Distal radius karaya: cikakken bayani game da kwarewar gyaran cikin gida Sith

1. Alamar

1.

2) .The raguwa ta yi nasarar ko gyara na waje ya kasa kula da ragi.

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4). Kashi a gida da kasashen waje

1. Karatun

Tsofaffi marasa lafiya waɗanda ba su dace da tiyata ba.

1. Gyara na ciki (kusancin volarkin)

Yau da kullun shirye-shiryen. Ana yin maganin maganin hana amfani da kwayar cutar ta amfani da kwayar cutar kararraki

1). Ana sanya mara lafiya a cikin Supine Matsayin tare da reshe wanda aka shafa da sanya a kan firam. An yi infin 8cm tsakanin radial artery na hannu da sassauya Carpi Risculs tsoka da tsawaita wa wuyan hannu crease. Wannan na iya bijirar da karaya gaba daya kuma yana hana sawra. A ciki baya buƙatar shiga cikin dabino na hannu (Hoto na 1-36A).

2). ''Hollow inchsion zuwa Flepor Carpi Rashin jin daɗin Carpi (Hoto 1-36b), yi amfani da yatsan zangon pollisdia don fallasa mai sassaucin ra'ayi don aiwatar da sikelin mai sassaucin ra'ayi, kuma wani free flated flated flleft pollis. Muscle ciki yana cike da cikakkiyar fallasa ga proton Quadratus Muscle (Hoto 1-36C)

3) .Makearfafa "l" mai siffa fannoni a gefen radius zuwa ga radius na tsoka (Hoto 1-36, Hoto na 1-36e)

4). Amerammen sawa ko karamin kashin yanka daga layin karaya, ka yi amfani da shi a matsayin lever don rage karaya. Saka wani lokaci ko karamin wuka na scissor a kan karaya mai rauni a cikin kashi cortex don rage yatsun kashi, kuma ka rage yatsunsu don damfara yanki mai narkewa don rage guntun rauni na dorsal.

Lokacin da radial Styloid Karaya, yana da wuya a rage radial cyloid karaya saboda cirewar brakioRadalis tsoka. Don rage ƙarfin ja, ana iya sarrafa Brakigoradialis ko watsa daga Radius na Distal. Idan ya cancanta, za a iya gyara yanki na ɗan lokaci zuwa guntun yanki tare da wayoyin Kirirschner.

Idan an yi amfani da tsari na ulnar da gudun hijira, da kuma igiyar mai nisa ana iya amfani da ita don shinge na percutous, kuma ana iya sake saita aikin ulnloid na percutous ɗin. Karamin karaya yawanci ba sa bukatar magani mai kyau. Koyaya, idan darurar haɗin haɗin gwiwa ba zai iya yiwuwa ba bayan gyaran radius, ana iya gano yanki mai salo da geffulan ta Styloid tare da ulman ko siliki mai siliki ko siliki.

5) .withwar goyon baya, ana iya amfani da Capite da Ligames don sakin Cikakkiyar da rage karaya. Bayan karaya an yi nasarar rage, ƙayyade matsayin wurin da ƙarfe na Volar Mark. Yi amfani da ramin hako 2.5mm don rawar soja a tsakiyar ramin ƙwayar ƙwayar ƙwayar cuta, kuma saka dunƙule 3.5mm kai.

Hoto na 1-36 Fata na fata (a); incisi na flridor Carpi radialis jijiya (b); Peeling kashe wani ɓangare na wulaken sassauya don tayar da sunan Quadratus tsoka (c); Raga mai nuna alamar Qadratus tsoka don bibiyar radius (d); fallasa layin karaya (e); Sanya farantin volar kuma dunƙule a cikin dunƙulen farko (F)
6). Ause C-Humberroscopy don tabbatar da sandar farantin da ta dace. Idan ya cancanta, tura farantin jiki ko wakili don samun mafi kyawun sakaci mai zurfi.

7). Rage wani rami na 2.0mm don rawar soja a ƙarshen farantin karfe, auna zurfin kuma dunƙule a cikin dunƙule a cikin murfin kulle. Ya kamata ƙusa ta zama guntu 1mm fiye da nisan nisan don hana dunƙule daga shiga cikin shiga cikin shiga cikin shiga cikin shiga cikin shiga ciki da kuma protruding daga dorsal cortex. Gabaɗaya, mai 20-22mm ya isa, kuma ɗayan gyarawa akan tsarin mai salo na kayan aiki ya zama gajere. Bayan kunkurewa a cikin kusurwar karkara, dunƙule shi yana saka sauran kusurwar wakili.

Saboda kusurwar dunƙule an tsara shi, idan an sanya farantin ma kusa da ƙarshen karkara, dunƙule zai shiga cikin haɗin wuyan hannu. Aauki yanka na tangare na ƙashi mai articular daga coronal da sagittal matsayi don kimanta ko yana shiga haɗin gwiwa, sannan kuma suna bin umarnin a daidaita faranti na karfe da / ko sukurori

(Figp-37) Hoto 1-37 gyarawa na Distal Radius karaya tare da Volar Ray fim na Distal Radius Karshe B. Anteroposteroric da a kaikaice X-Ray fim na properative rabuwa, nuna karaya mai kyau mai kyau kuma mai kyau wuyan hannu
8) .Sane Prenator Quadratus ya tsoka tare da dunƙule mara nauyi. Lura cewa tsoka ba zai rufe farantin gaba daya ba. Ya kamata a rufe sashin karkara don rage yawan saduwa tsakanin fatar kan fulawa da farantin. Ana iya samun wannan ta hanyar jan sunan Quadratus zuwa gefen BRACADADILADILILILILILIS, kuma gyaran shi da filasta idan ya cancanta.