Sɛnea Wɔde Mprɛte Siesie Distal Humerus Fractures !

Distal humerus a abubu a wɔatu afi baabi foforo wɔ mpanyimfo mu no yɛ ɔhaw a emu yɛ den esiane nsateaa nkwaa no nipadua a ɛyɛ den, abubu asinasin nketenkete, ne subchondral dompe kakraa bi nti. Distal humerus no akyi ne mfinimfini adum no yɛ ahinanan a ɛyɛ den. Saa ahinanan nhyehyɛe a ɛyɛ den yi sɛe wɔ distal humerus abubu akyi, titiriw AO C-type abubuw a ɛyɛ den.

Abɔseɛ

Wɔ AO Internal Fixation Technique nhoma a wotintimii wɔ 1979 mu no mu no, wɔ distal humerus a abubu a ɛyɛ mmerɛw ho no, AO kuw no kamfoo kyerɛe sɛ wɔmfa mprɛte no nsi wɔn ho wɔn ho 90°, biako wɔ mfinimfini anaa akyi na biako wɔ akyi (1).

Mfiridwuma mu anammɔn (AO nnyinasosɛm ahorow a wɔde sa akisikuru) .

a: Trochlear ne capitellum a wɔsan yɛ no foforo.

bc: Sɛ wotew articular bone asinasin abiɛsa no so wie a, to Kirschner waya no wɔ ɔkwan a ɛne no bɔ abira so. Wobetumi de Kirschner waya no adi dwuma sɛ akwankyerɛ waya ama 3.5mm cannulated screw, anaasɛ wobetumi de skru ahyɛ mu a ɛne Kirschner waya no hyia.

d: Fa bere tiaa mu Kirschner waya di dwuma de fa articular bone fragment no bata humeral shaft no ho

e: Sɛnea ɛbɛyɛ na wɔasiesie articular fragment no wɔ humerus no so no, ɛsɛ sɛ wodi kan de anatomic LCP si humerus no akyi, na wobetumi de mprɛte bi ahyɛ capitulum no akyi a cartilage nni mu. Wobetumi de medial anatomical LCP no ahyɛ humerus no medial crest so na ama agyina pintinn. Sɛ nnompe a ɛyera kɛse anaasɛ metaphyseal comminution a emu yɛ den a, wɔkamfo kyerɛ sɛ wɔmfa LCP abien nsi 90° wɔ wɔn ho wɔn ho ho, efisɛ saa nhyehyɛe yi ma biomechanical stability pa. Ɛsɛ sɛ wɔhwɛ yiye na wɔankɔ nkwaa no mu bere a wɔde angle stabilization screws redi dwuma no.

humerus nipadua akwaa

Dade mprɛte a ɛne ne ho di nsɛ ne nea ɛda fam a wɔde toto ho

Wɔ 1995 Mechanics Study Comparing Dual Plates for the Treatment of Distal Humeral Fractures mu no, wɔde nsunsuanso a efi mprɛte asia a wɔde si hɔ mu bae no totoo ho (A, akyi mprɛte abien; B, akyi ulnar mprɛte, akyi mprɛte; C, mfinimfini ne akyi mprɛte; D, mfinimfini kɔ ulnar mprɛte no so, akyi kɔ radial mprɛte no so; E, mfinimfini ne akyi mprɛte no ho nhwɛso a ɛwɔ nkɔnsɔnkɔnsɔn ne afã anan a ɛpaapae; F, model of severe comminuted fractures with medial and lateral screws), a ɛkyerɛ sɛ wobetumi de mprɛte abien ayɛ abubuw pii wɔ mmeae ahorow ayaresa, nanso wɔ abubuw a emu yɛ den ho no, nhwehwɛmu yi de baa awiei sɛ medial-lateral plate fixation a wɔde screw fixation aka ho no ma stiffness ne ahoɔden a etwa to no tu mpɔn kɛse (3).

Ata C (4) ne ne mfɛfo kyerɛe sɛ mprɛte a ɛda hɔ a ɛwɔ akyi mprɛte a wɔde 2.7 mm akyirikyiri nkɔnsɔnkɔnsɔn anan aka ho no wɔ gyinabea koro no ara te sɛ mprɛte nhyehyɛe a ɛne ne ho di nsɛ wɔ distal humerus no mu akisikuru a ɛwɔ ntini mu no ayaresa mu. Wobetumi de akyi mprɛte no ayi ayarefo a wɔn ho nyɛ no dɛ esiane akyi mprɛte no honam ani yaw nti, titiriw ayarefo a wɔyɛ teateaa na wɔn mfe akɔ anim no afi hɔ.

Sɛnea Wɔtɔ Nnompe a Wɔde Si Nnompe Mu ne Nnompe Ho Nnwinnade!

Ma CZMEDITECH , yɛwɔ nneɛma a edi mũ yiye a ɛyɛ nnompe oprehyɛn a wɔde hyɛ nipadua mu ne nnwinnade a ɛne no hyia, nneɛma no ka ho akyi berɛmo mu nneɛma a wɔde hyɛ nipadua mu, nnadewa a ɛwɔ medullary mu, trauma mprɛte, mprɛte a wɔde to mu, cranial-maxillofacial a ɛwɔ anim, afiri a wɔde yɛ nipadua no, nnwinnade a wɔde anyinam ahoɔden yɛ, abɔnten so fixators, ntini mu nhwehwɛmu, mmoa ho ayaresa ne nnwinnade a wɔde boa wɔn.

Bio nso, yɛasi yɛn bo sɛ yɛbɛkɔ so ayɛ nneɛma foforo na yɛatrɛw nneɛma ahorow mu, sɛnea ɛbɛyɛ a yebedi nnuruyɛfo ne ayarefo pii oprehyɛn ahiade ho dwuma, na yɛama yɛn adwumakuw no nso asi akan kɛse wɔ wiase nyinaa nnompe a wɔde hyɛ nipadua mu ne nnwinnade adwuma no nyinaa mu.

Yɛde kɔ amannɔne kɔ wiase nyinaa, enti wubetumi di yɛn ho nkɔmmɔ wɔ email address song@orthopedic-china.com na woanya asɛm bi a wontua hwee, anaa fa nkra mena wɔ WhatsApp so na woanya mmuae ntɛmntɛm +86- 18112515727 .

Sɛ wopɛ sɛ wuhu nsɛm pii a,kliki CZMEDITECH na woahu nsɛm pii.