Sɛnea wosiesie distal humerus mu akisikuru denam mprɛte so .

Distal the distal humerus a ɛwɔ mpanyimfo mu no mu a ɛpaapae a wɔatu afi hɔ no yɛ ɔhaw a emu yɛ den esiane elbow nkwaa no nipadua a ɛyɛ den, asinasin nketenkete a ɛpaapae, ne subchondral dompe kakraa bi nti. Distal humerus no afã ne mfinimfini adum no yɛ ahinanan a ɛyɛ den. Saa ahinanan nhyehyɛe a ɛyɛ den yi sɛe bere a madistal humerus abubu akyi, titiriw AO C-su a ɛyɛ den a ɛma ɛyɛ mmerɛw no.

Abɔseɛ

Wɔ AO Internal Fixation Technique nhoma a wotintimii wɔ 1979 mu, a wɔde yɛɛ distal humerus no mu a ɛyɛ comminet no, AO kuw no kamfoo kyerɛe sɛ wɔmfa mprɛte no nsi 90° so, mfinimfini anaa afã biako na ɛwɔ akyi biako (1).

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

A: Trochlear ne capitellum no a wɔsan yɛ no.

BC: Bere a woatew articular bone asinasin abiɛsa no so akyi no, fa Kirschner waya no kɔ ɔkwan a ɛne no bɔ abira so. Wobetumi de Kirschner waya no adi dwuma sɛ akwankyerɛ hama ama 3.5mm cannulated skru, anaasɛ wobetumi de skru ahyɛ kirschner waya no mu.

D: Fa bere tiaa mu kirschner waya di dwuma fa ka 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 nipadua mu LCP si humerus no akyi, na wobetumi de prɛte bi asi capitulum no akyi a ntini a ɛwɔ akyi no nni mu. Wobetumi de medial anatomical LCP no asi mfinimfini crest a ɛwɔ humerus no so na ama atumi agyina pintinn. Sɛnea ɛbɛyɛ a nnompe no bɛyera kɛse anaasɛ metaphyseal a ɛyɛ den no, wɔkamfo kyerɛ sɛ wɔmfa LCP abien nsi hɔ wɔ 90° ma wɔn ho wɔn ho, efisɛ saa nhyehyɛe yi ma biomechanical no gyina yiye. Ɛsɛ sɛ wɔhwɛ yiye na wɔakwati sɛ wɔbɛhyɛn nkwaa no mu bere a wɔde angle stabilization screws redi dwuma no.

Humerus Anatomy .

Dade mprɛte a ɛne ne ho di nsɛ ne nea ɛda hɔ gyina hɔ no ntotoho .

Wɔ 1995 mfiridwuma ho nhwehwɛmu a wɔde totoo mprɛte abien a wɔde totoo distal humeral fractures ho no, wɔde mprɛte asia a wɔde si hɔ no nkɛntɛnso totoo ho (A, akyi mprɛte abien; B, akyi ulnar mprɛte, lateral to radial plate; C, C, Medial; Screws ne anan-afã abubu, model of severe comminited fractures with medial and lateral screws), a ɛkyerɛ sɛ wobetumi de mprɛte abien ayɛ fractures wɔ mmeae ahorow ayaresa, nanso wɔ comminited fractures a emu yɛ den ho no, saa nhwehwɛmu yi de baa awiei sɛ medial-lateral plate fixation ne screw fixation a ɛka ho no ma ɛyɛ den kɛse ne ahoɔden a ɛyɛ den (3).

Ata C (4) ne ne mfɛfo kyerɛe sɛ mprɛte a ɛda hɔ a ɛwɔ akyi mprɛte a wɔde 2.7 mm distal screws anan ka ho no wɔ gyinabea koro no ara a ɛne mprɛte nhyehyɛe a ɛne no di nsɛ wɔ ayaresa a wɔde ma wɔ ntini no mu ntini a ɛwɔ akyirikyiri no mu no mu. Wobetumi de akyi mprɛte no ayi ɔyarefo a ne ho yɛ no yaw esiane honam ani mprɛte no akyi mprɛte no, titiriw ayarefo a wɔn mfe akɔ anim ne wɔn a wɔn mfe akɔ anim no afi hɔ nti.

Sɛnea wobɛtɔ nnompe mu nneɛma a wɔde hyɛ nipadua mu ne nnompe mu nnwinnade a wɔde yɛ aduan, .

Ma Czmeditech , yɛwɔ aduru a wɔde yɛ nnompe mu oprehyɛn a edi mũ yiye ne nnwinnade a ɛne no hyia, nneɛma a ɛka ho ne . akyi berɛmo a wɔde hyɛ nipadua mu ., nnadewa a wɔde hyɛ nipadua no mu ., Trauma mprɛte ., Mprɛte a wɔde to mu ., atiridiinini-maxillofacial ., Nneɛma a wɔde yɛ nipadua no ., Nnwinnade a ɛma ahoɔden ., abɔnten so fixators ., Arthroscopy ., Mmoa ho ayaresa ne wɔn adwinnade a ɛboa.

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

Yɛde kɔ amannɔne wɔ wiase nyinaa, enti wubetumi . Wo ne yɛn nkasa wɔ email address song@orthopedic-china.com ma quote a wontua hwee, anaa fa nkrasɛm bi mena wɔ WhatsApp so ma mmuae ntɛm +86- 18112515727 .

Sɛ wopɛ sɛ wuhu nsɛm pii a, klik . Czmeditech na woahwehwɛ ho nsɛm pii.