandi imwe yagenwe kumurongo wa radiyo igomba kuba ngufi. Nyuma yo guswera muri kure cyane, shyiramo shyiramo imirongo isigaye.

Kuberako inguni yumuntu yateguwe, niba isahani yegereye cyane imperuka ya kure, imiyoboro izinjira mukiboko. Fata ibice bya tangiction byigufwa yamagufwa avuye kumyanya ya conal na SAGITTAL kugirango usuzume niba yinjiye mu ngingo, hanyuma ukurikize amabwiriza ahindura amasahani ya steel na / cyangwa imigozi

. B. AnteropoSpieri Imbere na FITR-Ray Film yo kuvunika nyuma, yerekana kuvunika neza no kugabanya neza no kwandika neza
8) .kure pronator imitsi hamwe na suture idasobanutse. Menya ko imitsi idapfukirana neza isahani. Igice cya kure kigomba gutwikirwa kugirango ugabanye umubano hagati ya flay mandon nisahani. Ibi birashobora kugerwaho no gusunika pronator quadratosi kuruhande rwa brachioradialis, usoza urwego rwateganijwe mu buryo, hanyuma ukosore na plaster nibiba ngombwa.