Proximal humeral Greater tuberosity locking plate: Nhwehwɛmu a ɛkɔ akyiri .
Proximal humerus no yɛ nnompe a ɛho hia a edi dwuma titiriw wɔ atifi fã no dwumadi mu. Mpaapaemu a ɛwɔ saa beae yi betumi ama dwumadi mu ɔhaw kɛse ne dɛmdi aba. Wɔ nnansa yi mfe mu no, mprɛte a wɔde to mu a wɔayɛ no ayɛ nsakrae kɛse wɔ proximal humeral fractures no sohwɛ mu. Proximal Humeral Greater Tuberosity Locking Plate (PHGTLP) yɛ mprɛte bi a wɔde to mu a agye din wɔ nnansa yi mfe mu esiane nea efi ayaresabea mu ba a eye kyɛn so nti. Wɔ saa asɛm yi mu no, yɛde PHGTLP ho nhwehwɛmu a ɛkɔ akyiri bɛma, a nea ɛka ho ne ne nipadua akwaa, nea ɛkyerɛ, oprehyɛn kwan, nea efi mu ba, ne nsɛnnennen.
Anatomy .
Proximal humerus no wɔ afã anan: humeral ti, tuberosity kɛse, tuberosity a ɛba fam, ne humeral shaft. Tuberosity kɛse no yɛ nnompe a ɛda nsow a ɛwɔ akyi wɔ humeral ti no ho, na ɛma wonya baabi a wɔde rotator cuff ntini no bata ho. Wɔayɛ PHGTLP no sɛnea ɛbɛyɛ a ɛbɛma tuberosity kɛse no mu abubu, a ɛtaa ba wɔ proximal humeral fractures mu.
Nneɛma a ɛkyerɛ .
Wɔkyerɛ sɛ PHGTLP no di proximal humeral fractures a ɛfa tuberosity kɛse no ho dwuma. Mpɛn pii no, saa mpaapaemu yi ne rotator cuff apirakuru wɔ abusuabɔ na ebetumi ama dwumadi no asɛe kɛse. PHGTLP no ma fixation a ɛyɛ den, a ɛma kwan ma wɔboaboa ano ntɛm na wɔsan siesie wɔn ho.
Oprehyɛn ho ɔkwan a wɔfa so yɛ .
Oprehyɛn kwan a wɔfa so yɛ PHGTLP no fa ɔkwan a wɔfa so tew so wɔ ɔkwan a ɛda hɔ so na wɔde si mu. Wɔde ɔyarefo no si mpoano agua anaa akyi decubitus gyinabea so, na wɔde ntama a aduru nnim na ɛyɛ oprehyɛn no. Wɔyɛ ntwitwiridii a ɛkɔ akyiri sen tuberosity kɛse no, na ɛso tew. Afei wɔde pHGTLP no si humeral ti no afã a ɛwɔ akyi no so, na wɔde nkɔnsɔnkɔnsɔn no fa mprɛte no mu kɔ dompe no mu. Mprɛte no ma fixation a ɛyɛ den, a ɛma kwan ma wɔboaboa ano ntɛm na wɔsan siesie wɔn ho.
Nea ebefi mu aba .
Wɔada no adi sɛ PHGTLP no wɔ ayaresabea mu nsunsuanso a ɛkyɛn so wɔ proximal humeral fractures a wɔhwɛ so no mu. Nhwehwɛmu pii abɔ amanneɛ sɛ nnipa dodow a wɔpaapae mu no dodow kɔ soro, nea efi mu ba wɔ dwumadi mu yiye, na ɛyɛ den sɛ wobenya ɔhaw ahorow. Wɔ nhyehyɛe mu nhwehwɛmu a wɔyɛe wɔ nhwehwɛmu ahorow 11 mu no, na PHGTLP no ne adwumayɛkuw dodow a ɛyɛ 95%, dwumadi mu aba a eye anaasɛ eye a eye sen biara, ne ɔhaw ahorow a ɛyɛ 6% no wɔ abusuabɔ.
Nsɛnnennen .
Nsɛnnennen a ɛfa PHGTLP ho no bi ne screw perforation, implant failure, non-union, ne infection. Nsɛnnennen a ɛba no sua, na dodow no ara yɛ nea wotumi di ho dwuma bere a wɔhwɛ so yiye no. Wɔ nhyehyɛe mu nhwehwɛmu a wɔyɛe wɔ nhwehwɛmu ahorow 11 ho mu no, ɔhaw a ɛtaa ba ne screw perforation, a esii wɔ nsɛm 2.2% mu.
Awie
PHGTLP yɛ ɔkwan a etu mpɔn na ahobammɔ wom a wɔfa so di proximal humeral fractures a ɛfa tuberosity kɛse no ho dwuma. Mprɛte no ma fixation a ɛyɛ den, a ɛma kwan ma wɔboaboa ano ntɛm na wɔsan siesie wɔn ho. Wɔada no adi sɛ PHGTLP no wɔ ayaresa mu nkɔso a eye kyɛn so a ɛnyɛ den pii. Ɛsɛ sɛ wosusuw PHGTLP a wɔde di dwuma no ho wɔ proximal humeral fractures a wɔhwɛ so no mu.
