Usoro "window mgbasawanye" na-eduzi Ultrasound na-enyere aka n'ibelata mgbaji radius dị anya na akụkụ volar nke nkwonkwo.

Ọgwụgwọ a na-ahụkarị maka mgbaji radius distal bụ ụzọ Henry volar na iji efere mkpọchi na skru maka ndozi ime.N'oge usoro nhazi nke ime, ọ dịghị mkpa imeghe capsule nkwonkwo rediocarpal.A na-enweta mbelata nkwonkwo site na usoro ngbanwe nke mpụga, a na-ejikwa fluoroscopy intraoperative iji chọpụta nhazi elu nkwonkwo.N'ihe gbasara mgbawa ịda mbà n'obi nke intra-articular, dị ka ọkpụkpụ Die-punch, ebe mbelata na nyocha na-apụtaghị ìhè bụ ihe ịma aka, ọ nwere ike ịdị mkpa iji usoro azụ azụ iji nyere aka na nhụta anya na mbelata (dị ka egosiri na foto dị n'okpuru).

A na-ewere ligaments extrinsic na njikọ dị n'ime nke nkwonkwo rediocarpal dị ka ihe dị mkpa maka ịkwado nkwụsi ike nkwojiaka.Site n'ọganihu na nyocha gbasara ahụ mmadụ, achọpụtara na, n'okpuru ọnọdụ nke ichekwa iguzosi ike n'ezi ihe nke obere njikọ rediolunate, ịcha eriri extrinsic apụtaghị na ọ ga-eme ka nkwonkwo nkwonkwo aka.

Ya mere, n'ọnọdụ ụfọdụ, iji nweta echiche dị mma nke nkwonkwo nkwonkwo, ọ nwere ike ịdị mkpa ka ọ bụrụ akụkụ nke akụkụ ahụ nke extrinsic ligaments, na nke a maara dị ka volar intraarticular extended window approach (VIEW).Dị ka e gosiri na foto dị n'okpuru:

Ọgụgụ AB: N'ụzọ Henry a na-ahụkarị maka ikpughe elu ọkpụkpụ dịpụrụ adịpụ, iji nweta mgbawa nkewa nke radius distal na scaphoid facet, a na-agbaji capsule nkwonkwo nkwojiaka na mbụ.A na-eji retractor iji kpuchido eriri redio dị mkpụmkpụ.Mgbe nke ahụ gasịrị, a na-esi na radius dị anya na-esi n'akụkụ ulnar nke scaphoid kpachie eriri redio ogologo.N'ebe a, enwere ike ịhụ anya kpọmkwem nke elu nkwonkwo.

CD onyonyo: Mgbe ekpughere elu nkwonkwo ahụ, a na-eme mbelata nke elu ụgbọ elu sagittal dara mbà n'obi n'okpuru anya ozugbo.A na-eji igwe mbuli ọkpụkpụ na-emegharị na ibelata iberibe ọkpụkpụ, na 0.9mm Kirschner wires nwere ike iji maka nhazi nwa oge ma ọ bụ nke ikpeazụ.Ozugbo elu nkwonkwo na-ebelata nke ọma, a na-agbaso usoro ọkọlọtọ maka efere efere na nkedo screw.N'ikpeazụ, a na-adụkọta mbepụ ndị e mere na eriri redio ogologo na capsule nkwonkwo nkwojiaka.

Usoro ihe ndabere nke VIEW (window intraarticular agbatịkwuru) dabere na nghọta na ịcha ụfọdụ njikọ extrinsic nkwojiaka apụtaghị na ọ ga-ebute nkwụsi ike nkwojiaka.Ya mere, a na-atụ aro maka ụfọdụ mgbagwoju anya intra-articular comminuted distal radius fractures ebe fluoroscopic nkwonkwo mbelata elu elu na-ama aka ma ọ bụ mgbe nkwụsị ụkwụ dị.A na-atụ aro usoro VIEW nke ọma iji nweta nhụta anya ozugbo ka mma n'oge mbelata n'ụdị ikpe ahụ.