Mā te tikanga "matapihi whakawhānui" e ārahihia ana e te ultrasound ka āwhina i te whakaiti i ngā whati o te radius distal i te taha volar o te hononga.

Ko te maimoatanga tino noa mō ngā whati o te radius distal ko te huarahi volar Henry me te whakamahi i ngā pereti raka me ngā tīwiri mō te whakapiri ā-roto. I te wā o te tukanga whakapiri ā-roto, kāore e hiahiatia kia whakatuwherahia te capsule hononga radiocarpal. Ka tutuki te whakaiti hononga mā te tikanga whakahaere o waho, ā, ka whakamahia te fluoroscopy i te wā o te pokanga hei aromatawai i te tūnga o te mata o te hononga. Mēnā he whati kua heke i roto i te hononga, pērā i ngā whati Die-punch, he uaua te whakaiti me te aromatawai ā-kore, me whakamahi pea i te huarahi dorsal hei āwhina i te tirohanga tika me te whakaiti (e whakaaturia ana i te pikitia i raro nei).

Ko ngā hononga o waho me ngā hononga o roto o te hononga radiocarpal e kiia ana he hanganga nui hei pupuri i te pumau o te hononga o te ringaringa. Nā te whanaketanga o ngā rangahau anatomical, kua kitea, i raro i te tikanga o te tiaki i te pumau o te hononga poto radiolunate, ko te tapahi i ngā hononga o waho kāore e hua ake ai te kore pumau o te hononga o te ringaringa.

Nō reira, i ētahi wā, kia pai ake ai te tirohanga o te mata o te hononga, me tapahi pea ngā hononga o waho i ētahi wāhanga, ā, e mōhiotia ana tēnei ko te huarahi matapihi whānui intraarticular volar (VIEW). E whakaatuhia ana i te pikitia i raro nei:

Pikitia AB: I roto i te huarahi tuku iho a Henry mō te whakaatu i te mata o te wheua radius distal, kia taea ai te uru atu ki te whati wehe o te radius distal me te mata scaphoid, ka tapahia tuatahitia te capsule hononga ringaringa. Ka whakamahia he retractor hei tiaki i te hononga radiolunate poto. Muri iho, ka tapahia te hononga radiolunate roa mai i te radius distal ki te taha ulnar o te scaphoid. I tēnei wā, ka taea te whakatutuki i te tirohanga tika o te mata o te hononga.

Pikitia CD: Whai muri i te whakaaturanga o te mata o te hononga, ka mahia te whakaiti i te mata o te hononga kua heke ki te papa sagittal i raro i te tirohanga tika. Ka whakamahia ngā ararewa wheua hei whakahaere me te whakaiti i ngā kongakonga wheua, ā, ka taea te whakamahi i ngā waea Kirschner 0.9mm hei whakapiringa wā poto, hei whakapiringa whakamutunga rānei. Kia tika te whakaiti i te mata o te hononga, ka whaihia ngā tikanga paerewa mō te whakapiringa pereti me te tīwiri. Hei whakamutunga, ka tuia ngā tapahi i mahia ki te hononga radiolunate roa me te capsule hononga ringaringa.

Ko te pūtake o te huarahi VIEW (volar intraarticular extended window) kei roto i te māramatanga kāore te tapahi i ētahi hononga o waho o te hononga ringaringa e hua ake ai te kore pumau o te hononga ringaringa. Nō reira, e taunakihia ana mō ētahi whati uaua o te radius distal comminuted intra-articular ina he uaua te whakaiti i te mata o te hononga fluoroscopic, ina rānei kei reira ngā takahanga. E tino taunakihia ana te huarahi VIEW kia pai ake ai te tirohanga tika i te wā whakaiti i roto i ēnei take.