Nsɛm a wɔka kyerɛ .
Bere tenten ahe na egye na obi anya ahoɔden afi proximal humeral fractures a wɔde PHGTLP di ho dwuma no mu?
Bere a wɔde ma obi ho tɔ no no gyina nneɛma pii so, te sɛ sɛnea ɔyare no mu apaapae, mfe a ɔyarefo no adi, ne ayaresa tebea horow a na ɛwɔ hɔ dedaw no so. Mpɛn pii no, ayarefo dodow no ara betumi ahwɛ kwan sɛ wɔbɛsan akɔ dwumadi ahorow a ɛfata mu wɔ asram 6-12 akyi wɔ oprehyɛn no akyi.
So pHGTLP a wɔde di dwuma no ne ɔhaw ahorow bi a ɛtra hɔ kyɛ wɔ abusuabɔ?
Nsɛnnennen a ɛtra hɔ kyɛ a ɛbata phgtlp ho no ntaa mma. Nanso, ɛsɛ sɛ ayarefo hu asiane a ɛwɔ hɔ sɛ wɔde bɛhyɛ nipadua no mu, a ebetumi aba wɔ oprehyɛn no akyi mfe pii no. Sɛ wo ne oduruyɛfo a ɔrehwɛ no no di akyi daa a, ebetumi aboa ma woahu ɔhaw biara a ebetumi aba na woadi ho dwuma ntɛm ara.
So wobetumi de pHGTLP adi dwuma wɔ proximal humeral fractures nyinaa mu?
Dabi, wɔayɛ PHGTLP no pɔtee sɛnea ɛbɛyɛ a ebetumi asiesie wiberosity kɛse no mu abubu. Wɔ nsɛm a ɛfa abubu no ho no, proximal humerus no afã afoforo ka ho no, ebia ɛho behia sɛ wosusuw oprehyɛn afoforo a wobetumi apaw ho.
Bere bɛn na ɛma ayarefo a wɔreyɛ wɔn oprehyɛn no ho tɔ wɔn?
Bere a wɔde ma obi ho tɔ no no gu ahorow gyina sɛnea ne mu paapae, mfe a ɔyarefo no adi, ne ayaresa tebea biara a na ɛwɔ hɔ dedaw no so. Ayarefo dodow no ara betumi ahwɛ kwan sɛ wɔbɛsan akɔ dwumadi a ɛfata mu wɔ asram 6-12 akyi wɔ oprehyɛn no akyi.
Ɔkwan bɛn so na ayarefo betumi ama wɔn ho atɔ wɔn yiye wɔ PHGTLP oprehyɛn akyi?
Ayarefo betumi ama wɔn ho atɔ wɔn yiye denam nhyehyɛe bi a wɔde siesie wɔn ho a wɔn oduruyɛfo a ɔhwɛ wɔn no ayɛ ho nhyehyɛe no akyi a wobedi so. Ebia nea ɛka eyi ho ne nipadua mu ayaresa, apɔw-mu-teɛteɛ a wɔde bɛma kankyee ne ahoɔden a wɔde di dwuma no atu mpɔn, ne akwan horow a wɔfa so di ɛyaw ho dwuma. Ɛho hia sɛ wodi oprehyɛn akyi akwankyerɛ a oduruyɛfo a ɔrehwɛ no de ma nyinaa akyi na ama ne ho atɔ no yiye.
Sɛ yɛde rewie a, PHGTLP yɛ ɔkwan a ahobammɔ wom na etu mpɔn a wɔfa so di proximal humeral fractures a ɛfa tuberosity kɛse no ho dwuma. Mprɛte no ma wonya fixation a ɛyɛ den, a ɛma kwan ma wɔboaboa wɔn ho ano ntɛm na wɔsan siesie wɔn ho, na wɔada no adi sɛ ɛwɔ ayaresabea mu nsunsuanso a ɛkyɛn so a ɔhaw ahorow a ɛba fam wom. Ɛsɛ sɛ ayarefo ne wɔn oduruyɛfo a ɔrehwɛ wɔn no susuw sɛnea wɔde PHGTLP di dwuma ho de hwɛ sɛ ebia ɛyɛ ɔkwan a ɛfata a wɔbɛfa so ayɛ wɔn akisikuru pɔtee no anaa. Sɛ wɔhwɛ ayarefo no yiye na wodi wɔn akyi a, wobetumi ahwɛ kwan sɛ wɔbɛsan akɔ dwumadi ahorow a ɛfata mu na wɔanya asetra pa wɔ proximal humeral fracture surgery a wɔde PHGTLP ayɛ no akyi.
